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Skin

Eating well

· Jun 18, 2025 ·

Many children go through phases of refusing to eat certain foods or even at times refusing to eat anything at all. This is common in young children when they are trying to show their independence. Although it may be worrying, it will not be harmful if your child doesn’t eat for a short period.

Golden Rules aka Division of Responsibility

As a parent you should decide on:

    • What, when & where foods are offered.

It is up to your child to decide:

    • If they want to eat, how much they want to eat, and in which order.

Environment

  • Remove all distractions, e.g. TV, radio, toys, pets.
  • Eat together as a family.
  • Sit down at the table to eat.
  • Seat your child so they are well supported & within easy reach of their plate/cups/utensils.
  • Create a happy, relaxed atmosphere.

Choice

  • Offer the same foods as the family eats – don’t prepare separate “special” meals.
  • Continue to offer foods (on separate occasions) that have been previously refused. It may take a few exposures for a child to accept new foods.
  • Don’t assume a child will dislike a particular food.
  • Offer a new food alongside a familiar (liked) food.
  • If they refuse food, do not offer.

Meal-times

  • Offer very small amounts – too much food may overwhelm your child. Praise them when this is eaten and gradually increase the amounts offered.
  • Encourage self-feeding, even if they are messy – table manners can develop later!
  • Expect, allow & prepare for mess – place splash mats & newspaper on the floor. Clean up calmly at the end.
  • Wipe sticky hands & face after the meal.

Timing

  • Offer 3 meals. Some children may need snacks in-between.
  • Set meals are better than “grazing”.
  • Limit meal times to 20 – 30 minutes.
  • Praise your child when they eat.
  • Don’t become anxious, “fuss” or argue with your child.
  • Learn to read cues—stop if they are turning their head away or clamping their mouth.
  • Don’t rush your child to finish eating.
  • Don’t force them; calmly remove the food after 30 minutes.

Henoch-Schönlein Purpura (HSP), or IgA Vasculitis, in Children: A Guide for Parents

· Jun 18, 2025 ·

Henoch-Schönlein Purpura (HSP), now known as IgA vasculitis, is a type of inflammatory condition known as vasculitis, that affects the small blood vessels in the skin, joints, intestines, and kidneys. It is one of the most common types of vasculitis in children and typically occurs between the ages of 2 and 11 years old. While the exact cause of HSP is unknown, it is believed to be related to an abnormal immune system response, often triggered by a preceding infection.

What symptoms do you get?

Symptoms of HSP can vary but often include:

  • Purpura: Small, raised purple or red spots on the skin, typically on the legs and buttocks, which may be painful or itchy.
  • Joint pain and swelling, particularly in the knees and ankles.
  • Abdominal pain or cramping.
  • Nausea, vomiting, or bloody stools.
  • Kidney involvement, which may lead to blood or protein in the urine, decreased urine output, or high blood pressure.

It’s essential to seek medical advice if your child develops any of these symptoms, especially if they occur suddenly or worsen over time.

How is it diagnosed?

Diagnosing HSP in children usually involves a combination of a physical examination, medical history, and blood and urine tests. Blood tests are done to check for signs of inflammation and to assess kidney function, while urine is tested for blood and protein. Your child’s blood pressure will also be taken.

What is the treatment?

In most cases, HSP resolves on its own within a few weeks to months without specific treatment. However, symptomatic relief may be provided with over-the-counter pain relievers such as paracetamol to alleviate joint pain and discomfort. It’s essential to follow your healthcare provider’s advice closely and attend regular follow-up appointments to monitor your child’s progress as about half of children with HSP will have a further episode. Typically, your child will be followed up at regular intervals for one year.

Rarely, in more severe cases your child may require additional treatments such as medicines to reduce inflammation and protect organ function.

Most cases of HSP will be monitored and resolve without long-term complications. If you have any concerns about your child’s health or if their symptoms are severe or worsening, seek medical advice promptly.

Eczema

· Jun 18, 2025 ·

What is eczema?

Eczema is a common skin condition which usually first presents in childhood, affecting 1 in 5 children in the UK. It often runs in families and can be associated with other allergic-type conditions (also known as atopic conditions) such as hayfever, food allergies and asthma. Eczema can be variable from person to person, affecting different parts of the body and with different levels of impact on the individual.

What causes eczema?

Your skin is a natural barrier which protects you from the outside world whilst also keeping the moisture in. In eczema, the barrier doesn’t work as well as it should, allowing moisture to seep out and things from the environment to get in. This results in skin which is dry, inflamed and itchy due to a loss of moisture and irritation from particles in the environment.

Click here to watch a video on what eczema is and its symptoms

The skin in eczema is usually itchy and dry, and if severe can cause difficulties with sleeping and participating in regular activities. Sometimes the skin will bleed due to scratching, and over time the skin can become thickened due to repeated scratching.

Often these symptoms fluctuate, with episodes called ‘flares’; sometimes flares occur due to exposure to a trigger, at other times there is no clear cause.

Eczema can affect anywhere on the body, but typically is found in the joint creases in children, for example the knees and elbows. In babies it often begins on the cheeks.

 

 

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