Category: Children’s Health

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.

PPPPP

Word Count 680

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.

PPPPP

Word Count 577

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.

PPPPP

Word Count 677

Tonsils and Tonsillitis in Children

Tonsils are two tissue balls located at the back of the throat. They play a vital role and are an important part of the bodys infection fighting mechanism by helping to fight germs and diseases. Tonsils deal with the germs before they reach mouth, throat, or sinuses. When these infection fighters are infected by viruses or bacteria, the condition is known as tonsillitis.

The symptoms of tonsillitis are: as the time passes, eating, drinking and swallowing things become difficult. The pain can be accompanied with fever, earache and headache. The tonsils can be seen too. Just open the mouth wide open and the two masses of tissues at the either side of the throat are tonsils. They are usually dark pink in color, but when they get infected they turn red. A white or yellow coating can also be formed on the tonsils. There is an obvious change in voice as it becomes hoarser. The infected child can also develop bad breath. The infected kid can also get abdominal pain and can throw up what he eats. Tonsillitis is caused by both bacterial infection and viral infection. Bacterium known as streptococci causes infections which require special treatment.

When the child gets tonsillitis, the parent should give lots of fluids to drink. Smooth food should be consumed to ease the pain caused by swallowing coarse, crunchy, and hard food. Food like soups, ice creams, applesauce, and gelatin are a good option. Spicy food should also be avoided. A humidifier or cool mist vaporizer can be placed in the childs room as that will make breathing more easily. The kid must be given maximum rest and complete bed rest for at least two days is recommended. The bacteria and viruses cause tonsillitis to spread by sneezing, coughing or touching. The infected child must cover his/her mouth while coughing and sneezing. A disposable tissue can be used instead of a towel or handkerchief. Things such as utensils, towel, clothing, etc. of the sick kid should be separated so that the rest of the family doesnt get affected.

The doctor inspects the tonsils using a wooden stick known as tongue depressor, which will lower the tongue, so that the doctor can have a good look at the tonsils. After that the doctor checks the ears and nose. Heartbeat will be checked. If the doctor suspects strep, he/she will take a sample of saliva from the back of the throat using a long cotton swab, which can gag up the child a bit. After a day or two the results are received. Some doctors conduct a similar test known as rapid strep test, which give results within few minutes. Antibiotics are given when the test results come positive for strep. The bacteria get killed only when the course is completed and the correct dosage is taken at correct time.

If virus is the cause of infection, there is no medicine for it and instead the body is capable of fighting the virus on its own. When the tonsils infection becomes frequent and the child finds it difficult to breath because of tonsillitis, it is recommended to get the tonsils removed. But it is the last resort after all other treatments do not do the trick, because tonsils are very important to the bodys immune system.

The tonsils are taken out by surgery known as tonsillectomy. After the surgery, the child wont suffer from sore throat and breathing problems anymore. The surgery wont even leave any scars. A day before the surgery, the child cannot eat or drink, to keep the child from throwing up during the operation. The operation is very short and last for only twenty minutes. Because of the anesthesia, the child wont feel a thing during the operation. And during the surgery, the tonsils are removed using an electric cautery, which is a burning tool, or a cutting tool. After the surgery, the child is given lots of fluids and after a day soft foods can also be given. Usually it takes about two weeks to completely recover from the surgery and the child can return back to normal activities.

PPPPP

Word Count 693