Bluffing about pediatric “emergencies”

Young mothers and fathers, as guardians of their children, can be very frightened and worried. Every move of the child is on the parents’ mind. Especially some “emergency” illnesses that seem to be illnesses and not illnesses that come with a lot of force. Often cause parents nervous anxiety and even panic, but the result is a false alarm. Some of these “emergencies” we usually encounter are: 1. Crying and choking Kun Kun is 2.5 years old and is particularly willful due to his parents’ pampering. One day, while his mother was busy cooking in the kitchen, he secretly took out an apple and peeled it with a fruit knife just like his mother did. His mother was afraid that he might have cut his hand, so she took the fruit knife away. This annoyed Kun Kun, and he cried out. His mouth was open, his face was red and his lips were blue, as if he was about to faint. But when his mother appeared in front of the doctor, she was panting, Kun Kun was fine again, and everything was back to normal. This was a joke to his mother several times. After the doctor had a detailed description of the condition and a full body examination, he diagnosed that the child was having a breath-holding attack caused by sobbing, which is usually not serious. Breath-holding episodes are abnormal behaviors caused by the suspension of inspiratory movements, and are a manifestation of psychological and behavioral disorders in infants and children. It often occurs when the child is affected by various adverse factors inside and outside the body, resulting in rapid emotional changes such as sadness, fear, anger, and pain. It is mostly seen in children from 6 months to 3 years old, and gradually decreases after 3 to 4 years old, and rarely occurs after 6 years old. Once parents encounter this situation, the first thing is to remain calm, do not fuss, it is appropriate to put the child’s body flat, and pay attention to observation, as long as he does not have other symptoms, such as fainting, convulsions, etc., a period of time will recover as before, no need to see a doctor. If the child has eyes rolling, muscle twitching or even fainting when sobbing and choking, the child should be sent to the hospital in time for emergency treatment without delay. Preventive measures for breath-holding seizures are mainly to pay attention to the way of education, eliminate those factors that lead to the trigger, such as trying not to let the child lose his temper, cry hard, try not to provoke him, and release the various factors that cause mental tension and conflict in the child, which can reduce or avoid seizures. 2.Pediatric growing pains Runxian is 5.5 years old this year, and his head is growing fast. Recently, Runxian always said his legs hurt when he came back from kindergarten every day, which made his family worried. So Runxian’s family thought it was a calcium deficiency and gave Runxian calcium supplements every day, but a month passed and Runxian still cried out in pain from time to time. The family had no choice, so they took Runxian to the city children’s hospital for a checkup, and the diagnosis was pediatric growing pains. There are about 2 causes of growing pains: (1) Children grow rapidly in height during development, growing 7 to 8 cm taller each year. As the bones grow rapidly, the nerves and muscles around them grow relatively slowly, resulting in pulling pain. (2) When children start to walk, the tibia of the lower leg is more curved, and in order to counteract the misalignment of the lower support force caused by the internal bending of the tibia, the body compensates by causing a certain degree of knee valgus. As the child grows up, most children rely on the strength of their leg muscles and will gradually be able to correct this without causing any pain. In a few children, however, the internal tibial curvature and knee valgus are not corrected in a timely manner, and in order to maintain joint stability, the leg muscles must be kept under constant tension, resulting in pain. In fact, the treatment of pediatric growing pains does not require a trip to the hospital or the use of medication, and the most important thing is for the pediatrician to rest in a timely manner. If a child has discomfort in the knee or lower leg, it is important to let the child rest early. Before going to bed each night, use hot water to soak the child’s little feet and legs. However, when the child is not fatigued, the child should still be encouraged to do more exercises to build muscle strength so that the tibial deformity can be corrected naturally. After proper rest, exercise, massage, and symptomatic treatment with medication, children with growing pains will be cured quickly and will not have sequelae or affect the normal growth and development of the child. However, sometimes although parents do not have to be very worried and nervous, but if the child continues to have pain and cry, they must go to the hospital to avoid delaying the condition. 3. Gastrointestinal growing pains “Mom, I have a tummy ache again!” 3-year-old Bingbing said to his mother with a painful face, and fell on the bed with his hands over his stomach. Recently, Bingbing has been crying out in pain, sweating profusely, pale and crying loudly. However, when she pressed his stomach, she couldn’t find the exact area of pain. When she gave him a massage, he was fine for a while, and when he was fine, he was laughing and smiling again. Mom thought there were roundworms in Bingbing’s stomach, so she gave him some deworming medicine, but Bingbing still had stomach pain after taking the medicine. The mother had to take Bingbing to the hospital for a checkup, and the doctor said it was “gastrointestinal growing pains” in children. Gastrointestinal growing pains in children is a normal physiological phenomenon, which is due to the rapid growth of children, the blood supply of the stomach and intestines often exceeds the demand, coupled with the unstable function of plant nerves, resulting in the imbalance of excitation and inhibition of the nerves in the intestinal wall, the smooth muscles of the stomach and intestines are prone to spasmodic contraction, followed by paroxysmal abdominal pain. Gastrointestinal growing pains are also a kind of temporary discomfort in the process of growth, not a disease, so there is no need for medication, and no medication is available. When the abdominal pain parents can gently massage the stomach, or use hot water bags hot compress abdomen, generally can disappear. Take care not to let the child eat cold food and not to let the child’s stomach get cold, so as not to induce abdominal pain. If the abdominal pain lasts longer, or accompanied by fever, vomiting and other symptoms, then do not consider growing pains, promptly to the hospital for examination, so as not to delay the disease. 4, skin purpura Sasha is 3 years old, good and smart, but small temper, only a little demand is not met, she will cry and fuss. I don’t know why whenever she cries and holds her breath, the skin of her face and neck will have purpura “shine”, which makes her mother nervous, thinking that Sasha has some strange disease. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual red dot or red spot on the skin is actually a skin mucous membrane change caused by red blood cells leaking out of the blood vessels. It is usually caused by platelet disease. However, there are some children who have purpura when they cry excessively, medically known as tension purpura. If you’ve got the cause, the prevention and control measures should come into play. The key is to prevent excessive crying and breath-holding or exertion, even if the purpura appears, do not stress, apply vitamin C, calcium gluconate and other treatment for a week or so, the purpura can disappear. 5, solve the “white urine” Not long ago, Ms. Yang unintentionally found her almost 4-year-old son just discharged urine turbid and unclear, spilled on the ground soon, turned white like salt particles settled on the ground. A healthy child’s urine is clear, transparent and slightly yellow, how come his urine was just white? The parents suspected that he was suffering from kidney disease and took him to the pediatrician of the hospital. A small cup of urine was taken for testing, but the report was basically normal. The director of pediatrics, Mr. Wang, looked at the child in detail, the child was in excellent spirits, flexible, not the slightest pathology, and looked at the remaining urine samples brought by his father, and said with a smile: this is caused by an excessive amount of salts in the urine, not a kidney disease. It turns out that 95% of human urine is water, 3% to 5% for soluble phosphates, urates and other substances, infants and young children are in a period of rapid development, the accumulation of nutrients and excretion of waste are more, while the amount of water is reduced, resulting in concentrated urine, the urine is saturated with salts, more than 3% to 5%, thus appearing to solve the “white urine “phenomenon (in fact, salt urine) is not difficult to understand. Of course, cloudy urine is sometimes really caused by kidney disease, at this time, in addition to observing whether the child has signs of disease (such as poor spirit, puffy eyelids, urinary urgency, painful urination, etc.), you can also do two kinds of urine test, one is to add vinegar check method; the other is the heating method, that is, take several milliliters of cloudy urine into the test tube, heating for a moment, as the temperature rises urine gradually become clear, proved to be salt crystals in the urine, belonging to the physiological phenomenon, if If the cloudy urine does not change, it is mostly due to disease and should immediately seek medical attention.