COUGH and INGESTION of MILK/CURD/BANANA,DR.DEV,PEDIATRIC PULMONOLOGIST,DELHI NCR

COUGH and INGESTION of MILK/CURD/BANANA,DR.DEV,PEDIATRIC PULMONOLOGIST,DELHI NCR

Cough is a protective mechanism of body by which body tries to through out some unwanted particles or organisms, which has entered into body through nose or mouth.Usually ,it should not be suppressed by giving medicines.It requires treatment,only when it becomes disturbing and interferes with d ay to day activities or it disturbs the sleep of child or adult..There is a usual habit of purchasing cough syrup and giving it to child.This practice is wrong.On one hand ,it is not the treatment of disease causing cough and on the other hand it can suppress cough temporarily and increase the disease causing cough.Sometimes it can adversly affect the body and mind.There are many causes of cough in a child,which should be diagnosed and treated,cough will go.Cough is a symptom,not a disease..So,always consult your doctor whenever your child has troublesome cough..

Milk,curd or Banana are not responsible for producing or increasing cough in children or adult.If a person has proven allergy to any of these three,it shoud be avoided,as it may produce or increase cough in that case.Banana contains a substance which breaks the substance responsible for breaking down histamine.Thus ,it may increas the level of histamine in body,which may increase the cough,if the child is already coughing.

So,if a child is not allergic to milk,curd or Banana,these should not be prohibited in diet.

COLD,COUGH and BATH,DR.DEV,PEDIATRIC PULMONOLOGIST,DELHI NCR

Cold and cough are the symptoms of a viral disease caused by respiratory virus. It is not caused by cold weather or ingestion of food materials which are cold to touch.It is a common practice,not to give bath to children during cough and cold.

Bath with normal water is not harmful,rather beneficial during cold and cough.It washes out disease causing virus which are lying over the body. Personal hygiene is compulsory and regular bath should be given to children even during cough and cold.

If the child is sensitive to cold,then only, bath with cold water should be avoided.But bath with normal water should always be given.

TEETHING IN CHILDREN and DIARRHOEA,DR DEV,M.D,PEDIATRICIAN AND PEDIATRIC PULMONOLOGIST,DELHI,NCR

It is a common belief in society that diarrhoea (loose motion) in age group of teething children(6 months to 2 years of age) is due to the process of teething and it will go on till teething will be complete.There is also a belief that teething requires some medications.

Teething is a natural process in growth and development of children.It does not require any treatment as the growth of hairs and nails do not require any treatment.These grow naturally unless,there is no deficiency of any element in the body.If the child is taking exclusive breast feed till 6 months of age and thereafter he or she takes proper nutritious diets,there is no need of any medication for teething.Every child requires supplementation of vit-D ,right from birth to 1 year of age and the dose will be decided by treating pediatricians.

At the time of teething,there occurs some sensation in the mouth of baby and the baby puts something in the nearby surroundings into the mouth.It gives instant gratification after chewing.If ,in the surrounding,there are dirty things ,it will go into the mouth of baby and may cause diarrhoea(loose motion and vomiting) due to infections..To prevent that,surroundings should be kept clean.

During the period of teething,a baby may pass one or two times more stools and there may be mild fever but no vomiting.If the child is feeding well,and passing urine normally,nothing to be worried.If the child is passing stools more frequently,.less interested in feeding and passing less urine,then a doctor should be consulted immediately because it is not due to teething but may be due to infections.

HEAT EXHAUSTION IN CHILDREN,DR.DEV,M.D.,PEDIATRICIAN and PEDIATRIC PULMONOLOGIST,Sahibabad,DELHI NCR

Heat exhaustion is commonly seen in children during summer.It occurs in children who use to play in sun for a long time during very hot weather of summer.Symptoms of this condition are,excessive thirst,excessive sweating,,weakness,pain in the legs,headache ,vomiting,high fever and,rapid breathing. Child may suffer from excessive loss of water and electrolytes from the body(Dehydration).

If the child is not treated at this stage,he or she may go into the stage of heat stroke which is a life threatening condition.It is characterised by ,very high fever, no sweating, abnormal body movement and loss of consciosness.

if any symptom of heat exhaution is seen in children,the child should immediately be shifted to shaded area and if available,into an air conditioned room,clothes should be loosened,cold water or cold sports drinks should be given to drink ,skin should be misted with cool water but not very cold water, and fan should be on to evaporate the heat from body and then as soon as possible,a doctor should be consulted.

For prevention,no one should go into hot sunny weather empty stomach.

Tetanus Vaccine(Injection) is not necessary after every injury.DR.DEV,M.D.,CHILD AND CHILD CHEST SPECIALIST,SAHIBABAD,DELHI,NCR

It has been seen that ,parents go for tetanus toxoid vaccine,after every and any type of injury to the child.This is a wrong practice,as it may blunt the effect of previous vaccines ,if the child has received 3 doses of primary vaccination in first year of life and booster at age of 18 months,5 years and 10 years of age.If the child has received vaccine properly at scheduled periods,the vaccine will protect the child against tetanus after minor injuries,without taking any extra vaccine after injury.Child may require extra vaccine in some situations,which will be decided by the doctor.For example if 10 years has lapsed after last dose,then the child may be given extra dose even after minor injury,otherwise no extra dose is required after minor injury.In cases of major and lacerated injury,the child may require extra dose if 5 years has lapsed after the last dose.The national immunisation schedule has been prepared to immunise the child against tetanus,as it is presumed that,the child may face multiple minor injuries during the childhood period.

GOOD SLEEP during CHILDHOOD,Dr.Dev,M.D.,Child specialist and Child chest specialist,Sahibabad,UP,Delhi NCR

Sleep is an essential component of life.This stage is more important than awake stage.There is a circadian rhythm of sleep which is regulated by dark and light.

There are two types of sleep.One is quite sleep when the brain remains calm and other is active sleep ,when brain remains active and dreaming occurs during this active sleep.There is an alternating cycle of these two sleep patterns.Initially the sleep cycle is of 50 minutes ,which becomes of 90 minutes later on during preschool age.Baby spend 50% time during each phase.The sleep rhythm is not established at birth ,but begins to develop at about 6 weeks of life and becomes established during 3-6 months of life.Sleep is very irregular during first month of life and during this age ,baby may be active during sleep which may be observed as movements of legs,smiling and sucking during sleep.

Sleep is essential for the adequate development of body and mind.During the period of quiet sleep,blood flow increases through muscles,hormones are released in the body which are essential for the growth of baby.During quiet sleep,tissue growth and repair occurs and energy is restored.

Adequate Sleep time;

0-3 months of age 10.5-18 hours,4-11 months of age 9-12 hours,1-2 years of age 11-14 hours,3-5 years of age 11-13 hours and 6-13 years of age(school age) 9-11 hours

Sleep problems and disorders are mostly seen during school age group (6-13 years of age).If the child does not sleep adequately ,it may cause mood swings,behavioral problems and the dangerous thing which can destroy the career of child -ADHD(Attention deficit and hyperactive disorder)

A child should be taught the importance of good sleep and parents should help in making a regular sleep habit..Child should go to bed at a particular time even during holidays.The room should be conducive for good sleep.The room should be dark ,cool and noise free.TV,Computer and mobile should not be in the room.Watching TV close to the bed time may cause resistance to sleep

USE OF INHALER WITH SPACER WITH MASK FOR ASTHMA ,BELOW 5 YEARS OF AGE,Dr.Dev,Pediatric Pulmonologist(Child Chest specialist),Sahibabad,UP,Delhi NCR

Inhalational corticosteroid is the mainstay of treatment for asthma in children.It is effective only when taken with correct technique,taught by a trained Doctor .If the technique is faulty,there will be no benefit of treatment and it will give a false sense of medication being given.In such situations,disease will progress and parents will think that the disease is progressing due to inlaler or there is no benefit of inlaler.PLEASE CLICK BELOW TO WATCH FOR A CORRECT TECHNIQUE OF ASTHMA MEDICATION
https://www.youtube.com/watch?v=VXsG13dzhy4

CAVITORY LESION CAN BE SEEN IN SCHOOL AGE CHILDREN WITH PULMONARY TUBERCULOSIS,DR.DEV,M.D.,Pediatric Pulmonologist,Sahibabad,UP,Delhi NCR

Five year old female child came to me with the history of fever,loss of appetite for 15 days and weight loss for 1 month.On examination,the weight of child is 10 kg which should be 18 kg.On chest auscultation,breath sound was markedly diminished on right inframammary region.Chest X-Ray was done which shows cavity on right mid zone.Contact history for tuberculosis was negative.Clinical setting and chest X-Ray is suggestive of pulmonary tuberculosis.Further investgations are being done to confirm the diagnosis.

Message: Cavitory lesion which is usually seen in adolescent and adults suffering from tuberculosis,may be seen in children with school age group.

Precautions while going to Hill stations.Dr.Dev,M.D.,child specialist and child chest specialist,Sahibabad,UP,Delhi NCR

It is a common practice to visit hill stations during holidays .Some children may develop acute mountain sickness ,the commonest form of high altitute illness when they suddenly go to high altitude on the mountain.The symptoms of this disease are headache,vomiting,tiredness,getting difficulty in sleep and dizziness.These symptoms resolve within 12-48 hours of acclimatization.

If these symptoms are ignored,the child may develop life threatening complications in the form of high altitude pulmonary edema and high altitude cerebral edema.

PRECAUTIONS:One should not travel on high altitude for more than 9000 feet on a single day.After 9000 feets,one shuold not go for more than 500 meters per day.One shuold take 24 hours of rest for acclimatization after every 1000 meters above 9000 feets.One should avoid vigorous exercise 48 hours prior to going up.

On feeling symptoms,one should consult doctor if available.Oxygen therapy may be needed in few cases. If despite treatment,the symptom is not improving,one should get down gradually

SUNSCREEN CREAM FOR CHILDREN,DR.DEV,M.D.,Child specialist and Child chest specialist,Sahibabad,UP,Delhi,NCR

Sunscreen should be applied to all children, 15-30 minutes before going out in sun.It is more important for fair skinned children.Dark skinned children have more melanin in their skin to protect from bad effects of sun.But they should also apply sunscreen as the protection that is inherent is not sufficient.Children below 6 months of age should be protected by loose clothes covering all vulnerable areas and hat with brim should be put before going going out in sun.Exposed areas like outer surface of hands should be protected by sunscreen cream or lotion.

According to American Academy of Dermatology,the sunscreen for children should have SPF(Sun protection factor) of at least 30.The sunscreen comes in the market in different formulations,like cream,lotion,gel,and sticks.Sticks can be used for area around eyes and gel can be used on hairy area like scalp.Sunscreen should be applied in sufficient amount.It should be water proof which remains effective for about one hour in water like in swimming pools. If it is not water proof,it should immediately bereapplied while coming out of swimming pool.It should also be sweat proof.If not ,then reapplied after sweating.Usually it should be applied 2 hourly.It should be protective from both UVA and UVB,(Ultraviolet A and B)