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Jan 30, 2023

Ear Infections: Protecting Your Child & Keeping Them Safe

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Among the most common injuries a young child can face, ear infections are smack in the middle. They cause extreme discomfort for anyone who has had the misfortune of enduring them and even an adult will tell you how truly irritating they are. Sadly, kids get them regularly for several reasons, but as a person gets older, ear infections tend to happen less frequently. Besides knowing the signs and symptoms of this nasty infection, it’s important to know exactly how they start and why they occur, so you can greatly reduce the odds of your child ever having one!

What is an ear infection?

Chances are you will hear the commonly used term “ear infection”. In the medical world, it is referred to as acute otitis media or a sudden infection in the middle ear (the space behind the eardrum). The truth is anyone can get an ear infection, however, they are one of the most common reasons young children visit healthcare providers.

In many cases, ear infections clear up on their own. Your healthcare provider may recommend a medication to relieve pain and if it has worsened or not improved, your healthcare provider may prescribe an antibiotic. In children younger than the age of two years, an antibiotic is usually needed for ear infections.

It’s important to see your healthcare provider to make sure the ear infection has healed or if your child has ongoing pain or discomfort. Hearing problems and other serious effects can occur with ongoing ear infections, frequent infections, and when fluid builds up behind the eardrum.

What causes an ear infection?

Essentially, ear infections are caused by bacteria and viruses. Many times, they begin after a cold or other respiratory infection. The bacteria or virus will travel into the middle ear through the eustachian tube, and the bacteria will plant its nasty self and take control. This tube connects the middle ear to the back of the throat. The bacteria or virus can also cause the eustachian tube to swell, thus making the tube so swollen that it will become blocked. This will cause the normally produced fluids to build up in the middle ear instead of being able to be drained away.

Another issue is that the eustachian tube is shorter and has less of a slope in children than in adults. This physical difference makes these tubes easier to become clogged and more difficult to drain. The trapped fluid can become infected by a virus or bacteria, causing pain, which is why children are more susceptible to ear infections.

Where is the Middle Ear?

We have been using the term “middle ear” quite a bit and if you’re wondering why it is because it’s rather important to know. The middle ear is behind the eardrum and is also home to the delicate bones that aid in hearing. These bones are the hammer, anvil, and stirrup. This is also where the infection will take hold and live during its duration of time. In addition to the middle, there are also the outer and inner parts of the ear. The outer ear is the outside external ear flap and the ear canal, and the inner ear contains the snail-shaped labyrinth that converts sound vibrations received from the middle ear to electrical signals. The auditory nerve carries these signals to the brain.

Even though the infection will reside in the middle part of the ear, understanding the body part in its entirety can help your child when they tell you where they feel the pain and exactly what they’re going through. Some children will become so vexed by the irritation that they will struggle with articulating exactly how they feel so it’s best to be aware as much as you can.

What Are the Symptoms of An Ear Infection?

There are plenty of symptoms to look out for and your child will tell you all about them. The most obvious is ear pain. This symptom is obvious in older children and adults, but in infants and children too young to speak, look for signs of pain like rubbing or tugging ears, crying more than usual, trouble sleeping, and acting fussy/irritable. Other signs to watch out for would be loss of appetite, irritability, poor sleep, fever, drainage from the ear, and trouble hearing.

Who is Most Likely to Get an Ear Infection?

Ear infections are the most common childhood illness other than a cold. They occur most often in children who are between ages 3 months and 3 years and are common until age 8. Some 25% of all children will have repeated ear infections. Adults can get ear infections too, but they don’t happen nearly as often as they do in children.

It is also important to note that people with certain allergies, chronic illnesses, and even your ethnicity can affect how often your child gets an ear infection. It’s important to know your family’s medical history so you can provide your child’s healthcare provider with the proper information that can prevent any potential threats.

How is an Ear Infection Diagnosed?

Ear exam

Your healthcare provider will look at your or your child’s ear using an instrument called an otoscope. A healthy eardrum will be pinkish-gray in color and translucent. If an infection is present, the eardrum may be inflamed, swollen, or red.

Your physician may also check the fluid in the middle ear using a pneumatic otoscope, which blows a small amount of air at the eardrum. This should cause the eardrum to move back and forth. The eardrum will not move as easily if there is fluid inside the ear.

Another test they may perform is called tympanometry. This uses air pressure to check for fluid in the middle ear. This test doesn’t test hearing. If needed, your healthcare provider will order a hearing test, performed by an audiologist, to determine possible hearing loss if you or your child has had long-lasting or frequent ear infections or fluid in the middle ears that are not draining.

Other checks

Your healthcare provider will also check your throat and nasal passage and listen to your breathing with a stethoscope for signs of upper respiratory infections.

How is an Ear Infection Treated?

Treatment of ear infections depends on age, the severity of the infection, the nature of the infection, and if fluid remains in the middle ear for a long period. Your healthcare provider will recommend certain medications to relieve your child’s pain and fever. If the ear infection is mild, depending on the age of the child, your healthcare provider may choose to wait a few days to see if the infection goes away on its own before prescribing an antibiotic.

Antibiotics may be prescribed if bacteria are thought to be the cause of your child’s ear infection. Then, your provider may want to wait up to three days before prescribing antibiotics to see if a mild infection clears up on its own when the child is older. If your or your child’s ear infection is severe, antibiotics might be started right away.

Afterthought

Even though the chances of your child experiencing an ear infection are extremely high, this shouldn’t be of much concern if you act quickly and are knowledgeable of your family’s health history. Chances are the infection won’t last very long and as your youngster ages, it will soon become a bad memory. Even though there are many over-the-counter drugs and at-home remedies you can use to help heal your child, the healthcare experts at Chai Care will happily take a look as they supply their expert knowledge and quality care!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Staying Informed on Your Child’s Head Trauma

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Out of every injury a child can get, head trauma is considered to be the scariest. They can lead to all sorts of issues, especially later in life, which is why it is paramount to be as informed as humanly possible. The truth is head injuries can happen from many things, not just direct blows to the head or contact sports which is why understanding the signs and symptoms of them are even more crucial to be aware of.

What Are Head Injuries?

Unfortunately, head trauma is common in children and teens. They can hurt the scalp, skull, brain, or blood vessels. They can be as mild as a bump on the head, or more serious, like a concussion. In kids, most are mild and don’t injure the brain. A head injury is a broad term that describes an extensive array of injuries that occur to the scalp, skull, brain, and underlying tissue and blood vessels in the child’s head. Head injuries are also commonly referred to as brain injury, or traumatic brain injury, depending on the extent of the head trauma.

Causes & Types of Head Injuries

In most cases, head injuries in childhood are due to falls and slips, however, they can also occur from car crashes, bike accidents, sports injuries, and child abuse. These are the most common methods, but the truth is there are many other ways your child may sustain head trauma.

Essentially there are two different types of head injuries: external and involving the scalp and internal involving the skull, brain, or blood vessels.

It’s also important to know that injuries can potentially cause a concussion, contusion, fracture, or bleeding. If this does happen, you should bring your child to their healthcare provider immediately for further observation.

What Are the Signs & Symptoms of a Head Injury?

The list can be very long for the signs of a head injury depending on the severity of your child’s injury but the most important symptoms to look out for would be a swollen scalp, headache, loss of conciseness (in serious cases), confusion, irritability, ringing in the ear and fatigue. Again, head injuries can be complicated and even discrete which is why if you fear your child may be experiencing one, you should take them to their healthcare provider for a professional opinion.

How Are Head Injuries Diagnosed?

Healthcare providers diagnose head injuries by asking questions about how the injury happened and doing a careful examination of the head and checking to see how the nerves are working. Most children with a mild brain injury don’t need medical tests, however, providers will often do a CAT scan of the head if the injury is more serious. In this case, your child may need to get blood tested, X-rayed, or receive an MRI.

What Should I Do When a Child Has a Head Injury?

You should contact your health care provider immediately if your child had a head injury is an infant, has lost consciousness, even for a moment, wines of head and neck pain (younger children who aren’t talking yet may be fussier), vomits more than one time, won’t awaken easily, becomes hard to comfort, or isn’t walking or talking normally.

If your child is not an infant, has not lost consciousness, and is attentive and behaving regularly after the fall or blow, put an ice pack or instant cold pack on the injured area for 20 minutes every 3–4 hours. If you use ice, always wrap it in a washcloth or sock. Ice placed right on bare skin can injure it. Watch your child carefully for the next 24 hours. If the injury happens close to bedtime or naptime and your child falls asleep soon afterward, check in a few times while they sleep. If your child’s skin color and breathing are normal, and you don’t sense a problem, let your child sleep unless the doctor tells you otherwise. There’s no need to keep a child awake after a head injury. It’s also important to trust your gut. If you think your child doesn’t seem to be acting like they normally do, partly awaken your child by sitting them up. They should fuss a bit and attempt to resettle. If your child still seems very drowsy, try to awaken them fully. If you can’t wake your child, call your healthcare provider or 911 for an ambulance.

Can Head Injuries Be Prevented?

The hard truth is that you can’t protect your child from every injury, but you can help prevent head trauma with precautions and by teaching them how to play safely. Your child should always wear a bike helmet that fits well and use the proper sports equipment for inline skating, skateboarding, snowboarding, skiing, and contact sports. Make sure they wear a safety seat or seatbelt every time they’re in the car and if they do sustain a head injury, wait until their healthcare provider says it’s OK before returning to rough play or sports. If the brain gets injured again while it’s still healing, it will take even longer to completely heal.

Afterthought

Head Trauma is a scary injury that no parent wishes to see their child suffer from. This is why by understanding the signs and symptoms of them and teaching your child how to safely play, you greatly reduce the risk of your child sustaining any sort of head injury. It’s an unfortunate part of life that we all get banged up every now and again but the team of dedicated staff members at Chai Care will always make sure to be here if your child ever needs a helping hand!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Jan 10, 2023

Sprains & Strains: Keeping Your Child Safe

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Children can be wild and intense when monkeying around with their friends or even by themselves. Whether it be on a playground, basketball court, or a park, kids love to play and explore their surroundings. Unfortunately, with this curiosity, inevitably an injury of some sort is bound to happen. The most common being some sort of sprain or strain. Most people believe these two things to be the same. Even though they sound alike, sprains and strains are completely different types of injury – and both are very common in children. Here, we will go over the differences between these two injuries and how your child can avoid them.

What Causes Sprains and Strains?

Sprains happen when a ligament suddenly stretches, twists, or tears. This injury can occur when a child falls or suffers a hit to the body. Sprains often affect the ankles, knees, or wrists.

Strains happen when a muscle or tendon is pulled or torn. This type of injury can happen suddenly, such as when a child overstretches a muscle, in a quick, jerking movement. Or it can happen over time if a child overuses a muscle or tendon. Overuse can occur during activities that require movements that are performed over and over.

Who is at Risk for Sprains and Strains?

Those who are most susceptible are teens that are active, but those who play sports are more at risk for a sprain or a strain. These injuries are not as common in younger children because their growth plates are weaker than the muscles or tendons and are more likely to be injured instead of the ligament.

How are Sprains and Strains Diagnosed?

Your child’s healthcare provider makes the diagnosis with a physical exam. During the exam, he or she will ask about your child’s health history and how the injury happened. They will also find where the pain is to help determine where the injury may be. If this is not enough, your child may need an X-ray, MRI, or CT scan.

How Can My Child Avoid Sprains and Strains?

In most cases, sprains and strains happen in some sort of sports injury or other intense physical activity. They are from either injury or overuse of muscles or joints. Many sports injuries can be prevented by ensuring your child warms up first, trains and conditions properly wears the right protective gear, and uses the right equipment.

You can also help your child prevent overuse injuries by making sure your child sets aside one to two days each week for rest from competitive sports and training and takes breaks from a specific sport during the year. This is extremely important and might be difficult because as we all know, children love playing around, but it is crucial to have them understand that by not resting they are putting themselves at risk for an injury. Also, encourage your child to focus on fun, skill-building, safety, and sportsmanship when playing sports which will lead to a proactive lifestyle and a healthy way of competing.

Sprains & Strains Treatment

Overall, treatment will depend on your child’s symptoms, age, and general health. It will also depend on the severity of the condition. Initial treatment for a sprain or a strain includes rest, ice, compression, and elevation (RICE). Other routes to take would be pain medicines, such as ibuprofen, a splint, cast, a removable walking boot, crutches or wheelchair, physical therapy to stretch and strengthen the injured muscles, ligaments, and tendon, and lastly, surgery. Surgery may not be necessary and is not commonly needed, but occasionally is needed if there is a fracture

Afterthought

In most cases, sprains and strains are not something that should keep you up at night. The recovery time is rather quick and 9 out of 10 times, your child will be back to normal in no time. Still, as a parent, you worry and love your child and would never want to see them in anguish. With that being said, do your best to educate them on the dos and don’ts of safe play and if there does come a time when your little one injures themselves, the professionals at Chai Care will make sure they receive the treatment they need!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Playing With Fire: Protecting Your Child From a Burn

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If you play with fire you are going to get burned. As adults, we know this already, most likely from a bad experience, but children have yet to figure this out. Burns are nothing to trifle with and can cause serious damage, which is why it is paramount to stay informed and to teach our youth the danger of playing with fire and the consequences that may ensue.

What are burns?

As you already know, burns are a type of injury caused by heat. Heat can be thermal, electrical, chemical, or electromagnetic energy. Most burn accidents occur at home. Interestingly enough, about 75% of all burn injuries in children are preventable. Scalding is the leading cause of burn injury for children, while smoking and open flames are the leading causes of burn injury for older adults.

We all know what a burn is, but many people don’t know what the most common burns are. First off, there are thermal burns. These burns raise the temperature of the skin and tissue underneath. Thermal burns happen from steam, hot bath water, tipped-over coffee cups, hot foods, cooking fluids, etc. Next, there are radiation burns which happen from exposure to the sun’s ultraviolet rays (a sunburn because the skin isn’t well-protected in the sun) or from radiation such as during an X-ray. Then, there are chemical burns that happen from strong acids (like drain cleaner or button batteries) or spilling chemicals (like bleach) onto the skin or eyes. Lastly, electrical burns. These are from contact with electrical current and can happen from things like biting on electrical cords or sticking fingers or objects in electrical outlets, etc. Knowing the type of burn a child has can help with first-aid measures. All burns should be treated quickly to lower the temperature of the burned area and reduce damage to the skin and tissue underneath.

Types of Burns

Simply put, there are first, second, and third-degree burns—1st being the least significant and 3rd being the most serious.

First-degree burns…

…Also known as superficial burns, burns are the mildest type of burns. They’re limited to the top layer of skin. Signs and symptoms to look out for would be redness, pain, and minor swelling. The skin is dry without blisters. Healing time is about 3–6 days; the superficial skin layer over the burn may peel off in 1 or 2 days.

Second-degree burns…

…Which are a bit more serious. These burns are more serious and involve the top layer of skin and part of the layer below it. The burned area is red and blistered and can swell and be painful. The blisters sometimes break open and the area is wet looking with a bright pink to cherry red color. Healing time varies depending on the severity of the burn. It can take up to 3 weeks or longer.

Third-degree burns…

…Are the most serious type of burn. They involve all layers of the skin and the nerve endings there and may go into underlying tissue. The surface appears dry and can look waxy white, leathery, brown, or charred. There may be little or no pain or the area may feel numb at first because of nerve damage. Healing time depends on the severity of the burn. Most need to be treated with skin grafts, in which healthy skin is taken from another part of the body and surgically placed over the burn wound to help the area heal.

Burn Treatment

Most small, blistering burns can be treated and cared for at home, however taking your little one to your healthcare provider will always be your best bet. If you have any questions about whether a burn can, be taken care of at home, discuss it with your physician. If you do choose to take the home-care route, make sure to cool the burn by running cool running water over the burn for about five minutes. This helps stop the burning process and decreases pain and swelling. Do not put ice on a burn and don’t rub the burn, because this can worsen the injury. Do not break blisters as this can increase the risk of infection at the burn site. Make sure to cover the burned area with a clean bandage that will not stick to the burned site. This helps decrease the risk of infection and decreases pain. Lastly, protect the burn. It’s crucial to keep the burn site clean with gentle washing with soap and water. Do not apply any ointments to the burn site unless instructed by your pediatrician. Never apply butter, greases, or other home remedies to a burn before discussing it with your healthcare provider, as these can increase the risk of infection as well.

If you believe that your child is suffering from a third-degree burn and has blisters larger than 2 inches or full-thickness burns with white or charred skin, go to an emergency department. It is important that before coming in you should cover the burn with a sterile dressing or clean washcloth or towel.

After the Burn

Superficial or mild partial thickness burns hurt for about two days and peel like a sunburn in about a week. These burns shouldn’t leave a scar if managed correctly. If the burn is open, your child will need a tetanus booster if it has been more than five years since his/her last tetanus shot, your child has had less than three tetanus shots in his/her lifetime, or if you’re not sure when your child had a tetanus shot last. Your child should get this shot from your pediatrician within three days of the burn. Call your healthcare provider immediately if your child’s burn looks infected. Symptoms include a large red area or streak larger than 2 inches around the burn. A fever may or may not be present. If there is increased redness or notice any signs of infection, bring your child to Chai Care and our top-notch staff will gladly take care of your little one!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Jan 03, 2023

Pneumonia & Bronchitis: Protect Your Child

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Pneumonia and Bronchitis are two illnesses that can have many harmful effects. Unfortunately, when children contract it, they experience excoriating pain and if gone untreated, there can be grave consequences. It is important to stay informed and understand the signs of these viruses and illnesses to prevent your child from having any long-term consequences.

What is Pneumonia?

Pneumonia is a form of acute respiratory infection that affects the lungs. The lungs are made up of small sacs called alveoli, which fill with air when a healthy person breathes. When an individual has pneumonia, the alveoli are filled with pus and fluid, which makes breathing painful and limits oxygen intake.

Pneumonia is the single largest infectious cause of death in children worldwide. Pneumonia affects children and families everywhere and even though we have amazing healthcare options in our country, our youth is still very much at risk.

The presenting features of viral and bacterial pneumonia are similar. However, the symptoms of viral pneumonia may be more numerous than the symptoms of bacterial pneumonia. In children under 5 years of age who have a cough and/or difficulty breathing, with or without fever, pneumonia is diagnosed by the presence of either fast breathing or lower chest wall indrawing where their chest moves in or retracts during inhalation (in a healthy person, the chest expands during inhalation). Wheezing is more common in viral infections.

Pneumonia Transmission

There are several ways Pneumonia can spread. The viruses and bacteria that are commonly found in a child’s nose or throat can infect the lungs if they are inhaled. They may also spread via air-borne droplets from a cough or sneeze. In addition, pneumonia may spread through blood, especially during and shortly after birth. More research needs to be done on the different pathogens causing pneumonia and the ways they are transmitted, as this is of critical importance for treatment and prevention.

Pneumonia Risk factors

While most healthy children can fight the infection with their natural defenses, children whose immune systems are compromised are at higher risk of developing pneumonia. A child’s immune system may be weakened by malnutrition or undernourishment, especially in infants who are not exclusively breastfed. Pre-existing illnesses, such as symptomatic HIV infections and measles, also increase a child’s risk of contracting pneumonia.

Causes of Pneumonia

Pneumonia is caused by several infectious agents, including viruses, bacteria, and fungi. The most common is streptococcus which is the most common cause of bacterial pneumonia in children. Hemophilus influenza is the second most common cause of bacterial pneumonia, followed by the respiratory syncytial virus which is the most common viral cause of pneumonia.

 

Pneumonia Prevention

Preventing pneumonia in children is an essential component of a strategy to reduce child mortality. Immunization against Hib, pneumococcus, measles, and whooping cough (pertussis) is the most effective way to prevent pneumonia. Adequate nutrition is key to improving children’s natural defenses, starting with exclusive breastfeeding for the first 6 months of life. In addition to being effective in preventing pneumonia, it also helps to reduce the length of the illness if a child does become ill. Addressing environmental factors such as indoor air pollution (by providing affordable clean indoor stoves, for example) and encouraging good hygiene in crowded homes also reduces the number of children who fall ill with pneumonia. In children infected with HIV, the antibiotic cotrimoxazole is given daily to decrease the risk of contracting pneumonia.

When should I call my child’s healthcare provider?

If your child’s symptoms are getting worse if he/she has a fever lasting for a few days, breathing problems, trouble drinking fluids, and new symptoms such as neck stiffness or swollen joints, it is time to call your child’s healthcare provider.

What is Bronchitis?

Now, it’s time to talk about Bronchitis. What is acute bronchitis in children? Bronchitis is an inflammation of the large breathing tubes in the lungs. The illness can be short-term (acute) or long-term (chronic). Acute bronchitis means that the symptoms often develop quickly and don’t last long. Most cases are mild.

What causes acute bronchitis in a child?

Acute bronchitis is most often caused by a viral infection. It may also be caused by bacteria or things such as dust, allergens, strong fumes, or tobacco smoke. In children, the most common cause of acute bronchitis is a virus. The illness may develop after a cold or other viral infection in the nose, mouth, or throat (upper respiratory tract). Such illnesses can spread easily from direct contact with a person who is sick. Children that are more at risk for acute bronchitis are kids that deal with chronic sinusitis, allergies, asthma, enlarged tonsils and adenoids, and exposure to secondhand smoke.

How is acute bronchitis diagnosed in a child?

Your child’s healthcare provider can often diagnose acute bronchitis with a health history and physical exam. In some cases, your child may need tests to rule out other health problems, such as pneumonia or asthma. These tests may include chest X-rays, pulse oximetry, or sputum and nasal discharge samples.

How is acute bronchitis treated in a child?

Treatment will vary depending on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. In nearly all cases, antibiotics should not be used to treat acute bronchitis. That’s because most infections are caused by viruses. Even children who have been coughing for longer than 8 to 10 days often don’t need antibiotics.

It is important to talk with your child’s healthcare provider before giving over-the-counter cough and cold medicine to your child. Most experts do not recommend giving medication to children younger than four years old because it may cause harmful side effects. For children between ages four and six, only use over-the-counter products when recommended by your child’s healthcare provider. It is also important to note, not to give aspirin or medicine that contains aspirin to a child younger than age nineteen unless directed by your child’s provider. Taking aspirin can put your child at risk for Reye syndrome. This is a rare but very serious disorder. It most often affects the brain and the liver.

Afterthought

At the end of the day, pneumonia and bronchitis are two nasty illnesses that are brutal to deal with, but very much treatable. If your child finds themselves struggling with either one, self-care is an option, but Chai Care would be your best option for treatment because our incredible staff of trained experts will supply them with quality care while offering top-notch advice on how to stay healthy!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Dec 27, 2022

“My Tummy Hurts!” – Abdominal Pain in Kids: Causes And Treatment

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We can all recall a time when we as children had awful stomach pain or aches. Chances are you were hunched over, gripping your stomach in agony, claiming someone was stabbing your intestines with a knife. Dramatic and exaggerated, but when you’re a kid, everything is theatrical. Some of those incidents were no big deal. Just a minor cramp or nausea from eating too much candy before bed, but other times it may have been serious, so much so that medical attention was needed due to a parasite or appendicitis. Abdominal pain in children can vary from minor to major in the blink of an eye, which is why it is so important to be vigilant of the signs and symptoms.

Causes of Stomach Pain

If your child is experiencing stomach pain, it is most likely due to indigestion, constipation, stress, irritable bowel syndrome, appendicitis, or a stomach bug. These are the most common complaints that a child will have regarding stomach issues and fortunately, over counter drugs or a quick visit to your healthcare provider will help. However, stomach pain is more complicated than you might think. Depending on where the child is feeling the pain, this can change the diagnosis and the severity of the injury.

Around the Belly Button

Stomach pain around the belly button is the most common complaint among children and in most cases, the least significant. The culprit of this discomfort is typically attributed to stress or eating something unagreeable. The best action to take for your child who is struggling with this would be to encourage them to rest, check to see if they need to poop, suggest drinking a glass of water, or offer a distraction of sorts. Reading a soothing story or playing a light-hearted game can take their mind off the pain and before they know it, they’ll forget all about it!

Lower Right Part of the Abdomen

Pain in the lower right side of the abdomen can be much more serious, potentially hinting that your child may have appendicitis. Appendicitis is a serious medical emergency that can cause sudden, severe pain in the lower right part of your child’s stomach. If your child complains of stomach pain that moves to the lower right side of the belly, watch for other symptoms including fever, nausea, vomiting, difficulty passing gas, loss of appetite, constipation, and diarrhea. If you suspect that your child has appendicitis, contact your healthcare provider immediately. Early diagnosis decreases the risk of a ruptured appendix or serious complications.

Lower Left Side of the Abdomen

If your child is complaining about pain on the left side of their stomach, it could be caused by constipation or a more severe condition like pancreatitis. Most of the time, stomach pain on the left side is due to something mild, like constipation. Rarely, it can be a sign of something more serious. Your child’s healthcare provider can work with you to better understand the pain and symptoms your child experiences to ensure they receive an accurate diagnosis.

Upper Right Side of the Abdomen

If your child is complaining about pain in their upper abdomen, they may be experiencing indigestion. Telltale signs of indigestion include pain in the upper belly, nausea, bloating, burping, and heartburn. It is also worth mentioning that if your child has pain in the upper right side of their abdomen, this could also be a sign of gallstones. Gallstones are more common in adults than in children, but some children may be more at risk for developing gallstones, including children with obesity, children with certain health conditions including sickle cell disease, and children with a family history of gallstone disease.

Most Common Causes of Abdominal Pain

Indigestion

This is a general term that describes discomfort in children’s upper abdomen. Common symptoms include pain or burning in the area between the breastbone and navel or bloating in the upper abdomen. Most of the time, indigestion will go away on its own and is not considered serious. Prepare smaller meals and try a bland diet. Talk with their healthcare provider if the discomfort persists.

Viral gastroenteritis (stomach flu)

This is an infection marked by watery diarrhea, abdominal cramps, pain, and nausea or vomiting. Seek medical attention if your child has a fever of 100.4 F or higher, bloody diarrhea, or significant pain or discomfort. The most important thing to do is to stay well-hydrated.

Constipation

Constipated children have infrequent bowel movements or hard, dry stools. They may frequently complain of a stomachache, bloating, or discomfort. Talk with their primary care provider if they don’t want to eat, are losing weight, have bloody stools, or are having repeated episodes of constipation.

Stress or anxiety

When children are stressed or anxious, their bodies release the hormone cortisol into the blood. This can trigger abdominal cramps and discomfort.

Appendicitis

Appendicitis is an inflammation of the appendix. It causes sudden pain that begins around the navel and then moves to the lower right abdomen. The pain worsens if children cough, walk or make other jarring movements. Appendicitis pain typically increases and eventually becomes severe. Appendicitis is a medical emergency, and these children should receive immediate medical attention.

Appendicitis is one of the more common reasons your child may need surgery. The appendix is a small, dead-end tube leading from a part of the bowel. If this tube gets blocked, it can cause an infection. Appendicitis can happen at any age but is rare in young children.

The pain often starts in the middle of the tummy and moves down low on the right side. The stomach becomes sore to the touch. This is often worse with coughing and walking around. A child with appendicitis often shows signs of being unwell such as fever, refusing food, vomiting, or diarrhea.

If you are concerned your child may be developing appendicitis, visit your healthcare provider. An operation is often needed to remove the appendix, although in some cases the problem will settle without surgery.

Intestinal obstruction

Intestinal obstruction is a blockage that prevents food or liquid from passing through children’s small intestines or colon. It could be caused by scar tissue, a twisting or narrowing of the intestine, or if they swallow an object. Common symptoms include abdominal pain that comes and goes and is located around or below the navel, constipation, inability to pass gas, swelling of the abdomen, or vomiting. Seek immediate medical attention if children are suspected to have an intestinal obstruction.

Diagnosis of the Abdominal Pain

Typically, when the problem is obvious there are no tests needed. However, if tests are needed, they may include blood or urine tests, stool samples, or other special tests for further examination. If your child does undergo tests, the healthcare provider should explain the results to you. Some results may take several days to come back, and these results will be sent to your primary care physician.

Stomach pain in children is usually nothing to worry about. But, if your child experiences any of the following symptoms, take your little one to their healthcare provider: diarrhea, pain when urinating, unexplained weight loss, jaundice, blood in stool, and recurrent stomach pain with no clear cause. From there, a medical professional can help you determine how severe the illness is.

Treatment of the Abdominal Pain

Your child’s treatment will depend on what your healthcare provider determines is causing their pain. Treatment may be as simple as sending your child home with advice to rest, take fluids and eat a bland diet. Other treatment options include hospital admission and surgery. A few general suggestions would be to make sure your child gets plenty of rest and have them drink plenty of clear fluids such as cooled boiled water or juice. Do not push your child to eat if they feel unwell. If they are hungry, have them eat bland food like crackers or bananas and place a hot water bag on their stomach.

If your child doesn’t seem to be getting any better and their symptoms have manifested into more severe signs such as vomiting, blood in urine or stool, painful skin rash, fever, or chills, then you should take your child to Chai Care to have them checked out by our skilled medical professionals.

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones may have.

Dec 15, 2022

Nursing a Nursemaid’s Elbow

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“History will judge us by the difference we make in the everyday lives of children.” – Nelson Mandela.

Our obligation as adults is to protect our youth by any means necessary. The best way to do that is by staying informed about new scientific studies and taking advice from medical professionals on how to best help and nurture the children of the world. Because of their lack of knowledge and experience, toddlers depend on us to guide them through all the dangers and illnesses that may come their way. Even the safest and most responsible adults make mistakes now and again, which is why we are going to dive into everything you need to know about—”nursemaid’s elbow”.

What is Nursemaid’s Elbow?

When most people hear the words “nursemaid’s elbow” they are surprised to learn that it has anything to do with young children due to its strange name. In simple terms, nursemaid’s elbow occurs when the radius (one of the bones in the forearm) slides out of place from where it is normally attached to the elbow joint. It is a common condition in children younger than four years of age. Other names include pulled elbow, slipped elbow, or toddler’s elbow. The medical term for Nursemaid’s Elbow is “radial head subluxation”.

Let’s say you are out on the town, taking a leisurely stroll with your toddler. The youngster notices something that catches their eye, and they begin to run towards the excitement, when the parent grabs their arm to stop them, pulls too hard, and suddenly contracts the hand or forearm. This causes the radius to slip out of the ligament holding it into the elbow. It can also occur when an infant rolls himself or herself over, from a fall, or from pulling or swinging a young child by the hand. We all love picking up a baby and playing with them, but it’s important not to be too overzealous because the child is not fully developed to withstand such quick movements.

What Are the Signs and Symptoms of Sursemaid’s Elbow?

Nursemaid’s elbow is a tricky injury because it usually occurs to toddlers and young children who may not be able to articulate what exactly the problem is, leaving it up to the parent or guardian to figure it out. At first glance, nursemaid’s elbow may not be obvious and can easily go unnoticed, but the child will usually cry from the discomfort. Other important signs to look for would be: if the child avoids moving their arm below the shoulder, supports one arm with the other hand, holds their arm straight or slightly bent and close to the body, or if they refuse to rotate their palm.

In other words: if the child lacks mobility and demonstrates discomfort and flexibility in the arm, there is a good chance they are experiencing nursemaid’s elbow.

Now that you know the symptoms, the next question is:

Is Nursemaid’s Elbow an Emergency?

The simple answer is: Yes.

Normal use of the arm will be painful and inhibited until the injury is corrected, which is why it is crucial to seek medical attention as soon as possible. There are certain cases where nursemaid’s elbow has corrected itself, but there is no reason to take that gamble, especially when dealing with children. Let your healthcare provider be the one to examine your child to make sure there are no fractures or breaks and once the examiner does that, they can begin the process of correcting the injury.

Diagnosis & Treatment of Nursemaid’s Elbow

After your child has been officially diagnosed by your healthcare provider, they will perform a physical exam and ask a series of questions about what happened at the time of the injury. This physical exam will test your child’s range of motion and see if there is any tenderness at the elbow. The treatment is a simple, but effective physical maneuver called “nursemaid elbow reduction”. Lasting only a few seconds, the healthcare provider will perform the reduction by gently flexing and rotating the arm. If you hear a “pop” sound, don’t be alarmed! This is simply the joint moving back into place. As far as imaging tests are concerned, they often won’t show evidence of nursemaid’s elbow, however, an X-ray can be used to rule out a fracture or break.

Even though you should seek medical attention to have the joint corrected by a professional, there are forms of treatment you can do on your own. There are plenty of over-the-counter drugs to help your child manage the pain and applying ice to the injured area will also help. There are some adults out there who have attempted the correction maneuver themselves, this is not well advised.

Recovery begins immediately after your child’s elbow has been reduced. The best part is your child will only feel pain for a few seconds, but soon after will feel as good as new!

Prevention of Nursemaid’s Elbow

Now that you know what nursemaid’s elbow is and what signs to look for, let’s discuss a few simple ways to prevent this from happening. The best thing to do is avoid pulling or jerking your child by the arm or hand. This may sound simple, but when a child attempts to cross a street before looking both ways or their curiosity gravitates them to something that can harm them, your parental instincts kick in, telling you to pull them out of the way. Even though you are trying to protect them, you may actually hurt them in the process. Another method would be to use verbal cues instead of physical ones to get their attention and lastly, try not to swing your child around by the hands or arms for fun. Many parents do this because it’s entertaining and puts a smile on their child’s face, but this is probably the most common way children suffer from nursemaid’s elbow.

Afterthought

If the healthcare provider has successfully corrected the joint, nursemaid’s elbow should not come back but it is worth noting that a child who has had this injury is more likely to have it again, than someone who hasn’t. This is because the injury stretches the ligaments, making it harder to hold the bone in place. A child who has experienced Nursemaid’s Elbow may have looser ligaments in general too. Fortunately, as children grow, their bones and ligaments will become stronger, making nursemaid’s elbow highly unlikely after a child turns five years old.

We are privileged to live in a country where we have countless urgent care facilities that are staffed with exceptional medical professionals who can easily help if your child experiences nursemaid’s elbow. This is an injury that should not go un-diagnosed and luckily for you, Chai Care will always be here to supply you with the top-notch service and sensitive care that your child deserves!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Abscess Obsession

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It is no secret that children are the most vulnerable people on the planet. Because of their youth and lack of experience, our moral responsibility as adults is to make sure that we are well-informed about various medical emergencies. We can almost expect that there will come a time when we will need to see the signs or symptoms of any minor or serious injuries that a child may experience. Of course, a medical professional will be the one who calls the final shots. However, before seeing a healthcare provider, you, as the parent, will be the one to notice if your son or daughter is experiencing something out of the ordinary. One common injury a child can endure is the development of an abscess.

What is an Abscess?

Painful and warm to the touch, abscesses can virtually show up anywhere on your body. However, the most common sites are in the armpits, areas around the anus and vagina, the base of the spine, around a tooth, and in the groin. It’s also important to note that inflammation around a hair follicle can also lead to the formation of an abscess, which is called a boil.

Unlike other infections, antibiotics alone will not usually cure an abscess. In general, an abscess must be opened and drained for it to improve. Sometimes draining occurs on its own, but generally, it must be opened with the help of a warm compress or by a doctor in a procedure called ‘Incision and Drainage.’

Sadly, kids are more prone to abscesses because they’re less likely to tend and clean their wounds, putting them at risk for these nasty infections. Foreign objects that get inside a wound, like sand or clothing fibers, can also lead to abscesses, as can irritated hair follicles.

Types of Abscesses

The first kind of abscess we’ll discuss is skin abscesses. This is when bacteria get under the surface of your skin, and an abscess forms. This can occur anywhere on the body, although skin abscesses tend to be more common in the underarms, genitals, buttocks, trunk, hands, and feet. When this happens, bacteria will creep underneath your skin and cause an abscess. If you have a minor skin wound, such as a small cut, gash, or a sebaceous gland (oil gland) or sweat gland, this can lead to an abscess as well.

Then there are internal abscesses. These develop inside of the stomach and are caused by an infection reaching tissue deeper within the body. This can occur because of an injury, abdominal surgery, or an infection spreading from a nearby wound or cut. Unfortunately, there are numerous ways an infection can spread in the abdomen and cause an abscess to develop. For example, a lung abscess may form after a bacterial infection in your lungs, such as pneumonia, and a burst appendix can spread bacteria within your abdomen. If your child is experiencing high temperature, increased sweating, chills, pain in their stomach, or loss of appetite and weight, your child may be experiencing an internal abscess.

Lastly, there are tooth abscesses. This is when a pocket of pus that’s caused by a bacterial infection poison one of your teeth. The abscess can occur in different areas near the tooth for different reasons. A periapical abscess occurs at the tip of the root. A periodontal abscess occurs in the gums at the side of a tooth root. A periapical tooth abscess usually occurs because of an untreated dental cavity, an injury, or prior dental work. The resulting infection with irritation and swelling can cause an abscess at the tip of the root. Symptoms to look out for are severe toothaches that spread to the jawbone, neck, and ear, pain with hot and cold temperatures, pain when chewing, fever, swelling in the face, tender or swollen lymph nodes, and foul mouth odor.

Traditionally, dentists will treat a tooth abscess by draining it and getting rid of the infection. They may be able to save your tooth with a root canal treatment. But in some cases, the tooth may need to be pulled. Leaving a tooth abscess untreated can lead to serious, even life-threatening, complications so make sure to take your little one to the dentist ASAP!

What Causes an Abscess?

The most common way someone may contract an abscess is from infection with staphylococcal bacteria. From there, bacteria enter the body, and the immune system sends white blood cells to fight the infection. This causes swelling at the site of infection and the death of nearby tissue. A cavity is created, which fills with pus to form an abscess. The pus contains a mixture of dead tissue, white blood cells, and bacteria. The abscess may get larger and more painful as the infection continues and more pus is produced. Some types of staphylococcal bacteria produce a toxin called Panton-Valentine leucocidin, which kills white blood cells. This causes the body to make more cells to keep fighting the infection and can lead to repeated skin infections. However, in rare cases, an abscess may be caused by a virus, fungi, or parasites.

Abscess Treatment

Finally, some good news! Most abscesses can be treated at home. If the abscess is small (less than 1 cm or less than a half-inch across), applying warm compresses to the area for about 30 minutes 4 times daily may help. Do not attempt to drain the abscess by squeezing or pressing on it. This can push the infected material into the deeper tissues. Also, do not attempt to stick a needle or other sharp instruments into the abscess center, because you may injure an underlying blood vessel or cause the infection to spread. It’s important to make sure your child avoids touching, pushing, popping, or squeezing the abscess because that can easily spread the infection or push it deeper inside the body, only making things worse. An easy way to prevent spreading the infection is by not letting your child share clothes, towels, washcloths, sheets, or anything that may have touched the abscess.

Even though you can take it upon yourself to treat your little one, seeing a healthcare provider is highly recommended to ensure full safety. The trained professional will be skilled enough to cut open the abscess and completely drain the pus and debris. Once the sore has drained, the doctor may insert some packing into the remaining cavity to allow the infection to continue to drain. It may be kept open for a day or two. A bandage will then be placed over the packing, and you will be given instructions about home care. Most children will feel better immediately after the abscess is drained. If the child is still experiencing pain, the doctor may prescribe antibiotics for home use over the next few days.

Abscess Prevention

Continuing on the good news train, abscesses of all kinds can be prevented by practicing good hygiene. Keep all cuts and wounds clean, dry, and covered with a bandage to protect them from germs. It is also important to teach kids to wash their hands often and well, using soap and water for at least 20 seconds. If soap and water aren’t handy, it’s OK to use alcohol-based instant hand sanitizers or wipes.

Fortunately, once treated the abscess should heal and your child will forget all about it. Even though there are rare cases in which abscesses shave led to serious illnesses, the chances of that happening are extremely low if you make sure to follow these simple steps. Abscesses can be nasty, and many people become squeamish at the sight of them, but the staff at Chai Care are trained professionals who can take care of them in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Dec 12, 2022

Pinworms vs Your Kid

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Here’s a little bit of trivia for you:

You can exercise daily, check up on your mental health regularly and count your carbs, fats, and proteins down to the exact milligram – and still become sick with a minor or even life-threatening illness, when you least expect it. Our unforgiving world gives every creature about an equal chance for survival, and this includes the kinds of creatures that we wish would never exist.

Fortunately, human beings, the single most dominant species on our planet, have evolved to develop rational thinking, so we’re slightly better prepared to handle these unexpected problems, by absorbing as much information as possible and by applying our knowledge into practice.

So, hopefully, after reading this, you will know everything you need to know about one very important and very unpleasant parasite:

Pinworms

Don’t know what pinworms are? Don’t sweat it. Many people don’t and those that claim to know have a rudimentary understanding of the parasitic worm. Even with all our scientific advances, cures, and medications, these creepy crawlers are extremely common. They have been running amok for as long as humans have been around. Fortunately, they are treatable, so don’t fret!

What exactly are pinworms?

How do you treat the infection?

Glad you asked! Without further ado, here is everything you need to know about pinworms.

Simply put, pinworms are white parasitic worms that live in the large intestine of human beings. They are about one-half inch to a full inch in size and while the infected person sleeps, female pinworms leave the intestinal tract and lay their eggs on the skin around the anus. The eggs are laid in a sticky, jelly-like substance that, along with the wriggling of the female pinworm, causes severe itching.

Who is most likely to contract pinworms?

Super-gross and maybe even too much information, but it’s important to know because this is the most common worm infection in the United States. Young children have the highest infection rate due to below-average sanitary conditions in schools, daycare centers, and recreational facilities. Even though these grimy facilities play a major factor, let’s face it, children tend to care less about cleanliness than adults. Kids like to play first and think later, paying no attention to such things as pinworms which is why we must protect them.

How do pinworms spread?

The easiest way for your child to spread pinworms is if they have scratched his or her bare anal area and the eggs get under his or her fingernails without proper hand washing. They can also be transferred from the fingers to clothing or bedding, and then spread around the home, and believe it or not, the eggs may be inhaled from the air or deposited onto food and swallowed. It’s important to note that even if your child may have seemingly healed, pinworms can survive up to two weeks on clothing, bedding, or other objects if kept at room temperature. So even though your child may be in the clear, make sure to do a deep clean of your home to ensure that you have completely eradicated the parasite.

What are the symptoms of pinworms?

The most common symptoms of pinworms are extreme itching in the anal/vaginal area, difficulty sleeping, and irritability but other symptoms that are important to be aware of are nervousness, restlessness, loss of appetite, insomnia, poor concentration, weight loss, sweet cravings, teeth grinding, mood swings, bed wetting, and fatigue. These additional symptoms may be due to other illnesses – so the next step to take is searching for the female worm or egg which will confirm if your child has pinworms or not.

Pinworms can be sneaky and usually only reveal themselves in the evening. The adult worms can sometimes be seen directly around the anal area or in pajamas. If the worms are not visible, you may try conducting something known as a “tape test” in the morning. You do this by applying a piece of transparent tape against the folds of skin around the anus to pick up any eggs or worms and then seal it in a plastic bag. After this, take the tape to a medical professional, where the eggs can be identified under a microscope, for an official diagnosis. We may be biased, but we strongly believe that Chai Care is one of the best places to visit for expert medical help. Please consider visiting one of our urgent care centers if your child experiences the symptoms of pinworm infection!

Let’s paint a picture. Your child hasn’t been acting like themselves lately. They are restless, losing weight, have severe mood swings, and have been complaining about a never-ending itch located in their anus. You take a look and notice a half-inch-long white worm. Now what?

How to get rid of pinworms?

There are both over-the-counter and prescription drugs one can take but consult with a healthcare provider before doing so. Once you received a legitimate diagnosis, next comes treating the infected.

The infected person should take the prescribed medicine orally. The medicine is given in two doses. The second dose should be given two weeks after the first. It’s crucial for the person to bathe first thing in the morning to reduce egg contamination and prevent it from spreading. Essentially, it’s best to be as clean as possible. Make sure your child washes their hands and under the fingernails thoroughly. Whether this is after using the bathroom, before eating, or after any activity, it’s paramount that they scrub their hands with warm water and soap. During this time, avoid nail biting and scratching bare anal areas to avoid re-infection. Most people don’t know this, but parasites live off bacteria/sugar. So, during this time, it is best to cut down on your child’s sugar intake. Lastly, it is important to know that when one person in a household contracts pinworms, usually another family member does too so make sure to treat all infected family members at the same time.

Now that your child is treated, it’s time to treat your home. Make sure to change all the sheets, pillowcases, and bedspreads, and thoroughly wash them with hot water along with all the underwear, pants, shorts, and clothing to ensure maximum cleanliness. During the daytime keep all blinds open because the eggs are ultra-sensitive to sunlight. Pinworm eggs are light and scatter easily so dust should be removed carefully from all surfaces in the home. Be extra careful when vacuuming or use an oiled cloth (which may be boiled or destroyed later) to help prevent the eggs from scattering.

You did it! Now that your child is finally pinworm-free, how do you prevent this from ever happening again?

How to prevent pinworm reinfection?

It’s simple. Make sure they wash their hands and underneath the fingernails frequently, bathe daily, encourage them to avoid scratching their bare anal areas, and change and wash clothing and bedding frequently. It’s important to note that pinworm eggs continue to be present (excreted) in the feces of an infected person for up to a week after the treatment, so precautions should be taken to prevent reinfection by washing hands thoroughly, especially under the nails.

If your child follows these simple steps, they will be in the clear, but kids sometimes have a difficult time following the rules. If your child winds up contracting the infection again, consult your healthcare provider and follow the same steps. In some cases, it may be necessary to treat the patient and close family contacts more than once for extra protection.

If your little one gets infected with pinworms, there’s no sugarcoating this: The experience will not be pleasant for them or for you as a parent. Fortunately, there are diagnostic tools and great medications readily available, and thankfully there are urgent care facilities that can offer them exceptional treatment and make sure they are as good as new in no time. If you feel that your child may have contracted pinworms, bring them down to Chai Care and we will get them treated and healthy in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

The Scars From The Past, Part 1

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Do you suffer from an odd ache here and there in your body?

You’re not alone. We plant the seeds of our future small, annoying afflictions when we’re kids, and those nasty seeds grow into full-blown weeds that can smother our blooming health right on the root.

Perhaps I’m being too poetic here, in a blog article intended to promote our everyday and urgent care services, but this is relevant. What we’re talking here is healthcare for kids and youth:

The Pediatric Healthcare

But that stretches further into life. The habits we establish as kids go far into adulthood, and one of those habits is lack of respect and appreciation of our own body: Of how fragile it is, and how much the damage we do to it will stay with it. As you want your kids to be careful around expensive furniture, or driving your expensive car on a weekend, so you want to make them appreciate that they only have one body and that body must be treated with proper care.

Childhood traumas – of mental and physical kind – should not be underestimated; they may affect the rest of our lives!

Here’s a story from my own life, I hope it resonates with you. Trust me, you don’t want this to happen to your kid.

It’s a commonly known fact that death comes after life. Sadly, this doesn’t happen to be true for most people – who don’t take the trouble to enjoy life to the fullest, and so, the live as though they’re already dead.

(That’s pretty much what I told myself back when I was a little younger.)

Back then, I was reckless, impulsive, and out of control. I embraced every moment as if it were my last because I was fortunate enough to have the foresight that life is short and should be lived to its fullest.

However…

The decisions I was making and the circumstances that I was allowing myself to fall into were significantly more harmful than rewarding.

In my youth, I didn’t think of my future. Honestly, life seemed like it would always be the same and I was the only person to ever live that Father Time wouldn’t harm. Yes, I was delusional and, in many ways, naïve and arrogant but it molded a very important journey that led me down a destructive road that would eventually transform into a more purposeful life. But I had to fall many times before getting there.

For some reason when you’re young, seeking advice, medical assistance, or simply asking for help can be difficult. You think you know everything there is to know and it’s nearly impossible to believe that someone else may be smarter than you. I have lost track of the number of times when my impulses got the best of me, but one memory comes to mind.

Misguided Youth

Growing up, there wasn’t much to do in my rural Pennsylvania town. My friends and I loved watching action movies and would always reenact intense and dangerous scenes from them, wanting to be as bold as the stars in the films. But then things escalated into full-blown stunts. No harnesses, green screens, or stunt doubles to protect us. All of us were constantly banged up, scratched, and bruised but none of us wanted to look soft, and as silly as it’ll sound, we thought that made us cool.

Our most dangerous and idiotic exploits took place on the local train tracks. Every Friday at 5 PM a massive freight train would speed by transporting who-knows-what. Normally we would play a game of chicken with the steel tube but would make sure to give ourselves plenty of time to hop out of the way before impact. But that got old quickly. The daredevil in me took over and I came up with the bright idea to dangle myself from the bridge above the tracks as the train whizzed by. Even my adventurous pals knew better and warned me not to try it. That only excited me more. I patiently waited for the train to come my way and when I saw the smoke in the distance, I prepared myself. When it was about fifty yards away, I lowered myself, realizing I was not dangling above the train but hanging directly in front of it. I was soon to be a splattered fly on the windshield. My hands were sweaty, and I overestimated my strength. Pulling myself back up to safety was impossible. In a split-second decision, I let go and dropped. One of my friends was brave enough to help me hobble off the tracks just in time before getting crushed, just like our favorite action heroes.

The pain in both my knees, ankles, and back was unlike anything I have ever experienced yet when my buddies tried to call an ambulance for me, I wouldn’t let them. I tried to laugh it off even though my bloodshot eyes said otherwise. After a few more attempts to call for medical attention, they stopped trying and assumed I was OK. Deep down, I wished more than anything that someone would come to my rescue.

Scarred for Life

Still to this day I have back issues, weak knees, and ligament damage in both ankles all because I was too stubborn and proud to see a medical professional. It’s hard for me to stay seated for long amounts of time and jogging is completely out of the question because my body hasn’t healed in the ways that it needed to. 

If only technology was quicker then I would go back in time and grab that kid by his filthy shirt collar and tell him to stop being so foolish. There was no point to it all, no one was impressed and all it left me was a life of pain. Sure, we were bold and maybe brave at times but in the long run, none of those stunts were worth it.

We are fortunate enough to live in a country where we have access to essentially unlimited amounts of medicine, hospitals, urgent care facilities, and clinics that will help us heal our bodies when needed but also supply us with proper information on how to live proactively.

Pediatric traumas of today do not need to remain untreated, and I implore you, the reader of this article: If you know a kid who needs proper care after playing or doing sports maybe a little too recklessly and having been banged up in the process – please, send them to get checked out. You’ll be surprised how much a basic urgent care visit can do for preventing the kind of recurrent pains in the joints or ligaments that too many people suffer absolutely unnecessarily!

But back to my story – unfortunately, I wasn’t as wise in my past as I am now, and the experience I described to you wasn’t enough for me to learn. That wouldn’t come for some time…

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.