Concerns About Pediatric Injuries and Ongoing Health Issues

Please ask about the issue of bruising from a fall?

Hello Dr.
Tsai,
I would like to ask again! It has been seven days since my baby fell off the X-ray table, and there are no other obvious symptoms.
Should I take him back for an examination? Do we need to observe him for another three months? Additionally, he has had bronchiolitis for almost a month and is still not healed.
Should I continue giving him medication? Can he receive the measles vaccine? What side effects might occur? A remorseful mother.

Yin Yin, 0~9 year old female. Ask Date: 2005/06/24

Dr. Cai Zhengxian reply Pediatrics

Dear Mother of In-In,
I am Dr.
Tsai Cheng-Hsien, attending physician in the Pediatrics Department at Tainan Municipal Hospital.
It is wonderful to hear that your baby has been healthy and without any issues for the past week! Please make sure to bring your baby back for regular follow-up visits to monitor various developmental milestones, such as sitting, crawling, and standing at six, nine, and twelve months, respectively, to ensure your baby's normal development.
Infants with bronchiolitis often have significant mucus secretions, which can persist for 2-3 weeks.
Please discuss with your baby's attending physician whether there might be a secondary infection.
The measles vaccine is a live attenuated vaccine that is administered after nine months of age, and it rarely causes fever as a side effect.
If your physician determines that the bronchiolitis is in the recovery phase, timely vaccination will help increase your baby's immunity and prevent measles virus infection.

If there is a secondary infection, please follow your physician's instructions to postpone vaccination, but ensure regular follow-ups to administer the vaccine as soon as your baby is in the recovery phase.
Wishing you and your baby health and safety as you grow!
Sincerely,
Dr.
Tsai Cheng-Hsien
Tainan Municipal Hospital

Reply Date: 2005/06/24

More Info

Hello! It sounds like you have a lot on your mind regarding your child's health, and it's completely understandable to feel concerned, especially after an incident like a fall and ongoing health issues. Let's break down your questions and concerns step by step.

1. Follow-Up After the Fall
If your child fell from an X-ray table and has not shown any obvious symptoms such as swelling, bruising, or pain in the days following the incident, it may not be necessary to return for further imaging. However, it's essential to monitor for any delayed symptoms. Signs that would warrant a return to the doctor include persistent pain, difficulty moving the affected area, or any changes in behavior such as increased irritability or lethargy. If you notice any of these symptoms, it would be wise to consult your pediatrician for further evaluation.

2. Ongoing Bronchiolitis
You mentioned that your child has had bronchiolitis for almost a month. Bronchiolitis, often caused by viral infections, can take time to resolve, especially in young children. If your child is still experiencing symptoms such as wheezing, coughing, or difficulty breathing, it’s crucial to follow up with your pediatrician. They may recommend continued medication or other treatments, depending on the severity of the symptoms. In some cases, supportive care such as hydration and humidified air can be beneficial. If your child is struggling to breathe or shows signs of dehydration, seek medical attention immediately.

3. Vaccination Concerns
Regarding the measles vaccine, it is generally recommended for children to receive their vaccinations on schedule, unless there are specific contraindications. The measles, mumps, and rubella (MMR) vaccine is crucial for preventing serious illnesses. If your child is currently ill, it’s best to consult with your pediatrician about the timing of vaccinations. They will consider your child's overall health, any ongoing illnesses, and the potential risks versus benefits of vaccination at this time.

4. Side Effects of Vaccination
As for potential side effects of the measles vaccine, they are typically mild and can include fever, rash, or mild swelling at the injection site. Serious side effects are rare but can occur. Your pediatrician can provide more detailed information based on your child's health history and current condition.

Conclusion
As a parent, it’s natural to feel anxious about your child’s health, especially after an injury and with ongoing health issues. It’s important to maintain open communication with your pediatrician and to voice any concerns you have. They can provide tailored advice based on your child's specific situation. If you feel uncertain about any symptoms or the need for further evaluation, don’t hesitate to reach out to your healthcare provider. Your child's health and well-being are the top priority, and seeking guidance is always a good step.
Take care, and I hope your little one feels better soon!

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