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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The Dry Socket

Even though they arent life threatening like bleeding or abscesses, dry sockets can be extremely painful. They are very common following surgery, and happen to be one of the most painful post extraction problems. Dry sockets are more common with removal of the lower teeth than they are with removal of upper teeth. No matter what type of extraction you have performed, a dry socket can occur with any type.

Although there is really no way to prevent a dry socket, you can help to reduce the risk by following your after surgery directions. Even though you may be following the directly precisely, you could still end up with a dry socket. They are known as a quirk of nature, and will make you feel like you are on your death bed – although you really arent. Those who are more at risk to dry sockets include those who smoke following extractions, and those who like to grind their teeth frequently.

A dry socket is a condition where the blood clot that forms after an extraction detaches itself from the socket walls. Sometimes, the clot will dissolve, leaving the bone exposed to food, the weather, and even saliva. Once the bone is exposed, it can become inflamed. The inflammation that occurs is very painful, often times being a deep pain that makes you feel as if you are dying.

If you leave it alone, the dry socket will heal. It will normally take around a month or so, although the pain wont let up during the healing period. If you have a dry socket, youll find that antibiotics and even the strongest of prescription drug wont cure it. An antibiotic will normally cure infections, although a dry socket isnt considered to be an infection.

The best way to fight a dry socket is to go back to your dentist and have him pack the socket. Packing the socket is done without any anesthesia and can be quite painful. It doesnt take long to complete, and it can provide relief from the pain. Once you have a dry socket, you wont care about anything but stopping the pain. The pain can be so intense at times that you will be willing to do anything to stop the pain – even for a few minutes.

Once the socket has been packed, you will be relived from pain for a day or so. If you go back to your dentist, he will remove the old packing, wash the socket out, and place a new packing in. This way, you can get relief from the pain and help the socket heal. Keep in mind that it will take time to heal – and the best way to stop the pain is to do your best to avoid a dry socket at all costs.

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.

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Swimmers Ear in Children

Swimmers ear is bacterial growth infection inside the canal of the ear. It is also known as Otitis Externa. It differs a lot from ear infections which are dealt with on a regular basis, which is contracted at times when the child catches a cold. The common ear infection is known as Otitis Media, in which the middle of the ear is infected. Incase of swimmers ear, the ear canal which leads towards the ear drum is infected by bacteria. The first symptom is that when the finger is stuck inside the ear canal, it will hurt a lot. In normal cases, it wont hurt at all.

The skin within that are is very delicate and hence, is protected by nature by a thin earwax coating. Usually, water can easily glide inside and then outside the ear without any problem. But when the water cleans some or all of the earwax and if some of the water is retained inside, the bacteria will take advantage of this situation. Chemicals in the water aggravate the situation by increasing the irritation. It starts growing within the soft and warm ear canal and can cause swelling and redness. A slight itchiness also accompanies it. But the child must be instructed to not to scratch, otherwise there is a greater chance of the situation becoming worse. If there is no itchiness, obviously there will be pain, which is the initial symptom. The ear should not be bumped or touched even from the exterior, as that will cause intense pain. Hearing can become difficult due to the bacterial infection as that will swell the ear canal and block the passage.

The pain and itchiness can only be gotten rid off by fighting the infection and killing the grown bacteria. In usual cases, ear drops are prescribed by the doctor. These ear drops have antibiotics which are meant to kill the bacteria. The dosage and number of days to use the ear drops as told by the doctor should be strictly followed. If the doses are missed there is a possibility of bacterial re-growth. A wick is also introduced inside the ear, sometimes. This wick actually is small piece of sponge with absorbed lotion. The wick is left inside then. This procedure is used when the doctor thinks it is important to apply medicine directly to the part of the ear canal which is infected. If the pain is unbearable by the child, parents can give pain killers, but only after taking suggestion from the doctor. Once the antibiotics begin working, pain killers can be stopped.

Swimmers ear cannot be just attained cause of water entering the ear at the time of taking baths or showers. Children, who have joined the summer swimming camp, can complain of this problem. After the swimmers ear is treated, the child shouldnt swim immediately. Doctor, usually, advices them to stay away from water for a week or two. The time period may sound very long, but it keeps the pain away for a long time. Special ear drops are available over the counter which can be put inside the childs ear after swimming is over. This will dry up any water inside the ear, if any. Swimmers ear can also be caused when inquisitive kids try to stuff things inside the ear and thus damaging it. Bacteria get a chance of developing on the scratched area. In this case, only parents supervision will do the trick.

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