Kids and Primary Complex

primary complex (photo courtesy of smartparenting)

If you have children in the house, it is deem important to make sure that all the household members are free of the tuberculosis infection. My youngest son was exposed to  Mycobacterium tuberculosis or better known as Primary Complex when he was 7 years old, he got the bacteria from his nanny then, the very reason why I require a medical clearance before I avail the services of a house helper after the incident. Both my son and his yaya have undergone a six month continuous medication to eradicate the infection.

Primary Complex is a tuberculosis (TB) infection which is spread by an adult infected with tuberculosis to young children through coughing, sneezing, talking, and even breathing.  Children are most easily exposed to it through inhalation as a person with an active TB coughs up the germs which is inhaled by the kid.

Most common symptoms of Primary Complex are:

  • Weight loss or loss of appetite
  • Enlarged lymph nodes in the neck area
  • Night sweating
  • Prolonged and persistent coughs
  • Persistent fever that occurs in the afternoon or at night

Treatment for Primary Complex takes a long time, it will take six months to kill the bacteria that lead to tuberculosis. Medications should be given continuously for the given period and as much as possible the patient should never miss a dose. Drug combinations of Rifampicin, Pyrazinamide and Isoniazid were given to my youngest son to cure his infection.  I, personally see to it that he took the doses religiously to ward off the disease.

It is crucial to treat primary complex  because if it is left untreated, it may eventually evolve into active tuberculosis. It is advisable to immediately seek the advice of your pediatrician once you see symptoms in your kids.

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What Causes Night Sweats

photo from buzzle.com

My husband suffers from sweating profusely just about every night. He needed to put on extra layers to bed, wear cotton sleeping clothes and lies on a big towel. We consulted our family doctor regarding his excessive night sweating and it was found out that his night sweats occur for genetic reasons and may be relatively harmless. Our bedroom is fully air conditioned, while I was fully wrapped by a blanket my husband on the contrary needs to get up in the middle of the night to change his damped clothes and beach towel that he lies on. It really causes him discomfort, so we are still looking for solutions to determine its cause and eliminate it.

I browse the web to look for probable answers on his dilemma. Night sweats according to Wikipedia is Sleep hyperhidrosis. It is the episode of excessive sweating during sleep and commonly seen in adults. It is not an automatic sign of an underlying disease, however there are possibilities and different causes of its occurrence. It is very important to distinguish why it happens, it may occur simply because the sleep environment is too warm, a rubberized bed that warms up after hours of lying on bed, men who drinks alcohol before sleeping, certain foods like red meat, onion, garlic based food and highly spicy food may trigger it or it may be due to medical condition which are not related to environment.

Several known conditions that can cause night sweats are:

  • Idiopathic hyperhidrosis – is the condition that my husband suffers, in which his body chronically produces too much sweat without any identifiable medical cause.
  • Infections – one of the most common infections that exhibits night sweating is tuberculosis, others are endocarditis (inflammation of the heart valves), osteomyelitis (inflammation within the bones) and abscesses which are bacterial infections may also produce night sweats.
  • Cancer – the most common type of cancer associated with night sweats is lymphoma. It is also an early symptom of some cancers.
  • Menopause – Women who are in the menopausal stage may also experience it as the hot flashes that accompany the menopausal transition can occur at night that cause sweating.
  • Hypoglycemia – diabetics with low blood sugar levels can cause sweating, especially those who are taking insulin.
  • Medications – People taking some medications can lead to night sweats being its side effect. Examples are anti-depressant drugs and medicines taken to lower fever.
  • Hormonal disorders – night sweats can be related with some hormone disorders such as carcinoid syndrome and hyperthyroidism.

Night sweats are annoying, persons experiencing unexplainable and uncomfortable sleep perspiration are best recommended to seek medical care to know its underlying cause.

 

Referrence: www.emedicinehealth.com and www.webmd.com

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How often should De-worming be scheduled?

Worm photo courtesy of ohsu.edu

De-worming is a very common procedure done for kids but adults as well should be de-wormed regularly depending on the environment and place a family lives in. Serious health problems are often caused by worm infestations according to medical studies.

Children, in particular are easily contaminated and infested by common worms such as threadworm or pinworm, round worm, whip worm and hook worm. The rate of growth and weight gain of kids who are regularly de-wormed is higher than those who are not.

How often should de-worming be scheduled? Generally, de-worming once every six months is sufficient. Yet, it is important to consult your doctor to get accurate information on the prevalence of the parasites in your area and to know the de-worming interval that should be adopted.  If you have pets inside your homes, just like in our case, I de-worm the whole family on a yearly basis and our dogs every six months.

There are a lot of anthelmintics available in the drugstores, mostly a one dose chewable tablet that is effective in killing all common worms mentioned above. It can be taken orally that requires no special procedures such as diet or use of laxatives, dead worms are expelled from the body on the next day’s bowel movement.  However, again it is best to ask your physician on what de-worming medicine is best suitable for your family with the proper dosage to be taken to keep the parasites at bay.

Proper sanitation and frequent hand washing should always be observed. De-worming is one of the best answers for many of the childhood illnesses.

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Summer, the Circumcision Season in the Philippines

Traditionally, circumcision procedure for the young boys aging from 10 to 12 years old is annually done during the summer season in the Philippines. The long school break gives the wound enough time to heal before going back to school. The government and other private medical organizations offer this for free in most barangays nationwide.  They often call it “Operation: Tuli”.  For those who would like it done privately, they opt to have the practice in hospitals and private clinics.

Circumcision is the rite that marks the beginning of manhood, and it has become a norm for majority of Filipino children being a part of the culture unlike in other countries where the procedure is considered optional. In the remote and hard to reach areas, it is done ritually by a “mangtutuli” (a person who performs the circumcision), wherein he let the boy chew guava leaves while he let him sit astride a banana log then perform the stripping of the skin of the male organ through the use of a labaha (a stainless steel razor) then the chewed leaves will be placed on the wound for easier healing and to reduce the pain, in some areas after paltak or cutting, boys are asked to jump into rivers to minimize the bleeding.

photo from the web

However, as much as possible it is best recommended to have circumcision be done by a medical professional to avoid infection and safety. Taking the right medicines and proper cleansing will let the wound heal much faster.

photo from the web

Circumcision is the surgical removal of the foreskin at the tip of the penis, the most common medical method is called the Dorsal Slit procedure wherein a single incision is done along the upper length of the foreskin from the tip to the corona, just exposing the glans without removing any tissue, then stitching the excess skin.

Circumcision primarily is for hygienic purposes and is a necessity among boys reaching the puberty stage.  It helps prevent the tightness of the foreskin that prevents the retraction of the foreskin over the glans or Phimosis.

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Homemade Facial Mask for Blackheads and Oily Skin

Creating your own homemade recipe of a facial mask is cheaper and is as effective as the commercial brands as per experience. Using the natural ingredients can give you lots of savings from buying beauty products, aside from the fact that it is gentler and is less prone for skin irritation.

Avocado fruits are now in season, so take advantage to use it to beautify your skin too. Here is a recipe of how I make a facial mask for my oily skin.

photo from the web

The Avocado and egg-white Facial Mask

Ingredients:

egg white, one egg only

ripe avocado, half

lime or calamansi juice, 1 tablespoon

Procedure

Beat the egg white thoroughly; finely mash the ripe avocado. Blend all the ingredients together using a blender until it looks like a paste. Apply the mixture immediately on your face and let it stand for five minutes. Wash the skin with cool water afterwards.

To add more, having an oily skin is prone to blackheads and whiteheads too. Simply mix baking soda with water to make a thick paste, apply to the facial area where blackheads exist or you may gently massage the paste all over the face. Let it sit for ten minutes then rinse with cool water.

There you go two simple inexpensive facial masks made from your kitchen ingredients that will eliminate excess oils from your face.

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Migraine More Common in Women than Men

Migraine is a very painful type of headache and its attacks are often recurrent. Studies have shown that it is three times more common in women than in men. The primary cause is still unknown yet symptoms are normally triggered and aggravated by routine activities such as anxiety, stress, lack of food or sleep, hormonal changes in women and light exposure.

I am one of the people who suffer from this unilateral headache. It usually attack before, during or after my menstrual cycle and when I am too much stressed out. The pain is only affecting the half of my head, it pulsates and throbs and usually last for days in my case. I usually vomit, can’t stand a bright light, queasy and most often can’t prolong standing or sitting so I lie down.

Regular analgesics are no longer effective in my case so our family doctor prescribed me a sumatriptan base medicine to relieve my migraine attacks. He strongly advised me that it should not used prophylactically but to take it only during the onset of the attack.

Me and my three sisters are all victims of this Migraine attacks. Was it in our genes? I do not know exactly the answer.  As much as possible, lately I refrain from getting out of the house from 10 am till 3 pm where the sunlight is at its hottest or else I’ll be spending the next days inside our room :(

Other reference:  www.nlm.nih.gov

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