DEAR DR. ROACH: How often do you advise bathing a 3-month-old baby? The hospital told my granddaughter that you do not have to bathe the baby every day. It’s become a concern for a worried grandparent, because she hasn’t been bathed in a week. — Anon.
ANSWER: Once a week is fine. Three-month-old babies don’t need frequent washings of their whole bodies, and excessive bathing can dry out the skin.
A calm grandparent is a source of much comfort to new parents.
DEAR DR. ROACH: I have been contending with blepharospasm for years. I got some relief from Botox for about four years, but then it stopped working and my doctor moved me to Dysport, which was horrible. It did not relax my symptoms, and it made me constantly very uncomfortable (with a feeling that my eyes were swollen all the time). I stopped the treatments and have been able to cope, until the past six months. I am almost unable to read, look at a computer screen or drive.
Do you have any suggestions? I use Ativan to try to relax the stress of the blinking, but even that has lost its effect. I have been discouraged from getting a limited myectomy because of the risks. My ophthalmologist said that a neurologist would be a waste of time. I am desperate for another opinion. — B.B.
ANSWER: Blepharospasm is an uncontrollable muscle spasm around the eyes, often causing blinking and twitching. It ranges from occasional and mild to the much more severe and disabling condition you report.
Treatment with botulinum toxin is effective for most people. Botulinum toxin, directly injected into muscle, weakens or paralyzes it. There are three types of botulinum toxin A currently available in the United States: Botox, Dysport and Xeomin, as well as botulinum toxin B (Myobloc). I suspect your ophthalmologist changed brands because of the concern of antibodies your body may have developed to the Botox.
I would never say that a neurologist would be a waste of time. Blepharospasm is a limited form of dystonia, and neurologists are the experts in dystonia. The neurologist will have an opinion on trying a different form of botulinum toxin, as well as other treatments.
©2014 North America Synd.