Motion Sickness in Children

Children usually feel sick in the stomach when travelling in a car, airplane, boat or train. This sickness is known as motion sickness. This sickness is caused by reception of wrong signals by eyes, muscles, skin receptors, and inner ears.

While travelling, different body parts send different signals to the brain. Eyes see things around and it sends signals about the direction of movement while in motion. The joint sensory receptors and muscles send signals about the movement of the muscles and the position in which the body is. The skin receptors send signals about the parts of the body which are in contact with the ground. The inner ears have a fluid in the semicircular canals. This fluid senses motion and the direction of motion like forward, backward, up, down, circular, or to and fro. When the brain gets timely reports from the various body parts, it tries to find a relation between all the signals and then sketches a picture about the bodys movement and position at a particular instant. But when the brain isnt able to find a link and isnt able to draw a picture out of the received signals, the condition called motion sickness is experienced.

For example, if a child is riding in a car and reading something at the same time, the eyes will see stationary book. But the skin receptors and the inner ears will sense the body moving in a forward direction. The eyes and the muscle receptors will send signals that the body is not moving. This confuses the brain and everything is jumbled up in the head. This makes the child dizzy, sick in the stomach and even tired. There is a possibility of the child throwing up, so it is recommended that the parents carry a sick bag each time they are travelling with kids. And if the child is feeling anxious or scared, the condition can deteriorate further.

Although there are medicines available over the counter to deal with motion sickness, some measures should be taken to avoid medicine and also motion sickness. The child should always be made to sit facing in the forward direction. He/she should not face or sit backwards, nor should he be made to sit in a seat facing backwards. This helps the ears and the eyes to send similar kind of signal. It is good if the kid isnt involved in some kind of activity like reading, playing video games or something which is stationary. He/she must be asked to look outside, especially at things which are located at a distance. The same applies when travelling in an airplane. When travelling in a boat, the child can go to the upper deck and look at the horizon. Basically, the child must be made to concentrate at things which are located at a distance and are in motion. When looking at something stationary, the eyes get confused and send wrong signals.

It also helps to sit in a place which is moving the least. Usually, it is the center point of the body, so the more close the child sits to the center, the better. Like when in an airplane, it is good to sit in seats in the middle aisle and not in those which are located near the wings. If the child is sitting in the center of the boat, instead of the front or the side, the lesser seasick the child will feel. In spite of all these measures if the child is still feeling sick a doctor should be consulted. The doctor checks the inner ears for any defect. He will also check other body parts which are responsible for sensing motion. Apart from medicine, pressure bracelets are also available at the local pharmacy. And along with carrying a sick bag or any other plastic bag, the car can be pulled over and the child should be walked out a bit to feel better.

660

Frequent Headaches and Migraine in Children

Children who get frequent headaches and migraine attacks have chronic illness. Such children and their parents face problem to adjust with school and their rules. Extra preparations and steps should be taken to cope with such illness. Pediatric specialist in migraine and headaches exist should be consulted for treatment and other precautionary & preventive measures. Also the triggers vary from child to child, which should be recognized accurately.

Firstly, it is the strict attendance rule in most of the schools that children with chronic illness find it difficult to deal with. To add to it, majority of the schools have zero tolerance policy regarding medications, even including over the counter medicines. Reports of students getting expelled for merely carrying Advil in school with them are common. Prior to making appointment with the doctor, it is recommended that parents read the policy of the school the child is attending. It is good to ask questions before hand, than feeling sorry later. Some of the schools asks for letter or medical record as a proof, incase the student didnt attend because of a health problem. Some schools consider sick leaves as regular leaves and in this case, the attendance gets affected greatly.

School nurses can be given the prescribed medicine so that they can give the medicine to the child at the required time. If this is the case, things such as medicine storage location and availability of substitute should be checked. Apart from not attending regularly, the child can sometimes be unable to take part in co-curricular activities especially physical education and outdoor recess. Other possible options should be discussed with the teacher. Usually a recommendation letter from the physician will do the needed. In all the cases, some kind of medical identification can be carried by the child at all times. If the child is attending an after school babysitter or program, directly after school, extra measures should be taken. The babysitter or program in charge should be told about the problem in advance. Their cooperation can be asked for timely administration of the medicine and for taking special care of the child. If the child himself is grown enough to understand the matter, the child should be educated about taking medications. They should also be made to understand that it is harmful to take medicines from any un-trustable source even if their fellow students do. Budge them to ask questions and clarify any of their fears of concerns.

Most of the children lack the ability to convey their problem properly. The situation is further aggravated because of different kinds of headaches. They can be related to chronic illness, tension, sinus or fever. Only diagnosis can bring out the correct problem. If the rate of headache becomes more frequent, like more than twice a month, doctors appointment should be taken instantly. Younger kids find it more difficult to explain the problem. If they become cranky, restless, irritating, tired, is having sleeping disorders and is not eating properly, a problem surely exists. Most of the children complain of headaches during exams because of increased stress. Seventy five percent of the children experience headaches because of tension. If so, stress management education, along with counseling, should be given to the kid.

Headaches can be an indication of other problems, too. So, thorough diagnosis is highly recommended. The childs previous medical history provides important clue. Prior to the doctors appointment, notes can be made after referring the medical history. Maintaining a log about the childs headache frequencies, pain location, time of occurrence, symptoms, etc. also helps. If not due to illness, headaches can also be a result of head injury. Sometimes, headache can be hereditary, like in the case of migraines.

Headaches can also be caused because of infections, vision problems, odd levels of blood pressure, neurological problems, muscle weakness, improper ear balance or serious problems such as tumor, blood clots, etc. If the doctor is not able to diagnose the problem, he/she can refer the child to a headache specialist or neurologist. Test such as CT scan or MRI are done if there is a serious problem. After the diagnosis, the doctor prescribes medication or will ask to take over the counter medicines. According to a study, children who face headaches and migraine take overdose of over the counter medicines for immediate pain reliving. In some of the cases, the parents are clueless about this situation. This practice is risky and mostly children above six years are involved in such cases.

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Food Allergies in Kids

Food allergies are a common problem in kids. Nearly two million children have food allergies in the United States. Some food allergies are life threatening, even if the food is taken in very little quantity. Peanut tops the list of notorious foods which cause allergies. Following it are milk, especially cows milk, soy, eggs, wheat, seafood and other nuts.

Food allergies are caused when the immune system is confused. The job of the immune system is to protect the body from diseases, bacteria, viruses and germs. The antibodies produced by the immune system helps to fight these minute external organisms which makes the person sick. But if the body is allergic to certain food, the immune system mistakes the food to a harmful foreign substance and takes action towards it thinking that it is dangerous to the body. The body acts adversely, when it isnt supposed to do so.

When the immune system detects allergic substance, the antibodies produce mast cells. They are a kind of immune system cell which release a chemicals, such as histamine, in the bloodstream. These chemicals affect the respiratory system, digestive system, nose, eyes, throat, and skin. Initial symptoms are runny nose, tingling sensation in the lips or tongue, and itchy skin rash like hives. The reaction can be mild to severe and depends on every individual. The symptoms can appear right after the food is consumed or after few hours. Other symptoms are cough, wheezing, nausea, hoarse voice, vomiting, diarrhea, stomach ache, and throat tightness.

A sudden and harsh allergic reaction is known as anaphylaxis. The patient encounters many problems, all at once which involve blood vessels, the heart, digestion, breathing, and skin. The blood pressure drops very steeply, the tongue swells and there is swelling in the breathing tubes. Patients who have such allergic reactions should be ready to handle emergencies. They should always carry some type of medicine which will help to combat or reduce the adverse affect of the food.

Most of the times, it is very easy to detect the cause of food allergy. Problems such as hives begin to surface as soon as the child eats the substance he is allergic to. At other times, it becomes very difficult to determine the cause of allergy. In such cases, everything should be observed under close surveillance. Food items which are made out of many ingredients should be thoroughly checked for the allergic cause. Most of the times, allergies are inherited from other family members or other kids born with food allergies. Changes in the surroundings and the body play a major role in these kinds of cases. Some of the kids arent actually allergic to the food and show only mild reaction. Like people who are lactose intolerant suffer from diarrhea and belly pain after consuming milk and diary products. This is not an indication that the child is allergic to milk. This reaction happens because their body is incapable of breaking down the sugars which are found in diary products and milk.

If the conditions are severe, a doctor should be consulted immediately. If food allergy is diagnosed, the doctor refers to an allergy specialist. The doctor asks questions like eating patterns, past allergic reactions and the time period between the consumption of food and the surfacing of the symptoms. The specialist can also ask about allergy related conditions like asthma or eczema and whether allergic reactions are hereditary. Usually skin test and blood test is done to test the antibodies and the reaction they have on the skin when it is exposed to the allergic substance.

Kids who are allergic to egg and milk outgrow them as the age progresses. But allergies which are severe and are related to items such as peanut, shrimps, and some kind of fish, last for a lifetime. Other than food, children can be allergic to certain medicines and flower pollen. The best way to avoid allergies is to avoid the cause of it. No specific medicine has been developed for the cure of allergies.

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Flu and Cold in Children

Flu and cold usually accompany each other when attacking a childs immune system. It is a wide spread viral infection and the harsh truth is that there is no permanent treatment designed for it because of the involvement of many types of viruses which cannot be killed, but yes their growth rate can be suppressed. Symptomatic treatments can trigger the rate of improvement in the childs health, but it might not work for all kids.

The child can get affected by the flu and cold virus when he is exposed to an infected person. The symptoms are mild headache, feeling of tiredness, stuffy or runny nose, watery eyes, light fever, sneezing, cough, muscle aches, and sore throat. It takes two to five days for the symptoms to appear and three to five days for the complete development of the virus. It takes nearly two weeks to completely get rid of the flu. The virus attacks the upper respiratory system. These are the symptoms of cold. The symptoms of flu are more terrible than cold and grow very rapidly. They are high fever, runny nose, sore throat, nasal congestion, chills, fatigue and nausea, vomiting, eye pain and extreme headache. Symptoms are extremely important when trying to differentiate between flu and a cold. As stated before, the symptoms of flu are more severe when compared to the symptoms of cold. Also, it is easier to get over cold than flu. The biggest clue will be recalling any incident of exposure to patients having either flu or cold. Even after thorough analysis, if it is difficult to reach any clear conclusion, a doctor should be consulted. A swab is taken from the nasal track or throat and the results are determined an hour after the test is taken.

No antibiotics work on these viruses. Intake of antibiotics cannot better the condition in any way whatsoever. Also, there are chances of secondary bacterial infections like sinus or ear infection. The child should be administered with fluids and a cool mist humidifier to suppress the symptoms and to help him feel better. Medications are available over the counter which can be bought depending on the symptoms of the infected. Antiviral medicines are available for the treatment of flu, which hasten the recovery process. But the medicines are effective only when given within forty eight hours after the onset of flu symptoms. Runny nose, especially of infants and kids who cannot blow their nose, can be taken care of with the help of a bulb syringe or nasal drop. If flu isnt treated at the right time, it can worsen the health of the infected and can also lead to pneumonia.

Flu is a very commonly spreading infection among school going kids. According to a research, nearly twenty percent of Americans are infected with flu every year and nearly twenty thousand people die because of it. The only way to prevent the child from contracting these virus is by getting him/her a flu shot before the flu season or as recommended by the physician. The vaccine is either administered through a shot or nasal spray. Regular dosage will strengthen the immune system by constructing antibodies. The nasal spray vaccine contains live weakened viruses and shots contain completely dead viruses. By any chance, if the child does get exposed to the virus, he/she should be given medicine meant for flu patients, immediately. More than hundred viruses are known which cause cold. A lesser number of viruses are known to causes flu. That is the reason why there is a shot for flu and not cold.

But flu shot cannot be taken by anyone or everyone. People who complain of allergic reactions from previous flu shots, people who have the Guillain-Barre syndrome and people allergic to eggs are not eligible for flu shots. It is highly recommended to take advice from a physician before getting vaccinated. Children and elderly should be given nasal spray vaccination, but instead they should opt for flu shots. Out of total population, there are certain people who have a greater probability of getting flu. Children up to five years of age, elders older than sixty five years, nursing home residents, pregnant women, patients with long term problems regarding health, and health care workers who come directly in contact with flu patients.

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Fever in Children

The normal temperature of human body is 98.6F. If the temperature is taken rectally, the thermometer will show a rise of 1F, that is it will show 99.6F. The normal body temperature can vary slightly among individuals. The doctors consider the rise in body temperature as fever if it crosses the mark of 99.4F when taken orally and 100.4F when taken rectally. Rectal checking of temperature is done in infants and children who are older than four years have their temperature checked orally. Infants under three months should be rushed to the hospital if they have fever above 100.5F. The same applies for children older than three months and having a body temperature above 102F.

Digital thermometers provide a more accurate temperature reading. Mercury thermometers pose a health risk to the family as it is an environmental toxin. Hence, this is another good reason why mercury thermometers should be replaced with digital thermometers. Parents must take few measures before and during the task of checking the childs temperature. First of all, the parent should be sure about the kind of thermometer he or she wants to use, that is whether the thermometer should be meant for oral use or rectal use. The child shouldnt be bundled up very tightly before the temperature is checked. When the thermometer is being held by the child, the parent should supervise the whole procedure. Infants might experience pain when the thermometer is inserted into his rectum. Therefore, it is a good idea to cover the thermometers tip with petroleum jelly before insertion and only half of the thermometer should be inserted inside. The thermometer should be held until the beep is heard as children tend to drop the thermometer, if it is left to them. When taking the temperature orally, the thermometer should be placed underneath the tongue and should be left there until the beep is heard. After usage, the thermometer should be washed with cold water and soap.

When an infection is being fought by the body, it shows signs of fever. When the child becomes fussy and experiences aches in parts of the body, the child should be administered with some medicines. Medicines are available for children, depending on their needs, age and weight. The recommended dosage will be written on the pack or the label of the medicine and the parents should check that chart before giving any medicine to the child. If there is any kind of confusion, a doctor should always be consulted. Medicines like Acetaminophen, Ibuprofen, and Tylenol for children are available over the counter. When acetaminophen is given along with lukewarm bath, it helps decrease the fever. The medicine should be given just before the bath. The water shouldnt be cold and no alcohol products must be used while bathing. If bath is given minus acetaminophen, the child can begin to shiver and there is chance of body temperature going high again.

Aspirin is not advisable for children as it may develop serious illness called Reyes syndrome in the child. The risk is even more in kids having chickenpox or flu. Not more than five doses should be given in twenty four hours. If drops are given, the dropper should be filled till the marked line. A liquid medicine usually comes with a measuring device in the form of a cap. If not, it can be bought at the local drug store. Infants under four months shouldnt be given medicine, unless told by the doctor.

Certain symptoms call for immediate attention and the doctor must be contacted immediately. Symptoms can be dry mouth, rapid change in body temperature, ear-ache, behavioral changes, frequent diarrhea and vomiting, paleness, seizures, skin rashes, intense headaches, sore throat, swollen joints, irritability, high pitch crying, not feeling hungry, stiff neck, stomach ache, whimpering, wheezing, limpness, and breathing problems. At all times, the child must be made to wear comfortable cotton cloths which help the body to breath properly and at the same time absorbs the sweat. The child should also be given fluids constantly, in order to combat with dehydration.

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Eczema in Children

When a skin rash cannot be blamed on poison ivy or chicken pox, the culprit is eczema. In this condition, the skin turns red, scaly and develops sores. The itching is beyond the limit and the skins starts to shed in the form of scales. Dermatitis is the other name for eczema. Dermatitis actually means inflammation of the skin and the skin turns pink and sore. Eczema is a common child problem as out of ten kids at least one kid gets eczema and majority of them get it before they turn five years old. Children who are above five years are also at a risk of developing eczema, but once they become teenagers, the chances are negligible.

Not only does eczema dries the skin, it also makes it itch horribly. The skin break out can even take the form of rashes. Eczema is a condition which comes and goes frequently and therefore it is chronic. When any foreign bodies come in contact with the skin, a special kind of cells present in the skin will react to them. Basically, they inflame the skin as a measure of protection. The harmful foreign objects trigger the reaction and make these special cells to over react. This turns the skin itchy, sore and red. Children, who get eczema frequently, have a larger quantity of these special cells.

Usually, people who have family members with asthma, hay fever or any allergies are more prone to getting eczema. It is in their genes to get eczema and this problem is passed over to them by their parent. Some scientists say that people, who as children have had eczema, are at a higher risk of developing asthma or hay fever later in their life. Allergies can only make eczema worse. The good news is that eczema is not contagious, so children can be happy about not catching the infection. The first symptom of eczema is rash development. These rashes may seem to go away in the beginning, but will return back. Although eczema itches badly, not all rashes will itch. Eczema will start to develop behind the knees and inside of the elbows. It will slowly spread to the face and other body parts.

Because rashes can be caused due to many other reasons apart from eczema, the doctor will examine the rashes and its cause very carefully. If eczema is confirmed, the child may have to use a moisturizing cream or lotion to stop the itchiness and drying of the skin. In serious cases, the patient will be recommended corticosteroids. It is a steroid cream or ointment which needs to applied to check skin inflammation. If the itching is really irritating, antihistamine can be taken in either liquid or pill form. And if the scratching had resulted in an infection, antibiotics will also be prescribed. The problem doesnt get solved forever, but it makes the condition better for the time being.

There are certain things which trigger eczema and should be avoided by children who get eczema frequently. Perfumes, detergents, soap, dry air in winters with very little moisture, and sweaty and hot skin. Also when coming in contact with dust mites and scratchy fabrics can increase skin irritation. The child must abstain from scratching even if the skin is itching badly, as that will make the skin itch more badly. The skin can also get infected with bacteria because of skin breaking and bleeding. A washcloth can be dipped on cool water and placed on the area of itchiness. The parents should cut the nails short of the child so that he/she doesnt hurt himself while scratching. Lastly, lots of water should be consumed to provide moisture to the dry skin.

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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.

667

Corn, Calluses and Blisters in Children

Almost every kid and teenager faces corns, calluses and blisters problem. They cause extreme discomfort, but at the same time, they are easily preventable. The major cause for all of them is friction between the skin and foreign objects.

Dancers experience corns. They are painful bumps on the toes. Area affected with corn becomes hard and the skin becomes thick. The skin surrounding it becomes yellow and it appears like a soft ring encircling it. Skin in the center is gray. They develop on the toes mostly and appear because of tight shoes, which apply lots of pressure on the toe region. The rubbing of the shoes elevates the problem. In this case, a more comfortable pair of shoes should be opted. Corns take longer time to go away. A doughnut shaped pad can be worn in the shoe to avoid friction. Pads with salicylic acid are also highly suggested. If the corn is hurting badly, a podiatrist should be consulted.

Many people complain of callus after shoveling or raking leaves. The symptoms are that the affected area develops hard skin and are similar to that of corn. Repeated application of pressure will thicken the hardened skin which has a yellow or grayish color. In some sense, it actually acts as a protection layer. Gymnasts and guitarist often are victims of callus. Gymnasts develop them when working with uneven parallel bars and guitarists develop them when playing with the strings continuously. But once they are formed, calluses make their task easier. Gymnasts can swing on bars more easily and guitarists can play the guitar well.

Callus when formed on the foot, especially on the sole, can be very painful every time it is stepped on. They form on the ball or the curvy part of the sole, which follows the toes. Sometimes they can also form the heel or on small toes. To avoid callus, it is advised to avoid tight fitting shoes and shoes with high heels. Both of them put a lot of pressure and stress on certain points. The callus can be soaked in lukewarm water and then it should be rubbed with a pumice stone. This will remove the dead skin.

Blisters are usually caused when new pair of shoes has been worn, in general terms, they are caused by pressure and rubbing. Also they are formed more easily when compared to calluses. The skin is popped up with some watery fluid inside it and can appear anywhere on the hand or the feet. The best way to avoid them is to wear protecting gear such as gloves when doing heavy duty work, like while shoveling or even when driving a cycle or a bike. If the blisters arent taken care of in the initial stages, they grow further to form calluses. This can happen when the same pair of shoes is worn everyday, which caused the blister in the first place. Blisters heal by themselves over a period of time. They should be cleaned regularly and kept clean & covered with a bandage.

In case of corn, calluses and blisters, the best approach is prevention when compared to cure. Firstly, protective gear, like work gloves or grips, should be worn when doing strenuous jobs. Tight-fitting shoes should not be worn to avoid corn and calluses. Researchers say that the feet are of the maximum size in afternoon. So it is advisable to shop for shoes in the afternoon. Also a trial should be done before deciding on the final pair. A particular pair of shoes shouldnt be worn on a regular basis. Shoe pads can be worn to avoid the pressure.

613

Constipation in Children

Constipation is a condition of improper bowel movement. Usually the child experiences pain and has a hard time passing dry and hard stool. In normal condition there is no pain while passing the stool and it has a soft texture. The bowel movement is also regular. A child having constipation not only finds it difficult to pass stool, but at times will feel the urge to pass and when he goes to the toilet, he cannot relive himself.

The digestive system is responsible from the intake of the food to the smooth passage of waste. The food or fluids are consumed from the mouth, which heads towards the stomach via the food pipe. After the stomach treats the food with acid, it passes on to the small intestines and then to the large intestines, also known as bowels. The final stage of food digestion is the outlet through of the waste through the anus and rectum. During the whole processing, the body parts absorb nutrients and water from the food supplied to them. The left over matter comes out as waste.

It is a myth among some people who say that an individual is constipated if he or she doesnt pass stool on a daily basis. But the truth is that the bathroom habit differs from one individual to other. So if constipation is to be checked the regular pattern of bathroom habit of that particular individual must be checked and the comparisons must not be made with the other.

Other than not passing stool regularly, the child feels full most of the times and is a little uncomfortable. The belly can also feel stretched because of the full feeling. The child makes great effort to pass and the experience is very painful. Even after passing, the child may feel the urge of passing more stools. Because of the hard stool, it cause small tears in the anus skin and there will be little blood on the toilet paper. The child should immediately tell this to his parents, who can take care of the situation immediately. Some kids who have a worse condition will pass watery stool, something similar to diarrhea, and mucus along with the hard stool.

Constipation is becoming more and more widespread because of the unhealthy diet pattern followed by most of us today. With the trend of fast food, other fatty, starchy and sugary foods, children arent getting the required amount of fiber, which in turn slows down the bowels. It is the responsibility of the parents to make their children eat fiber enriched foods such as vegetables, fruits, and whole grains. Along with eating food rich with fiber, it is also a must to drink enough fluids. Water is the best fluid for this condition. Fluids help to soften the stool and allow smooth passage within the intestine. Insufficient intake of fluids makes the stool dry and hard. Children are becoming more stagnant because of video games, internet and television, which are leaving them with little or no time for physical exercise. Exercise helps the food to move through the digestive system. Lesser active play time and physical activity is also a major cause of constipation. Medicines should be avoided and should be taken only when doctor recommends them.

Stress and anxiety can play havoc over the digestive system. School going kids are usually stressed out because of the homework, assignments, and exams. An adult can talk the kid out of the stress. Children, who have the irritable bowel syndrome or IBS, worsen their condition because of stress. Spicy and fatty foods can also act as triggers, along with the stress. Kids having this syndrome might even experience gas and belly pain. Sometimes children avoid going to the bathroom when they feel the need for. Usually unclean restrooms keep children away. But when the natures call is neglected, it becomes harder to go at a later time. In very rare cases, medical conditions such as lupus, diabetes and thyroid gland malfunctioning can also lead to constipation.

674

Conjunctivitis or Pinkeye in Children

Conjunctivitis or pinkeye is a common problem in school going kids. The eyes become red, itchy, and swollen. There can also be a discharge of gooey liquid from the eye which can be of the color white, clear, green or yellow. Conjunctivitis is also known as pinkeye because the eyes white part turns pink or red. When the child experiences itchiness and redness in the eyes, he/she should inform the elders as soon as possible, as pinkeye is very contagious and spreads very easily.

It is possible that only one eye can get affected by conjunctivitis, while the other eye dose not. In usual cases, both the eyes get infected. Conjunctivitis doesnt hurt usually, but the eyes sure do itch badly. There can be a sensation similar to an eyelash or tiny particle getting in the eye, which can be very annoying. The infection lasts for about a week and usually goes away by itself. But if the itching is very troublesome, it should be treated with medicine. Some children can have conjunctivitis accompanied with ear infections, as the bacteria responsible for causing pinkeye is also responsible for causing ear infection.

Conjunctivitis is caused by virus or bacteria. Viruses which cause conjunctivitis are also responsible for cold. Bacteria which cause conjunctivitis also cause ear infection. Conjunctivitis spreads by touching. If a person touches the hand of the infected person, who has recently touched his eyes, also gets the infection. And since infected children deal with their parents and children, they also pose the risk of getting the infection. The prevention in this case is to wash hands often with warm water and disinfecting soap. Conjunctivitis when caused by bacteria & virus, and is contagious is known as infectious conjunctivitis. Conjunctivitis can also be caused due to allergies or because of entry of irritating foreign body into the eyes. Conjunctivitis caused by this medium is not contagious.

A doctor should be approached upon if the itchiness is very irritating. The doctor will check the eyes for redness and liquid discharge. The doctor would ask about the encounter with any friend or known person who seemed to have pinkeye or whether the conjunctivitis was caused because of some allergy or entry of foreign object into the eye. The doctor can also check the ears for the possibility of ear infection. If the pinkeye is caused because of bacterial infection, the doctor will recommend antibiotic eye ointment or drops. Usually infants are given eye ointment, whereas children and adults are given eye drops. The parents should put the drops or ointment into the childs eyes four to five times a day for nearly seven days or so. The dosage and timings should be maintained to get rid of the infection completely.

If the conjunctivitis is caused due to virus, there is nothing much the antibiotics can do. And if the pinkeye is caused by allergies or any foreign object, the doctor can recommend special eye drops to deal with the allergy symptoms. Warm water can also be splashed on the eyes to ease the itching. A cool or warm washcloth can be used to clean the discharge. Parents can clean the eyes carefully with cotton balls and warm water and remove the crusty stuff which is formed at the ends of the eyes. The towels and washcloths used for cleaning should head straight to the laundry so that the infection doesnt spread to other family members.

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