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How Can Stomach Pain, Red Rashes On The Hands And Feet, And Swelling Near The Ankles Be Treated?
Hi doctors My daughter is 2years old n she had stomach pain and her legs n hands were filled with red rashes and there was swelling near ankles. Doctor said its infection and suggested defcort syrup (4ml twice a day )which is steroid ... is it safe to use for 2 year old ? If yes, how many days can it be used?
Wed, 20 Dec 2023
Hello,
Stomach pain, rash, and swelling is due to several specific conditions in children. The foremost one which comes into mind is "Henoch schonlein Purpura" which often subsides in 1 week without creating problems in most children. But in some, it can have long lasting effects. So I would suggest you to check the urine for blood cells and protein and also check creatinine in blood.
If she has swellings in neck (lymph nodes) , should rule out Kawasaki disease. If she has blood in stools, should rule out Early inflammatory bowel disease. Rashes in legs and hands and swelling of legs also mandates ruling out diseases like vasculitis. All the above depends on the duration of illness and type of rash.
It is advisable to evaluate clinically on the above possibilities than considering blanket steroids. Short duration of Steroids (3-4 weeks) as such will not have much side effects but can cause acidity or change in behavior (child might become cranky).
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Praseetha Narayanan, OB & GYN Specialist
Stomach pain, rash, and swelling is due to several specific conditions in children. The foremost one which comes into mind is "Henoch schonlein Purpura" which often subsides in 1 week without creating problems in most children. But in some, it can have long lasting effects. So I would suggest you to check the urine for blood cells and protein and also check creatinine in blood.
If she has swellings in neck (lymph nodes) , should rule out Kawasaki disease. If she has blood in stools, should rule out Early inflammatory bowel disease. Rashes in legs and hands and swelling of legs also mandates ruling out diseases like vasculitis. All the above depends on the duration of illness and type of rash.
It is advisable to evaluate clinically on the above possibilities than considering blanket steroids. Short duration of Steroids (3-4 weeks) as such will not have much side effects but can cause acidity or change in behavior (child might become cranky).
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Praseetha Narayanan, OB & GYN Specialist
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