All You Need To Know About White Tongue

Known to cause a greyish- white coating on the tongue, this condition called White tongue is a common and generally harmless symptom that could indicate a serious condition. Rarely serious conditions like cancer causes white tongue.

White Tongue

Causes
Lack of Brushing of flossing or doing it in an improper way.
Lack of regular Tongue cleaning or doing it improperly.
Addictions like alcohol, smoking and chewing tobacco
Dry mouth that is a result of sleeping with open mouth or mouth breathing

Dehydration
Irritation due to sharp edges resulting form dentures or braces inside the mouth
Though there are certain conditions that are caused inspite of maintaining oral hygiene. These include conditions like oral thrush, Oral lichen planus and Leukoplakia.

Oral Thrush – This is a type of fungal infection caused by candida yeast. Patches develop on the tongue and mouth. White or off white in color, they can be painful and also have unpleasant taste. Oral thrush usually occurs in people with low immunity or those who have undergone a recent chemotherapy treatment or taken antibiotics. Some other causes include inhalation of asthma related medications like corticosteroids and diabetes.
Treatment – Anti-fungal medicines like oral drops are used for its treatment for a couple of weeks.

Syphillis – Also known as sexually transmitted condition (STI), if left untreated it can lead to white tongue as well as mouth sores.
Treatment – Pencillin is used for its treatment for reducing the disease causing bacteria

Oral Lichen Planus – An inflammatory condtion, Oral Lichen planus causes white patches thick in the mouth and on the tongue accompanied with painful cheek, gums as well as ulcers.
Treatment – Generally monitored but in serious cases croticosteriods are used.

Leukoplakia – This condition is a result of addictions caused by irritants like alcohol and tobacco or even due to dentures. They are harmless mostly but still a diagnosis is important to check out the rare possibility of complications.
Treatment – Continuous monitoring to avoid it from spreading further

Home Remedies
There are a few home based remedies that can help you fight the condition. These include use of probiotic foods like kimchi, konbucha and more, using baking soda while brushing teath and tongue cleaning. Consumption of raw garlic and scraping tongue properly for removal of bacteria.

Prevention
The best possible solution is maintaining proper oral hygiene backed with regular oral checkups other than that it is not always possible to get away from it.

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Worlds Breastfeeding Week – RRMCH Bangalore

RRMCH, Department of Pediatrics celebrated the “Worlds Breast Feeding Week” from 1st Aug 2017 to 7th Aug 2017.

World breast feeding week 2017 has been observed in department, under the guidance of Dr. Adarsh, Prof and HOD, Department of pediatrics RRMCH. We also celebrated one year anniversary of our Human Milk Bank.

Worlds Breast Feeding Week

1st August 2017 we had inauguration of world breastfeeding week in pediatric OPD at 11am. Started with lighting of the lamp from Dr. Govindaraju, Medical Superintendent, Dr. Adarsh, prof and HOD of pediatrics, Dr. R.Prema, Professor of Pediatrics, Dr. Shashikala, Prof and HOD of community medicine, Dr. Nagarathanna ,Prof and HOD of OBG, RRMCH.

02nd August 2017, we went to the community camp in rural health training centre in Chunchunkuppe. We organized programme for the breastfeeding mother in our community health centre. We shared the thoughts with mothers regarding breastfeeding and importance of it, Dr. Sahana Associate Professor and Dr. Yashitha Junior Resident, narrated about the theme “A Sustaining breastfeeding together” to the mothers.

03rd of august 2017 we conducted the quiz competition regarding the breast feeding for postgraduates of pediatrics, OBG,P&SM and medical students of our college, there was tough competition between all 5teams, and the winners were Dr. Vidhi and Dr. Apoorva from department of pediatrics.

4th August 2017, we had collage competition regarding the breastfeeding for medical students and nursing students, Out of 5 teams participated in the competition nursing students were emerged as winner.

5th August 2017, we oriented the mothers in PNC regarding the importance of Breastfeeding. We also narrated about the theme “A Sustaining breastfeeding together” to the mothers. Our breastfeeding counselor S/n Thayimudamma demonstrated the techniques of breast feeding and had interaction session.

7th August 2017 the breastfeeding awareness skit was presented by 3 groups from community medicine, 7th term medical Students and Nursing Students participated.
We conclude the programme, World breastfeeding week 2017 with great success.

We celebrated ORS day on 29 July 2017, programme was conducted in our OPD and pediatric wards to highlight the importance of Oral Rehydration Salts (ORS) and its significance in the treatment of dehydration.

Excessive loss of fluids and electrolytes in the body causes dehydration. Conditions like vomiting, diarrhea, and diseases which cause diarrhea such as bacterial or viral infection, cholera, food poisoning, unhygienic feeding practices can increase the chances of dehydration.

Dr. Adarsh, Prof and HOD had inaugurated the programme. We created the awareness programme in parents and distributed the ORS to the children.

This programme helped the parents to know more about dehydration difficulties and how to prevent the problem.

We gave a demo on How to make the ORS drink which is available in powder form?

1.Put the contents of the ORS packet in a clean container. Check the packet for directions and add the amount of clean water as indicated. Too little water could make the diarrhea worse.

2.Add water only. Do not add ORS to milk, soup, fruit juice or any soft drinks. Do not add sugar.

3.Stir well, and feed it to the child from a clean cup. Do not use a bottle.

ORS Day

ORS Day is celebrated every year on 29th July to highlight the importance of Oral Rehydration Salts (ORS) as a cost-effective method of health intervention. Acute diarrhoeal diseases are one of the leading causes of mortality in infants and young children in many developing countries. According to WHO, Diarrhoeal disease is the second leading cause of death in children under five years old. Diarrhoea, which is frequently caused by poor sanitation and hygiene, can have serious, even deadly results, typically as a result of diarrhoea-related dehydration. It particularly affects infants, children and old people. Diarrhoea generally lasts for several days, and leaves the body without water and salts that are necessary for survival. Most people who die from diarrhoea actually die from severe dehydration and fluid loss from the body.

Dehydration from diarrhoea can be prevented by giving extra fluids at home, or it can be treated simply and effectively by giving adequate glucose-electrolyte solution called Oral Rehydration Salts (ORS) solution. ORS Jodi (ORS and Zinc) has proven to be successful in the prevention and management of acute diarrhoea and dehydration. Oral rehydration salts contain a variety of salts (electrolytes) and sugar. The combination of electrolytes and sugar stimulates water and electrolyte absorption from the gut. It therefore prevents or reverses dehydration and replaces lost salts in conditions such as diarrhoea and vomiting.ORS is available in the market in a powder form in sachets/ readymade solutions or one can also easily make it at home as well.

All we need to know:
How to make the ORS drink which is available in powder form?

4.Put the contents of the ORS packet in a clean container. Check the packet for directions and add the amount of clean water as indicated. Too little water could make the diarrhea worse.

5.Add water only. Do not add ORS to milk, soup, fruit juice or any soft drinks. Do not add sugar.

6.Stir well, and feed it to the child from a clean cup. Do not use a bottle.

World Breastfeeding Week is an annual celebration which is being held every year from 1to 7 August in many countries all over the world and since past three years ADK Hospital has continued the celebration of this week. World Breastfeeding week is celebrated with the goal to promote exclusive breastfeeding for the first six months of life which gives tremendous benefits to baby as well as to the mother.

The World Health Organization (WHO), American Academy of Pediatrics (AAP) and the World Alliance for Breastfeeding Action (WABA) recommends exclusive breastfeeding for the first six months of life and then supplemented breastfeeding up to two years or more.

Theme for World Breastfeeding Week 2016 is “A Key to Sustainable Development”, which is focusing on the importance of breastfeeding and promote breastfeeding as key element in getting us to think about how to value our wellbeing from the start of life, how to respect each other and care for the world we share.

Below are the activities initiated by nurses in ADK Hospital for celebrating world breastfeeding week 2016.

  • Breastfeeding refresher workshop for nurses- 1st – 2nd August
  • Visit postnatal inpatients for breastfeeding counseling – 1st – 7th August
  • Display posters & breastfeeding week theme at Information Counter- 1st – 7th August
  • Inauguration of breastfeeding booklet & leaflet – 2nd August
  • Visit postnatal mothers who are planned to get discharged from hospital to give breastfeeding counseling – 3rd August
  • Breastfeeding quiz between inter-nursing units – 4th August
  • Session on breastfeeding for antenatal, postnatal mothers & for ADK staff – 6th August
  • Breastfeeding committee launching – 7th August

Department of Paediatrics at RRMCH ,Well equipped department with skilled pediatrician teaching staff and state of the art ICU care

Inauguaration of Rajarajeswari Centre For Diabeties in Children

Center for Diabetes in Children was inaugurated at the pediatric OPD block of RRMCH on 8/9/17. This centre caters to all children with diabetes with a multidisciplinary approach. This centre provides free insulin, glucometer and glucometer strips on a regular basis for underprivileged children with TIDM. It gives an opportunity to monitor the compliance to medication for all children. The centre also impacts education towards management of diabetes along with nutritional advice. This is a part of the project named “Changing Diabetes in Children” which is a global initiative. The centre at RRMCH is named as Rajarajeswari’s centre for Diatbetes in Children (RCDIC) which will be coordinated by Dr. R.Prema.

The Chairman A.C. Shanmugam has not left any stone unturned in providing services to the poor and needy and this adds another feather to his cap. Similarly last year Human Milk Bank, the first of its kind in Karnataka was opened to cater the needs of neonates till the mothers can recover enough milk.
To commemorate the opening of this centre, Department of Pediatrics, RRMCH, has organized a CME on changing diabetes in children helping all doctors understand the detailed and latest management of such children. Also an elaborate nutritional exhibition which throws much light and knowledge on nutritional aspects of TIDM including carbohydrate counts and glycemic index which is apt for today’s modern children’s lifestyle was displayed. This impacted practical knowledge of eating the right food. During CME our chairman Sri A.C. Shanmugham has promised to provide infrastructure and investigations including treatment for underprivileged children with Type 1 diabetes in pediatric ward.

The program was huge success with more than 200 doctors attending and the awareness of nutrition imbibed by them.

Dr. Adarsh E
Prof and HOD
Department of Pediatrics RRMCH

How Do Deal With The Headache Called Dandruff

Dandruff is a common condition amongst us and yes it is a headache of sorts when its about dealing with this devil of a kind called dandruff. Primarily, it keeps coming back and secondarily it many times becomes difficult find an ultimate solution to the problem, causing headache. So, let us discuss out a reliable solution that can really cure our headache of dandruff and help us manage it well.

How Do Deal With The Headache Called Dandruff

Dandruff or Flaky Scalp – Now, many of us are not able to figure out what we have actually got on our heads, is it dandruff or a flaky scalp. Dandruff occurs after an overreaction of yeast resulting into excess production of oil. As a result you experience irritation and get visible waxy and oily flakes. Besides, even skin conditions like eczema and psoriasis can also cause flaky scalps. Everyday stress, aging and an improper diet is also responsible for flakiness in the scalp.

Actually, to figure out how do deal with dandruff or a flaky scalp you need to visit a dermatologist first and get diagnosed. The remedies would depend on the condition and the severity. Here are some tips on getting rid of flakiness in scalp.

Tea Tree Oil – We all know that tea tree oil is used in many skin related products and health foods due to its vitamin content and use as an astringent on skin. It also works well in providing relief against oil and itchiness.

Balanced Diet – Many a times nutrient deficiences lead to scalp issues. These deficiences are caused to do an improper diet schedule. If you are consuming high amount of trans and saturated fats, its high time your do away with it or atleast reduce it to a bare minimum because they are the ones that trigger your sebaceous glands to produce more oil. Foods like avocados, safflower oil, olives and nuts are very good for your scalp health.

Stress Relief – Dandruff has also caused due to severe stress. Stress tends to weaken you immune system and the body is not able to fight the dandruff attack. According to some experts stress could also cause an itchy dandruff cycle which keeps on aggravating as you keep on scratching. Therefore, it is advisable to work on solutions or remedies that help reduce stress levels. Some of these include walking, jogging, exercise, yoga, meditation or pursuing a hobby regularly.

Using Appropriate Shampoo – Buying shampoos just watching ads and trying one after the other is okay but its also better that you try to find out the ingredients inside the shampoo which are usually mentioned on pack. The three main ingredients to look for in an anti-dandruff or scalp care shampoo is ketoconazole which helps reduce scalp yeast, selenium sulphide or zince pyrithione which helps reduce inflammation and certain bacterias besides yeast and salicylic acid, which helps in exfoliaton of scales.

Steriods – Your deramtologist could prescribe your certain relevant topical steriods for reducing scalp inflammation

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Dementia Risk and Blood Magnesium Levels

Before we talk about risk factors associated with dementia lets just polish our information around the condition. This condition usually occurs at an older age and causes memory loss. Alzheimers is one of the most common forms of dementia known. Apparently, its not a condition by a symptoms or group of symptoms rather. You should also know that it does hamper our day to day routines because we tend to forget a lot. Dementia symptoms are also caused due to vitamin deficiencies and thyroid problems. Dementia occurs due to brain cell damage and most of them are generally permanent or increase with time.

Dementia Risk and Blood Magnesium Levels

Now, a study has found out that the levels of magnesium in your blood can associated to the risk of dementia later in life. The people with lower or higher levels of minerals in the body were subject to dementia more compared to the ones with middle levels. It has yet to be proved and nowhere confirm that it causes dementia but definitely magnesium levels do have a link with dementia. There are apparently two ways in which magnesium levels could be called as risk factor for dementia.

Coming back to the study, around 10,000 participant around 65 years of age were studied across 8 years span and their magnesium levels were checked at the beginning of the test. They were divided in 5 groups. The study findings showed that those with low and high level magnesium had 30% greater risk of dementia compared to mid level magnesium level participants. The lower and higher magnesium range is below 0.85 millimoles per liter and 1.10 mmol/L respectively. Though as the magnesium levels were not measure post eight years the results could have associated limitations.

Well, to prove that magnesium levels do determine the risk of dementia in later stages of life, further detailed study is required.

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