POOJA KOTHARIMom of a 8 yr 6 m old boy7 months agoA. White patches on your 4-month-old baby's face (especially under the nose) can be due to several reasons, including dry skin, eczema, fungal infection, vitamin deficiency, or Pityriasis Alba (a common skin condition in babies).
Possible Causes & What to Do: 1. Dry Skin (Most Common)
🔹 Symptoms: Small, white, flaky patches on the face.
✅ Solution:
✔ Apply fragrance-free moisturizer like Cetaphil Baby Daily Lotion, Sebamed Baby Cream, or Aveeno Baby Moisturizer twice a day.
✔ Use lukewarm water for bathing (avoid hot water).
✔ Avoid harsh soaps; use gentle baby cleansers like Sebamed or Himalaya Baby Wash.
2. Pityriasis Alba (Common in Babies)
🔹 Symptoms: Light white patches that appear after dryness, commonly on cheeks and nose.
✅ Solution:
✔ Apply coconut oil or baby moisturizer regularly.
✔ No treatment needed—it fades on its own in a few months.
✔ Keep baby protected from sun exposure (use a hat or shade).
3. Fungal Infection (Like Tinea or Thrush)
🔹 Symptoms: Round or irregular white patches that may spread.
✅ Solution:
✔ Consult a pediatrician for antifungal cream (if needed).
✔ Keep the area clean & dry.
4. Vitamin Deficiency (B12 or D Deficiency)
🔹 Symptoms: Persistent white patches that don’t go away despite moisturizing.
✅ Solution:
✔ Check with the pediatrician—they may recommend vitamin D or B12 drops.
✔ If breastfeeding, ensure your diet is rich in vitamins (milk, eggs, fish, leafy greens).
🚨 When to See a Doctor?
⚠ If white patches are spreading or getting bigger.
⚠ If baby’s skin is itchy, red, or peeling.
⚠ If patches don’t improve after 2-3 weeks of moisturizing.
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