Archive for the ‘General health’ Category
SOME PRACTICAL ADVICE FOR WIDOWS AND WIDOWERS
Tuesday, June 1st, 2010YOUR CHILD’S HEALTH CARE/ GENITAL, GROIN AND URINARY TRACT PROBLEMS: BLOOD IN THE URINE (HAEMATURIA) AND ERECTIONS
Thursday, September 10th, 2009BLOOD IN THE URINE (HAEMATURIA)
Blood in the urine (haematuria) can be due to many causes, including trauma and infection. If you suspect that your child has blood in his urine (if it is pink, red or brown in colour), see your doctor as soon as possible. Take a specimen of urine with you so that it can be tested for the presence of blood.
Erections occur quite often in the newborn and older child and may be the result of a full bladder, or of self-stimulation. In any event it is completely normal for children to have erections. It is important not to tease your child when he has an erection, nor to punish him. Simply pay no special attention to it, and answer any questions from your young son in an honest and matter-of-fact manner.
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YOUR CHILD’S HEALTH CARE/ GENITAL, GROIN AND URINARY TRACT PROBLEMS: FORESKIN
Thursday, September 10th, 2009FORESKIN, HYGIENIC CARE OF THE
In young boys the foreskin covering the glans of the penis is usually not fully retractable until around the age of 4-5 years. Hygiene of the foreskin is very important and should be taught to your son from an early age. A white secretion (smegma) collects between the foreskin and the glans, and should be cleaned away carefully. In babies, gently pull the skin on the shaft of the penis away from the tip — do not do this more than once or twice a week initially, and never use force. Cleanse the area with water only, so that soap does not collect under the foreskin. If you cannot retract the foreskin at all, do not force it; it will gradually loosen up. Teach the older toddler to retract his own foreskin and wash here carefully once a week.
FORESKIN, PROBLEMS WITH THE
The normal penis Four per cent of boys have a retractable foreskin at birth; 50% at 1 year; 80% at 2 years; 90% at 4 years. The cleaning of the penis should be facilitated by gently retracting the foreskin as far as it goes, but never try to pull it back beyond the point where resistance is met.
Phimosis This is when the foreskin opening is very small, often as a result of inflammation, so that retraction of the foreskin is impossible. Sometimes the phimosis is so severe that there is no stream of urine, and it comes out in a dribble. Usually circumcision is necessary.
Paraphimosis This is when the foreskin is retracted and is unable to be returned to its normal position. This condition is often treated by circumcision too. Balanitis This is an inflammation of the foreskin. If it recurs, circumcision is often necessary.
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YOUR CHILD’S HEALTH/GENITAL, GROIN AND URINARY TRACT PROBLEMS: CIRCUMCISION
Thursday, September 10th, 2009Circumcision is a simple surgical procedure in which the foreskin, which covers the tip of the penis, is removed. Whether a boy should be circumcised continues to be a subject of debate among parents and health professionals. While exact figures are not available, probably about one third of boys in Australia are circumcised, mostly in the newborn period, although the tendency for this procedure to be done is gradually decreasing.
Arguments for circumcision
1. Cultural or religious practice, for example in the Jewish or Muslim faiths.
2. Hygiene — a penis without a foreskin is easy to clean.
3. Medical reasons (see Foreskin, problems with the, opposite).
4. Prevention of certain conditions. Circumcision is said to decrease the risk of cancer of the penis, urinary tract infection, and perhaps sexually transmitted disease and cancer of the cervix in females although there is no hard evidence for these claims.
5.To be the same as father or peer group. The argument becomes less persuassiveas the number of circumcised boys decreases, and is probably not as important as once thought.
Arguments against circumcision
1. The procedure as performed in the newborn causes significant pain and behavioural changes, such as irritability, which can persist for some time (often days).
2. It is contraindicated if there is a medical condition such as a bleeding disorder or hypospadias, which is an anatomical abnormality of the tip of the penis.
3. There is a small but definite risk of complications, such as bleeding, infection, taking off too much or too little skin.
Ultimately, whether or not to circumcise their child is a decision for parents to make after considering the advantages and disadvantages. While circumcision for religious and cultural reasons continues, routine circumcision is performed less and less. If you are uncertain, you may want to discuss your doubts with the doctor.
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YOUR CHILD’S HEALTH/BOWEL DISORDERS: WORMS
Thursday, September 10th, 2009Many children suffer from pinworms (Enterobius vermicularis). These are thin, white parasites about 1 cm in length, which live in the digestive tract.
These worms can be seen wriggling on the surface of the skin surrounding the child’s anus, especially at night when the female worms emerge from the anal passage to lay their eggs. Children with pinworms complain of a very itchy anus (see p. 258) which may cause them to wake from sleep. Scratching often leads to reinfection because the child may put his fingers, which are contaminated with eggs, to his mouth.
If you suspect that your child has worms, see your doctor who will prescribe anti-worm medicine or tablets. It is wise for the whole family to take these even if others do not have symptoms. Careful washing of hands after going to the toilet and before eating is important to prevent re-infection. Keep fingernails short. Wash all clothing and linen in hot water to destroy eggs, and vacuum or mop the bedroom floor to pick up any eggs that have dropped. Pets do not carry pinworms.
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CHILDCARE: THE CHILD WHO RESISTS BEING TOILET TRAINED
Thursday, May 21st, 2009In some children, toilet training seems extremely difficult. In a very small proportion of children, this may be due to an underlying developmental or medical cause. For example, children who have significant developmental delay will be trained at a later age than the average child because they will take longer to reach the neurological and mental capacity necessary for successful training. In rare cases, a child has an anatomical or neurological problem, or a urinary tract infection. A small number of children have difficulty in being trained because of constipation or chronic diarrhoea.
By far the main reason for difficulty in training is the interaction between the child and his parents. Whatever the characteristics of the child and parents that contribute to it, there is a power struggle going on and the more the parents try, the more the child resists. The only way out of this relatively common impasse is for the parents to opt out completely and transfer all the responsibility to the child. This is not easy to do, and often the parents may benefit from guidance provided by their family doctor or a paediatrician.
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VITAMINS – VITAMIN E; A
Monday, May 18th, 2009Vitamin E, which is one of the fat-soluble group, has been hailed as an aid to sexuality. Advertisements have stated or implied that it will improve a man’s potency, increase fertility or remove wrinkles.
As well, in this coronary-prone society, it has also been claimed to reduce arterio-sclerosis, or hardening of the arteries, and lower cholesterol levels in the blood.
While it has some famous people lauding its use, there is no worthwhile valid medical evidence that is acceptable to medical scientists to prove that it is of any use whatever.
Vitamin E occurs naturally in the germ of cereals and in green vegetables. An intake of 30mg a day is necessary for the development of red blood cells.
But its place in human nutrition and in the treatment of all those other situations is still very much in doubt.
Vitamin A is required for the proper nutrition of the skin and tissues of the eye. It also forms part of the chemical known as Visual Purple, which is necessary for clear vision in poor light.
It occurs in liver, dairy products and fish oils. It can be formed in the body from carotenes, which occur in green vegetables, carrots and apricots.
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EXERCISE – ENDORPHINS
Friday, May 15th, 2009It has been found that the brain produces chemicals similar to morphine. These are called endorphins. Regular exercise seems to increase the production of these chemicals and produce a feeling of wellbeing. Perhaps you can become hooked on your own endorphins.
But the picture is not all good. Those who are out of condition should begin slowly. Ligaments, joints and muscles become soft and flabby with lack of exercise and too sudden a strain by running on hard ground or doing too much too soon can lead to muscle and ligament strain.
It is recommended that those over 40 or 45 should have a stress test before starting to exercise regularly. This involves having an electrocardiograph during exercise to see if the effort of exercise reveals any evidence of heart abnormalities under stress.
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CANCER OF THE BREAST – INTRODUCTION
Friday, May 15th, 2009Breast cancer is the most common type of cancer in women.
A fifth of all cancers in women develop in the breast. Eventually one woman in 20 will develop breast cancer and in Australia 1600 women will die each year from it.
The cause of breast cancer is unknown.
Cancer of the breast is rare in men and also in women under 25. Its incidence is greatest in the age group 40 to 50. It is more common in the unmarried and the less fertile — just the opposite of the next commonest female cancer, that of the cervix or neck of the womb.
‘As with all cancers, the earlier it is found and treated the better the results.
Regular palpation or feeling the breasts can detect lumps, which can be further checked to see if they are cancerous.
The doctor should regularly feel his women patients’ breasts, but the woman can be taught to do this herself.
Not all lumps turn out to be cancer, but I believe a doctor should be consulted about any lump in the breast.
Biopsy is best carried out by frozen section. The lump is removed, then snap-frozen using carbon dioxide snow, cut into thin sections and examined under the microscope. An experienced pathologist can give an accurate opinion within minutes and if cancer is present the surgeon can go ahead and do the proper operation.
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