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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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Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).
Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.
Fever in Children - Causes:
Causes of fever include:
- Bacterial infections
- Viral infections, like influenza (the "flu")
- Illicit drugs
- illnesses related to heat exposure
- Rarely, inflammatory diseases
When to seek medical care:
- The child is younger than 6 months of age (regardless of prematurity).
- One is unable to control the fever.
- One suspects a child may become dehydrated from vomiting, diarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
- The child has been to a doctor but is now getting worse or new symptoms or signs have developed.
Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.
Take a child to an emergency clinic when any of the following happen:
- One has serious concerns and is unable to contact the child's doctor.
- One suspects the child is dehydrated.
- A seizure occurs.
- The child has a purple or red rash.
- A change in consciousness occurs.
- The child's breathing is shallow, rapid, or difficult.
- The child is younger than 2 months of age.
- The child has a headache that will not go away.
- The child continues to vomit.
- The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)
Home Remedies for Fever in Children:
The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.
- The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
- To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
- Glass thermometers work well but may break, and they take several minutes to get a reading.
- Digital thermometers are inexpensive and obtain a reading in seconds.
- Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
- Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
- Acetaminophen and ibuprofen are used to reduce fever.
- Follow the dosage and frequency instructions printed on the label.
- Remember to continue to give the medication over at least 24 hours or the fever will usually return.
- Children should not be overdressed indoors, even in the winter.
- Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
- The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
- A sponge bath in warm water will help reduce a fever.
- Such a bath is usually not needed but may more quickly reduce the fever.
- Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
- The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
- Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.
- The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
- Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup, other rehydrating drinks available at the grocery or drugstore.
- A child should urinate light-colored urine at least every four hours if well hydrated.
- If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.
- The third goal is to monitor the child for signs of serious or life-threatening illness.
- A good strategy is to reduce the child's temperature below 102 F (39 C).
- Also, make sure the child is drinking enough clear fluids .
- If both these conditions are met and the child still appears ill, a more serious problem may exist.
- If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.
Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.
Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.
How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.
When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.
The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.
All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.
For making the most out of the medicines to control seizures, you should follow certain steps:
- You must take medications exactly as your doctor has prescribed.
- Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
- You should never stop taking the medicines.
- In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
- In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.
Mere 25 days ke beta ka right kidney mei mild echogenic show kar raha hai. Iska matalb smjhate huye iska treatment bataye.
My baby is 7 months old. Last week there was pulse polio campaign by govn and unfortunately was not in town and could not give the same to my baby. Now it is not available in any hospital, will this affect my child in future.
Hi my daughter is 1 and half month old. someday she is not sleeping from 8-10 hours continuously. For example today she is awake from 3: 45 pm and its 12: 40 am now but t she steel not sleeping. Please give suggestions I am so afraid about this.
I need to give my child the 2 yrs typhoid vacancie wanted to know what would be the cost and are there any side effects.
My 3 months old baby has chest congestion. His nose is not stuffy or runny. He is taking breastfeed properly. His chest make sound when he coughed. Doctor gave maxtra drops and asthalin syrup. I am also giving steam by placing water nearby him . What else I can do for him ?
My 4 years old girl child took my 1 contraceptive pill. Crescent. Please advice will it do any harm 2 her.
Hello Doctor, my baby is 2 months 10 days old. He woke up by 11 am in the morning and haven't slept till 1 pm in the night which is almost 13 hours. Even if we try to make him sleep forcibly he sleep only for 15 min hard. Is it healthy for the baby? I m worried alot. Even on regular basis, he will be awake min 10 to 11 hours. Please suggest.
My Baby is going to be 4 months on 2nd may. He's experiencing motion several times a day, like 7 to 8 times. He does green watery motions. He's suffering this since last 1 week, before that it was normal yellowish once a day. Can you please tell us if it's normal for babies or should I consult to a pediatrician.
I have a 6 and a half month old baby can I give him pale g biscuit dissolved in formula n how many. Are thy harmful?
What are healthy foods that helps infants growth when they just started eating in 6 months around 8-9 months if baby growth is not as per WHO standards and how frequently is growth to be monitored ?
Excessive hair fall, thinning of hair and bald spots are not only concerns of adults, children too suffer from hair woes. Look for signs and identify causes that are leading to your child's hair loss. With proper treatment hair loss can be reversed and your child's hair can be restored.
Look for these signs to determine whether your child is suffering from hair loss.
- Bald patches on the head.
- Loss of hair from the entire body
- Excessive hair loss but not complete fallout
- Spots of broken hair and scattered hair loss
- Alopecia areata - This condition results in oval patches of hair fallout from certain portions of the head. It is a noncontiguous condition that appears when the body's immunization attacks the hair follicles. About 25% of affected kids also suffer from ridging nails.
- Tinea capitis - Also known as ringworms of the scalp, this is a type of fungal infections that are often seen in children. It causes oval shaped scaly spots on the head due to breakage of hair and the remaining roots seem like black spots.
- Telogen effluvium - If your child has undergone some kind of trauma, be it physical or psychological, it can cause the hair follicles to enter into the resting phase and within 6 to 16 weeks excessive hair loss occurs leaving your child partially bald.
- Trichotillomania - Stress or anxiety can cause your child to pull out his/her own hair. This results in scattered hair loss and broken hair which is prominent on the sides of the head.
- Lack of nutrients - Nutritional deficiency can cause hair loss if your child lacks vitamin A, B complex and biotin it can trigger hair fall.
Hair fall in children is common and treatable if they are of medical causes. Sometimes rubbing and playing with hair can also cause hair loss so parents are advised to look into all the probable causes that might lead to shedding.
Related Tip: What is the Most Effective Hair Regrowth Treatment??