Pages

Thursday, August 22, 2013

Febrile Fits( Convulsions)

Meaning of Febrile Fits
 Febrile means fever
 Fits mean convulsions

SO febrile fits are defined as seizures associated with fever , (in the absence of detectable Central Nervous System) In Febrile Fits the Seizures are generalized in whole body of the child with loss of consciousness .How can mothers and family members at home can said that its febrile fits.

  • ·         The mother should now that age of three months to five years is mostly associated with febrile fits

  • ·         If the child has fever of 38.8 degree centigrade (it’s about 100 to 101F)


  • ·         They should be NO CNS infection

If the child has CNS infection or previous history of seizures due to epilepsy than these are not the febrile fits. F.Fits is most common cause of childhood convulsion disorders common in boys than girls.

Simple Fits
If a child has fits for less than fifteen minutes and do not occur again.

Complex Fits
When the fits are prolonged more than thirty minutes and occur again in 24 hours.

NOTE
If mother or a family member note all these signs in a child she should take her child to near hospital as soon as possible don’t wait for any help or don’t use any homemade remedy  because this is a clinical emergency.

Cure For Febrile Fits
If the mother and family member cannot take their child to hospital due to any problem than she should try to lower down the high temperature / fever as soon as possible by doing TAPID  water sponging and by giving (Paracetamol 60mg per Kg)
Family of the Child Should be reassured that as the fever goes down the fits will settle and this disease outcome is good but the child should be in hospital for further management (investigate and treatment).


Friday, August 16, 2013

Education And Cure of Diaarrhea

Education and Cure of Diarrhea


In daily life we‘ll faces a lot of cases regarding Diarrhea, Diarrhea is a serious medical illness and also a medical emergency.
So what’s Diarrhea, for a lay man it’s a state in which a child or a person passes loose stools,
Basically when a child passes loose stools, in other words he or she is losing water and nutrients from his body due to which the child goes in a state of Dehydration.
Dehydration: it’s a state in which there is depletion or decrease in body water and fluids.
How can we analyze that a child is Dehydrated or Not???
In medical literature there are three classifications of Diarrhea But i m giving u simple signs and symptoms by which you can differentiate whether child is dehydrated or Not.

·          New born babies check Fontanels (it’s a gap in the front of the head) this gap should be leveled if this gap gives you an impression of depression then it’s a sign of dehydration.

·         Check the eyes of the child whether they are shiny or sunken eyes is also a hell mark of dehydration


·          Check the tongue of the child if it’s white and coated it is also a diagnostic point

·         Last but not the least is the skin pinch test ,in this test pinch the skin of the child bailey and release it if it goes back less than two second than its normal but if it takes time more than two seconds to go back and also shows wrinkles than it’s a sure shot sign of dehydration.


·         Child is slow and lethargic and his urine output also decreases 

What’s the cure at home by simple remade?

 If new born babies or child up to one and half year continue breast feeding
In older children (above six months to goes on) start oral fluids as water (purify water) ORS, low osmoler ORS and soft diet. If the child vomits than wait for ten to fifteen minutes and start orally again.
A pro biotic (Enflor Sachet ,entero germina) is can also be added in soft diet such as cerelac or yogurt
Important note
If the child doesn't looks better after using all this than shift the child to nearby hospital for further management.
 If you have any Question regarding diarrhea you can ask me on this dr.hassanraza84@gmail.com

Note: please don’t panic and criticize it because this is especially for those who are sitting in their homes and they don’t go to doctor due to financial problems.