Tag: fever

Rheumatoid arthritis treatment

Rheumatoid arthritis treatment
Robert Kokoska

Rheumatoid arthritis is a condition where involves inflammation
of joints which leads to further swelling and pain. It causes an
upset inside the body where the immune system starts attacking
joint tissue, cartilage and other organs.

However the causes of rheumatoid arthritis are still not known
fully. This type of arthritis is the most common and affects one
in every 100 people. Rheumatoid arthritis affects people of all
ages but mainly effects people within the ages of 30 – 50. Women
are three times more likely to be effected as men. Patients
carrying this form of arthritis most often complain of
fluctuating pain and inflammation of joints, which can get gets
worse during flare-ups.

This article aims to offer an insight into several treatments
that can be used against rheumatoid arthritis.

There are two main kinds of drugs used against rheumatoid
arthritis; first line drugs, fast acting drugs, and second line
which are slow acting drugs.

First line drugs include nonsteroidal
anti-inflammatory drugs (NSAIDs). Examples of NSAIDs are
aspirin, ibuprofen and etodolac. These can be used to reduce
pain and swelling of joints.

Aspirin has long been used to decrease inflammation. It can be
used to treat rheumatoid arthritis by using doses that are
higher then those used during fever. Newer types of NSAIDs are
effective as aspirin and require fewer intakes per day. However
just like all medication, it has its own side effects which
include stomach pain, abdominal pain and a few others. In order
to minimize the side effects of NSAIDs, they are regularly taken
with meals.

Another type of first line drugs includes Corticosteroids. They
are more powerful then NSAIDs and are given either orally or
through an injection to the inflamed areas such as joints.

Corticosteroids are given in small doses, mainly during
flare-ups as it reacts more strongly to inflammation. However it
can have serious side effects on the body if given for an
extended period of time in high doses. These include weight
gain, easy risk of infection, easy bruising and others. The side
effects can be minimized by decreasing the level of doses given
to the patients slowly as the condition of the patient improves.
A sharp decline in the doses given to the patient is discouraged
as it can lead to flare-ups and other symptoms of the disease.

Second line drugs include Disease-modifying
Anti-rheumatic Drugs or DMARDs. These drugs are mainly used to
prevent destruction of joints and deformity. DMARDs are used for
an extended period of time in order to be effective. DMARDs can
often be used with a combination of other second line drugs as
therapy.

Some examples of DMARDs include Sulfasalazine,
Hydroxychloroquine, D-penicillamine and others.

Apart from the above methods, there are some other approaches
that can be used to treat rheumatoid arthritis. The patients can
undertake exercise that can help them improve their physical
condition and improve joint mobility. Additionally it is
important to have a healthy intake of food.

Many often patients with rheumatoid arthritis can experience
weight loss. This can be combined with medication and therapy to
come up with a more potent combination against the condition.
Depending on your position, you can under go either
physiotherapy or occupational therapy. This will help improve
flexibility, mobility, and reduce pain in your joints.

The aforementioned approaches to rheumatoid arthritis have been
used time and again. However it is essential to seek your
nearest doctor to get firm guidance. Each arthritis case shall
be dealt on an individual basis.

With the passage of time, new and more effective treatments
against arthritis are starting to come through. However the only
way to gain the maximum benefit from the existing treatments
will be to remain punctual throughout the course of the
medication. It is important to constantly consult your doctor
and keep him or her up to date with your condition, so that the
doctor can advise you further and give more effective feedback.

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Ear Infections in Children

Middle ear infection is a very common problem faced by children. Even infants below two years could face this problem. Infection in the ear is caused by germs and viruses. They enter the human body and grow to cause infection, affecting the normal functioning of the body. Similarly, germs can enter the ears. Depending on the location of infection, the infections are named. The human ear can be divided into the inner part, middle part and outer part. When the outer ear is infected by germs, the infection is known as swimmers ear. When the inner part of the ear gets infected, it is called middle ear infection. The germs infect the middle portion of the ear and fill that area with pus or a yellow gooey liquid. This liquid has cells which fight germs. The middle part of the ear is shaped in the form of a tiny air pocket. It is located at the back of the eardrum. And when the pus begins to fill in this area, the ear feels like a filled balloon which is on the verge of popping. This feeling is really painful.

The throat is connected to the middle portion of the ear through a channel known as Eustachian tube and in fact middle portions of both the ears are connected to the throat by two Eustachian tubes. The job of these tubes is to allow the free movement of air, from the middle ear, in and out direction. Infants below three years have less developed and smaller Eustachian tubes and therefore are less capable of keeping germs completely out of the middle ear. As the child grows, so do the Eustachian tubes and the more capable they are of keeping germs outside, but they still face some problem.

Usually kids, who have allergic problems and catch cold very frequently, are more prone to get ear infections. When the child gets cold, the Eustachian tube gets obstructed which allow germs to get into the middle ear. And the germs which gain entry, multiply rapidly resulting in a middle ear infection.

The child gets a fever along with the ear pain. Some even find it difficult to hear because of the blockage. Middle ear infection is not contagious, but the cold caught from others can eventually result in an ear infection. The sooner the doctor is contacted, the better for the child and the rest of the family members. The doctor will check the ear with the help of an otoscope. It is a special flashlight which makes the eardrum visible. The eardrum is a thin membrane separating the outer ear from the middle ear. The otoscope can also be used to blow a puff of air into the ear. This determines whether the ear drum is functioning normally and is moving in a healthy way or not. Because of the puss formation due to the infection, the fluid will press against the ear drum and may even make it to bulge. Also, the eardrum can turn red because of the infection.

The doctor will prescribe a pain reliever to be taken for the next two days. Antibiotics will be prescribed if the infection is caused because of bacteria, which will end the infection within a couple of days. Incase, the doctor recommends an antibiotic, the cycle must be completed as told by the doctor, otherwise there can be a possibility of re-infection. Few children who get ear infections frequently will have to undergo other tests such as tympanogram and audiogram.

Children can take some steps to avoid ear infection. They must wash their hands regularly. They must keep away from people who are infected with cold. And if they do come near or in contact with an infected person, they should wash their hands and should not touch their eyes or nose. Parents, who smoke, should not do it near the kid as the tobacco smoke can be responsible for the malfunctioning of the Eustachian tube.

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Common Cold in Children

Common Cold is caused because of upper respiratory system infection due to cold virus. This infection affects parts such as ears, nose and throat. There are about two hundred known viruses which are responsible for common cold, out of which rhinovirus is the most common. Because of this great number of viruses, there isnt any shot or vaccination available which helps in preventing cold. The best solution to the cold is human body immune system. Majority of a childs visit to the doctor will be because of cold. According to an estimate, a child catches cold nearly eight times in a year and each time it last up to a week or so.

Cold viruses usually spread by sneeze or cough from the infected person. The wet and slimy substance inside the nose, called mucus, is the carrier of the virus. When a person cough or sneeze, the mucus drops come out of the mouth and when other persons breaths in these droplets they catch cold. Cold can also spread by handling of contaminated stuffs like towel, door knobs, school desk, etc. If a person touches a contaminated towel and then touches his nose or eyes, there is a great chance of getting an infection. Therefore, it is a good habit to wash the hands regularly and keep them germ-free.

The cold viruses have docking points which helps it to stick to the interior of the nose. It then controls the noses cell lining and begins to multiply into more viruses. White cells are responsible to fight these viruses inside the nose. They even kill them and finally get victory after seven days. Sneeze and runny nose actually prevent the viruses to affect the rest of the body parts. A person sneezes when the nerves inside the nose detect irritation and take the help of the lungs to push them out by letting out a blast of air through the mouth and the nose. The air, while sneezing, comes out at the speed of hundred miles per hour faster than cars on the road.

Once the child contracts cold viruses, they take two to three days to develop and show symptoms. There are many symptoms of cold. The child becomes cranky. He will complain of headache, blocked nose, cough, sneeze, sore throat, muscle ache, nasal cavity congestion and will become exhausted. Low fever can also accompany, along with body chills. Medicines do not speed up the process of healing as the viruses complete their cycle irrespective of the intake. But they do suppress further growth and make the child feel better.

Children shouldnt take any medicines on their own, thinking that its just a cold. Parents should supervise the dosage and medicine being taken. And in turn, the parents should follow a doctors prescription. Decongestants help to decrease the wise of the swollen nose lining, which makes breathing easier. Antihistamines help to dry the mucus and stops sneezes and runny noses. Ibuprofen and acetaminophen can be given if the child is experiencing headache and muscle ache.

At home, parents should give hot food and drink to the child as they help to soothe soar throats and coughs. The heat also clears up the mucus. Chicken soup is an age old remedy for common cold. Steamy showers are another good option as they help with stuffy nose. Itchy eyes, scratchy throat and stuffy throats can also be treated with humidifiers which spray cool and fine mist. They also loosen the mucus. The nose should be blown regularly to let the mucus out of the body. It is a good idea to use disposable tissues instead of regular handkerchiefs. Complete bed rest for a day or two is greatly suggested.

The best precaution that can be taken is eating healthy food and balanced diet so as to strengthen the immune system. The child must exercise regularly in order to stay fir and sleep adequately. Children who are stressed out more frequently are more prone to have cold. Therefore, it is good if the kid takes extra rest and goes to bed early on some days. And when the child is suffering from cold, he should relax and take bed rest as much as possible.

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Chicken Pox in Children

A typical childhood disease in children chicken pox is very notorious for being contagious. A kid infected with chickenpox virus will develop numerous itchy blisters which are filled with fluid. These blisters burst later, which lead to crusts formation. Children get approximately five hundred such blisters which grow over a red skin spot. They show up on the face first and then spread to the trunk, scalp and the rest of the body. After a day of appearance, the fluid filled blisters become cloudy and later on, scabby.

The itchiness caused due to chicken pox is really intense and irritating. And the crust, if not treated, can leave marks for life. Within forty eight hours of getting infected, the symptoms begin to surface. It is only after ten to twenty days after contamination, that the pox appears. Symptoms include fever, abdominal pain, headache, loss of appetite and finally the pox rash. The condition can be confirmed by testing the pox blisters and by even taking blood test. The medical history of the child can be helpful in determining the severity of the condition.

The virus blameworthy for infecting a person with chicken pox is varicella-zoster or simply, varicella. The virus spreads through airborne transmission, droplet transmission and direct contact. Not only the infected carry these viruses and should be avoided, also people or kids who have taken the vaccination recently should also be avoided. Since the invention of chicken pox vaccine, there has been a decline in the chicken pox cases. Children who are under the age of ten should be highly prepared as they are more prone to getting infected by this virus. But on the contrary, when older children or adults catch chicken pox, they become sicker when compared to young kids.

A child or a person who has been infected by chicken pox virus becomes host to the virus for lifetime. But the number is kept under control by the bodys immune system. Infants, sometimes, get partial immunity from the blood of their mother, if the mother was already infected by chicken pox. Kids of mothers, who havent been infected by chicken pox, tend to get severe chickenpox. Children who have been administered with chicken pox vaccination get mild chicken pox. Skin condition of children with skin problems like eczema or sunburn can worsen. Such kids can be getting above one thousand and five hundred poxes. Children who have taken steroids can also face bad situation.

Along with the application of the prescribed lotion and intake of oral medication containing antihistamine, the itchiness can be eased by bathing the child in lukewarm water and oatmeal. The antiviral medications should be started within the first day itself. Other people living in the same household as of the patient should also take antiviral medicines recommended by a doctor. It is a must for everyone to take chicken pox vaccination as a part of immunization routine schedule. There is a hundred percent chance of not developing moderate to severe chickenpox and nearly ninety percent chance of not developing mild chicken pox. Chicken pox vaccine is the only vaccine which doesnt demand a booster. But a higher dose can be given to adolescents so as to avoid shingles or herpes zoster. But a doctor should be consulted before opting for the higher dose.

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