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White patches/rashes on face - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   hi
Doctor :   hi
Doctor :   Dr.... here
Doctor :   please proceed with your health query
User :   morning could not continue
User :   my son has got white patch on his face
Doctor :   could you describe the patch in detail?
User :   white small patch
User :   cheek
Doctor :   is it at skin level or depressed down from skin level or raised from skin level?
User :   skin level
Doctor :   is the sensation similar over it and surrounding skin?
Doctor :   are there rashes present over it?
User :   its similar
User :   no rashes
Doctor :   how big is the patch? could you tell approximate size?
User :   my sis was saying its vitamin deficiency
Doctor :   it could be possibility of vitamin deficiency or vitiligo.
Doctor :   you should get it examined by a dermatologist to see what it could be
User :   ok
Doctor :   such that treatment can be proceeded in the right direction
User :   fine
Doctor :   if it is due to vitamin deficiency, then it can be safely treated with supplements
User :   ok
Doctor :   if it is vitiligo, then it will need special treatment
Doctor :   children respond well to treatment, do not delay in getting it diagnosed
User :   ok fine
User :   its there only one side of the cheek
Doctor :   is there anything else I can help you with?
User :   i have not noticed anywehre else
User :   his skin colour is also changed
User :   now he is getting tanned day by day
Doctor :   if he is playing outside house, he will get tanned
User :   no he does not play outisde
User :   i had noticed same patch when my nephew was small
Doctor :   skin colour can otherwise also change in children as they grow up and ultimately come to the colour that is decided by the genes
User :   after giving vitamins he was alright
Doctor :   as I said he will need to be examined to get to the right cause of the appearance of the patch
Doctor :   possibility of vitamin deficinecy cannot be ruled out
Doctor :   since he does not eat well
Doctor :   but at the same time, serious problem like vitiligo also should not be left untreated
User :   ok fine
User :   morning u had mentioned about ultrasound scanning
User :   what would be the cost of it
User :   in case i have to get him treated
Doctor :   it can vary from 350/- to 500/-
User :   ok
Doctor :   first you will need to get him pediatrician opinion
Doctor :   and if needed, scan will be prescribed
User :   fine
Doctor :   and even before that I had suggested you to wait and watch
Doctor :   to determine if he really has retention problem
User :   how do i make out
User :   how can i make out
Doctor :   as I had said in morning, wait and watch if he stil urinates, by not putting on his pants back when he wants to urinate
Doctor :   if he has retention, he will pass some amount of urine again after few minutes
User :   if i ask him to pass urine
Doctor :   and if he drinks plenty of fluids, he will tend to urinate very often
User :   he passes and comes out
Doctor :   how many times a day does he pass urine?
User :   and again he goes back to urniate
User :   many times
Doctor :   how many times?
User :   night he does not pass urnine
Doctor :   you need to monitor him and be with him when he urinates
User :   once i take him for urninateion he never passes
Doctor :   not tell him to go pass urine and come back
Doctor :   the child needs training and guidance first
User :   till monring he does not pass urine
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