Categories
Pediatric

Helping children swallow medicine

[amazon_link asins=’B00SF51M18,B00A884ASM’ template=’ProductCarousel’ store=’finmeacur-20′ marketplace=’US’ link_id=’6aa3cff0-4747-11e7-8d26-95151371506e’]

Most parents know the battle of getting a child to swallow medicine when necessary. It’s strange how children can savour the most disgusting sweets but refuse medicine that tastes far more pleasant. It’s all part of the art of being two: recognising when your parents are really worried about something and then refusing to play the game.

But it’s important for children to get the doses of medicine they’ve been prescribed and that they finish any course of antibiotics they’re given, so you need to be patient and keep trying.

Some of the following might help:

*Make sure younger children get liquid rather than tablet forms of medicine where possible.

*Ask your doctor or pharmacist if the medicine can be prescribed in a flavour your child likes. This isn’t always possible, but there are lots of different makes of antibiotics, so it’s worth a try.

*Try mixing the medicine with something very sweet, such as honey or fruit syrup. This is particularly useful if the medicine is in tablet form. These can often be crushed into the syrup (but check with your pharmacist first, as some come in a gel form that doesn’t dissolve easily) or mixed with other more solid foods.

*Use a syringe (from the pharmacy) to give medicine, especially to younger children. This is much easier to hold than a spoon and far less likely to spill, especially when you’re holding the child tight and they’re trying to push you and the medicine away. When you put the syringe in your child’s mouth, point it towards their cheek as you press the plunger to avoid squirting it straight down their throat and choking them.

*Toddlers may be more willing when they’re given medicine in an animal-shaped medicine tube and allowed to sip it at their own pace.

*Try reverse psychology – tell your child it’s special medicine and she’s not allowed to have it. It’s amazing how often this one works.

*Bribery and corruption involving large amounts of sweets is often a good bet, too (but don’t tell your dentist).

*Stay calm and never force your child to take medicine. If they persistently refuse, try again after about half an hour.

*Say you’ll take them back to the doctor to be given the medicine (this showdown is too much for most toddlers, who’ll back down at this point).

Many children find it hard to swallow pills and capsules. Most have never had to, since almost all medications for children are available in liquid form. However, pills have their advantages: parents know the child gets the entire dose, pills hide the flavor of medicines that taste bad, pills are easier to take when traveling, and pills do not have to be refrigerated like many liquids.

What is the best way to teach a child to take a pill? There are many techniques parents can try, but everyone agrees that it is a good idea for parents to teach their kids the technique of pill swallowing before they really need it. A sick or cranky child is not a cooperative student!

Here are some suggestions that might help:

*Keep a calm and positive attitude

*Be patient. Some normal children can’t accomplish pill-swallowing until their late teens!

*Show the child how to swallow pills calmly and quickly. Demonstrate by placing a tablet or capsule back in the center of their tongue. Have them quickly drink water, Kool-Aid, or their favorite drink through a straw. When the child concentrates on using the straw and swallowing the liquid, the pill usually follows quickly along.

*Train in small steps with success at every stage. For example, have your child practice with a piece of small cake decoration. When the smallest size is swallowed without a problem, a slightly larger size may be tried. Then work up to the size of an M & M. Use substances that will melt if they get stuck or coat them first with butter. It is best to work in short sessions (5-10 minutes) several times a day over a couple of days.

*Eliminate distractions during medicine taking time. Close the door, turn the TV off, etc. allowing the child can concentrate on the job at hand
If the child gags or vomits, be calm and clean up the mess in a matter-of-fact way. Let the child settle down and try again in 10 or 15 minutes.

*Some kids like to play “Beat the Clock.” Use a one or two minute time limit!

*Give plenty of praise, such as “Oh good! You swallowed it right down.” Avoid negative comments like “Only babies take liquid medicine.” These comments rarely motivate children to try harder.

*Some pills are easier to swallow if they are broken into halves. Check with the pharmacist first, however, to make sure a divided pill does not lose its potency.

*Have the child drink a little water before taking the pill. Tables and capsules are harder to swallow when the youngster’s mouth is dry (which often happens when they are sick).

*As long as the pill does not have to be taken on “an empty stomach,” have your child place a little piece of food on their tongue, next to the pill. Next have them drink some water to swallow the food and the pill usually goes down at the same time. Don’t have your child tilt their head back too far when swallowing as this can sometimes make it more difficult for the pill to go down.

*Another way to get a child to swallow a pill is to stick it in a cube of Jell-O TM. The pill will usually slide down easily with Jell-O.
One pharmacist recommended the “Tic Tac” strategy: Put a “Tic Tac” on the tip of the child’s tongue. Place a glass of water filled to the brim on the table. Have the child suck in water from the brim without picking up the class. About one half mouthful will do. Remove the lips from the glass and quickly tip head back. The “tic tac pill” will be washed to the throat and swallowed with the gulp of water without the tongue being involved. The pharmacist claims this method works with kids as young as three years old.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://www.kidsgrowth.com/resources/articledetail.cfm?id=428
http://www.bbc.co.uk/health/physical_health/conditions/medicinechildrenswallow.shtml
http://www.ehow.com/how_6607984_child-swallow-pill.html

Enhanced by Zemanta
Categories
Ailmemts & Remedies

Esophagitis

Alternative Names: Inflammation – esophagus

Definition:
Esophagitis is a general term for any inflammation, irritation, or swelling of the esophagus, the tube that leads from the back of the mouth to the stomach.

YOU MAY CLICK TO SEE THE PICTURE.……..Eosinophilic esophagitis

Herpes esophagitis

Endoscopic image of peptic stricture showing n...
Endoscopic image of peptic stricture showing narrowing of the esophagus near the junction with the stomach due to chronic gastroesophageal reflux in the setting of scleroderma. (Photo credit: Wikipedia)

Esophagus is  the tube that carries food from the throat to the stomach. If left untreated, this condition can become very uncomfortable, causing problems with swallowing, ulcers and scarring of the esophagus. In rare instances, a condition known as “Barrett’s esophagus” may develop, which is a risk factor for cancer of the esophagus.

Causes:
Esophagitis is frequently caused by the backflow of acid-containing fluid from the stomach to the esophagus (gastroesophageal reflux). You have a higher risk for esophagitis if you have had excessive vomiting, surgery or radiation to the chest (such as in lung cancer), or if you take medications such as aspirin, ibuprofen, potassium, alendronate, and doxycycline.

Persons with weakened immune systems due to HIV and certain medications (such as corticosteroids) may develop infections that lead to esophagitis. Esophageal infection may be due to viruses such as herpes or cytomegalovirus, and fungi or yeast (especially Candida infections).

The infection or irritation may cause the tissues to become inflamed and occasionally form ulcers. You may have difficulty when swallowing and a burning sensation in the esophagus.

Esophagitis is caused by an infection or irritation in the esophagus. An infection can be caused by bacteria, viruses, fungi or diseases that weaken the immune system. Infections that cause esophagitis include:

*  Candida. This is a yeast infection of the esophagus caused by the same fungus that causes vaginal yeast infections. The infection develops in the esophagus when the body’s immune system is weak (such as in people with diabetes or HIV). It is usually very treatable with antifungal drugs.

* Herpes. Like Candida, this viral infection can develop in the esophagus when the body’s immune system is weak. It is treatable with antiviral drugs.

Irritation causing esophagitis may be caused by any of the following:

* GERD
* Vomiting
* Surgery
* Medications such as aspirin and anti-inflammatories
* Taking a large pill with too little water or just before bedtime
* Swallowing a toxic substance
* Hernias
* Radiation injury (after receiving radiation for cancer treatment)

You may click to see the related topics below:
Gastroesophageal reflux disease
Esophagitis Candida
Esophagitis CMV
Esophagitis herpes
Symptoms:
Symptoms of esophagitis include:

* Difficult and/or painful swallowing
* Heartburn (acid reflux)
* Mouth sores
* A feeling of something of being stuck in the throat
* Nausea
* Vomiting
*Oral lesions (herps)
If you have any of these symptoms, you should contact your health care provider as soon as possible.

Diagnosis:
Once your doctor has performed a thorough physical examination and reviewed your medical history, there are several tests that can be used to diagnose esophagitis. These include:

* Upper endoscopy . A test in which a long, flexible lighted tube, called an endoscope, is used to look at the esophagus.

* Biopsy. During this test, a small sample of the esophageal tissue is removed and then sent to a laboratory to be examined under a microscope.

* Upper GI series (or barium swallow). During this procedure, x-rays are taken of the esophagus after drinking a barium solution. Barium coats the lining of the esophagus and shows up white on an x-ray. This characteristic enables doctors to view certain abnormalities of the esophagus.

Treatment:
Treatment depends on the specific cause. Reflux disease may require medications to reduce acid. Infections will require antibiotics. Possible treatments include:

* Medications that block acid production, like heartburn drugs
* Antibiotics, antifungals or antivirals to treat an infection
* Pain medications that can be gargled or swallowed
* Corticosteroid medication to reduce inflammation
* Intravenous (by vein) nutrition to allow the esophagus to heal, to reduce the likelihood of malnourishment or dehydration
* Endoscopy to remove any lodged pill fragments
* Surgery to remove the damaged part of the esophagus

While being treated for esophagitis, there are certain steps you can take to help limit discomfort.

* Avoid spicy foods such as those with pepper, chili powder, curry and nutmeg.
* Avoid hard foods such as nuts, crackers and raw vegetables.
* Avoid acidic foods and beverages such as tomatoes, oranges, grapefruits and their juices. Instead, try imitation fruit drinks with vitamin C.
* Add more soft foods such as applesauce, cooked cereals, mashed potatoes, custards, puddings and high protein shakes to your diet.
* Take small bites and chew food thoroughly.
* If swallowing becomes increasingly difficult, try tilting your head upward so the food flows to the back of the throat before swallowing.
* Drink liquids through a straw to make swallowing easier.
* Avoid alcohol and tobacco.

Click for Herbal and Alternative Treatment:->.(1).…..(2)…..(3)……(4)

You may click to learn more
Prognosis:-
The disorders that cause esophagitis usually respond to treatment.

Possible Complications :-
If untreated, esophagitis may cause severe discomfort, swallowing difficulty to the extent of causing malnutrition or dehydration, and eventual scarring of the esophagus. This scarring may lead to a stricture of the esophagus, and food or medications may not be able to pass through to the stomach.

A condition called Barrett’s esophagus can develop after years of gastroesophageal reflux. Rarely, Barrett’s esophagus may lead to cancer of the esophagus.

When to Contact a Medical Professional
Call your health care provider if you have symptoms that suggest esophagitis.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
http://www.medicinenet.com/esophagitis/article.htm
http://www.nlm.nih.gov/medlineplus/ency/article/001153.htm

css.php