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?

What Causes Eczema? Ways to Prevent Eczema Outbreaks

A skin inflammation, eczema, also known as atopic eczema, refers to the changes that occur in the upper skin layer. These skin changes can be thickened and cracked skin, skin redness, crusting of the affected area and swollen raw skin, among others. The exact cause of this skin condition is not yet known but a mix of factors have been found to be behind this health problem.

CAUSES :

The factors that play a role in causing eczema are:

- Dry skin brings down your skin's ability to fend off irritants as well as allergy causing substances from entering your skin, resulting in an inflammatory condition.

- Genetics is also one of the factors that may affect the proper functioning of your skin as a barrier against harmful substances. Therefore, if either one of the parent or both suffers from the condition, it is very likely that their children too will suffer from it.

- Abnormal functioning of your body's immune system can also lead to this skin condition. This is because it's your body's immune system that fights off infections as well as harmful intruders.

- The presence of the bacteria called Staphylococcus aureus, which brings about sweat buildup, inflames the skin considerably, leading to this condition.

- Even environmental factors like pollen, cigarette smoke lead to the flaring of eczema.

How can you prevent an eczema outbreak?

It is very common for this skin condition to flare-up from time to time. But you can avoid such outbreaks or reduce their severity by following these very simple ways:

- Keep your skin well-moisturized so that it doesn't dry out causing further irritation.

- Sudden changes in temperature can cause the skin condition to break out. So, when the weather is hot, keep yourself cool but during cold weather, use a humidifier to prevent the skin from drying out.

- Keep sweating in check as it can cause an outbreak very easily

- Avoid the use of harsh detergents and soaps, woolen materials as well as the consumption of foods that may lead to flare-ups



What Causes Eczema? Ways to Prevent Eczema Outbreaks

Causes of iron deficiency in children

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

Low birth weight
Excessive intake of cow's milk at less than 2 years of age
Feeding exclusively on breastmilk beyond 6 months of age
Lead poisoning
Insufficient intake of lean meat
Pure vegetarian diet
Gastrointestinal disease or infection
Improper diet of the mother during pregnancy
Chronic diarrhea
Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment.



What Causes Iron Deficiency in Children?

Benefits of breastfeeding 

Breast milk contains the right balance of nutrients for your baby. Breast milk is easier to digest than is commercial formula.
The antibodies in breast milk boost your baby's immune system. Breastfed babies get fewer colds and sinus and ear infections. They also have less diarrhea and constipation and a decreased chance of having allergies.
Helps to increase the bonding with your baby
Helps to reduce the risk of breast cancer in the mother
No frantic runs to the store. No bottle cleanup. Many moms just roll over (especially if their baby is in a co-sleeper) and nurse in a sleepy state. Breast milk is instantly available and delivered warm.
If you mostly breastfeed, you save money on formula
Breast-feeding might even help you lose weight after the baby is born.
Its tough in the begining
Consider a breastfeeding class while you're pregnant. Getting baby to latch on may not feel natural. Ask for help in the hospital. Those first days, you might feel what experts call extreme tenderness -- and what we call pain. But once your baby is properly latched, discomfort should diminish during each nursing session and go away completely with time. Don't ignore shooting pain; a knot in the breast accompanied by soreness and redness could be a plugged milk duct, which can lead to mastitis, a nasty infection that requires antibiotics.

Start by getting comfortable. Support yourself with pillows if needed. Then cradle your baby close to your breast rather than learning forward to bring your breast to your baby. Support the baby's head with one hand and support your breast with the other hand. Tickle your baby's lower lip with your nipple to encourage your baby's mouth to open wide. Look and listen for a rhythmic sucking and swallowing pattern.

If you need to remove the baby from your breast, first release the suction by inserting your finger into the corner of your baby's mouth. If your baby consistently nurses on only one breast at a feeding during the first few weeks, pump the other breast to relieve pressure and protect your milk supply.

You're the food supply, so mother yourself

The nutrient needs of a woman are at an alltime high during breastfeeding. Keep taking prenatal vitamins, get ample calcium. By weight, 88% of breast milk is water. Breast milk volume increases from as little as 50 ml on the first day, to as much as 750 ml a day, when breastfeeding is well established. So, the most critical nutrient needed for the production of ample breastmilk to meet a suckling baby s demand, is water. Aim to drink at least 1.5- 2 litres/day.

You'll also need to learn to relax, however you can -- stress might affect letdown (the start of your milk flow). Take a warm shower, sink into a chair, and remember to breathe as you help your squirmy baby latch on. 

Select wholesome food such as wholegrains, fruit, vegetables, low fat dairy products, lean meat, fish, poultry, eggs, beans, nuts and seeds to maximise the overall nutrient quality of your diet.If you need medication (for anything from a cold to a chronic condition), check with your doctor. Most meds -- but not all -- are fine in breast milk. 

Breastfeeding - Why Is It Advocated & Tips For Moms

Upper respiratory infection (URI) is a condition, which involves illness, mainly caused by critical infection in the upper respiratory tract. This region includes the pharynx, larynx, nose and sinus. This infection causes diseases, such as tonsillitis (tonsils get inflamed), pharyngitis (causes sore throat) sinusitis (nasal passage becomes inflamed), laryngitis (voice box in your throat gets inflamed) and common cold.

Causes of upper respiratory infection (URI):
1. Both virus and bacteria cause upper respiratory infection (URI). The most common form of virus causing this infection is known as 'rhinovirus.'

2. The immune system of young adults and children are often very vulnerable. Hence, they are more likely to develop upper respiratory tract infection.

3. URI is also contagious and airborne in nature. So if a person comes in contact with an infected person suffering from URI, he/she is likely to develop this infection.

4. Not washing hands before meals can also cause upper respiratory infection because the virus can be transferred easily to the mouth and can travel into your system.

5. If you have any lung problem or heart disease, you are more likely to be susceptible to upper respiratory infection.

6. Those who already have inflamed tonsils can trigger tonsillitis by drinking any cold or spicy beverage like ice-creams or cold milkshakes.

7. Exposure to some flu or cold can cause pharyngitis. It can also be caused by second hand smoking.

8. Birth defects or structural defects in the nasal cavity or nasal polyps can cause sinusitis. Sometimes the inside part of the nose may get swollen due to common cold and block your ducts. This is a common cause for sinusitis.

Symptoms of acute upper respiratory infection:
1. Congestion in the lungs or nasal area.
2. Whooping cough
3. Running nose due to common cold.
4. Feelings of fatigue and lethargy throughout the day.
5. Your body will start aching without engaging in any physical exercise.
6. You can also lose consciousness in severe respiratory tract infections.
7. Difficulty in breathing.
8. Oxygen levels in blood drop down drastically.

Sometimes in worse cases, acute upper respiratory tract infection (URI) can also cause respiratory failure, respiratory arrest and congestive heart failure. Therefore, it is necessary to book an appointment with a doctor as soon as you start experiencing the above symptoms.

Acute Upper Respiratory Infection: Causes and Symptoms

Necrotizing enterocolitis is a disease that causes inflammation of the tissues present in the intestines and results in damaged tissues. It initially affects the inner lining which ultimately results in thickening of the intestine. It may also lead to a hole in the abdomen resulting in bacteria entering the intestine, thus resulting in infection.

Symptoms-
The symptoms of necrotizing enterocolitis are:

You may experience symptoms of bloating in the abdomen
The abdomen may be discolored
You may experience diarrhea and vomiting
You may not feel hungry
There may be presence of blood in your stool
You may have a fever and constantly feel lethargic
Causes-
Lack of blood and oxygen in the intestine causes it to become weak and increases the chances of necrotizing enterocolitis. It may result if oxygen levels drop during a difficult delivery. If the intestines are weak, then they are at a higher risk of getting infected by bacteria. If you have an excessive supply of blood cells in your body or other stomach condition, then it may lead to this disease.

Diagnosis-
Usually the doctor conducts a physical exam to detect the symptoms of this disease. If babies are born with this condition, then they may suffer from weak immune system and problems in blood circulation. The doctor may also recommend x-rays to get detailed images of the intestine in order to probe for symptoms of inflammation and damage.

Treatment-
The treatment of the disease depends on few factors such as:

The child's age
How far has the disease progressed?
Health of your child
It is recommended to stop breastfeeding. Feed the baby through intravenous methods. The doctor may also recommend antibiotics and oxygen support if the child has breathing problems. In severe cases, the child may require surgery to treat this disease.

If the treatment occurs early, then the child may recover. However, complications such as a narrow and damaged bowel may persist. This may cause problems in nutrient absorption in the intestine leading to other disorders.


All About Necrotizing Enterocolitis

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