Archive for June, 2008

CRYING BABY

CRYING BABY – REASONS.

Introduction:

Crying is a normal event in the lives of all babies.When a baby comes out of the woomb the first thing to do is crying.By the first cry he will take some air in to the lungs for the first time in their life.After delivery if the baby doesnot cry then it should be initiated by slightly pinching or gently strocking the feet.From this it is clear that the healthy baby should cry and it is a normal physiological event ,still some times it can upset the mother or family members.

We all know that a baby can’t tell his needs or troubles in words. The only way for him to communicate with others is by crying.Babies show some other signs like feet kicking,hand waving and head turning ect.But the best way to take the attention of others is by crying.

Excessive crying may not have a firm definition because the crying habit changes from baby to baby and some babies can be calmed easily but some are difficult to sooth.If crying is distressing for the mother and home nurse it can be called excessive.Many a times baby become quiet by giving breast milk or by carrying with a gentle rocking.Sudden onset of excessive crying means baby is distressed and needs attention.The causes of crying extends from simple reasons to life threatening conditions.Hence crying of a baby should not be ignored.

Most of the time it is difficult to find the cause of the cry .Common causes are discussed here for awareness.

Common reasons for crying:

1,Hunger:–

A hungry baby will cry till he gets the milk. Here the old saying comes true’crying baby gets the milk’.

2,Wetting:–

Urination and defecation causes some discomfort and results in crying till his parts are cleaned and made dry .

3,Company:–

Majority of the kids need somebody near. If they feel lonely they cry.When their favourite doll slips away from the grip they cry for help.

4,Tired:–

When the baby is tired after a journey and unable to sleep just cry simply.They feel tired in uncomfortable sourroundings and due to unhealthy climate.

5,Heat & cold:–

If they feel too hot or too cold they become restless and cry. Child is comfortable in a room with good ventilation.

6,Tight cloathing:–

Tight cloaths especially during warm climate is intolerable for kids.Tight elastic of the the dress can also produce soreness in the hip region.

7,Dark room:–

When the baby wakes up from sleep he needs some dim light.If there is darkness he will disturb the sleep of parents by crying.Ofcourse he will be irritated by strong light resulting in cry.

8,Mosquito:–

Yes,these creatures disturb the sleep by their blood sucking and make the baby to cry.

9,Nasal blocking:–

Child may not be able to sleep when there is a cold and go on crying till the passage is open.

10, Phlegm in throat:–

This also causes difficult breathing resulting in cry.Often a typical sound can be heard with each breath.

11,General aching:–

Generalised body ache with restlessness is seen in flu and prodromal stages of some infectious diseases can result in continuous cry.

12,Habitual cry:—Some babies cry without any real cause ending the parents in agony.Many a times doctor is called for help.

13,Nappy rash:– If a tight and wet nappy is kept for a long time results in this conditon.
Rash can also be due to some allergic reaction to the elastic material of the nappy. When the rash appears it causes soreness and baby become sleepless and cry. All other skin lesions like eczema,ecthyma ,candidiasis ect also causes same problems.

14,Earache:–

Ear infection is common in wet climate.The infection may spread from the throat.Ear infection can result in rupture of ear drum causing discharge of pus.Eareache usually becomes worse at night when lying down.Child will become restless with cry and may not allow you to touch the ear.Some children with earache rub the affected ear frequently.

15,Colic:–

When the baby cry continuously most of us diagnose it as colic.This roblem is still a topic for debate because exact cause for colic is not known and diagnosis is also difficult to confirm.Colic may be associated with rumbling and distention of abdomen.Child often feels better when lying on abdomen.Some children may not allow you to touch the abdomen.If the child cries continuously doctors help is needed.

16,Infections:–

All infections causes some kind of pain or irritation resulting in cry.Infection may be anywhere in the body.Usually it is associated with fever, redness and swelling.

17,Reactions to certain food:–

It is said that one man’s food is another man’s poison. Some food articles can produce some allergic reactions.Allergy is manifested in the form of redness, breathlessness,gastric symptons and continuous cry.

18,Hard stools:–

Constipated babies with hard stools may cry when they get the urge for stool.Some children hesitate to pass stool because of pain .

19,Gastro esophagial reflex:–

Here baby cries with spilling of food after feeding.If this continues it may be due to gastroesophageal reflex.This is due to failure of the lower part of esophagus to close after food causing regurgitation from the stomach.It is difficult to diagnose this condition and can be confirmed by giving antireflex medicines.

20, Dentition:–

During dentition child becomes restless with crying.Often associated with gastric troubles and diarrhoea.

Some rare reasons
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1,Bowel obstruction:–

Bowel obstruction is associated with severe pain and vomiting.Abdomen is distended with rumbling sound.Baby is constipated with absence of flatus.

2,Septicemia:–

Invasion of pathogenic micro organisms in to the blood is called septicemia.Fever is associated with this condition.

3,Torsion of testes in male kids:–

When a male baby cries continuously his scrotum should be examined.Torsion of the testes produce severe pain which will be worse by touching the affected testes.When the testes is pressed upwards pain is releived.If this is not treated properly it can damage the affected testes due to lack of blood supply.

4,Meningitis:–

Initially there may not be fever,hence crying baby with alternate vacant stare and irritability should not be ignored.Fontanel is bulging. Neck rigidity and seizures may appear later.

5,Retention of urine:–

Children with retention of urine will have agonising pain making them restless.

7,Major injuries:–

Major injury to any parts of the body causes pain.Occasionally children will fall while arrying and results in head injury.Head injury is associated with reflex vomiting and convulsions.

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WHAT TO DO WHEN YOUR KIDS CRY

WHAT TO DO WHEN YOUR KIDS CRY ?

Crying is a physiological process in the life of a baby.All normal babies cry to communicate with others.Sine they can’t express their feelings in words crying is the only way for communication. If any uncomfortable feeling comes they simply cry.Normally babies cry in situations like hunger,wetting,too heat or cold,tight cloaths,pain ect. Some kids need the presence of somebody otherwise will cry simply.Crying without any cause is habitual in some babies. Eventhough crying is considered as normal it may worry the family members.Since the reasons for crying ranges from simple causes to serious causes it should not be ignored and hence exact cause has to be identified and managed accordingly.

The following are some points which should be considered while dealing with a crying baby.

1, It is dangerous to shake the baby vigorously.

2,Tight cloaths can cause irritation hence it should be removed.

3,If the room is hot put the fan and open the windows.

4,If the nappy is wet remove it and after cleaning the parts make it dry with a soft towel.

5,Pat her back or stroke her head slowly and let her here your soothing sound.

6,Give breast milk and make her quiet.

7,If the climate is cold cover her in soft towel.

8,Rock her gently in your arms and walk slowly in the room.

9,Take a music making doll and let her listen.

10,Try a pacifier or help her for thumb sucking.

11,If no response change her position.

12,Walk outdors with her.

13,Put her on the cradle and rock gently.

14,If no response ask somebody to carry the baby.

Even after all these steps the baby goes on crying see for the following signs.
( Probable cause is given after every sign)

1,Press her abdomen gently,she may twist or resist you:—Colic

2,Pull her ear gently she may become worse or push your hands away:—Earache.

3,Feel her temperature with the back of your hands:–Fever due to any infection.

4,Examine the skin from head to foot:–Eruptive disease,nappy rash,measles,vesicles,allergy ect.

5,See the nose for any discharge:–Coryza.

6,Move the head gently to feel any neck stiffness:–Meningitis,head injury ect.

7,Keep your ear near her chest to hear any rattling sound:–Increased mucus in wind pipes.
(pneumonia,bronchiolitis,asthamatic bronchitis ect)
8,Examine the anal orifice:–Anal erosion,rectal polyp,crawling of worms.

9,Examine the genitalia:–Any discharge or erosion.

10,In male baby see the testicles which may be swollen or tender:–Orchitis,torsion of testes.

11,also notice the body movements and see for any convulsions,rigors,vomiting,cough,laboured breathing ect.

If you see the above signs or any other abnormal signs consult your doctor for proper treatement.

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TIPS FOR THE SAFETY OF KIDS

TIPS FOR THE SAFETY OF KIDS

What we should do?
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1, Always keep the baby neat and clean.

2, Cut the nails properly with utmost care.

3, Wet nappy should be removed and parts should be cleaned with soap.

4, Take care of the genitals because fungal infection is common in that area. Parts should be kept dry.

5,Care of the scalp is very important.Fungal infections, dermatitis ect can be prevented by proper cleaning.

6,Tight dress can cause irritation, hence dress should be loose and should allow entry of air.

7,Room should have sufficient light and ventilation.It should be free from dust and insects.

8,Seperate bed preferably water proof is needed for kids .It should be arranged near mother’s bed.

9, Always keep some music making toys near the baby.

10, While carrying the baby support the head with hand.Since the neck muscles are weak sudden fall of head can be dangerous.

11, Mothers milk is the best nutrition for the baby,it also gives emotional attachment.Breast milk should be given as per the babies need preferably in mother sitting position.Proper cleaning of nipple is also necessary.Mother should take good nutritious diet throughout lactating period.

12, If there is some contraindication for breast feeding cows milk can be given.Feeding bottle should be cleaned with warm water and should be kept dry till next use.

13, Cows milk should be boiled and cooled.Some diseases like bovine tuberculosis,brucellosis ect spread through raw milk.

14, Some children are allergic to some substances like food,milk,dress,cosmetics ect.. Try to find out the material causing allergy and avoid such things.

15, Mosquito nets should be used regularly.Diseases like malaria,dengue ,filariasis,yellow fever and ect spread through mosquito bites. Mosquito bite can also produce skin eruptions with some allergic reactions.It also disturbes sound sleep.

16, A calm atmosphere should be maintained for a good sleep.Compared to adults infants need more sleep.It is said that growth hormone secretion is activated during sleep.

17, Growth developement,behavioral developement,motor developement,personal social developement,language developement ect should be noted down in relation to age. However parents need not be over anxious because slight variations are seen from individual to individual.

18,Assessment of growth by measuring height and weight is necessary.

19, In the early months of life infant may defecate after every feed.Proper toilet training should be given when the infant grows.The infant can be placed on the toilet seat by the age of ten months.

20, The toilet seat (potty seat) should be cleaned with antiseptic liquid before and after use.It should not be shared by other children.

21, If the baby shows some signs of distress like excessive crying,convulsions,fever with rigor,stiffness of neck,frequent vomiting and diarrhoea,bluish discolouration of the body,difficult breathing with grunting, ect pay attention and consult your doctor.

22,A first aid box should be kept in the room ,which should contain sterile cotton,dressing materials,antiseptic lotion and ointment and forceps.Seperate book should be maintained to note down the phone numbers of doctors, ambulance,police ect.

23,Child’s medicines should be kept in seperate box.Information regarding dose and mode of administration should be written in a paper and affixed on the box.

24, while driving keep the baby in seperate seat belt.

25, When you are going out with the baby keep an identity card with your phone number and address inside his small pocket.

26, When the infant starts walking always accompany him to prevent a fall and injuries thereby.

27, In emergencies take the first aid measures and take the victim to nearby hospital.

Choking :–The baby may swallow some solid objects and cause obstruction. Immediately make the baby to lie on the abdomen in head low position and press the abdomen backwards and towards the chest. Stroking the upper back is also useful. If no result call a trained person to take the material with the help of forceps.

Accidental poisoning:– Try to takeout the poisonous subatance and induce vomiting (except kerosine & acids). Wash the body with water to reduce absorption through skin.Identify the pioson and take the victim to the hospital.

Burns:–First of all remove the source of heat and put clean cold water.Burned cloaths should not be removed immediately. Cover the wound with sterile cotton and take to nearby hospital.

Wounds :–Clean the wound with clean water and stop the bleeding by compressing,raising the wound above the level of heart or use a tourniquet to compress blood vessels. Then dress the wound with sterile cotton and bandage and consult a doctor.

Drowning in bath tub:–Take the baby immediately and keep in head low position ,press the abdomen gentely or give a mouth to mouth sucking till the air way is clear. Give mouth to mouth breathing and cardiac massage and take the victim to the hospital.

Electric shock:–Stop the source of current. Then observe the victim,if no breathing give mouth to mouth breath along with cardiac massage and take to the hospital.

28, And the last but not the least, give your child maximum care, love and support to make him healthy and happy for ever.

What we should not do?
———————-

1, Never shake the baby, it can cause damage to the brain.

2,Don’t keep any small articles near the baby .

3,Sharp pointed articles like pen, pencil, ect should not be given to kids.

4,Avoid entry of water in to the ear while giving a bath.

5,Food should not be given forcibly when the baby is crying or coughing continuously.

6,Should not overfeed the baby.

7,Articles like mosquito repellents ,moth balls,ink,gum,medicines,ect should be kept away.

8,Avoid tight cloathings.

9,Should not be placed near the edge of the bed.

10,Should not give the baby to strangers and avoid close contact with others.

11,All electrical instruments should be kept away,and bed should not be arranged near electrical sockets and wires.

12,Kitchen is a dangerous place for children.Don’t keep them alone in the kitchen.

13,Water level in the bath tub should be minimum and don’t go for any other works(to attent phone call or calling bell ect) when the baby is in the tub.

14,Avoid smoking inside the house.

15,Should not allow pet animals to be in very close contact with the kids.(anti rabies injections should be given to pets and cut their nails properly)

16,When the child starts walking should not be kept alone on the upstairs and should not allow them to climb the steps.

17,Strong light should be avoided in the room.

18,When you are travelling don’t give the food articles given by co passengers.

19,Baby should not be allowed to crawl on the soil.

20,If you are sick or someone else is sick be away from the kids.

21,Dont take the baby to hospital wards,crowded market places and polluted dusty areas.

22,Table lamp should not be kept near the kids,this will attract insects at night and cause problems.

23,Others medicine should not be given to the children.

24,Medicine which has crossed the expiery date should not be used.

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