Articles

What is Allergy and Atopy ?

An article written by Dr. Mohammad Abbass, consultant Pediatrician

Indeed, we need to differentiate between Allergy and  Atopy : In both forms, there is a genetic predisposition and we may encounter different types of allergies or atopies within the same family.

Allergy is an abnormal immune reaction or response to a substance or substances from outside the body called allergens . This reaction may be mild, in the form of simple itching, or it may be severe and life-threatening.

We can divide allergens into three groups

The first are allergens that are transmitted through the air which can includes dust , mold, pollen, domestic animal dander , the remains of some insects such as cockroaches, and other materials.

The second group of allergens comes through ingestion such as some foods, like cow's milk (or cow's milk protein) , eggs, shellfish , soybean , Wheat , sesame , Peanuts and some tree nuts, and some Medications, such as some types of antibiotics.

The third group is through skin contact and the examples include allergy to insect bites and contact with some chemicals as lotions Cosmetics, soaps , other household cleaners, and pesticides.

Atopy , which by definition is an immune disorder in some people that leads to an increase in a type of Antibodies that activate the body's immune reaction to substances that may be from outside the body or from the body itself. The diseases in this form are allergic rhinitis atopic dermatitis (eczema), and asthma.

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The correct way to use compresses to reduce fever

An article written by Dr. Mohammad Abbass, consultant Pediatrician

We notice many wrong and sometimes harmful habits Parents may use it due to lack of knowledge when using compresses to reduce a child’s temperature, and here I will explain the correct ways to use compresses to reduce a child’s temperature.

First , it must be emphasized that the temperature of the water used in the compresses is moderate, so that if we put our hand in the water we do not feel cold or hot, as the temperature is approximately between 30 - 33 C, and certainly we should not use ice water at all.

Secondly, where to put compresses, the best places are around the neck, forearms, under the armpits, and between the thighs. They can be placed on the forehead, but using compresses on the forehead only gives relief from the headache and pain associated with fever, but their effect on reducing the temperature is limited, so we should not be satisfied with applying compresses only on the forehead.

The issue of using vinegar or alcohol in compresses

Vinegar is a vasodilator, so it may cause heat to transfer more quickly through the skin and reduce the temperature, but using it extensively over a wide area of the body has harmful toxic effects on the body , therefore. It is recommended not to use it, but some insist on using it, and here I advise against using it concentrated, as only one teaspoon of vinegar can be added to every two liters of water for compresses. This certainly reduces the vasodilation property , but we avoid its toxicity .

For alcohol. Alcohol works quickly to cool the skin through evaporation, but using it with compresses on a large area of the skin leads to alcohol poisoning as a result of its absorption from the skin and leads to significant health damage. Therefore, it is also not recommended to use it at all, and if we add it to water , it loses its rapid evaporation property and loses its function, and only its toxicity remains . Therefore, we never use alcohol.

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Flying in Pregnancy

Flying in Pregnancy

Flying is not harmful to you or your baby, but discuss any health issues or pregnancy complications with your doctor before you fly.

The likelihood of going into labour is naturally higher after 37 weeks (around 32 weeks if you're carrying twins), and some airlines will not let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor confirming your due date, and that you aren't at risk of complications.

Long-distance travel (longer than five hours) carries a small risk of blood clots (deep vein thrombosis, or DVT). If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of graduated compression or support stockings from the pharmacy, which will help reduce leg swelling.

Flying in Pregnancy

When is travel not recommended during pregnancy?

Travel is not recommended if you have certain pregnancy complications, including preeclampsia, premature rupture of membranes, and preterm labor.

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Smoking And Pregnancy

Smoking And Pregnancy

Smoking during pregnancy is associated with an increase incidence of miscarriage, preterm delivery, placenta praevia , placenta abruption, low birth weight , congenital malformation, sudden unexplained neonatal death .....

Smoking And Pregnancy

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Premenstrual Syndrome

Premenstrual Syndrome

What is premenstrual syndrome (PMS)?

Many women feel physical or mood changes during the days before menstruation. When these symptoms happen month after month, and they affect a woman’s normal life, they are known as PMS.

What are some common symptoms of PMS?

Emotional symptoms include the following:

  • Depression
  • Angry outbursts
  • Irritability
  • Crying spells
  •  Anxiety
  •  Confusion
  • Social withdrawal
  • Poor concentration
  • Insomnia
  • Increased nap taking
  • Changes in sexual desirePhysical symptoms include the following:A
  • Thirst and appetite changes (food cravings)
  • Breast tenderness
  • Bloating and weight gain
  • Headache
  • Swelling of the hands or feet
  • Aches and pains
  • Fatigue
  • Skin problems
  • Gastrointestinal symptoms
  • Abdominal pain
Premenstrual Syndrome

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Exercise And Pregnancy

Exercise And Pregnancy

Your body is experiencing many changes. One of the most prominent changes is your shape and weight.

Maintaining an active lifestyle with regular exercise will help you stay healthy and flexible.

Exercise helps in stress management and goes a long way in helping you curb the demands of labour and motherhood.

You can take up any form of physical activity after consulting your doctor. Some activities include walking, swimming and yoga.

During pregnancy, the volume of the blood increases, thereby increasing the strain on your heart. A 45-minute workout schedule will boost circulation and strengthen your heart, and your baby will receive oxygen-rich blood for healthy development.

Exercise And Pregnancy

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Exercise And Miscarriage

Exercise And Miscarriage

Could exercise lead to a miscarriage?

In fact, most experts agree that exercise during pregnancy, with your doctor’s approval, can lower miscarriage risk and make mom and baby healthier.

That’s because exercise reduces stress, relieves aches and pains, lowers your gestational diabetes risk, and even builds up stamina for labor.

Exercise And Miscarriage

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Prevention and Treatment of Heartburn During Pregnancy

Prevention and Treatment of Heartburn During Pregnancy

To reduce heartburn during pregnancy without hurting your baby, you should try the following:

  • Eat several small meals each day instead of three large ones.
  • Eat slowly.
  • Avoid fried, spicy, or rich (fatty) foods or any foods that seem to cause relaxation of the lower esophageal sphincter and increase the risk of heartburn.
  • Drink less while eating. Drinking large amounts while eating may increase the risk of acid reflux and heartburn.
  • Don't lie down directly after eating.
  • Keep the head of your bed higher than the foot of your bed. Or place pillows under your shoulders to help prevent stomach acids from rising into your esophagus.
  • Ask your doctor about using over-the-counter medications such as Tums or Maalox, which are generally safe to use during pregnancy. You may find that liquid heartburn relievers are more effective in treating heartburn because they coat the esophagus.
  • Wear loose-fitting clothing. Tight-fitting clothes can increase the pressure on your stomach and abdomen.
  • Avoid constipation.
Prevention and Treatment of Heartburn During Pregnancy

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Anemia in Pregnancy

Anemia in Pregnancy

When you're pregnant, you may develop anemia. When you have anemia, your blood doesn't have enough healthy red blood cells to carry oxygen to your tissues and to your baby.

During pregnancy, your body produces more blood to support the growth of your baby. If you're not getting enough iron or certain other nutrients, your body might not be able to produce the amount of red blood cells it needs to make this additional blood.

It's normal to have mild anemia when you are pregnant. But you may have more severe anemia from low iron or vitamin levels or from other reasons.

Anemia can leave you feeling tired and weak. If it is severe but goes untreated, it can increase your risk of serious complications like preterm delivery.

Anemia in Pregnancy

Risk Factors for Anemia in Pregnancy

All pregnant women are at risk for becoming anemic. That's because they need more iron and folic acid than usual. But the risk is higher if you:

  • Are pregnant with multiples (more than one child)
  • Have had two pregnancies close together
  • Vomit a lot because of morning sickness
  • Are a pregnant teenager
  • Don’t eat enough foods that are rich in iron
  • Had anemia before you became pregnant

Risks of Anemia in Pregnancy:

Severe or untreated iron-deficiency anemia during pregnancy can increase your risk of having:

- A preterm or low-birth-weight baby

- A blood transfusion (if you lose a significant amount of blood during delivery)

- Post partum depression

- A baby with anemia

- A child with developmental delays

Untreated folate deficiency can increase your risk of having a:

  •   Preterm or low-birth-weight baby
  • Baby with a serious birth defect of the spine or brain (neural tube defects)

Untreated vitamin B12 deficiency can also raise your risk of having a baby with neural tube defects.

Symptoms of Anemia During Pregnancy:

The most common symptoms of anemia during pregnancy are:

  • Pale skin, lips, and nails
  • Feeling tired or weak
  • Dizziness
  • Shortness of breath
  • Rapid heartbeat
  • Trouble concentrating

In the early stages of anemia, you may not have obvious symptoms. And many of the symptoms are ones that you might have while pregnant even if you're not anemic. So be sure to get routine blood tests to check for anemia at your prenatal appointments.

Tests and treatment for Anemia:

During your first prenatal appointment, you'll get a blood test so your doctor can check whether you have anemia. Blood tests typically include:

  • Hemoglobin test. It measures the amount of hemoglobin -- an iron-rich protein in red blood cells that carries oxygen from the lungs to tissues in the body.
  • Hematocrit test. It measures the percentage of red blood cells in a sample of blood.

If you have lower than normal levels of hemoglobin or hematocrit, you may have iron-deficiency anemia. Your doctor may check other blood tests to determine if you have iron deficiency or another cause for your anemia.

Even if you don't have anemia at the beginning of your pregnancy, your doctor will most likely recommend that you get another blood test to check for anemia in your second or third trimester

Treatment for Anemia

If you are anemic during your pregnancy, you may need to start taking an iron supplement and/or folic acid supplement in addition to your prenatal vitamins. Your doctor may also suggest that you add more foods that are high in iron and folic acid to your diet.

In addition, you'll be asked to return for another blood test after a specific period of time so your doctor can check that your hemoglobin and hematocrit levels are improving.

To treat vitamin B12 deficiency, your doctor may recommend that you take a vitamin B12 supplement.

The doctor may also recommend that you include more animal foods in your diet, such as:

  • meat
  • eggs
  • dairy products

Your OB may refer you to a hematologist, a doctor who specializes in anemia/ blood issues. The specialist may see you throughout the pregnancy and help your OB manage the anemia.

Preventing Anemia

To prevent anemia during pregnancy, make sure you get enough iron. Eat well-balanced meals and add more foods that are high in iron to your diet.

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