There are certain symptoms that indicate heart disease or heart failure in childhood. Weight development is usually insufficient in heart diseases (failure to thrive). Also a drinking weakness can indicate a heart problem. This manifests itself e.g. through exhaustion or increased sweating while drinking. Other signs that may indicate a heart defect are respiratory failure (rapid breathing), frequent respiratory infections, or water retention. Acute problems can manifest themselves through fainting or tachycardia in older children and blue sickness in younger and older children. If you notice such symptoms in your child, talk to the pediatrician. He decides whether a heart examination by a specialist is necessary.
Please bring your child’s insurance card, the yellow examination booklet and old doctor’s letters with you for the examination. If your child is being cared for by another Paediatrician and needs a cardiology examination with us, you will need a current referral form for each quarter.
It is best for your child to come to the practice full of energy and please avoid unrest beforehand. Please think of a bottle to feed, a favourite music box/ cuddly toy and diapers to change and a teat if your child needs one. Please bring an additional blanket or towels for your newborn.
In many heart defects, sport is possible after consultation with the Paediatric Cardiologist. We will be happy to explain when and if your child is allowed to do sports. If required, we can also issue a sports certificate for your child.
The question has not yet been sufficiently clarified scientifically, but some hereditary heart diseases are known. If there is a conspicuous number of heart diseases in your family, we consider a heart examination of siblings to be useful.
In general, you should start the fever reduction if the fever exceeds 39°C. You can give antipyretics every 6-8 hours in consultation with your Paediatrician. In some cases, fever juice or fever suppositories can also be given as a painkiller. A Consultation in our practice is recommended.
After vaccination, your child may experience reactions such as redness, pain or swelling at the vaccination site. In this case, you can cool the vaccination site locally. It is best to use a cold cloth, e.g. a clean tea towel. In addition, the child may react with fever after vaccination. If your child does not react to fever-lowering measures, e.g. suppositories, or if he or she is behaving abnormally, please present the child to us in our practice or to your Paediatrician.
How long can my child take antibiotics? Can I stop taking the antibiotics if the child seems healthy to me?
The planned duration of antibiotic therapy is usually determined before the start of therapy. Please be sure to observe the prescribed duration. Antibiotics cannot be discontinued independently, e.g. after 2 -3 days, because the child is feeling better. If you have any problems, please contact us or another pediatrician.
My child has scarlet fever and is being treated with an antibiotic. Can he/she go to the nursery?
In principle, you must not shorten the prescribed therapy duration (administration of medication). If antibiotics have already been administered for 48 hours and your child is fever-free and fit, he or she may return to the nursery. Scarlet fever is only required to be reported in some federal states, not in Brandenburg. Nevertheless, you should inform your childcare facility.
Infants drink approx. 110 -140 ml/kg body weight per day. Infants from 1 to < 4 years approx. 90 -100 ml/kg body weight per day. Make sure that your child does not feel hungry and that he or she continuously gains weight. As such weight controls are very important during preventive medical examinations. We are happy to answer further questions individually.
Mother’s milk remains the best food ever for the child. Should breastfeeding not be possible for any reason, the child may drink pre-milk (pre-nutrition).
If there are severe allergies in your family, a hypoallergenic baby food (pre-HA food or hypoallergenic food) is recommended in certain cases. Some babies do not get full from a certain age with pre-milk. In this case, the children can receive follow-on milk otherwise follow-on milk is not a must especially if the children with pre-nutrition show a good weight development. Please feel free to contact us in the practice if you have any further questions.
The question of how long you will breastfeed your child can only be answered individually. Basically, the WHO or nutritionists recommend 6 months. You are welcome to discuss this with us or with your midwife.
With supplementary food you can start in the middle of the first year of your child’s life. In some children it can also be started earlier. The willingness of your child and the interest in supplementary food must be observed and taken into account. We recommend to continue breastfeeding while introducing complementary foods. Weaning is very individual and is decided solely by the mother and/or the child. If you are still unsure, please do not hesitate to contact us.
The formation of breast milk varies greatly from woman to woman. If you are not sure, a breastfeeding test can be performed. In this case, the baby is weighed immediately before and after breastfeeding. Please feel free to talk to us about this topic.
Please be reminded that the information on our home page cannot be be used for the diagnosis or treatment of any medical condition whatsoever. If you have any questions about the condition of your child, do not hesitate to contact us or simply ask your doctor.