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Irritability Considerations: Irritability is used specifically in regard to infants and young children who often, in the presence of illness, demonstrate increased fussiness, whining, and fretfulness despite attempts at comforting and parental responses that would normally be soothing to the infant or child. Irritability is seen at the beginning of many infectious diseases, some metabolic diseases, head trauma , malignancies, and other types of disease. It can be a very early sign of pending problems. Although irritability cannot be taken as a symptom or sign of any specific illness, it should arouse early suspicion in the parent that something might be wrong with the infant or young child, even though there may not yet be other symptoms. Parents are very aware of their child's normal behavior and may pick up early changes that would be inapparent to the examining health care provider. This may help in the early diagnosis of illness. Common Causes: Note: There may be other causes of irritability. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for irritability, occurring alone or in combination with other problems. Home Care: Attempt to soothe the child with usual measures (rocking, cuddling, or whatever the child usually finds soothing). Then, watch the child for other symptoms ( fever , abdominal pain , vomiting , rash , or any other unusual finding). Call Your Healthcare Provider If: - an irritable child has other symptoms.
- your child is frequently irritable, fussy, or cranky.
What to Expect: The medical history will be obtained and a physical examination performed. Tests may include a complete blood count , electrolyte analysis and blood culture . Medical history questions documenting irritability in detail may include: - quality
- How severely irritable is the child?
- time pattern
- Does the irritability persist?
- feeding habits
- How does the child normally eat (how often, how much)?
- How is the child eating now?
- bowel habits
- How often does the child normally have bowel movements?
- Does the child have problems with diarrhea or constipation ?
- other
- What other symptoms are also present?
- Is there any fever , confusion , or pain?
After seeing your health care provider: You may want to add a diagnosis related to irritability to your personal medical record.
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