Childrens Health Issues: Abrasions, Cuts and Scratches

Sometimes abrasions, cuts and scratches result in dire consequences if they arent taken care of at the right time. Children run around the house and drop vases and other glass material, which can result in scratches or cuts. Outdoor activities should be supervised carefully, otherwise abrasions caused by a wall or a rock is unavoidable. There are slight differences among the three and most of the time children get them while playing.

Cuts are caused by sharp objects, which can penetrate into the skin or damage the skin on the surface. Scratches are mild form of cuts. They are also caused by sharp objects such as a piece of glass, thorn or a knife. Even fingernails can cause a scar. Abrasion is caused by friction or rubbing of the skin with a rough surface. Rug burns and board burns are also examples of abrasion, because they are caused by friction.

Also, in all three cases, the wound can bleed. It bleeds when the tiny blood vessels located underneath the skin gets ruptured. Platelets form clot to stop the bleeding and a scab can also form, which should be pulled out as that will interfere with the healing process of the body. If the bleeding isnt stopping, the wound should be covered with a soft cloth. After that the wound should be cleaned using lukewarm water and mild soap. Antibacterial ointment should be used to clean the wound and it should be covered with a bandage. The antibacterial ointment helps kill germs. The bandage will prevent bacteria from getting within and prevent the wound from getting bothersome. But the bandage should be changed everyday and the wound should be kept dry.

The good thing is that abrasion, cuts and scratches dont require any special attention in most cases. But if the scratch is made by animal claws or abrasion is caused by a rusty metallic surface, a doctor should be approached immediately, because the animal could have rabies and the rust can cause septic. Depending on the situation, the doctor would prescribe antibiotics, lotion or even shots. It is also a good idea that parents make sure that their kid is given tetanus shot on a regular basis. Sometimes, the wound wont be caused in dangerous circumstances, but because of negligence, the wound will get infected by bacteria. If it the wound is infected, it will show symptoms such as redness, swollen skin, and production of puss which can be of the color yellow or either green.

Cuts can sometimes be too deep and even long. In such cases, stitches should be certainly opted for. It is a very simple procedure. The area of the wound is made numb using some kind of anesthesia. It can either be injected or simply applied directly. Then the doctor will sew the cut edges together using certain needle and thread. If the cut isnt big enough, the cut is sealed using a special kind of glue, instead of the stitches. The glue will hold the edges together so that the skin underneath will heal and over a period of time, the glue will dissolve. Kids need to check with the doctor every week, so that the doctor will be able to analyze the improvement. And when the wound is completely healed, the stitches are cut open using scissors and then the threads are pulled off gently. In majority of the cases, the wound doesnt leave behind a scar. This totally depends on the method and effectiveness of the treatment.

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Abdominal Pain in Children

Tummy aches are one of the most frequently complained about problems in children. There are many causes attributed with it, and it is a challenge for the parent or the physician to find out the exact problem. Sometimes the pain requires immediate attention and can also be a case of emergency. The causes can be related to food, infections, poisoning, insect bites, etc.

Bacteria and viruses are responsible in case of abdominal pain due to infections. Gastroenteritis and stomach flu are some of the examples of infections that can cause stomach aches. Gastroenteritis is the inflammation and irritation of stomach and the gastrointestinal passage. Extra care must be taken by travelers, as the food and drinks can be contaminated at new locations and can lead to travelers getting diarrhea. Stomach pain due to viral infections ward off quickly, but bacterial infections demand the intake of antibiotics. In both the cases, some children recover very fast by vomiting and excreting. In case of diarrhea, excess drinking fluids should be given to the kid to avoid dehydration.

Food related stomach aches can be caused because of food poisoning, gas production, excess food ingestion and food allergies. Problems because of food poisoning are temporary and can cause bloating. Symptoms of food poisoning are vomiting, diarrhea, abdominal cramps, and nausea. Usually these symptoms surface within two days of consumption of contaminated food. Depending on the severity chill, fever, bloody stools, or damage to the nervous system can follow. In case of a group of people who consumed the contaminated food, this situation is known as an outbreak. Over two hundred diseases are known to be transmitted via food. Food can be poisoned because of toxic agents or infective agents. Infective agents are parasites, bacteria, and viruses. Toxic agents are uncooked food, exotic foods, and poisonous mushrooms. Food can get contaminated because of handling by unclean workers at the local restaurant, too. Parents should check out the cleanliness and should visit a trusted restaurant.

Particular foods can cause the irritation, such as diary products can cause lactose intolerance. If this is the case, the child is allergic to certain food or drinks and swallowing even a small amount can cause vomiting, nausea, diarrhea, cramping, and skin rash. Since these items are harmless otherwise, such kind of allergic reactions are known as hypersensitivity reaction. Sometimes the symptoms can be life threatening and are known as anaphylactic shock or anaphylaxis.

Poisoning can also be due to overdose of medicines and even due to eating non-food stuffs. Insect bites such as black widow spider bite can also lead to pain in the abdomen. It can be accompanied with muscle cramps, weakness, nausea, tremor, vomiting and in severe case it can cause dizziness, faintness, respiratory problems, and chest pain. Also, the heart rate and blood pressure increases.

In very rare cases, abdominal pain can be due to appendicitis. This is a result of blockage and inflammation of tissues. Young kids have a higher rate if complications are considered and should be immediately rushed to the hospital. The pain starts slowly in the abdomen, specifically near the belly button. The pain shifts slowly to the right side of the lower abdomen within a time period of over twenty four hours. Clear symptoms are abdominal pain, vomiting, nausea, fever and loss of appetite. Diabetes can also be a reason of abdominal pain. Small children usually curl up, cry and express pain through facial expression. Some kids will be reluctant to talk, but the parent should try to get clear explanation of the problem. Along with close monitoring of the symptoms, studying the location of pain, pain duration, nature of vomiting, and urinary problems will help. After that a pediatric should be consulted who can further refer to a gastroenterologist. Until help is reached, the child should be made to relax.
Often, lying with face in downward direction can relieve pain due to gas. Incase of vomiting and diarrhea, fluids should be given constantly. Solid food should only be given when the child is comfortable about eating it.

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Warts in Kids

Nearly fifty percent of children acquire warts at some time or the other. Warts, in the real sense are benign tumors which develop when keratinocytes, a kind of skin cell, is infected by the wart virus. There are many types of warts, the most common being rough bumps which appear on fingers and hands. Others are flat warts, genital warts, plantar warts, and molluscum contagiosum. The difference is based on the types, location, and painfulness of the wart. Common warts appear on fingers and hands and usually are painless. Plantar warts appear on the soles and are sometimes painful. Periungal warts show up around the finger and toe nail. Warts which appear on the face are flat warts.

The symptoms of the common warts are that the skin develops an irregular surface and becomes rough. A dome starts to appear after a day after infection. A popular myth is that warts have roots, but they dont. They grow on the epidermis, which is the top most layer of the skin. The black portion is because of broken veins and clotted blood.

Warts come and go at various stages of life like childhood and teenage years. They usually go away by themselves. But some can be very painful, can spread quickly and some of them wont go away for many years. Such kind of warts should definitely be treated. The most common treatment among the pediatricians is cryotherapy. They will freeze the warts using liquid nitrogen. Cantharidin can also be applied, which is a painless treatment but can result in painful blisters at the end of the day. The minus point is that these treatments sometimes cause blistering and some warts wont come off in one sitting. If the warts wont still budge they are further treated with strong salicylic acid, intralesional immune-therapy, bleomycin, or a pulsed dye laser. Aldara can also be used in worst cases. Because of some treatments the warts grow to the end of the blister, which results in a bigger wart and some might even result in a scar.

Besides other common wart treatments, the most well-known home remedy is duct tape. The affected area is covered with duct tape for about six days. If within that time period, the tape peels off, it should be reapplied. After the sixth day, the duct tape should be removed and the wart should be soaked in water and a pumice stone or emery board should be used to scrap the top skin of the wart. After this, the duct tape should be reapplied again within twenty four hours and the same procedure should be repeated until the whole wart disappears. This procedure takes at least two months to get rid of the wart completely. Some kids hesitate to put duct tape on parts which are visible, like fingers and legs. They can be encouraged by making them wear colored duct tape, other than grey. Many home wart freezing and removal kits are also available in the market whose help can be taken.

Warts spread by direct contact with the wart or any material which the infected person has used like a used towel which has been contaminated. It is contagious and hence it is recommended to stay away from it at the very sight of it. All the cuts, rashes and bites should be cleaned regularly and should be kept covered. Another measure for prevention is wearing closed shoes in public places.

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Urinary Tract Infection in Children

Urinary tract infection makes urinating painful. The infected children thinks twice before going to the bathroom and they always get a feeling to go to the bathroom. The urine also smells bad because of the infection. Bacteria are responsible for infecting the urinary track.

The urinary track consists of certain parts such as two kidneys, bladder, two ureters and a urethra. The kidney does the major job of cleaning waste from the blood. The waste material is urine which is passed to the bladder through the ureters. The shape of the bladder is very similar to a deflated balloon. When the bladder gets filled two hundred and thirty seven milliliters of urine, the brain sends signals to go to the bathroom. When the person gets ready to pass, the muscles located at the end of the bladder relax which lets the urine rush through the urethra, from the bladder, and out of the body.

When children face any of the symptoms of urinary track information, they should talk about it to their parents as the symptoms are visible to the patient more than to others. Parents can observe the urinating frequency of the children. The child feels terrible pain while peeing. He/she is able to pass only small quantity at a time. He/she also gets up several times during the night to go to the bathroom. There is a strange sensation in the lower part of the belly. Blood can also pass along with the urine. Also the urine isnt a clear solution and is cloudy. The urine smells badly after passing. These are all the symptoms of bladder infection. The child can also feel feverish along with chills. Pain can be experienced in the back or the belly. When the pain is right below the ribs, it is a clear sign of kidney infection. Depending on the severity of the symptoms, the child should be taken to the doctor.

The doctor will take urine sample for testing. The urine is taken in a plastic cup, into which the child pees. Before passing, the child must wipe the area with special wipes, so that the germs from the body do not confuse with the germs in the urine. Germs in the urine are an indication of infection. Although there are million of germs residing on the exterior of the body, they are completely harmless. Only a few of them actually infect the body. A stick is dipped in the urine sample. The stick is special, that is it is a specially treated paper which changes color upon determination of an infection. Otherwise, the urine sample can also be sent to the laboratory. Incase of a bladder infection, the doctor will prescribe medicine that kills the bacteria.

The child will begin to feel good just few days after starting to consume the medicine. But he/she must stay away from food and liquid which has caffeine in it as it can elevate the bladder irritation and the patient will feel very uncomfortable. After the test, if kidney infection is detected, the child will be hospitalized for few days. He/she will be given a germ fighting medicine which will be administered by a small plastic tube which will be introduced in a vein.

After the child recovers from a urinary tract infection, he/she should try best to avoid such incidents in the future. The most important thing is to maintain cleanliness. The private parts should be washed everyday. It is best to take a shower or a bath daily. The child can use wipes to clean every time after passing urine. Children should never hold the urine. When they feel the urge, they should rush to the bathroom immediately. Fluids intake must be increased. Best fluids are water and cranberry juice. Water washes the bacteria out of the body and cranberry juice prevents another bacterial attack. Bubble baths arent good as it can irritate the urethra. Cotton underwear will absorb the sweat and body moisture, which will prevent bacterial growth. Underpants must be changed everyday.

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