#asktheexpert strawberry birthmark increased since birth of my child. She is now 3.5 month old. Should I consult doctor for treatment?

Question

#asktheexpert  strawberry birthmark increased since birth of my child. She is now 3.5 month old. Should I consult doctor for treatment?

Accepted Answer

A strawberry birthmark, also known as an infantile hemangioma, is a common and usually harmless growth of blood vessels. These marks often grow rapidly during the first few months of a baby’s life, reach their peak size by around 6–12 months, and then gradually shrink and fade over time without requiring treatment.

When to Consult a Doctor:

While most strawberry birthmarks are harmless and do not need treatment, there are situations where medical attention may be necessary:

1. Rapid Growth or Changes:

If the birthmark is growing very quickly, changing in color, or becoming raised.

2. Location:

If the birthmark is near the eyes, nose, mouth, or genitals, as it could interfere with vital functions like vision, breathing, or feeding.

3. Ulceration or Bleeding:

If the birthmark develops sores, becomes painful, bleeds, or shows signs of infection (e.g., redness, warmth, pus).

4. Size and Cosmetic Concerns:

If the birthmark is very large or located in an area that could cause cosmetic or social concerns as your child grows.

5. Other Symptoms:

If you notice associated symptoms like swelling, discomfort, or signs of underlying health issues.

What the Doctor May Recommend:

Observation:
If the hemangioma is small and not causing problems, the doctor may recommend regular monitoring.

Medication:
For problematic birthmarks, beta-blockers (like propranolol) or topical treatments may be prescribed to reduce size and growth.

Laser Therapy or Surgery:
In rare cases, these may be considered for hemangiomas causing functional or cosmetic issues.

What You Can Do Now:

Keep the area clean and dry to prevent irritation.

Avoid tight clothing or pressure on the birthmark to reduce the risk of ulceration.

Take regular photographs to track changes and share them with your doctor during consultations.

If the birthmark is causing concern or seems to fit any of the criteria above, it’s a good idea to consult a pediatrician or a pediatric dermatologist for guidance.