Fever Cough, cold, Flu? is it flu? will it need antibiotics?
Viral fevers of respiratory system are called flu. Flu is something that comes with nose throat symptoms and fever may be optional. if it gets to chest, there is danger of pneumonias and also serious issues. In typical viral flu, fever may be there for a day or two at beginning and later runny nose or stuffy nose for two days... as nose starts settling cough pics up and may last for a week. Child intake gets reduced adding another danger. Often A dr will add a fever treating medicine in beginning with an antihistaminic combination for few days and as cough starts the medicines may be switched over to cough syrups; which may be sedatives and if there is more night cough bronchodilator cough syrups may be needed. Antibiotics may become essential if Dr thinks about a bacterial disease or complication. Key to adequate response to therapy is a detailed history, close watch on danger symptoms, Doctor's clinical acumen on picking up signs , deciding appropriate therapy based on current flu strains in community added the experience. Doses matter a lot in kids and cough syrups come with caution of life threatening dangers. Doses of drugs and compliance of patient decidesthe response. click for ask This season some cases are reported with flu strains from Middle east respiratory virus in news, not to get scared by name, therapy and diagnosis with precautionary measures for prevention are almost the same. Rainy season: cautions for kids
Its fun with rains at the start of schools. I am sure, every one of the kids would love to get wet. Here are some tips to keep you healthy. When want to get wet in rains, playground or terrace or safety play area of society will be a better place than roads. On the roads vehicle drivers have less visibility due to rains. And at sea face, high tide may shed dirt on your body. Donot pull some one into rains if he or she doesnt not wish to get wet. Yes you can play games sing and dance, but stay away from floating dirt, overflowing gutters, and stagnant water, manholes, electric poles/ wires, cable wires. Get into the house quickly when lightening is striking. Avoid getting near pole or tree in this situation. Its good to enjoy rains for 20 minutes than getting drenched till your nose starts running or you start coughing. having a cap or raincoat will help you enjoy rains without getting soaked. Its more fun, when you take light showers. Do not get into rains without your parents'/caretaker's supervision, more so for kids less than 10 years age, as floor gets slippery and you are likely to get hurt. Some kids who need to stay away from rain: Kids who get repeated cough cold wheeze fever or leaky ear issues. Kids less than 5 year age should always be close to parents when getting wet so parent can protect. Kids below 2 years should not be allowed to get wet in rains. Its always healthy to have a good bath after you come back home getting wet in rains. It will wash of dirt/chemicals that come down the rain and drain. Immediately after bath donot forget to dry yourselves and hairs too . Donot get into rains if your parent/teacher/doctor or caretaker advises so, in a situation. Never ever play around with stagnant water after rains, its dirty can have germs and mosquitoes and may make you fall ill. Never drink rain water, its polluted. Rainwater harvesting processes rain water for human use. After bath and drying, have good warm snacks preferably at home. If any doubt/query or help, visit your parents or a doctor.. Dr kondekar SV Associate professor pediatrics www.kondekar.com for free child health advice. johnson and johnson company of baby cosmetics is been issued notice for not disclosing in advance that it uses ethylene oxide gas for sterilisation of baby product when some byproducts of ETO were found in marketed stock… concern is mainly because these may cause cancer in long run…
people are in dilemma that if not J and J… what to use for baby?it is not new that ETO is used for sterilisation of medical products for human use especially in critical care and procedures.I feel the issue of finding the ETO products in the cosmetics is technical as air drying these items for 24 hours are likely to make it ETO Free and hence safe too. 5/20/2013 India is burning at 45 degree celsius.. in Mumbai Nagpur Delhi.. Maharashtra.. How to take care of your children in scorching shot summer? skin care? hydration care?Read NowChildren cannot communicate but get adapted to the heat.. by body mechanisms water retention, increased thirst, yellow urine, high fever, sunken eyes, and irritable child.. all can be signs of heat related dehydration too. What food, what liquids and how frequently to be given depends on age and weight of child. Not realising this may cause weight loss in kids.
In addition, sweat related dermatitis, fungal infections, rashes, prickle heart etc are also common in children. What clothes to wear? how often a kid should be bathed in summer or how to prevent fungal in . Runny Nose fever Leaky Ear .. and wheezers.. coming up.
Children below 5 years are seen presenting with high fever 2 days with runny nose 3 days and at times leaky ear or ear ache.Seems Viral as it settles in 5 days without antibiotics, but likely that it may be needed if ear infection significant. . put a question to get individualised advice.
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Loose motions "acute gastroenteritis" dehydration dysentery For COUGH related queries, please read my article for clinic address in Mumbai, India please visit www.doctorchild.com Acute DIARRHEAS... WATER LOSS.. DEHYDRATION... DYSENTERY,., QUERIES All diarrheas are not same… They are caused by infections and many times without infections. Causes of diarrhea are different at different ages too. Apart from causes-- pattern of diarrhea is also important. Some are watery and some with less water. Some are sticky and some with blood. Some do have serious reason under it. Some do cause serious complications. in summary a common medicine or formula can not be applied to a case of diarrhea without knowing above details. Often there is a confusion that teething causes diarrhea, winter causes diarrhea.. monsoon causes diarrhea...etc there is scientific logic which needs to modify these beliefs. Teething Diarrhea Often parents come with various tonics for dentition available in market...practically teething per say does not cause diarrhea. during teething the important milestone of hand to mouth and biting starts developing. at this phase kids even start chewing clothes, fingers and toys. the germs that get carried along with this; often end up causing gut or throat infections. Both may cause diarrhea.. simple hygeinic measures and controlling cloth/toy chewing may settle this. If there is serious pica associated may need an attention. Cold/ cough related diarrhea in nose, throat, ear infections the mucus secretions or pus gets swallowed in small infants and passes through gut undigested and may look like mucus in stools.. but may smell same as nose secretions. monsoon diarrhea Often this is due to water/ feed or hand contamination. Though usually rotavirus related in first year of life; there are many other viruses and bacteria that may cause such monsoon diarrheas. bacterial diarrheas and dysenteries predominate in summer and in areas and seasons of water scarcity too. Often such diarrheas are more watery compared to dyentry. watery diarrheas diarrhea is often watery. how much water content per stool may decide the level of infection. Infections from small inetstine often cause large watery diarrheas (enteritis). As the infection spreads from small to large intestine; the water content gets lesser and pain or cramps .. and mucus/blood may come in stools.(enterocolitis).when this happens.. the diarrhea is no longer just diarrhea, but is called dysentery. All diarrheas may not go through this phase. There are some viruses that causes redominant gastritis.. some do cause gastroenteritis; some cause only enteritis and some cause entrocolitis; while soem cause colitis. dysentery whenever water content of stool is not enough to make the bed "wet", lets call these diarrheas as nonwatery or may be dysentry. dysentery is presence of mucus or blood in stool/poop. dysentery may be associated with spurts of water.. which is often due to inflammation of rectum ( proctocolitis). Dysentery may be due to amebiasis, bacteria or antibiotic induced. Viruses often do not cause dysentery. Commonest cause of loose stools in developing countries liek India are giardiasis (a form of protozoa); and in elderly kids may eb amebiasis. Commonest cause of watery diarrheas.. in infants in rotavirus related, in seasons. otherwise can be toxin producing e coli bacteria or salmonella bacteria.. Cholera is a serious cause of severe watery diarrhea... and needs specific therapy. In cholera 1 or 2 motions can make a child very sick. The stool has fishy smell and looks like rice water. Common causes of diarrhea without too much of water loss, are non rotavirus viruses and bacteria..Most bacteria produce a toxin or they may also attack the intestinal skin (epithelium) and may cause infection, bleed or holes in mucosa that may take days to heal. each bacterial diarrhea my not need antibiotic too, but most need it. When to stop breast milk in diarrheas ? Breast milk is best and should not be stopped in diarrheas. feeding is essential component in maintaining feeds and tackling dehydrations.In soem cases, when diarrhea lasts for longer than 4-5 days, the gut epithelium loses its factors required to digest lactose, a domonant sugar in milk. When lactose not digested, it carries water with it in stools and may harm and motions persist. In such cases breast milk or any milk that contains lactose should be promptly stopped for a week and the same phase should be replaced by lactose free formula or feeds for the same duration. Doctor diagnose this condition by looking at stool Ph and reducing substances in stools. danger signs in diarrhea: any of these signs if there may risk life by dehydration or sepsis..they are as below: 1.reducing urine frequency and quantity 2.sleepy child, lethargic 3.child refusing feeds, voomiting not getting controlled 4.cranky or irrtable child , very thirsty child.. but fails to drink or digest 5.perianal rash..nappy rash, diaper rash or skin sores ulcers or redness.. easy to secondarily infected to complicate matters 6.fever not settling despite 72 hours If any of these danger signs.. prefer the doctor sees the child very often or the child remains under hospital supervision and therapy. Parents cannot feel or assess the severity of diarrhea related issues which child may be going through. A child of 10 kg often needs 1 litre liquid daily to maintain circulation.A motion of hundred ml will compromise it by 10 % aqnd a 5 motions can compromise it by 50%. be liberal with fluids with children suffering from gastroenteritis. Leave the judgement of medicines to doctors.. as all diarrheas are not same in presentation, severity and treatment response. Commonly a diarrhea starts responding to medicines in 72 hours.. but may last 7 to 10 days. डॉ कोंडेकर संतोष ,एम .डी,.डी.एन .बी.,डी.सी.एच.,एफ.सी.पी.एस. विशेष बाल रोग निदान व उपचार केंद्र, ओपिडी नं ११ सायं ७ ते ९, सोम ते शुक्र ; शुश्रुषा हॉस्पिटल appt: 9869405747 रानडे रोड दादर (प). मुंबई ४०००२८ Dr kondekar is available for private consultations at Shushrusha Hospital Dadar West Mumbai from Monday to Friday 7 to 9 pm. Please confirm appointment 91-9869405747 by call or sms. post your free queries at www.kondekar.com Part II: managing diarrheas.. awaited.. डॉ कोंडेकर संतोष ,एम .डी,.डी.एन .बी.,डी.सी.एच.,एफ.सी.पी.एस. सहप्राध्यापक बालरोग विभाग , बाल दमा विभाग टोपीवाला राष्ट्रीय वैद्यकीय महाविद्यालय बा.य ल नायर धर्मार्थ रुग्णालय मुंबई सेन्ट्रल Posted 11th December 2012 by dr pediatrician |
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