Risk factors and complication of scabies

Scabies is a type of skin conditions that causes itching and rashes. This dermatological condition is caused by Sarcoptes scabiei, a microscopic mite. It is a contagious condition, which can spread through physical contact. An estimate shows that scabies infects over 300 million people worldwide per year.

This eight-legged microscopic mite creates a tunnel in the human skin and lays eggs in it. These larvae move under the surface of the skin and spread across the whole body, once hatched. Dogs, cats, and mice can also be affected by this disease. It usually takes 2-6 weeks for the symptoms to develop. Signs and symptoms of scabies involve itching, rashes, sores and thick crusts on the surface of the skin.

Some of the risk factors of scabies are:

- Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.
- An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.
- The likelihood of scabies increases easily under crowded conditions, which involve close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.
- Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting this skin condition.

Complications of scabies include:

- Persistent and vigorous scratching can break the surface of your skin, which can lead to secondary bacterial infections. Impetigo, a superficial infection, is a quite common occurrence in such cases.
- Crusted scabies, the most severe form of scabies, can be common in certain groups. People suffering from diseases such as HIV or leukemia who have weakened immune systems as well as severely ill people have high risks of contracting this condition. This condition, also known as Norwegian scabies, is very contagious and also hard to cure.



Must Know Risk Factors and Complication of Scabies

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

Building your child s confidence and self image is an important part of raising a child. Self image can be defined as a child s view of himself and his strengths. If a child is comfortable with his self image, he will have confidence in himself. A foundation of self confidence is key to a child s success in his adult life. In their childhood years, a parent is the main source of building a child s self worth or self confidence. Here are a few ways you can develop your child s self confidence.

1. Avoid negative self talk: Children learn by watching their parents. Hearing parents berate themselves will make children do the same. Talking badly about yourself can reinforce a low self esteem. Hence avoid talking negatively about yourself and stop your child from doing it as well. If your child talks negatively about himself, give him evidence to prove the opposite or give them meaningful compliments. Also avoid calling your child names to shame him as these are likely to stay ingrained in his mind.

2. Celebrate uniqueness: Don t make your child feel like he has to live up to the standards set by siblings or peers. Further, do not pressurize them to fulfill your dreams. Recognize your child s strengths and celebrate his unique abilities. Help them develop their talents and set their own standards for themselves.

3. Let your child make decisions: Empower your child by allowing them to make decisions about simple things like what game to play or what to eat for dinner. Make them feel that their views are valued and thus teach them to be an active member of the family.

4. Let them work things out for themselves: Spoon feeding your child makes things easier at the time, but in the long run can have a negative effect on their self confidence. Be patient and let your child try and do things for himself. As he meets and overcomes new challenges, his confidence will grow. Give your child age appropriate chores to do around the house. This helps build responsibility and a feeling of competency.

5. Be genuine about your praise: Children are highly intuitive and can tell the difference between sincere praise and something being said merely for the sake of it. For example, if your child has made a drawing, instead of simply telling your child that he is an artist in the making be more specific and praise his choice or colours or ability of colouring within the lines.

Raising your Children with High Self Esteem

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Heartburn
- Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

Barium swallow
The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
pH probe

A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.

Upper GI endoscopy
Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.

Gastric emptying study
One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

Gastro-Oesophageal Reflux In Babies

Common cold and cough is one of the most common viral illnesses that have no specific treatment. Allopathic medicines provide palliative cure to just treat the symptoms, there is no definite antiviral for it. There is also popular belief having cold once or twice a year is a good way to cleanse the body. On the contrary, cough and cold could be the first symptoms of a serious underlying disease like pneumonia. From that angle, it is better to treat it than to just let it run its natural course. Especially in children and elderly, it can be chronic issue with repeated bouts and therefore, treatment becomes mandatory.

The good news is that homeopathy provides a cure for this, that not just treat external symptoms. Also, like any other condition, homeopathy looks at treating the whole myriad of associated symptoms, thereby providing holistic treatment. Below are 5 common homeopathic remedies for chronic cough and cold:

1. Aconitum or aconite: used in the early stages of a cold that was sudden in onset and severe. There could be associated nasal discharge, fever and chills, chest congestion, itchy throat, and a traumatic experience. The person may also feel thirsty, anxious, and agitated.

2. Allium cepa: severe burning and watery eyes, nasal irritation, copious amounts of discharge, hoarseness, and headache. The runny nose improves in open air, but worsens when being indoors.

3. Arsenicum album: the patient usually has complaints on the right side including watery nasal discharge, weakness, restlessness, chills, thirst. The discharge can irritate the upper lip and nasal mucosa. The cold gradually moves to the throat and the irritation also shifts down (this phase requires a different treatment). 

4. Belladonna: when the cold has a sudden onset with red face, high fever, cold feet, this can be used in the early stages of the cold. There is associated high fever, tickly throat, glassy eyes, dry cough, restlessness, and delirium 

5. Euphrasia: burning eyes and profuse nasal discharge lead to reddened eyes and cheeks. More common in children, the condition worsens in open air, at night, and while lying down. The cough then moves down into the larynx, produces a harsh, hoarse voice. 

6. Pulsatilla: yellow or greenish mucous, nasal congestion, mouth breathing are some symptoms where this is used. It is very commonly used in newborn babies, if the discharge colour is green or yellow. Associated symptoms include moodiness, easy crying, craving for attention, easily hurt and sensitive. 

Homeopathy does'cure' the cough and cold in patients, in the true sense of the word. That provides palliative care and holistic treatment of the condition too.


Homeopathy for Common Cold and Cough

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