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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Abscessed Teeth

An abscess in the tooth refers to an infection that was caused by a pocket of pus residing in the tissue around the tooth. Abscesses are very serious conditions, and can lead to serious matters if they arent treated immediately. When the pulp of a tooth dies due to damage or decay, bacteria will begin to grow from the dead tissue that is left. This bacteria will eventually spread from the root of the dead tooth into the tissue that is below and create a pocket of pus – the abscess.

Gum disease is also a cause for a tooth becoming abscessed. Gum diseases causes the gums to pull back and away from teeth, leaving pockets behind. When one of the pockets becomes blocked, the bacteria can grow and spread, or get backed up. When this happens, an abscess will start to form under the surface of the gums and become apparent will swelling as it gets bigger and spreads.

Once the infection has started to spread, your jawbone may start to dissolve as it makes room for the swelling in the area that has been infected. Once the bone starts to dissolve, the pressure will be greatly reduced, although the infection will still be there. Even though you will get relief, the infection will get worse – and the pain will always come back. Once more of the bone has been dissolved, there will be nothing left to support the tooth, meaning that it will become loose and end up needing to be extracted.

The symptoms of an abscessed tooth are easy to see, as they include severe pain in the affected area, red or swollen gums, a bad taste in your mouth, swelling around the area or the jaw, and possibly a high fever. Pain is excruciating with an abscess, normally affecting the area in a bad way. No matter what you do, the pain seems to intensify.

Abscesses mostly occur with back teeth, although they can happen in the front as well. Once your tooth has become abscessed, your dentist wont immediately pull it. If a tooth that has abscessed is extracted once the infection is still present, it can quickly spread. Your dentist will instead prescribe you some antibiotics that can help to destroy the bacteria.

The dentist can also perform a root canal, in an attempt to remove dead or decayed tissue. Last but not least, he can also drill a hole in the tooth to give the infection a chance to drain and try to remove any dead pulp. The most common treatment with an abscess is to use antibiotics to kill the infection, then get the tooth removed. You should never let it get that bad – as an abscess is something that can destroy your jawbone.

Proper Treatment for Sports Injuries

While most people will go see a doctor after any type of sports injury is incurred, there are some that do not require a doctor to treat, and still others need to be treated in the meantime until you can get to a doctor to help the recovery process get started. Quick treatment often means the difference between a 3-month recovery and a 2-month recovery so it is very important to start treating the injury right away.

The most common injuries that are suffered are acute injuries. The best way to treat these is to use R.I.C.E. initially then determine if seeing a doctor is necessary. R.I.C.E. is an acronym that is short for Rest, Ice, Compression, and Elevation. The purpose of each step is different with rest being essential to allow the healing to begin while helping to prevent further injury to the area from occurring. Ice is vital because it can help stop swelling in the injured area, which can help when it comes to diagnosing the injury. Compression is important because it helps to reduce swelling even further as well as provides support for the injury. Elevation is necessary because it reduces the flow of blood to the injured area and allows the force of gravity to pull blood away, thus reducing bruising, swelling and pain.

Proper treatment using R.I.C.E. is to first take a piece of cloth such as a town and wrap it around the injury this helps to protect the skin from irritation. Next, you want to apply an ice pack or cold compress directly over the injured area. Using an elastic bandage or even a support bandage to hold the ice in place carefully wrap the injured area snuggly, be careful not to wrap too tightly you are not trying to cut off the blood supply, just hold the ice in place. You should apply ice for approximately 15 minutes every three hours during the day to continue treating.

In the event that you cannot decide if seeing a doctor is necessary, use these rules of thumb to assist you.

If you see any bone, muscle, cartilage or ligaments then an emergency trip to the doctor is absolutely necessary.
If the pain from the injured area seems to be spreading to other areas of the body.
If you have a very large amount of swelling in the injured area that following R.I.C.E. is not helping.
If you cannot move the injured area at all.
If you cannot feel the injured area, or if it tingles or feels very weak and fragile.
If your injury has not improved after three weeks of rest.
If your injured area has developed a rash, fever, pus, or if it feels hot to the touch.
Finally, if you have any doubts about being able to treat the injury yourself then seeing a doctor is as essential as if one of the previous conditions mentioned was visible. You should always seek help from a doctor in the even that you are unsure how to treat the injury. You are not bugging your doctor; rather you are ensuring that you are treated safely and quickly.

If ever in doubt, seeing your doctor is advisable to receive the best possible care. If your doctor is unavailable, and the injury is serious, go to the emergency room and see medical help there. Never leave a serious injury without seeking medical help as the condition can worsen causing the need for serious treatment even potentially surgery to become necessary.

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Acne in Adolescents

Acne is one of the most common problems in adolescent teens affecting nearly seventeen million people in the United States. Acne is nothing but a disorder involving sebaceous glands and hair follicles. Acne results from the clogging of sebaceous glands leading to the formation of pimples and cysts. The condition usually begins with the onset of puberty. Going by the facts, as teens attain puberty the androgens also called male sex hormones are produced in high number leading to sebaceous glands becoming over active which results in sebum being produced in high proportions.

Sebum, which is nothing but oil is produced by sebaceous glands which travel to the skin surface through hair follicles. But, skin cells block the follicles which results in oil also being blocked. When these hair follicles are blocked it results in the development of skin bacteria known as Propionibacterium Acnes within the follicles which in turn results in swelling of the skin called Acne. If the hair follicles are partially blocked it results in blackheads. If the follicles are completely blocked they result in whiteheads. But if these plugged follicles are not treated they ultimately burst causing the oil, bacteria and skin cells to spill all over the skin resulting in irritation and formation of pimples. Acne can be shallow as well as deep in various individuals depending on the nature of skin and amount of oil produced.

There can be various causes why Acne forms. Apart from rising hormone levels due to puberty it can also be attributed to certain other factors like intake of drugs which contain lithium, barbiturates and corticosteroids. Acne can also be caused due to excess grease and oil in the scalp, due to cooking oil and use of some cosmetics can actually alleviate the acne problem. Acne problem many times is inherited also. Acne problem is worsened if the pimples are squeezed or scrubbed too hard.

Acne can form at any place of the body but they most commonly form in the areas where there sebaceous glands are present in high proportions like face, chest, shoulders, neck and upper back. The symptoms may differ from person to person but commonly seen symptoms are: formation of blackheads, whiteheads, lesions filled with pus and which are very painful and lastly nodules. One may get confused sometimes as symptoms of acne may be like some other skin condition and it is always advised to consult a doctor in this scenario.

There are lots of treatments available today to treat acne. The primary goal of the treatment is to reduce scars and better appearance. There are various treatments and the doctor decides which specific treatment you need based on: the extent of acne problem, age, medical history, overall health, tolerance to specific medications and procedures, expectations and last but not the least what patients prefer.

Treatment of acne is classified into topical and systemic drug therapies which are given based on extent of severity. In some instances the combination of both the methods might be the way to go for acne treatment. Topical medication is nothing but creams, gels, lotions, solutions etc. prescribed to patients for acne treatment. Some of the examples of topical medication are: Benzoyl Peroxide which kills the Propionibacterium Acnes bacteria, antibiotics helps in stopping or slowing down the growth of the bacteria and also reduces inflammation, Tretinoin helps in stopping the formation of new acne lesions and Adapalene reduces formation of comedo.

Systemic drug therapies involve prescription of systemic antibiotics primarily for the treatment of acne problem which is moderate to severe in nature. The examples of antibiotics prescribed are Doxycycline, erythromycin and tetracycline. In some cases an oral drug called Isotretinoin is prescribed for teenagers with severe acne problem which shrinks down the sebaceous glands that produce oil. The results are pretty good and almost ninety percent of the adolescents have success with this oral drug. But the drug has some serious side-affects and thus it is very important that one consults a doctor before use.

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