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WHAT TO DO WHEN YOUR KIDS CRY ?

Tuesday, June 29, 2010

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Crying is a physiological process in the life of a baby.All normal babies cry to communicate with others.Since 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 bronchitisect)
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...Halim Ali. Mojo Tekan Like,ok;)

APPERANCE OF MILK-TEETH.

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The first set of teeth, or milk-teeth as they are called, are twenty in number; they usually appear in pairs, and those of the lower jaw generally precede the corresponding ones of the upper. The first of the milk-teeth is generally cut about the sixth or seventh month, and the last of the set at various periods from the twentieth to the thirtieth months. Thus the whole period occupied by the first dentition may be estimated at from a year and a half to two years. The process varies, however, in different individuals, both as to its whole duration, and as to the periods and order in which the teeth make their appearance. It is unnecessary, however, to add more upon this point.

Their developement is a natural process. It is too frequently, however, rendered a painful and difficult one, by errors in the management of the regimen and health of the infant, previously to the coming of the teeth, and during the process itself.

Thus, chiefly in consequence of injudicious management, it is made the most critical period of childhood. Not that I believe the extent of mortality fairly traceable to it, is by any means so great as has been stated; for it is rated as high as one sixth of all the children who undergo it. Still, no one doubts that first dentition is frequently a period of great danger to the infant. It therefore becomes a very important question to an anxious and affectionate mother, how the dangers and difficulties of teething can in any degree be diminished, or, if possible, altogether prevented. A few hints upon this subject, then, may be useful. I shall consider, first, the management of the infant, when teething is accomplished without difficulty; and, secondly, the management of the infant when it is attended with difficulty.

Management of the infant when teething is without difficulty. Apple iPod touch 32 GB (3rd Generation) NEWEST MODEL------------------------------------------------------------

In the child of a healthy constitution, which has been properly, that is, naturally, fed, upon the milk of its mother alone, the symptoms attending teething will be of the mildest kind, and the management of the infant most simple and easy.

Symptoms:- The symptoms of natural dentition (which this may be fairly called) are, an increased flow of saliva, with swelling and heat of the gums, and occasionally flushing of the cheeks. The child frequently thrusts its fingers, or any thing within its grasp, into its mouth. Its thirst is increased, and it takes the breast more frequently, though, from the tender state of the gums, for shorter periods than usual. It is fretful and restless; and sudden fits of crying and occasional starting from sleep, with a slight tendency to vomiting, and even looseness of the bowels, are not uncommon. Many of these symptoms often precede the appearance of the tooth by several weeks, and indicate that what is called "breeding the teeth" is going on. In such cases, the symptoms disappear in a few days, to recur again when the tooth approaches the surface of the gum.

Treatment:- The management of the infant in this case is very simple, and seldom calls for the interference of the medical attendant. The child ought to be much in the open air, and well exercised: the bowels should be kept freely open with castor oil; and be always gently relaxed at this time. Cold sponging employed daily, and the surface of the body rubbed dry with as rough a flannel as the delicate skin of the child will bear; friction being very useful. The breast should be given often, but not for long at a time; the thirst will thus be allayed, the gums kept moist and relaxed, and their irritation soothed, without the stomach being overloaded. The mother must also carefully attend, at this time, to her own health and diet, and avoid all stimulant food or drinks.

From the moment dentition begins, pressure on the gums will be found to be agreeable to the child, by numbing the sensibility and dulling the pain. For this purpose coral is usually employed, or a piece of orris-root, or scraped liquorice root; a flat ivory ring, however, is far safer and better, for there is no danger of its being thrust into the eyes or nose. Gentle friction of the gums, also, by the finger of the nurse, is pleasing to the infant; and, as it seems to have some effect in allaying irritation, may be frequently resorted to. In France, it is very much the practice to dip the liquorice-root, and other substances, into honey, or powdered sugar-candy; and in Germany, a small bag, containing a mixture of sugar and spices, is given to the infant to suck, whenever it is fretful and uneasy during teething. The constant use, however, of sweet and stimulating ingredients must do injury to the stomach, and renders their employment very objectionable...Halim Ali Live At The Troubadour [CD / DVD Combo] Tekan Like,ok;)

MOTHERS' ROLE IN COMBATING DISEASES OF CHILDREN.

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The especial province of the mother is the prevention of disease, not its cure. When disease attacks the child, the mother has then a part to perform, which it is especially important during the epochs of infancy and childhood should be done well. I refer to those duties which constitute the maternal part of the management of disease.

Medical treatment, for its successful issue, is greatly dependent upon a careful, pains-taking, and judicious maternal superintendence. No medical treatment can avail at any time, if directions be only partially carried out, or be negligently attended to; and will most assuredly fail altogether, if counteracted by the erroneous prejudices of ignorant attendants. But to the affections of infancy and childhood, this remark applies with great force; since, at this period, disease is generally so sudden in its assaults, and rapid in its progress, that unless the measures prescribed are rigidly and promptly administered, their exhibition is soon rendered altogether fruitless.

The amount of suffering, too, may be greatly lessened by the thoughtful and discerning attentions of the mother. The wants and necessities of the young child must be anticipated; the fretfulness produced by disease, soothed by kind and affectionate persuasion; and the possibility of the sick and sensitive child being exposed to harsh and ungentle conduct, carefully provided against.

Again, not only is a firm and strict compliance with medical directions in the administration of remedies, of regimen, and general measures, necessary, but an unbiased, faithful, and full report of symptoms to the physician, when he visits his little patient, is of the first importance. An ignorant servant or nurse, unless great caution be exercised by the medical attendant, may, by an unintentional but erroneous report of symptoms, produce a very wrong impression upon his mind, as to the actual state of the disease. His judgment may, as a consequence, be biased in a wrong direction, and the result prove seriously injurious to the welldoing of the patient. The medical man cannot sit hour after hour watching symptoms; hence the great importance of their being faithfully reported. This can alone be done by the mother, or some person equally competent.

There are other weighty considerations which might be adduced here, proving how much depends upon efficient maternal management in the time of sickness; but they will be severally dwelt upon, when the diseases with which they are more particularly connected are spoken of...Halim Ali No Mercy Tekan Like,ok;)

CRYING BABY - REASONS.

Saturday, June 19, 2010

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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...Halim Ali Tekan Like,ok;)

ARTIFICIAL DIET FOR INFANTS.

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It should be as like the breast-milk as possible. This is obtained by a mixture of cow's milk, water, and sugar, in the following proportions.

Fresh cow's milk, two thirds; Boiling water, or thin barley water, one third; Loaf sugar, a sufficient quantity to sweeten.

This is the best diet that can be used for the first six months, after which some farinaceous food may be combined.

In early infancy, mothers are too much in the habit of giving thick gruel, panada, biscuit-powder, and such matters, thinking that a diet of a lighter kind will not nourish. This is a mistake; for these preparations are much too solid; they overload the stomach, and cause indigestion, flatulence, and griping. These create a necessity for purgative medicines and carminatives, which again weaken digestion, and, by unnatural irritation, perpetuate the evils which render them necessary. Thus many infants are kept in a continual round of repletion, indigestion, and purging, with the administration of cordials and narcotics, who, if their diet were in quantity and quality suited to their digestive powers, would need no aid from physic or physicians.

In preparing this diet, it is highly important to obtain pure milk, not previously skimmed, or mixed with water; and in warm weather just taken from the cow. It should not be mixed with the water or sugar until wanted, and not more made than will be taken by the child at the time, for it must be prepared fresh at every meal. It is best not to heat the milk over the fire, but let the water be in a boiling state when mixed with it, and thus given to the infant tepid or lukewarm.

As the infant advances in age, the proportion of milk may be gradually increased; this is necessary after the second month, when three parts of milk to one of water may be allowed. But there must be no change in the kind of diet if the health of the child is good, and its appearance perceptibly improving. Nothing is more absurd than the notion, that in early life children require a variety of food; only one kind of food is prepared by nature, and it is impossible to transgress this law without marked injury.

There are two ways by the spoon, and by the nursing-bottle. The first ought never to be employed at this period, inasmuch as the power of digestion in infants is very weak, and their food is designed by nature to be taken very slowly into the stomach, being procured from the breast by the act of sucking, in which act a great quantity of saliva is secreted, and being poured into the mouth, mixes with the milk, and is swallowed with it. This process of nature, then, should be emulated as far as possible; and food (for this purpose) should be imbibed by suction from a nursing-bottle: it is thus obtained slowly, and the suction employed secures the mixture of a due quantity of saliva, which has a highly important influence on digestion. Whatever kind of bottle or teat is used, however, it must never be forgotten that cleanliness is absolutely essential to the success of this plan of rearing children.

Te quantity of food to be given at each meal ust be regulated by the age of the child, and its digestive power. A little experience will soon enable a careful and observing mother to determine this point. As the child grows older the quantity of course must be increased.

The chief error in rearing the young is overfeeding; and a most serious one it is; but which may be easily avoided by the parent pursuing a systematic plan with regard to the hours of feeding, and then only yielding to the indications of appetite, and administering the food slowly, in small quantities at a time. This is the only way effectually to prevent indigestion, and bowel complaints, and the irritable condition of the nervous system, so common in infancy, and secure to the infant healthy nutrition, and consequent strength of constitution. As has been well observed, "Nature never intended the infant's stomach to be converted into a receptacle for laxatives, carminatives, antacids, stimulants, and astringents; and when these become necessary, we may rest assured that there is something faulty in our management, however perfect it may seem to ourselves."

The frequency of giving food must be determined, as a general rule, by allowing such an interval between each meal as will insure the digestion of the previous quantity; and this may be fixed at about every three or four hours. If this rule be departed from, and the child receives a fresh supply of food every hour or so, time will not be given for the digestion of the previous quantity, and as a consequence of this process being interrupted, the food passing on into the bowel undigested, will there ferment and become sour, will inevitably produce cholic and purging, and in no way contribute to the nourishment of the child.

The posture of the child when fed:- It is important to attend to this. It must not receive its meals lying; the head should be raised on the nurse's arm, the most natural position, and one in which there will be no danger of the food going the wrong way, as it is called. After each meal the little one should be put into its cot, or repose on its mother's knee, for at least half an hour. This is essential for the process of digestion, as exercise is important at other times for the promotion of health.

As soon as the child has got any teeth, and about this period one or two will make their appearance, solid farinaceous matter boiled in water, beaten through a sieve, and mixed with a small quantity of milk, may be employed. Or tops and bottoms, steeped in hot water, with the addition of fresh milk and loaf sugar to sweeten. And the child may now, for the first time, be fed with a spoon.

When one or two of the large grinding teeth have appeared, the same food may be continued, but need not be passed through a sieve. Beef tea and chicken broth may occasionally be added; and, as an introduction to the use of a more completely animal diet, a portion, now and then, of a soft boiled egg; by and by a small bread pudding, made with one egg in it, may be taken as the dinner meal.

Nothing is more common than for parents during this period to give their children animal food. This is a great error. "To feed an infant with animal food before it has teeth proper for masticating it, shows a total disregard to the plain indications of nature, in withholding such teeth till the system requires their assistance to masticate solid food. And the method of grating and pounding meat, as a substitute for chewing, may be well suited to the toothless octogenarian, whose stomach is capable of digesting it; but the stomach of a young child is not adapted to the digestion of such food, and will be disordered by it.

It cannot reasonably be maintained that a child's mouth without teeth, and that of an adult, furnished with the teeth of carnivorous and graminivorous animals, are designed by the Creator for the same sort of food. If the mastication of solid food, whether animal or vegetable, and a due admixture of saliva, be necessary for digestion, then solid food cannot be proper, when there is no power of mastication. If it is swallowed in large masses it cannot be masticated at all, and will have but a small chance of being digested; and in an undigested state it will prove injurious to the stomach and to the other organs concerned in digestion, by forming unnatural compounds. The practice of giving solid food to a toothless child, is not less absurd, than to expect corn to be ground where there is no apparatus for grinding it. That which would be considered as an evidence of idiotism or insanity in the last instance, is defended and practised in the former. If, on the other hand, to obviate this evil, the solid matter, whether animal or vegetable, be previously broken into small masses, the infant will instantly swallow it, but it will be unmixed with saliva. Yet in every day's observation it will be seen, that children are so fed in their most tender age; and it is not wonderful that present evils are by this means produced, and the foundation laid for future disease."

The diet pointed out, then, is to be continued until the second year. Great care, however, is necessary in its management; for this period of infancy is ushered in by the process of teething, which is commonly connected with more or less of disorder of the system. Any error, therefore, in diet or regimen is now to be most carefully avoided. 'Tis true that the infant, who is of a sound and healthy constitution, in whom, therefore, the powers of life are energetic, and who up to this time has been nursed upon the breast of its parent, and now commences an artificial diet for the first time, disorder is scarcely perceptible, unless from the operation of very efficient causes. Not so, however, with the child who from the first hour of its birth has been nourished upon artificial food. Teething under such circumstances is always attended with more or less of disturbance of the frame, and disease of the most dangerous character but too frequently ensues. It is at this age, too, that all infectious and eruptive fevers are most prevalent; worms often begin to form, and diarrhoea, thrush, rickets, cutaneous eruptions, etc. manifest themselves, and the foundation of strumous disease is originated or developed. A judicious management of diet will prevent some of these complaints, and mitigate the violence of others when they occur...Halim Ali Tekan Like,ok;)
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