Category: Children’s Health

Pinworms in Children

Pinworms develop as a result of unhygienic habit of not washing hands before having food. They are small worms who resemble to small thread pieces and cause itching in the anus area. Pinworms infect humans only and reside in the intestines. Every school going kid encounters this problem at one time or the other. They can touch another kid infected with pinworm or an object having the eggs of the pinworm.

The eggs of the pinworms eggs get on the fingernails and that why it is a good idea to wash the hands regularly. If the food is eaten without washing hands, these eggs go inside the body, by the digestive system. In the small intestine, the eggs hatch and the pinworms move towards the large intestine. There, they cling onto the walls of the intestine and stay there for few weeks to mature. After that the female pinworms go towards large intestines end to lay eggs near the anus region. Usually the eggs are laid at night and that is the time when the area itches. It takes one to two months time period after the consumption of the eggs, for the maturing of the pinworms who lay new eggs. The eggs get hatched on the anuss skin and the baby pinworms will crawl inside the body in order to grow.

Pinworms eggs are found anywhere like on the kitchen counter, school desk or bed. They are also found on utensils, clothes and towels. When outside the human body, the eggs can live up to two weeks. Within that time period when they are touched, there is a chance to enter the human body and flourish. Pinworms are contagious and can spread from one human to another. Also they can spread by air as the eggs are lightweight and the wind can blow them and they can be breathed in or swallowed by anyone. The child can intake more eggs when he scratches his bottom and doesnt wash his/her hands immediately.

Children infected with pinworms can see worms in their stool after they pass and even on the underwear. The worms look like small white threads. But the eggs arent visible to the naked eyes. If the child observes these symptoms he/she should inform the adults about the condition. The itching caused by pinworms can be so bad that it can wake the child in the middle of the night and make him/her squirm. The doctors usually prescribe some medicine to kill the pinworms. The doctors also take samples from underneath the fingernail and the anus to check for eggs. The medicine will take about two weeks to get rid of the worms completely. If the itching is very irritating and wakes the child in the middle of the night, a cream is prescribed by the doctor. Sometimes other members of the house will also be asked to take the same medicine as a precautionary measure. The parents should wash all the clothes, towels and sheets used by the pinworm infected child.

The best way to deal with pinworms is taking precautionary steps in the first place. The child must cultivate a habit of washing hands before eating food, after using the bathroom and after playing outdoors. The fingernails should also be clipped regularly to not to allow eggs depositing there. The eggs also hang onto clothes, so it is a good habit to change underwear daily. And other clothes should be washed after every few days.

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Word Count 581

Pains during Growth in Children

Growing pain is part and parcel of the growing phase in a childs life. When the child stops growing so will the growing pain and when adolescence is reached, they disappear completely. Growing pain can occur between three to five years or eight to twelve years of age. Growing pains are usually experienced in the legs usually in the calves, in the area in front of thighs and behind the knees. The pain starts either in the afternoon or night, just before bedtime. The child can go to bed pain free, but can wake up in the middle of the night complaining of throbbing pain in the legs. But the good part is that these pains vanish by morning. About twenty five to forty percent of the children are known to experience growing pain.

Growing pains are experienced in the muscle region and not around the bones or joints. One of the major reasons of getting growing pains is because of the strenuous activities of the kids during the day. All the jumping around, running and climbing make the muscles tired. But no evidence has been collected which can prove that the growing pain is caused by bone growth. Growing pains are also known to be caused by spurt of growth. This happens because the tendons or the muscles are too tight and do not synchronize with the growing of the bones. As a results muscle spasms are caused which last for less than fifteen minutes. The child usually gets pain in both the legs and not just one. And usually, growing pains do not get accompanied with redness, swelling or fever. The pain should be over by morning and if it is still persisting after the awakening of the kid, the problem could be related to something else and more serious.

If the pain is unbearable, the parent or caretaker should administer pain relieving medications which are available over the counter such as ibuprofen or acetaminophen. Aspirin should not be given to children as they have a tendency to develop a very serious illness known as Reye Syndrome. Heating pads can be placed on the region that is hurting to ease the pain. Massage can also be given by the parent or the child can do stretching exercise to help the muscles relax. If the child develops fever, redness, swelling, tenderness, limitation in movement, or if the child limps while walking, the doctor should be approached. Before that the parent can do a little diagnosis of the intensity of the pain by feeling around the area and observing the pain experienced by the child. The pain shouldnt be so intense that the child is abstained from normal routine such as walking, running or playing.

The doctor conducts the diagnosis of exclusion to understand the problem. According to this diagnosis, it is not made until all the conditions are checked before considering growing pains. The doctor studies the childs medical history and conducts a physical examination. In some serious cases, the doctor advices to go for X-ray or blood test before the final decision is made.

Children can prevent the growing pains by doing stretching exercises on a daily basis. The exercise need not be complex. Even if the pain subsides, the exercise should be continued so as to keep the tendons and muscles relaxed and to adjust with the growth spurt. Fluids, when taken in good quantity, decrease the cramping. For this reason, the child should be given tonic water or quinine before going to bed.

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Word Count 592

Motion Sickness in Children

Children usually feel sick in the stomach when travelling in a car, airplane, boat or train. This sickness is known as motion sickness. This sickness is caused by reception of wrong signals by eyes, muscles, skin receptors, and inner ears.

While travelling, different body parts send different signals to the brain. Eyes see things around and it sends signals about the direction of movement while in motion. The joint sensory receptors and muscles send signals about the movement of the muscles and the position in which the body is. The skin receptors send signals about the parts of the body which are in contact with the ground. The inner ears have a fluid in the semicircular canals. This fluid senses motion and the direction of motion like forward, backward, up, down, circular, or to and fro. When the brain gets timely reports from the various body parts, it tries to find a relation between all the signals and then sketches a picture about the bodys movement and position at a particular instant. But when the brain isnt able to find a link and isnt able to draw a picture out of the received signals, the condition called motion sickness is experienced.

For example, if a child is riding in a car and reading something at the same time, the eyes will see stationary book. But the skin receptors and the inner ears will sense the body moving in a forward direction. The eyes and the muscle receptors will send signals that the body is not moving. This confuses the brain and everything is jumbled up in the head. This makes the child dizzy, sick in the stomach and even tired. There is a possibility of the child throwing up, so it is recommended that the parents carry a sick bag each time they are travelling with kids. And if the child is feeling anxious or scared, the condition can deteriorate further.

Although there are medicines available over the counter to deal with motion sickness, some measures should be taken to avoid medicine and also motion sickness. The child should always be made to sit facing in the forward direction. He/she should not face or sit backwards, nor should he be made to sit in a seat facing backwards. This helps the ears and the eyes to send similar kind of signal. It is good if the kid isnt involved in some kind of activity like reading, playing video games or something which is stationary. He/she must be asked to look outside, especially at things which are located at a distance. The same applies when travelling in an airplane. When travelling in a boat, the child can go to the upper deck and look at the horizon. Basically, the child must be made to concentrate at things which are located at a distance and are in motion. When looking at something stationary, the eyes get confused and send wrong signals.

It also helps to sit in a place which is moving the least. Usually, it is the center point of the body, so the more close the child sits to the center, the better. Like when in an airplane, it is good to sit in seats in the middle aisle and not in those which are located near the wings. If the child is sitting in the center of the boat, instead of the front or the side, the lesser seasick the child will feel. In spite of all these measures if the child is still feeling sick a doctor should be consulted. The doctor checks the inner ears for any defect. He will also check other body parts which are responsible for sensing motion. Apart from medicine, pressure bracelets are also available at the local pharmacy. And along with carrying a sick bag or any other plastic bag, the car can be pulled over and the child should be walked out a bit to feel better.

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Word Count 660

Frequent Headaches and Migraine in Children

Children who get frequent headaches and migraine attacks have chronic illness. Such children and their parents face problem to adjust with school and their rules. Extra preparations and steps should be taken to cope with such illness. Pediatric specialist in migraine and headaches exist should be consulted for treatment and other precautionary & preventive measures. Also the triggers vary from child to child, which should be recognized accurately.

Firstly, it is the strict attendance rule in most of the schools that children with chronic illness find it difficult to deal with. To add to it, majority of the schools have zero tolerance policy regarding medications, even including over the counter medicines. Reports of students getting expelled for merely carrying Advil in school with them are common. Prior to making appointment with the doctor, it is recommended that parents read the policy of the school the child is attending. It is good to ask questions before hand, than feeling sorry later. Some of the schools asks for letter or medical record as a proof, incase the student didnt attend because of a health problem. Some schools consider sick leaves as regular leaves and in this case, the attendance gets affected greatly.

School nurses can be given the prescribed medicine so that they can give the medicine to the child at the required time. If this is the case, things such as medicine storage location and availability of substitute should be checked. Apart from not attending regularly, the child can sometimes be unable to take part in co-curricular activities especially physical education and outdoor recess. Other possible options should be discussed with the teacher. Usually a recommendation letter from the physician will do the needed. In all the cases, some kind of medical identification can be carried by the child at all times. If the child is attending an after school babysitter or program, directly after school, extra measures should be taken. The babysitter or program in charge should be told about the problem in advance. Their cooperation can be asked for timely administration of the medicine and for taking special care of the child. If the child himself is grown enough to understand the matter, the child should be educated about taking medications. They should also be made to understand that it is harmful to take medicines from any un-trustable source even if their fellow students do. Budge them to ask questions and clarify any of their fears of concerns.

Most of the children lack the ability to convey their problem properly. The situation is further aggravated because of different kinds of headaches. They can be related to chronic illness, tension, sinus or fever. Only diagnosis can bring out the correct problem. If the rate of headache becomes more frequent, like more than twice a month, doctors appointment should be taken instantly. Younger kids find it more difficult to explain the problem. If they become cranky, restless, irritating, tired, is having sleeping disorders and is not eating properly, a problem surely exists. Most of the children complain of headaches during exams because of increased stress. Seventy five percent of the children experience headaches because of tension. If so, stress management education, along with counseling, should be given to the kid.

Headaches can be an indication of other problems, too. So, thorough diagnosis is highly recommended. The childs previous medical history provides important clue. Prior to the doctors appointment, notes can be made after referring the medical history. Maintaining a log about the childs headache frequencies, pain location, time of occurrence, symptoms, etc. also helps. If not due to illness, headaches can also be a result of head injury. Sometimes, headache can be hereditary, like in the case of migraines.

Headaches can also be caused because of infections, vision problems, odd levels of blood pressure, neurological problems, muscle weakness, improper ear balance or serious problems such as tumor, blood clots, etc. If the doctor is not able to diagnose the problem, he/she can refer the child to a headache specialist or neurologist. Test such as CT scan or MRI are done if there is a serious problem. After the diagnosis, the doctor prescribes medication or will ask to take over the counter medicines. According to a study, children who face headaches and migraine take overdose of over the counter medicines for immediate pain reliving. In some of the cases, the parents are clueless about this situation. This practice is risky and mostly children above six years are involved in such cases.

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Word Count 755