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What is fundamental for the development of a child with trisomy 21 is good somatic and physical development. A healthy child will develop well and you can successfully foster correct social habits in him or her with a view to good intellectual development. Your paediatrician therefore needs to be well-informed about the Down Syndrome issues.

Medical treatment of a child with DS:

The first examination usually takes place in the hospital after birth. At that moment, your child was examined for genetic, cardiological, ophthalmic (in the case of suspected congenital cataract) and gastroenteric (where the child vomits and has difficulty with stool expulsion) disorders. If this examination does not take place at the hospital it needs to be carried out as soon as possible. The basic rule is that good physical condition ensures better and more rapid development of other aspects. It is therefore important not to neglect visits to the doctor and arranging preventive examinations

The following examinations are essential:

Cardiological examination, including echo-cardiology Eye examination. After the fourth month for children with a squint, around the twelfth month for others. Subsequent examinations are usually annual, depending on your doctor’s recommendation. ORL (ear, nose, throat). By the eighth month at the latest, including audiometry. Earlier if you happen to suspect a more serious hearing defect. It is even possible to examine a small baby during sleep. The equipment can determine your child’s level of hearing. Repeated examination is again also recommended, at roughly 1-2 year intervals. Thyroid examination around the 12th month. The endocrinologist will invite you for regular visits once a year to test your child’s thyroid activity by means of ultrasound and blood analysis. Thyroid gland dysfunction can occur at any time during your child’s development but it can easily be treated. Your child’s blood count should be monitored regularly once a year. Neurological and orthopaedic examinations. Routine post-natal examination following by an examination preferably after the third year but at the latest by the time the child starts any sports activity.

Possible atlantoaxial instability can be determined by a cervical spine x-ray. Immunological and allergogical examinations in the case of frequent infections. Inoculation. Routine as for all children. Stomatological examination. The first at 12 months and then as recommended by the stomatologist, usually every six months.