Tag Archives: skin rash

Infectious Mononucleosis

Also known as mononucleosis or mono Pfeiffer’s disease or glandular fever, infectious mononucleosis can be identified by inflamed lymph glands and constant fatigue. The disease is named so as the amount of mononuclear leukocytes which belong to white cells increase in number. The cause of the disease is EBV (Epstein – Barr virus) or in some cases cytomegalovirus. Both these viruses belong to the family of herpes simplex. According to statistic majority of the adults in the United States are exposed to the virus Epstein Barr, a very widespread virus. Although the virus does not show any visible affects in children but it does in adolescents which can lead to infectious mononucleosis in nearly fifty percent of cases of exposure to the virus.

The other virus called cytomegalovirus which also belongs to the family of herpes simplex causes the cells to become enlarged. According to statistics, about eighty percent of adolescents infected with this virus generally dont see any further symptoms. Although EBV has potential to develop infectious mononucleosis in adolescents the virus could make throat and blood cells its home for the lifetime. The virus has the capability to bounce back and reactive from time to time but the consolation is that it would reactivate without symptoms.

The condition usually lasts for 1-2 months. The symptoms may vary from one adolescent to other but may include inflamed lymph glands in areas such as groin, neck and armpits, fever, continuous fatigue, enlarged spleen, sore throat as a result of tonsillitis that can make things difficult to swallow and last but not the least minor liver damage that can lead to short-term jaundice. Some adolescents may also experience symptoms such as abdominal pain, petechial hemorrhage, muscle ache, headache, depression, loss of appetite, skin rash, weakness, dizziness, enlarged prostrate, dry cough, swelled genitals and puffy and swollen eyes. Some parents are puzzled by the symptoms of mononucleosis as it may be similar to other medical conditions. It is safe to consult a doctor in such cases.

The viruses are usually transmitted to other people through saliva (the reason why it is also called kissing disease), blood, sharing drinks and sharing utensils. The symptoms usually lasts for 4-6 weeks and do not cross 4 months. The disease is diagnosable but requires a though medical history of the adolescent. The diagnosis also involves physical examination of the adolescent and is based on symptoms reported to the physician. The diagnosis is further supported by laboratory test like blood test, antibody test and test to count white blood cells.

A rest of about a month is generally advised and normal activities can be resumed after acute symptoms disappear. Also care should be taken to avoid physical activities which are heavy in nature and also activities or sports involving physical contacts should also be avoided. Care must also be taken to avoid eating sweet things in excess for few months.

PPPPP

Word Count 485

Food Allergies in Kids

Food allergies are a common problem in kids. Nearly two million children have food allergies in the United States. Some food allergies are life threatening, even if the food is taken in very little quantity. Peanut tops the list of notorious foods which cause allergies. Following it are milk, especially cows milk, soy, eggs, wheat, seafood and other nuts.

Food allergies are caused when the immune system is confused. The job of the immune system is to protect the body from diseases, bacteria, viruses and germs. The antibodies produced by the immune system helps to fight these minute external organisms which makes the person sick. But if the body is allergic to certain food, the immune system mistakes the food to a harmful foreign substance and takes action towards it thinking that it is dangerous to the body. The body acts adversely, when it isnt supposed to do so.

When the immune system detects allergic substance, the antibodies produce mast cells. They are a kind of immune system cell which release a chemicals, such as histamine, in the bloodstream. These chemicals affect the respiratory system, digestive system, nose, eyes, throat, and skin. Initial symptoms are runny nose, tingling sensation in the lips or tongue, and itchy skin rash like hives. The reaction can be mild to severe and depends on every individual. The symptoms can appear right after the food is consumed or after few hours. Other symptoms are cough, wheezing, nausea, hoarse voice, vomiting, diarrhea, stomach ache, and throat tightness.

A sudden and harsh allergic reaction is known as anaphylaxis. The patient encounters many problems, all at once which involve blood vessels, the heart, digestion, breathing, and skin. The blood pressure drops very steeply, the tongue swells and there is swelling in the breathing tubes. Patients who have such allergic reactions should be ready to handle emergencies. They should always carry some type of medicine which will help to combat or reduce the adverse affect of the food.

Most of the times, it is very easy to detect the cause of food allergy. Problems such as hives begin to surface as soon as the child eats the substance he is allergic to. At other times, it becomes very difficult to determine the cause of allergy. In such cases, everything should be observed under close surveillance. Food items which are made out of many ingredients should be thoroughly checked for the allergic cause. Most of the times, allergies are inherited from other family members or other kids born with food allergies. Changes in the surroundings and the body play a major role in these kinds of cases. Some of the kids arent actually allergic to the food and show only mild reaction. Like people who are lactose intolerant suffer from diarrhea and belly pain after consuming milk and diary products. This is not an indication that the child is allergic to milk. This reaction happens because their body is incapable of breaking down the sugars which are found in diary products and milk.

If the conditions are severe, a doctor should be consulted immediately. If food allergy is diagnosed, the doctor refers to an allergy specialist. The doctor asks questions like eating patterns, past allergic reactions and the time period between the consumption of food and the surfacing of the symptoms. The specialist can also ask about allergy related conditions like asthma or eczema and whether allergic reactions are hereditary. Usually skin test and blood test is done to test the antibodies and the reaction they have on the skin when it is exposed to the allergic substance.

Kids who are allergic to egg and milk outgrow them as the age progresses. But allergies which are severe and are related to items such as peanut, shrimps, and some kind of fish, last for a lifetime. Other than food, children can be allergic to certain medicines and flower pollen. The best way to avoid allergies is to avoid the cause of it. No specific medicine has been developed for the cure of allergies.

PPPPP

Word Count 676

Eczema in Children

When a skin rash cannot be blamed on poison ivy or chicken pox, the culprit is eczema. In this condition, the skin turns red, scaly and develops sores. The itching is beyond the limit and the skins starts to shed in the form of scales. Dermatitis is the other name for eczema. Dermatitis actually means inflammation of the skin and the skin turns pink and sore. Eczema is a common child problem as out of ten kids at least one kid gets eczema and majority of them get it before they turn five years old. Children who are above five years are also at a risk of developing eczema, but once they become teenagers, the chances are negligible.

Not only does eczema dries the skin, it also makes it itch horribly. The skin break out can even take the form of rashes. Eczema is a condition which comes and goes frequently and therefore it is chronic. When any foreign bodies come in contact with the skin, a special kind of cells present in the skin will react to them. Basically, they inflame the skin as a measure of protection. The harmful foreign objects trigger the reaction and make these special cells to over react. This turns the skin itchy, sore and red. Children, who get eczema frequently, have a larger quantity of these special cells.

Usually, people who have family members with asthma, hay fever or any allergies are more prone to getting eczema. It is in their genes to get eczema and this problem is passed over to them by their parent. Some scientists say that people, who as children have had eczema, are at a higher risk of developing asthma or hay fever later in their life. Allergies can only make eczema worse. The good news is that eczema is not contagious, so children can be happy about not catching the infection. The first symptom of eczema is rash development. These rashes may seem to go away in the beginning, but will return back. Although eczema itches badly, not all rashes will itch. Eczema will start to develop behind the knees and inside of the elbows. It will slowly spread to the face and other body parts.

Because rashes can be caused due to many other reasons apart from eczema, the doctor will examine the rashes and its cause very carefully. If eczema is confirmed, the child may have to use a moisturizing cream or lotion to stop the itchiness and drying of the skin. In serious cases, the patient will be recommended corticosteroids. It is a steroid cream or ointment which needs to applied to check skin inflammation. If the itching is really irritating, antihistamine can be taken in either liquid or pill form. And if the scratching had resulted in an infection, antibiotics will also be prescribed. The problem doesnt get solved forever, but it makes the condition better for the time being.

There are certain things which trigger eczema and should be avoided by children who get eczema frequently. Perfumes, detergents, soap, dry air in winters with very little moisture, and sweaty and hot skin. Also when coming in contact with dust mites and scratchy fabrics can increase skin irritation. The child must abstain from scratching even if the skin is itching badly, as that will make the skin itch more badly. The skin can also get infected with bacteria because of skin breaking and bleeding. A washcloth can be dipped on cool water and placed on the area of itchiness. The parents should cut the nails short of the child so that he/she doesnt hurt himself while scratching. Lastly, lots of water should be consumed to provide moisture to the dry skin.

PPPPP

Word Count 621

Abdominal Pain in Children

Tummy aches are one of the most frequently complained about problems in children. There are many causes attributed with it, and it is a challenge for the parent or the physician to find out the exact problem. Sometimes the pain requires immediate attention and can also be a case of emergency. The causes can be related to food, infections, poisoning, insect bites, etc.

Bacteria and viruses are responsible in case of abdominal pain due to infections. Gastroenteritis and stomach flu are some of the examples of infections that can cause stomach aches. Gastroenteritis is the inflammation and irritation of stomach and the gastrointestinal passage. Extra care must be taken by travelers, as the food and drinks can be contaminated at new locations and can lead to travelers getting diarrhea. Stomach pain due to viral infections ward off quickly, but bacterial infections demand the intake of antibiotics. In both the cases, some children recover very fast by vomiting and excreting. In case of diarrhea, excess drinking fluids should be given to the kid to avoid dehydration.

Food related stomach aches can be caused because of food poisoning, gas production, excess food ingestion and food allergies. Problems because of food poisoning are temporary and can cause bloating. Symptoms of food poisoning are vomiting, diarrhea, abdominal cramps, and nausea. Usually these symptoms surface within two days of consumption of contaminated food. Depending on the severity chill, fever, bloody stools, or damage to the nervous system can follow. In case of a group of people who consumed the contaminated food, this situation is known as an outbreak. Over two hundred diseases are known to be transmitted via food. Food can be poisoned because of toxic agents or infective agents. Infective agents are parasites, bacteria, and viruses. Toxic agents are uncooked food, exotic foods, and poisonous mushrooms. Food can get contaminated because of handling by unclean workers at the local restaurant, too. Parents should check out the cleanliness and should visit a trusted restaurant.

Particular foods can cause the irritation, such as diary products can cause lactose intolerance. If this is the case, the child is allergic to certain food or drinks and swallowing even a small amount can cause vomiting, nausea, diarrhea, cramping, and skin rash. Since these items are harmless otherwise, such kind of allergic reactions are known as hypersensitivity reaction. Sometimes the symptoms can be life threatening and are known as anaphylactic shock or anaphylaxis.

Poisoning can also be due to overdose of medicines and even due to eating non-food stuffs. Insect bites such as black widow spider bite can also lead to pain in the abdomen. It can be accompanied with muscle cramps, weakness, nausea, tremor, vomiting and in severe case it can cause dizziness, faintness, respiratory problems, and chest pain. Also, the heart rate and blood pressure increases.

In very rare cases, abdominal pain can be due to appendicitis. This is a result of blockage and inflammation of tissues. Young kids have a higher rate if complications are considered and should be immediately rushed to the hospital. The pain starts slowly in the abdomen, specifically near the belly button. The pain shifts slowly to the right side of the lower abdomen within a time period of over twenty four hours. Clear symptoms are abdominal pain, vomiting, nausea, fever and loss of appetite. Diabetes can also be a reason of abdominal pain. Small children usually curl up, cry and express pain through facial expression. Some kids will be reluctant to talk, but the parent should try to get clear explanation of the problem. Along with close monitoring of the symptoms, studying the location of pain, pain duration, nature of vomiting, and urinary problems will help. After that a pediatric should be consulted who can further refer to a gastroenterologist. Until help is reached, the child should be made to relax.
Often, lying with face in downward direction can relieve pain due to gas. Incase of vomiting and diarrhea, fluids should be given constantly. Solid food should only be given when the child is comfortable about eating it.

PPPPP

Word Count 680