Pneumonia in Children

Pneumonia is the infection of the either one lung or both. When both the lungs get infected it is known as double pneumonia. When the pneumonia is mild enough that the visit to the doctor can be avoided and the child can carry out daily activities normally, it is known as walking pneumonia.

The lungs are an important part of the respiratory system. The air which is breathed in contains oxygen, which is filtered by the lungs. This oxygen then is carried around the body with the help of blood which is passed from the breathing tubes by the alveoli. Capillaries or the minute blood vessels are surrounded by small air sacs known as alveoli. There are over six hundred million alveoli in the human body. The air which is taken in is supplied to the alveoli; the oxygen extracted from the air is dissolved in the blood. Then it is the job of the red blood cells to distribute the oxygen to all the body parts. Oxygen is vital in the proper functioning of the human body and insufficient supply of oxygen can damage the organs and sometimes can be life threatening. This functioning is disturbed when the lungs get infected by pneumonia.

Pneumonia does not allow the lungs to function properly, because the infection produces fluid which obstructs the alveoli. In turn the oxygen does not penetrate deep inside the lungs and lesser oxygen is supplied to the blood. The breathing is affected and the condition worsens when both the lungs get infected with pneumonia.

People of all ages from infants to old could get affected with pneumonia. It is a myth among people that getting wet makes the person catch pneumonia. But it is actually the virus or the bacteria which causes the infection. When a person infected with flu or cold faces a deterioration in his/her condition, he/she can be infected with pneumonia. This happens because the irritation caused by the flu or cold helps the pneumonia germs to get into the lungs easily and move around to spread the infection.

The virus or bacteria which cause pneumonia can cause damages, whose severity can depend on the health of the child. If the infection is caused by bacteria, the child will get sick very soon and can get high temperature fever accompanied with chills. Pneumonia caused by virus develops very slowly and it takes longer time to go away. The child can also experiences cough, chest pain, headache, and or muscle ache. It can also make it difficult to breath, so the child will start to breath faster which may make him cough out gloppy mucus. The child would have to totally abstain from eating.

When given the right treatment, the child can recover fully. The doctor will first examine the heartbeat and breathing with the help of the stethoscope. The stethoscope also helps to check the lungs, the sounds made by the lungs help to determine if it contains any fluids. Sounds such as crackling or bubbling are indications of pneumonia. Chest X-ray will be taken too. White patchy area will show fluid buildup. By looking at the X-ray, the doctor can also determine whether the infection is caused by bacteria or virus. If it is caused by bacteria, antibiotics will be prescribed. And if it is difficult for the child to swallow the medicine or to retain it inside, he/she will be injected with IV fluid. And if virus is responsible for the infection, antibiotics wont work. Fever reducers, along with cough medicine, will be given in this case. The medicines will be of no use, if the child doesnt take adequate rest and plenty of liquids.

Shots can be taken to prevent pneumonia. These series of shots are called pneumococcal. Regular flu shots can also prove helpful, especially for kids who have asthma or other kinds of lung infection. Rest and sleep also strengthens the immune system. Washing hands regularly can keep harmful germs at bay.

PPPPP

Word Count 666

Pains during Growth in Children

Growing pain is part and parcel of the growing phase in a childs life. When the child stops growing so will the growing pain and when adolescence is reached, they disappear completely. Growing pain can occur between three to five years or eight to twelve years of age. Growing pains are usually experienced in the legs usually in the calves, in the area in front of thighs and behind the knees. The pain starts either in the afternoon or night, just before bedtime. The child can go to bed pain free, but can wake up in the middle of the night complaining of throbbing pain in the legs. But the good part is that these pains vanish by morning. About twenty five to forty percent of the children are known to experience growing pain.

Growing pains are experienced in the muscle region and not around the bones or joints. One of the major reasons of getting growing pains is because of the strenuous activities of the kids during the day. All the jumping around, running and climbing make the muscles tired. But no evidence has been collected which can prove that the growing pain is caused by bone growth. Growing pains are also known to be caused by spurt of growth. This happens because the tendons or the muscles are too tight and do not synchronize with the growing of the bones. As a results muscle spasms are caused which last for less than fifteen minutes. The child usually gets pain in both the legs and not just one. And usually, growing pains do not get accompanied with redness, swelling or fever. The pain should be over by morning and if it is still persisting after the awakening of the kid, the problem could be related to something else and more serious.

If the pain is unbearable, the parent or caretaker should administer pain relieving medications which are available over the counter such as ibuprofen or acetaminophen. Aspirin should not be given to children as they have a tendency to develop a very serious illness known as Reye Syndrome. Heating pads can be placed on the region that is hurting to ease the pain. Massage can also be given by the parent or the child can do stretching exercise to help the muscles relax. If the child develops fever, redness, swelling, tenderness, limitation in movement, or if the child limps while walking, the doctor should be approached. Before that the parent can do a little diagnosis of the intensity of the pain by feeling around the area and observing the pain experienced by the child. The pain shouldnt be so intense that the child is abstained from normal routine such as walking, running or playing.

The doctor conducts the diagnosis of exclusion to understand the problem. According to this diagnosis, it is not made until all the conditions are checked before considering growing pains. The doctor studies the childs medical history and conducts a physical examination. In some serious cases, the doctor advices to go for X-ray or blood test before the final decision is made.

Children can prevent the growing pains by doing stretching exercises on a daily basis. The exercise need not be complex. Even if the pain subsides, the exercise should be continued so as to keep the tendons and muscles relaxed and to adjust with the growth spurt. Fluids, when taken in good quantity, decrease the cramping. For this reason, the child should be given tonic water or quinine before going to bed.

PPPPP

Word Count 592

Osteoarthritis: Causes and Symptoms

Osteoarthritis: Causes and Symptoms
John Robben

Osteoarthritis: Cause and Symptoms

In our last article, we briefly discussed Osteoarthritis and
Rheumatoid Arthritis. This article will take a close look at the
cause, symptoms, and current treatment used for Osteoarthritis.
So let’s take a second look at what Osteoarthritis is.

Osteoarthritis is known by many as “wear and tear” Arthritis. It
is one of the most common forms of Arthritis and is the result
of cartilage wearing away from the joints. This cartilage is
responsible for the smooth gliding of joints, and once it begins
to deteriorate, the patient is left with pain, joint swelling
and inflammation, and even deformity.

Osteoarthritis patients usually state that their pain is
greatest during times of movement, and then lessens
significantly during periods of rest. Osteoarthritis affects
many more women than men. There is an estimated 24 million
Osteoarthritis sufferers in the United States and roughly 74%
are women.

The cause of Osteoarthritis is not known, yet doctors have many
suspicions. Some of the symptoms of Osteoarthritis boggle the
minds of scientists and more research needs to take place to
determine the actual root of the disease. For instance, X-rays
can tell that Arthritis is present, yet the amount of pain
reported by Osteoarthritis sufferers differs from the results of
the X-ray. Though many people refer to Osteoarthritis as the
“wear and tear” disease, evidence shows that this disease and
its mysterious cause are not as simple as that definition. In
fact, “wear and tear” does not take place in just one joint, but
affects joints simultaneously throughout the body. An example of
this, is that sufferers with Osteoarthritis of the knee, offer
suffer Osteoarthritis in the hand. Also, doctors have noted that
patients don’t suffer with Osteoarthritis on just one side of
the body (as would be expected due to wear and tear) but because
it seems to affect the body concurrently, it appears that
Osteoarthritis is a systematic disease affecting all of the
cartilage at once.

One suggestion is that Osteoarthritis is a result of cartilage
that has stopped functioning at optimum level. Cartilage is
continuously undergoing a process where it is broken down, then
rebuilt. Some theories state that this process becomes
unbalanced and out of hand. This is referred to as “End Stage
Osteoarthritis.” It is at this stage that joint pain and
impairment begin to manifest. There are many natural remedies
that show promise in the management of Osteoarthritis pain and
symptoms. Look for future articles in our Arthritis Series that
will offer natural remedies that may prevent enzymes from
damaging cartilage.

Some other ideas that point to the cause of Osteoarthritis
include:

Previous Sports related or Joint Injuries Genetically
Inherited (it appears that Osteoarthritis runs in families)
Repeated Occurrences of Bleeding into a Joint (as occurs with
Hemophilia and other diseases) Repeated Occurrences of Gout
and Gout like Diseases Avascular Necrosis- this is a condition
where blood near a bone is cut off, this leads to bone death as
well as joint damage. Avascular Necrosis typically afflicts the
hip joint. Previous Rheumatoid Related Illness- such as
Rheumatoid Arthritis can lead to chronic inflammation of the
joints. Osteoporosis-due to the high risk of bone fractures
and injury, Osteoarthritis may develop in joints. Metabolic
Disorders- for example, Hemochromatosis can result in high
levels of Iron being deposited in the joints Joint
Infection-It is believed that cartilage may deteriorate in
people who have defects in their cartilage and joints.

We’ve discussed the potential causes of Osteoarthritis, now it
is time to look at the various symptoms of Osteoarthritis.
The symptoms of Osteoarthritis include:

Joint Pain- this tends to be worse when rising in the morning
Joint Swelling and Inflammation- this occurs during periods of
activity Feeling a “Grinding” Sensation when a Joint is moved
Loss of Mobility and Flexibility

There is no sure way to prevent Arthritis in any of its forms.
There are however some things that you can do to help lower your
risk of developing Osteoarthritis or any other type of
Arthritis. Some of the preventative methods that you may add
to your lifestyle today include:

Maintain an Ideal Body Weight Take steps to prevent the
development of Osteoporosis. Some of these include taking
adequate Vitamin D and Calcium, exercising, and taking
medication if needed. Do your best to prevent injuring your
bones and joints -try to avoid accidents such as sports related,
implementing joint protection by using splints and braces.

About the author:
Written by John
Robben of Ultimate Water Massage, Inc. Providing Massage
Services and Pain Relief products. Visit our
Arthritis Information
Center

What Evidence of Congestive Heart Failure is a Diagnosis Based

What Evidence of Congestive Heart Failure is a Diagnosis Based on?

While all cardiac conditions carry similar symptoms of chest pain and difficulty breathing, congestive heart failure generally presents with a very specific set of symptoms and lab results, giving doctors a very firm set of clues upon which to base a definite diagnosis.

Dyspnea, or difficulty breathing, coupled with severe pitting edema (when the body retains fluid to the point of holding the imprint of an object that is pressed into the skin for several minutes) are generally the first pieces of evidence pointing to congestive heart failure. Heart failure results in the heart not being able to efficiently pump blood throughout the body; as a result, fluid accumulates rather than being excreted and causes the body to swell as if it were a water balloon. Non-pitting edema, or fluid retention that does not hold an imprint, is not caused by heart failure and indicates that another diagnosis needs to be made. The patient may produce a frothy pink sputum when they cough.

In addition to the symptoms related to the fluid accumulation general weakness and malaise, particularly during times of physical exertion are frequent complaints of patients suffering from congestive heart failure, and should not be ignored. This is caused by a lack of nutrients and oxygen from the blood to the body tissues, and may result in permanent damage to the organs if they are left without these vital elements for a prolonged period of time. Anuria, or a lack of urination, is also evidential of heart failure as fluid accumulates in the tissues rather than being properly excreted. Patients may suffer from a changed mental status due to toxins accumulating in the body.

Once the physician suspects heart failure based on the physical evidence, blood samples will be sent to the laboratory. Beta-natriuretic peptide, or BNP, is an excellent screening tool in suspected cases of heart failure. This hormone is produced in greater quantities by the failing heart muscle as fluid levels rise, with a level between one hundred and five hundred pg/mg suggesting congestive heart failure and greater than five hundred being fairly diagnostic; however, an elevated BNP should not be considered to be sufficient evidence upon which to base a positive diagnosis, as conditions such as renal failure, ventricular strain, tumors or hypoxia can also cause BNP levels to rise. Arterial blood gases may be tested to determine the degree of hypoxemia. A decreased erythrocyte sedimentation rate, proteinuria (protein in the urine), and a mild azotemia (elevated blood urea level) can be seen in early to moderate disease. An increased serum creatinine, hyperbilirubinemia (increased bilirubin in the blood) and dilutional hyponatremia (decreased serum sodium levels) are evidence the patient is suffering from a more advanced case of heart failure.

Radiology will also wish to perform imaging studies to evaluate the condition of the heart. A chest x-ray will generally reveal cardiomegaly (enlargement of the heart) and pleural effusion (fluid around the heart). An echocardiogram may be performed to evaluate the internal structures of the heart to evaluate for any structural abnormalities, as in the case of mitral stenosis. This provides evidence to determine the underlying cause of congestive heart failure, particularly in suspected cases of valvular heart disease.

Physicians are like detectives, if you will. Once these tests have all been run they will gather these pieces of evidence together and put them together to form a fairly accurate picture of the patient’s condition, allowing for an accurate diagnosis leading to proper treatment.