Ravina Sewani

Oral Allergy Syndrome (OAS) or Pollen-Fruit Syndrome (PFS) is a type of contact allergy resulting in a local reaction in the mouth or throat following ingestion of certain foods (raw veggies and fruits).This is commonly seen in children who are highly sensitive to pollen due to the cross-reactivity between the allergy-causing pollen proteins and proteins present in certain foods or vice versa. Symptoms:<ul><li>Symptoms of an OAS are common during the pollen season.</li><li>If a child allergic to pollen develops an allergic reaction in the pollen season against a specific fruit or vegetable, it is not a 'true food allergy' but cross-reactivity.</li><li>True Food Allergy is an allergy to the proteins present in the food and is diagnosed by healthcare professionals based on the symptoms, history, and tests if required.</li><li>OAS is diagnosed by evaluating clinical history, followed by a skin prick test containing extracts of pollen and the specific food if required.</li><li>Symptoms of an OAS are immediate within a few minutes, with a rapid onset of itching or swelling of mouth, throat, tongue or face. These symptoms usually disappear in a few minutes as well. The reactions of OAS are usually mild and can be treated by giving your child antihistamine medication prescribed by your doctor.</li></ul>

Oral Allergy Syndrome (OAS) is a local allergic reaction in mouth and throat.

Oral Allergy Syndrome

ADHD stands for Attention Deficit Hyperactivity Syndrome. As the name suggests, children with ADHD lack attention, are hyperactive, and in some cases impulsive as well. Symptoms:<ol><li>They are in constant motion</li><li>They do not seem to listen</li><li>Trouble playing quietly</li><li>Cannot finish a task</li><li>Are easily distracted</li><li>Often talk excessively</li><li>Interrupt others</li><li>Squirm or fidget</li></ol> Causes:<ol><li>Pregnant woman exposed to drugs</li><li>Mothers smoking during pregnancy</li><li>Genetics</li><li>History of ADHD in family</li></ol> Diagnosis: Mental disorders like ADHD need to be diagnosed by an expert (psychologist or psychiatrist) and should never be self assumed. <ul><li>There is no specific test which can confirm ADHD. Also, symptoms of ADHD are similar to other disorders of Autism Spectrum Disorder, hence a careful and repetitive diagnosis by an expert is necessary. It is difficult to identify symptoms in children under the age of 5.</li><li>Mostly all children are hyperactive. The only difference between a child suffering from ADHD and a normal child who is hyper is that a child with ADHD will have aggression issues along with lots and lots of prangs. Theses prangs can include causing damage to properties, breaking things in the house, getting hurt themselves or hurting others.</li><li>&nbsp;&nbsp;A child suffering from ADHD is unable to concentrate even in the activities (s)he enjoys. (S)he gets hyperactive all the time and fidgets a lot. But this is not the only diagnosis for ADHD. If you want to find it out for sure then you have to go for a full diagnosis, either by a developmental paediatrician, a psychiatrist or a psychologist. An expert will give a diagnosis out of the following three:</li></ul>-whether the child has ADHD issues-whether the child is hyperactive-whether the child just has attention issues<ul><li>Your child's doctor will identify your child's symptoms in a span of 6 months or more. If your child shows 6 or more symptoms in the months of observation, the doctor will diagnose that your child has ADHD. The doctor will need your help, as well as the help from your child's schools.</li><li>Your child's psychologist might also suggest a physical exam and a brain scan.</li></ul> Prevention:<ul><li>There is no way to prevent ADHD but there are ways to help children with ADHD feel and do their best at home and at school.</li><li>One thing to keep in mind is complications during pregnancy are linked to ADHD. If you are healthy throught your pregnancy, the chances of your child having ADHD reduces greatly. A healthy diet and regular doctor visits are important. So is avoiding the use of alcohol and drugs.</li></ul> Types of ADHD:<ol><li>Hyperactive or Impulsive type: The child shows hyperactive and impulsive behaviour but is attentive for the most part.</li><li>Inattentive type: The child here is not overly active hence sometimes the symptoms cannot be diagnosed early on. Such children have a very little attention span.</li><li>Combined type: Children here are both hyperactive and inattentive. This is the most common form of ADHD.</li></ol> Treatment:There is no cure for ADHD but the condition can be improved. The main treatment of ADHD is medicines. Along with medication, psychosocial intervention like psychoeducation, academic organization skills remediation, parent training, behaviour modification in the classroom and at home, cognitive behavioural therapy (CBT), and social skills training can be done. Behaviour therapy: Behaviour therapy is a collective term for several types of therapies used to treat mental health disorders. The treatment focuses on unhealthy behaviours and aims to change them. Behavioural therapy can be used to treat depression, anxiety, panic disorders, anger issues, autism, ADHD, etc. The several types of behavioural therapies are – cognitive behavioural therapy, cognitive behavioural play therapy, aversion therapy, system desensitisation.&nbsp;Cognitive therapy: It is based on the concept that the way we think about things affects us emotionally. It is based on present thinking rather than past experiences. Social Skills Therapy: Social skills therapy work on improving communication with friends, family members, at school, and more. Your child's psychologist might arrange group therapy for this particular skill development. Medications, along with the above therapies have shown the best results in ADHD children. Depending upon your child's ADHD intensity, your child's psychologist will layout the treatment plan for your child. Safety precautions at home for children with ADHD:<ul><li>Use sturdy furniture at home. ADHD children have excess energy and are constantly moving without keeping much attention of the surroundings. So, it is important to use the furniture of strength and ones which have no pointed ends or something which can harm the baby.</li><li>Secure the bedroom, kitchen, bathroom. A small gate at the bedroom doorway will help a lot. Shelves/wardrobe cupboards should be fastened to the wall and out of reach of small kids. Windows should not be near to bed.</li><li>Lock all the cabinets in the bathroom. Do not keep any sharp object lying around in the bathroom. Never leave your child alone in the bathroom.</li><li>In the kitchen, keep sharp objects/lighters/cleaning materials locked away in a cupboard. Keep the electric cords out of reach of children.</li></ul> FAQs regarding ADHD: Can ADHD be cured?In 40 to 50 % of children, it can be cured. In other cases, some symptoms (mainly attention deficit symptoms) stay on for a lifetime. Are there any side effects of medicines for ADHD?There are some side effects but not serious ones. Low appetite, headache and sleep disturbance are the common side effects. When medicines are given under proper guidance of a psychiatrist, with proper monitoring and Drug Holidays, side effects do not have any major impact on life. Is there any alternative to treat ADHD without medicines?There is no alternative to curing ADHD without medicines. Very mild cases of ADHD can be treated with psycho-social interventions like psycho-education, academic organisation skills remediation, parent training, behaviour modification in the classroom and at home, cognitive behavioural therapy (CBT), and social skills training. However, in the majority of cases, such interventions should be secondary. The primary mode of treatment should be through medication because it is only after medicines that a child can be involved in such psycho-social interventions. Does ADHD mean low IQ?NO. Children with ADHD have normal or more than average IQ. If the IQ is low and a child shows ADHD symptoms then the primary diagnosis will indicate towards Intellectual Disability. Is ADHD is a genetic problem?Yes, there are pieces of evidence that genetic factors are involved in the aetiology of ADHD but it is not the only factor. There are neurochemical and neurophysiological factors involved as well. What kind of behaviour therapy is there for ADHD?Therapy for ADHD includes a multidimensional approach. It includes psycho-education, parent training, behaviour modification in the classroom and at home, cognitive behavioural therapy (CBT), academic organisation skills remediation, and social skills training. How to handle a child with ADHD?A child with ADHD should not be beaten or punished for his/her shortcomings. Positive reinforcement techniques can be used. It means that when a child follows instructions or commands, (s)he can be rewarded with say an ice-cream or chocolate.

Here are ADHD's Symptoms, Causes, Treatment, Precautions, Prevention, Diagnosis, and FAQs.

All about ADHD

Pneumonia is an infection of the lungs. The air sacs in the lungs (called alveoli) fill up with pus and other fluid. This makes it hard for oxygen to reach the bloodstream. Symptoms:<ul><li>Very fast breathing (in some cases, this is the only symptom)</li><li>Breathing with grunting or wheezing sounds</li><li>Working hard to breathe; this can include flaring of the nostrils, belly breathing, or movement of the muscles between the ribs</li><li>Fever</li><li>Cough</li><li>Stuffy nose</li><li>Shaking chills</li><li>Vomiting</li><li>Chest pain</li><li>Belly pain</li><li>Loss of appetite</li><li>Bluish or grey colour of the lips and fingernails (in extreme cases)</li></ul> Causes:<ul><li>Pneumonia is caused by a variety of germs (viruses, bacteria, fungi, and parasites). Most cases are caused by viruses. These include adenoviruses, rhinovirus, influenza virus (flu), respiratory syncytial virus (RSV), and para-influenza virus.</li><li>Pneumonia begins after an upper respiratory tract infection (an infection of the nose and throat). Symptoms begin after 2 or 3 days of a cold or sore throat. It then moves to the lungs. Fluid, white blood cells, and debris start to gather in the air spaces of the lungs and block the smooth passage of air, making it harder for the lungs to work well.</li><li>Kids with pneumonia caused by bacteria usually become sick fairly quickly, starting with a sudden high fever and unusually fast breathing.</li><li>Kids with pneumonia caused by viruses will have symptoms that appear more gradually and are less severe.</li><li>The viruses and bacteria that cause pneumonia are contagious. An infected person can spread the illness when (s)he coughs or sneezes. This is because the germs causing this illness live in the body fluids.</li><li>Sharing drinking glasses and eating utensils, and touching the used tissues or handkerchiefs of an infected person also can spread pneumonia. So it's best to keep kids away from anyone with symptoms of a respiratory infection.</li></ul> Diagnosis:Doctors check a child's appearance, breathing pattern, and vital signs, and listen to the lungs for abnormal sounds. They might order a chest X-ray or blood tests, but neither are necessary to make the diagnosis. Treatment:Pneumonia caused by bacteria is treated with antibiotics taken by mouth at home. If the doctor seems fit, (s)he might prescribe antiviral medicine when the pneumonia is caused by a virus. Children might need treatment in a hospital if the pneumonia causes a lasting high fever, breathing problems, or if they:<ul><li>Need oxygen therapy</li><li>Have a lung infection that may have spread to the bloodstream</li><li>Have a chronic illness that affects the immune system</li><li>Are vomiting so much that they cannot take medicine by mouth</li><li>Keep getting pneumonia</li><li>Hospital treatment can include intravenous (IV) antibiotics (given into a vein) and respiratory therapy (breathing treatments).</li></ul>Check your child's lips and fingernails to make sure they are rosy and pink. Call your doctor if they are bluish or grey, which is a sign that the lungs are not getting enough oxygen. With treatment, most types of bacterial pneumonia are cured in 1–2 weeks. Viral pneumonia may take 4–6 weeks to go away completely. Prevention:Some types of pneumonia can be prevented by vaccine shots of Haemophilus influenza and flu vaccines.

Here are Pneumonia Symptoms, Causes, Diagnosis, Treatment, and Prevention.

All about Pneumonia

Many people use the word depressed very casually. Never assume that your child is depressed if you haven’t got your child assessed by a clinical psychologist or a psychiatrist. If your child is functioning fine but remains upset or irritated, this might be some stress. You can talk to your child and understand the reason behind it. If your child, along with being sad or irritated, does not eat and sleep well, (s)he needs evaluation done by a clinical psychologist or a psychiatrist. Depression in children is different from their developing emotions. Sadness does not equal depression. If your child’s sadness becomes constant and interferes with his/her daily tasks and routine, family life, schoolwork, or friendship, it may indicate that your child needs professional help. Symptoms:<ul><li>Irritability or anger</li><li>Continuous feelings of sadness and hopelessness</li><li>Social withdrawal</li><li>Increased sensitivity to rejection</li><li>Changes in appetite – increased or decreased</li><li>Changes in sleep – reduced or excessive</li><li>Vocal outbursts or crying</li><li>Difficulty concentrating</li><li>Fatigue and low energy</li><li>Physical complaints (such as stomach aches, headaches) that don't respond to treatment</li><li>Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests</li><li>Feelings of worthlessness or guilt</li><li>Thoughts of death or suicide</li></ul>Not every child has the same symptoms. Most children display different symptoms at different times and in different settings. Risk factors:Children with a family history of violence, alcohol abuse, or physical or sexual abuse are at greater risk of experiencing depression. Causes:<ul><li>Physical health issues</li><li>Life events</li><li>Family history of depression</li><li>Family conflicts</li><li>Genetic vulnerability</li><li>Substance abuse</li></ul> Diagnosis:<ul><li>A doctor’s visit needs to be scheduled for your child if the symptoms of depression have lasted for at least two weeks. Remember that a visit to a mental healthcare professional – either a psychiatrist or a psychologist – is needed to have a plan of action for your child properly.</li><li>A mental health evaluation usually includes interviews with you (the parent or primary caregiver) and your child. Information from teachers, friends and classmates can help show that these symptoms are consistent during your child's various activities and are different from previous behaviour.</li><li>There are no specific tests that can clearly show depression. Still, tools such as questionnaires (for both the child and parents) combined with personal information can be very useful in helping diagnose depression in children.</li></ul> Treatment:<ul><li>Treatment includes psychotherapy (counselling) and medication. Your child's doctor may suggest psychotherapy first and consider antidepressant medicine an additional option if there is no significant improvement.</li><li>It is difficult for parents to accept the fact that their child might be depressed. Some parents tend to deny this fact and avoid taking help from a mental healthcare professional. Parents need to understand depression and realise the importance of treatment to grow physically and emotionally in a healthy way.</li></ul> Prevention:Most of the time, it is difficult for parents to prevent depression in children, mainly because depression is a type of mental illness and is invisible. Hence most parents don't see it coming. Many have a great deal in accepting that their child might be depressed. But you can always choose an emotionally healthy lifestyle to reduce your child's chances of going under depression. ﻿Following are a few things to keep in mind:Establish a routine in your child's life. Avoid unnecessary moving of houses and schools. Stick to a schedule.Encourage open and honest communication.Keep a check on your behaviour. Do not constantly nag your child or always telling them what not to do. Opt for constructive feedback and try and understand their perspective towards things.Keep arguments among family and arguments between husband and wife away from children.Support your child's self-esteem.

Here are Depression Symptoms, Causes, Risk factors, Diagnosis, Treatment, and Prevention for children.

All about Childhood Depression

Dr Ajab Primuswala

<ul><li>The first thing to keep in mind is that you need to identify at which level of Autism Spectrum Disorder (ASD) your child is.</li><li>The second thing is whether it is has been diagnosed and whether you are working on it or not.</li><li>On certain level of ASD scale, media can positively help children with ASD in expressing their feelings, their thoughts and their uneasiness. There are specific apps and specific websites which can help ASD children in their development.</li><li>Children with ASD usually cannot make direct eye contact hence, a few expert recommended applications can help an ASD child with expressing their feelings better.</li><li>At the same time, it is important to keep an eye on which kind of media an ASD child is using. If the child is randomly using phones or TVs from which (s)he is not learning anything positive, such media use needs to be avoided.</li><li>The media which an ASD child consumes should lead to progressive development in their condition. The media should not suppress their already delayed development.</li><li>Consult with a child psychiatrist or child psychologist to know whether the ASD scale of your child needs media usage or not.</li><li>Age of the child also needs to be considered before letting them consume content from media.</li></ul>

Media can be helpful to some children with autism while it might suppress a child's growth as well. It is better to consult an expert (psychologist or psychiatrist) before exposing your child to media.

Media use and Autism Spectrum Disorder

Palak Vyas

This is how you can help your child if (s)he is afraid of injections: The fear of injections is seen in both children and adults. Infants don't have fear of injections. But a child who is 4 or 5 years old, is scared of injection because he/she understands that injections cause pain. Tell the truth: Be honest with your child. Do not lie to your child ever that injection is not going to hurt because it actually does and when they experience it they will lose trust on you. Try explaining to them the importance and benefits of injections and vaccinations. Explain it to them that it's for a safety purpose. Tell them it's going to hurt but just for a few seconds.&nbsp;Don’t give them too much time to ponder: A child might get anxious and terrified if you tell them a lot beforehand. Do not share more details about the visit. You can tell your child just before you are about to leave for the visitor if your child needs some preparation time, tell accordingly.&nbsp;Using distraction and anaesthetic cream: Numbing/anaesthetic cream can be used to ease their pain. While the doctor gives the injection, hold your child’s hand, make some funny faces, tell jokes, sing a song, etc. In short, distract them from pain.&nbsp;Leave them alone with the hospital staff if required: Sometimes when children are around their parents, they throw tantrums. The moment you leave the room, they behave properly. So leave your child with the hospital’s staff, if need be.&nbsp;Ensure immediate relief: Rub the injection site gently after injection. Use cold compressor apply an ice pack wrapped in a cloth. A small reward won’t harm: You can reward your child with a sticker, candy, his/her favourite ice-cream, bravery card or anything creative or innovative thing you can think of. Do not bribe them by saying, “You can have a treat if you get this vaccination”. Instead, you can say, “We can get a treat when your vaccination is done.” In rare cases, some children can get a syncope attack. In a syncope attack, there is a temporary loss of consciousness usually because of reduced blood flow to the brain. So the doctor always makes such a child sit or lay down on the bed before giving the injection. Make sure the child is fed properly before seeing the doctor.

Many children are afraid of injections, sometimes adults too.

Handling child who is afraid of injections

Some children may develop allergic reactions against the chemicals present in the household products like carpet flooring, paints, cleaning chemicals. Symptoms:<ul><li>Itching</li><li>Rashes</li><li>Vomiting</li><li>Diarrhoea</li><li>Swelling of the lips or tongue or face</li><li>Throat constriction</li><li>Difficulty in breathing</li><li>Allergies may sometimes also cause a life-threatening reaction called anaphylaxis which constricts the airway passage and requires immediate medical attention.</li></ul> Diagnosis:<ul><li>Always get your child diagnosed by a healthcare expert and never on your own. Never self-assume that your child has peanut allergy. Commercial home test kits for self-diagnosis are not recommended as they may not be of the required standards.</li><li>Your child’s paediatrician may recommend that your child undertake tests like skin prick test, blood test or food/drug challenge. It is important that these tests are performed under medical supervision as these tests might trigger an allergic reaction. Along with these tests, your child’s paediatrician will also examine your child's medical/family history, existing conditions like asthma and eczema.</li></ul> Treating allergies:<ul><li>The best way to prevent allergies of any sort in children is to avoid the source of the allergen.</li><li>In allergies, paediatricians usually prescribe antihistamine medicines for mild allergic reactions. Whereas for severe allergic reactions like anaphylaxis, your child’s paediatrician will prescribe an adrenaline auto-injector (AAI).</li></ul> The most common chemicals triggering these reactions are:<ul><li>Volatile Organic Compound (VOCs) emitted by paints, carpets</li><li>Propylene Glycol and Glycol Ethers (PGEs) in cleaning products, paints, or pesticides</li></ul> A few tips to manage allergies due to household items:<ul><li>Avoid your child's exposure to chemical products after diagnosis.</li><li>Replace chemical products with organic or natural cleaning products and avoid aerosol sprays.</li><li>If your child comes in contact with any of these allergens, wash the skin with water immediately and seek expert help from your child’s paediatrician.</li><li>Keep your indoors clean and hygienic if your child has allergies from household products.</li><li>Your doctor may recommend a calamine lotion or an antihistamine for mild reactions. Always keep it handy to treat skin inflammations arising due to chemicals in the products.</li><li>Remove the carpet flooring.</li><li>Opt for a milder paint for the house.</li></ul>

Children may sometimes develop allergy to indoor allergens as well. Hence it is important to maintain the hygiene of your house.

Carpet allergy

<ul><li>The allergic reactions in a child are triggered against an insect’s sting and not against an insect’s bite.</li><li>An immune response is triggered against the venom from the sting which the body perceives as a threat.</li><li>An allergic reaction against insect’s sting is also known to cause severe reaction – anaphylaxis.</li><li>The allergic reaction includes pain, redness, and swelling which might extend beyond the sting site.</li><li>As treatment, paediatricians usually prescribe antihistamine medicines for mild allergic reactions. Whereas for severe allergic reactions like anaphylaxis, your child’s paediatrician will prescribe an adrenaline auto-injector (AAI).</li></ul> Severe allergic reactions are usually caused by these stinging insects:<ul><li>Honey bees found in honeycombs.</li><li>Wasps living under leaves, shrubs, logs and woodpiles.</li><li>Fire ants living in large mounds on the ground.</li><li>Biting insects like mosquitoes, bed bugs, fleas, etc. cause localised allergic reactions.</li><li>A local reaction to an insect bite due to the chemicals from insect’s saliva is not the same as an allergic reaction to the venom from the sting.</li><li>When an insect has stung your child, remove the stinger as soon as possible to prevent more venom entering the body.</li><li>Quickly wash the sting site on the skin with soap and water immediately to disinfect the area. Apply ice on the sting site to reduce the swelling, if any.</li><li>If your child has a history of allergic reactions against insects, avoid going to places where insects are present with your child.</li><li>Once diagnosed, your child’s paediatrician will usually prescribe antihistamine medicines and an adrenaline auto-injector in case of severe reactions.</li><li>Your child’s paediatrician may recommend venom immunotherapy based on your child’s medical history of developing allergic reactions against insect sting.</li></ul> Symptoms:<ul><li>Itching</li><li>Rashes</li><li>Vomiting</li><li>Diarrhoea</li><li>Swelling of the lips or tongue or face</li><li>Throat constriction</li><li>Difficulty in breathing</li><li>Allergies may sometimes also cause a life-threatening reaction called anaphylaxis which constricts the airway passage and requires immediate medical attention.</li></ul> Diagnosis:<ul><li>Always get your child diagnosed by a healthcare expert and never on your own. Never self-assume that your child has peanut allergy. Commercial home test kits for self-diagnosis are not recommended as they may not be of the required standards.</li><li>Your child’s paediatrician may recommend that your child undertake tests like skin prick test, blood test or food/drug challenge. It is important that these tests are performed under medical supervision as these tests might trigger an allergic reaction. Along with these tests, your child’s paediatrician will also examine your child's medical/family history, existing conditions like asthma and eczema.</li></ul>

Insect sting allergy can get very serious sometimes. It is better to stay cautious to keep your child safe.

Insect sting allergy

<ul><li>Earaches in children are common. An earache may affect one or both ears, but the majority of the time it’s in one ear. Earaches can be constant or come and go, and the pain may be dull, sharp, or burning.</li><li>Kids below 5 years are at a higher risk for ear infections. Young children with ear infections get fussy and irritable. They may also tug or rub their ears.</li></ul> Symptoms:<ul><li>Ear pain (when chewing, sucking, or lying down)</li><li>Redness of the ear</li><li>Swelling of the ear</li><li>Pulling or rubbing the ears</li><li>Leakage from the ear</li><li>Trouble hearing</li><li>Ear fullness&nbsp;</li><li>Ear popping</li><li>Fussiness</li><li>Vomiting</li><li>Headache</li><li>Fever</li><li>Loss of balance</li><li>Difficulty sleeping</li></ul> Causes:<ul><li>Ear infections - outer, middle, or inner ear</li><li>Change in pressure, such as when flying on a plane</li><li>Earwax buildup</li><li>A foreign object in the ear</li><li>Sinus infection</li><li>Shampoo or water trapped in the ear</li><li>Use of cotton swabs in the ear</li><li>Referred pain - when the pain is felt somewhere other than the infection or injured site. For example, pain that originates in the jaw or teeth may be felt in the ear.</li></ul> Diagnosis:Your child's doctor will use an otoscope to look at the ears, throat and nasal passage. (S)he will might also listen to your child breathe with a stethoscope. Sometimes, doctors might use a Pneumatic otoscope to diagnose an ear infection. The doctor might perform other tests if there is any doubt about a diagnosis.<ol><li>Tympanometry: This test measures the movement of the eardrum.</li><li>Acoustic reflectometry: This test measures how much sound is reflected back from the eardrum.</li><li>Tympanocentesis: An instrument to drain the fluid from the middle ear. This fluid is then tested for viruses and bacteria.</li></ol> Visiting the doctor:<ul><li>If your child has a persistent fever of 104º F (40º C) or higher, seek medical attention.</li><li>For an infant, seek medical help immediately for a fever higher than 101º F (38º C).</li><li>You should also seek immediate medical attention if your child has severe pain which stops suddenly. This could be a sign of the eardrum rupturing.</li></ul> Treating earaches at home:<ul><li>Place a warm compress carefully over your child's ear for approximately 20 minutes.</li><li>Apply a cold washcloth to the ear.</li><li>Avoid getting the ear wet.</li><li>Sit upright to help relieve ear pressure.</li><li>Feed an infant to help them relieve their pressure.</li></ul> Medical treatment:<ul><li>If your child doesn't have too much discomfort or a high fever, the doctor will likely wait 24 to 48 hours (1 to 2 days) to see if the ear infection gets better on its own.</li><li>Your child's doctor will prescribe oral antibiotics or ear drops if the earache does not resolve on its own. In some cases, (s)he can prescribe both.</li></ul> Prevention:<ul><li>Make sure your child gets the pneumococcal conjugate vaccine (PCV) and the flu vaccine, which may reduce their odds of getting middle ear infections.</li><li>Do not clean ears with cotton swabs or sharp objects.</li><li>Dry the ears after swimming or bathing.</li><li>Avoid secondhand smoke.</li><li>Make sure your child has a habit of washing his/her hands.</li><li>Don't give a bottle when your baby is lying down.</li><li>Ask the doctor if earplugs and special ear drops are a good idea if your child swims a lot.</li></ul>

Here are Earache Symptoms, Causes, Treatment, Prevention, Diagnosis, and Home remedies.

breastfeeding health concerns

Following article(s) will help solve your concern.