Dr. Elsayed Ibrahim Ali Salama

Newborns generally need a routine medical check within 3–5 days after birth, or within 1–2 days after early discharge from the hospital. The visit usually reviews feeding, weight, jaundice, the physical examination, and the results of hearing and other newborn screening tests. Timing may need to be adjusted according to gestational age, birth weight, the baby’s condition, and the clinician’s advice. Seek urgent medical assessment if a newborn has a temperature of 38°C or higher, a temperature below 36°C, breathing difficulty, blue or unusually pale skin, marked sleepiness or difficulty waking, seizures, refusal to feed or weak sucking, or substantially reduced urination. Urgent review is also needed if jaundice appears during the first 24 hours, spreads to the palms or soles, or if the area around the umbilical cord becomes red, swollen, or foul-smelling or produces discharge. Do not wait for a scheduled visit when a warning sign is present. See Dr. Elsayed Ibrahim Ali Salama’s profile on TIB Index for available professional information.

Child growth and development follow-up usually includes measuring weight, length or height, and head circumference—particularly during the early years—then plotting these measurements on growth charts appropriate for the child’s age and sex. Clinicians assess the child’s growth pattern and rate over time rather than relying on a single measurement. The visit also reviews motor skills, language and communication, learning, behaviour, and social and emotional interaction, including whether expected age-related milestones are being reached. Follow-up may also cover breastfeeding or diet, feeding difficulties, sleep, activity, mental health, and the home environment. Hearing and vision checks and a physical examination may be performed according to the child’s age and risk factors. Formal developmental or autism screening may be offered at specified ages or whenever a parent or clinician has concerns. If a delay or concerning pattern is identified, referral for specialist assessment or early intervention may be recommended. Visit schedules and screening tools vary by local guidance and the child’s health; developmental milestones are not, by themselves, a diagnosis. For available professional information, see Dr. Elsayed Ibrahim Ali Salama’s profile on TIB Index.

Respiratory infection symptoms require urgent medical assessment if there is marked difficulty breathing, bluish lips or face, ribs pulling in with each breath in a child, persistent chest pain or pressure, confusion, extreme drowsiness, seizures, fainting, or severe weakness. Seek care as well if there are signs of dehydration, such as reduced urination, a dry mouth, or no tears in a child, or if a fever or cough improves and then returns or worsens. In infants younger than 12 weeks, a temperature of 38°C or higher requires urgent assessment. Contact a doctor promptly when symptoms are severe or persistent, or when the person is a young child or has asthma, heart or lung disease, or a weakened immune system, because the appropriate level of care varies with age and health status. For available professional information about Dr. Elsayed Ibrahim Ali Salama, readers can consult his profile on TIB Index.