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Infants’ prolonged weeping: Should they be given gripe water?

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TEXT BY AIMAN INAM 

PHOTO BY MAHNOOR

KARACHI: You often find babies crying and crying for hours, which could be a tough situation for parents to deal with.

If this is the case, your baby might suffer from colic, a condition in which babies cry their eyes out for at least three hours a day.

The exact cause of this is yet to be known. However, experts claim that some babies are more sensitive to stimulation from the milieu. This over-stimulation triggers stress, which in turn makes them cry.

As to sooth infants, they have been fed gripe water for ages. However, parents should give it a second thought, reiterate experts.

Read the ingredients before buying gripe water. Pick out the one that is a mixture of water harboring only herbs.

As mostly the brands available are stuffed with harmful ingredients such as sodium bicarbonate, gluten (wheat), dairy products, sucrose, even alcohol.

The mentioned afore ingredients could potentially mess with infants tummy and teeth. Also, these could wreak developmental chaos and allergic reactions.

It is to be noted that before giving gripe water to the baby, parents should consult with the pediatrician ensuring the reason of unending crying.

Also, let the baby consume water as it is, sans mixing it with breast milk or any other formula.

Experts connote that parents should try different remedies to calm the baby down. For instance:

  • They can swaddle them;

  • Apply gentle pressure to the baby’s tummy while rubbing the baby’s belly in gentle circular motions;

  • Formula milk can also be the reason behind their chronic weeping. Therefore, talk to the doctor;

  • Nursing mums should avoid consuming spicy food, dairy, chickpeas and particular veggies (cabbage, eggplant) as such could trigger colic in suckling child.

 

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Health

Establishment of new Pharmacy Directorate approved

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PESHAWAR: Summary sent by the Health Department to Caretaker Chief Minister Khyber Pakhtunkhwa Justice Retd Dost Muhammad Khan for the establishment of new Pharmacy Directorate has been approved by the CM.
In wake of the current amendments in drug sale rules, the workload on the Directorate General Health Service (DGHS) had increased to the extent that management of all services including procurement of quality medicines, human resource involved, quality manufacturing, having control on the deluge of spurious drugs in the market, inspection of pharmaceutical firms to ensure quality manufacturing, drug testing and provision of clinical services related to drugs at the hospitals level were nearly impracticable for the current directorate to manage under a single roof said the officials on Wednesday.
All of the difficulties faced in the path of good pharmaceutical care to the patients and community lead the department to think and establish a new directorate known to be a “Directorate of drug control and Pharmacy services”.
This directorate will not only help in minimizing the burden upon the current Directorate of general health services but will also alleviate the conflict of interest which sometimes creates in case of drug control as the drug inspectors working under the same hierarchy has to direct his own boss for rectification if there is a violation of the Drug Act.
Similarly, the pharmacy-related services will be improved as the skilled pharmacists, drug inspectors, drug analysts will work under the command of directors with similar knowledge but with high qualifications and vast experience.

 

 

 

 

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Record 123m children immunized globally in 2017: UN

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MANHATTAN: A record-breaking total of around 123 million, or nine out of 10, infants received at least one dose of diphtheria-tetanus-pertussis vaccine in 2017, protecting them from deadly infectious diseases, according to the latest United Nations figures.
An additional 4.6 million infants were vaccinated globally in 2017, compared to 2010, due to the pace of global population growth.
Also, the data from the World Health Organization (WHO) and the UN Children’s Fund (UNICEF) shows that 167 countries included a second dose of measles vaccine, as part of their routine vaccination schedule, and 162 countries now use rubella vaccines. As a result, global coverage against measles and rubella increased from 35 percent in 2010, to 52 percent.
The human papillomavirus (HPV) vaccine was introduced in 79 countries to help protect women against cervical cancer.
Newly available inoculations are also being added as part of the overall package of life-saving vaccinations, such as those to protect against meningitis, malaria, and even Ebola.
Despite these successes, almost 20 million infants did not receive the benefits of full immunization in 2017. Of these, almost 8 million, or 40 percent, live in fragile or crisis-affected places, including countries affected by conflict.
In addition, a growing percentage are from middle-income countries, where increasing inequality and marginalization – particularly among the urban poor – prevent many from getting immunized.
As populations grow, more countries need to increase their investments in immunization programmes, WHO and UNICEF says.

 

 

 

 

 

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Oral anticoagulants may up bleeding risk in kidney disease patients

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ISLAMABAD: Certain blood thinner drugs that reduce the process of blood clotting, used for treating irregular heart rate disorder may put patients with chronic kidney diseases (CKD) at a higher risk of bleeding, researchers have found.
The direct oral anticoagulants – a type of blood thinner – are cleared by the kidneys to varying degrees, and their elimination is slower in individuals with CKD. This may predispose these patients to drug accumulation and a greater risk of bleeding events, the researchers said.
“Despite sparse evidence in safety and effectiveness of direct oral anticoagulants in CKD, we saw that prescription of direct oral anticoagulants in the CKD population increased substantially over time,” said Jung-Im Shin from Johns Hopkins University in Maryland, US.
“We also found that direct oral anticoagulant use was linked with a higher risk of bleeding compared to warfarin use in patients with CKD,” Shin added.
For the study, published in the Clinical Journal of the American Society of Nephrology, the team included 3,206 patients with atrial fibrillation who used direct oral anticoagulants and additional 3,206 patients with the disorder, who used the conventional anticoagulant warfarin.
The results showed that there were 1,181 bleeding events and 466 ischemic strokes over 7,391 person-years of follow-up – the number of years of follow-up multiplied by the number of people in the study.
In patients without CKD, the risk of bleeding and the benefits of preventing ischemic stroke between direct oral anticoagulant and warfarin use were similar.
On the other hand, patients with CKD who took direct oral anticoagulants had 23 percent higher risk of bleeding compared with those on warfarin, but similar benefits from prevention of ischemic stroke.
The findings suggest the need for caution while prescribing direct oral anticoagulants in patients with chronic kidney disease.

A relevant piece published earlier: Assistant Professor of Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro,  Professor Pooran Kumar Kohistani here on Thursday said Chronic Kidney Disease (CKD) is a worldwide public health problem with adverse outcomes of kidney failure and premature death. Talking to APP, he said consuming junk and low-quality food, self-medication or excessive use of medicine, low water intake, obesity, diabetes, hypertension, and renal stones are the common causes of kidney diseases.

He said that human kidneys are amazing organs, playing a crucial role in keeping people alive and well. Kidneys help to control blood pressure, produce red blood cells and keep bones healthy. Professor Pooran informed that kidney disease, a common medical problem is estimated to affect a significant number of population of Pakistan where one in every three in the age group of 40 plus citizens is inflicted with one or the other kidney disease.

He said more than 90 patients either die or receive improper treatment. Dialysis treatment is very costly and in public sector hospitals, there is a very limited dialysis facility so most patients are deprived of treatment and ultimately die. Sugar and blood pressure avoidance of Nephrotoxic drugs, use of pure water can prevent us from developing chronic kidney disease from creating awareness and prevention from renal disease, Professor Kumar said. He said in addition to lifestyle changes, most people with hypertension will require medication to achieve the desired lowering in blood pressure to protect their kidneys. He added non-smokers have a reduced incidence of heart or kidney disease.

He emphasized that it is essential to create awareness among physicians as well as the public. He said studies have shown that early detection and treatment can delay and possibly prevent kidney failure in most patients. He also referred to varied treatments available for the problem and especially mentioned of endoscopy which is used to treat stones in the urethra and urinary bladder. He further said that chronic kidney disease (CKD) is silent and may unnoticed for a long time as it takes a while for symptoms to appear.

Early warning signs of kidney disease in children, which include high blood pressure, pain in back, puffy eyes, swollen hands and feet and passage of blood through urine. He advised that timely diagnosis, a regular medical check-up by qualified physicians, intake of fluids and avoiding unnecessary antibiotics can help in controlling the disease. Professor Pooran Kumar suggested that creating awareness about diseases among the people was essential so that they should get a medical checkup on regular basis. (Published on 12th July 2018) 

 

 

 

 

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