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(This information is provided as a service to my clients and the information contained in this document is to be used for my clients only. You should consult with the Mohel who performs your child's Bris and follow his instructions.) For as long as the antibiotic ointment lasts after the circumcision, apply a fresh gauze pad with ointment to replace the previous pad, if it has come off easily with the diaper. If the existing pad sticks firmly, do not force it off. Bleeding could result. It's OK for a pad to remain through a diaper change or two. If, however, the pad sticks and becomes badly soiled, you can ease it off by soaking with warm water or a drizzle of peroxide. Baby may also be placed in a "sitz"-tub of warm water. After using up the whole ounce of the antibiotic ointment, no additional care is necessary but applying a light coating of Vaseline on the diaper, where it comes in contact with the penis is suggested if the TIP appears to be irritated. The ointment will build up a protective residue that may dry out to a crusty or "pus-like" appearance. This is normal and expected. You may wash the penis at any time after the circumcision with a soft, water-soaked cotton-ball or washcloth. Use as much water as you like, but just water on the penis for at least a week after the circumcision. It is not uncommon for there to be some swelling and even some spotty bleeding during this time. Although heavier bleeding is rare, it can happen - usually when the baby disturbs the dressing with a kick or turn. Pressure is the best first aid for bleeding. Wrap a dry, sterile gauze pad over the penis. Apply a firm and even circumferential pressure around the gauze and hold for at least 5 to 8 minutes - less time is ineffective. NEVER APPLY THIS PRESSURE WITH BARE FINGERS. Avoid the temptation to remove the gauze at this time "to check," but just diaper baby and try to keep him quiet and comfortable (it would be a good idea for the parents to stay quiet and comfortable, too, particularly if mom is nursing). After about 20-30 minutes, check the diaper. The likelihood is that the bleeding will have slowed considerably, if not stopped. It is best for that gauze pad to stay in place until it falls off by itself by baby's soaking - or yours. I hope that while all this was happening, someone will have called me. I have established a complex phone system that reaches me wherever I am after about six rings. Even if you get my recorded message, my system beeps me and I will know that you've called, so PLEASE LEAVE A MESSAGE. Feel free to call me anytime if you have any questions. My phone number is (610) 525-3393. Calling from outside of the immediate Philadelphia area, I can be reached toll free at 1-800-700-JOEL. |
