Are you observing red, crusty patches on the surface of your infant s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.

Causes-

Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.

Does Eczema In Infants Go Away By Itself?

In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.

Treatment-

Here are some home treatment options for infant eczema:

You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby s skin in retaining natural moisture. Apply these after a bath.

A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby s scrub for soothing itchiness.

You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby s skin. Scrub some soap on areas of your child s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.

Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.

You should consult a doctor on observing any signs or symptoms of eczema on your child s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.

Eczema in Infants: What You Should Know?

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

While siblings are the force that breathes life into any family structure, it has also been seen as a challenge of sorts to manage siblings and bring out the best in each one of them. In any family unit, there are a number of entities who need to be nurtured in a certain way to ensure that their identities are not hampered by a "one size fits all" style of parenting. Every child is different and will need to be handled differently. Besides this, there are other related challenges that will contribute to the quality of the relationships between the siblings, as well as the rivalry that they may feel towards each other when it comes to attention, achievements and varied other factors.

Read on to know the ten tips to tackle sibling rivalry:

1. Make Friends before Birth: encourage your first born to connect even before the birth of the new baby by including him or her in the changes you see and feel. Planning for the new baby with your first born will also help in such cases.

2. Staying positive is a big factor that will help the children in feeling confident despite their different qualities and strengths.

3. Comparison is a big no no. Stay away from these kind of comparisons so that the children do not feel like they have to fight with each other for your praise.

4. Time Sharing: Ensure that you divide your time well and indulge each child in his or her area of interest so that they feel like you are always there for each of them.

5. Harmonious Start to the day: this will ensure that the children have a special bond at the end of the day. Make sure that they help each other and divide chores accordingly. The older siblings should be given the care giving tasks while the younger ones should be taught to obey them and play along.

6. Humour them: It is a known fact that humour is the best medicine that breaks even the most tension filled atmosphere.

7. Family Meetings: Hold family meetings to discuss important things and even intense fights so that everyone's needs and issues are addressed.

8. Empathy: Teaching your child to empathize with others will help him or her steer clear of needless rivalry at home too.

9. Ignore the Small: Let them figure out the smaller fights, yet always be there to address the bigger issues so that they know you are there for them.

10. Equal Treatment: Treating them equally does not mean doing the same thing for each of them. It means giving them equal time and attention with personalized treatment to suit varied temperaments. This will also give them a lot of individual confidence which eventually kills any feelings of rivalry.

10 Tips to Tackle Sibling Rivalry

Sudden Infant Death Syndrome (SID) refers to the unexplained and sudden death of a seemingly hale and hearty baby. This condition tends to occur when the baby is asleep and that's why it's also known as crib death. Although the reason for the condition is still not known, many experts have attributed the cause of the condition to abnormal development in the parts of the baby's brain that oversees breathing and awakening from sleep. Nonetheless, there are ways that can prevent the problem from occurring and which are:

Always place your baby on the back to sleep

Sleeping on the back is the safest position that your baby should be in, whenever he or she sleeps. You shouldn't let your child sleep on the sides as he or she can roll onto the stomach, and may hamper the breathing process. You can place your baby on the stomach when he or she is awake.

Place your baby on a firm surface to sleep sans of any objects

It's best to place your baby on a firm mattress to sleep while avoiding thick and feather padding like a thick comforter. At the same time, objects like toys, stuffed animals or pillows should be removed from the crib as they may get in the way of your child's breathing by pressing on his or her face.

Make sure your baby doesn't become very hot

For keeping your baby warm during sleep, it's best to opt for sleep clothing or blanket made of light material so that it doesn't make him or her feel very hot. If using a blanket, it should be placed loosely over the baby and one should also remember to not cover the baby's head during sleep.

Use a pacifier

Research suggests that the use of the pacifier can reduce a baby's chance of dying from SIDS. This is because the pacifier helps in preventing the baby from rolling over onto his or her stomach during sleep. At the same time, it's also believed that the instrument helps in keeping the baby's tongue positioned in a manner that keeps his or her airways open.

Breastfeed your baby

Breastfeeding your baby for a minimum of 6 months can help in preventing the occurrence of SIDS. Several studies have revealed this beneficial aspect of breastfeeding.



5 Ways to prevent Sudden Infant Death Syndrome (SID)

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

Appendicitis in Children

If chewing food and retaining a sparkling smile is not enough for you, avoiding toothaches and a visit to the dentist could be reason enough to maintain healthy teeth. Ignoring your tooth health can lead to many problems. Answer yourself the following question. Would you like your teeth inside your mouth or in a glass tumbler beside your bed at nighttime? 

If you opted for the former, then going through the following tips and advices will go a long way in helping you sustain healthy teeth. They are:

1)  Brush and floss twice a day
Brushing and flossing twice a day, on a regular basis will help you maintain healthy teeth and gums in the long run. The ideal time to brush your teeth is 20 minutes after a meal. Opting for a toothbrush with a small head and soft bristles gives you better access to even the deeper portions of your mouth, thus providing comprehensive cleansing to your teeth. Moreover, softer bristles are generous on your gums as well.

2) Nutrition
Whatever you eat, either protects you or makes you more susceptible to diseases and disorders. This stands true for your oral health as well. As such, choosing the right foods early in your life is of vital importance. Foods such as cold drinks, cakes, candies and other such sugary substances facilitate the growth of germ and bacteria in your mouth, resulting in plaque and cavities. Choosing foods that are low in starch and sugar will reduce the development of germs and help eradicate cavities or plaque in the long run.

3) Smoking
Even the pack of smoke that you buy endorses smoking is injurious to your general health. Smoking causes reduced flow of blood to the mouth, which resultantly leads to increased chances of periodontal disease and mouth cancer. Smoking, moreover causes a decline in the ability of the bones and tissues to revascularize (self-heal). All else apart, just stop smoking.

4) Chewing gums
Chewing gums are highly beneficial especially after a meal. They not only increase the flow of saliva in your mouth, but also improves the flow of blood to your brain, thus enhancing your alertness by close to 10%. In addition, chewing gums help neutralize the acid in your mouth, thus helping you cleanse your mouth.

Tips to Maintain Healthy Teeth

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