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Valeria Marcangeli
Live Q&A Chat Session by Paediatrician Dr. Valeria
Dark under-eye circles in children, even with good sleep and nutrition, can have several causes:1. Genetics – often inherited and completely harmless. 2. Allergies – nasal congestion can cause veins under the eyes to swell (sometimes called “allergic shiners”). 3. Thin skin – makes the underlying blood vessels more visible. 4. Natural pigmentation – especially in certain skin tones. 5. Mild dehydration – can darken the under-eye area.Recommendation: If the circles persist, worsen, or come with other symptoms (itchiness, tiredness, or paleness), it’s a good idea to talk to a pediatrician to rule out allergies or other underlying causes.
March 26, 2025Live Q&A Chat Session by Paediatrician Dr. Valeria
So much love in such a small bundle — wishing you endless happiness with your sweet new baby.About Ciplar LA 20 (Propranolol) in Pregnancy:Propranolol is a beta-blocker often used during pregnancy when needed, especially to manage high blood pressure, tachycardia, or migraine. It’s not the first-choice medication in pregnancy, but many doctors prescribe it when the benefits outweigh the risks.Is Ciplar LA 20 mg Risky for the Baby?In general:• Low-dose propranolol (like 20 mg) is considered relatively safe in late pregnancy under medical supervision. • The main concerns are usually with higher doses or prolonged use, and even then, most babies do well.Possible risks when used late in pregnancy (especially after 20 weeks and closer to delivery) can include:• Low birth weight (due to reduced blood flow to the placenta). • Bradycardia (slow heart rate) in the baby after birth. • Low blood sugar in the newborn after delivery. • Rarely, breathing difficulties immediately after birth.But these effects are usually transient and manageable with proper monitoring.The Good News:• Stopping propranolol just yesterday means the baby’s exposure is limited. • If your wife’s BP is now low, the medication was likely no longer needed, and stopping it was probably appropriate. • Babies exposed to propranolol often do well, especially if the pregnancy is closely monitored.What You Should Do Now:1. Monitor your wife’s blood pressure regularly, especially now that she’s off the medication. 2. Inform the obstetrician immediately about the medication history and current BP status. 3. During delivery and after birth, neonatologists should be informed so they can monitor the baby for: • Heart rate • Blood sugar levels • Breathing in the first 24–48 hoursFinal Thoughts:• At this point (32 weeks + 5 days), your baby is quite mature and developing well. • If the propranolol was used as prescribed, at low doses, and has now been stopped appropriately, the risks are low and manageable. • Close follow-up with your obstetrician and neonatal care team is the best next step.
March 26, 2025
