Ravina Sewani

<ul><li>Most chemical head lice treatments aren't suitable for babies under two years old. So the best way to get rid of your little one's head lice is by wet-combing.</li></ul> 1. Make your child comfortable: Comb or brush any knots out of your child’s hair with an ordinary comb. Wet your child’s hair completely with plenty of water to straighten it so that the comb moves smoothly.2. Comb hair still using an ordinary comb.3. Change to a comb with fine teeth: Use a head lice comb and comb sections of your child's hair. Comb from the roots to the ends of the hair. Be careful while using lice comb so that it doesn’t hurt your child.4. After each comb, wipe the conditioner on to a paper towel or tissue. Check the tissue or paper towel for lice and eggs (a magnifying glass may help you to see them more easily).5. Repeat the combing for every part of the head, section by section. Comb each section at least 4 or 5 times before moving on to the next section.6. After you have combed the whole head, rinse out the conditioner.7. If you find lice or eggs, repeat these steps every day if you can manage it, but at least every 2 to 3 days. You can stop when you find no lice or eggs for 3 days in a row.8. Check the hair of everyone in the house twice a week for the next 2 weeks to make sure everyone stays clear. <ul><li>You can also use lice controlling medicated shampoos after concerning your paediatrician.</li></ul>

Children below 3 years usually do not suffer from hair lice. If they do, proper shampooing of their hair and an oil massage is helpful for them.

Treating hair lice

Palak Vyas

Sudden Infant Death Syndrome (SIDS) is also known as cot/crib death. As per the name, it is a sudden unexplained death of a child under 1 year of age with no explainable reasons after a thorough biopsy. SIDS is more likely to occur between 2 to 4 months of infants. SIDS is more prevalent in boys. Most SIDS deaths occur in the winter. Causes: The cause of SIDS is unknown. Researchers believe that low levels of oxygen or a build-up of carbon dioxide in the blood might be the reason behind SIDS. When babies sleep face down, they may re-breathe exhaled carbon dioxide and so the CO2 levels rise in the blood. Risk factors of SIDS:<ul><li>Sleeping on the stomach.</li><li>Being around cigarette smoke while in the womb or after being born.</li><li>Soft bedding in the crib.</li><li>Multiple birth babies (being a twin, triplet, etc.).</li><li>Premature birth.</li><li>Having a brother or sister who had SIDS.</li><li>Mothers who smoke or use illegal drugs.</li><li>Being born to a teen mother.</li><li>Short time period between pregnancies.</li><li>Late or no prenatal care.</li></ul> Diagnosis: A baby is determined to have died from SIDS if no cause of death can be identified. Treatment: There is no treatment available for SIDS as of yet. Preventive measures:<ul><li>Put your baby to sleep on his back.</li><li>See that you don’t put extra pillows, blankets or bumper pads in the bed with the baby.</li><li>See the baby doesn’t get too hot.</li><li>Always use a firm sleep surface for baby’s the bed.</li><li>Keep your baby away from smoke and smokers.</li><li>Use of pacifiers reduces risk of SIDS, although the reason is unclear.</li></ul>

Here are SIDS Causes, Risk factors, Diagnosis, Treatment, and Prevention.

All about Sudden infant death syndrome (SIDS)

Children, just like adults, have a sweet tooth, and it is normal for them to want desserts and cookies instead of carrots. If you notice that your child’s diet consists mostly of processed foods, try and buy healthy snacks so that your child has fewer unhealthy options. But there is no need to fret over a dessert every now and then. All food is good food as long as it’s in moderation. Keep the following points in mind if your child is eating too much of sugary food: <ul><li>A habit is a habit, whether it is eating sugar or sucking a thumb or watching TV or even eating 2-3 candies daily. So the way a habit is formed, likewise it can be ridden off too.</li><li>Eating sugar is very harmful for a child because it will cause tooth decay, make him/her obese and leave the child malnourished.</li><li>Parents can use some easy tricks like first of all keeping the sugar jar where the child doesn’t find it easily.</li><li>Avoid bringing and storing candy in the house so the child doesn’t find them easily.</li><li>You can start using jaggery in the dishes to avoid sugar, wherever you can and that way it becomes a healthy option.</li><li>A child of this age can be easily distracted. For a few days if you distract him/her, automatically (s)he will forget asking for sugar.</li><li>For initial days it may become hard but you should stay firm and not give up.</li><li>Ask for help and seek support from family members so they don’t give your child sugar whenever (s)he asks.</li><li>You can always replace sugar with other natural sweet substances such as dates and raisins.</li><li>Eat healthy as a family. Never exhibit any behaviour which encourages the child to eat sugar. Keep your actions in check.</li></ul>

Sugar is a very tempting food item. Keep the sugar intake in check since the first day a child learns to eat; this way things will not out of hand.

Dealing with a child’s sugar eating habits

Itching can result due to various reasons:<ul><li>Skin allergies</li><li>Food allergies</li><li>Dandruff</li><li>Skin disorder</li></ul> <ul><li>It is advisable to consult your paediatrician or doctor for itching before you apply any skin products to your child.</li></ul> Remedies for itching:<ul><li>Avoid scented soaps, lotions, and bubble baths.</li><li>Change out of wet or damp clothing immediately after exercising or swimming.</li><li>Moisturising the skin with a good moisturiser.</li><li>See a doctor when the itching persists for more than 2 weeks, when there is inflammation and when itching affects the entire body.</li></ul>

Itching, if not treated at the right time can intensify and irritate a child. It is better to consult your paediatrician at the right time.

Itching problem in children

Child's disinterest in healthy home cooked food starts from an early age of 6-7 months. There are several reasons behind a picky eater child: <ol><li>Medical Challenge - Allergy, Reflex, Constipation</li><li>Oral-motor Challenge - Chewing, Breathing, Swallowing</li><li>Sensory Challenge - Recognises only few flavours or smell</li><li>Temperament and mood - Easily frustrated so feels and express the internal emotion.</li><li>Early exposure to junk food - This is the most common</li></ol> What can be done to make your child eat all kinds of food:<ul><li>When during the initial months of introducing food to child, do not introduce sugary chocolates, junk food like packed food items, extremely spicy or salty food or else the child will develop the taste for those kind of things. If you introduce foods which are higher on the taste spectrum, the child will throw tantrums when you give him/her healthy food. In this case you can always start slow by making their food interesting, example - using ingredients they like and garnish their food with smileys. Using decorative plates and cups also helps.</li><li>Be patient: If your child throws tantrums on seeing healthy home cooked food, do not melt and give the junk food just because your child is crying. Be strong because developing a new habit will take time.</li><li>A child who has eaten chocolates will not adjust to khichdi. Khichdi does not have the same taste as chocolate. A child is driven by taste and not by nutrition.</li><li>Make sure that everyone in the family eats the same dish. Special dishes should not be prepared for everyone. If the child watches that special dishes are being prepared for someone in the family, the child also learns to demand the same.</li><li>Do not keep any distractible food on the table - like sugary or spicy foods.</li><li>Make it a point that everyone eats together in their own plates. This way the child learns to eat everything and also on their own.</li><li>Keep a fixed meal time.</li></ul>

It is not right to completely put the blame on kids for their disinterest in healthy food. As parents, we need to reflect on ourselves and take necessary measures for the same.

Child being choosy about food

Children are prone to taking in passive smoke if someone in the family has a habit of smoking. Smoke from the cigarette can cause mild to severe allergies in children and pose the risk of asthma in their later lives. Symptoms:<ul><li>difficulty breathing</li><li>wheezing</li><li>hoarseness</li><li>headache</li><li>watery eyes</li><li>runny nose</li><li>congestion</li><li>sneezing</li><li>itchiness</li><li>nausea</li></ul> DiagnosisYour child's doctor will apply small drops of different allergens to parts of your child's forearm skin and wait to see which allergens of tobacco produce a reaction. Prevention:Here are a few tips to minimise your child's exposure to tobacco products that may cause an allergic reaction:<ul><li>Don't smoke when you are around/with your child(ren).</li><li>Avoid taking your child to areas where they will be exposed to secondhand smoke.</li><li>If someone smokes and then wants to play/take care of a child, ask them to wash their hands and clean their mouth before they handle your baby.</li><li>Do not smoke during pregnancy. Apart from your child developing cigarette smoke allergy, the chances of stillbirths are high in smoking mothers than in non-smoking ones.</li><li>Segregation between smokers and non-smokers in an indoor environment will reduce the risk of secondhand smoke exposure but does not completely eliminated it.</li></ul> Treatment:If your child gets diagnosed with cigarette smoke allergy, it is better to get medicine prescribed for them. It is not advisable to give them over-the-counter remedies for tobacco allergies.

Children are exposed to secondhand smoke unknowingly and this can cause problems in later stages of their lives.

Cigarette smoke allergy

Choking occurs when your baby takes more milk into its mouth than (s)he can swallow at a time. Excess milk spills into the airway and blocks the flow of air, which leads to choking. It can be a frightening sight for any mother to see her baby coughing and sputtering milk while struggling to breathe. Reasons behind choking during breastfeeding:<ol><li>Milk oversupply- When a mother produces excessive milk, the milk releases from the milk ducts in a forceful and almost explosive manner. This is called Milk Ejection Reflex. The baby is not able to swallow that much amount easily and starts choking up.</li><li>Improper latch</li></ol> You might be producing excessive milk if you notice:<ul><li>The baby is choking, gagging.</li><li>The baby is trying to clamp the nipple to slow down the flow.</li><li>The baby is trying to pull away from the breast.</li><li>The baby is refusing to nurse and is spitting up frequently.</li></ul> What to do:<ul><li>When you find your baby choking on milk, there are methods that can dislodge the milk from blocking the airway. Since babies have delicate bodies, it must be done with caution.</li><li>Turn your baby upside down and give them intermittent back blows and chest thrusts combined with gentle taps to the back, to open up the airways. The chest thrusts should be given with two or three fingers on the lower half of the breastbone, while supporting the head with the other hand. This should be continued until the block is removed.</li><li>It’s important to note that if the baby doesn’t recover and becomes unconscious, (s)he should be rushed to the nearest hospital, while still continuing the dislodging procedure.</li></ul> Prevention:<ul><li>Try and slow down your supply: Say if you are nursing with the right breast, then press your left nipple of the left breast with your right hand’s palm toward ribs and count till five. This signals your body to slow down the flow.</li><li>Stick to a single breast for a few feeds: This way one of the breasts gets fully emptied and this also slows down the flow in the other breast.</li><li>Baby’s latch: Ensure that the baby is latched properly. If the baby is latched properly, the milk should directly get into the baby’s throat and not his mouth. So when the latch is not proper, there is more risk of the baby’s mouth getting filled up with milk more than it can take and that is when your baby might end up choking.</li><li>You can recline on a surface and then feed the baby in your arms. This is a good nursing position.</li><li>While breastfeeding, if the other breast feels uncomfortable, you can express some milk from it and apply a cool compress to relieve the discomfort. As you continue this procedure, express lesser milk, until there is no need to do so.</li></ul>

A breastfeeding child chokes when (s)he takes more milk in mouth than (s)he can gulp down.

Choking during breastfeeding

The feeling of blocked or clogged ears is either due to water or sir getting stuck in the ears. Water in the ears:When water enters in an ear due to any reason, the ear feels clogged/blocked. If there's too much water in the ears, surrounding sounds also get muffled. It is important to remove the water from ears because otherwise it can cause infections. You can get the water out of your child's ear, these are a few steps to follow:<ul><li>First dry out your child's ear using a soft towel. Do not push the towel deep into the ear canal.</li><li>Ask your child to tilt their head on the side of the ear which has water stuck in it and let gravity to do the work. Slightly pull their earlobes; this will straighten the ear canal helping in draining the water.</li><li>If the clogging of the ear persists, you can get ear drops prescribed by your child's doctor.</li><li>Do not use cotton swabs as they will push the dirt deep into the ear. Warn your children to not stick their finger in their ear.</li></ul> Air in the ears:The ears tend to feel full and clogged when a person is sick, or when altitudes change. To relieve from this feeling, one needs to pop their ears. Here is how you can help your child:<ul><li>Yawn: Instruct your child to yawn as many times as possible as yawning helps in opening up the ear canal hence helping the ears to pop.</li><li>Swallow: Give water to your child or a candy to suck on as swallowing activates the muscles that open up the ear canal.</li><li>Valsalva maneuver: Take a deep breath and pinch your nose shut. Keep your mouth closed and gently exhale through the nose. If your child is too young, this technique to pop the ears is not advised as it carries a minute risk of rupturing the eardrum.</li><li>Toynbee maneuver: Pinch the nose shut and with your mouth closed, try swallowing. If your child has difficulty doing this, a mouthful of water will help in swallowing.</li><li>If nothing works, consult your child's doctor.</li></ul>

The feeling of blocked or clogged ears is either due to water or sir getting stuck in the ears.

Blocked ears

Allergy to soy is developed due to the trigger of immune response against the soy proteins which the body considers as threat.Allergic reactions to soy are usually mild and the anaphylactic reaction from soy is very rare.Studies also show that many children outgrow soy allergy in later life but it is better to stay careful. Symptoms:<ul><li>Nasal congestion, runny nose, sneezing or dry cough</li><li>Eczema (a dry, itchy rash) or hives (reddish, swollen, itchy areas on the skin)</li><li>Redness of the skin around the mouth or eyes</li><li>Itchy mouth, ear canal or lip swelling, odd taste in the mouth</li><li>Nausea or vomiting, diarrhoea or stomach pain</li><li>Severe reactions include loss of consciousness, chest pain, turning pale, shortness of breath, trouble swallowing, or anaphylaxis.</li></ul> Diagnosis:Get your child diagnosed by a doctor. The doctor might examine your child’s medical history as well your family history. The doctor might also suggest one of the tests - skin prick test, blood tests or an Oral Food Challenge to confirm whether your child has an allergy to soy or not. Precautions and treatments:<ul><li>Develop a habit of reading the food labels for ingredients and allergy information.</li><li>Teach your child to mention about the allergy whenever he/she goes to visit someone.</li><li>Inform your child’s school about your child’s allergy to soy. You can also give the medicines prescribed by your doctor to the school which they can use in case of sudden allergic reactions.</li><li>Be careful about the possibility of cross-contact; especially when visiting a restaurant.</li><li>Your child’s paediatrician might prescribe antihistamine medicines to fight against allergic reactions due to soy. Always give medications for allergy under proper guidance of the doctor.</li><li>Always keep the allergy medication handy for your child.</li></ul> Foods to avoid in case of soy allergy:<ul><li>Cold-pressed, expelled or extruded soy oil, Natto, Soy cheese, Soy milk, Soy yogurt, Soy sauce, Tofu</li><li>Some of the formula milk contains soy or soy derivatives so it is advisable to consult with your child’s paediatrician before deciding any formula milk for your child.</li><li>Some children can tolerate highly refined soy oil.</li><li>Soy is also a hidden ingredient is some of the pet foods and beauty products like soaps and moisturisers.</li></ul>

Soy, like peanut belongs to the legume family but a child who has a peanut allergy will not necessarily be allergic against soy and vice versa.

hair lice health concerns

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