• Ask Our Expert: "My Sick Child Missed a Dose of Medicine; What Should I Do?"

    Parents ask our pedia expert about their health concerns
  • Our expert, Dr. Miko Palo, M.D., F.A.A.P. is a general pediatrician and a mother to two little girls, Maya and Lian. She is an active consultant and holds clinic at St. Luke's Medical Center Global City.

    Missed Dose
    baby drinking medicine

    Photo from celebrityparentsmag.com

    Q: "My seven-year-old missed the last dosage of his antibiotics. One bottle was good for the required seven days, but unfortunately we spilled one dose. I didn't bother buying another bottle just to get one dose out of it -- besides, my son was feeling better. did I do the right thing?" - MK

    Skipping one out of 14 or 21 doses of an antibiotic is not a big deal. The real concern is when people start antibiotics and stop when they feel better after only one or two days. In these cases, the bug is weakened but not killed (and then it may mutate into something stronger) because the antibiotic course was far too short. When many people do this, the risk of bacteria developing drug resistance increases. Drug resistance is actually a growing problem nowadays because of casual and unnecessary use or premature discontinuation of antibiotics. With increasing drug resistance, doctors need to use stronger and stronger antibiotics—and we all know how that scenario plays out, when we no longer have “something stronger.”


    Pump and dump
    Q: “I’m about to get dental surgery and I’m worried that the anesthesia might affect my breast milk. Should I ‘pump and dump’ after my surgery? If so, how long should I keep dumping it, and when is it okay to resume breastfeeding?” — Toothmommy

    Good news! There is no need to stop nursing or even to pump and dump any of that liquid gold. The local and IV anesthesia used in most dental procedures are compatible with breastfeeding. If you would feel more comfortable, you can try to nurse immediately before the procedure so that the effects of the medication on the baby are minimized. There is no need to wait a long time until you can resume breastfeeding. Once you are no longer drowsy and can hold the baby safely, it should be okay for you to continue nursing.

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    Slap-happy
    Q: “My 18-month-old slaps her head with her own hand when she’s upset or frustrated. I don’t know where she got this behavior! Does it mean anything? How do I get her to stop?” — Treena Divinagracia

    Please do not worry -- this likely does not mean anything except that she is very observant and picked up this behavior from someone and was able to apply it in the right context. Sometimes, the best way to get toddlers to stop a certain behavior is to ignore it. If she sees that she gets a reaction, she may continue to do it as it becomes like a game for her. Toddlers are easily frustrated and upset because, although they have an emerging sense of independence, they are not yet quite physically mature to do things on their own.


    Measles vaccine
    Q: “Is it possible that a child can still get a disease that he already was vaccinated against? Is the same true for adults?” — Kat C.

    Most children and adults who have been properly vaccinated against measles will be protected. I say “most” because in this world, nothing is 100-percent sure. Proper vaccination means two doses after age one. Here in the Philippines where measles is still endemic, children also get an extra dose before age one. It is important not to count this early dose as part of the required two doses. Two doses are necessary because not all people develop immunity after receiving the first dose. Adults who have not received two doses or have not had measles yet should get the vaccine; it’s a must for the elderly or those who have chronic disease as they are susceptible, especially in times like these.

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    Got a question about your child's health or wellness? Email it to lei.smartparenting@gmail.com with "Ask Our Expert" on the subject line.

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