Medical Info For Parents – Page 13

04/Jul/2023

Inhaler therapy can be an effective treatment option for children with allergic cough. Allergic cough, also known as cough-variant asthma, is a condition where coughing is the primary symptom triggered by an allergic reaction. Inhalers deliver medication directly to the airways, providing quick relief and long-term control of respiratory symptoms.

There are two main types of inhalers commonly used in the treatment of allergic cough in children:

Short-acting bronchodilators (rescue inhalers): These inhalers contain medications such as salbutamol (asthalin) which work by relaxing the muscles in the airways, opening them up and providing immediate relief during an asthma attack or episode of coughing. They are used on an as-needed basis when symptoms occur. Usually used for 5 to 7 days ( as per advice of your pediatrician) and stopped with cough subsides or reduces.
Long-acting controllers (maintenance inhalers): These inhalers contain medications like inhaled corticosteroids (ICS) or combination inhalers (ICS plus long-acting bronchodilators). They are used regularly to reduce airway inflammation and prevent future episodes of coughing or asthma attacks. They help manage symptoms over the long term and are not used for immediate relief.

It is important to note that the use of inhaler therapy in children should be done under the guidance and supervision of a healthcare professional, such as a pediatrician or an allergist. They can assess the child’s condition, prescribe the appropriate inhaler, determine the correct dosage, and provide instructions on how to use the inhaler correctly.

Proper inhaler technique is crucial to ensure the medication reaches the lungs effectively. Parents or caregivers should be trained on how to use the inhaler correctly and teach their child to use it properly. It may involve coordinating the inhaler with a spacer device, especially for younger children, to ensure optimal drug delivery.
Your pediatrician might advice you to use a mask or without mask, which ever is best possible method for your child.

Regular follow-up visits with the pediatrician are important to assess the child’s response to inhaler therapy, adjust medication dosages if necessary, and monitor overall respiratory health.

In addition to inhaler therapy, it is also essential to identify and avoid triggers that can worsen allergic cough in children. Common triggers include environmental allergens such as pollen, dust mites, pet dander, and certain irritants like smoke or strong odors. Taking steps to reduce exposure to these triggers can help minimize coughing episodes and improve overall respiratory health.

Overall, inhaler therapy can be an effective treatment option for children with allergic cough when used correctly and under medical supervision. It helps provide immediate relief during coughing episodes and long-term control to prevent future symptoms.

Dr. Vibin KV

28/Jun/2023

When selecting an oil for your newborn, it’s essential to choose one that is safe and suitable for their delicate skin. Here are a few considerations:

Avoid oil till your baby is 1 month old atleast.
Use oils specifically formulated for babies: Look for baby oils that are hypoallergenic, free from harsh chemicals, and designed for newborns.
Opt for natural, plant-based oils: Examples include coconut oil, olive oil, almond oil, or jojoba oil. Avoid using oils with strong fragrances or additives that may irritate the baby’s skin.
Patch test: Before applying any oil to your baby’s skin, do a patch test on a small area to ensure there are no adverse reactions or allergies.
Avoid the face, eyes, and genital area: It’s generally recommended to avoid oil application on the face, particularly near the eyes, and genital area.
Vigorous massage with oil can lead to irritation rash over the skin.
Too much oil application over the scalp and face can lead to rashes that might warrant baby to be kept off oil exposure for a while.

It’s always a good idea to consult your pediatrician before starting any new skincare routine or using oils on your newborn baby.

Dr. Vibin KV

19/Jun/2023

Growing pains are a common phenomenon experienced by some children, typically between the ages of 3 and 12 years. These pains are characterized by recurrent, usually bilateral, leg pain that occurs predominantly in the evening or at night.

Symptoms: Growing pains primarily affect the muscles rather than the joints. Children may complain of pain in the thighs, calves, or behind the knees. The pain is often described as an ache or a cramp and is typically not associated with swelling, redness, or warmth in the affected areas.
Frequency and duration: Growing pains usually occur intermittently and may come and go over weeks or months. The episodes of pain tend to last for about 10 to 30 minutes but can sometimes persist for longer periods.
Causes: The exact cause of growing pains is still uncertain. However, they are not associated with actual growth spurts, as the name might suggest. Several theories suggest that growing pains may be related to muscle fatigue, overuse, or stress on the muscles and bones during physical activities.
Risk factors: Growing pains are more commonly seen in children who are very active or participate in sports or other physical activities. They are also more prevalent in children with a family history of growing pains.
Diagnosis: Growing pains are typically diagnosed based on the child’s medical history and physical examination. Laboratory tests or imaging studies are usually not necessary unless there are atypical symptoms or signs that suggest an underlying condition.
Treatment: Growing pains do not require specific medical treatment as they are considered a normal part of a child’s development. However, there are some measures that can help alleviate discomfort, such as:
- Massaging the affected area.
- Applying a warm compress to the painful area.
- Encouraging gentle stretching exercises before bedtime.
- Administering over-the-counter pain relievers like acetaminophen or ibuprofen, under the guidance of a healthcare professional.
When to consult a doctor: While growing pains are generally harmless, it’s a good idea to consult your pediatrician if:
- The pain is severe, persistent, or causing significant distress to the child.
- There is redness, swelling, or other signs of inflammation.
- The child develops a limp or has difficulty walking.
- The child’s daily activities or sleep are consistently affected.

Remember, growing pains are a benign condition and tend to resolve as children grow older. However, if you have concerns about your child’s symptoms, it’s always best to consult your pediatrician for an accurate diagnosis and appropriate advice.

Dr. Vibin KV

16/Jun/2023

Colic is a common condition that affects some newborn babies. It is characterized by frequent and intense crying episodes, usually occurring in the late afternoon or evening. Colic typically starts within the first few weeks of life and often resolves on its own by the time the baby is three to four months old.

The exact cause of colic is unknown, but there are several theories. Some possible factors that may contribute to colic include:

Immature digestive system
Gas and trapped air: Babies can swallow air while feeding, which can lead to trapped gas in their digestive system, causing discomfort and colic.
Overstimulation: Sensory overload, such as excessive noise, bright lights, or too much handling, can overwhelm newborns and contribute to colic episodes.
Allergies or sensitivities: Some infants may have an intolerance or sensitivity to certain foods, such as cow’s milk protein, which can cause colic-like symptoms.

It’s important to note that colic is a diagnosis of exclusion, meaning that other possible causes of excessive crying, such as medical conditions or infections, should be ruled out by your pediatrician.

While colic can be distressing for both the baby and the parents, there are several strategies that may help manage the symptoms:

Soothing techniques: Gentle rocking, swaddling, using white noise, or carrying the baby in a sling or carrier can provide comfort and help calm a colicky baby.
Feeding adjustments: If breastfeeding, the mother may try eliminating potential trigger foods from her diet, such as dairy products or caffeine. If formula-feeding, sometimes your baby might have to be switched to less allergenic formulas by your pediatrician.
Burping: Ensuring the baby is burped frequently during and after feedings can help release trapped air and reduce discomfort.
Creating a calm environment: Minimizing stimulation, dimming lights, and reducing noise levels during colic episodes can help soothe the baby.
Seeking support: Taking breaks and asking for help from family members or friends can provide much-needed support for parents dealing with a colicky baby.

It’s crucial to consult with a pediatrician to rule out any underlying medical conditions and for personalized advice on managing colic in your newborn. Your doctor can provide guidance tailored to your baby’s specific needs and offer additional strategies or interventions if necessary.

Dr. Vibin KV

08/Jun/2023

When it comes to weaning, the process of transitioning a baby from a milk-only diet to solid foods, there are several tips and guidelines that can help parents navigate this important stage of their child’s development. Here are some weaning advice for parents:

Introduce solids gradually: Start by introducing a single food item at a time, ideally pureed or mashed, and observe how your baby reacts to it. Mashed seasonal fruits with milk fat (malai) is mostly tolerated well by infants. Change or add on second meal only after a week. Allow time for baby to adjust.
Maintain a relaxed atmosphere: Make mealtimes enjoyable and stress-free for both you and your baby. Create a comfortable environment, free from distractions, where you can sit face-to-face with your child. This helps establish positive associations with food and encourages healthy eating habits.
Follow your baby’s cues: Pay attention to your baby’s signals and readiness for solid foods. Signs that your baby may be ready for weaning include good head control, ability to sit up with support, showing interest in food, and loss of the tongue-thrust reflex (pushing food out of the mouth with the tongue).
Gradually increase textures: As your baby becomes comfortable with purees, start introducing thicker textures and lumpier foods(This normally takes a month of initiation of weaning foods). This helps develop their chewing and swallowing skills. You can also introduce finger foods that are easy to hold and chew, such as soft cooked vegetables or small pieces of ripe fruits.
Offer a variety of flavors: Introduce a wide range of flavors and textures to expand your baby’s palate. Exposing them to different tastes early on can help promote acceptance of diverse foods later in life. However, avoid adding salt, sugar, or other seasonings to your baby’s food till 10 months of age atleast.
Continue breastfeeding or formula feeding: Remember that breast milk or formula will continue to be an important source of nutrition for your baby during the weaning process. Solid foods should complement, not replace.
Be patient and persistent: It may take time for your baby to accept and enjoy new foods. Don’t be discouraged if they initially reject certain foods or make a mess while eating. Keep offering a variety of foods, and let your baby explore and develop their own preferences over time.
Practice good hygiene: Ensure that all feeding equipment and utensils are clean and sterilized to maintain good hygiene. Wash your hands before preparing your baby’s food and encourage them to explore and self-feed when they are ready.
Seek professional advice when needed: If you have concerns about your baby’s growth, nutrition, or weaning process, consult your pediatrician. They can provide personalized guidance and address any specific questions or challenges you may have.

Remember, every baby is unique, and the weaning process may vary for each child. Trust your instincts as a parent, follow your baby’s cues, and enjoy this exciting milestone in their development.

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Dr. Vibin KV

07/Jun/2023

SEIZURE MANAGEMENT of a child at home- Tips for parents:
Stay calm: It’s crucial to stay as calm as possible during a seizure. Remember that most seizures in children, including febrile seizures, are brief and do not cause any long-term harm.
Ensure safety: Keep your child safe during the seizure by gently guiding them to a soft surface, such as a carpeted floor, away from any sharp objects. Do not put any object inside mouth or inside palm.
Positioning: Place your child on their side during the seizure to prevent choking in case there is any saliva or vomit. Do not try to put hand inside mouth and clear anything.
Do not restrain: It’s important not to restrain or hold your child down during the seizure. Allow the seizure to run its course while ensuring their safety.
Time the seizure: Note the start time of the seizure and observe its duration. Most seizures, including febrile seizures, last only a few minutes. If the seizure lasts longer than 5 minutes, or if you notice any signs of breathing difficulties, contact emergency medical services immediately.
Protect the head
Observe and note details: Take note of any specific details about the seizure, such as the movements, duration, and any unusual symptoms your child experiences.
Seek medical attention when child is stable at the earliest.

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Dr. Vibin KV

07/Jun/2023

Isolate your toddler: Chickenpox is highly contagious, so it’s important to keep your toddler away from other children, especially those who haven’t had chickenpox or received the vaccine. Keep them at home until all the blisters have crusted over, usually about a week.
Relieve itching: Chickenpox can cause intense itching, so it’s crucial to help your toddler find relief. Trim your child’s nails to prevent scratching, and dress them in loose-fitting clothing made of natural fibers to reduce irritation. Apply calamine lotion to soothe the skin. Avoid using any topical creams or ointments without consulting a doctor.
Maintain good hygiene: Wash your toddler’s hands frequently with mild soap and water to prevent the spread of the virus. Use soft, clean towels to pat the skin dry after bathing.
Provide comfort measures: Give your toddler plenty of fluids to prevent dehydration, especially if they have a fever. Offer water, clear soups, diluted fruit juices, and oral rehydration solutions. Use a cool-mist humidifier or place a bowl of water in their room to keep the air moist and help relieve respiratory symptoms.
Manage fever and pain
Seek medical attention immediately if you notice any concerning symptoms such as high fever not responding to paracetamol, fast breathing, lethargy, poor oral intake etc.
Remember chicken pox usually does not get complicated in children. However, it is wise to be cautious.