Avoid Dieting Make Positive Changes Instead

Why is it that merely saying the "D" word, you know "diet" brings immediate thoughts of failure to the minds of many men and women around the world? Could it be that we have all learned through trial and error that diets simply do not work? I know many of you are sitting back with jaws dropped at the moment. After all, this is an article about dieting, right? It is and it isn't. Dieting is the kiss of death for many while a new phase in your life or lifestyle adjustment may be just the thing that will mean success for you and your fitness and health goals.

Eating for some is an addiction. Unfortunately, you can't exactly give up eating all together as a smoker can give up cigarettes. I'm not applying by any means that giving up cigarettes is easy but how much more difficult would it be if you were forced to have three a day? At that point you may as well enjoy them every time the urge hits right? The same holds true for food. You must eat in order to survive. You cannot live without eating. This means that if food is a problem in your life, you must find a healthier way of viewing food.

Isn't this where diets generally come in handy? The short answer is no. This is where diets often fail. Diets do very little to change how we view food. In fact, most diets only serve to tell us which foods are good, which foods are bad, and which foods (typically most of the foods we enjoy most) are strictly taboo. Diets begin by forcing people to feel deprived or punished. And no one likes to feel either of these things.

Even worse however, is that we punish ourselves further when we slip along the straight and very narrow pathways upon which our diets place us. This means that we are going to wallow in guilt over every little misstep we make until we give up all together and decide to over indulge once again and ignore the guilt all together.

In order to have real success you must make a lifestyle change. This is the only way that you will be able to shed those unwanted pounds without experiencing the horrible guilt that so many dieters go through each and every step of the way with their diets. Set goals for yourself. Keep them aggressive but realistic for fitness, dropping pounds, and eating new healthy foods. Even if your goal is as simple as eating  5 vegetable servings a day it is a great place to start.

Change your way of eating. Then change your way of seeing food and you will experience amazing changes in your attitudes toward your health, your body, and even your fitness level. As the first pounds begin to drop you will begin to experience more energy and less pain when exercising. This should help keep you motivated to do even more as time goes by.

Do not think that long term weight loss goals will be as easy to achieve as the first five or ten pounds. Consistency is vitally important when making these lifestyle changes. Take each day as it comes and begin again the very next day. This means that even if you fall completely "off the wagon" today, you can start over tomorrow. The trick is in staying the course more days than not and learning moderation and balance when it comes to straying from the straight and narrow.

There are many ways to fail when it comes to dieting and I know people who have failed in almost every one I can possibly imagine. There is no way to fail, however, when you are making positive changes in your life that are getting positive results. It may take weeks, months, or even years to reach your goal. As long as you are making steady and continuous efforts and progress, you are doing many great things for your health and well being.

Atkins for Dieting

Most people around the world by now have heard of the Atkins diet. It has been one of the most highly touted and highly controversial diets of our time. Those who love it have nothing but great things to say about it but those who are critical are not shy about their opposition either. The largest criticism when it comes to the Atkins, or low carb diet would be the near absence of whole grains, which are considered the cornerstone to a healthy diet by many.

Dieting with the Atkins diet involved eliminating a large degree of carbohydrates from your diet. In the past there hasn't been as much of an emphasis on fitness and exercise with the Atkins diet as there seems to be currently. This is good news however as an active fitness regime is as essential to successful weight loss as cutting calories and in this case cutting carbohydrates.

You should take great caution that you are getting accurate information when it comes to Atkins dieting if this is something you are considering in order to meet your fitness and weight loss needs. There is a great deal of misleading and incorrect information that is floating around out there when it comes to the Atkins diet and weight loss plan. First of all, weight loss is the direct result of burning more calories than you consume. It doesn't matter how many or how few carbs you enjoy or deny yourself during the day if at the end of the day you've consumed a few thousand calories too many.

The notion that you can eat anything you want during the day as long as there are no carbs is simply incorrect. Calories still put on the pounds whether you are using the Atkins plan for weight loss or not. That being said there are some interesting insights in this diet and a good man of the foods that are eliminated are those that have the most complex sugars for the body to dispose of. For this reason there are many who have followed the honest to goodness plan to tremendous results.

If you are considering dieting with the Atkins plan you should realize that this is a lifelong commitment in order to achieve the maximum benefit of the plan. There will be lesser restrictions as you reach the maintenance phases of the plans but you are making a conscious decision to pretty much sacrifice a good deal of the carbohydrates that many of us have enjoyed throughout our lives. This is a concept that is much easier said than done over an extended period of time and especially in a society when most of us cannot commit to a mate for that long.

At any rate, dieting with the Atkins plan has produced results for a good deal of people around the world. The news of these results has made it one of the most talked about, tested, and tried systems for dieting on the planet and many people have mixed reviews. Those who love it and feel that it is effective are enthusiastic in its support though those that are honest will admit that you do feel as though you are sacrificing a good deal for the sake of your dietary needs. Those who hate it hate it, and there is nothing that is going to change their opinion. The only way to know for sure is to try for yourself.

3 Hour Dieting

When it comes to the world of dieting you will find that there are many diet, weight loss, and fitness plans on the market. It takes years for some to become a contender and others remain a best-kept secret of sorts. One such 'best kept' secret would be the 3 Hour Diet that was designed by Jorge Cruise. I am sure that there are many reading along and chuckling under your breath that there is no way one can lose weight by eating every three hours however the science behind the theory is fairly common and Jorge Cruise is a mainstay in the fitness industry.

The long and short of this diet operates with the knowledge that if you do not feed your body accurately and regularly your body will go into what is called 'starvation mode'. In this mode your body holds onto the fat rather than burning it up and consuming it for use. This means that your body is burning muscle rather than fat to take the energy it needs in order to function.

With the 3 Hour Diet you will not feel hungry all the time, in fact, there are many who claim they are constantly setting alarms and reminding themselves to eat. You will also learn the proper foods to eat in order to achieve the best possible results. The key is in learning which foods are right for you when dieting with this plan. You can purchase the book The 3-Hour Diet by Jorge Cruise and you can sign up online for more information about the weight plan itself and how to incorporate it into your busy routine.

I do recommend purchasing the book if you are seriously considering this as your method of dieting as there are many wonderful hints, tips, and tricks that are mentioned in the book to help you keep things going no matter how busy and hectic your lifestyle may be. One thing you need to keep in mind is that dieting with a program such as this is no small commitment. You need to stick to the timetable as much as possible in order to achieve the results this plan is famous for. If you aren't willing to eat every three hours then this plan really may not be the plan for you.

Otherwise, if this is something you would be interested in, I highly recommend it. There are special considerations based on the amount you weight currently and the amount of weight you are hoping to lose. It is best if you are honest throughout the process in order to achieve the best possible and most immediate results. The claim is that you can lose as many as 10 pounds in the first two weeks and there are those that have claimed to do just that over and over again. This is a diet that even many celebrities endorse for quick and immediate results.

The good and the bad about 3 hour dieting is that it is effective but takes a very real commitment on the part of the one that is dieting. This diet is one that is taking the world by storm. If you haven't heard of it before now, please take the time to check it out and see if this is something you could incorporate into your life. The results that have been reported as a result of this diet as nothing short of phenomenal. If there were one diet I would recommend above others for those who hate feeling hungry, it would be this diet.

Warts in Kids

Nearly fifty percent of children acquire warts at some time or the other. Warts, in the real sense are benign tumors which develop when keratinocytes, a kind of skin cell, is infected by the wart virus. There are many types of warts, the most common being rough bumps which appear on fingers and hands. Others are flat warts, genital warts, plantar warts, and molluscum contagiosum. The difference is based on the types, location, and painfulness of the wart. Common warts appear on fingers and hands and usually are painless. Plantar warts appear on the soles and are sometimes painful. Periungal warts show up around the finger and toe nail. Warts which appear on the face are flat warts.

The symptoms of the common warts are that the skin develops an irregular surface and becomes rough. A dome starts to appear after a day after infection. A popular myth is that warts have roots, but they don't. They grow on the epidermis, which is the top most layer of the skin. The black portion is because of broken veins and clotted blood.

Warts come and go at various stages of life like childhood and teenage years. They usually go away by themselves. But some can be very painful, can spread quickly and some of them wont go away for many years. Such kind of warts should definitely be treated. The most common treatment among the pediatricians is cryotherapy. They will freeze the warts using liquid nitrogen. Cantharidin can also be applied, which is a painless treatment but can result in painful blisters at the end of the day. The minus point is that these treatments sometimes cause blistering and some warts won't come off in one sitting. If the warts won't still budge they are further treated with strong salicylic acid, intralesional immune-therapy, bleomycin, or a pulsed dye laser.  Aldara can also be used in worst cases. Because of some treatments the warts grow to the end of the blister, which results in a bigger wart and some might even result in a scar.

Besides other common wart treatments, the most well-known home remedy is duct tape. The affected area is covered with duct tape for about six days. If within that time period, the tape peels off, it should be reapplied. After the sixth day, the duct tape should be removed and the wart should be soaked in water and a pumice stone or emery board should be used to scrap the top skin of the wart. After this, the duct tape should be reapplied again within twenty four hours and the same procedure should be repeated until the whole wart disappears. This procedure takes at least two months to get rid of the wart completely. Some kids hesitate to put duct tape on parts which are visible, like fingers and legs. They can be encouraged by making them wear colored duct tape, other than grey. Many home wart freezing and removal kits are also available in the market whose help can be taken.  

Warts spread by direct contact with the wart or any material which the infected person has used like a used towel which has been contaminated. It is contagious and hence it is recommended to stay away from it at the very sight of it. All the cuts, rashes and bites should be cleaned regularly and should be kept covered. Another measure for prevention is wearing closed shoes in public places.

Urinary Tract Infection in Children

Urinary tract infection makes urinating painful. The infected children thinks twice before going to the bathroom and they always get a feeling to go to the bathroom. The urine also smells bad because of the infection. Bacteria are responsible for infecting the urinary track.

The urinary track consists of certain parts such as two kidneys, bladder, two ureters and a urethra. The kidney does the major job of cleaning waste from the blood. The waste material is urine which is passed to the bladder through the ureters. The shape of the bladder is very similar to a deflated balloon. When the bladder gets filled two hundred and thirty seven milliliters of urine, the brain sends signals to go to the bathroom. When the person gets ready to pass, the muscles located at the end of the bladder relax which lets the urine rush through the urethra, from the bladder, and out of the body.

When children face any of the symptoms of urinary track information, they should talk about it to their parents as the symptoms are visible to the patient more than to others. Parents can observe the urinating frequency of the children. The child feels terrible pain while peeing. He/she is able to pass only small quantity at a time. He/she also gets up several times during the night to go to the bathroom. There is a strange sensation in the lower part of the belly. Blood can also pass along with the urine. Also the urine isn't a clear solution and is cloudy. The urine smells badly after passing. These are all the symptoms of bladder infection. The child can also feel feverish along with chills. Pain can be experienced in the back or the belly. When the pain is right below the ribs, it is a clear sign of kidney infection. Depending on the severity of the symptoms, the child should be taken to the doctor.

The doctor will take urine sample for testing. The urine is taken in a plastic cup, into which the child pees. Before passing, the child must wipe the area with special wipes, so that the germs from the body do not confuse with the germs in the urine. Germs in the urine are an indication of infection. Although there are million of germs residing on the exterior of the body, they are completely harmless. Only a few of them actually infect the body. A stick is dipped in the urine sample. The stick is special, that is it is a specially treated paper which changes color upon determination of an infection. Otherwise, the urine sample can also be sent to the laboratory. Incase of a bladder infection, the doctor will prescribe medicine that kills the bacteria.

The child will begin to feel good just few days after starting to consume the medicine. But he/she must stay away from food and liquid which has caffeine in it as it can elevate the bladder irritation and the patient will feel very uncomfortable. After the test, if kidney infection is detected, the child will be hospitalized for few days. He/she will be given a germ fighting medicine which will be administered by a small plastic tube which will be introduced in a vein. 

After the child recovers from a urinary tract infection, he/she should try best to avoid such incidents in the future. The most important thing is to maintain cleanliness. The private parts should be washed everyday. It is best to take a shower or a bath daily. The child can use wipes to clean every time after passing urine. Children should never hold the urine. When they feel the urge, they should rush to the bathroom immediately. Fluids intake must be increased. Best fluids are water and cranberry juice. Water washes the bacteria out of the body and cranberry juice prevents another bacterial attack. Bubble baths aren't good as it can irritate the urethra. Cotton underwear will absorb the sweat and body moisture, which will prevent bacterial growth. Underpants must be changed everyday.

Tonsils and Tonsillitis in Children

Tonsils are two tissue balls located at the back of the throat. They play a vital role and are an important part of the body's infection fighting mechanism by helping to fight germs and diseases. Tonsils deal with the germs before they reach mouth, throat, or sinuses. When these infection fighters are infected by viruses or bacteria, the condition is known as tonsillitis.

The symptoms of tonsillitis are: as the time passes, eating, drinking and swallowing things become difficult. The pain can be accompanied with fever, earache and headache. The tonsils can be seen too. Just open the mouth wide open and the two masses of tissues at the either side of the throat are tonsils. They are usually dark pink in color, but when they get infected they turn red. A white or yellow coating can also be formed on the tonsils. There is an obvious change in voice as it becomes hoarser. The infected child can also develop bad breath. The infected kid can also get abdominal pain and can throw up what he eats. Tonsillitis is caused by both bacterial infection and viral infection. Bacterium known as streptococci causes infections which require special treatment.

When the child gets tonsillitis, the parent should give lots of fluids to drink. Smooth food should be consumed to ease the pain caused by swallowing coarse, crunchy, and hard food. Food like soups, ice creams, applesauce, and gelatin are a good option. Spicy food should also be avoided. A humidifier or cool mist vaporizer can be placed in the child's room as that will make breathing more easily. The kid must be given maximum rest and complete bed rest for at least two days is recommended. The bacteria and viruses cause tonsillitis to spread by sneezing, coughing or touching. The infected child must cover his/her mouth while coughing and sneezing. A disposable tissue can be used instead of a towel or handkerchief. Things such as utensils, towel, clothing, etc. of the sick kid should be separated so that the rest of the family doesn't get affected. 

The doctor inspects the tonsils using a wooden stick known as tongue depressor, which will lower the tongue, so that the doctor can have a good look at the tonsils. After that the doctor checks the ears and nose. Heartbeat will be checked. If the doctor suspects strep, he/she will take a sample of saliva from the back of the throat using a long cotton swab, which can gag up the child a bit. After a day or two the results are received. Some doctors conduct a similar test known as rapid strep test, which give results within few minutes. Antibiotics are given when the test results come positive for strep. The bacteria get killed only when the course is completed and the correct dosage is taken at correct time.

If virus is the cause of infection, there is no medicine for it and instead the body is capable of fighting the virus on its own. When the tonsils infection becomes frequent and the child finds it difficult to breath because of tonsillitis, it is recommended to get the tonsils removed. But it is the last resort after all other treatments do not do the trick, because tonsils are very important to the body's immune system.

The tonsils are taken out by surgery known as tonsillectomy. After the surgery, the child won't suffer from sore throat and breathing problems anymore. The surgery won't even leave any scars. A day before the surgery, the child cannot eat or drink, to keep the child from throwing up during the operation. The operation is very short and last for only twenty minutes. Because of the anesthesia, the child won't feel a thing during the operation. And during the surgery, the tonsils are removed using an electric cautery, which is a burning tool, or a cutting tool. After the surgery, the child is given lots of fluids and after a day soft foods can also be given. Usually it takes about two weeks to completely recover from the surgery and the child can return back to normal activities.

Swimmer's Ear in Children

Swimmer's ear is bacterial growth infection inside the canal of the ear. It is also known as Otitis Externa. It differs a lot from ear infections which are dealt with on a regular basis, which is contracted at times when the child catches a cold. The common ear infection is known as Otitis Media, in which the middle of the ear is infected. Incase of swimmer's ear, the ear canal which leads towards the ear drum is infected by bacteria. The first symptom is that when the finger is stuck inside the ear canal, it will hurt a lot. In normal cases, it won't hurt at all.

The skin within that are is very delicate and hence, is protected by nature by a thin earwax coating. Usually, water can easily glide inside and then outside the ear without any problem. But when the water cleans some or all of the earwax and if some of the water is retained inside, the bacteria will take advantage of this situation. Chemicals in the water aggravate the situation by increasing the irritation. It starts growing within the soft and warm ear canal and can cause swelling and redness. A slight itchiness also accompanies it. But the child must be instructed to not to scratch, otherwise there is a greater chance of the situation becoming worse. If there is no itchiness, obviously there will be pain, which is the initial symptom. The ear should not be bumped or touched even from the exterior, as that will cause intense pain. Hearing can become difficult due to the bacterial infection as that will swell the ear canal and block the passage.

The pain and itchiness can only be gotten rid off by fighting the infection and killing the grown bacteria. In usual cases, ear drops are prescribed by the doctor. These ear drops have antibiotics which are meant to kill the bacteria. The dosage and number of days to use the ear drops as told by the doctor should be strictly followed. If the doses are missed there is a possibility of bacterial re-growth. A wick is also introduced inside the ear, sometimes. This wick actually is small piece of sponge with absorbed lotion. The wick is left inside then. This procedure is used when the doctor thinks it is important to apply medicine directly to the part of the ear canal which is infected. If the pain is unbearable by the child, parents can give pain killers, but only after taking suggestion from the doctor. Once the antibiotics begin working, pain killers can be stopped.

Swimmer's ear cannot be just attained cause of water entering the ear at the time of taking baths or showers. Children, who have joined the summer swimming camp, can complain of this problem. After the swimmer's ear is treated, the child shouldn't swim immediately. Doctor, usually, advices them to stay away from water for a week or two. The time period may sound very long, but it keeps the pain away for a long time. Special ear drops are available over the counter which can be put inside the child's ear after swimming is over. This will dry up any water inside the ear, if any. Swimmer's ear can also be caused when inquisitive kids try to stuff things inside the ear and thus damaging it. Bacteria get a chance of developing on the scratched area. In this case, only parent's supervision will do the trick.

Stomach Flu in Children

Stomach flu or gastroenteritis is a kind of infection in the digestive system, especially the stomach and intestines. Causes for this condition are parasite, bacteria, or virus infection spread through contaminated food and fluids. It can also be caused by certain toxins present in some plants & seafood, usage of powerful laxatives in order to cure constipation or because of intake of poisonous heavy metal or food. The problem starts with stomach upset and cramps. The child shows disinterest in eating and feels week.  Symptoms of stomach flu are diarrhea and vomiting, which take nearly five days to go away. Sometimes, even fever can accompany along with dehydration.

The child must be given fluids regularly as this will suppress other symptoms from emerging because of loss of water from the body.  Loss of water and salt from the body is the biggest risk in stomach flu. Dehydration can not only worsen the condition, but can threaten the life of the child, if it isn't taken care of in the early stages. Since there is loss of salts along with the loss of water from the body, plain water won't do much. Oral rehydration solutions which are available at the local grocery or drug store, is a good idea because it has the correct combination of salts, sugar and water which can hydrate the body. These fluids come in different flavor, so that kids can have their favorite flavor and is easy to consume. The solution shouldn't be added with anything else such as sugar or water.

If a child is vomiting, solution can be administered to him using a teaspoon every two minutes. The quantity can be increased gradually. If the vomiting is more frequent, the child can be made to suck ice chips in order to supply constant fluid to the body. The solution should be given till diarrhea comes to a halt, but it is not advisable to continue it for more than twenty four hours. Some of the fluids such as soft drinks, sports drink, apple juice, tea, or chicken broth contain wrong amounts of salt, sugar & water and can make matter worse. Besides fluids, the parent shouldn't give any type of medicine without consulting a pediatrician. Fried, spicy and sugary foods aren't good in this condition. If the child isn't receiving sufficient amount of fluids he/she will show signs such as sunken eyes, dry mouth, intense thirst, unusual sleep patterns, and decrease in urine. 

The more the bed rest taken by the child the better it is. The child should take complete bed rest for at least twenty four hours or till the diarrhea and vomiting stops. If the child has fever, the temperature should be checked and noted in a log, every four hours. If the temperature is very high and doesn't stop climbing, the doctor should be contacted immediately. The person who is preparing and serving food to the child should wash his or her hands very carefully before doing so. Also, if the diarrhea and vomiting doesn't stop after twenty four hours, it is a must to get a doctor's appointment. The child should be rushed into emergency if the vomiting contains blood or green color substance.

The doctor, after doing stool and blood test, prescribes antibiotics if infection is suspected. Along with it, anti nausea medicines are also given to stop the throwing up and control fluid loss. If there is considerable loss of fluids from the child's body, the child might be admitted into the hospital and will be administered with fluids such as glucose or IV, through a tube connected to the child's veins. If the child has fever, temperature is checked and the doctor would ask about information about the temperature pattern, for which the parent should be ready.  If the illness is stretched for days, a log about the information about the daily weight should also be given to the doctor. Sometimes, the blood oxygen levels would also have to be checked with the help of a pulse oximeter.

Sinus and Sinus Attack in Children

Sinus might seem like common cold at first. The child coughs, sneezes and gets a red nose, like in cold. But the difference is that sinus attack last longer than common cold. Sinuses are spaces in the bones of the face and the head which are filled with air. They are exactly located on both sides of the nose, behind the nasal cavity, within the forehead, and at the back & in between the eyes. Sinuses grow in pairs and there are four pairs of them. Sinuses begin to develop in the mother womb and grow till twenty years of age. As children have an incompletely developed immune system, they catch cold infection more frequently.

The actual purposes of the sinuses are not known, but scientists say that they make the head lightweight as these air pockets are filled with light air. If these air pockets were to be replaced with something solid, the head will become heavier. The sinuses also provide tone and depth to the voice. That is the reason why the voice sounds funny when a person catches a cold or gets a sinus attack. The sinuses are covered with a thin and moist tissue layer known as a mucous membrane. These membranes are responsible for adding moisture to the air breathed in. They also produce mucus, a sticky liquid filled in the nose, also called snot. This sticky liquid catches germs and dust, which are carried by the air, before they enter the body. The mucus membranes are covered with cilia or microscopic hair. These cilia move to and fro to encourage the flow of the mucus out of the nose and back inside. When the sinuses are infected, the membranes produce more mucus and become swollen and irritated.

When a person catches cold, the virus harms the cilia and the mucus doesn't get swept back in. This is how a runny nose is developed. The mucus lining swells within the nose. This narrows or completely blocks the minute opening of the sinus into nose. Because of this, the stickier and thicker mucus produced get trapped in the sinuses. This stagnant mucus becomes the breeding ground for virus, bacteria and fungi. If the common cold stretches for over two weeks, the sinusitis condition develops. This condition is sinus infection. Acute sinusitis is sinusitis stretching over two weeks or so. But when it crosses three months, it is called chronic sinusitis. The child can get mild fever along with acute sinusitis. There is no fever associated with chronic sinusitis and the symptoms are less intense.  The symptoms of sinusitis or sinus attacks are mild fever, bad breath, continuous nasal discharge, puffy eyes, and daytime cough. Some children also experience low energy, crankiness, headache and pain behind the forehead, cheeks and eyes. 

When the doctor is approached for help, he/she will check throat, nose and ears for infection. The sinuses are also checked. The doctor will press or tap on the cheeks and forehead. If bacteria are responsible for causing the infection, the child will be given antibiotics to kill the bacteria. The antibiotics will show their effect within few days itself. A nasal spray or decongestant can also be used to treat blocked and runny nose. If it is chronic sinusitis, the antibiotics need to be taken for a longer time period, like for about a few weeks, in order to kill the bacteria completely. The child shouldn't stop the course of medicine if he/she isn't seeing any improvement in the condition. The doctor should be contacted for further instructions. In this case, a surgery is an alternative. The doctor will ask the child to get a CT scan of the sinuses.

The best thing about sinusitis is that it isn't contagious. So if a kid is infected with it, he/she can still go to school and have fun with the rest of the kids. But kids who have sinus problem should stay away from environmental pollutants and allergies, which can trigger the condition again in them.

Poison Ivy and Children

Summer camps and family hiking sessions can sometimes result in children getting itchy rashes. To be blamed are plants such as poison ivy, poison sumac and poison oak. All of them produce the same substance or oil, called urushiol, which cause rashes. Urushiol is colorless and even odorless and is present within the leaves. Poison ivy can even grow in the backyards and parks. So any kind of outdoor activity should be monitored and the lawn should be de-weeded periodically. Bushes should be checked, as they grow as a regular plant and the child would not be able to distinguish the poisonous plant from the regular one.

Precaution is better than cure. Children should be educated and made to understand the description and ill-effects of poison ivy. They come in wide range and some change the appearance depending on seasonal variations. Urushiol is released from the leaves only when the leaves are damaged like when they are torn, get bumped or are brushed. The moment the leave is damaged, urushiol is released and the skin is affected immediately. Also, what many people do not know that to get a rash by poison ivy is not only by coming directly in contact with the plant. Human and animal carriers of urushiol can affect people coming in contact with them. The leaves of the plant can be flown by the air, which can cause damage when those leaves are handled or burned with the rest of the leaves and twigs.

Once the children are made familiar with the plants, they should be asked to steer clear on the sight of the plant or leaves. Parents should avoid places where there are possibilities of growth of such plants. When going on camps, etc., children should not be dressed in short sleeves and short length pants, so that the body does not brush off such plants. In spite of taking all these precautions, if the child comes in contact with such plants and contact with urushiol is suspected, the area should be washed with water and disinfectant. It is best to take shower and clean the whole body and the clothes should be removed immediately and washed. Pets should also be bathed after their outdoor adventures.

Basically, the urushiol causes an allergic reaction which irritates the skin and that is the reason why it is known as an allergen. This allergen won't harm all, but eighty percent of the victims get skin irritations. It not only creates itchy rashes, but can also swell the skin. The time period for the symptoms to surface is few hours to five days. The rash usually takes one to two week to heal completely. First the skin swells and rash develops. Blisters can also form as a result of regular rubbing of the skin to get rid of the itch. The blisters will form a crust after some days and will flake off.     

If the rashes are accompanied with fever, a pediatrician should be contacted for appointment. And if the case isn't that serious, the doctor recommends home remedies. The child would be asked to be given showers with cold water and calamine lotion would have to be applied.  If the redness and itching is intense, fluid medicine along with pills are administered to the kid. Antihistamine is very popular in such cases. Steroids are prescribed by the doctor.

Pneumonia in Children

Pneumonia is the infection of the either one lung or both. When both the lungs get infected it is known as double pneumonia. When the pneumonia is mild enough that the visit to the doctor can be avoided and the child can carry out daily activities normally, it is known as walking pneumonia.

The lungs are an important part of the respiratory system. The air which is breathed in contains oxygen, which is filtered by the lungs. This oxygen then is carried around the body with the help of blood which is passed from the breathing tubes by the alveoli. Capillaries or the minute blood vessels are surrounded by small air sacs known as alveoli. There are over six hundred million alveoli in the human body. The air which is taken in is supplied to the alveoli; the oxygen extracted from the air is dissolved in the blood. Then it is the job of the red blood cells to distribute the oxygen to all the body parts. Oxygen is vital in the proper functioning of the human body and insufficient supply of oxygen can damage the organs and sometimes can be life threatening. This functioning is disturbed when the lungs get infected by pneumonia.

Pneumonia does not allow the lungs to function properly, because the infection produces fluid which obstructs the alveoli. In turn the oxygen does not penetrate deep inside the lungs and lesser oxygen is supplied to the blood. The breathing is affected and the condition worsens when both the lungs get infected with pneumonia.

People of all ages from infants to old could get affected with pneumonia. It is a myth among people that getting wet makes the person catch pneumonia. But it is actually the virus or the bacteria which causes the infection. When a person infected with flu or cold faces a deterioration in his/her condition, he/she can be infected with pneumonia. This happens because the irritation caused by the flu or cold helps the pneumonia germs to get into the lungs easily and move around to spread the infection.

The virus or bacteria which cause pneumonia can cause damages, whose severity can depend on the health of the child. If the infection is caused by bacteria, the child will get sick very soon and can get high temperature fever accompanied with chills. Pneumonia caused by virus develops very slowly and it takes longer time to go away. The child can also experiences cough, chest pain, headache, and or muscle ache. It can also make it difficult to breath, so the child will start to breath faster which may make him cough out gloppy mucus. The child would have to totally abstain from eating.

When given the right treatment, the child can recover fully. The doctor will first examine the heartbeat and breathing with the help of the stethoscope. The stethoscope also helps to check the lungs, the sounds made by the lungs help to determine if it contains any fluids. Sounds such as crackling or bubbling are indications of pneumonia. Chest X-ray will be taken too. White patchy area will show fluid buildup. By looking at the X-ray, the doctor can also determine whether the infection is caused by bacteria or virus. If it is caused by bacteria, antibiotics will be prescribed. And if it is difficult for the child to swallow the medicine or to retain it inside, he/she will be injected with IV fluid. And if virus is responsible for the infection, antibiotics won't work. Fever reducers, along with cough medicine, will be given in this case. The medicines will be of no use, if the child doesn't take adequate rest and plenty of liquids.

Shots can be taken to prevent pneumonia. These series of shots are called pneumococcal. Regular flu shots can also prove helpful, especially for kids who have asthma or other kinds of lung infection. Rest and sleep also strengthens the immune system. Washing hands regularly can keep harmful germs at bay.  

Pinworms in Children

Pinworms develop as a result of unhygienic habit of not washing hands before having food. They are small worms who resemble to small thread pieces and cause itching in the anus area. Pinworms infect humans only and reside in the intestines. Every school going kid encounters this problem at one time or the other. They can touch another kid infected with pinworm or an object having the eggs of the pinworm.

The eggs of the pinworm's eggs get on the fingernails and that why it is a good idea to wash the hands regularly.  If the food is eaten without washing hands, these eggs go inside the body, by the digestive system. In the small intestine, the eggs hatch and the pinworms move towards the large intestine. There, they cling onto the walls of the intestine and stay there for few weeks to mature. After that the female pinworms go towards large intestine's end to lay eggs near the anus region. Usually the eggs are laid at night and that is the time when the area itches. It takes one to two months time period after the consumption of the eggs, for the maturing of the pinworms who lay new eggs. The eggs get hatched on the anus's skin and the baby pinworms will crawl inside the body in order to grow.

Pinworms eggs are found anywhere like on the kitchen counter, school desk or bed. They are also found on utensils, clothes and towels. When outside the human body, the eggs can live up to two weeks. Within that time period when they are touched, there is a chance to enter the human body and flourish. Pinworms are contagious and can spread from one human to another. Also they can spread by air as the eggs are lightweight and the wind can blow them and they can be breathed in or swallowed by anyone.  The child can intake more eggs when he scratches his bottom and doesn't wash his/her hands immediately.

Children infected with pinworms can see worms in their stool after they pass and even on the underwear. The worms look like small white threads. But the eggs aren't visible to the naked eyes. If the child observes these symptoms he/she should inform the adults about the condition. The itching caused by pinworms can be so bad that it can wake the child in the middle of the night and make him/her squirm. The doctors usually prescribe some medicine to kill the pinworms. The doctors also take samples from underneath the fingernail and the anus to check for eggs. The medicine will take about two weeks to get rid of the worms completely. If the itching is very irritating and wakes the child in the middle of the night, a cream is prescribed by the doctor. Sometimes other members of the house will also be asked to take the same medicine as a precautionary measure. The parents should wash all the clothes, towels and sheets used by the pinworm infected child.    

The best way to deal with pinworms is taking precautionary steps in the first place. The child must cultivate a habit of washing hands before eating food, after using the bathroom and after playing outdoors. The fingernails should also be clipped regularly to not to allow eggs depositing there. The eggs also hang onto clothes, so it is a good habit to change underwear daily. And other clothes should be washed after every few days.

Pains During Growth in Children

Growing pain is part and parcel of the growing phase in a child's life. When the child stops growing so will the growing pain and when adolescence is reached, they disappear completely. Growing pain can occur between three to five years or eight to twelve years of age. Growing pains are usually experienced in the legs usually in the calves, in the area in front of thighs and behind the knees. The pain starts either in the afternoon or night, just before bedtime. The child can go to bed pain free, but can wake up in the middle of the night complaining of throbbing pain in the legs. But the good part is that these pains vanish by morning. About twenty five to forty percent of the children are known to experience growing pain.

Growing pains are experienced in the muscle region and not around the bones or joints. One of the major reasons of getting growing pains is because of the strenuous activities of the kids during the day. All the jumping around, running and climbing make the muscles tired. But no evidence has been collected which can prove that the growing pain is caused by bone growth. Growing pains are also known to be caused by spurt of growth. This happens because the tendons or the muscles are too tight and do not synchronize with the growing of the bones. As a results muscle spasms are caused which last for less than fifteen minutes. The child usually gets pain in both the legs and not just one. And usually, growing pains do not get accompanied with redness, swelling or fever. The pain should be over by morning and if it is still persisting after the awakening of the kid, the problem could be related to something else and more serious. 

If the pain is unbearable, the parent or caretaker should administer pain relieving medications which are available over the counter such as ibuprofen or acetaminophen. Aspirin should not be given to children as they have a tendency to develop a very serious illness known as Reye Syndrome. Heating pads can be placed on the region that is hurting to ease the pain. Massage can also be given by the parent or the child can do stretching exercise to help the muscles relax. If the child develops fever, redness, swelling, tenderness, limitation in movement, or if the child limps while walking, the doctor should be approached. Before that the parent can do a little diagnosis of the intensity of the pain by feeling around the area and observing the pain experienced by the child. The pain shouldn't be so intense that the child is abstained from normal routine such as walking, running or playing. 

The doctor conducts the diagnosis of exclusion to understand the problem. According to this diagnosis, it is not made until all the conditions are checked before considering growing pains. The doctor studies the child's medical history and conducts a physical examination. In some serious cases, the doctor advices to go for X-ray or blood test before the final decision is made.

Children can prevent the growing pains by doing stretching exercises on a daily basis. The exercise need not be complex. Even if the pain subsides, the exercise should be continued so as to keep the tendons and muscles relaxed and to adjust with the growth spurt. Fluids, when taken in good quantity, decrease the cramping. For this reason, the child should be given tonic water or quinine before going to bed.  

Motion Sickness in Children

Children usually feel sick in the stomach when traveling 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 traveling, 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 traveling 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 traveling in an airplane. When traveling 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.    

Frequent Headaches and Migraine in Children

Children who get frequent headaches and migraine attacks have chronic illness. Such children and their parents face problem to adjust with school and their rules. Extra preparations and steps should be taken to cope with such illness. Pediatric specialist in migraine and headaches exist should be consulted for treatment and other precautionary & preventive measures.  Also the triggers vary from child to child, which should be recognized accurately.

Firstly, it is the strict attendance rule in most of the schools that children with chronic illness find it difficult to deal with. To add to it, majority of the schools have zero tolerance policy regarding medications, even including over the counter medicines. Reports of students getting expelled for merely carrying Advil in school with them are common. Prior to making appointment with the doctor, it is recommended that parents read the policy of the school the child is attending. It is good to ask questions before hand, than feeling sorry later. Some of the schools asks for letter or medical record as a proof, incase the student didn't attend because of a health problem. Some schools consider sick leaves as regular leaves and in this case, the attendance gets affected greatly.

School nurses can be given the prescribed medicine so that they can give the medicine to the child at the required time. If this is the case, things such as medicine storage location and availability of substitute should be checked. Apart from not attending regularly, the child can sometimes be unable to take part in co-curricular activities especially physical education and outdoor recess. Other possible options should be discussed with the teacher. Usually a recommendation letter from the physician will do the needed. In all the cases, some kind of medical identification can be carried by the child at all times. If the child is attending an after school babysitter or program, directly after school, extra measures should be taken. The babysitter or program in charge should be told about the problem in advance. Their cooperation can be asked for timely administration of the medicine and for taking special care of the child. If the child himself is grown enough to understand the matter, the child should be educated about taking medications. They should also be made to understand that it is harmful to take medicines from any un-trustable source even if their fellow students do. Budge them to ask questions and clarify any of their fears of concerns.

Most of the children lack the ability to convey their problem properly. The situation is further aggravated because of different kinds of headaches. They can be related to chronic illness, tension, sinus or fever. Only diagnosis can bring out the correct problem. If the rate of headache becomes more frequent, like more than twice a month, doctor's appointment should be taken instantly. Younger kids find it more difficult to explain the problem. If they become cranky, restless, irritating, tired, is having sleeping disorders and is not eating properly, a problem surely exists. Most of the children complain of headaches during exams because of increased stress. Seventy five percent of the children experience headaches because of tension. If so, stress management education, along with counseling, should be given to the kid.

Headaches can be an indication of other problems, too. So, thorough diagnosis is highly recommended. The child
's previous medical history provides important clue. Prior to the doctor's appointment, notes can be made after referring the medical history. Maintaining a log about the child's headache frequencies, pain location, time of occurrence, symptoms, etc. also helps. If not due to illness, headaches can also be a result of head injury. Sometimes, headache can be hereditary, like in the case of migraines. 

Headaches can also be caused because of infections, vision problems, odd levels of blood pressure, neurological problems, muscle weakness, improper ear balance or serious problems such as tumor, blood clots, etc. If the doctor is not able to diagnose the problem, he/she can refer the child to a headache specialist or neurologist. Test such as CT scan or MRI are done if there is a serious problem.  After the diagnosis, the doctor prescribes medication or will ask to take over the counter medicines. According to a study, children who face headaches and migraine take overdose of over the counter medicines for immediate pain reliving. In some of the cases, the parents are clueless about this situation. This practice is risky and mostly children above six years are involved in such cases. 

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 cow's 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 isn't 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 aren't 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.

Flu and Cold in Children

Flu and cold usually accompany each other when attacking a child's immune system. It is a wide spread viral infection and the harsh truth is that there is no permanent treatment designed for it because of the involvement of many types of viruses which cannot be killed, but yes their growth rate can be suppressed. Symptomatic treatments can trigger the rate of improvement in the child's health, but it might not work for all kids.

The child can get affected by the flu and cold virus when he is exposed to an infected person. The symptoms are mild headache, feeling of tiredness, stuffy or runny nose, watery eyes, light fever, sneezing, cough, muscle aches, and sore throat. It takes two to five days for the symptoms to appear and three to five days for the complete development of the virus. It takes nearly two weeks to completely get rid of the flu. The virus attacks the upper respiratory system. These are the symptoms of cold. The symptoms of flu are more terrible than cold and grow very rapidly. They are high fever, runny nose, sore throat, nasal congestion, chills, fatigue and nausea, vomiting, eye pain and extreme headache. Symptoms are extremely important when trying to differentiate between flu and a cold. As stated before, the symptoms of flu are more severe when compared to the symptoms of cold. Also, it is easier to get over cold than flu. The biggest clue will be recalling any incident of exposure to patients having either flu or cold. Even after thorough analysis, if it is difficult to reach any clear conclusion, a doctor should be consulted. A swab is taken from the nasal track or throat and the results are determined an hour after the test is taken.

No antibiotics work on these viruses. Intake of antibiotics cannot better the condition in any way whatsoever. Also, there are chances of secondary bacterial infections like sinus or ear infection. The child should be administered with fluids and a cool mist humidifier to suppress the symptoms and to help him feel better. Medications are available over the counter which can be bought depending on the symptoms of the infected.  Antiviral medicines are available for the treatment of flu, which hasten the recovery process. But the medicines are effective only when given within forty eight hours after the onset of flu symptoms. Runny nose, especially of infants and kids who cannot blow their nose, can be taken care of with the help of a bulb syringe or nasal drop.  If flu isn't treated at the right time, it can worsen the health of the infected and can also lead to pneumonia.

Flu is a very commonly spreading infection among school going kids. According to a research, nearly twenty percent of Americans are infected with flu every year and nearly twenty thousand people die because of it. The only way to prevent the child from contracting these virus is by getting him/her a flu shot before the flu season or as recommended by the physician. The vaccine is either administered through a shot or nasal spray. Regular dosage will strengthen the immune system by constructing antibodies. The nasal spray vaccine contains live weakened viruses and shots contain completely dead viruses. By any chance, if the child does get exposed to the virus, he/she should be given medicine meant for flu patients, immediately.  More than hundred viruses are known which cause cold. A lesser number of viruses are known to causes flu. That is the reason why there is a shot for flu and not cold.

But flu shot cannot be taken by anyone or everyone. People who complain of allergic reactions from previous flu shots, people who have the Guillain-Barre syndrome and people allergic to eggs are not eligible for flu shots. It is highly recommended to take advice from a physician before getting vaccinated. Children and elderly should be given nasal spray vaccination, but instead they should opt for flu shots. Out of total population, there are certain people who have a greater probability of getting flu. Children up to five years of age, elders older than sixty five years, nursing home residents, pregnant women, patients with long term problems regarding health, and health care workers who come directly in contact with flu patients.

Fever in Children

The normal temperature of human body is 98.6 degrees F. If the temperature is taken rectally, the thermometer will show a rise of 1 degreeF, that is it will show 99.6 degrees 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 degrees F when taken orally and 100.4 degrees 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 degrees F. The same applies for children older than three months and having a body temperature above 102 degrees 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.  

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 doesn't 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 doesn't hurt himself while scratching. Lastly, lots of water should be consumed to provide moisture to the dry skin.

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.

Corn, Calluses and Blisters in Children

Almost every kid and teenager faces corns, calluses and blisters problem. They cause extreme discomfort, but at the same time, they are easily preventable. The major cause for all of them is friction between the skin and foreign objects.

Dancers experience corns. They are painful bumps on the toes. Area affected with corn becomes hard and the skin becomes thick. The skin surrounding it becomes yellow and it appears like a soft ring encircling it. Skin in the center is gray. They develop on the toes mostly and appear because of tight shoes, which apply lots of pressure on the toe region. The rubbing of the shoes elevates the problem. In this case, a more comfortable pair of shoes should be opted. Corns take longer time to go away. A doughnut shaped pad can be worn in the shoe to avoid friction. Pads with salicylic acid are also highly suggested. If the corn is hurting badly, a podiatrist should be consulted. 

Many people complain of callus after shoveling or raking leaves. The symptoms are that the affected area develops hard skin and are similar to that of corn. Repeated application of pressure will thicken the hardened skin which has a yellow or grayish color.  In some sense, it actually acts as a protection layer. Gymnasts and guitarist often are victims of callus. Gymnasts develop them when working with uneven parallel bars and guitarists develop them when playing with the strings continuously. But once they are formed, calluses make their task easier. Gymnasts can swing on bars more easily and guitarists can play the guitar well.

Callus when formed on the foot, especially on the sole, can be very painful every time it is stepped on. They form on the ball or the curvy part of the sole, which follows the toes. Sometimes they can also form the heel or on small toes. To avoid callus, it is advised to avoid tight fitting shoes and shoes with high heels. Both of them put a lot of pressure and stress on certain points. The callus can be soaked in lukewarm water and then it should be rubbed with a pumice stone. This will remove the dead skin.  

Blisters are usually caused when new pair of shoes has been worn, in general terms, they are caused by pressure and rubbing. Also they are formed more easily when compared to calluses. The skin is popped up with some watery fluid inside it and can appear anywhere on the hand or the feet. The best way to avoid them is to wear protecting gear such as gloves when doing heavy duty work, like while shoveling or even when driving a cycle or a bike. If the blisters aren't taken care of in the initial stages, they grow further to form calluses. This can happen when the same pair of shoes is worn everyday, which caused the blister in the first place. Blisters heal by themselves over a period of time. They should be cleaned regularly and kept clean & covered with a bandage. 

In case of corn, calluses and blisters, the best approach is prevention when compared to cure. Firstly, protective gear, like work gloves or grips, should be worn when doing strenuous jobs. Tight-fitting shoes should not be worn to avoid corn and calluses. Researchers say that the feet are of the maximum size in afternoon. So it is advisable to shop for shoes in the afternoon. Also a trial should be done before deciding on the final pair. A particular pair of shoes shouldn't be worn on a regular basis. Shoe pads can be worn to avoid the pressure.

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 a 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.  

Victorian Views on Children's Clothing

During infancy.

Infants are very susceptible of the impressions of cold; a proper regard, therefore, to a suitable clothing of the body, is imperative to their enjoyment of health. Unfortunately, an opinion is prevalent in society, that the tender child has naturally a great power of generating heat and resisting cold; and from this popular error has arisen the most fatal results. This opinion has been much strengthened by the insidious manner in which cold operates on the frame, the injurious effects not being always manifest during or immediately after its application, so that but too frequently the fatal result is traced to a wrong source, or the infant sinks under the action of an unknown cause.

The power of generating heat in warm-blooded animals is at its minimum at birth, and increases successively to adult age; young animals, instead of being warmer than adults, are generally a degree or two colder, and part with their heat more readily; facts which cannot be too generally known. They show how absurd must be the folly of that system of "hardening" the constitution (to which reference has been before made), which induces the parent to plunge the tender and delicate child into the cold bath at all seasons of the year, and freely expose it to the cold, cutting currents of an easterly wind, with the lightest clothing.

The principles which ought to guide a parent in clothing her infant are as follows: 

The material and quantity of the clothes should be such as to preserve a sufficient proportion of warmth to the body, regulated therefore by the season of the year, and the delicacy or strength of the infant's constitution. In effecting this, however, the parent must guard against the too common practice of enveloping the child in innumerable folds of warm clothing, and keeping it constantly confined to very hot and close rooms; thus running into the opposite extreme to that to which I have just alluded: for nothing tends so much to enfeeble the constitution, to induce disease, and render the skin highly susceptible to the impression of cold; and thus to produce those very ailments which it is the chief intention to guard against.

In their make they should be so arranged as to put no restrictions to the free movements of all parts of the child's body; and so loose and easy as to permit the insensible perspiration to have a free exit, instead of being confined to and absorbed by the clothes, and held in contact with the skin, till it gives rise to irritation.

In their quality they should be such as not to irritate the delicate skin of the child. In infancy, therefore, flannel is rather too rough, but is desirable as the child grows older, as it gives a gentle stimulus to the skin, and maintains health.

In its construction the dress should be so simple as to admit of being quickly put on, since dressing is irksome to the infant, causing it to cry, and exciting as much mental irritation as it is capable of feeling. Pins should be wholly dispensed with, their use being hazardous through the carelessness of nurses, and even through the ordinary movements of the infant itself.

The clothing must be changed daily. It is eminently conducive to good health that a complete change of dress should be made every day. If this is not done, washing will, in a great measure, fail in its object, especially in insuring freedom from skin diseases.

During childhood

The clothing of the child should possess the same properties as that of infancy. It should afford due warmth, be of such materials as do not irritate the skin, and so made as to occasion no unnatural constriction.

In reference to due warmth, it may be well again to repeat, that too little clothing is frequently productive of the most sudden attacks of active disease; and that children who are thus exposed with thin clothing in a climate so variable as ours are the frequent subjects of croup, and other dangerous affections of the air- passages and lungs. On the other hand, it must not be forgotten, that too warm clothing is a source of disease, sometimes even of the same diseases which originate in exposure to cold, and often renders the frame more susceptible of the impressions of cold, especially of cold air taken into the lungs. Regulate the clothing, then, according to the season; resume the winter dress early; lay it aside late; for it is in spring and autumn that the vicissitudes in our climate are greatest, and congestive and inflammatory complaints most common.

With regard to material (as was before observed), the skin will at this age bear flannel next to it; and it is now not only proper, but necessary. It may be put off with advantage during the night, and cotton maybe substituted during the summer, the flannel being resumed early in the autumn. If from very great delicacy of constitution it proves too irritating to the skin, fine fleecy hosiery will in general be easily endured, and will greatly conduce to the preservation of health.

It is highly important that the clothes of the boy should be so made that no restraints shall be put on the movements of the body or limbs, nor injurious pressure made on his waist or chest. All his muscles ought to have full liberty to act, as their free exercise promotes both their growth and activity, and thus insures the regularity and efficiency of the several functions to which these muscles are subservient.

The same remarks apply with equal force to the dress of the girl; and happily, during childhood, at least, no distinction is made in this matter between the sexes. Not so, however, when the girl is about to emerge from this period of life; a system of dress is then adopted which has the most pernicious effects upon her health, and the development of the body, the employment of tight stays, which impede the free and full action of the respiratory organs, being only one of the many restrictions and injurious practices from which in latter years they are thus doomed to suffer so severely.

Victorian Views on Stomach and Bowel Disorders Among Infants

Disorder of the stomach and bowels is one of the most fruitful sources of the diseases of infancy. Only prevent their derangement, and, all things being equal, the infant will be healthy and flourish, and need not the aid of physic or physicians. 

There are many causes which may give rise to these affections; many of them appertain to the mother's system, some to that of the infant. All are capable, to a great extent, of being prevented or remedied. It is, therefore, most important that a mother should not be ignorant or misinformed upon this subject. It is the prevention of these affections, however, that will be principally dwelt upon here; for let  the mother ever bear in mind, and act upon the principle, that the  prevention of disease alone belongs to her; the cure to the physician.  For the sake of clearness and reference, these disorders will be spoken of as they occur:  

To the infant at the breast

The infant's stomach and bowels may become deranged from the breast-milk becoming unwholesome. This may arise from the parent getting out of health, a circumstance which will be so manifest to herself, and to those more immediately interested in her welfare, that it is only necessary just to allude to it here. Suffice it to say, that there are many causes of a general kind to which it may owe its origin; but that the most frequent is undue lactation, and the effects both upon mother and child fully dwelt upon. 

Anxiety of mind in the mother will cause her milk to be unhealthy in its character, and deficient in quantity, giving rise to flatulence, griping, and sometimes even convulsions in the infant. A fit of passion in the nurse will frequently be followed by a fit of bowel complain in the child. These causes of course are temporary, and when removed the milk becomes a healthy and sufficient for the child as before.

Sudden and great mental disturbance, however, will occasionally drive away the milk altogether, and in a few hours. A Mrs. S., at 29, a fine healthy woman, of a blonde complexion, was confined of a boy.  She had a good time, and a plentiful supply of milk for the child, which she continued to suckle till the following January, a period of three months, when her milk suddenly disappeared. This circumstance puzzled the medical attendant, for he could not trace it to any physical ailment; but the milk never returned, and a wet-nurse became necessary. In the following spring the husband of this lady failed, an adversity which had been impending since the date when the breast-milk disappeared, upon which day the deranged state of the husband's affairs was made known to the wife, a fact which at once explained the mysterious disappearance of the milk.

Unwholesome articles of diet will affect the mother's milk, and derange the infant's bowels. Once, I was called to see an infant at the breast with diarrhoea. The remedial measures had but little effect so long as the infant was allowed the breast-milk; but this being discontinued, and arrow-root made with water only allowed, the complaint was quickly put a stop to. Believing that the mother's milk was impaired from some accidental cause which might now be passed, the infant was again allowed the breast. In less than four-and-twenty hours, however, the diarrhoea returned. The mother being a very healthy woman, it was suspected that some unwholesome article in her diet might be the cause. The regimen was accordingly carefully inquired into, when it appeared that porter from a neighbouring publican's had been substituted for their own for some little time past. This proved to be bad, throwing down, when left to stand a few hours, a considerable sediment; it was discontinued; good sound ale taken instead; the infant again put to the breast, upon the milk of which it flourished, and never had another attack.

In the same way aperient medicine, taken by the mother, will act on the child's bowels, through the effect which it produces upon her milk. This, however, is not the case with all kinds of purgative medicine, nor does the same purgative produce a like effect upon all children. It is well, therefore, for a parent to notice what aperient acts thus through her system upon that of her child, and what does not, and when an aperient becomes necessary for herself, unless she desire that the infant's bowels be moved, to avoid the latter; if otherwise, she may take the former with good effect.

Again; the return of the monthly periods whilst the mother is a nurse always affects the properties of the milk, more or less, deranging the stomach and bowels of the infant. It will thus frequently happen, that a few days before the mother is going to be unwell, the infant will become fretful and uneasy; its stomach will throw up the milk, and its motions will be frequent, watery, and greenish. And then, when the period is fully over, the milk will cease to purge. It is principally in the early months, however, that the infant seems to be affected by this circumstance; for it will be generally found that although the milk is certainly impaired by it, being less abundant and nutritious, still, after the third or fourth month it ceases to affect the infant. Is then a mother, because her monthly periods return after her delivery, to give up nursing? Certainly not, unless the infant's health is seriously affected by it; for she will generally find that, as the periods come round, by keeping the infant pretty much from the breast, during its continuance, and feeding him upon artificial food, she will prevent disorder of the child's health, and be able in the intervals to nurse her infant with advantage. It must be added, however, that a wet- nurse is to be resorted to rather than any risk incurred of injuring the child's health; and that, in every case, partial feeding will be necessary at a much earlier period than when a mother is not thus affected.

The milk may also be rendered less nutritive, and diminished in quantity, by the mother again becoming pregnant. In this case, however, the parent's health will chiefly suffer, if she persevere in nursing; this, however, will again act prejudicially to the child. It will be wise, therefore, if pregnancy should occur, and the milk disagree with the infant, to resign the duties of a nurse, and to put the child upon a suitable artificial diet.

The infant that is constantly at the breast will always be suffering, more or less, from flatulence, griping, looseness of the bowels, and vomiting. This is caused by a sufficient interval not being allowed between the meals for digestion. The milk, therefore, passes on from the stomach into the bowels undigested, and the effects just alluded to follow. Time must not only be given for the proper digestion of the milk, but the stomach itself must be allowed a season of repose. This evil, then, must be avoided most carefully by the mother strictly adhering to those rules for nursing.

The bowels of the infant at the breast, as well as after it is weaned, are generally affected by teething. And it is fortunate that this is the case, for it prevents more serious affections. Indeed, the diarrhoea that occurs during dentition, except it be violent, must not be subdued; if, however, this is the case, attention must be paid to it. It will generally be found to be accompanied by a swollen gum; the freely lancing of which will sometimes alone put a stop to the looseness: further medical aid may, however, be necessary.

At the period of weaning

There is great susceptibility to derangements of the stomach and bowels of the child at the period when weaning ordinarily takes place, so that great care and judgment must be exercised in effecting this object. Usually, however, the bowels are deranged during this process from one of these causes; from weaning too early, from effecting it too suddenly and abruptly, or from over-feeding and the use of improper and unsuitable food. There is another cause which also may give rise to diarrhoea at this time, independently of weaning, viz. the irritation of difficult teething.

The substitution of artificial food for the breast-milk of the mother, at a period when the digestive organs of the infant are too delicate for this change, is a frequent source of the affections now under consideration.

The attempt to wean a delicate child, for instance, when only six months old, will inevitably be followed by disorder of the stomach and bowels. Unless, therefore, a mother is obliged to resort to this measure, from becoming pregnant, or any other unavoidable cause, if she consult the welfare of her child, she will not give up nursing at this early period. 

Depriving the child at once of the breast, and substituting artificial food, however proper under due regulations such food may be, will invariably cause bowel complaints. Certain rules and regulations must be adopted to effect weaning safely, the details of which are given elsewhere.

If too large a quantity of food is given at each meal, or the meals are too frequently repeated, in both instances the stomach will become oppressed, wearied, and deranged; part of the food, perhaps, thrown up by vomiting, whilst the remainder, not having undergone the digestive process, will pass on into the bowels, irritate its delicate lining membrane, and produce flatulence, with griping, purging, and perhaps convulsions.

Then, again, improper and unsuitable food will be followed by precisely the same effects; and unless a judicious alteration be quickly made, remedies will not only have no influence over the disease, but the cause being continued, the disease will become most seriously aggravated.

It is, therefore, of the first importance to the well-doing of the child, that at this period, when the mother is about to substitute an artificial food for that of her own breast, she should first ascertain what kind of food suits the child best, and then the precise quantity which nature demands. Many cases might be cited, where children have never had a prescription written for them, simply because, these points having been attended to, their diet has been managed with judgment and care; whilst, on the other hand, others might be referred to, whose life has been hazarded, and all but lost, simply from injudicious dietetic management. Over-feeding, and improper articles of food, are more frequently productive, in their result, of anxious hours and distressing scenes to the parent, and of danger and loss of life to the child, than almost any other causes.

The irritation caused by difficult teething may give rise to diarrhoea at the period when the infant is weaned, independently of the weaning itself. Such disorder of the bowels, if it manifestly occur from this cause, is a favourable circumstance, and should not be interfered with, unless indeed the attack be severe and aggravated, when medical aid becomes necessary. Slight diarrhoea then, during weaning, when it is fairly traceable to the cutting of a tooth (the heated and inflamed state of the gum will at once point to this as the source of the derangement), is of no consequence, but it must not be mistaken for disorder arising from other causes. Lancing the gum will at once, then, remove the cause, and generally cure the bowel complaint.

A Victorian's View on Sleep During Infancy and Childhood

During Infancy

For three or four weeks after birth the infant sleeps more or less, day and night, only waking to satisfy the demands of hunger; at the expiration of this time, however, each interval of wakefulness grows longer, so that it sleeps less frequently, but for longer periods at a time.

This disposition to repose in the early weeks of the infant's life must not be interfered with; but this period having expired, great care is necessary to induce regularity in its hours of sleep, otherwise too much will be taken in the day-time, and restless and disturbed nights will follow. The child should be brought into the habit of sleeping in the middle of the day, before its dinner, and for about two hours, more or less. If put to rest at a later period of the day, it will invariably cause a bad night.

At first the infant should sleep with its parent. The low temperature of its body, and its small power of generating heat, render this necessary. If it should happen, however, that the child has disturbed and restless nights, it must immediately be removed to the bed and care of another female, to be brought to its mother at an early hour in the morning, for the purpose of being nursed. This is necessary for the preservation of the mother's health, which through sleepless nights would of course be soon deranged, and the infant would also suffer from the influence which such deranged health would have upon the milk.

When a month or six weeks has elapsed, the child, if healthy, may sleep alone in a cradle or cot, care being taken that it has a sufficiency of clothing, that the room in which it is placed is sufficiently warm, viz. 60 degrees, and the position of the cot itself is not such as to be exposed to currents of cold air. It is essentially necessary to attend to these points, since the faculty of producing heat, and consequently the power of maintaining the temperature, is less during sleep than at any other time, and therefore exposure to cold is especially injurious. It is but too frequently the case that inflammation of some internal organ will occur under such circumstances, without the true source of the disease ever being suspected. Here, however, a frequent error must be guarded against,  that of covering up the infant in its cot with too much clothing throwing over its face the muslin handkerchief and, last of all, drawing the drapery of the bed closely together. The object is to keep the infant sufficiently warm with pure air; it therefore ought to have free access to its mouth, and the atmosphere of the whole room should be kept sufficiently warm to allow the child to breathe it freely: in winter, therefore, there must always be a fire in the nursery.

The child up to two years old, at least, should sleep upon a feather bed, for the reasons referred to above. The pillow, however, after the sixth month, should be made of horsehair; for at this time teething commences, and it is highly important that the head should be kept cool.

During Childhood

Up to the third or fourth year the child should be permitted to sleep for an hour or so before its dinner. After this time it may gradually be discontinued; but it must be recollected, that during the whole period of childhood more sleep is required than in adult age. The child, therefore, should be put to rest every evening between seven and eight; and if it be in health it will sleep soundly until the following morning. No definite rule, however, can be laid down in reference to the number of hours of sleep to be allowed; for one will require more or less than another.Regularity as to the time of going to rest is the chief point to attend to; permit nothing to interfere with it, and then only let the child sleep without disturbance, until it awakes of its own accord on the following morning, and it will have had sufficient rest.

The amount of sleep necessary to preserve health varies according to the state of the body, and the habits of the individual. Infants pass much the greater portion of their time in sleep. Children sleep twelve or fourteen hours. The schoolboy generally ten. In youth, a third part of the twenty-four hours is spent in sleep. Whilst, in advanced age, many do not spend more than four, five, or six hours in sleep.

It is a cruel thing for a mother to sacrifice her child's health that she may indulge her own vanity, and yet how often is this done in reference to sleep. An evening party is to assemble, and the little child is kept up for hours beyond its stated time for retiring to rest, that it may be exhibited, fondled, and admired. Its usual portion of sleep is thus abridged, and, from the previous excitement, what little he does obtain, is broken and unrefreshing, and he rises on the morrow wearied and exhausted.

Once awake, it should not be permitted to lie longer in bed, but should be encouraged to arise immediately. This is the way to bring about the habit of early rising, which prevents many serious evils to which parents are not sufficiently alive, promotes both mental and corporeal health, and of all habits is said to be the most conducive to longevity.

A child should never be suddenly aroused from sleep; it excites the brain, quickens the action of the heart, and, if often repeated, serious consequences would result. The change of sleeping to waking should always be gradual.

The bed on which the child now sleeps should be a mattress: at this age a feather bed is always injurious to children; for the body, sinking deep into the bed, is completely buried in feathers, and the unnatural degree of warmth thus produced relaxes and weakens the system, particularly the skin, and renders the child unusually susceptible to the impressions of cold. Then, instead of the bed being made up in the morning as soon as vacated, and while still saturated with the nocturnal exhalations from the body, the bed-clothes should be thrown over the backs of chairs, the mattress shaken well up, and the window thrown open for several hours, so that the apartment shall be thoroughly ventilated. It is also indispensably requisite not to allow the child to sleep with persons in bad health, or who are far advanced in life; if possible, it should sleep alone.