Wednesday, January 07, 2015

Health Check Up

out of the four boys, i worry about asyraf and akmal's health more. alhamdulillah, amir and ariff's been quite ok when it comes to health, only getting the usual fever, flu, cough, stomach flu. of course there's the occasional urti that requires the nebuliser and the age that requires the drip and that once-off roseola amir had but nothing too alarming and nothing that carries on for a long period.

asyraf and akmal, however, is more susceptible to getting sick. akmal, of course with his small nasal airways, his allergy to everything under the sun, comes up tops. asyraf used to fall sick often when he was younger (those bi-monthly hospital admissions that made me end each year with negative leave balances) is thankfully spared once he grew older. but now, he's starting to see the doctor more often. not our saviour, dr azizi, now he's seeing the pediatric dermatologist, dr mardziah. i still cringe seeing her name, as she was the one who asked to akmal to be admitted to the nicu when his oxygen level fell to 50% when he was only a month old - but that's another story.

asyraf's visited dr mardziah a couple of times back in 2013, for the molluscum contagiousum that she used dried ice as treatment.

this time it was for the stuff on his face. everywhere we went and everyone we met said it was 'panau' or more commonly (uhuh…) known as pityriasis versicolor. after almost two months of seeing it wasn't going anywhere, and being in our holiday pictures, we took him to see dr mardziah - only because hubby had an appointment with his doctor at dsh.

dr mardziah concluded that it was eczema, not surprising as asyraf always had a love-hate relationship with his skin. good thing its not triggered by food since asyraf loves to eat and i'm not up to going through his food intake. its more likely because of his dry skin so he was prescribed with bath gel-ish soap, cream for his dry skin and hydrocortisone to put on the affected area.

from dr. greene…
doctors call on of these pityriasis alba, which is latin for white, scaly patches. children with this extremely common condition develop uneven, round or oval patches after sun exposure. the pathces are dry with very fine scales. varying from 1 to 2 inches in diameter, the are most common on the face (cheeks), neck, upper trunk and upper arms of children 3 to 16 years old.

these are completely benign, similar to a mild form of eczema. they are most common in children with dry skin. the involved patches don't darken with sun exposure the way the surrounding skin does. treatment involves daily lubrication with a good moisturizer, especially whenever the skin gets wet.

she also mentioned about parents with asthma, so ok, that's me.

per mr wikipedia…
kids who get eczema often have family members with hay fever, asthma or other allergies. some experts think these kids may be genetically predisposed to get eczema, which means characteristics have been passed on from parents through genes that make a child more likely to get it. about half of the kids who get eczema will also develop hay fever or asthma themselves.

so that would require a visit to dr azizi in the future...

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