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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Obsessive Compulsive Disorder in Adolescents

Obsessive compulsive disorder or OCD starts from adolescence onwards. OCD is feeling of strong obsessions and compulsions which result in intense discomfort and affects daily functioning. Obsessions are thoughts which are persistent and recurrent. They even include unwanted images and impulses which lead to distress and anxiety. These feelings and thoughts are usually irrational or unrealistic. Compulsions are repetitive rituals or behavior such as checking something again & again, or mental acts such as counting. These obsessions & compulsions cause intense distress and anxiety and can interfere with the daily activities, relationships, social activities and academic functioning. The person with OCD thinks that he has no control over his actions. OCDs are relapsing and chronic illness.

The thoughts change as the adolescent grows. Younger children suffering from OCD often have thoughts of harm befalling on them and their family such as thief getting into the house through an unlocked door. This will make the children to recheck the door and windows again and again fearing that they might have left the door unlocked accidentally. Teenagers suffering from OCD fear that they might get fall sick due to germs, contaminated food and AIDS. The adolescent develops certain rituals, such as washing hands innumerable times, in order to get over the fear. These rituals help them to think that they have overcome the problem for the time being and give them temporary relief. If they do not perform these rituals, they become more and more anxious.

OCD is a sign of brain circuitrys unusual functioning and it involves the striatum part of the brain. The brain activity patterns of such people differ from normal people and people with other mental disorders. Researchers have concluded that OCD is usually a family problem and is a disorder of the brain. Streptococcal bacterial infection can create or worsen the condition of OCD. Adolescents with no family history of OCD can also develop it. Most of the adolescents feel embarrassed to talk about their OCDs. They think that people will label them as crazy and this will make them feel ashamed. This will make it difficult for the parents to talk to their children about their OCD, in order to solve them. Parents need to develop good communication skills for this purpose. Parents support is also very important to the adolescent. Cooperation is extremely important along with treatment, because if the problem is not treated the adolescent will grow into a disturbed adult.

Most of the adolescents with OCD can receive effective treatment. The treatment can include psychotherapy and intake of medications such as fluoxetine, clomipramine, fluvoxamine, paroxetine, sertraline and other serotonin reuptake inhibitors. When OCD is caused due to streptococcal infection, the adolescent can be administered with antibiotics to kill the bacterium which is causing it. Exposure and response prevention behavioral therapy is very useful in solving OCD. In this therapy, the adolescent is wontedly exposed to his/her fears which give him/her obsessive thought. After that he/she is trained to avoid these thoughts and the rituals which he/she carries out to tackle the anxiety.

An adolescent having OCD can also have depression, substance abuse, attention deficit hyperactivity disorder, eating disorders, and other types of anxiety disorders. When a person with OCD and other mental illness, is treated, OCD becomes more difficult to treat and even diagnose.

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When to Seek Professional Treatment for Warts

Research and clinical experience shows that most warts go away without any treatment at all. In some cases, you might decide to treat warts on your own, at home. There are times, though, when you will decide that it’s time to seek professional treatment for warts.

If you try to treat warts at home and they only get worse, you should see a doctor. Go in if you have used salicylic acid preparations for three months with little effect. You can see a health care expert about professional removal treatments at this time.

A wart might be located in a spot on your body that is easily irritated. If you have warts like these, you will probably want to seek help. If warts are unsightly, you will want to have someone help you remove the warts just to ease your embarrassment.

Plantar warts can be especially painful. Sometimes they can be so painful that people will go to the emergency room of a hospital to seek care. Whether you go to an urgent care clinic or just to your doctor’s office, you will want help with plantar warts that you can’t remove yourself.

Anyone with diabetes or peripheral artery disease should not try to treat plantar warts or any other warts on their lower extremities. It is always better to have a podiatrist deal with such situations.

There are times when you might mistakenly think something is a wart when it isn’t. If the warts change shape or color, your doctor will probably want to check it to determine what it is. If you’ve never had warts before and you’re past middle age, there’s reason for your doctor to make sure the lesions aren’t actually cancer.

Sometimes warts will grow very large. They can spread very rapidly to many parts of your body. If they become too large or too numerous to deal with by home treatment, see a doctor. There are many appropriate treatments for these more severe problems with warts.

It is possible to get a bacterial infection in a wart. If you have a bacterial infection, you might see red streaks coming from the wart. There might be pus or you might have a fever. The wart might be inflamed with excessive pain, redness, swelling and heat. If you have any of these symptoms, it’s time to check in with a physician.

Even if you only suspect genital warts, you should consider seeking a doctor’s help and advice. If you see any kind of sores, bumps, or warts in your genital area or around your anus, you might have this STD. You might also have burning or itching when you urinate. A discharge can come from the vagina of a woman or the penis of a man.

Abuse is a possible cause if children are found to have genital warts. This is one of the few ways children pick up this strain of the virus. Children should be referred to social services as well as a doctor. Anyone, child or adult, who has genital warts, should go to a doctor.

There are several different types of doctors who treat warts. Family medicine doctors, dermatologists, podiatrists, and pediatricians all do this work. If you have warts that need attention, don’t hesitate to call someone.