Tuesday, December 13, 2011

When pain relief Deteriorating Child in the Night

The disease has never come at the right time. Often the children wake up at night due to symptoms of certain diseases, whereas the doctor's office was closed and the mother does not know whether to wake the doctor or try to cope alone.

Some symptoms can be a sign of serious harm, such as high fever, difficulty breathing, strange rashes or convulsions. Almost all the symptoms in infants under 4 months requiring treatment by a doctor immediately, no matter at any time.

As quoted from Parenting.com, Sunday (27/11/2011), many symptoms of illness in children is worse at night. Although not life-threatening, these symptoms can make children miserable.

With a little planning and help from health practitioners, some actions can be done to help relieve the symptoms of the disease in children.

Asthma and allergies

"Symptoms of asthma and allergies are often worse at night. There are many factors that play, which decreases cortisol levels at night and cortisol have a preventive effect of asthma," said Santiago Martinez, MD, an allergist and assistant professor of child clinical medicine at the School of Florida State Medical University in Tallahassee.

The increase of histamine also trigger symptoms of allergies and asthma. Some allergens such as dust and pet dander found more often in child's room thus increasing the exposure when the child slept.

If the child had an attack during the night allergies, antihistamines can reduce the symptoms. If the disorder often occurs throughout the year, should give immunotherapy by introducing small amounts of substances pemiocu allergic to the body so the body gradually build up immunity.

Preventive measures to reduce exposure to allergy-triggering substances is to reduce exposure. Ari, make sure the child's bedroom window remains closed, do not put the doll or furry animals in his room. Can also install filters designed to trap very small particles that can aggravate allergy symptoms.


Coughing can be caused by a viral infection that settled in the upper airways and voice box, and it usually strikes when a child has a cold. Because it causes swelling of the vocal cords, coughing can also be accompanied by a rapid or noisy breathing.

Cough is almost always worse at night because blood flow to the respiratory tract changes when the child was lying. Dry air can also be made it worse.

"Start by giving ibuprofen to reduce the severity of inflammation in the airways and relieve the discomfort," said Andrea Leeds, MD, a pediatrician in Bellmore, New York, and member of the American Academy of Pediatrics.

If children aged 12 months to bottom, do not use ibuprofen unless your doctor permits. Then off diapers or pants, turn on the shower, and sit in a steamy bathroom for fifteen minutes.

After that, wear clothing and wrap in blankets. take him out of the house exposed to the cold night air. If when it's summer, lay out the freezer or air conditioning for at least five minutes.

The steam will relax the airways and vocal cords, while the cold air can reduce the swelling. This combination is often able to control the symptoms of coughing up the next day.


Infections of the middle ear or in the ear canal can be increasingly felt the symptoms when lying because increased fluid collection and putting extra strain on the inflamed tissue.

Ibuprofen can be given to children aged 12 months upwards. Acetaminophen can help relieve pain.

"Heat a tablespoon olive oil in a microwave until warm but not hot. Give 2-3 drops of warm oil on the affected ear to soothe the ear membrane," said Dr. Leeds.

Attaching a warm wet cloth on the child's ear can also help. Sometimes need antibiotics to clear up the infection if it does not heal by itself. If the child is susceptible to antibiotics, ask your doctor about prescription ear drops to numb the pain.


Fever worse at night because your body temperature rises naturally at night so a light fever during the day can go up easily when sleeping.

First, check your child's temperature. Do it through the anus rectal if children younger than 6 months. Fever above 38 ° C in infants under 3 months requiring immediate treatment by a physician.

The same applies if the temperature is higher for children accompanied by lethargy, vomiting, diarrhea, stiff neck, or an unusual rash.

"Acetaminophen can also be given. Wait for it for half an hour, and check the temperature again. If you have not started to fall and is older than a year, give the child some ibuprofen as well. These medications can be used together separated a distance of half an hour. Acetaminophen can be given every four hours, and ibuprofen given every six to eight hours, "said Dr. Leeds.

Children can be washed at room temperature (25 ° - 27 ° C) to help cool the body temperature. Make sure children stay hydrated by providing water, formula or breast milk if a baby before the child back to sleep.

Itchy Skin

Itchy skin worse at night because when the child quiet and lie down, itchiness is more easily felt. Itching can be caused by vines, insect bites, eczema, or sunburn. And if skin itching caused by allergies, increased levels of histamine can make it worse.

For itching due to eczema, apply moisturizer to clean the body before bed. Massage can also be soothing. It is also important to keep the air humidity in the room.

If itchy rashes caused by allergies, antihistamines can help relieve symptoms. Topical cortisone creams can also help. Do not use a specific type of product before consulting a pediatrician.

Nasal congestion

Nasal congestion worse at night because decreasing the nasal passages during sleep. Use eye drops or nasal spray to moisten and thin the mucus membranes making it easier for children melesitkan mucus or swabbed with a cloth.

Decongestants can help relieve symptoms of nasal congestion. But its use is not recommended for children younger than 2 years.

Throw up

Make sure children do not spit blood. Call your doctor if it happens, because it can indicate a serious condition. The same applies if the vomiting accompanied by pain in the lower right side of the abdomen.

If vomiting due to travel, rub a child with a cold, wet cloth on his forehead and face, then let him go back to sleep. Place a plastic bowl or other container at his bedside when he felt sick again.

"If the child is still awake but does not throw up again, give children cola or ginger ale. One tablespoon of pear or peach syrup every fifteen minutes may also help," said Philip Itkin, MD, clinical professor of pediatrics at the University of Nebraska Medical College in Omaha

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