4 Week Old with Facial Rash Normal?

Updated on January 19, 2016
E.W. asks from Ocean Springs, MS
5 answers

My daughter has a rash all over face (not just the cheeks and chin) including her ears and neck. It doesn't seem to bother her any but it gets flared when she presses up against me or when she cries. She has a cold recently with a fever (that's when the rash started and the fussiness). Her Doctor said it could be number of things he has had me put her on a number of formulas for milk allergy but nothing for reflux. (she has been spitting up and is fussy and has gas but her stool looks normal). But the rash and the fussiness didn't start till the cold started. Could the rash be related to the cold and the fever (100-100.4) and she just have reflux and gas?

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So What Happened?

Thanks for all the advice. My doctor put her on a soy formula we are trying so far she is doing better. She had a hard stool from it but we has us giving her karo syrup. She still has the rash and her stomach is hard but he wants us to keep with it till we go to our GI appointment he has us going to. He brought up probably having to put her on elecare.

More Answers

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D..

answers from Miami on

I don't know, but if I were in your shoes, I would get an appointment with a pediatric dermatologist. Even when the cold or virus goes away, her face may not be able to clear up without help. A peds dermatologist knows a heck of a lot more about rashes than a regular pediatrician does.

Call today - sometimes it takes weeks to get in to see a pediatric dermatologist.

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M.D.

answers from Pittsburgh on

Could be related to the cold. But, my milk-protein intolerant babies would break out in a rash on their face if they had anything with cows milk in it. So food intolerances can cause rashes on baby's face.

The spit up, fussiness, and gas are also common with a food allergy.

Milk protein is a common food intolerance for babies, but also very common is a soy intolerance. You might talk to your ped about a formula that is both milk and soy-free, if you haven't tried that already.

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S.T.

answers from Washington DC on

well, no, rashes are pretty common in babies but they're not 'normal.' its very presence tells you there's something out of whack, right?
since it started with the cold, i'm a little surprised that your pediatrician decided it was a milk allergy. i do agree that giving her reflux medicine would have been weird. most babies spit up and have some gas, but not all need reflux medicine.
of course the rash could be related to the cold and fever since that's when i started, right? is she all over that? makes a lot more sense than a rash caused by gassiness.
might be time to make an appointment with a pediatric dermatologist IF she's well past the cold and fever. if she's still suffering from the condition that prompted the rash, i'd work at getting her past that and then see if the rash subsides.
ETA when my baby showed up with a rash, the ped decided he had a milk allergy and had me switch to soy. when he began projectile vomiting the soy she said i was feeding him wrong. i switched peds and the new one correctly identified the fragrance in my laundry soap as the allergen and put us back on regular formula and he did great. it doesn't make sense to me that your baby's rash started with the cold and fever and your doctor is diagnosing a milk allergy.
khairete
S.

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B.C.

answers from Norfolk on

Infant acne isn't uncommon in new borns.
While you were pregnant you had a heap of hormones going through BOTH of you and the first few months after birth have a lot of things happening due to getting use to not having that hormone rush.
The fever is very low grade.
For a lot of kids, things seem to settle out a bit at the 8 week mark.
Just keep monitoring it and working with your doctor.

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N.B.

answers from Oklahoma City on

She could be allergic to your soap, fabric softener, dryer sheets, shampoo, conditioner, fibers in your clothes, and the allergens you have on you and she could be allergic to the soap, water additives, or lotion you put on her. She could be allergic to the formula she's on. She could be allergic to just about anything but as long as she is switching around and trying new stuff you won't know anything.

There is baby acne, it's just a rash to me, and all sorts of stuff the baby can have.

Reflux isn't spitting up. Reflux is projectile vomiting and gurgling and here it comes.

90% of reflux is the parent overfeeding the baby too. There is a swallow test the docs can order that takes place in the hospital while they're being X-rayed. It's on an empty stomach so they can see what the body does when the food is introduced. If there's a spasm or stuff that happens to the body while the baby is swallowing that's how they diagnose reflux.

Our little guy too .9ml of Reglan about 10 minutes before each bottle. It basically relaxed the muscles and helped the lower part of the stomach to open easier so the coming formula would go on down into the lower digestive track quicker. Then he was less likely to have his formula come out the top. We put Mylicon gas drops in every bottle of water and when we added the powder to it we swirled it, not shaking it at all. Shaking the formula puts air in it, a lot of air.

He slept in a bouncy chair in his crib until one point when he just wouldn't go to sleep that one night. My husband took him out of the bouncy seat and put him flat in the bed. He promptly turned over on his stomach and passed out.

We kept him in our room for at least a year so we could hear him when he started gurgling and we could make sure he didn't choke on reflux formula or even food.

So hopefully you are simply overfeeding your baby and can give them more bottles with less formula in it. They'll get used to it and it won't be a life long issue that will keep you up at night or sleeping where you have to be wide awake any second and up running to grab your baby and make sure they aren't choking on puke.

Reflux isn't fun.

As for the swallow test and the rash...only the doc can treat those things and your doc might need to change if they aren't listening to you. If you switch docs and they say the same thing, then you have to decide if you are overreacting or if they are not the docs for you.

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