Commom Childhood Problems

Care & Cure For Kids
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care & cure for kids

Commom Childhood Problems
Diarrhoea
  • Viral infection is the most common cause in children.
  • Antibiotics are often not necessary for the treatment and their use can result in increase in the duration of diarrhoea.
  • Oral rehydration therapy is required for maintaining hydration in children and should be offered for stool or vomiting related losses on volume to volume basis.
  • Zinc has beneficial effect in treatment of diarrhoea and can be given for 14 days.
  • There is no rationale for giving rest to the bowel. Feeding during diarrhea results in faster recovery.
Seek medical help in following situations
  1. Blood in stools.
  2. Sunken eyes, depressed sensorium and not passed urine for 8 hours.
  3. Volume of stool loss is more than what can be replaced orally.
  4. Persistent vomiting.
Common Cold
  • Most common illness in the childhood with an average 6-8 episodes in one year lasting upto 14 days.
  • Humidified air may improve symptoms of nasal congestion and runny nose. For infants, parents can try saline nose drops to thin the mucus, followed by bulb suction to temporarily remove nasal secretions.
  • Encourage child to drink adequate amount of fluids.
  • Antibiotics are not effective in treating colds. Their frequent use in such situation is likely to result in resistance and tendency to have allergies later in life.
  • Use hand hygiene measures to prevent household spread of the disease.
Seek medical help in following situations
  1. Ear pain or discharge.
  2. Rapid breathing.
  3. Alteration in sensorium.
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Fever
  • Usually caused by infection but height of fever is not a differentiating point between viral and bacterial.
  • Fever should be treated if the fever is causing discomfort.
  • Always use a thermometer to record the temperature.
  • Zinc has beneficial effect in treatment of diarrhoea and can be given for 14 days.
  • Rectal temperature is best but rarely used in clinical practice but reasonable information can be gathered by use of thermometer in axilla. While using the thermometer in axilla one should always be keeping the tip of thermometer in the roof of axilla and measure for three minutes.
  • Most effective way to reduce the temperature is to use paracetamol @ 15 mg/kg but not more than 5 doses in a day.
  • Keep the clothes loose, ambient temperature not too high, give plenty of water and rest to the child if possible. Do Not cover the child too much.
Seek medical help in following situations
  1. Infants who are less than three months of age who have a rectal temperature of 100.4°F (38°C) or greater.
  2. Children who are three months to three years who have a rectal temperature of 100.4°F (38°C) or greater for more than three days or who appear ill.
  3. Children who are 3 to 36 months who have a rectal temperature of 102°F (38.9°C) or greater.
  4. Children of any age whose oral, rectal, tympanic membrane, or forehead temperature is 104°F (40°C) or greater or whose axillary temperature is 103°F (39.4°C) or greater.
  5. Children of any age who have a febrile seizure. Febrile seizures are convulsions that occur when a child (between six months and six years of age) has a temperature greater than 100.4° F (38°C).
  6. Children of any age who have a fever and have a chronic medical problem such as heart disease or a new onset rash.
  7. Children who appear sick.
In Diarrhoea, Cold or Fever continue breastfeeding your child.
Shishu Hospital
Because You Can't Compromise With Your Child's Health.
When it comes to CHILD CARE, we know you want the BEST.