Ravina Sewani

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

Palak Vyas

Circumcision is a small surgery where the skin covering the tip of the penis is removed surgically. The decision to get your baby circumcised depends on cultural, religious, medical or personal reasons. Let the paediatrician or neonatologist decide if the child is ready for circumcision or not.<ul><li>Your baby’s penis may be sore for a few days after the procedure.</li><li>You have to be careful while bathing and changing diapers until it heals completely. Do not use any bathing products. You can use warm water to clean the area.</li><li>Whenever you change the diaper, use a new dressing as per your child’s paediatrician’s advice.</li><li>Use a dab of petroleum jelly on the penis so that there is no friction with the diaper.</li><li>Healing after the surgery can take up to 7-10 days.</li></ul> Inform your child’s paediatrician if you see any of the following signs:<ul><li>Bleeding that continues</li><li>Fever</li><li>Infection</li><li>Redness that gets only worse</li><li>Pus filled blisters</li><li>If the child does not urinate within 12 hours after the circumcision.</li></ul>

Circumcision is not necessary but the decision depends on personal beliefs.

Undergoing circumcision in boys

Often, hair loss in children is caused by an infection or other problems with the scalp. Here are some of the most common causes:<ul><li>Ringworm of the scalp: This scalp infection spreads when kids share personal items such as combs and hats.It is caused by a fungus. Kids with this condition develop patches of hair loss with black dots where the hair is broken off. Their skin may turn red, scaly, and bumpy.</li><li>Hair loss can also result due to an autoimmune disease (Alopecia areata). The immune system attacks the follicles from which hair grows. There’s no cure for alopecia areata, but some treatments can help regrow hair. With the right treatment, most kids with alopecia areata will regrow hair within one year. Full regrowth can take six months to a year.</li><li>Nutritional deficiency: Good nutrition is essential for a healthy body. When kids don’t get enough vitamins, minerals, and protein, their hair can fall out.</li></ul> A lack of the following nutrients can contribute to hair loss:<ul><li>iron</li><li>zinc</li><li>niacin</li><li>biotin</li><li>protein and amino acids</li><li>Too much vitamin A can also lead to hair loss.</li><li>Your child’s paediatrician can suggest a healthy eating plan or prescribe a supplement to make up for the nutritional shortfall.</li></ul> Non Medical hair loss causes:<ul><li>Newborn hair loss: During their first six months of life, most babies will lose the hair they were born with. The newborn hair falls out to make way for mature hair. This type of hair loss is perfectly normal and nothing to worry about.</li><li>Friction hair loss: Some babies lose hair in the back of their scalp because they rub their head repeatedly against the crib mattress, floor, or something else. Once they stop rubbing their hair should grow back.</li><li>Hair ties: Pulling your child’s hair back into a tight ponytail, braid, or bun causes trauma to the hair follicles. Hair can also fall out if your child brushes or combs it too hard. Be gentle when combing and styling your child’s hair and keep ponytails and braids loose to prevent hair loss.</li></ul>

Hair-fall can be irritating. Understanding the right cause is important so that right remedy can be applied.

Treating hair loss

<ul><li>Yes! There is a difference in potty training boys and girls. Most parents start potty training their child when they are between 2-3 years old. Usually, a girl child is ready to start potty training when she is 18 months old or it can vary up to 4 years in some cases.</li><li>Girls tend to get started with potty training about 3 months earlier than boys. Boys take more time to get ready; at around 2 years they start and can be fully potty trained between 4 to 6 years of age. So they start later and take longer to train.</li><li>Boys have to learn two different ways and they easily accept this. To start with, teach them to use the potty while sitting and gradually they learn to use the toilet in standing position for peeing and in sitting position for potty.</li><li>Girls mature faster both physiologically and intellectually. They are quick with the concepts of language and understand better so their potty training is faster. They learn how to dress and undress and they have better control than boys.</li><li>Every child is unique. Regardless of gender, potty training will be different for everyone. Each child will be potty trained in his/her own time and in his/her own way.</li><li>It is important to reward your child for achieving this milestone of being potty trained.</li></ul>

You might have to adapt different approaches to potty train your girl child and boy child.

Difference in potty training for boys and girls

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.

Soy allergy

Samiksha Choithani

There is nothing wrong in using breast pumps. Breast pumps are useful and come handy when you are travelling or for a working mother or when a child is having difficulty to latch on the breast. If you have decided to use a breast pump, follow these simple instructions:<ol><li>Clean all parts of the breast pump.</li><li>Wash your hands.</li><li>Find an isolated place where you can sit in peace and pump.</li><li>While you start pumping, think about your child, this will trigger hormones and will help to generate sufficient milk.</li><li>Make sure the shield of the pump is centred over the nipple.</li><li>Once you start pumping it may take a couple of minutes to start the flow.</li><li>Switch the breasts every 5 minutes; ensure each breast gets a total stimulation of 15 minutes.</li><li>After using the pump wash it with warm soapy water.</li><li>The milk extracted using a breast pump is safe for 4 to 6 hours at room temperature.</li></ol> In case after using breast pumps, you are experiencing problems such as - less milk supply or sore nipples, it is better to consult a doctor.

Using a breast pump is a personal choice.

Using Manual Breast Pumps or not?

<ul><li>Adding certain foods to their diet can promote hair growth — and give children the nourishment their bodies need.</li><li>Peanuts, corn, and spinach contain Vitamin E, which stimulates hair growth.</li><li>Folic acid, found in foods like peas and citrus fruits, will help promote hair growth by strengthening strands so they don’t break off prematurely.</li><li>Drinking water—four to six glasses a day—will keep hair hydrated.</li><li>Vitamin B produces keratin, a protein that strengthens strands. Found in bananas, whole-grain cereals, rice and eggs.</li><li>Dairy products like skim milk and yogurt—as well as broccoli and strawberries–are great sources of calcium, an important mineral for hair growth.</li><li>Trimming hair regularly helps too.</li><li>Washing hair at least twice a week maintains hygiene of the scalp and hair which maintains strength of the hair.</li><li>Massaging hair and scalp with oil is equally necessary.</li></ul>

Children tend to get careless about taking care of their hair. Proper diet and hygiene helps a long way in healthy hair.

Enhancing hair growth

<ul><li>Massage helps your baby to develop mentally, socially and physically.</li><li>The baby stays relaxed and does not get upset. He/she cries less and sleeps better.</li><li>You may find that giving your baby a massage lifts your mood and helps you to feel more empowered as a parent. As you massage your baby, it comes naturally to chat with him/her and have plenty of eye contact. It strengthens your bonding with your baby. This is one reason why massage can help mums with postnatal depression, or who are at risk of depression.</li><li>Even the father can give massage to their babies so as he can bond well and feels better about parenting.</li></ul> Massage may be particularly good for premature babies resulting in:<ul><li>Improved weight gain, particularly if oils are used. Massage can improve digestion and bowel movement, helping your baby to gain weight.</li><li>A more stable heart rate. Massage improves the parts of the nervous system that regulate our organs. So massage can help to keep your premature baby's heart rate steady.</li><li>The baby shows calmer response to stress and pain.</li><li>There is more stable brain activity. Premature babies who are massaged tend to have brain activity that develops at a normal level.</li></ul>

Body massage helps in keeping your baby healthy and happy.

Baby Massage benefits

<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.

one breast feeding health concerns

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