Motion Sickness in Children

Children usually feel sick in the stomach when travelling in a car, airplane, boat or train. This sickness is known as motion sickness. This sickness is caused by reception of wrong signals by eyes, muscles, skin receptors, and inner ears.

While travelling, different body parts send different signals to the brain. Eyes see things around and it sends signals about the direction of movement while in motion. The joint sensory receptors and muscles send signals about the movement of the muscles and the position in which the body is. The skin receptors send signals about the parts of the body which are in contact with the ground. The inner ears have a fluid in the semicircular canals. This fluid senses motion and the direction of motion like forward, backward, up, down, circular, or to and fro. When the brain gets timely reports from the various body parts, it tries to find a relation between all the signals and then sketches a picture about the body’s movement and position at a particular instant. But when the brain isn’t able to find a link and isn’t able to draw a picture out of the received signals, the condition called motion sickness is experienced.

For example, if a child is riding in a car and reading something at the same time, the eyes will see stationary book. But the skin receptors and the inner ears will sense the body moving in a forward direction. The eyes and the muscle receptors will send signals that the body is not moving. This confuses the brain and everything is jumbled up in the head. This makes the child dizzy, sick in the stomach and even tired. There is a possibility of the child throwing up, so it is recommended that the parents carry a sick bag each time they are travelling with kids. And if the child is feeling anxious or scared, the condition can deteriorate further.

Although there are medicines available over the counter to deal with motion sickness, some measures should be taken to avoid medicine and also motion sickness. The child should always be made to sit facing in the forward direction. He/she should not face or sit backwards, nor should he be made to sit in a seat facing backwards. This helps the ears and the eyes to send similar kind of signal. It is good if the kid isn’t involved in some kind of activity like reading, playing video games or something which is stationary. He/she must be asked to look outside, especially at things which are located at a distance. The same applies when travelling in an airplane. When travelling in a boat, the child can go to the upper deck and look at the horizon. Basically, the child must be made to concentrate at things which are located at a distance and are in motion. When looking at something stationary, the eyes get confused and send wrong signals.

It also helps to sit in a place which is moving the least. Usually, it is the center point of the body, so the more close the child sits to the center, the better. Like when in an airplane, it is good to sit in seats in the middle aisle and not in those which are located near the wings. If the child is sitting in the center of the boat, instead of the front or the side, the lesser seasick the child will feel. In spite of all these measures if the child is still feeling sick a doctor should be consulted. The doctor checks the inner ears for any defect. He will also check other body parts which are responsible for sensing motion. Apart from medicine, pressure bracelets are also available at the local pharmacy. And along with carrying a sick bag or any other plastic bag, the car can be pulled over and the child should be walked out a bit to feel better.

Fever

The normal temperature of human body is 98.6°F. If the temperature is taken rectally, the thermometer will show a rise of 1°F, that is it will show 99.6°F. The normal body temperature can vary slightly among individuals. The doctors consider the rise in body temperature as fever if it crosses the mark of 99.4°F when taken orally and 100.4°F when taken rectally. Rectal checking of temperature is done in infants and children who are older than four years have their temperature checked orally. Infants under three months should be rushed to the hospital if they have fever above 100.5°F. The same applies for children older than three months and having a body temperature above 102°F.

Digital thermometers provide a more accurate temperature reading. Mercury thermometers pose a health risk to the family as it is an environmental toxin. Hence, this is another good reason why mercury thermometers should be replaced with digital thermometers. Parents must take few measures before and during the task of checking the child’s temperature. First of all, the parent should be sure about the kind of thermometer he or she wants to use, that is whether the thermometer should be meant for oral use or rectal use. The child shouldn’t be bundled up very tightly before the temperature is checked. When the thermometer is being held by the child, the parent should supervise the whole procedure. Infants might experience pain when the thermometer is inserted into his rectum. Therefore, it is a good idea to cover the thermometer’s tip with petroleum jelly before insertion and only half of the thermometer should be inserted inside. The thermometer should be held until the beep is heard as children tend to drop the thermometer, if it is left to them. When taking the temperature orally, the thermometer should be placed underneath the tongue and should be left there until the beep is heard. After usage, the thermometer should be washed with cold water and soap.

When an infection is being fought by the body, it shows signs of fever. When the child becomes fussy and experiences aches in parts of the body, the child should be administered with some medicines. Medicines are available for children, depending on their needs, age and weight. The recommended dosage will be written on the pack or the label of the medicine and the parents should check that chart before giving any medicine to the child. If there is any kind of confusion, a doctor should always be consulted. Medicines like Acetaminophen, Ibuprofen, and Tylenol for children are available over the counter. When acetaminophen is given along with lukewarm bath, it helps decrease the fever. The medicine should be given just before the bath. The water shouldn’t be cold and no alcohol products must be used while bathing. If bath is given minus acetaminophen, the child can begin to shiver and there is chance of body temperature going high again.

Aspirin is not advisable for children as it may develop serious illness called Reye’s syndrome in the child. The risk is even more in kids having chickenpox or flu. Not more than five doses should be given in twenty four hours. If drops are given, the dropper should be filled till the marked line. A liquid medicine usually comes with a measuring device in the form of a cap. If not, it can be bought at the local drug store. Infants under four months shouldn’t be given medicine, unless told by the doctor.

Certain symptoms call for immediate attention and the doctor must be contacted immediately. Symptoms can be dry mouth, rapid change in body temperature, ear-ache, behavioral changes, frequent diarrhea and vomiting, paleness, seizures, skin rashes, intense headaches, sore throat, swollen joints, irritability, high pitch crying, not feeling hungry, stiff neck, stomach ache, whimpering, wheezing, limpness, and breathing problems. At all times, the child must be made to wear comfortable cotton cloths which help the body to breath properly and at the same time absorbs the sweat. The child should also be given fluids constantly, in order to combat with dehydration.

Ear Infections in Children

Middle ear infection is a very common problem faced by children. Even infants below two years could face this problem. Infection in the ear is caused by germs and viruses. They enter the human body and grow to cause infection, affecting the normal functioning of the body. Similarly, germs can enter the ears. Depending on the location of infection, the infections are named. The human ear can be divided into the inner part, middle part and outer part. When the outer ear is infected by germs, the infection is known as swimmer’s ear. When the inner part of the ear gets infected, it is called middle ear infection. The germs infect the middle portion of the ear and fill that area with pus or a yellow gooey liquid. This liquid has cells which fight germs. The middle part of the ear is shaped in the form of a tiny air pocket. It is located at the back of the eardrum. And when the pus begins to fill in this area, the ear feels like a filled balloon which is on the verge of popping. This feeling is really painful.

The throat is connected to the middle portion of the ear through a channel known as Eustachian tube and in fact middle portions of both the ears are connected to the throat by two Eustachian tubes. The job of these tubes is to allow the free movement of air, from the middle ear, in and out direction. Infants below three years have less developed and smaller Eustachian tubes and therefore are less capable of keeping germs completely out of the middle ear. As the child grows, so do the Eustachian tubes and the more capable they are of keeping germs outside, but they still face some problem.

Usually kids, who have allergic problems and catch cold very frequently, are more prone to get ear infections. When the child gets cold, the Eustachian tube gets obstructed which allow germs to get into the middle ear. And the germs which gain entry, multiply rapidly resulting in a middle ear infection.

The child gets a fever along with the ear pain. Some even find it difficult to hear because of the blockage. Middle ear infection is not contagious, but the cold caught from others can eventually result in an ear infection. The sooner the doctor is contacted, the better for the child and the rest of the family members. The doctor will check the ear with the help of an otoscope. It is a special flashlight which makes the eardrum visible. The eardrum is a thin membrane separating the outer ear from the middle ear. The otoscope can also be used to blow a puff of air into the ear. This determines whether the ear drum is functioning normally and is moving in a healthy way or not. Because of the puss formation due to the infection, the fluid will press against the ear drum and may even make it to bulge. Also, the eardrum can turn red because of the infection.

The doctor will prescribe a pain reliever to be taken for the next two days. Antibiotics will be prescribed if the infection is caused because of bacteria, which will end the infection within a couple of days. Incase, the doctor recommends an antibiotic, the cycle must be completed as told by the doctor, otherwise there can be a possibility of re-infection. Few children who get ear infections frequently will have to undergo other tests such as tympanogram and audiogram.

Children can take some steps to avoid ear infection. They must wash their hands regularly. They must keep away from people who are infected with cold. And if they do come near or in contact with an infected person, they should wash their hands and should not touch their eyes or nose. Parents, who smoke, should not do it near the kid as the tobacco smoke can be responsible for the malfunctioning of the Eustachian tube.

Constipation in Children

Constipation is a condition of improper bowel movement. Usually the child experiences pain and has a hard time passing dry and hard stool. In normal condition there is no pain while passing the stool and it has a soft texture. The bowel movement is also regular. A child having constipation not only finds it difficult to pass stool, but at times will feel the urge to pass and when he goes to the toilet, he cannot relive himself.

The digestive system is responsible from the intake of the food to the smooth passage of waste. The food or fluids are consumed from the mouth, which heads towards the stomach via the food pipe. After the stomach treats the food with acid, it passes on to the small intestines and then to the large intestines, also known as bowels. The final stage of food digestion is the outlet through of the waste through the anus and rectum. During the whole processing, the body parts absorb nutrients and water from the food supplied to them. The left over matter comes out as waste.

It is a myth among some people who say that an individual is constipated if he or she doesn’t pass stool on a daily basis. But the truth is that the bathroom habit differs from one individual to other. So if constipation is to be checked the regular pattern of bathroom habit of that particular individual must be checked and the comparisons must not be made with the other.

Other than not passing stool regularly, the child feels full most of the times and is a little uncomfortable. The belly can also feel stretched because of the full feeling. The child makes great effort to pass and the experience is very painful. Even after passing, the child may feel the urge of passing more stools. Because of the hard stool, it cause small tears in the anus skin and there will be little blood on the toilet paper. The child should immediately tell this to his parents, who can take care of the situation immediately. Some kids who have a worse condition will pass watery stool, something similar to diarrhea, and mucus along with the hard stool.

Constipation is becoming more and more widespread because of the unhealthy diet pattern followed by most of us today. With the trend of fast food, other fatty, starchy and sugary foods, children aren’t getting the required amount of fiber, which in turn slows down the bowels. It is the responsibility of the parents to make their children eat fiber enriched foods such as vegetables, fruits, and whole grains. Along with eating food rich with fiber, it is also a must to drink enough fluids. Water is the best fluid for this condition. Fluids help to soften the stool and allow smooth passage within the intestine. Insufficient intake of fluids makes the stool dry and hard. Children are becoming more stagnant because of video games, internet and television, which are leaving them with little or no time for physical exercise. Exercise helps the food to move through the digestive system. Lesser active play time and physical activity is also a major cause of constipation. Medicines should be avoided and should be taken only when doctor recommends them.

Stress and anxiety can play havoc over the digestive system. School going kids are usually stressed out because of the homework, assignments, and exams. An adult can talk the kid out of the stress. Children, who have the irritable bowel syndrome or IBS, worsen their condition because of stress. Spicy and fatty foods can also act as triggers, along with the stress. Kids having this syndrome might even experience gas and belly pain.  Sometimes children avoid going to the bathroom when they feel the need for. Usually unclean restrooms keep children away. But when the nature’s call is neglected, it becomes harder to go at a later time. In very rare cases, medical conditions such as lupus, diabetes and thyroid gland malfunctioning can also lead to constipation.

Conjunctivitis or Pinkeye in Children

Conjunctivitis or pinkeye is a common problem in school going kids. The eyes become red, itchy, and swollen. There can also be a discharge of gooey liquid from the eye which can be of the color white, clear, green or yellow. Conjunctivitis is also known as pinkeye because the eye’s white part turns pink or red. When the child experiences itchiness and redness in the eyes, he/she should inform the elders as soon as possible, as pinkeye is very contagious and spreads very easily.

It is possible that only one eye can get affected by conjunctivitis, while the other eye dose not. In usual cases, both the eyes get infected. Conjunctivitis doesn’t hurt usually, but the eyes sure do itch badly. There can be a sensation similar to an eyelash or tiny particle getting in the eye, which can be very annoying. The infection lasts for about a week and usually goes away by itself. But if the itching is very troublesome, it should be treated with medicine. Some children can have conjunctivitis accompanied with ear infections, as the bacteria responsible for causing pinkeye is also responsible for causing ear infection.

Conjunctivitis is caused by virus or bacteria. Viruses which cause conjunctivitis are also responsible for cold. Bacteria which cause conjunctivitis also cause ear infection. Conjunctivitis spreads by touching. If a person touches the hand of the infected person, who has recently touched his eyes, also gets the infection. And since infected children deal with their parents and children, they also pose the risk of getting the infection. The prevention in this case is to wash hands often with warm water and disinfecting soap. Conjunctivitis when caused by bacteria & virus, and is contagious is known as infectious conjunctivitis. Conjunctivitis can also be caused due to allergies or because of entry of irritating foreign body into the eyes. Conjunctivitis caused by this medium is not contagious.

A doctor should be approached upon if the itchiness is very irritating. The doctor will check the eyes for redness and liquid discharge. The doctor would ask about the encounter with any friend or known person who seemed to have pinkeye or whether the conjunctivitis was caused because of some allergy or entry of foreign object into the eye. The doctor can also check the ears for the possibility of ear infection. If the pinkeye is caused because of bacterial infection, the doctor will recommend antibiotic eye ointment or drops. Usually infants are given eye ointment, whereas children and adults are given eye drops. The parents should put the drops or ointment into the child’s eyes four to five times a day for nearly seven days or so. The dosage and timings should be maintained to get rid of the infection completely.

If the conjunctivitis is caused due to virus, there is nothing much the antibiotics can do. And if the pinkeye is caused by allergies or any foreign object, the doctor can recommend special eye drops to deal with the allergy symptoms. Warm water can also be splashed on the eyes to ease the itching. A cool or warm washcloth can be used to clean the discharge. Parents can clean the eyes carefully with cotton balls and warm water and remove the crusty stuff which is formed at the ends of the eyes. The towels and washcloths used for cleaning should head straight to the laundry so that the infection doesn’t spread to other family members.

Common Cold in Children

Common Cold is caused because of upper respiratory system infection due to cold virus. This infection affects parts such as ears, nose and throat. There are about two hundred known viruses which are responsible for common cold, out of which rhinovirus is the most common. Because of this great number of viruses, there isn’t any shot or vaccination available which helps in preventing cold. The best solution to the cold is human body immune system. Majority of a child’s visit to the doctor will be because of cold. According to an estimate, a child catches cold nearly eight times in a year and each time it last up to a week or so.

Cold viruses usually spread by sneeze or cough from the infected person. The wet and slimy substance inside the nose, called mucus, is the carrier of the virus. When a person cough or sneeze, the mucus drops come out of the mouth and when other persons breaths in these droplets they catch cold. Cold can also spread by handling of contaminated stuffs like towel, door knobs, school desk, etc. If a person touches a contaminated towel and then touches his nose or eyes, there is a great chance of getting an infection. Therefore, it is a good habit to wash the hands regularly and keep them germ-free.

The cold viruses have docking points which helps it to stick to the interior of the nose. It then controls the nose’s cell lining and begins to multiply into more viruses. White cells are responsible to fight these viruses inside the nose. They even kill them and finally get victory after seven days. Sneeze and runny nose actually prevent the viruses to affect the rest of the body parts. A person sneezes when the nerves inside the nose detect irritation and take the help of the lungs to push them out by letting out a blast of air through the mouth and the nose. The air, while sneezing, comes out at the speed of hundred miles per hour faster than cars on the road.

Once the child contracts cold viruses, they take two to three days to develop and show symptoms. There are many symptoms of cold. The child becomes cranky. He will complain of headache, blocked nose, cough, sneeze, sore throat, muscle ache, nasal cavity congestion and will become exhausted. Low fever can also accompany, along with body chills. Medicines do not speed up the process of healing as the viruses complete their cycle irrespective of the intake. But they do suppress further growth and make the child feel better.

Children shouldn’t take any medicines on their own, thinking that it’s just a cold. Parents should supervise the dosage and medicine being taken. And in turn, the parents should follow a doctor’s prescription. Decongestants help to decrease the wise of the swollen nose lining, which makes breathing easier. Antihistamines help to dry the mucus and stops sneezes and runny noses. Ibuprofen and acetaminophen can be given if the child is experiencing headache and muscle ache.

At home, parents should give hot food and drink to the child as they help to soothe soar throats and coughs. The heat also clears up the mucus. Chicken soup is an age old remedy for common cold. Steamy showers are another good option as they help with stuffy nose. Itchy eyes, scratchy throat and stuffy throats can also be treated with humidifiers which spray cool and fine mist. They also loosen the mucus. The nose should be blown regularly to let the mucus out of the body. It is a good idea to use disposable tissues instead of regular handkerchiefs. Complete bed rest for a day or two is greatly suggested.

The best precaution that can be taken is eating healthy food and balanced diet so as to strengthen the immune system. The child must exercise regularly in order to stay fir and sleep adequately. Children who are stressed out more frequently are more prone to have cold. Therefore, it is good if the kid takes extra rest and goes to bed early on some days. And when the child is suffering from cold, he should relax and take bed rest as much as possible.

Flu and Cold in Children

A lot of illnesses and symptoms get blamed on the flu, especially during the winter, that likely are caused by other viral illnesses or other conditions.

If you consider that only 5 to 20 percent of people get the flu each year, and they typically get it just once, then every cough, cold, ache, pain, and fever, can't be caused by the flu.

Flu Symptoms

Understanding what typical flu symptoms are in children can help you figure out if your child is sick with the flu. They can include a sudden onset of:

• high fever
• muscle aches and pains
• weakness and tiredness
• headache
• dry cough
• sore throat
• stuffy or runny nose
• nausea, vomiting, and diarrhea (least common flu symptoms)

Keep in mind that many other viral illness can cause cold or 'flu-like symptoms,' although flu symptoms are usually more intense than regular cold symptoms.  However, sometimes the only way that you can tell the difference between a cold and the flu is by doing a flu test. This can be important because flu medicines, like Tamiflu, can help to decrease the severity of flu symptoms and help your child get better sooner.