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Asthma
What
is the cause of asthma
Asthma is an allergic reaction
that occurs when your child
inhales allergens like pollen,
dust, feathers or fungal spores.
The allergy affects the lining
of the air passage. The child
begins to wheeze and her immunity
to infection is reduced. When
she has an asthma attack, the
lining of the air passages goes
into spasm and large amounts
of mucus are secreted. Your
child will find it difficult
to breathe. She may become pale
and her lips might turn blue.
What
do I do if my child has asthma
You
should consult a doctor or a
specialist. The first thing
the doctor will attempt to do
is to isolate the cause of the
attacks. He will probably do
this by exposing your child
to a range of possible allergens.
Once you have identified the
particular allergen responsible
for your child's attacks, you
task becomes much simpler. You
merely have to take all possible
steps to avoid your child's
exposure to the allergen. For
instance, if your child is allergic
to dust, keep furnishings, carpeting
and curtains free from dust.
In addition, keep your house
dry as dust mites flourish in
damp houses.
Can
asthma be linked to emotional
factors
Yes.
Some asthmatic children are
extremely sensitive. Conflict
or stress in their lives can
trigger off asthma attacks.
If there are indications that
emotional factors may have an
influence on your child's asthma,
try to keep the home environment
stable and conflict-free. Do
all you can to minimize stress
in your child's life. Such children
need a lot of love and attention.
However,
there is no need to go overboard.
Do not treat your child like
an invalid. Do not be too over-protective.
If you give your child the impression
that everything must come to
a standstill every time she
has an attack, she will learn
to use the attacks to manipulate
you and get her own way.
Eczema
What
is eczema
Eczema is a rash that appears
on the face, behind the knees
and on the inner sides of the
arms and wrists. It is an itchy,
dry and scaly rash. In a very
bad case, it may ooze profusely.
It can be caused by a cold,
a sleepless night or an upset
stomach. Infantile eczema is
often linked to asthma. They
are both allergic conditions
and are very likely to be hereditary.
What
is the treatment for eczema
The
first thing to do is to consult
a dermatologist. He will probably
prescribe some mild creams and
ointments that you should apply
to the affected areas. You can
follow certain steps in the
daily care of your baby. Do
not use too much soap and water
as this dries the skin. Instead,
you could use cotton wool soaked
in baby lotion. Be very particular
about hygiene, especially in
the diaper area and the face.
Remember that wool irritates
the skin and can aggravate eczema.
Measles
What
are the symptoms of measles
The symptoms of measles can
take anywhere from one to twelve
days to appear after your child
has been infected. It begins
like a normal cold - hoarse
cough, runny nose and fever.
The temperature will fluctuate
between 100 and 104 degrees
fahrenheit. The child will develop
a rash that will start on the
throat and behind the ears,
then spread to the face and
the rest of the body. The rash
will initially appear as small,
scarlet, slightly raised spots
that will transform into irregular
areas of a ruddy brown colour.
Your baby's eyes may become
red and sore.
What
is the treatment
There
is no specific treatment for
measles. You can follow some
simple steps to alleviate your
child's discomfort. Bathe your
child's sore eyes with cotton
wool soaked in warm water and
dim the lights. You can give
your child, baby aspirin to
bring down the fever. She will
probably not have much of an
appetite, but ensure that her
fluid intake is high. Call the
doctor if she is still running
a high temperature four days
after breaking out in a rash.
Inform the doctor if she becomes
semi-conscious, develops an
earache or laboured breathing,
or a phlegmy cough.
What
are the possible complications
and how can I prevent measles
Your
child may develop pneumonia,
encephalitis or earache. You
can prevent it by ensuring that
your child is inoculated against
the disease when she is between
12 to 24 months. Her immunity
will be lifelong.
Mumps
What
are the symptoms of mumps
The incubation period is
17 to 21 days. Initially, your
child will seem to be generally
under the weather. She will
then develop a fever and the
glands in front of and under
your child's ear will swell
up on one side. Your child may
even become delirious with the
fever. A few days later, her
temperature will fall and then
rise sharply. In addition, the
other side of your child's face
will become swollen. She will
have a stiff neck and a sore
throat. She will also complain
of a dry throat. The complications
associated with this illness
are meningitis and inflammation
of the testicles.
What
is the treatment for mumps
Call
your doctor to confirm the diagnosis.
There is no specific treatment
for this illness. The only thing
you can do is to ensure that
your child is comfortable. Sponge
her with tepid water and give
her a baby paracetamol after
consulting your doctor. This
should reduce her fever. Your
child might find it difficult
to chew and swallow, so give
her soft foods. In addition,
ensure that her fluid intake
is high.
Tonsillitis
The
tonsils
Tonsillitis is a very common
childhood ailment and is caused
by the inflammation of the tonsils.
So what are the tonsils? The
tonsils are masses of lymph
tissue located on the right
and left at the back of the
throat. Scientists are still
trying to pin down the exact
function of the tonsils, but
they surmise that the tonsils
act as a filter and prevent
the spread of infections in
the throat, mouth and sinuses
from spreading to other parts
of the body. Studies also show
that the tonsils produce antibodies
or cells that fight disease.
The
causes
As mentioned earlier, tonsillitis
occurs when the tonsils get
inflamed. Either bacteria or
viruses can cause this inflammation.
Younger children tend to be
afflicted by viral tonsillitis,
while older children and adults
are more prone to bacterial
infection. Tonsillitis can also
sometimes be an offshoot of
more serious illnesses like
diphtheria, scarlet fever and
infectious mononucleosis.
Some
children seem to be more prone
to developing tonsillitis than
others. They may have tonsillitis
attacks as often as five or
six times a year. Recurring
tonsillitis may result in the
enlargement of the tonsils,
a condition labelled as chronic
tonsillitis. In such a case,
the tonsils remain infected
despite antibiotic treatment.
The tonsils can also trap food
particles in small infoldings
called crypts, which only results
in prolonging the infection.
The
symptoms
Mild to severe throat pain
Swollen lymph glands on either
side of the neck or jaw
Ear ache
Difficulty in swallowing
Chills and fever
Headache
The treatment
The
treatment comprises a combination
of steps to relieve the symptoms
and medication to attack the
cause.
When
it comes to medication, it has
been found that antibiotics
are only effective in treating
tonsillitis if the cause is
bacterial. In the case of viral
infections, antibiotics may
actually aggravate the condition.
Hence, the treatment of viral
tonsillitis is usually restricted
to relieving the symptoms. A
throat culture helps to pinpoint
whether the cause is bacterial
or viral.
Home
care: In addition to the medication
prescribed by your doctor, there
are a few simple things you
can do at home to help relieve
your child's discomfort.
Make
your child gargle with a solution
of 1/4 teaspoon salt dissolved
in four ounces of warm water.
Give him plenty of warm drinks
like soup or tea with honey.
(Honey should be avoided for
children below the age of one
year). His diet should consist
of foods that are soft, easy
to swallow and which are cold
like juices, ice cream, etc.
Avoid spicy food. If your child
is over five years old, you
can give him a lozenge to suck.
Ensure that you or any other
person does not smoke in his
room.
If
the infection is very severe,
your child may need to be hospitalized
as his inability to swallow
may lead to dehydration.
A
tonsillectomy
In the past, it was very
common for doctors to remove
a child's tonsils if he was
prone to attacks of tonsillitis.
Tonsillectomy is the name given
to the surgical procedure for
the removal of the tonsils.
A tonsillectomy should be the
last resort in cases of chronic
tonsillitis and parents will
have to leave it to the discretion
of the doctor. However, in some
cases, a tonsillectomy becomes
a necessity. Sometimes, the
tonsils become so enlarged that
they can cause difficulty in
breathing and obstructive sleep
apnea. In such cases, tonsillectomy
is the only option.
A
tonsillectomy is performed under
general anaesthesia in a hospital
and is often an out-patient
procedure. The tonsil is surrounded
by a capsule of tissue. During
the operation, the surgeon removes
the tonsil by dissecting between
this capsule and the adjacent
throat tissue. The site where
the tonsils were taken out heals
on its own. Research has shown
that removal of the tonsils
does not affect the body's immune
system. After the operation,
the patient usually has a very
sore throat, but the doctor
will put him on pain-killers
and antibiotics that will help
relieve the symptoms.
Whooping
cough (pertussis)
How
does whooping cough differ from
a normal cough
This
disease attacks in an innocuous
manner. The incubation period
is about 5 to 14 days. Your
child will display symptoms
like a runny nose, a cough and
a slight temperature. This can
go on for as long as two weeks.
Your child will have severe
paroxysms of coughing and may
find it difficult to breathe.
This is how the disease gets
its name as this is when the
typical "whoop" occurs.
What
is the prevention and treatment
of this illness
This
disease can be particularly
dangerous for children under
a year old. Therefore, it is
important that your child be
inoculated between 3 to 6 months.
In rare cases, there is a possibility
that bronchitis and pneumonia
may develop.
If
your child displays the above
symptoms, call the doctor immediately.
He will probably prescribe antibiotics,
which if administered early
enough can prevent the development
of chest infections. He will
also teach you how to tap your
child's chest to loosen the
phlegm that is accumulating
there. Do your best to calm
your child when she is coughing.
If she is tense, she will find
it difficult to breathe. Raise
your child's head to make breathing
easier. It may help to give
your child small amounts of
mashed food between coughing
fits.
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