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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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How long can I delay my daughter's vaccination for measles she is going to be 9 months on the 19th June? What should I be aware of, if I can and I do? And Most of all, Should I delay?
My wife is a cardiac patient. She is having cough for the one week. She has been treated with antibiotics and cough syrup but no relief. Please suggest.
My baby is 4 years old and she is doing bed wetting. This habit can be stop? She was active when she was three but now she wets while sleeping.
My son is just 4 months old and I am lactating him. Can I have green tea with lemon and honey? Does the drink reduce breast milk?
A study suggests that two cups of milk a day is ideal for toddlers. Consuming more than that can reduce iron stores raising the risk of anaemia
Also says children from age one to till eight needs two cup of milk and from nine to 18 need three cups of milk or its equivalent each day
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.
- Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
- Fever, nausea, and vomiting
- Abdominal fullness or bloating
- 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.