In this tutorial, we're going to be talking about how to treat bronchiolitis.But first, let us briefly review what bronchiolitis is, as that'll help us better understand the treatment.Remember, if you break down the word bronchiolitis, you can figure out what it is.It's inflammation of the bronchioles and that's shown over here in this diagram of the respiratory tract.This is zoomed in here and the orange is depicting the inflammation of these bronchioles.It's a very common respiratory tract infection in children under the age of two years old.
It's caused by a virus known as rsv.Now, before i get into the specifics of how to treat bronchiolitis, i want to first mention a couple of points on how to prevent bronchiolitis infection in the first place.There are two general ways you can prevent rsv infection.The first category is to prevent exposure to the virus itself.Well, the easiest and most effective way to prevent bronchiolitis, is simply just hand washing.This is simple, but very effective because one of the most common ways rsv enters the respiratory tract is through our hands.
The other way you can avoid exposure to rsv is have children avoid other children who are sick.The other category of ways to prevent rsv is by improving the body's ability to fight the virus when it is exposed to it.Since the children who tend to get bronchiolitis tend to be very young, one of these means of improving their ability to fight off infection, is by breastfeeding.This is because breast milk actually contains some antibodies from the mother and these antibodies can help boost the immune system of the child.
Another thing you can do is to prevent smoke exposure.Secondhand smoke exposure causes an underlying low level of inflammation in the respiratory tract.So, children who are exposed to secondhand smoke are at an increased risk of developing an rsv infection if they are exposed to rsv because they already have some inflammation going on in their bronchioles.The last one i want to talk about here is a medication known as palivizumab.Palivizumab is a special medication and it's reserved only for children who are at very high risk of not only.
Developing bronchiolitis, but developing really severe disease.The children who qualify for palivizumab are children who are born premature or children who have preexisting lung or heart disease that make them more likely to develop severe infection.What is palivizumab it's an injection of preformed antibodies.These antibodies circulate in the blood and any time an rsv virus shows up in the blood, these antibodies immediately attack it and they bind up the virus and they allow the immune system to destroy the virus before it can even set up an infection.
Once again, this medication is really only reserved for high risk children.Now that we know how to prevent bronchiolitis, let's move on to the treatment of bronchiolitis.The most important question you need to ask in the treatment of bronchiolitis is actually where are we going to treat the child there are two factors to think about when the decision is made to go to the hospital or to stay at home.The first factor is the risk of developing severe disease.Some of the factors that would put a child at high risk.
For developing severe disease would be things like prematurity, age less than three months, or preexisting heart or lung disease.Any child that does not have any of these factors would be considered low risk.The second factor in the consideration of where to treat a child, is the severity of disease.The marker that is used for this is the oxygen saturation.Oxygen saturation is a marker of how well the lungs are able to put oxygen in the blood.It gives a provider an idea of how well the child's lungs are working.
It's measured in a percent.Normal is 100 percent.So any child who has an oxygen saturation less than 92 percent, is considered to have severe disease.If their oxygen saturation is greater than 92 percent, they're considered to have less severe disease.Let's figure out where a child should be treated.Any child that is at low risk for developing severe disease and the severity of their bronchiolitis is less severe, those children are okay to be treated at home.Really, any child that has high risk regardless of the severity of their disease,.
Or any child that has severe disease regardless of their risk level, should probably be treated at the hospital.Alright, so now we know where to treat the child, but what is the treatment going to consist of it's important to note that the treatment of bronchiolitis is supportive.Now, what do i mean by this well, supportive therapy means that we're treating the child's symptoms and we're helping their body be as effective as it can be at fighting the infection, but we're not going to give any medications that specifically target the infection.
If the child is treated at home, this is going to include things like making sure the child remains adequately hydrated and is feeding well.In addition, whoever is taking care of the child should monitor them to make sure that they don't develop any severe symptoms.Some of these severe symptoms would be difficulty breathing, an increased heart rate, or if they seem to get really tired or sleepy.If a child has to be treated in the hospital, the treatment is still going to be supportive.We're still going to focus on hydration.
And nutrition of the child, but the child is also going to be treated to improve their breathing.This can be done through a variety of medications.Let's talk about some of these medications.So, to describe how some of these medications improve breathing, let me bring in a diagram of a bronchial.So, let me describe what's going on here.In orange here, we have the inflammation of the bronchial.You can see this inflammation is taking up a lot of space which is narrowing the airway in the middle,.
But there're a couple of other things here i want to point out.These pink structures on the outside that are wrapping around the bronchioles, these are muscles.These muscles when they tighten, they actually will constrict the bronchial.This yellow part right here in the middle, that is a mucus plug.When you have infection of the bronchioles, there can be a lot of secretions that get into the airways and these secretions can plug up the bronchioles.I mention all these things because we have specific medications that treat each one of them.
I want to remind you that i mentioned earlier, if a child is being treated in the hospital, the goal is to improve oxygenation.So, what are the medications that can be given to improve oxygenation in bronchiolitis.There are two groups of medications that can be used.The first group directly improves oxygenation and the second group of medication indirectly improves oxygenation.Our medication that directly improves oxygenation, is actually pretty straight forward.It's oxygen.Room air contains 40 percent oxygen.When we give oxygen, we can give up to 100 percent oxygen.
So, if you think about it this way, every time the alveoli fills up with air twice the amount of oxygen is reaching the alveoli to be able to be exchanged into the blood.So, that is definitely going to improve oxygenation.The next class of medications is betaagonists.What betaagonists do is that they inhibit the muscles lining the bronchioles.When these muscles are inhibited, they're no longer able to constrict, and so instead, they dilate.So, more air will be able to travel through there to reach the alveoli.
If more air is able to reach the alveoli then the body is going to improve its oxygenation.The next medication is something called hypertonic saline.Hypertonic saline is pretty much just a salt solution that's inhaled and this inhaled salt solution draws water out of the inflamed tissue and into the bronchial lumen.This will break up mucus plugs and allow them to be coughed up and out of the airways, and this improves the passage of air through the bronchial to then improve oxygenation.The next class of medications is corticosteroids.
Corticosteroids actually target the cells that cause the inflammation in the bronchioles.So, when cortisteroids are given the inflammation kind of goes away.When that inflammation decreases, the airway dilates allowing more air to reach the alveoli and thus improving oxygenation.So, the last type of medication that can be given is epinephrine.I put epinephrine in the same color as the betaagonist, because it has the same mechanism.It inhibits these muscles that normally constrict the bronchioles and so it results in dilation of the bronchioles which increases the airflow to the alveoli,.
And when you increase the airflow to the alveoli, you're going to subsequently increase oxygenation.So, now we've talked about all the different types of medications that can be given for bronchiolitis, but which ones do we actually give on a regular basis.The most important one to remember is oxygen, because in studies, oxygen is shown to be the most effective treatment of bronchiolitis.In regards to the indirect medications, both betaagonists and hypertonic saline are considered second line.The reason they're second line is because the research doesn't really support their use.
There's not a whole lot of clinical utility.Children who get betaagonists and hypertonic saline, don't necessarily do better than children who don't.This being said, it's definitely okay for a provider to give a trial of betaagonists or hypertonic saline and see if it improves the child's symptoms.If it does improve the child's symptoms, it's not going to hurt and you can continue giving it.Now, corticosteroids and epinephrine are third line medications.They are not routinely given to children who are admitted to the hospital for bronchiolitis.They're really reserved for children.
Who have other underlying diseases that may make the bronchiolitis worse such as asthma.Let's briefly recap the treatment of bronchiolitis.Remember, that the most important question to ask is where the child needs to be treated based on their risks and severity of disease you'll decide whether or not the child needs to go to the hospital or can be treated with supportive therapy at home.If the child needs to go to the hospital, remember that the goal of therapy is to improve oxygenation and supplemental oxygen is the first line treatment.
Prostate Cancer Symptoms Treatment Memorial Hospital Gulfport MS
Susan welcome to memorial health and you.In this first of two segments about prostate cancer, Paige white, urologist with memorial physician clinics, tells us some important facts about early detection. White, first, what causes prostate cancer White in the prostate gland, which is found only in men, changes can occur in the dna of cells so they become abnormal and grow out of control, and this is cancer.Often the cancer grows slowly, but some forms are aggressive and spread quickly beyond the prostate.Even so, we have grown skilled at curing it, if we can find it early enough.
This means you need to know if you are in a high risk category.Your chances of having prostate cancer rise quickly once you turn fifty.Even more so when your father, brother, or other male relative has had it.And you are at higher risk still if you are african american.Susan are there any warning signs White unfortunately, no.Not in the early stages.In later stages, prostate cancer can cause trouble urinating, loss of bladder or bowel control blood in the urine or semen swelling or numbness in the legs pain in the spine,.
Hips or other bones and impotence.It's important to keep in mind that when it's most curable, prostate cancer is asymptomatic there are no symptoms.So the psa blood test can find cancer early, and the digital rectal exam sometimes finds cancer when the psa is normal.Personally, i urge men to have regular screenings starting at age 50 45 if you're african american or have a family history of prostate cancer and age 40 if you have both these risk factors.Susan thank you, White.To receive this free brochure about what is available.
Weekend house call staph Infections
Pe of infections affect your bod Hebert methicillinresistant staphylococcus aureus or mrsa is a type of staph bacteria that does not respond to some antibiotics that are commonly used to treat staph infections in 25 of healthy people, the staph germ lives on the skin or in the nasal passages but it does not cause any problems or infections.If the staph bacteria enter enter's a person's body through a cut, sor , or while in a hospital or not it may cause an infection.The infection can be minor or.
Very serious involving the heart , lungs, blood or bone.Serious infections are seen in hospitals and longterm care facilities and in people who are receiving kidney dialysis or cancer treatment.In the past most staph infections responded to a group of antibiotics calle betalactams.About 2 of people carry a strain of staph that is resistant to these antibiotics.Being resistant means an antibiotic is unable to treat and cure an infection with this type of bacteria.Those who have been hospitalized or had surgery within the past year are at increased risk.
Staph skin infections cause a red, swollen and painful area on the skin.There may be drainage of pus or other fluids from the site.When patients get mrsa in health care facilities the infections tend to be severe.These staph infections may be in the bloodstream, heart, lungs, urine or at the site of a recent surgery.Symptoms of these severe infections include chest pai , chills, cough, fatigue, fever, headache, muscles, aches and rash.Depending on your symptoms your may recommend the blood culture, from the infected site.
Culture of the drainage from the , infection and sputum and urine cultures.Draining the skin infection may be the only treatment needed for a local skin mrsa infection.This procedure should be done at the 's office.Do not try to pop open or drain the infection yourself.Keep any sore or wound covered.If you are given antibiotics be sure to take all the doses even if you feel better.Not finishing the full course of antibiotics can allow an infection that seemed to be go to come back really horribly.
The best way to avoid mrsa is to keep your hands clean by washing them thoroughly with soap and water or using an alcoholbased hand sanitizer also keep cuts and scrapes clean and covered with a bandage until they heal.If you are visiting someone with mrsa at a health care facility you should avoid touching catheters or wound sites.Wash your hands before leaving an infected person's room.One more thing, if you actually happen to be the patient also make sure all of those s, nurses and other health care.
Treating Wheezing With Homeopathy
Treating wheezing with homeopathy,I prefer to treat giannis wheezing homeopathically i am giving him drosera in a 30c every 2 hours as long as his wheezing continues homeopathy is deep. Laryngitis natural ayurvedic home remedies,Dont forget to check out our brand new website hmvdesc laryngitis refers to the inflammation of the voice box or the larynx it can be caused due to.
Best natural treatment of asthma for infants and toddlers,Theparentingmagazinechildcarebestnaturaltreatmentofasthmaforinfantsandtoddlers learn about remedies for baby asthma from the. How can i help my baby who has rsv,Rsv is a virus and theres not a cure for it many babies every year become infected with this virus and become very sick some are sick enough that they have to. Infants bronchitis asthma treatment chronic cough cure natural child cure,Tipscategoriesbronchitis how an exsmoker and chronic bronchitis sufferer completely eliminated his hacking coughs phlegm wheezing and.
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Stomach Flu Or Food Poisoning Warning Super Gross
Stomach flu or food poisoning warning super gross,What a crappy literally weekend we had last week uuuughwe got hit with either a stomach bug or a raging case of food poisoning either way. 3 home remedies for cold and cough in babies home remedies tutorial,3 home remedies for cold and cough in babies baking soda is one of the best home remedy for canker sores best home remedies to detox your lungs best. How to cure rous sarcoma,How to cure rous sarcoma francis peyton rous in 1911 as a pathologist he made his seminal observation that a malignant tumor specifically a sarcoma.
Rsv wheezing breathing,25 year old wheezing diagnosed with rsv for teaching purposes. The s explains the major types of coughs,Subscribe to the s subscribethedrs like us on facebook facebookthe s follow us on twitter thedrstwitter. Home remedies for pharyngitis pharyngitis home remedies,Pharyngitis is the medical term for an infection or inflammation in the back of your throat pharynx that causes constant discomfort pain and scratchiness in the.
Infant acid reflux what you need to know step by step guide,The link to see a unique 5 step natural remedy for heartburn bitdoacidrefluxremedy acid reflux is a condition in which the acid in the stomach. How to cure chronic hepatitis,How to cure chronic hepatitis in 1911 francis peyton rous discovered the rous sarcoma virus rsv which causes a chicken sarcoma in 1960 harry rubin. Home remedies for baby cold,Home remedies for baby cold 000013 steaming 000111 vapor rub recipes 000221 feed lukewarm water 000337 chamomile tea 000435 warm.
Mercer Staph Infection Ole Time Remedies
Mercer staph infection ole time remedies,On this episode of ole time remedies we invite mark with flutes flies and feathers to the show to speak about his bout with mercer and how ole time. Pediatric natural remedies part 1,Natural remedies that you could use to help your children childhood fevers asthma bronchitiscolds coughs chickenpox conjunctivitis cystitis earache. You gotta have guts discussing colonoscopy,Discussing the holistic approach to irritable bowel syndrome victoria bowmann phd author of you gotta have guts the natural way to enhance gi health.
Patients speak severe asthmatic bronchitis,A story of the child who was repeated falling ill with asthmatic bronchitis listen how receiving classical homeopathic treatment gives him his ability to play his. Baby eczema treatment,Today i share tips for baby eczema treatment some questions i will answer what is eczema how to treat eczema what are eczema symptoms cre types of. Sinus infection remedies,Amazondpb00cysflpa sinus infection remedies there are a variety of methods baby can acquire a overloaded nose be prepared and.