Parenting Lesson 15 - Things what most doctors do not tell

Topics covered in this lesson-

  1. When and what is a health emergency in children?

  2. What are the most common diseases after fever and cold in children?

  3. When to start giving deworming medicine and which one to give?

  4. Child Masturbation, when to be worried

  5. All about sudden infant death syndrome

  6. What is febrile seizure?

  7. What is ADHD (Attention deficit hyperactivity disorder)?

When and what is a health emergency in children?

It is a parent's worst nightmare to have a very sick or seriously injured child. Will you know the best way to go about having help if it happens to your child?

Signs that need your attention

Sudden accidents caused by bicycle or car collisions, falls, burns, near drownings, electric shocks, or poisoning are involved in many emergencies.

Keep calm and contact a doctor if your child has any of the following signs or symptoms:

Unconsciousness, fainting, or no response when spoken to:

● Choking

● Swallowing a toxic compound

● Rhythmic jerking and consciousness loss

● Trouble with respiration or shortness of breath

● Clear, purple, or gray-looking skin or lips

● Growing or serious chronic pain

● Bleeding that does not stop or a cut that is large, deep or involves the head, chest or stomach

● Stiffness of the neck or rash with fever

● Serious bleeding or injuries to the head

● A burn that affects the hands, feet, groyne, stomach, or face or is broad

● A shift in mental state, such as being unusually tired or confused suddenly

● A steady pulse that does not slow down

● Confusion or unusual, withdrawn, and less warning conduct

What are the most common diseases after fever and cold in children?

Ear Pain

Ear pain is common in children and can have many causes—including ear infection (otitis media), swimmer's ear (infection of the skin in the ear canal), pressure from a cold or sinus infection, teeth pain radiating up the jaw to the ear, and others. . To tell the difference, your pediatrician will need to examine your child's ear. In fact, an in-office exam is still the best way for your pediatrician to make an accurate diagnosis. If your child's ear pain is accompanied by a high fever, involves both ears, or if your child has other signs of illness, your pediatrician may decide that an antibiotic is the best treatment.

Urinary Tract Infection

Bladder infections, also called urinary tract infections or UTIs, occur when -bacteria build up in the urinary tract. A UTI can be found in children from infancy through the teen years and into adulthood. Symptoms of a UTI include pain or burning during urination, the need to urinate frequently or urgently, bedwetting or accidents by a child who knows to use the toilet, abdominal pain, or side or back pain.

Hand, Foot, and Mouth Disease

This contagious viral illness usually isn’t serious.

Children under age 5 are most likely to catch it, through saliva, fluid from blisters and possibly viral shedding through stool.


This skin infection is most common in younger children. It starts when staph or strep bacteria gets in a cut, scratch, or bite.

It can affect any area of the body but happens most often around the mouth, nose, and hands. Babies sometimes get the irritation in their diaper area.

Strep Throat

Strep throat (streptococcal pharyngitis) is a bacterial infection that causes a sore, swollen throat. Kids should see a doctor for strep throat because most cases require medication to get better. Strep bacteria can travel through the air when an infected person coughs or sneezes or it may be transferred on the surfaces of shared objects.

In addition to regular hand washing, kids should avoid sharing eating utensils, drinking glasses, and food with others. Wash lunchboxes and utensils in hot, soapy water every day.

Pink Eye

Pink eye (conjunctivitis) is the inflammation of the eye and inner eyelid. Pink eye can have several causes, but is most commonly caused by viruses or bacteria that are transferred from a child’s hands to their eyes. Other kinds of conjunctivitis are caused by reactions to allergens like pollen, ragweed, or dust in the air.


It's a lot worse than a tummy ache. This illness, better known as a stomach bug, causes vomiting, diarrhea, and abdominal pain. A variety of viruses, including norovirus—which often sweeps through child-care centers (not to mention cruise ships)—can cause gastroenteritis. Most stomach viruses clear up within a few days to a week and require nothing more than rest and TLC. Still, you should make sure your child


See your doctor if you notice your kid scratching her bottom.

Blame kids' poor hygiene for the prevalence of these tiny parasites. When an infected child scratches her bottom and doesn't clean her hands, she can easily pass them on to other kids (who get infected when they put their hands in their mouth). The eggs move down the digestive system, hatch, and lay their eggs around the anus (yuck!).

When to start giving deworming medicine and which one to give?

As per WHO, preventive deworming using annual or biannual single-dose albendazole (400 mg) or mebendazole (500 mg) is recommended as deworming medicine for all young children 12–23 months of age, preschool children 1–4 years of age, and school-age children 5–12 years of age (in some settings up to 14 years of age) living in areas where the baseline prevalence of any soil-transmitted infection is 20% or more among children, in order to reduce the worm burden of soil-transmitted helminth infection.

Child Masturbation, when to be worried

Childhood masturbation is characterized by self-stimulation of the genitalia frequently associated with unusual posture and movement, sweating, flushing, tachypnea, and typically begins in infancy and early childhood.

However don’t run to a psychologist when your little girl rocks on her tricycle seat or your little boy puts his hands down his pants. As the very word “masturbation” gives many adults a deeply uncomfortable jolt, accompanied by heavy doses of guilt. To a child, masturbation is a normal part of discovering these parts of his or her body and the pleasurable feelings that come from them.

Below are few ways to handle this problem

1. Give Alternative Tension Releasers such as a soft toy

2. Avoid Scare Tactics

3. Not in Public: tell them to not do so in public and in front of everyone

4. Build Balanced Self-Esteem in Young Child

Childhood masturbation is not a big issue normally and children normally stop doing so once they get a sense of external environment, normally around 5 year of age. Or if you believe that your child is getting habitual or addicted of this, it will be good to discuss this with your paediatrician and seek her advice.

All about sudden infant death syndrome

Sudden infant death syndrome (SIDS) is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old. SIDS is sometimes known as crib death because the infants often die in their cribs.

Although the cause is unknown, it appears that SIDS might be associated with defects in the portion of an infant's brain that controls breathing and arousal from sleep.

Researchers have discovered some factors that might put babies at extra risk. They've also identified measures you can take to help protect your child from SIDS. Perhaps the most important is placing your baby on his or her back to sleep.

Risk factors

  • Sex. Boys are slightly more likely to die of SIDS.

  • Age. Infants are most vulnerable between the second and fourth months of life.

  • Family history. Babies who've had siblings or cousins die of SIDS are at higher risk of SIDS.

  • Secondhand smoke. Babies who live with smokers have a higher risk of SIDS.

  • Being premature. Both being born early and having a low birth weight increase your baby's chances of SIDS.

Prevention from SIDS

There's no guaranteed way to prevent SIDS, but you can help your baby sleep more safely by following these tips:

  • Back to sleep. Place your baby to sleep on his or her back, rather than on the stomach or side, every time you — or anyone else — put the baby to sleep for the first year of life.

  • Keep the crib as bare as possible. Use a firm mattress and avoid placing your baby on thick, fluffy padding, such as lambskin or a thick quilt. Don't leave pillows, fluffy toys or stuffed animals in the crib. These can interfere with breathing if your baby's face presses against them.

  • Don't overheat your baby. To keep your baby warm, try a sleep sack or other sleep clothing that doesn't require additional covers. Don't cover your baby's head.

  • Have your baby sleep in in your room. Ideally, your baby should sleep in your room with you, but alone in a crib, bassinet or other structure designed for infant sleep, for at least six months, and, if possible, up to a year.

  • Adult beds aren't safe for infants. A baby can become trapped and suffocate between the headboard slats, the space between the mattress and the bed frame, or the space between the mattress and the wall. A baby can also suffocate if a sleeping parent accidentally rolls over and covers the baby's nose and mouth.

  • Breast-feed your baby, if possible. Breast-feeding for at least six months lowers the risk of SIDS.

  • Don't use baby monitors and other commercial devices that claim to reduce the risk of SIDS. The American Academy of Pediatrics discourages the use of monitors and other devices because of ineffectiveness and safety issues.

  • Offer a pacifier. Sucking on a pacifier without a strap or string at naptime and bedtime might reduce the risk of SIDS. One caveat — if you're breast-feeding, wait to offer a pacifier until your baby is 3 to 4 weeks old and you've settled into a nursing routine.

  • Immunize your baby. There's no evidence that routine immunizations increase SIDS risk. Some evidence indicates immunizations can help prevent SIDS.

What is febrile seizure

Febrile seizures are convulsions that can happen when a young child has a fever above 100.4°F (38°C). (Febrile means "feverish.") The seizures usually last for a few minutes and stop on their own. The fever may continue for some time.

Febrile seizures can look serious, but most stop without treatment and don't cause other health problems. Some kids might feel sleepy after one, while others feel no lasting effects. Febrile (FEH-bryle) seizures happen in kids 6 months to 5 years old. They're most common in toddlers 12–18 months old.

Kids are more likely to have a febrile seizure if:

• They have a family history of febrile seizures.

• They've already had one. About 1 in every 3 kids who have had one febrile seizure will have another, usually within 1–2 years of the first.

• They had a first febrile seizure when they were younger than 15 months old.

Most children outgrow having febrile seizures by the time they are 5 years old. Febrile seizures are not considered epilepsy (seizure disorder). Kids who have a febrile seizure have only a slightly increased risk for developing epilepsy.

What to Do

If your child has a febrile seizure, stay calm and:

1. Gently place your child on the floor or the ground.

2. Remove any nearby objects.

3. Place your child on his or her side to prevent choking.

4. Loosen any clothing around the head and neck.

5. Watch for signs of breathing problems, including bluish color in the face.

6. Try to keep track of how long the seizure lasts.

Take your child to hospital as soon as possible to avoid any complication.

t's also important to know what you should not do during a febrile seizure:

• Do not try to hold or restrain your child.

• Do not put anything in your child's mouth.

• Do not try to give your child fever-reducing medicine.

• Do not try to put your child into cool or lukewarm water to cool off.

What is ADHD

ADHD is one of the most common neurodevelopmental disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active.

A child with ADHD might:

• daydream a lot

• forget or lose things a lot

• squirm or fidget

• talk too much

• make careless mistakes or take unnecessary risks

• have a hard time resisting temptation

• have trouble taking turns

• have difficulty getting along with others

In most cases, ADHD is best treated with a combination of behavior therapy and medication. For preschool-aged children (4-5 years of age) with ADHD, behavior therapy, particularly training for parents, is recommended as the first line of treatment before medication is tried. What works best can depend on the child and family. Good treatment plans will include close monitoring, follow-ups, and making changes, if needed, along the way.

Managing Symptoms: Staying Healthy

Being healthy is important for all children and can be especially important for children with ADHD. In addition to behavioral therapy and medication, having a healthy lifestyle can make it easier for your child to deal with ADHD symptoms. Here are some healthy behaviors that may help:

• Developing healthy eating habits such as eating plenty of fruits, vegetables, and whole grains and choosing lean protein sources

• Participating in daily physical activity based on age

• Limiting the amount of daily screen time from TVs, computers, phones, and other electronics

• Getting the recommended amount of sleep each night based on age