If the medicine is a liquid, always use a measuring device to get the exact dose. Do not measure liquid medicines in kitchen spoons. Store all medicine out of the reach of children. If your child or someone else takes too much of this medicine, first call the Central Ohio Poison Center at They will tell you what to do.
When to Call the Doctor Call your doctor if your child has: Severe pain that does not get better with pain medicine. Fever over degrees F. More than a few drops of blood on the penis or diaper. Redness that starts to spread from the tip up the penis toward the abdomen belly. Pus-like drainage or foul odor from the penis.
Fewer wet diapers than before. A plastic ring that stays on more than 10 days or falls off in less than 3 days. The penis and surrounding skin are cleansed with antiseptic before the procedure begins. Several safe and effective pain-control methods can lessen a baby's pain during circumcision. Ask your doctor about the type of pain control your baby will have ahead of time. A local anesthetic is used to numb the area of the penis where the incision will be made.
Because of the numbing cream, your baby will feel very little as the needle goes through the skin. To further reduce stress and discomfort, the nurse may give your baby a "sucrose pacifier" a pacifier dipped in sugar water , which has been shown to reduce newborn distress.
Sometimes acetaminophen is given to help with pain. Babies may also feel better when swaddled. In newborns, circumcision can be performed in several ways. The most common techniques protect the head of the penis with special devices while the foreskin is removed.
Your doctor will determine which method is appropriate. A special instrument called a probe is used to separate the foreskin from the head of the penis they are usually joined by a thin membrane. Next a bell-shaped device is fitted over the head of the penis and under the foreskin an incision may be made in the foreskin to allow this.
The foreskin is then pulled up and over the bell and a clamp is tightened around it to reduce blood flow to the area. A scalpel is used to cut and remove the foreskin. Again, the foreskin is separated from the head of the penis with a probe. The foreskin is then pulled out in front of the head and inserted through a metal clamp with a slot in it. The clamp is held in place while the foreskin is cut with a scalpel and remains for a few minutes after this to make sure that bleeding has been controlled.
This method is similar to the Gomco clamp technique. After separation with a probe, the plastic bell is placed under the foreskin and over the head of the penis. A piece of suture is tied directly around the foreskin, which cuts off the blood supply to the foreskin. A scalpel may then be used to cut off the extra foreskin, but the plastic ring is left on.
About 6 to 12 days later it falls off on its own. After a circumcision, doctors will apply petroleum ointment over the wound and wrap the baby's penis in gauze to keep the wound from sticking to his diaper unless the doctors have used the Plastibell method, which requires no dressing.
Your baby will usually be brought to you shortly after the procedure. There is very little bleeding after circumcision, no matter which technique is used. Though you may see a little bit of blood oozing from the edge of the incision or on the diaper when you first take the dressing off, this will generally stop on its own.
Your baby's penis may be sore for a few days after the procedure, so be gentle when bathing him. Never use astringent and special bath products. Most doctors recommend keeping the area clean with warm water.
If poop gets on the penis, soapy water can be used to gently wipe it away. If there is a dressing on the incision, apply a new one with petroleum jelly whenever you change a diaper for the first day or two. You may also notice a slight yellow discharge or crust after a couple of days. This is a normal part of healing.
In the first several years your son's foreskin will separate from the tip of the penis. Some foreskins separate soon after birth or even before birth, but this is rare. When it happens is different for every child. It may take a few weeks, months or years. Once this happens, the foreskin can be pulled back away from the tip of the penis. This is called foreskin retraction. Most boys will be able to retract their foreskins by the time they are 5 years old, yet others will not be able to until the teen years.
As a boy becomes more aware of his body, he will most likely discover how to retract his own foreskin. But foreskin retraction should never be forced. Until the foreskin fully separates, do not try to pull it back. Forcing the foreskin to retract before it is ready can cause severe pain, bleeding and tears in the skin.
When the foreskin separates from the head of the penis, skin cells are shed. These skin cells may look like white, pearl-like lumps under the foreskin. These are called smegma. Smegma is normal and nothing to worry about. If your son's foreskin separates before he reaches puberty, an occasional retraction with cleansing beneath will do. Once your son starts puberty, he should clean beneath his foreskin as part of his daily routine, just like washing his hair and brushing his teeth.
Teach your son to clean his foreskin in the following way: Step 1: Gently pull the foreskin back away from the end of the penis.
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