Tips to prevent irritant diaper dermatitis (diaper rash)

A mother's prime focus always is how to ensure that her child is happy and comfortable, especially when the child is too small. One of the problems which bothers many mothers who are bringing up really small children, is diaper rash. Sensitive skin, tight diaper and prolonged contact with feces and urine etc are common reasons for diaper rash or irritant diaper dermatitis.

Here are few tips to avoid diaper rash and ensuring your child is always comfortable.

1. Careful with wash: if you are using a cloth diaper, be extra careful in washing such that there is no soap remaining in the cloth.

2. Clean well: when bathing your baby, make sure you clean the area covered by diaper with a mild soap and do not rub the area while drying, since the skin is sensitive.

3. Remove soiled diaper instantly: this is the most important. However busy you are, you need to aware of the times when the diaper/cloth has been soiled. And when soiled, the diaper has to be changed at the earliest. Do not keep your baby in the diaper for all hours of the day. It is good if they are out of the diaper for some time every day.

4. Keep the diaper loose. Also, ensure that you wash the cotton diapers with fabric softeners and try to avoid wipes altogether as they have strong chemicals in them.

5. Keep a tab on rashes: if your baby does get the rashes, check with the pediatrician at the earliest. Frequent topical applications of a bland protective barrier agent (zinc oxide paste) may suffice to prevent dermatitis. There are also chances of fungal infections. Antifungal creams should be used on advice of a doctor.

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5 Simple Ways To Avoid Diaper Rash For Your Baby

The tooth is made of 3 layers, each with unique characteristics and specific function, the enamel, dentin, and pulp. The enamel is the outermost layer of the tooth and gives the tooth it's hard and lustrous appearance. The enamel is thicker on the crown than the root and is the first one to be affected by tooth decay. The only symptom when the enamel is decayed is food lodgment and discoloration.

The dentin is the next layer, which is composed of minute fine tubules leading from the enamel to the living portion of the tooth, which is the pulp. Once decay progresses from the enamel, the dentin is affected, and this leads to sensitivity in the teeth. When the root portion is exposed to the oral environment, because the root is covered by a more delicate substance called cementum, more severe dental sensitivity ensues.

There is a sharp, shooting discomfort through the tooth to specific foods, such as sweet, acidic, or hot or cold foods.  The main reasons for tooth sensitivity include:
-  Tooth decay, both crown and root caries
-  Periodontal disease and gum recession
-  Tooth erosion 
-  Aggressive tooth brushing
-  Mouth breathing
-  Bruxism or night grinding 

However, there are some simple ways to manage sensitivity, which can be done regularly at home.
1. Toothpaste made for sensitive teeth: Potassium nitrate has been shown to block the tubules and has been included as an active ingredient in toothpastes. These are very effective, and if you are brushing twice, this can be used instead of the regular paste once.
2. Brushing: Both the type of toothbrush and the brushing technique can have an impact on sensitivity.  Change to softer brushes and learn the ideal way to brush your teeth. A lot of times, rough brushing can lead to erosion and subsequent sensitivity
3. Rinsing: Fluoride containing rinses have been proven to reduce sensitivity 
4. Food habits: Even before sensitivity sets in, being cautious to avoid acidic fruits and juices can help prolong the onset of sensitivity. If possible, consuming these food stuffs should be followed by brushing or at the least a thorough rinsing
5. Sealants: If a person is prone to caries (deep pits and fissures, for instance), then it is advisable to get sealants applied on the teeth. This can reduce the instance of wearing of the enamel which then leads to sensitivity
6. Mouth guard: If you are a night grinder, then a mouth guard can help curtail this habit and thereby reduce sensitivity.
There you go with how to reduce sensitivity. Try these simple, easy measures and go on to enjoy the sweets or hot or cold foods that you have always craved for.

Ways to Reduce Teeth Sensitivity

Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers. 

So, getting pregnant at this stage can be very traumatizing. Issues such as postpartum depression have become very common among teenagers. 

Psychological Barrier in Teenage Pregnancy
As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.

However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.

Signs and Symptoms of Stress and Trauma
1. Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.

2. Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.

3. There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.

4. Excessive fatigue resulting into a brittle mood.

5. Sudden attacks of panic are also quite common.

6. Difficulties in bonding with baby or having patience with baby's demands.

This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.

Stress and Trauma Related to Teenage Pregnancy

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

The early childhood period is considered to be the most important developmental phase throughout the lifespan.  This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.
Physical Development
Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands.  The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes. 
Cognitive Development
Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:
Stage
Age Period Between
Milestones
Sensorimotor Stage
Birth to age 2
Respond to sensory stimuli by simple motor skills.
Preoperational Stage
Age 2 to 6
Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.
Concrete Operational Stage
Age 7 to 11
Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.
Formal Operational Stage
Age 12 to adulthood
Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.
 
Language Development
It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.

What Is Early Childhood Development?

CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

Congenital Problems With The Urinary Tract!

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