Ans. Allergic Dermatitis, Allergic Shi and Allergic Asthma are the different Allergic diseases seen in children.
Ans. No, all children who wheeze in childhood, do not go on to develop Bronchial Asthma. Many young children and babies wheeze due to a viral cold. Most of these wired of their symptoms by 5-6 years of age. Children with an allergic predisposition are more likely to develop Asthma.
Ans. Most of the medicines given through inhalers are quite safe in children (however consult your paediatric pulmonologist before starting inhaler) as medicines given through inhaled route has negligible systemic absorption and dosage is in micrograms.
Ans. Any medication which has to be continued for long has to be safe. Inhalers are the safest medication for recurrent wheeling. Also they have a quick unset of action due to directly reaching the lungs.
Ans. These children should take their yearly dose of Influenza vaccine. It is advisable to avoid strong smells, perfumes, agarbatti, deodorants, mosquito repellents. Cigarette smoking and pets at home are important cause of wheezing in children. Food preservative and colouring agents should not be consumed. Cleanliness should be maintained at home and surroundings.
Ans. Your child is suffering from a condition known as Undescended testis. In all children, before birth testes are in the abdomen, which descend during last trimester of pregnancy. However in few of the children it does not. This condition should not be taken lightly. If testis remains at an abnormal site, then development of testis and sperm will get hampered. Abnormally located testis may get twisted (torsion of testis) or there may be a chance of cancer developing later in the life in the abnormally located testis.
So ideally, it is advised that you should wait for the testis to descend spontaneously till the age of 6 months in a full term child and till 9 months in a premature baby. After this age, testis is unlikely to descend on its own and should be operated.
USG by a good sinologist is mandatory to locate the testis, however even if the testis is not found on USG, it should not be left as absent testis. Only 4% of non palpable undescended testis are actually absent, hence these children should be offered laparoscopy to locate the testis.
Ans. Your child is probably suffering from a condition known as Hydrocele, in which fluid accumulates around the testis. If your child is a small baby, you can wait till the age of 2 years. There is high possibility that it will disappear on its own, without any surgical intervention till that age. But if it remains even after that age, child should be offered surgical intervention.
Ans. You should immediately consult your paediatrician. He may suggest you USG, which under most circumstances will be normal. Your child is probably suffering from Labial synechiae, in which both labia minora of opposite sides fuse with each other in the midline and cover the urethral and vaginal openings. A small OPD surgical procedure without anaesthesia is required to separate labia minora, which will cure your child.
Ans. You should immediately consult pediatric surgeon. He is having condition called hypospadias in which urinary opening is not situated at the tip of penis, penis is bent and there is irregular foreskin. He will need surgery for this condition. He should be operated before he starts going to school.