Sexual crisis of a newborn - does it happen? Sexual crisis of newborns Differences between the norm and pathology.

Newborn babies need time to adjust to their new environment. When a child is born, many external factors begin to influence the body. One of the symptoms of adjusting to the new world may be the appearance of a hormonal rash. This is completely normal and will go away on its own. Acne in newborns should not cause concern for parents. For the baby, it is completely painless and does not provoke itching.

What is a hormonal rash in babies and what does it look like?

Hormonal rash in newborns, or neonatal pustulosis, occurs in most newborns. Such rashes are not a disease, it is only a temporary phenomenon in the period of addiction. child's body to new living conditions. You can hear other names for this phenomenon: milia, three-week rash, skin bloom, acne or newborn acne.

In appearance, it is very similar to acne in adolescents and looks like purulent pimples. These are red rashes, which can be of different sizes, localizations, but their distinguishing feature is the presence of a white purulent top. At the same time, the contents of the pustules are not of a liquid consistency, but rather look like a capsule. What does acne look like in babies can be seen in the photo.

Causes of rashes in a newborn

During pregnancy, the baby receives hormones from the mother in large quantities. After childbirth, the baby's body tries to get rid of them. The child has a so-called hormonal crisis. An excess of maternal hormones causes the sebaceous glands to work actively. Since they are not yet able to function normally, blockage occurs, pimples appear.

It is impossible to prevent the appearance of a three-week rash in newborns. Some babies are even born with 2-3 pimples already. This is a natural, physiological reaction of the child's body to changes in hormonal levels.

Symptoms of a hormonal rash - how to distinguish it from other diseases?

The first symptoms usually begin to appear immediately after birth. The most acute period of hormonal rashes occurs at the age of 1 week. The duration of the course of its symptoms is 1.5-2 months. If acne persists after this age, you need to consult a specialist - perhaps the cause of the rash lies elsewhere.

How to determine that the baby has acne:

swelling and engorgement of the mammary glands in children of both sexes (more in the article:);
girls develop vulvovaginitis, spotting;
the genitals swell a little in boys and girls;
red pimples all over the body, more often localized on the face (cheeks, forehead, chin), neck, back, less often on the scalp.

The nature of the rash may vary:

small red pimples;
red spots with a white head in the middle;
pale pimples, slightly protruding above the surface of the skin, feel more like roughness of the skin.

If a rash occurs, the child should be examined by an experienced specialist and a number of medical tests to determine the exact etiology of the disease

When a rash appears in a child, it is important to exclude other diseases with similar symptoms. According to their characteristics, acne in newborns is similar to the signs of certain diseases - diathesis, sweating, allergic reaction (more in the article:). However, the hormonal rash does not go away after taking antihistamines, improve baby skin care. The color of the hormonal rash is always red (we recommend reading:).

Miliaria is located mainly in the folds of the skin, in newborn acne there are other places of localization. Pimples with prickly heat cause significant discomfort to the child, they itch and become inflamed.

Allergies are characterized by itching and peeling, dyspeptic symptoms (bloating, diarrhea). Often, allergies are not limited to skin rashes, they can be accompanied by a runny nose, cough, redness of the eyes and watery eyes. With neonatal pustulosis, the rash does not cause any concern to the child.

If the child does not have high temperature, catarrhal phenomena (cough, runny nose), general condition is good, appetite is not disturbed, then you can not worry. When at least one of these symptoms is present, an infectious disease must be excluded.

In addition, red rashes may appear with chicken pox, measles, scarlet fever. Chickenpox in infants is extremely rare, but the diagnosis cannot be completely ruled out. Measles and scarlet fever are accompanied by fever and symptoms of intoxication of the body. These diseases are very dangerous for their complications, and it is necessary to exclude them at the slightest suspicion.

Should a neonatal rash be treated?

It is not necessary to treat a three-week rash in an infant. There are times when a baby damages pimples and infects them. In this case, ointments are used that have an antiseptic effect. In order for the baby not to comb the rash, you need to carefully cut your nails and put on special anti-scratch mittens.

Treatment is only given if the rash progresses very quickly or lasts more than 3 months. Sometimes there is a severe blockage of the duct. The doctor in this case will prescribe special ointments (Bepanten, Ketoconazole).

It is necessary to monitor the hygiene of the baby's skin, bathe regularly, give him baths with medicinal herbs(decoction of chamomile, succession, calendula). You can use a weak solution of manganese or Chlorphyllipt for bathing. For washing, ordinary baby soap is used.

For skin problems, herbal baths are well-deserved popularity.

The baby needs to regularly take sun and air baths, walk more often. A nursing mother should follow a hypoallergenic diet. After the hormonal background normalizes, the rashes will disappear, and there will be no trace left on the skin.

Hormonal (sexual) crisis newborns associated mainly with the action of maternal hormones on child and occurs in full-term newborns. Premature children these conditions are rare. sexual crisis includes several states:

Breast engorgement, which begins on the 3rd–4th day of life, reaches a maximum on the 7th–8th day and then gradually decreases. Sometimes milky white discharge is noted from the mammary gland, which in composition approaches the mother's colostrum. Breast enlargement occurs in most girls and half of the boys. You can not press on the mammary glands, massage them, and even more so try to express drops of liquid from the nipples. Any manipulations with the mammary glands in babies dangerous in that they can lead to the development mastitis newborns, and this is very serious disease and can only be treated with surgery. For prevention, it is enough just to make a pad of cotton wool and gauze and put it on the mammary glands under the vest baby. With severe engorgement, the pediatrician will prescribe special compresses;

Desquamative vulvovaginitis- copious grayish-white mucus discharge from the genital slit, appearing in 60-70% of girls in the first three days of life. Allocations occur for 1-3 days and then gradually disappear. The nature of the vaginal discharge can also be bloody - this is not a cause for concern. This condition does not require therapy. With vaginal discharge, the girl should be washed with a light pink, cool solution of potassium permanganate from front to back.

Milia- whitish-yellow nodules 1–2 mm in size, rising above the level of the skin, localized more often on the wings of the nose and bridge of the nose, in the forehead, chin. These are sebaceous and sweat glands with abundant secretion and clogged ducts. Found in 40% newborns and do not require treatment;

Dropsy of the testicles (hydrocele)- occurs in 5-10% of boys, resolves without treatment in the neonatal period;

ACNE OF THE NEWBORN (acne estrogenic)- appear in the first 3-5 months. life child, being a reaction of small, superficially located, sebaceous glands newborns on the sex hormones of the mother (who often had a history of severe manifestations of acne). Rashes are not numerous, represented by open and closed (milium) comedones, small papules and pustules with a small inflammatory corolla around. . A few days after the onset of acne newborns are independently resolved.

13. Transient changes in stool

Transient changes in the stool (transient intestinal catarrh, physiological dyspepsia of the newborn, transitional intestinal catarrh) - a kind of stool disorder that is observed in all newborns in the middle of the first week of life. During the first or second (rarely up to the third) day from the intestines child meconium passes - i.e. original cal. Meconium is a viscous, thick dark green, almost black mass.

Later, the stool becomes more frequent, inhomogeneous both in consistency (lumps, mucus, liquid part can be seen) and in color (areas of dark green color alternate with greenish, yellow and even whitish). Often the stool becomes more watery, resulting in a water spot around the stool on the diaper. This chair is called transitional, and the state associated with its appearance, as you may have guessed, is transitional intestinal catarrh. After 2-4 days, the stool becomes physiological - homogeneous in texture and color. Simply put, it acquires a mushy, yellow appearance with a sour-milk smell. It reduces the number of leukocytes, fatty acids, mucin (mucus) and tissue protein. Severity transitional intestinal catarrh varies with different children. In some, the frequency of defecation reaches six or more times a day, the stool is very watery, in others toddlers its frequency is up to three times and the consistency is not much different from the usual.

Howbeit, transitional intestinal catarrh a physiological phenomenon and can only frighten newly-made moms and dads, but not harm to kid. Trying to influence transitional intestinal catarrh- unjustified event. You just need to wait a little - when baby more or less "learn" to use his digestive system, the chair is normalized.

The hormonal (sexual) crisis of newborns is mainly associated with the effect of mother's hormones on the child and occurs in full-term newborns. In premature babies, these conditions are quite rare. The sexual crisis includes several conditions:

Breast engorgement, which begins on the 3rd or 4th day of life, reaches a maximum on the 7th or 8th day and then gradually decreases. Sometimes milky white discharge is noted from the mammary gland, which in composition approaches the mother's colostrum. Breast enlargement occurs in most girls and half of the boys. You can not press on the mammary glands, massage them, and even more so try to express drops of liquid from the nipples. Any manipulations with the mammary glands in infants are dangerous because they can lead to the development of mastitis in newborns, and this is a very serious disease and can only be treated surgically. For prevention, it is enough to simply make a pad of cotton wool and gauze and put it on the mammary glands under the baby's vest. With severe engorgement, the pediatrician will prescribe special compresses;

Desquamative vulvovaginitis - profuse grayish-white mucous discharge from the genital slit, appearing in 60-70% of girls in the first three days of life. Allocations occur for 1-3 days and then gradually disappear. The nature of the vaginal discharge can also be bloody - this is not a cause for concern. This condition does not require therapy. With vaginal discharge, the girl should be washed with a light pink, cool solution of potassium permanganate from front to back.

Milia - whitish-yellow nodules 1-2 mm in size, rising above the level of the skin, localized more often on the wings of the nose and bridge of the nose, in the forehead, chin. These are sebaceous and sweat glands with abundant secretion and clogged ducts. They occur in 40% of newborns and do not require treatment;

Dropsy of the testicles (hydrocele) - occurs in 5-10% of boys, passes without treatment during the neonatal period;

NEWBORN ACNE (estrogenic acne) - appear in the first 3-5 months. life of the child, being a reaction of small, superficially located, sebaceous glands of newborns to the sex hormones of the mother (who often had a history of severe manifestations of acne). Rashes are not numerous, represented by open and closed (milium) comedones, small papules and pustules with a small inflammatory corolla around. . A few days after the onset of acne, newborns resolve on their own.

13. Transient changes in stool

Transient stool changes (transient intestinal catarrh, physiological dyspepsia of newborns, transitional intestinal catarrh) is a peculiar stool disorder observed in all newborns in the middle of the first week of life. During the first or second (rarely up to the third) day, meconium leaves the intestines of the child - i.e. original cal. Meconium is a viscous, thick, dark green, almost black mass.

Later, the stool becomes more frequent, inhomogeneous both in consistency (lumps, mucus, liquid part can be seen) and in color (areas of dark green color alternate with greenish, yellow and even whitish). Often the stool becomes more watery, resulting in a water spot around the stool on the diaper. Such a chair is called transitional, and the condition associated with its appearance, as you may have guessed, is a transitional intestinal catarrh. After 2-4 days, the stool becomes physiological - homogeneous in texture and color. Simply put, it acquires a mushy, yellow appearance with a sour-milk smell. It reduces the number of leukocytes, fatty acids, mucin (mucus) and tissue protein. The severity of transient catarrh varies from child to child. In some, the frequency of defecation reaches six or more times a day, the stool is very watery, in other babies the frequency is up to three times and the consistency is not much different from the usual.

Be that as it may, the transitional catarrh of the intestine is a physiological phenomenon and can only frighten newly-made mothers and fathers, but not harm the child. Trying to influence the transitional catarrh of the intestine is an unjustified event. You just need to wait a bit - when the baby more or less "learns" to use his digestive system, the stool will return to normal.

Symptoms of a hormonal rash - how to distinguish it from other diseases?

READ ALSO: acne in newborns on the face and photos

How to determine that the baby has acne:

swelling and engorgement of the mammary glands in children of both sexes (for more details, see the article: how to treat swelling of the mammary glands in newborn girls?);
girls develop vulvovaginitis, spotting;
the genitals swell a little in boys and girls;
red pimples all over the body, more often localized on the face (cheeks, forehead, chin), neck, back, less often on the scalp.

The nature of the rash may vary:

small red pimples;
red spots with a white head in the middle;
pale pimples, slightly protruding above the surface of the skin, feel more like roughness of the skin.

READ ALSO: how to get rid of acne in a teenager at home?

READ ALSO: red rash on the hands of a child: symptoms and treatment

When a rash appears in a child, it is important to exclude other diseases with similar symptoms. According to its characteristics, acne in newborns is similar to the signs of certain diseases - diathesis, sweating, allergic reaction (for more details, see the article: photo of the manifestations of diathesis in infants and treatment). However, the hormonal rash does not go away after taking antihistamines, improving baby's skin care. The color of the hormonal rash is always red (we recommend reading: red rash on the back of a child: what is it?).

READ ALSO: baby sweat on the face: photo

READ ALSO: How does an allergy manifest itself in newborn babies? If the child does not have a high temperature, catarrhal phenomena (cough, runny nose), the general condition is good, the appetite is not disturbed, then there is no need to worry. When at least one of these symptoms is present, an infectious disease must be excluded.

In addition, red rashes can appear with chicken pox, measles, scarlet fever. Chickenpox in infants is extremely rare, but the diagnosis cannot be completely ruled out. Measles and scarlet fever are accompanied by fever and symptoms of intoxication of the body. These diseases are very dangerous for their complications, and it is necessary to exclude them at the slightest suspicion.

Should a neonatal rash be treated?

READ ALSO: How to treat small pimples on the cheeks of the chest?

It is necessary to monitor the hygiene of the baby's skin, bathe regularly, give him baths with medicinal herbs (decoction of chamomile, succession, calendula). You can use a weak solution of manganese or Chlorphyllipt for bathing. For washing, ordinary baby soap is used.

READ ALSO: what are skin rashes in children, their photo and description

How to distinguish a sexual crisis?

Like all diseases, it has several forms of manifestation. The main ones include:

swelling of the external genital organs;
hydrocele (vulvovaginitis);
menahre (micromenstruation);

Physiological mastopathy, as a rule, appears in girls and is a slight increase in the mammary glands, while the area around the nipples may turn slightly red and slight white discharge will appear. If these changes do not cause discomfort to the baby and the discharge is not too plentiful, there is no reason for concern. Mastopathy will pass by itself by the beginning of the second month of the baby's life. Although it is still worth showing the child to a specialist with such symptoms, because it is better to prevent the disease than to treat it later.

Swelling of the external genital organs is very rare (experts say about 10% of children) and, as a rule, goes away on its own. Parents need careful care, timely bathing and the use of quality diapers to avoid the development of a red bottom in a child, as this can aggravate the situation.

Hydrocele (vulvovaginitis) is considered a disease of adult women, although its symptoms may also appear in newborns, that is, white mucous discharge from the genitals will appear. Such discharge does not require treatment. The only thing that is needed during this period is bathing the newborn and washing it after each diaper change. Experts recommend being extremely careful and in the case when the discharge persists for more than 7 days, show the crumbs to a specialist in order to exclude the presence of genital infections.

Menarche (micromenstruation) is a very rare manifestation, characterized by bloody discharge from the genitals (in girls). Normally, this can last no more than two days and does not require treatment, with the exception of washing with boiled water (you can use herbal tinctures). If bleeding continues for more than 3 days, you should immediately contact a pediatrician.

Acne in newborns is another symptom of a sexual crisis. Appear, such acne, as a rule, on the face, cheeks, forehead of the child in the first days of life and by the end of the second week (in the absence of complications and good care) disappear by themselves.

Sexual crisis - is it dangerous?

Such a manifestation is one of the adaptation measures and does not pose a threat to the life of the child, although it requires attention from parents.

Caring moms and dads should not panic when they notice that the genitals of the crumbs are somewhat swollen, slight reddish or transparent discharge has appeared. All this in the first weeks of a child's life is normal manifestations, passing by themselves by the beginning of the second month.

If the symptoms of a sexual crisis persist for too long and cause discomfort to the child (fever, itching, increased anxiety in the child), it is necessary to contact a specialist who will examine and prescribe individual treatment.

Young parents very often encounter a phenomenon in which the mammary glands of a newborn child become engorged. This phenomenon occurs with the same frequency in children of different sexes. This condition does not cause much concern for mothers and fathers. A change in the density and shape of the mammary glands is a physiological process that characterizes the so-called hormonal crisis.

Most often, this condition does not require medical intervention. The exception is mastitis, which has a similar clinical picture.

Features of physiological mastopathy

It is this term that denotes the increase in the size of the mammary glands in newborns. Most often, babies have bilateral hardening of the mammary glands. In the midst of a sexual crisis, the baby does not experience any discomfort or pain, so he does not need specialized help.

The timing of the appearance of these signs is individual for each baby. Most often this happens within 1 week of birth. Physiological mastopathy disappears on its own by the end of 1 month. Normally, the child has an increase in the mammary glands in the range of 2.5-3 cm in diameter. There are no changes on the surface of the skin in this area.

In particular rare cases parents notice slight discharge from the nipples of the baby. The color of the discharge is reminiscent. It is not recommended to remove these secretions on your own, since any manipulations can lead to infection of the mammary glands.

Parents are not recommended to use any ointments and compresses, since this process is physiological for the child, and it passes on its own. With physiological mastopathy in infants, it is very important to avoid traumatizing the mammary glands of the child. Baby clothes should be comfortable and spacious. It is also recommended to avoid any dressings on the chest area.

The main task of parents is the timely detection and differentiation of physiological mastopathy and a disease such as mastitis. This pathology is rare among newborns, but it cannot be completely excluded.

Differences between normal and pathological

A disease such as mastitis is characterized by inflammation of the soft tissues of the mammary glands. This pathology is most typical for women in the postpartum period. The reason for its occurrence is

If the mammary glands of the child are exposed to bacterial infection, then the baby develops purulent-inflammatory changes. Penetration of the infection is carried out through abrasions and microcracks of the nipples. In newborn babies, as a rule, immunity is reduced, which is the reason for the inability to fight infection.

In addition to the characteristic engorgement of the mammary glands, mastitis is characterized by fever, drowsiness, refusal to breastfeed, lethargy and frequent whims. to local features this disease include redness of the skin in the area of the pathological focus, local fever and soreness in this area, as well as swelling.

Mastitis is characterized by a unilateral lesion of the glands. Depending on the severity of the pathological process, with this disease, purulent discharge from the nipples of the newborn is present or absent. With untimely diagnosis, this disease can be complicated by sepsis or the formation of a diffuse purulent focus (phlegmon).

If parents suspect mastitis in their child, they should immediately seek advice from a pediatric surgeon. Treatment of this pathology is carried out in a hospital. The newborn may be prescribed medications, physiotherapy, and surgery (if necessary).

In order to prevent serious complications, throughout the entire period of the sexual crisis, the baby must be regularly shown to a medical specialist who can assess the dynamics of the condition. If necessary, the baby is prescribed an additional examination.

(crisis genitalis neonatorum; syn. syncainogenesis)

a complex of disorders in newborn girls in the first week of life in the form of breast engorgement, slight swelling of the genital organs and serous spotting from the vagina; due to hormonal influences from the mother's body.

- a sudden short-term condition in a patient with the appearance of new and intensification of existing symptoms of the disease ...
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- the general name of three indicators characterizing: a) individual sexual need, due to the genotype and environmental factors, b) the level of sexual activity and iv) the sexual constitution as a whole, representing ...
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- a sudden onset, relatively short-term condition in a patient, characterized by the appearance of new or intensification of existing symptoms of the disease. addisonian - see adrenal ...
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- see Coitus ...
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- the rudiment of the head of the male penis in male embryos or the clitoris in female embryos ...
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- an oblong-oval thickening on the medial side of the primary kidney of the embryo of higher vertebrates and humans, consisting of mesenchyme covered from the side of the secondary body cavity by coelomic epithelium ...
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- see Pudendal canal ...
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- see F1-factor ...
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- a periodically repeating complex of morphophysiological processes in a mature female body associated with reproduction, for example. menstrual…
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- an anomaly of development in which an underdeveloped P. h. does not have its own skin and is located in the subcutaneous tissue in the pubic area ...
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- a sudden, relatively short-term condition in a patient, characterized by the appearance of new or intensification of existing symptoms of the disease ...
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- a complex of disorders in newborn girls in the first week of life in the form of breast engorgement, slight swelling of the genital organs and serous-bloody discharge from the vagina ...
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"Genital crisis in newborns" in books

FASTING CRISIS

CRISIS IN FASTING When the body is dirty, the crisis occurs in the period from the 8th to the 12th day of fasting. A crisis is a state of discomfort, bad mood and well-being. The crisis usually comes at night. If before the crisis there is malaise, then after the crisis there is no malaise anymore.

2.9. Hypertensive crisis

From the book Ambulance. A guide for paramedics and nurses the author Vertkin Arkady Lvovich

2.9. Hypertensive crisis A hypertensive crisis is manifested by a sharp increase in blood pressure, usually more than 220/120 mm Hg. senior Pathophysiology Scheme 2 Primary examination Assess the patient's level of consciousness. Assess the patient's vital parameters, measure arterial

Hypertensive crisis

Hypertensive crisis A hypertensive crisis is a condition in which there is a sharp increase in blood pressure accompanied by a deterioration in well-being. Hypertension is very common, therefore, with manifestations of a crisis in relatives, friends

Hypercalcemic crisis

Hypercalcemic crisis Hypercalcemic crisis is a pathological condition caused by a sharp increase in the concentration of calcium ions in the blood. Causes Hypercalcemic crisis is relatively rare, as it complicates

Hypocalcemic crisis

Hypocalcemic crisis Hypocalcemic crisis is a pathological condition caused by a drop in the level of calcium in the blood below the physiological norm (2.25-2.75 mmol / l). The state of calcium metabolism in the body reflects the content of total and ionized

Thyrotoxic crisis

Thyrotoxic crisis Thyrotoxic crisis is a serious complication of diseases thyroid gland in which there is an excess secretion of hormones by it. The crisis may be not only the result of untreated goiter with hyperthyroidism (increased hormone production),

Hypertensive crisis Psycho-emotional overload, severe nervous tension in a patient with hypertension can lead to a hypertensive crisis, a complication hypertension that occurs both during a stressful situation and after it.

Hypertensive crisis Health care in such a situation, it should be immediate, since a protracted crisis can lead to severe complications from the brain and heart. Before the doctor arrives, the patient should be put to bed, a heating pad can be put at the feet. Crises