Warts in Kids

Nearly fifty percent of children acquire warts at some time or the other. Warts, in the real sense are benign tumors which develop when keratinocytes, a kind of skin cell, is infected by the wart virus. There are many types of warts, the most common being rough bumps which appear on fingers and hands. Others are flat warts, genital warts, plantar warts, and molluscum contagiosum. The difference is based on the types, location, and painfulness of the wart. Common warts appear on fingers and hands and usually are painless. Plantar warts appear on the soles and are sometimes painful. Periungal warts show up around the finger and toe nail. Warts which appear on the face are flat warts. 

The symptoms of the common warts are that the skin develops an irregular surface and becomes rough. A dome starts to appear after a day after infection. A popular myth is that warts have roots, but they don’t. They grow on the epidermis, which is the top most layer of the skin. The black portion is because of broken veins and clotted blood. 

Warts come and go at various stages of life like childhood and teenage years. They usually go away by themselves. But some can be very painful, can spread quickly and some of them wont go away for many years. Such kind of warts should definitely be treated. The most common treatment among the pediatricians is cryotherapy. They will freeze the warts using liquid nitrogen. Cantharidin can also be applied, which is a painless treatment but can result in painful blisters at the end of the day. The minus point is that these treatments sometimes cause blistering and some warts won’t come off in one sitting. If the warts won’t still budge they are further treated with strong salicylic acid, intralesional immune-therapy, bleomycin, or a pulsed dye laser.  Aldara can also be used in worst cases. Because of some treatments the warts grow to the end of the blister, which results in a bigger wart and some might even result in a scar. 

Besides other common wart treatments, the most well-known home remedy is duct tape. The affected area is covered with duct tape for about six days. If within that time period, the tape peels off, it should be reapplied. After the sixth day, the duct tape should be removed and the wart should be soaked in water and a pumice stone or emery board should be used to scrap the top skin of the wart. After this, the duct tape should be reapplied again within twenty four hours and the same procedure should be repeated until the whole wart disappears. This procedure takes at least two months to get rid of the wart completely. Some kids hesitate to put duct tape on parts which are visible, like fingers and legs. They can be encouraged by making them wear colored duct tape, other than grey. Many home wart freezing and removal kits are also available in the market whose help can be taken.   

Warts spread by direct contact with the wart or any material which the infected person has used like a used towel which has been contaminated. It is contagious and hence it is recommended to stay away from it at the very sight of it. All the cuts, rashes and bites should be cleaned regularly and should be kept covered. Another measure for prevention is wearing closed shoes in public places.  

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Swimmer’s Ear in Children

Swimmer’s ear is bacterial growth infection inside the canal of the ear. It is also known as Otitis Externa. It differs a lot from ear infections which are dealt with on a regular basis, which is contracted at times when the child catches a cold. The common ear infection is known as Otitis Media, in which the middle of the ear is infected. Incase of swimmer’s ear, the ear canal which leads towards the ear drum is infected by bacteria. The first symptom is that when the finger is stuck inside the ear canal, it will hurt a lot. In normal cases, it won’t hurt at all. 

The skin within that are is very delicate and hence, is protected by nature by a thin earwax coating. Usually, water can easily glide inside and then outside the ear without any problem. But when the water cleans some or all of the earwax and if some of the water is retained inside, the bacteria will take advantage of this situation. Chemicals in the water aggravate the situation by increasing the irritation. It starts growing within the soft and warm ear canal and can cause swelling and redness. A slight itchiness also accompanies it. But the child must be instructed to not to scratch, otherwise there is a greater chance of the situation becoming worse. If there is no itchiness, obviously there will be pain, which is the initial symptom. The ear should not be bumped or touched even from the exterior, as that will cause intense pain. Hearing can become difficult due to the bacterial infection as that will swell the ear canal and block the passage. 

The pain and itchiness can only be gotten rid off by fighting the infection and killing the grown bacteria. In usual cases, ear drops are prescribed by the doctor. These ear drops have antibiotics which are meant to kill the bacteria. The dosage and number of days to use the ear drops as told by the doctor should be strictly followed. If the doses are missed there is a possibility of bacterial re-growth. A wick is also introduced inside the ear, sometimes. This wick actually is small piece of sponge with absorbed lotion. The wick is left inside then. This procedure is used when the doctor thinks it is important to apply medicine directly to the part of the ear canal which is infected. If the pain is unbearable by the child, parents can give pain killers, but only after taking suggestion from the doctor. Once the antibiotics begin working, pain killers can be stopped. 

Swimmer’s ear cannot be just attained cause of water entering the ear at the time of taking baths or showers. Children, who have joined the summer swimming camp, can complain of this problem. After the swimmer’s ear is treated, the child shouldn’t swim immediately. Doctor, usually, advices them to stay away from water for a week or two. The time period may sound very long, but it keeps the pain away for a long time. Special ear drops are available over the counter which can be put inside the child’s ear after swimming is over. This will dry up any water inside the ear, if any. Swimmer’s ear can also be caused when inquisitive kids try to stuff things inside the ear and thus damaging it. Bacteria get a chance of developing on the scratched area. In this case, only parent’s supervision will do the trick. 

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Pinworms in Children

Pinworms develop as a result of unhygienic habit of not washing hands before having food. They are small worms who resemble to small thread pieces and cause itching in the anus area. Pinworms infect humans only and reside in the intestines. Every school going kid encounters this problem at one time or the other. They can touch another kid infected with pinworm or an object having the eggs of the pinworm. 

The eggs of the pinworm’s eggs get on the fingernails and that why it is a good idea to wash the hands regularly.  If the food is eaten without washing hands, these eggs go inside the body, by the digestive system. In the small intestine, the eggs hatch and the pinworms move towards the large intestine. There, they cling onto the walls of the intestine and stay there for few weeks to mature. After that the female pinworms go towards large intestine’s end to lay eggs near the anus region. Usually the eggs are laid at night and that is the time when the area itches. It takes one to two months time period after the consumption of the eggs, for the maturing of the pinworms who lay new eggs. The eggs get hatched on the anus’s skin and the baby pinworms will crawl inside the body in order to grow. 

Pinworms eggs are found anywhere like on the kitchen counter, school desk or bed. They are also found on utensils, clothes and towels. When outside the human body, the eggs can live up to two weeks. Within that time period when they are touched, there is a chance to enter the human body and flourish. Pinworms are contagious and can spread from one human to another. Also they can spread by air as the eggs are lightweight and the wind can blow them and they can be breathed in or swallowed by anyone.  The child can intake more eggs when he scratches his bottom and doesn’t wash his/her hands immediately. 

Children infected with pinworms can see worms in their stool after they pass and even on the underwear. The worms look like small white threads. But the eggs aren’t visible to the naked eyes. If the child observes these symptoms he/she should inform the adults about the condition. The itching caused by pinworms can be so bad that it can wake the child in the middle of the night and make him/her squirm. The doctors usually prescribe some medicine to kill the pinworms. The doctors also take samples from underneath the fingernail and the anus to check for eggs. The medicine will take about two weeks to get rid of the worms completely. If the itching is very irritating and wakes the child in the middle of the night, a cream is prescribed by the doctor. Sometimes other members of the house will also be asked to take the same medicine as a precautionary measure. The parents should wash all the clothes, towels and sheets used by the pinworm infected child.

The best way to deal with pinworms is taking precautionary steps in the first place. The child must cultivate a habit of washing hands before eating food, after using the bathroom and after playing outdoors. The fingernails should also be clipped regularly to not to allow eggs depositing there. The eggs also hang onto clothes, so it is a good habit to change underwear daily. And other clothes should be washed after every few days. 

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Poison Ivy and Children

Summer camps and family hiking sessions can sometimes result in children getting itchy rashes. To be blamed are plants such as poison ivy, poison sumac and poison oak. All of them produce the same substance or oil, called urushiol, which cause rashes. Urushiol is colorless and even odorless and is present within the leaves. Poison ivy can even grow in the backyards and parks. So any kind of outdoor activity should be monitored and the lawn should be de-weeded periodically. Bushes should be checked, as they grow as a regular plant and the child would not be able to distinguish the poisonous plant from the regular one. 

Precaution is better than cure. Children should be educated and made to understand the description and ill-effects of poison ivy. They come in wide range and some change the appearance depending on seasonal variations. Urushiol is released from the leaves only when the leaves are damaged like when they are torn, get bumped or are brushed. The moment the leave is damaged, urushiol is released and the skin is affected immediately. Also, what many people do not know that to get a rash by poison ivy is not only by coming directly in contact with the plant. Human and animal carriers of urushiol can affect people coming in contact with them. The leaves of the plant can be flown by the air, which can cause damage when those leaves are handled or burned with the rest of the leaves and twigs. 

Once the children are made familiar with the plants, they should be asked to steer clear on the sight of the plant or leaves. Parents should avoid places where there are possibilities of growth of such plants. When going on camps, etc., children should not be dressed in short sleeves and short length pants, so that the body does not brush off such plants. In spite of taking all these precautions, if the child comes in contact with such plants and contact with urushiol is suspected, the area should be washed with water and disinfectant. It is best to take shower and clean the whole body and the clothes should be removed immediately and washed. Pets should also be bathed after their outdoor adventures. 

Basically, the urushiol causes an allergic reaction which irritates the skin and that is the reason why it is known as an allergen. This allergen won’t harm all, but eighty percent of the victims get skin irritations. It not only creates itchy rashes, but can also swell the skin. The time period for the symptoms to surface is few hours to five days. The rash usually takes one to two week to heal completely. First the skin swells and rash develops. Blisters can also form as a result of regular rubbing of the skin to get rid of the itch. The blisters will form a crust after some days and will flake off.      

If the rashes are accompanied with fever, a pediatrician should be contacted for appointment. And if the case isn’t that serious, the doctor recommends home remedies. The child would be asked to be given showers with cold water and calamine lotion would have to be applied.  If the redness and itching is intense, fluid medicine along with pills are administered to the kid. Antihistamine is very popular in such cases. Steroids are prescribed by the doctor. 

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