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How Long Does Posterior Fontanelle Take To Close Post Child Birth?

Posted on Tue, 22 Sep 2015

Question: Hi I delivered a baby 4 and half month ago his posterior fontanelle closed only 90 percent when the remaining will get closed

Answered by Dr. Omprakash Ashokrao Deshmukh (16 minutes later)

Brief Answer:
monitor for one month

Detailed Answer:
Thanks for the query.
I can understand your concern.
Generally posterior fontanelle closes by the time of birth, but in some cases small opening may be there which you can expect to close at around 4 to 6 month of age.
If the weight gain and other developmental milestones are normal I would suggest you to wait for some days.
You can see a doctor to rule out hypothyroidism (do check the blood fot T3, T4, Tsh).
Hope I helped you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Omprakash Ashokrao Deshmukh (17 hours later)

Thanks doctor My baby passing stool more than often and it is loose how to confirm it is diarrhoea

Answered by Dr. Omprakash Ashokrao Deshmukh (1 hour later)

Brief Answer:
stool examination

Detailed Answer:
Thanks for the query.
Loose stools which are passed frequently are common in infants.
It is not the frequency which matters but it is the consistency (watery and foul smelling) of stool which is more important, to say that it is diarrhea.
You can do stool examination to confirm whether it is due to some infection.
If the child is playfull, feeding well , no fever, passing adequate urine(6 to7 wet diapers in a day), then nothing to worry.
You can give him probiotics like econorm XXXXXXX once daily in mothers milk for 4 to 5 days.
Also syp. Zn-20 (zinc) may be given 2.5 ml once a day.
If not relived see a doctor.
Hope I helped you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Omprakash Ashokrao Deshmukh (18 hours later)

Thanks doctor my child is playful feeding well n passing urine at frequent intervals but stools are little watery but not foul smelling and it is very less in quantity only one small tea spoon level he is passing stool that too one hour once that too not in night should I need to take paediatrician

Answered by Dr. Omprakash Ashokrao Deshmukh (35 minutes later)

Brief Answer:
you can wait

Detailed Answer:
Thanks for the query.
As you said the child is playful, you can wait for 2 to 3 days.

Till then you can start the treatment which I have suggested in the previous reply (econorm and zinc).

If not relieved in 2 to 3 days then do stool routine and microscopy before going to doctor. It will save your time and doctor can directly prescribe you the required medicine after watching the report.
Hope I helped you.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Omprakash Ashokrao Deshmukh (2 days later)

Hi I checked with my doctor he said nothing to worry n given enterogermina oral tube and he said to take one full tube morning and evening is it a right dose n regarding posterior fontanelle he said it'll completely closed once he turns one and also I have one more query skin which is in and around posterior fontanelle is very soft like the skin in our hand and leg is it very normal

Answered by Dr. Omprakash Ashokrao Deshmukh (1 hour later)

Brief Answer:
follow your doctors advise.

Detailed Answer:
Thanks for follow up.
As I already explained you in the previous conversation that it is normal.
Enterogrrmina and econorm are probiotics you can give any of them.
Dose advised by your doctor is right.
Wait for closure of fontanale till 6 to 8 months otherwise do thyriod test.
Skin around fontanale may be soft in infants, nothing to worry.
Hope i helped you.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj