The Safe Cut

A new video podcast by My Special Doctor presented by Dr. Piercarlo Salari

Acute abdomen: what to do?

At the time the acute abdomen occurs, surgical intervention is necessary. Abdominal pain is of different types depending on the etiology. General symptoms are visceral pain, pain from the peritoneum-parietal,

How to treat encephalitis

Encephalitis is an inflammatory process of the central nervous system in which the major area is the brain parenchyma. If spinal, sensory, and motor roots are also involved, the term

New conditions that can be linked to Coronavirus

Doctors are alarmed that an increasing number of children are becoming ill with a clinical condition called pediatric systemic inflammatory syndrome, which can be traced to coronavirus. The latest updates

Fainting in pregnancy not to be overlooked

Fainting in pregnancy is an uncommon occurrence and is generally thought to be a benign, consequence-free phenomenon related to the effects of hormonal changes characteristic of gestation on the cardiovascular

The approach to pain in the child


How should we react when our little one complains of some kind of physical pain? The wise and recommended thing to do is to consult your pediatrician before giving your little one any kind of medicine. First, the pediatrician needs to acquire some information to understand the type and extent of the pain, and it is therefore good for parents (if the child is not yet able to express himself) to prepare to respond. He himself will recommend the most appropriate medications for each situation and type of pain.

The use of drugs

The drug of first choice in mild-to-moderate pain without inflammation, such as In the case of teething, growing pains and migraines, it is acetaminophen administered orally, which pmay be administered from day one due to the excellent relationship in terms of effectiveness and safety. Paracetamol acts within 30 minutes or so, and its analgesic effect lingers for 4-6 hours. Il paracetamol can also be employed even on an empty stomach, to a dosage higher than that indicated for fever, as directed by the pediatrician, but always In relation to the child’s weight e without exceeding over the course of one day the threshold of 60 mg/Kg In children younger than 3 months of age e di 80 mg/Kg In larger ones. Rectal administration of the drug is to be left
always as an alternative, for example in case the
child is unable to take anything by mouth because of vomiting. For pain associated with inflammation after the third month of life and over 5.6 kg in weight, the ibuprofen, to be administered on a full stomach, based on weight and with an interval of at least 6-8 hours (as opposed to 4-6 hours for acetaminophen) and without exceeding the maximum dosage of 30 mg/Kg in a day.

In any case, it should be remembered that i treatment of pain, in order for it to be effective, must take place according to a fixed schedule and not on an as-needed basis

. Finally, if the pain is associated with local manifestations, such as discharge from the ear or redness or swelling after a fall, or if it should increase in intensity, it is always advisable to consult the pediatrician.

Among all disorders, pain is the one that most undermines the child’s physical and psychological integrity and in addition distresses and worries his or her family members, with a significant impact on quality of life and care. For this reason, it should not be underestimated, nor should it be trivialized: even in cases where there are reasons to suspect that a child may be feigning sickness, for example as an excuse for shirking a school commitment, it is always advisable to proceed with the appropriate checks rather than risk not caring or treating him or her roughly.


  • Profile picture of Dr. Francesca Marceddu
    active 3 years, 12 months ago

    Anesthesiologists, Basic Doctors

    • Via del Risorgimento 49 - Pirri
  • Profile picture of Dott. Gianlorenzo Casani
    active 3 years, 12 months ago

    Geriatrics, Certifying Doctor, Basic Doctors

    • Via Costantino Baroni 71/73 - Milano
  • Profile picture of Dott.ssa Izabella Sylwia Bartosiewicz
    active 3 years, 12 months ago

    Basic Doctors, Rheumatologists

  • Profile picture of Dr. Giandomenico Mascheroni
    active 3 years, 12 months ago

    Endocrinologists, Basic Doctors, Certifying Doctor

    • Via Petrarca 53 - Carnago
  • Profile picture of Dr. Giuseppe Panico
    active 3 years, 12 months ago

    Dermatologists, Basic Doctors

    • Viale Prassilla 41 - Roma


Diabetes and hypoglycemic syndromes

Diabetes or, more precisely, “diabetes mellitus” is a complex metabolic disease in which there is an increase in blood glucose levels (hyperglycemia) resulting from insufficient insulin production by the Langerhans

Respiratory failure

A condition of “respiratory failure” is present when the respiratory system is unable to ensure efficient gas exchanges through the lungs, preventing the maintenance of an adequate balance between oxygen

Genital herpes

Genital herpes is the most common sexually transmitted infectious disease characterized by ulceration in the population. It can affect both men and women (more often), is transmitted by direct contact


Fainting is a simple term in common use that is used to describe a loss of consciousness that can occur at any time in life for countless reasons, more or


Bruxism is a condition in which you grind your teeth: it can happen, unconsciously, in a waking state or, more often, during sleep. People who clench or grind their teeth


Candida Albicans and other related species can result in different types of infections. Cutaneous candidiasis include the condition of eroded skin between the toes, balanines the mycosis of the nails,


Rickets is a condition characterized by a severe impairment of bone mineralization, resulting in fragility and the onset of skeletal deformities at multiple levels, which mainly affects infants and children


Amblyopia, more commonly known as “lazy eye,” is a disease of the visual apparatus characterized by reduced vision in one eye due to abnormal visual development early in life. The

Nasal polyposis

Nasal polyps are soft, painless, noncancerous growths that form on the lining of the nasal cavity or paranasal sinuses and as, they increase in volume, can cause respiratory obstruction. They

Hepatitis (general)

Hepatitis is inflammation of the liver that can vary in severity, from mild to extremely severe, and be acute or chronic, also depending on the underlying cause (viruses, alcohol and

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