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Hemangioma
5 months old baby has hemangioma on tummy. One doc told to wait and watch till 2 yrs but another told to start propranolol as it is increasing in size and there is risk of ulceration. Pls suggest wether to wait or start medicine. Any side effects of medicine?pls help
Answers (6)
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Generally Hemangiomas increase initially and gradually reduce before 1st bday..But if increasing in size and causing ulceration it's better to be treated...Topical and oral medicines are available..Oral has been more effective but with first doses we observe for few side effects of heart rate glucose levels blood pressure and them only continue if suited..
Next Steps
If ulcerative don't wait..And better to get tested for other associations of Hemangiomas too..
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It's usual for it to increase in size in 1st few months, then stabilise in the latter part of infancy and regress afterwards
Next Steps
Treatment is required if ulceration, bleeding, obstructing vision, life threatening (as in the airway), other abnormalities along with it.
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Yes, propranolol has side effects on heart rate, bp, blood sugar, can cause bronchospasm. Better to wait and watch as fast growth period would be already over
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They proliferate rapidly during the early infantile period followed by a period of gradual regression over several years. Most of the uncomplicated IH undergo spontaneous involution, with a small proportion of cases requiring intervention in children with life-threatening locations, local complications like haemorrhage, ulceration and necrosis and functional or cosmetic disfigurements.
Needs a photograph and further assessment
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
It's depends on size
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Consult once physically
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Dr. Vinit M Mehta
Pediatrician
8 yrs exp
Vadodara
Depends on size
If more than an inch then can start a medicine.
If much smaller, then can wait and see.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.