Balhara's Le Cure Hospital

05/11/2018

14/02/2018

Treating Fever in Children



A high temperature can be alarming, but in an otherwise healthy child it usually isn't something serious. A fever often means that a body is working the way it should and fighting off infection.

Call Doctor If:
You think the child needs medical attention.The child is younger than 3 months old with a re**al temperature of 100.4 F or higher.The child is 3 to 6 months old with a temperature of 101 F or higher or has had any fever for more than one day.The child is older than 6 months and younger than a year with a temperature of 103 F or higher or has had any fever more than one day.The child is 1 to 2 years old with a high fever lasting more than 24 hours.The child is any age with a temperature of 104 F or higher.The soft spot on the child’s skull is bulging.The child vomits repeatedly or has severe diarrhea.The child has signs of dehydration, such as not wetting diapers, crying without tears, dry mouth or mucous membranes, or sunken soft spot.The fever triggers a seizure.The child has a fever and a rash.Your child is at special risk for serious infections. This includes children with blood or immune disorders, or any child who has not received the routine immunizations.

For Infants Younger Than 4 months

1. Take TemperatureThe most accurate way to take a temperature is re**ally. If you are uncomfortable with this, then take temperature under the armpit. If it is higher than 99 F, then double check it re**ally using a re**al thermometer to get the most accurate reading

2. Call Your Pediatrician
If the child's temperature is higher than 100.4 F, call your pediatrician.Bathing or sponging the child with lukewarm water may help bring down a fever. Do not use cold water, ice baths, or alcohol.Do not give any medicine unless discussed first with the doctor,



For Children 4 Months Old or Older Who Have Been Immunized

1. Take Temperature
Re**al. For a child under 4 or 5 months, use a re**al thermometer to get an accurate reading. A child has a fever if the re**al temperature is above 100.4 F.
Oral. For a child over 4 or 5 months, you can use an oral or pacifier thermometer. The child has a fever if it registers above 100.4 F.
Ear. If the child is 6 months old or older, you can use an ear or temporal artery thermometer, but this may not be as accurate. Still, under most circumstances, it's a reasonable way to get a good enough estimate. If it's essential that you get an accurate reading, take a re**al temperature.
Armpit. If you take the child’s temperature in the armpit, a reading above 100.4 F usually indicates a fever.

2. If Temperature Is Below 102 Degrees F
You don't need to treat the fever unless the child is uncomfortable or has a history of seizures with fever. Make sure the child gets plenty of fluids and rest.

3. If Temperature Is Above 102 Degrees F but Below 105 DegreesYou can give infant- or child- Paracetamol following dosage instructions on the package. Ask your pediatrician before giving any fever-reducing medicine to a child for the first time.Bathing or sponging the child with lukewarm water may help bring down the temperature. Do not use cold water, ice baths, or alcohol. Do not give aspirin to a child under 18 years of age because of the risk of Reye's syndrome, a dangerous brain disease. Call your pediatrician to see if you need to bring your child in to see the doctor.

4. Follow Up
child should not return to school or day care until the child is fever free for at least 24 hours. Call your pediatrician if the fever lasts for more than two days, gets higher, or you are concerned...

30/04/2016

TB of the gastro intestinal tract (digestive system) and abdominal cavity is known as abdominal tuberculosis.

How does abdominal TB occur?
Ingestion of the tuberculous germ by drinking unpasteurised milk of a cow infected with TB is one of the mechanisms of abdominal TB.

Abdominal TB can also occur by spread of the TB bacillus from the lungs to the intestines by the blood stream.

In 2/3 rd of children, there is predominant involvement of the digestive system. Involvement of the abdominal cavity (peritoneum) occurs in remaining of the patients. Involvement of only the lymph glands in the abdomen is rare.

What are the signs and symptoms of abdominal TB?
Clinical feature of abdominal tuberculosis is varied. The most common symptoms are pain in the abdomen, loss of weight, anorexia, recurrent diarrhea, low grade fever, cough and distension of abdomen.

The doctor on examination may feel a lump, fluid in the abdomen or a doughy feel of the abdomen. Also there may be enlarged lymph glands elsewhere in the body.

How is the diagnosis of abdominal TB made?
Diagnosis can be confirmed by isolating the TB germ from the digestive system by either a biopsy or endoscopy. However, other supportive tests that may be done are the Mantoux test, Chest X-Ray, Abdominal X-Rays (with or without barium) and scans such as ultrasound and CT scan.

What are the complications of abdominal TB?
Untreated TB of the intestine may lead to intestinal obstruction, fistula or even abscess and perforation with resultant peritonitis.

What is the treatment of abdominal TB?
Abdominal TB needs to be treated with at least 3-4 anti TB drugs for the initial 2 months and subsequently 2 anti TB drugs for at least 7-10 months.

The commonly used drugs during the initial 2 months therapy (intensification phase) are Isoniazid (INH),Rifampicin, Ethambutol and Pyrazinamide. During the next 7-10 months (continuation phase) 2 the drugs commonly used are INH and Rifampicin.

When is surgery required for Abdominal TB?
Surgery is required whenever there is perforation, abscess or fistula formation.

04/04/2016

Symptoms of Parasites (worms) in your body

The list of symptoms is long and includes the following:

•Weakened immunity
•Itching in the re**al area, especially at night
•Frequent vaginal yeast infection
•Sores on the lips or inside the mouth
•Chronic fatigue
•Difficulty sleeping and waking up
•Toe fungus or athletes foot
•Bloating and gas
•Allergies
•Food sensitivity
•Sensitivity to the smell of strong perfumes or cigarette smoke
•Rashes or itching around ge****ls in men or women
•Frequent bladder infections
•Food cravings, especially for sweet or starchy foods
•Intestinal cramps
•Endometriosis
•Psoriasis or eczema
•Prolonged History of antibiotic use
•History of steroid use including inhalant or asthma medication
•History of contraceptive use
•Brain fog or mental fuzziness
•Anxiety or depression
•Floaters or spots in the eyes
•Muscle or joint pain
•Constipation or diarrhea
•Previous or current addiction to Pica ( eating mud, paint, chalk piece)
•Ingestion of fluoride or fluoridated water
•History of high carbohydrate intake....

06/02/2016

We all shouldn’t forget monsoon diseases while go out, dancing in the rain and enjoying our favorite “pakora”, ”kachori” and “hot tea”. Don’t forget you are at risk of falling ill in the season and in order to keep yourself safe, you need to know the most common diseases that you need to stay away from, especially parents of small children need to be extra-careful during rainy season to prevent such disorder. Here are ten most common monsoon diseases we must know.

1. Cold & Flu:

The most common diseases that are found in rainy season are “cold and flu”. This is usually occurs due to fluctuation in the temperature. If you are a working citizen, student or a mother, you need to protect yourself from these illnesses and prevent from getting sick as this disease is mostly turns as viral infection and transfers from one to other.

2. Malaria:

In rainy season the most common monsoon disease that catches you in the rainy season is “malaria”. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to breed and the symptoms that shows in patient during malaria are fever at regular intervals, bouts of shivering, muscle pain and weakness.

3. Cholera:

Another most common and deadly disease that spreads during monsoon is “cholera”. This disease is caused by contaminated food and water and also poor hygienic conditions help this disease to spread. Where there is no proper way of cleanliness and poor sanitation facilities, this disease spread fastly. Common symptoms of cholera are severe diarrhea with watery stool and vomiting which causes immediate water loss, severe dehydration and muscle cramps.

4. Diarrhoea:

“Diarrhea” is the most widespread monsoon disease. It is caused due to unhygienic consumption or handling of foods and water. Since during these days, the digestive functioning deteriorates, therefore diarrhea develops on eating foods prepared with low quality oil. Moreover, as we love to eat chat, golgapas, etc in rainy season and in excitement we forget to take care of hygiene in these items which is basic cause of quick spread ness of diarrhea.

5. Typhoid:

“Typhoid” is another highly infectious disease that spreads during the monsoon season. This disease is caused by contaminated food and water. Prolonged high fever, severe abdomen pain, headache, vomits are common symptoms of this disease. The worst part is that the infection of this disease can remain in the gall bladder of the patient even after he/she is cured.

6. Colitis:

As in “colitis”, the bacteria present in polluted water and food and if polluted water/foods reach into the intestine and get infected, it produces swelling. The patient feels difficulty in eating and drinking. He/She feels intense burning sensation after eating and can turns in worst condition by mixing of blood with stool.

7. Hepatitis A:

As we all know increase in number of flies is weird part of monsoon season and the disease of “Hepatitis A” is generally caused by flies. It can also spread by coming in direct contact of the patient. The symptoms of this disease are similar to flu i.e. high fever together with headache, pain in joints and vomiting.

8. Sheet Pitt:

During the monsoon disease of “Sheet Pitt” (Chapaki) is much more rampant. It occurs due to the hot-cold environs. In this condition terrible itching develops on skin, perforations erupt on affected parts and the suffering patient feels intense burning.

9. Jaundice:

You can also suffer from “Jaundice” in this rainy season as it spreads through contaminated water and food. Street foods play major part in this disease. You may get weakness, yellow urine, vomiting and liver dysfunction in this infection .

10. Dengue:

Widely spreading disease in India is “dengue fever” and possibility of having this disease increases in monsoon. It is caused by mosquitoes due to which you will have fever, body ache, joint pain and rash..

11/01/2016