Managing Bruises and Skin Sensitivity in Young Children: Expert Advice

Bruise

Hello Dr.
Lin, I would like to ask you a few questions:
1.
My daughter is currently one year old and has sensitive skin on her cheeks that easily develops rashes or redness due to changes in weather.
I apply a moisturizing lotion to her in the morning and evening.
This lotion was purchased from a dermatology clinic that has a store selling skincare products, specifically designed for sensitive or dry, damaged skin.
Doctor, is it okay to apply this lotion to my daughter every morning and evening throughout the entire autumn and winter? Can it be used continuously? Will it place any burden on her body or cause any side effects?
2.
My daughter often bumps her hands against doors or her head against walls, resulting in bruises and swelling.
Doctor, if her arm or forehead is bruised, what kind of ointment can be applied? Or should we just leave it alone and let it heal naturally?
3.
A pediatrician told my friend that it is best not to use bone broth to make porridge for children because it contains heavy metals like lead, which can accumulate in a child's brain and affect cognitive development.
This doctor suggested using fish broth instead for making porridge.
What is your recommendation on this matter?
Thank you for your answers, Doctor.

Xiao Fen, 30~39 year old female. Ask Date: 2005/10/26

Dr. Lin Huizhen reply Pediatrics

Dear Xiao Fen,
1.
Regular lotions work by using surfactant molecules to replenish skin moisture and prevent dryness.
If the ointment does not contain any specific medicinal ingredients, it generally should not pose any significant issues.
2.
Common bruises are primarily caused by subcutaneous bleeding.
Applying ointment may help accelerate the absorption of the blood under the skin, but it can also heal on its own without any application, and it does not affect the child's health.
Some people suggest that using topical treatments like "Shiliao Tiao" may be beneficial, but opinions vary.
3.
From a nutritional standpoint, any broth made from food can provide effective nutrients.
Many nutritional components are primarily found in the food's fiber and cannot be fully dissolved in the broth.
The claim that bone broth contains heavy metals like lead may be somewhat exaggerated; problematic food sources can exist in any type of food.
The Pediatric Department of Tainan Hospital is concerned about your health.

Reply Date: 2005/10/26

More Info

Managing skin sensitivity and bruising in young children can be a challenging task for parents, especially when considering the delicate nature of a child's skin and their propensity for minor injuries. Here’s a comprehensive response to your questions based on current medical knowledge.

1. Moisturizing Sensitive Skin: It is perfectly acceptable to apply a moisturizing lotion designed for sensitive or dry skin to your daughter’s face throughout the fall and winter months. In fact, regular moisturizing is crucial during colder months when the air tends to be drier, which can exacerbate skin sensitivity and lead to conditions like eczema or dermatitis. The key is to choose a product that is free from fragrances, dyes, and harsh chemicals, as these can irritate sensitive skin. Applying the lotion twice daily, as you are currently doing, should not pose any burden or side effects to her skin. However, if you notice any signs of irritation or an allergic reaction, such as increased redness, itching, or swelling, it would be wise to discontinue use and consult a pediatric dermatologist.

2. Managing Bruises: Bruising is common in young children due to their active nature and the fact that they are still developing coordination. For minor bruises, it is generally best to allow them to heal naturally. However, you can apply a cold compress to the area immediately after the injury to reduce swelling and pain. Over-the-counter topical treatments, such as arnica gel, may also help in reducing the appearance of bruises and alleviating discomfort. Always ensure that the product is safe for children. If the bruises are extensive, frequent, or accompanied by other symptoms (like pain or swelling), it would be prudent to consult a pediatrician to rule out any underlying health issues.

3. Dietary Concerns: Regarding the advice about using bone broth in your child's diet, it is essential to consider the source of the bones used. While there have been concerns about heavy metals, including lead, leaching into bone broth, these risks are generally associated with bones from older animals or those raised in contaminated environments. If you choose to use bone broth, ensure it comes from a reputable source and is prepared safely. Fish broth can be a nutritious alternative, as it is rich in omega-3 fatty acids and other beneficial nutrients. Ultimately, a balanced diet that includes a variety of protein sources, vegetables, and whole grains is crucial for your child's development. If you have specific concerns about heavy metals or dietary choices, consulting a pediatric nutritionist can provide tailored guidance.

In summary, maintaining a consistent moisturizing routine is beneficial for your daughter's sensitive skin, and allowing bruises to heal naturally is typically the best approach. When it comes to dietary choices, prioritize quality and variety to ensure your child receives the necessary nutrients for healthy growth and development. If you have ongoing concerns or notice unusual symptoms, don’t hesitate to reach out to your pediatrician for further evaluation and personalized advice.

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