Rashes in Children: Could Contaminated Water Be the Cause? - Pediatrics

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Rash on the body?


Ten days ago, I accidentally forgot to boil water and gave my daughter 120cc of raw water to drink.
The next day, she developed rough rashes on her chest and back, which have not improved.
Last night, she also had three small red spots on her feet.
We visited a dermatologist who diagnosed her with systemic allergies and prescribed medication and topical ointment.
Could this be caused by drinking raw water? The prescribed medication is Xipilimin solution.
Will she recover on her own, or is it necessary to take medication and apply ointment?

linda, 30~39 year old female. Ask Date: 2015/12/23

Dr. Xiao Kaiwen reply Pediatrics


There are many types of allergens that can cause skin allergies (including ingestion, inhalation, and contact), making it difficult to identify the specific allergen.
The severity of allergic reactions also varies from person to person; some individuals may only experience redness and rashes on the skin and can recover on their own without further exposure to the allergen, while a very small number may experience anaphylactic shock.
Therefore, whether medication or topical treatments are necessary, and for how long, depends on the severity of the allergy.
It is advisable to consult with a physician for guidance and collaboration.

Reply Date: 2015/12/23

More Info


When it comes to understanding rashes in children, particularly in the context of potential exposure to contaminated water, it is essential to consider several factors. In your case, you mentioned that your daughter consumed 120cc of untreated water, and shortly thereafter, she developed a rash characterized by rough patches on her chest and back, along with red spots on her legs. After consulting a dermatologist, she was diagnosed with a generalized allergic reaction and prescribed medication.

Firstly, it is important to note that untreated water can pose various health risks, particularly for young children whose immune systems are still developing. Contaminated water may contain pathogens, chemicals, or heavy metals that can lead to gastrointestinal issues, skin reactions, or other systemic effects. However, the direct correlation between drinking untreated water and the development of a rash is not always straightforward. Rashes can be caused by a variety of factors, including allergies, infections, or irritants.

In your daughter's case, the timing of the rash following the consumption of untreated water raises a valid concern. It is possible that the water contained allergens or irritants that triggered her skin reaction. However, without specific testing of the water and a thorough evaluation of her overall health and environment, it is difficult to definitively conclude that the untreated water was the sole cause of her rash.

The medication prescribed, likely an antihistamine (such as the one you mentioned, "希普利敏液," which is likely a brand name for an antihistamine), is intended to alleviate allergic symptoms. Antihistamines work by blocking the action of histamine, a substance in the body that causes allergic symptoms. In many cases, rashes caused by allergic reactions can resolve on their own, especially with appropriate treatment. However, the use of medication can help manage symptoms and speed up recovery.

It is crucial to monitor your daughter's condition closely. If the rash persists or worsens despite treatment, or if she develops additional symptoms such as fever, difficulty breathing, or swelling, it is essential to seek further medical attention. Additionally, ensure that she avoids any known allergens or irritants during her recovery.

In the future, it is advisable to always boil water before consumption, especially for young children, to minimize the risk of exposure to harmful pathogens or contaminants. If you suspect that the water source may be contaminated, consider having it tested or using a reliable water purification method.

In summary, while it is possible that the untreated water contributed to your daughter's rash, it is essential to consider other potential causes as well. The prescribed medication should help alleviate her symptoms, but close monitoring and follow-up with her healthcare provider are crucial to ensure her recovery. Always prioritize safe drinking practices to protect your child's health.

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