Pediatric center, Thonburi Bamrungmuang hospital provide daily medical service until midnight and provide care for children falling sick in the middle of the night. Pediatricians are ready to diagnose and provide medical treatment for children aged 1 month up until 15 years old with updated standardized equipment. Two zones were set to separate sick babies and well babies for safety.

Medical Service

• • Sick Baby Clinic

    - Provide treatment for general diseases in children such as common cold, bronchitis, pneumonia, viral infection, influenza, RSV, Hand Foot Mouth Disease, skin rash, urticaria, etc.

    - Provide treatment for digestive system diseases such as nausea, vomiting, food poisoning, constipation, diarrhea, stomach ache both acute and chronic, etc.

    - Provide care for COVID-19 patients (Self-isolation, home isolation, admission, and post-covid follow-up)

• • Well Baby Clinic

    - Provide vaccination service from 1 month old and above to immunize according to standard recommendations including supplementary vaccinations and COVID-19 vaccination

    - Provide counseling on breastmilk feeding, diet choice for each age range, promote safe children care and prevention of accident

    - Provide treatment, screening for growth problem, counseling for development and behaviors in each milestones

• Pediatric Subspecialty Clinic

  • Chest Clinic

    - Provide treatment for respiratory disease patients – wheezing, asthma, allergy, enlarged tonsils or adenoids, snoring and apnea from obstruction in children, and long COVID-19 symptoms

  • Chest Clinic

    - Provide treatment for respiratory disease patients – wheezing, asthma, allergy, enlarged tonsils or adenoids, snoring and apnea from obstruction in children, and long COVID-19 symptoms

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• Neurology Clinic

  - Provide treatment for epilepsy, headache, macrocephaly, muscle weakness (Evening service on Wednesday week 1 and 3 of the month)

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• Cardiology Clinic

  - Provide treatment for Kawasaiki, chest pain, syncope, congenital heart disease, MIS-X (Evening service on Wednesday week 2, 4, and 5 of the month)

RSV

What is RSV?

        RSV or Respiratory syncytial virus is a common virus which causes infections that is usually mild and has cold-like symptoms. Adults and health children will have symptoms resembling common cold but for RSV can be severe in some people. This can include babies 12 months or younger, premature infants, older adults, people with heart and lung disease, and immunocompromised person. RSV can potentially cause inflammation of small airways in lung (bronchiolitis) and pneumonia and is highly contagious.

Symptoms

Symptoms usually appear in stages within 4-6 days after getting infected. Symptoms include:

• ◼️ Coughing
• ◼️ Runny nose
• ◼️ Sneezing
• ◼️ Fever
• ◼️ Wheezing
• ◼️ Headache
• ◼️ Sore throat

In infants symptoms may include:

• ◼️ Irritability or fussiness
• ◼️ Minimal interest in activities
• ◼️ Breathing difficulties

In a more severe case with pneumonia or bronchiolitis symptoms include:

• ◼️ Severe cough
• ◼️ Wheezing
• ◼️ Cyanosis (Skin color turning blue lacking oxygen)
• ◼️ Rapid or difficulty breathing

Severe symptoms for infants may include:

• ◼️ Noisy breathing
• ◼️ Short, shallow, and rapid breathing
• ◼️ Pauses between breathing
• ◼️ Lips, mouth, and fingernails turning blue

Treatment

        No specific treatment is available at the present. Treatment is mainly symptomatic unless the symptoms are getting worse, hospital stays may be necessary.

When to see a doctor?

        If your child has fever above 38 degrees Celsius, changes to pattern of breathing, and symptoms becoming more severe, do visit a pediatrician for treatment. Babies with increased fussiness, dehydration (fewer wet diapers, dry skin, dry lips and tongues, tearless crying, and rapid breathing, coughing), should be brought to see a pediatrician to assess severity to ensure baby’s safety.

        Visit emergency room if your child has difficulty breathing, noisy breathing, short and shallow rapid breathing, blue or gray skin color which can be seen on the lips and the nail beds.

Hand foot mouth disease

What is Hand Foot Mouth Disease (HFMD)?

Hand foot mouth disease is an infection caused by coxsackievirus. The disease is common in children under 5 years old and highly contagious that can also affect adults and usually not serious.  The virus can spread through secretions from nose and throat such as saliva and mucous, fluids from blisters, and feces. Infections are common in the place where kids gathered such as daycare centers, schools, and activity camps. Frequent handwashing and avoiding kids who have the disease may help lower the risk of infection.

Symptoms

Early signs of Hand Foot Mouth disease can be sore throat, fever, and loss of appetite in children which can be misleading for other diseases. For infants and toddlers, there can be an increased fussiness. After a few days, mouth ulcers can be seen on the tongue, gums, and inside of the cheeks. Raised pink or red spots can be seen on hands and feet, and sometimes on thighs and bottom. The spots then become blisters and can be painful.

Treatment

        There is no antiviral medicine to cure the disease. The infection usually gets better and clear up within 7-10 days. Symptomatic treatments are usually prescribed such as topical anesthetics for mouth ulcers and paracetamol for pain and fever relieving.

When to see a doctor?

        Hand foot mouth disease is usually mild and last for a few days. Visit a doctor if your child is younger than 6 months old, not drinking enough to stay hydrated, has weakened immune system, symptoms do not improve after 10 days, and symptoms becoming more severe.

Chickenpox

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What is Chickenpox?

Chickenpox is a highly contagious disease caused by varicella-zoster virus (VZV). This mainly affects children but can also infects adults. Symptoms usually appear within 10-21 days after contacting the infected person and most people will recover within 2 weeks. Vaccination to prevent the disease is available and is recommended for children to get immunized.

Symptoms

        Itchy blister rash appears after 10-21 days after contacting the infected person and usually last for 5-10 days. Symptoms which may appear before rash are fever, headache, general feeling of unwell, aches and pains, and loss of appetite.

        At first the small pink or red spots start to appear anywhere on the body, including inside the mouth and genital and could be painful. The spots were then filled with water turning into blisters and become very itchy and can burst. Finally the spots become scabs which appear flaky or leaking fluid.

Treatment

        Usually, the disease will go away on its own and the doctor may only advise your child to use antihistamine for itching and other symptomatic treatments for healthy children. Patients are advised as followed:

• ◼️ Quarantine themselves from school or work until spots have formed a scab in around 5 days after appearance of spots
• ◼️ Drink plenty of fluid to avoid dehydration
• ◼️ Use paracetamol and antihistamine to relieve fever and itch as necessary
• ◼️ Do not scratch the blisters
• ◼️ Bathe or shower with cool water then pat skin dry without rubbing

◼️ If your child has high risk of complication, a pediatrician may prescribe antiviral medicine to shorten the length of infection and reduce risk of complications if necessary.

When to see a doctor?

If you are concerned about symptoms of your child, contact Pediatric center and inform ahead if chickenpox is suspected and do keep social distancing to prevent spreading the disease further.

Midnight Pediatric Center Thonburi Bamrungmuang Hospital
Floor B1, Thonburi Bamrungmuang Hospital
Phone : +662 220 7999 Ext. 80160, 80161, 80165