Dr Emanuela Manea

Dr Emanuela Manea Consultant-led private paediatric care for babies, children and adolescents in London.

When you are worried about your child’s health, development or wellbeing, timely access to clear medical advice can make a significant difference.

Tick bites are increasingly common in the UK, and not just deep in the countryside. Parks and gardens count too. Most ar...
11/08/2026

Tick bites are increasingly common in the UK, and not just deep in the countryside.

Parks and gardens count too. Most are harmless, but ticks can occasionally transmit Lyme disease, so quick, proper removal matters.

To remove a tick:
✔️use fine-tipped tweezers or a tick tool,
✔️grasp it as close to the skin as possible, and
✔️pull upward with slow, steady pressure.
❌Do not twist, squeeze or burn it.
✔️Clean the area, then photograph it and note the date.

What to watch for in the following weeks: an expanding red or purple patch, which does not always look like a bull's-eye, or flu-like symptoms such as fever, tiredness or aches. If either appears, seek a review the same day. Early treatment is very effective.

Read Dr Manea's full guide to bites, stings and tick bites, or request a consultation if you would like your child assessed.

https://empaediatrics.com/request-appointment/ or see link in bio

Insect bites are part and parcel of summer, and most cause nothing more than a small, itchy bump that settles within a f...
10/08/2026

Insect bites are part and parcel of summer, and most cause nothing more than a small, itchy bump that settles within a few days.

The main thing to manage is the itch, because scratching breaks the skin and is the most common way a bite turns into a skin infection.

What helps:
✅Wash the bite with soap and water
✅A cool compress for 10 to 15 minutes to ease swelling and itch
✅A mild hydrocortisone cream, or an antihistamine for nighttime itch
✅Keep little nails short and discourage scratching

A few habits cut bites down too:
✅long sleeves at dusk
✅insect screens on windows, and use insect repellent.
✅emptying any standing water in the garden where mosquitoes breed.

A bee or wasp sting is sharp and upsetting, but most settle at home within a few days.If it were a bee, the stinger may ...
06/08/2026

A bee or wasp sting is sharp and upsetting, but most settle at home within a few days.

If it were a bee, the stinger may still be in the skin and can keep releasing venom, so remove it quickly. Scrape it out sideways with the edge of a card or a fingernail rather than squeezing it.

Wasps usually do not leave one behind. Then wash the area, apply a cool compress, and use pain relief or an antihistamine if needed.

🛑When to act fast: call 999 immediately if there is any difficulty breathing, swelling of the lips, throat or tongue, dizziness or collapse.

These are signs of a serious allergic reaction and need emergency treatment.

Most sunburns can be treated at home, but some situations require a doctor.See a paediatrician promptly if:⚠️The sunburn...
04/08/2026

Most sunburns can be treated at home, but some situations require a doctor.

See a paediatrician promptly if:
⚠️The sunburn is severe or covers a large area
⚠️Your child is a baby under twelve months with any sunburn
⚠️Blisters are large, painful or look infected
⚠️The skin is not improving after a few days

🛑Seek emergency help and call 999 if you suspect heatstroke: a very high temperature, confusion, not sweating, rapid breathing or loss of consciousness.

A consultation can assess the burn, give advice specific to your child's skin, and arrange onward referral if needed.

Read Dr Manea's full sunburn guide, or request a consultation if you would like your child seen. See links in bio.

The best treatment for sunburn is preventing it. When the UV index is 3 or above, which in the UK is most days from Apri...
31/07/2026

The best treatment for sunburn is preventing it. When the UV index is 3 or above, which in the UK is most days from April to September, protection works best in layers, not sunscreen alone.

The five SunSmart steps:
✔️Slip on loose, lightweight clothing, UPF 50 if you can
✔️Slop on broad-spectrum SPF 50+, applied before going out and topped up as needed
✔️Slap on a broad-brimmed hat
✔️Seek shade between 11 am and 3 pm
✔️Slide on UV-protective sunglasses

Two things parents often miss:
You can still burn on a cloudy day, and darker skin is not immune to UV damage.

And there is no such thing as a safe tan. A tan is the skin's response to damage, not a sign of health.

Sunburn can happen faster than most parents expect. On a hot UK summer day, fair skin can burn in as little as ten to fi...
29/07/2026

Sunburn can happen faster than most parents expect. On a hot UK summer day, fair skin can burn in as little as ten to fifteen minutes, and the symptoms often peak overnight. A child who seemed fine at the beach can wake up sore and red.

If your child does get burnt, the basics help most:
✔️Get them out of the sun and somewhere cool
✔️Cool the skin with damp compresses or a cool, not cold, bath
✔️Offer extra fluids, especially for babies and young children
✔️Use a fragrance-free moisturiser or aloe vera to soothe

If there are blisters, leave them intact. ✋🏻Popping them raises the risk of infection.

Most summer rashes are harmless and clear up with simple cooling. But some signs are worth getting checked.Seek a paedia...
27/07/2026

Most summer rashes are harmless and clear up with simple cooling. But some signs are worth getting checked.

Seek a paediatric review:
✔️if a rash does not improve within a few days
✔️develops pus or crusting
✔️comes with a fever and an unwell child, or
✔️is spreading or changing quickly.

🛑Seek urgent medical help straight away for a rash that does not fade when you press on it, especially alongside a high fever or difficulty breathing.

A skin consultation can identify the cause, rule out other conditions, and give guidance specific to your child.

Read Dr Manea's full guide to heat rash and sun allergy, or request a consultation to have your child's skin assessed. See link in bio

Heat rash or sun allergy? In summer, these two are easy to mix up, but they are not the same thing.Heat rash comes from ...
23/07/2026

Heat rash or sun allergy? In summer, these two are easy to mix up, but they are not the same thing.

Heat rash comes from trapped sweat. It tends to show up where skin is covered or in folds, like the neck, and it eases once the skin is cooled.

Sun allergy, properly called polymorphic light eruption, is an immune reaction to UV light. It appears on sun-exposed areas like the arms, chest and the V of the neck, often hours to a couple of days after being in the sun, and it improves by avoiding further exposure.

Knowing which one you are looking at changes how you manage it.

See the difference?

Heat rash is one of the most common skin complaints of summer, and the reassuring part is that it is usually harmless an...
21/07/2026

Heat rash is one of the most common skin complaints of summer, and the reassuring part is that it is usually harmless and settles quickly.

It happens when sweat gets trapped in tiny blocked ducts, which is why babies and young children are especially prone to it.

Managing it is mostly about cooling the skin:
✔️ move somewhere cooler
✔️ switch to loose cotton clothing
✔️ use a cool damp cloth, and avoid heavy creams that can block the skin further.

A simple rule of thumb for babies: dress them in no more layers than you would be comfortable wearing yourself. ✅

And one to skip altogether, baby powder is not recommended. ❌

https://empaediatrics.com/heat-rash-in-children/

Colic is common and, reassuringly, almost always temporary. But because crying can occasionally signal something more, i...
17/07/2026

Colic is common and, reassuringly, almost always temporary. But because crying can occasionally signal something more, it helps to know when to have your baby checked.

A paediatric review is sensible if there is:
⚠️A change in your baby's usual crying pattern
⚠️Signs of illness, including fever, changes in appetite, vomiting, diarrhoea or breathing difficulties
⚠️Poor weight gain or feeding difficulties
⚠️Changes in behaviour, such as excessive sleepiness, reduced responsiveness or marked irritability
⚠️Symptoms that persist or worsen over time

And just as importantly, if you feel overwhelmed or are struggling to cope.
A calm, unhurried assessment can rule out any underlying cause and give you clear guidance and reassurance.

Read Dr Manea's full guide to colic, or request an appointment if you would like your baby assessed. See link in bio.

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London
E145HX

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