Guide to Child Care . Home page Site Map Contents Testimonials Feedback Buy the Book! . Introduction .. Foreword .. Preface .. Acknowledgements . Part 1: Pregnancy, Childbirth and the Newborn .. Planning A Baby .. Pregnancy .. Making Preparations .. Labour And Delivery .. Management Of The Newborn In Hospital .. Normal Variations In A Newborn .. Care Of The Newborn .. Holistic Bonding With Your Unborn Child . Part 2: The Growing Years — From Infancy to Adolescence .. Normal Growth And Development .. Immunisation .. Behaviour At Different Ages .. Meeting The Emotional Needs Of Children .. Learning And Schooling .. Getting Your Child Ready to Read .. Parenting Adolescents . Part 3: Feeding Infants, Young Children and Adolescents .. Feeding The Newborn And Infants .. Feeding Young Children .. Food For Adolescents .. The Food Pyramid .. Healthy Food Habits . Part 4: Keeping your Child Healthy .. Choosing A Paediatrician .. Proper Use of Medicines .. Home Remedies .. A First Aid Kit .. The A-Z of Childhood Illnesses .. Psychological Concerns .. Managing a Hospital Stay .. Emergencies .. Prayer and your Child’s Health .. Nature Cure In Child Care .. Homoeopathy .. Ayurveda and Child Care .. Congenital Heart Disease FAQs . Part 5: Keeping Your Child Happy and Safe .. Healthy Habits .. Family Issues .. Prevention Of Accidents .. Keeping Children Entertained .. Spending The Holidays Together . ------------ Childhood Illnesses ------------ .. Abdominal Pain .. Abrasions or Scratches .. Acute Glomerulonephritis .. Acute Nephritis .. Acute Watery Diarrhoea .. Addictions .. Adenoids .. AIDS .. Allergies .. Anaemia .. Anorexia - Poor Appetite .. Asthma .. ADHD .. Autism .. Backache .. Bed-Wetting - Enuresis .. Birth Deformities .. Bites and Stings .. Bleeding .. Bone, Joint and Muscle Injuries .. Bowlegs and Knock-Knees .. Breathlessness .. Bronchiolitis .. Burns .. Calcium Deficiency .. Cancer .. Cardiac Pulmonary Resuscitation .. Cerebral Palsy - CP .. Chickenpox .. Choking .. Circumcision .. Cleft Lip and Palate .. Common Cold .. Congenital Heart Disease .. Constipation .. Convulsions or Fits or Seizures .. Cough .. Croup .. Crying .. Cuts .. Dengue Fever .. Diabetes Mellitus .. Diarrhoea, Dysentery and Dehydration .. Diphtheria .. Down's Syndrome .. Earache, Ear Infections and Deafness .. Electric Shock .. Encephalitis .. Eye Problems .. Fears .. Foot Problems .. German Measles - Rubella .. Glands in the Neck and Elsewhere .. Headache .. Head Injury .. Hepatitis .. Hydrocephalus .. Hypertension - High Blood Pressure .. Hypospadias .. Influenza - Flu .. Jaundice .. Joint Disorders .. Kala-Azar .. Leptospirosis .. Limp and Pain in the Legs .. Malaria .. Malnutrition - Undernutrition .. Measles .. Meningitis .. Meningomyelocele .. Menstrual Problems .. Mental Retardation - MR .. Mouth To Mouth Breathing .. Mumps .. Nephrotic Syndrome .. Nose-Related Problems .. Obesity .. Pneumonia .. Poisoning .. Poliomyelitis .. Premature Baby .. Prolapse of the Rectum .. Rabies .. Rheumatic Fever .. Rheumatoid Arthritis .. Rickets .. Short Child .. Skin Conditions .. Sleep and Sleep Problems .. Sore Throat - Pharyngitis .. Splinters .. Stammering .. Stridor - Noisy Breathing .. Teething and Care of Teeth .. Tetanus - Lock Jaw .. Thrush .. Thumb-Sucking .. Tics .. Torticollis .. Tracheoesophageal Fistula - TOF .. Tropical Eosinophilia .. Tuberculosis - TB .. Typhoid .. Umbilical Problems .. Undescended Testis .. Urinary Infection .. Vaginal Discharge .. Vomiting .. Wheezing .. Whooping Cough - Pertusis .
Part 4 as pdf | This section only as text by email| html by email Part 4: Keeping Your Child Healthy > The A-Z of Childhood Illnesses > Choking
CHOKING SYMPTOMS: Your 2-year-old is eating peanuts and running around. Suddenly, he starts coughing violently. There is a strong possibility that he has inhaled the peanut into his windpipe, resulting in obstruction to the free flow of air. Do not panic. Coughing might help in expelling the peanut. Sometimes, if the obstruction is more severe, due to a foreign object or food, he may not be able to talk normally and may turn blue. Treat this as an emergency and act quickly as detailed below. Sometimes, a little water or milk or soup or any other liquid tends to go into the windpipe and the child coughs to stop that or to expel the little liquid that might have gone into the windpipe. This need not be a cause of worry. MANAGEMENT: Emergency steps to be followed:
Step 1: If your small infant has difficulty in breathing and is becoming blue, shout for help. Lay him in a head-down position on your forearm. Let your arm rest on your tilted thigh with his head just below your knee. Then give 4 rapid blows on his back with the heel of your other hand between the 2 shoulder blades (see illustration). It may be inconvenient to rest an older infant on the arm. Lay him face down on your lap, with his head towards the ground and supported with one hand. Step 2: If you find no improvement, put him on the floor on his back. Using 2 or 3 fingers, give 4 rapid chest thrusts over the breastbone lying in the centre of the chest. Step 3: If you can now see the foreign object or food in the child’s mouth and feel confident that you can easily remove it, pluck it out with your finger. Step 4: If the child is not breathing, follow step 3 with mouth-to-mouth breathing (see Cardiac Pulmonary Resuscitation and Mouth-To-Mouth Breathing). Step 5: Keep repeating steps 1 to 4 till the child improves or you get some medical help. Helping An Older Child With Choking Stand behind the child and wrap your arms around his waist. Make a fist with one hand and grasp it with other hand. Put your fisted hand on the upper abdomen just below the breastbone of his chest. Then press into his abdomen with a sudden springy upward jerk. You may have to do this repeatedly (upto a dozen times) for him to bring up the foreign object (see illustration). As before, mouth-to-mouth breathing may be required if the child is not breathing.
The Heimlich Manoeuvre It is now thought that the Heimlich Manoeuvre is too difficult for most people to perform on an unconscious person. The new guidelines say that chest compressions provide the same effect as the Heimlich abdominal thrusts. It’s also no longer necessary to do a finger sweep of the victim’s mouth to clear airway obstructions. Chest compressions alone should be enough to expel anything lodged in the airway.
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©2008 Dr. R. K. Anand
