Tag Archives: pediatrician Vasundhara

Tips to Prevent Motion Sickness

Motion sickness as we all know happens while traveling. It is more common in young children. Simple definition is nausea and fatigue which is caused by motion of head. It is associated with disorientation as well.

Motion sickness is very common while traveling especially to hilly areas. It can happen in any mode of transportation.

Symptoms can start suddenly or gradually. Most common symptoms are nausea, vomiting, dizziness, sweating etc. It usually stops as soon as we journey is completed. More frequent travellers have less of these symptoms.

How to prevent it

  • Try to occupy the seat where minimum motion will be felt. Seating arrangement should be such that you are as close to front as possible, so that you can see through the front of car and focus on the road and destination.
  • Stay clear of sick people; it may sound mean but if you have other people vomiting around you, there is high chances you will yourself end vomiting.
  • Do not eat heavy, oily meals just before the journey.
  • Road Trip: better to sit in front seat or drive yourself
  • Train travel: Window seat and face forward
  • Plane travel: Seat over front edge of wing is better. Direct the air vent flow towards your face
  • By water (Ship): Try to get front or middle cabin which is near the water level.

Treatment options:

  • Focus on distant stationary object. Do not stress yourself and avoid reading.
  • Try to keep your head still
  • Avoid smoking
  • Avoid spicy food or heavy meals
  • Avoid alcohol
  • Drink carbonated beverage to help settle stomach or Eat dry crackers

Drugs:

  • Antihistaminics: 30 to 60 minutes prior to journey
  • Transdermal Patch
  • Hyosine (Buscopan)
  • Phenergan (Promthazine)

These drugs should be given only under medical supervision after advice from your doctor.

 

regards

Dr Rahul Varma

Donate Blood: It feels nice and you can save upto 3 lives

 

Donating blood is one of the best things anyone can do. Anyone of us adults can donate blood. Proper checkup of the person is done prior to blood donation.

Invitedtodonate 

Advantage of blood donations are

  • Our bone marrow is stimulated and new red blood cells are produced.
  • It helps our heart to function more effectively.
  • Due to flow of new red blood cells our body feels rejuvenated and strong.
  • It also burns few calories
  • You get to know your blood group. And also few screening tests are done.
  • Best is “Acchha lagta hai”. It feels really good to know that you could possibly save 3 lives.

So Are You All Set to – DONATE BLOOD

DOnate-Blood (1)

Facts you should know:

  • There is No alternative for blood. (It cannot be artificially made, so in case of emergencies the blood which we donate can be used)
  • Anyone  between 18 to 65 years of age can donate blood.
  • Proper blood tests are done prior to taking blood, and if the donor is unfit or has low Hemoglobin, donation will not be done.
  • We can donate blood every 3 months.
  • Actual blood donation takes 6 -10 minutes. And whole procedure from registration to post donation refreshments take 25 to 35 minutes.
  • It takes 24 hours to replenish blood volume.
  • Donor’s blood will be tested for various diseases before it is deemed fit for transfusion.
  • You get a free mini health check up in form of weight, height, BP monitoring and various blood tests absolutely FREE.
  • You can donate anytime at any authorised blood bank or at various donation camps.
  • Please Donate because Your Blood can ‘SAVE LIFE’

Blood for humans comes only from humans; "DONATE BLOOD ,SAVE LIVES"

Blood for humans comes only from humans;
“DONATE BLOOD ,SAVE LIVES” 
List of Blood Banks in DELHI-NCR
AIIMS : 011-26594874, 09868397040
AIIMS TRAUMA CENTRE : 011-26731168,09868397275
Apollo Blood Bank : 011-26825707
Central Polyclinic 3, Gagan Vihar, Karkari Morh, Delhi : 011-22526347
G B Pant Hospital : 011-23234242, 011-23235059, 09718599003
Guru Teg Bahadur Delhi :011-22586262, 011-22130973
Indian Redcross Society 011-23711551, 09313999748
LHMC 011-23408271, 09818359888
Lifeline Nehru Nagar Ghaziabad 0120-6568739
Lions Blood Bank: 011-42258080, 011-42258494
LNJP Hospital (Irwin): 011-23231471, 011-23231023
Moolchand Blood Bank: 011-42000476
Narender Mohan Hospital: 0120-2733435
Pushpanjali Hospital: 0120- 4188000
R M L Hospital: 011-23348033, 09810626226
Safdarjung Hospital: 011-26168470, 9810850998
Yashoda Hospital: 0120-2777841-44, 0120-2750001-05

 

Regards

Dr Rahul Varma

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Injury prevention and Safety in children

Injury Prevention in Children

Every day around 1000 children die worldwide. Most of these deaths can be prevented by taking simple injury prevention measures. Huge number of children becomes seriously injured for life. In developing countries like ours where we lose so many children to infectious diseases; it adds to the mortality burden of country. More than 90% of these injuries are unintentional.

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Common Causes:

RTA ( road traffic accidents), fall from height, burns, poisoning, drowning are the main causes of death in children due to injuries.

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Road traffic accidents (RTA)

It is the leading cause worldwide. various methods which can help in preventing these deaths are Proper use of seat belts and child restrainer devices , wearing helmets, driving and walking in designated lanes, driving within speed limits and to avoid drunken driving.

Fall:

Fall from beds are very common and most baby survive with only bruises and scratches. But still more than 100 children die daily due to fall from height. Many of these deaths can be avoided by using well fitted window panels, child proofing doors and windows and play areas.

Burn:

Burn injuries from hot water or flames are commonly seen in young children. Preventive measures which can help are smoke alarms, temperature regulators, using fire crackers under supervision of adults.

Poisoning:

Another common cause of death in young children is poisoning. Daily numerous calls are received by poison cell. Accidental poisoning can be prevented by child proofing cabinets, keeping toilet cleaner out of reach of children, keeping kerosene oil safely and all the medicines away from children.

Drowning

Drowning is another cause of death in coastal areas. But many small children can drown head down in buckets or bathtub.So to prevent these deaths, we need to store water only in closed container and keep tub empty.

Poverty

Children living in poor economical conditions are more likely to be living in unsafe environment. They might be living close to road with high traffic, poor and unstable construction, illegal electricity connection etc.

child-injury

 

Prevention

Child deaths have decreased significantly over last decade (in western countries) due to following measures:

  • Enforcing laws for child safety like having child proof cabinet for storage of medicines and floor cleaners etc.
  • Structural modification in public places like proper railing for child safety in stairs, well fitted windows, fencing around pools, life guards etc.
  • Public awareness campaigns
  • Better emergency care
  • Proper storage of flammable objects
  • Parental guidance
  • Better disaster management

 1child

In India major issue is with enforcing laws rather than making them. Authorities should be more vigilant and we should also know our social responsibility.

Right to safety

All children have the right to a safe environment and deserve protection from injury. With proper awareness, environmental modifications and good emergency care, it can be achieved.

 

Regards

Dr Rahul Varma

 

Potty-Training-Toilets

When is the right time to start Toilet training in children?

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Training the children for toilet is a big issue for parents. It is perceived as a big developmental milestone. But the real problem starts when we start comparing our kids with others. Every child has different pace of developing milestones. And few accidents regarding Susu (Urine) and potty (Stool) once in a while should be dealt with patiently. Compassionate and encouraging attitude towards toddlers will help us better, than showing frustration and anger.

What is the age when our baby will be ready?

  • First action which suggests that your baby is ready to train is when baby start to tell you while doing susu or soon after that before you take notice. And when baby is praised for telling the same, they will soon be telling you before doing.
  • Most babies should be ready by 2 years but some may take time until they turn 3.
  • Girls are ready earlier than boys of similar age
  • Control over susu comes before potty
  • Other features which indicates that your baby is ready for toilet training are
    • Telling you that his nappy is wet
    • Pulling at wet or dirty nappies
    • Baby does not want to wear nappies any longer
    • Shows interest in others using toilet

  Potty-Training-Toilets

Patience is the Key to success in this case too. Most problems arise when we start too early or we want our baby to be trained before certain major event in our life. eg arrival of 3nd baby, family marriage, long planned vacation, before going to play school. If we try to put pressure on child it will only worsen the case and increase your frustration levels.

How to train your baby

  • Teach your child meaning of words needed to define urine, stool, dry, wet , it’s coming. Choose words you are comfortable with eg susu, potty, wet (geela), dry (suukha), etc. Clear words and constantly same words to be used by everyone at home will make it easier for baby.
  • Need to have thing with you which are needed like toilet seat (different types are there, choose which ever you are comfortable with), footstool near the seat so that baby can climb up, proper lighting in the area, something to hold on while sitting on toilet seat so that baby will feel safe and relaxed.
  • Keep the area safe. Keep toilet cleaner, household cleaner and other toiletries out of range of children.
  • Talk to your child, if you are comfortable you can let your baby go along with you and tell them all the steps you are doing like cleaning flushing etc.
  • Learn the signal which baby gives before, keep your toilet ready (because your baby won’t be able to hold on for long), loose cloths which can be easily removed.

potty-training-readiness

Few important things you need to know:

  • Never start toilet training when something new is happening and child is trying to adapt. eg change of home, grandparents leaving home, arrival of 2nd baby, you are very stressed out etc
  • Give your child time to get familiar with stuff in toilet (so that they are not scared). Eg let him touch the toilet seat, feel it.
  • Encourage an appreciate child’s behavior and things when they tell in time. Hug them or cuddle them and say something like “You are good baby”. And always support them if they do in their pants.
  • Never embarrass or punish your Child. It will only worsen the situation.
  • Remember it is very difficult skill to learn for child and it will take time. The more you support your child easier it will be for them.
  • Hygiene: Girls should be taught to wipe front towards back to avoid chances of getting the potty into vagina and Boys should be taught to shake penis after susu to get rid of any drops.
  • Teach your child to wash hand every time and also assist them in early stages of cleaning.

 

“Toilet training works best when there is no pressure for either the parent or the child”.

  index

  • If you are stressed out or getting angry seeing that your baby is not learning, it is best to leave it for few days and do not pressurize your child. Punishment will never help.
  • Some baby will hide at some weird place and do susu or potty. Like behind the sofa, or curtain or cupboard. You need to be patient and support them and no Punishment.
  • Most babies will make a mess after doing potty; they may soil their hands and spread it. Do not punish them but also do not pretend to be happy about it. Child should know that it is not good in non threatening way.
  • Constipation can make things worse as doing potty becomes painful and child try to avoid passing stool and is afraid to sit on potty seat. Give warm bath, it may relax the muscles.
  • If a child who has been dry, start to wet again then look for causes of stress or visit a doctor to rule out urinary infection. Features suggestive of urinary infection include:
    • Increased frequency, pain during susu
    • Blood in susu

Consult a doctor if even after age of 4 years child is wetting pants to rule out Urinary infection, bladder abnormalities like Vesico ureteral reflux and behavioral issues like BED-WETTING.

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To Summaries

  • Toilet training is not easy and child needs your support during this difficult phase to learn this new skill.
  • Go slowly at your child’s pace,not as per your need or wish.
  • Praise child at every step and encourage him/her.
  • Do not get dishearten by few accidents (susu & potty) after child had been dry.
  • Punishment has no place in toilet training.

 

Regards

Dr Rahul Varma

Smartphones and Tablets are not meant for babies; they interfere with optimum brain development. Read on to know more

mayaclinic-smarthphone -baby

Smartphones and tablets are not meant for babies (< 2 years)

In today’s environment we all can see small babies and toddlers playing with phones. Whether you are at mall, driving in car, waiting somewhere , smartphones have become like babysitter for many parents. Parents feel excited to see their small babies handling touch screen phones so efficiently. Touch screen smartphones with their great picture quality, colorful images and good sounds appeals to babies. But are they really good for optimum brain development for young kids?

Answer:

Till now there is NO research done to know the connection between infant learning and smartphones. For older children with use of interactive elements it may help in learning concepts such as sequencing and cause and effect relations. But for small babies who are still in very young age of brain development, it’s long term effect is not known.

 baby-on-smartphone

Recommendations:

All the doctors are of the opinion to reduce screen time for small babies. Screen time includes time spent on TV, videos, laptops, phones etc. American Academy of Pediatrics (AAP) has made a clear stance that “NO screen time for kids less than 2 years”. Main reason being association of Language learning delays, poor reading skills and short term memory are seen more often in children with more screen time.

Facts:

Children learn better from real life experiences rather than screen time. It is more so if activities involve moving and doing. Various surveys and studies show that on an average 12-month-old baby is exposed to up to 2 hours of screen time a day.

Young age (< 2 years) is very critical for learning of new concepts. Most of the learning involve 3 dimensional Sensory- motor experiences which cannot be replicated on a 2 dimensional screen. Active play involves better hand – eye coordination , fine motor skill development.

Example:  Compare a ball in real life and a ball on Screen.

Infants are still developing concept of 3 dimensional vision. For a small baby  watching on screen a BALL is just a flat, shaded circle. In real life if we roll a ball across floor it proceeds in a single motions and gradually slows and stops finally. But on Screen same action cannot be done; it will be broken up. Small babies may stare at bright colors and motions on screen but their brain is not capable of making sense or meaning out of these amazing pictures. By  the age 2 years brain has developed enough and baby can understand things better. Due to all this confusion it is better to avoid screen time in small babies.

After a certain age technology and screen time can be used judicially for better interactive teaching. Older children can do lot more and screen time can help them in understanding concept better along with reading from textbook. But not for very small babies.

Another excuse which most parents give is that there baby will never eat food if we take phones out of there life. Just to remind them that before invention of smart phone kids used to eat well.  And Honestly speaking we have started spending more time on social networking like facebook and whats app which have lead to more exposure in children. Because it’s we who cannot live without phone rather then kids.

Regards

Dr Rahul varma

 

 

Sleep_hygiene

My baby not sleeping well at night? what to do.

Sleep Hygiene for children

Sleep_hygiene

 

To put child to sleep might be a big task for some of the parents. Young kids and children always are interested in playful activities and making them sleep on time might be difficult for many parents. Children have different sleeping time in different phases of life. The total duration of sleep decreases as child grows older.

YourChildsSleep_graphic

Following are the things which you can do so that your baby sleeps well. And it will also prevent development of sleep disorders later.

 little-girl-sleeping-(mayaclinic.in)

  1. Set bedtime and bedtime routine for your children. It will help adjust their body clock and they will be better prepared mentally and prevent development of sleep disorders.
  2. Bedtime and wake up time should be same on school and non school nights. Change in schedule is very common over weekends as children are allowed late nights by many parents. It is always better to follow a fixed pattern. Body adapts well to it.
  3. Hour before bed time should be quiet time. An hour prior to sleep should be winding up time and preparing to sleep in quiet and comfortable environment. Best time to sit back and discuss with your children regarding day’s activity or best is story telling time.   Father Watching His Infant Sleep
  4. Do not send your child hungry to bed. If child is empty stomach it will hamper proper sleep. So a light meal before sleep is best in order to avoid child waking up at middle of night.
  5. Avoid products with caffeine for few hours prior to sleep. It can delay the sleep. Avoid too much of liquid intake few hours prior to sleep. It can increase the urge to pass urine during night and disturb the sleep. It is more important in children with bed wetting issues.
  6. Outdoor Physical activity daily. Regular physical exercise is not only important for growth and development of child but also for to induce proper sleep.  sleeping child
  7. Bedtime quiet and dark. Bright light or loud music and disturb initiation of sleep. It is best to have night lamp or dim light in case your child is afraid of dark.
  8. Comfortable temperature. Ambient temperature is needed for good sound sleep. But if the temperature is too cold or too hot it will interfere with proper sleep.
  9. Bedroom only for sleeping, not for time out or punishment. Bedroom should be meant for sleeping only and all the other playful activities should be done in other room.
  10. No TV in bedroom.  TV / laptop/ computers are absolute no for bedroom. It distracts children a lot and prevents them to go to sleep.

 sleep hygiene 2

 Just to summaries about all the steps in one photo, read the below info-graphic.

10-tips-for-better-sleep

If we do not follow proper sleep hygiene steps for children, it can increase the chances of Sleep disorders like sleep terror, insomnia, parasomnia etc. Various sleep disorder we will discuss later in other article.

 

Regards

Dr Rahul Varma

“Healthy kids, Happy Family”

 

nose bleed (mayaclinic.in)

How to manage child with nose bleed (Epistaxis) ?

 

Epistaxis (Nosebleed): What to do?

nose bleed (mayaclinic.in)

 

One of the most frightening sites for a parent is to see their child bleed from nose. But you can rest assure that in most cases it is not serious. Most of them can be treated at home.

 nosebleed

It occurs due to bleeding from small vessels of nose. It happens as a result of break in the tissue lining of nose (mostly in front part or “anterior” of nose).

 Epistaxis Management        images

Cause:

  • Irritation and lack of moisture in the nasal membrane
  • Dry air or warm air can lead to crusting of membrane inside nose and it may cause itching which can lead to scratching or nose picking. It in turn leads to bleeding.
  • Allergic conditions and cold
  • Repeated nose blowing
  • Excessive use of antihistamines and Decongestant medicines can also lead to it.
  • Serious causes: Head Injury
  • Bleeding disorders

 t3

In some cases bleeding can occur from posterior part of nose which can be dangerous. It leads to flow of blood down the back of throat.

Frequent or long time bleeding if occurs; you should consult doctor.

 t7

What can be done at home?

 t 1 

t2

 

  • Do not Panic and remain Calm
  • Make your child sit in your lap and tilt his or her head slightly forward.
  • Gently pinch nose with clean cloth.
  • Keep applying pressure on nose for about 10 minutes. If we stop too soon bleeding may start again
  • If child is leaning back, it may cause blood to flow down the throat which may in turn cause gagging, coughing or vomiting.
  • Discourage child to blow nose, picking, rubbing.
  • Ice pack on forehead might help.

  t4

When to call doctor?

  • Frequent nose bleed
  • Long time duration of bleeding or difficult to control bleeding
  • Foreign body in nose
  • Bleeding from any other site as well
  • Associated symptoms like fever, rashes etc
  • Easy bruising tendency
  • Medication: recently added or long term

t5

Urgent Attention needed if:

  • Bleeding is heavy
  • Associated with weakness or dizziness
  • Head injury or history of fall
  • Bleeding continues after two attempts of applying pressure for 10 minutes each

 m1

 

Prevention:

  • Avoid nose picking (Keep finger nails trimmed most of the time)
  • Use saline nasal spray frequently during illness
  • Vaporizer or steam helps
  • Protective gears while playing or driving to prevent injury

 

Even after taking all the precautions, sometimes child starts bleeding without any obvious reason. So do not panic as most of them are harmless and can be stopped easily.

Discuss with your doctor (Child specialist/ ENT specialist) or contact us at Maya Clinic.

 

Regards

Dr Rahul Varma

” Healthy Kids, Happy Family”

 

How to manage Motion Sickness ?

Motion sickness

 

670px-Avoid-Motion-Sickness-with-Viban-Eyewear-Step-1

Motion sickness as we all know happens while traveling. It is more common in young children.

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Motion sickness is very common while traveling especially to hilly areas. It can happen in any mode of transportation.

sccanals

Symptoms can start suddenly or gradually. Most common symptoms are Nausea, Vomiting, dizziness, sweating etc.  It usually stops as soon as we journey is completed. More frequent travelers have less of these symptoms.

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How to prevent it

  • Try to occupy the seat where minimum motion will be felt
  • Road Trip: better to sit in front seat or drive yourself
  • Train travel: Window seat and face forward
  • Plane travel: Seat over front edge of wing is better. Direct the air vent flow towards your face
  • By water (Ship): try to get front or middle cabin which is near the water level.

 motion-sickness-prevention-and-treatment-pyramid

Treatment options:

  • Focus on distant stationary object. Do not stress yourself and avoid reading.
  • Try to keep your head still
  • Avoid smoking
  • Avoid spicy food or heavy meals
  • Avoid Alcohol
  • Drink carbonated beverage to help settle stomach or Eat dry crackers

 

motionsickness

  • Drugs:
    • Antihistaminics: 30 to 60 minutes prior to journey
    • Transdermal Patch
    • Hyosine (Buscopan)
    • Phenergan (Promthazine)

These drugs should be given only under medical supervision after advice from your doctor.

Scopoderm_Patches_1.5mg-1       patch MS

For detail reading log on to below mentioned link

http://motionsickness.org/

 

Dr Rahul varma

 

Typhoid Fever (mayaclinic.in)

Typhoid Fever: things we should know

 

 

Typhoid Fever (mayaclinic.in)

 

Typhoid Fever is so commonly heard off in our country. (I think most common as well as most over diagnosed disease in India).

typhoid

Cause: It is caused by bacteria called Salmonella Typhi (S.Typhi) typically living in humans and are shed through a person’s feces (poop) or urine (pee). Bacteria get into blood and spreads quickly inside leading to high grade fever within a week or two.

Without treatment, typhoid fever may last a month or more and become very serious, even life-threatening. Even after treatment during recovery phase a person can transmit this disease to others.

  food infected

Cause of Spread: 

  • Due to unclean water intake, unhygienic food and poor sanitation facilities.
  • Drinking water (and other drinks) and eating food handled by someone who has typhoid or is still a carrier.
  • Infected people can pass it on to others by touching them with unwashed hands.
  • Contaminated water by sewage, more so in area with poor sanitation and inadequate water treatment

Typhoid fever is named after a lady called typhoid mary who was suffering from this disease and used to serve food in USA leading to epidemic of this disease in that area.

tm                       typhoid-mary-article  

Symptoms: Severity depends upon vaccination status, age, general health etc

ss

  • Mild to High grade Fever
  • Stomach pain
  • Body pain, weakness
  • Diarrhea or constipation
  • Poor appetite
  • Reddish spotted rash

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Complications

32333-0550x0475

Complications: Intestinal perforation (rare)

 

Diagnosis:

Salmonella_typhimurium- gram negative bacilli under high magnification of 15000 X

  • History and examination
  • Blood tests :
    • Typhi Dot IgM: during first few days of fever
    • Widal test: after 5 days of fever (It gives false report before that). Unfortunately this test is most misused test in India. And many false positives reports are given by various labs even on first day of illness.
    • Blood Culture is gold standard: But in most cases antibiotics have been started early so yield of this test is low. And beside it is costly, so many quacks start treatment rather than testing. This treatment is often incomplete and in inadequate doses leading to drug resistance and disease recurrence.

child_with_fever  

Treatment:

  • Antibiotics: important to give for proper duration and in adequate doses. Please do not stop medicine on your own once child starts feeling better after 2- 3 days.
  • Some Cases might not respond to oral medication and need for Intravenous medication along with fluids might arise.

Plant for treating Typhoid Fever

Stopping the Spread

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Prevent the spread to others: Wash hands regularly. People with typhoid fever should avoid preparing food. Children should stay away from school until doctor certifies them to join back school.

How to prevent Infection

travel_clinic_vaccinations 

Vaccination: It is Available and routinely given around 2 years of age and every 3 years after that. Even if your child is vaccinated (Vaccine is not 100% effective and loses its effectiveness over time)

  • Sanitize water.
  • Cook all food.
  • Avoid raw food.
  • Wash hands frequently

handwashingposter

Feel free to contact your child doctor for any queries or contact us at MAYA CLINIC.

Regards

Dr Rahul Varma

” Healthy Kids, Happy Family”

 

dengue-fever heading

Want to stay safe from Dengue Fever? Read on

 Dengue Fever

  dengue-fever heading

Dengue Fever as we all know spread from bite of an infected Mosquito. It has 4 serotypes. It can cause very severe life threatening illness; however most cases are milder in nature.

Huge number of cases has been reported worldwide (50-100 million cases every year worldwide).

mosquito_0

Dengue virus is transmitted by Aedea Mosquito. It bites during day time only. Outbreaks can occur at anytime, however rainy season with high humidity increases changes of transmission.

Symptoms:

Occurs after 4-10 days of mosquito bite and symptoms can last from 2 to 7 days usually.

2_1 

High grade Fever associated with atleast 2 of the below mentioned features should raise suspicion of Dengue Fever:

  • Headaches
  • Body ache.  esp pain behind eyes
  • Joint Pain, bone pain, Muscular pains
  • Nausea, vomiting
  • Rashes (usually extensive red colored all over body)
  • Itching

rash 2 rash

Most crucial Phase of Dengue illness occurs once fever subsides; i.e. at deffervescence of Fever as most of the complications arises at this time. At this time platelet counts start decreasing along with rise in Hematocrit values. 3rd space losing occurs, so it is very important to prevent dehydration and let your child have PLENTY OF FLUIDS.

 dengue-diagram

Severe Cases (also called dengue hemorrhagic fever):

Special attention needs to be given to these warning signs as it could lead to severe dengue:

  • Severe abdominal pain
  • Persistent vomiting
  • Bleeding from any site eg gums, blood in vomiting etc
  • Rapid breathing
  • Fatigue/ restlessness
  • Altered sensorium

 download

Treatment:

  • At present no vaccine is available.
  • No specific medication for dengue fever.
  • Mainstay of treatment is supportive
  • Patients should seek medical advice, rest and drink plenty of fluids.
  •  Paracetamol (Crocin) is the drug of choice for Fever. Other medications like aspirin or ibuprofen should be avoided as it increases the risk of bleeding.
  • Vital Monitoring along with blood test to have a look at Hematocrit along with platelet count.
  • Platelet transfusion in some cases

Infection with one strain will provide life-time protection only against that particular strain. However, it is still possible to become infected by other strains and develop into severe dengue. Usually re-infection cases are severe.

With proper medical care and early recognition, case-fatality rates are below 1%.

  sintomas-dengue-prevencion

What should be done by Patients and Relatives?

  • If you suspect you have dengue you first need to avoid panic and consult a doctor soon.
  • Drink plenty of fluids, watch for urine output & watch for bleeding from any site.
  • For diagnosis, your doctor will
    • Evaluate your signs and symptoms
    • Test your blood for evidence of a dengue virus using NS1 Antigen or serology test (IgG& IgM).

 know_about_dengue_10

How Dengue is spread:

  • Bite from infected mosquito (Aedes aegypti)
  • Day time biting by this mosquito (esp early morning & evening)
  • Does not spread by contact

 prevent 2

Mosquitoes  breading Ground:

  • Clear water in nearby areas esp water filled containers etc.
  • Rest Indoors in dark areas like closet, under beds, behind curtain etc.

   prevent 

Preventive measures:

  • Source reduction: eliminate mosquitoe’s egg laying sites.  Examples of the following habitats are listed:
  • Indoor, Ant traps, Flower vases and saucers
  • Water storage tank (domestic drinking water, bathroom, etc…)
  • Plastic containers, Bottles, Outdoor, Discarded bottles and tins
  • Discarded tyres, Artificial containers, Tree holes, potholes, construction sites, Drums for collecting rainwater
  • Shells, husks, pods from trees, Leaf axils of various plants
  • Community participation is the key to dengue prevention. As every household aims to reduce vector density, the transmission rate will decrease or maybe even stop.
  • Protecting yourself from mosquito bites: It can be done by using
    • Long-sleeved clothing and mosquito repellents are the most viable options.
    • Window and door screens, air conditioning reduces the risk of mosquitoes coming into contact with the household members.
    • Mosquito nets (and/or insecticide-treated nets) will also provide additional protection to people sleeping during the day, or protect against other mosquitoes which can bite at night (such as malaria).
    • Household insecticides aerosols, mosquito coils or other insecticide vaporizers maybe also reduce biting activity.

 outbreak

 

 

Feel free to contact your doctor for detail or contact us at MAYA CLINIC.

Regards

Dr Rahul Varma