Rajath Profile picture
Mar 8, 2023 6 tweets 3 min read Read on X
#Adenovirus in Children: Recent surge
 
Adenovirus causes mild infections mostly in children
Outbreaks of ‘Madras eye/pink eye’, clusters of seasonal respiratory illness are not unusual
Severe illness with adenovirus has been rare

After a build up over 3mo we now see a surge
Parents should look out for:
Sudden onset high fever with chills
Headache and throat pain
Nausea and vomiting
Red eyes and red throat
Poor response to fever medications
Excessive tiredness
Burning sensation during urination
This infection is more of an inconvenience than a cause of concern
As a rule, kids get better in 5-6 days, very few need short hospitalisation to stay hydrated
Severe and unusual presentations needing ICU care (pneumonia or multi-organ involvement) are exceptionally rare
Symptoms can be managed at home, but if fever lasts for >2 days child needs to be seen
Close monitoring in OPD for any unusual features, rescue admissions for hydration maybe needed
Testing may help avoid unnecessary use of antibiotics if there are any doubts
Do’s
1. Keep well hydrated
2. Use paracetamol at the right dose
3. Consult if unwell > 2 days
4. Avoid spreading it to others
Don’ts
1. Self medicate with antibiotics
2. Delay medical attention of child is very tired and has poor intake of fluids
Stay safe, keep others safe:

Adenovirus spreads through aerosol (droplets) and contact

Good old recommendations for COVID limits the spread

Practice cough etiquette
Do not share face towels
Frequently wash hands/ use alcohol hand gels
Mask up if you are unwell

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More from @FoolzWizdom

Oct 7
Cough Syrups for Kids: Let’s Clear the Confusion

Answers to the 10 questions, that parents should be asking

#CoughSyrup
#CoughSyrupDeaths
#DEC
#ChildHealth
#ParentingImage
Q1. What is the scientific mechanism behind how cough syrups work?

Most cough syrups contain one or more of the following:
•Antihistamines (cetirizine, fexofenadine, chlorpheniramine): reduce allergic irritation in the respiratory tract and help ease cough, runny nose, and eye watering.
•Leukotriene antagonists (montelukast): reduce allergic inflammation.
•Mucolytics and expectorants (ambroxol, guaifenesin): thin mucus and make it easier to cough up.
•Decongestants (phenylephrine): shrink swollen nasal passages and reduce blockage.
•Cough suppressants (dextromethorphan): act on brain centres to reduce the urge to cough. Codeine, another suppressant, is an opioid and is banned due to addiction risk.
•Bronchodilators: (Salbutamol, Terbutaline) open up tight breathing tubes in asthma or wheeze.
Q2. What are the do’s and don’ts before buying OTC cough syrups?

Never go to a pharmacy and say, “Give me a good cough syrup.”

For children, avoid buying OTC medications without guidance. Your paediatrician can advise which medicines are safe to start for mild cold or cough, and what dose to use. If you’re offered an alternative brand, always check with your doctor first.
Read 11 tweets
May 11, 2024
📍Our perception of #Health and Disease is filled with myths and if you put #Diet into this equation, you spawn an entire mythology, fake expertise, scare mongering, businesses, and needless deprivation of joys of just enjoying your food
1/n
📍These #myths are culturally so deeply ingrained in India, even qualified doctors and nutritionists perpetuate them, even depriving kids of ice creams and fruits they crave for by irrational prescriptive diets
Although a tough nut to crack, I will try to shatter these myths 👇
📍Cold foods or cool drinks ≠ coughs and colds:
Coughs, colds are usually viral illness or respiratory allergies. Chilled juice or icecream does not make you catch a cold. Neither does avoiding them help you recover faster. Warm liquids soothe your throat but they don’t ‘heal’
Read 13 tweets
Jul 12, 2022
#CSection conundrum 1/n

As a neonatologist I shall delve into short & long term effects on the child a bit later on.
For today, the question I am looking into is ‘will > C section = < maternal and neonatal mortality’ adjusted and not adjusted to Human developmental Index (HDI)
#Csection and #MMR and #NMR 2/n
WHO recommends an ideal rate of 15% at a population level. Less than this, mums and babies are at risk, more it will veer towards unnecessary sections.
Does this hold good when we look into pooled country wise data?
When adjusted to HDI, especially amongst developing countries there is ⬆️ risk of maternal deaths when C section rates are below 10%. But the correlation (higher C section - lower mortality) irons out pretty rapidly beyond 10% for MMR and 20% for NMR 3/n
Read 8 tweets
Aug 13, 2021
I am further convinced that Twitter at least is not the place where we can further the cause of general welfare. Some of us will note the blind spot we have to numerous privileges we have. But, we still have to give the best for ourselves and our kids. We have no choice.
So we make points that clearly lay out - we can’t escape the race, we work hard. We find lateral entry points for others a great disadvantage.The label of our own privileges: class, caste, IQ, merit is a burden if anything.I don’t see why anyone should have a problem with that.
The other side is now cogently arguing need for equitable opportunities and representation in the society. This would be for the common good, but at individual cost. There may be a point in that merit alone will not bring social justice. Do we have the right means to that end?
Read 7 tweets
Aug 12, 2021
Finally read Prashanth’s editorial. Not easy or comfortable read. Not easy also because we all have inherent biases. The flow of thoughts are complex and the sentences are long. One drifts to one’s own life events rather than read author’s reflections, hence maybe a bit lost 1/n
Basic premise is to question the merit of meritocracy. But meritocracy exists very patchily in our society. The ladder to climb to a better social standing, affluence, influence if only was professional college, degrees, high paying jobs the equation would have been simpler.
Most ‘merit student’ doctors, academically excel, train well and work for 💰 but have a smaller sphere of influence in my opinion. We end up securing our place that’s mentally challenging plus financially rewarding.
Read 7 tweets
Jun 4, 2021
#violenceagainstdoctors
Doesn't make sense at all, but somehow feel compelled to.
What could it be due to?
1. It is Ok to hit someone:
Physical retribution for perceived wrong has been acceptable in our society (thrashing in schools/police with lathi/spanking kids for eg)
1/n
2. Bipolar perception of the profession:
Noble profession - not a job that should pay the bills (expecting anything in return for job well done makes it less noble)
Doctors deified (can perform miracles, bring back from dead) + vilified (fleece patients, take cuts, looters)
3. How dare they make money?
We celebrate young techies, IITians making big money: they are meant to.
Doctors - no!: It is ok if they make some, but we really don't like them making a lot
An entrepreneur hitting gold - must be a genius
A doctor well off - must be fleecing
Read 17 tweets

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