Vragen over koorts

No fever is expected as a result of the treatment. A wound infection or inflammation either. Fever is a body temperature above 38 degrees Celsius. In the event of a fever in babies under 3 months of age, you should consult your doctor. It is possible that your baby has a virus or other infection. In case of muscle ache or discomfort after the treatment you can give acetaminophen.

Pain relief around the procedure / paracetamol

Prior to the procedure, the doctor will numb the tongue or lip tie locally with surface anaesthesia on a cotton swab.

Overall anaesthesia or infiltration anaesthesia does not outweigh the disadvantages in babies and young and children.

A paracetamol suppository may be given before the procedure or afterwards. This is also a possibility prior to the aftercare exercises.

Paracetamol is a relatively harmless medication that has a fever-reducing and analgesic effect. You can give this on the basis of age and weight.

According to most package leaflets, the use of paracetamol should be given in consultation with a doctor under three months. However, it is indicated in pain, acute and postoperative. https://www.drugs.com/paracetamol.html

Rectal (suppository) is the most user-friendly. You can insert the suppository by sliding the tip up to 1 cm past the anus. Sometimes it is useful to hold the buttocks of your child together for a few seconds so that the suppository is not expressed.

You can buy paracetamol at the pharmacy and some drug stores. Because paracetamol can also be given to reduce fever, sales for children under the age of 3 months are not recommended with this indication. At a body temperature of 38 degrees or higher below three months you should always warn a doctor. The paracetamol is therefore exclusively given to relieve pain and discomfort.

Under the three months; 60 mg three times a day rectally

From three to 12 months; 120 mg three times a day rectally

From 1 year or from 10 kilos; 240 mg three times a day rectally

What to do at home if the wound bleeds?

In very rare cases there is a coagulation disorder or anatomical variation that causes bleeding and will be solved immediately after the treatment.

One does not go home after the treatment before the wound is checked. In a baby, it is not expected that the wound starts bleeding at a later stage. In adults and older children, this may happen incidentally after the anaesthesia has worn off (anaesthesia contains vasoconstriction components). Most patients find that the numbness from the injection wears off after about two-three hours.

What can happen at home is that some scar tissue comes loose, scar tissue contains blood vessels. The wound wants to heal, and it should heal, but at the same time you don’t want too much scar tissue, which may restrict the mobility of the tongue again.

What to do: Slowly remove any clot or blood with a gauze before doing something similar to the one below. Keeping a baby upright and make sure that he or she is not too hot.

Do not rinse with water.

Press dry with a gauze for 3 minutes without letting go. If the wound is not dry another 5 minutes with small pressure.

Options for on the gauze: Strong tea is blood vessel narrowing and also xylometazoline (regular nasal spray).

A baby may immediately drink milk again.

If the wound is not dry after 10 minutes of pressure, please call the mobile number of the lactation consultant at the Tongue Tie Clinic (number on the card given to you). You must then return to the clinic after consultation with the therapist (1-way).

For treatments at a location other than the the Tongue Tie Clinic, the agreements with that doctor apply.

Wat kunnen kinderen en volwassenen aan pijnmedicatie innemen?

Pijnstilling kan na de behandeling desgewenst genomen worden. Paracetamol is afdoende, maar als de pijn als erg hevig wordt ervaren eventueel een NSAID zoals ibuprofen.

De wond wordt ervaren als een soort blaar. Vaak is het advies om het eten en drinken af te stemmen en eerder koud of lauw voedsel te nemen totdat de blaar als minder hevig wordt ervaren. De wondgenezing duurt over het algemeen 1 tot 2 weken.

Moet ik de baby paracetamol als zetpil geven?

Over het algemeen is de baby een dag mopperig na de behandeling (24-48 uur).

Houdt de baby veel bij je en het liefst huid op huid zodat er warmte gevoeld wordt. Voedt op verzoek of geef een extra flesje als de baby dit aangeeft.

Afhankelijk van het aantal maanden en gewicht de geadviseerde dosering toepassen.

Je kan prima paracetamol geven zoals op de verpakking aangegeven staat. 4 tot maximaal 6 per dag. De eerste twee dagen zou je voor de voeding (bij welke je ook de nazorg wil doen) een paracetamolzetpil kunnen geven en dan aan het einde van de voeding de nazorg doen. (Alleen Etos heeft de 60 mg dosis te koop.)



Is anaesthesia or a general anaesthetic required?

Depending on age, the choice is for surface anaesthesia or infiltration anaesthesia. Surface anaesthesia is applied by means of a cotton swab and infiltration anaesthesia is actually inserted into the tissues by a needle and takes about 2 to 3 hours before it is works out.

If necessary, general anaesthesia is the choice of the therapist. However, there are publications in science that advise against general anaesthesia in young children.

See publication Anaesthetic considerations for surgery in newborns: www.tongriem.com/wp-content/uploads/2019/02/narcosevoorbaby.pdf))