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

Few allergic reactions are known to worsen existing conditions like asthma and a few are known to cause asthma problems.Not all children develop asthma due to allergies. Children with a family history of asthma or children with eczema are at a higher risk of developing asthma.Asthma is a chronic inflammatory condition of the smaller air passages in the lungs. The common triggers of asthma:<ul><li>Cold or flu</li><li>Allergens like dust or pollen</li><li>Cigarette smoke or other irritants</li><li>Gastrointestinal reflux</li><li>Stress, continuous crying or laughing, physical activities are also known to trigger an asthma attack.</li></ul> Diagnosis of asthma is based on symptoms, family history and medical history of your child, previously known allergies, etc. followed by medical asthma tests which may include x- ray, blood tests or allergy tests. Please note, it is important to get your child diagnosed of asthma problem only by a healthcare expert. Symptoms of Asthma include:<ul><li>Coughing</li><li>Wheezing</li><li>Shortness of breath</li><li>Uncomfortable tightness in the chest</li></ul> Seek medical attention immediately if you notice these symptoms in your child:<ul><li>Gasping for breath or trouble speaking</li><li>Deep breath/inhalation that shows the abdomen sucked in</li><li>Increased rate of breathing</li><li>Given the close link between allergies and asthma, it is important to identify the source of allergy and manage it effectively.</li><li>Allergy shots (Immunotherapy) may be advised if your child's asthma is due to allergens like pollen or pet dander.</li><li>Asthma treatment is based on the severity and frequency. An inhaler with a holding chamber/spacer may be prescribed by your child’s paediatrician for a quick relief during an asthma attack. Always seek medical help if you think your child might have asthma.</li><li>According to studies, omega 3 fatty acids from fish oil are known to reduce inflammatory conditions like asthma in children. For children with fish allergies, an alternative source for omega 3 fatty acids is algae.</li></ul>

Asthma and allergy are closely related hence it is important to take proper precautions.

Asthma and Allergy

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

As per the doctors’ recommendations, a child shouldn’t be given anything till 6 months. Child should only be breastfed till 6 months. This is applicable for masses. But this can be customised depending upon a child’s health and under parental supervision; a child can be introduced or can be given liquidised food and water from 5 or 6 months. Liquid foods should be those which are culturally acceptable. These include – fruit juices, vegetable soups, daal or moong water, non-veg soup, etc. Children should be encouraged to drink adequate amounts of fluids. While introducing new foods, parents should keep 2 things in mind: <ol><li>Never introduce 2 foods at the same time. If you are giving daal water today, do not give fruit juice on the same day. It helps in identifying any consequences/allergic reactions or adverse effect due to new foods. Let the child get habituated to a new thing for at least a week and then introduce a new food item.</li><li>The quantity also matters. On the first day start with 2 spoons of say daal water, on second day 4 spoons, likewise keep increasing quantity gradually for a week and if the child is able to digest it all well. In the second week you can introduce fruit juice along with daal water. Keep the quantity in check and ultimately know how much is enough for your child.</li></ol> Please note:<ul><li>Children’s appetites may vary, not only from day to day, but also from one meal to the next.</li><li>Children have smaller stomachs than adults so it is important to consider portion size when plating food.</li></ul>

Introducing food at the right age will make your child habituated with eating all kinds of food.

Food at the right age

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

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

Cholera is an infectious disease that causes severe watery diarrhoea, which can lead to dehydration and even death if untreated. It is caused by eating food or drinking water contaminated with a bacterium called Vibrio cholerae. The disease is most common in places with poor sanitation, crowding, war, and famine. Causes:<ul><li>Common sources of contamination include:</li><li>Municipal water supplies</li><li>Ice made from municipal water</li><li>Foods and drinks sold by street vendors</li><li>Vegetables grown with water containing human wastes</li><li>Raw or under-cooked fish and seafood caught in waters polluted with sewage</li></ul> When a person consumes the contaminated food or water, the bacteria release a toxin in the intestines that produces severe diarrhoea. Symptoms:Symptoms of cholera can begin as soon as a few hours or as long as five days after infection. These include:<ul><li>Rapid heart rate</li><li>Loss of skin elasticity (the ability to return to original position quickly if pinched)</li><li>Dry mucous membranes, including the inside of the mouth, throat, nose, and eyelids</li><li>Low blood pressure</li><li>Vomiting</li><li>Thirst</li><li>Muscle cramps</li><li>If not treated, dehydration can lead to shock and death in a matter of few hours.</li></ul> Diagnosis:Doctors usually take a stool sample or vomit sample to check for signs of the cholera causing bacteria. Treatment:<ul><li>Hydration is the treatment for cholera. Depending on how severe the diarrhoea is, treatment will consist of oral or intravenous solutions to replace lost fluids. Antibiotics, which kill the bacteria, are not used for mild cases. But they can reduce the duration of diarrhoea and also reduce the excretion of the bacteria, thus helping to prevent the spread of the disease.</li><li>Cholera vaccines are also available but whether your child needs one or not will be decided by your child’s doctor.&nbsp;</li></ul> Prevention:Use water that is boiled, chemically disinfected, or bottled water for the following purposes:<ul><li>Drinking</li><li>Preparing food or drinks</li><li>Making ice</li><li>Brushing your teeth</li><li>Washing your face and hands</li><li>Washing dishes and utensils that you use to eat or prepare food</li><li>Washing fruits and vegetables</li></ul> Avoid raw foods like:<ul><li>Unpeeled fruits and vegetables</li><li>Unpasteurised milk and milk products</li><li>Raw or under-cooked meat or shellfish</li><li>Fish caught in tropical reefs, which may be contaminated.</li></ul>

Here are Cholera Causes, Symptoms, Diagnosis, Treatment, and Prevention

All about Cholera

Relactation is when you resume breastfeeding after you have stopped it either due to medical reasons or due to separation from your baby.&nbsp;Relactation is the process of building up the milk supply after it has stopped. The younger your baby, the better are your chances of succeeding at relactation. If the baby is under 3 months old you have the best chance of succeeding. Also, if you have previously breastfed your baby, your baby will be more willing to resume the breastfeeding. The key here is to focus on your emotions of satiation and keep a positive attitude rather than worrying about not being able to build up enough milk supply. Relactation can produce enough milk to cater to your baby’s need if you are determined about it. Relactation could produce enough breastmilk to supply all of your baby's needs. In some cases, supplements may be needed. Start by putting your baby to your breast; the skin to skin contact suckling action would stimulate your hormones to produce milk. Try this skin to skin contact for at least 12 times a day with each session lasting up to 20 minutes. As your milk builds up, you still to supplement your baby with formula milk or solid foods depending on the age of your baby. If your baby is not willing to suckle an empty breast, try tube feeding with a tube attached to your nipple. You can try breast pumps too as they stimulate your body. Your doctor may prescribe medications in cases when enough milk is not being built up. Do not be discouraged if you relactation procedure was not successful. Remember, it is not your fault. You can still bond well with your baby and your baby is going to be fit and healthy.

Relactation is when you resume breastfeeding after you have stopped it because of any unavoidable reasons.

Relactation

Tearing is a normal function of the eye. But when tear ducts get blocked due to infection and inflammation, tears well up in the eye and fall excessively; this is called "eye watering". In newborns, the condition usually resolves itself within a few weeks. Common causes of watery eyes:<ul><li>Allergies</li><li>Blocked tear duct</li><li>Common cold</li><li>Dry eyes</li><li>Ingrown hair lashes</li><li>Pink eye (Conjunctivitis)</li><li>Stye (a red, painful lump near the edge of the child’s eyelid)</li><li>Tear duct infection</li><li>Eye injury</li><li>Chemical splash in the eye</li></ul> Symptoms associated with watery eyes:<ul><li>Eye pain</li><li>Eye infection</li><li>Runny nose</li><li>Vision impairment</li><li>Sneezing</li><li>Swelling in the eyes</li><li>Redness in the eyes</li></ul> Treating eye watering:<ul><li>Sometimes a sticky liquid may form around the baby's eye or eyes. You can use a piece of cotton wool that has been soaked in sterile water to clean the eyes. Make sure to boil the water to make it sterile and then cool enough before dabbing it on the child’s eyes with cotton wool.</li><li>Sometimes tears can be relieved by gently massaging the tear ducts. Apply light pressure with the finger and thumb to the outside of the nose.</li><li>If the situation persists for more than a day, consult a doctor.</li></ul>

The problem of constant tears usually resolves within a few weeks in a newborn. If eye watering is accompanied with other problems, you might want to consult a eye specialist for your child.

pooping problems health concerns

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