Pain Management for Newborns
Performing a circumcision produces significant discomfort if done without the use of an anesthetic. Infants under 1 year of age should receive an injectable anesthetic to numb the small nerves that control pain to the foreskin of the penis. The injection is much like the vaccines your child receives during routine office visits. Common pharmaceutical names include Lidocaine® and Marcan®. Some practitioners may use EMLA cream®, a numbing agent that can be applied to the foreskin before performing the procedure. Oral medications such as Tylenol® infant drops or infant Motrin® drops may be given. Sucrose (sugar) water has been shown to lessen discomfort especially in combination with injectable lidocaine.
Call our office if the following develops:
- There are no wet diapers within 12 hours of the procedure.
- Swelling worsens after 3 days
- Fever of 101° F or greater
- Pain not relieved by Tylenol
- Continuous oozing of blood from the wound site
- Plastic ring does not fall off within 7 days