Why babies wake you up at night

Why babies wake you up at night

Why babies wake you up at night

Babies don’t think like you. They don’t have a plan and their biological clock is still underdeveloped, definitely not fit for you to maintain your normal daily routines. In fact babies’ sole programs on some days are designed to keep you awake as some may thinks.

After Bob and Nancy had their first child, they send a shout out to all the friends declaring their joy. One of the commonest responses that tagged their congratulatory messages was, ‘be ready to be on night shift’.
So what causes babies to cry especially at odd hours?

These are some of the causes:

  1. Hunger. When that brand new bundle of joy is hungry, it has only one way of communication, cry. They don’t talk, they don’t gesture out what they want, and they don’t tell you when to feed them. The point is study the times they need to feed.
  2. Thirst. Remember hunger and thirst goes hand in hand.
  3. Unusual temperatures. Keeping them in hot environs or not covering them brings out the cries, in them.
  4. Dirty diaper. The babies’ anal sphincters are not yet developed to have voluntary control. They will soil the clothing or nappies at any time, and when this wetness persists, they cry out for help.
  5. Boredom. You have one little individual who hates boredom. Keep him/her entertained when awake at all times. Or else.
  6. Pain. Colicky pains, tight fitting clothing, fever or anything that causes pain will bring out the cry.
  7. Fear. AS they grow up and start understanding the environments, they develop trust in the parents or caregivers. At certain ages, neighbors or strangers that are of course unknown to them will make then to cry out of fear.
  8. Overstimulation. Exposure to loud noises, music, sudden loud bangs or anything that stimulates them will elicit cries.

Read moreWhy babies wake you up at night

Infant colic

Infant colic

Infant colic

Infant colic is a common symptom that presents at or about 1 month of age and prevails to about 3 month s of age. The exact cause in not known but there are several theories to explain it. The most plausible one is that the baby’s intestines are still undeveloped and therefore become oversensitive to the movement of food and air through it. The frequent swallowing of air as they suckle also causes more air to accumulate in the gut. The pain that comes with movement of foods and air accumulation causes her to cry.

How do children with colic behave?

The baby is always moody and fussy with persistent crying. This may last hours if the colic is not resolved and may come frequently for up to 3 hours per day. The child cries by pulling the knees up to chest, and passing some flatus. Usually there is no fever present. The colic may star at 3 to 4 weeks and the crying episodes peak at about at 6 weeks and resolves by 3–4 months.

How to manage infant colic

This is mostly a nightmare to most parent especially new parents. The most important thing is not to blame yourselves for not dong enough to prevent or manage the condition. Try to follow these steps

  • Do not over stimulate the baby. Provide a calm environment may be with some cool soothing music in the back ground.
  • You may carry the baby and swaddle her by swinging or even give a car ride to soothe.
  • Avoid medication and formula changes. Encourage breaks for the primary caregiver.
  • Burping your baby correctly may help alleviate any air that is trapped in the gut and thus reduce the colic, although it’s unlikely to prevent the symptoms altogether.
  • If you’re bottle feeding the baby, watch the position of the bottle to be sure that she does not suck in any air. Always ensure the best breastfeeding practices such as proper positioning of the breast (to fill the mouth of the baby). Proper positioning of the breast ensure that less air will be sucked in
  • Ensure that when you are bottle feeding, the holes in the nipples aren’t too small. Tiny holes are extremely frustrating for a baby because she has to suck harder and for longer and this leads to more air being sucked in to the gut.
  • Try some anti-colic medications. Some baby colic drops contain dimethicone, or simethicone that has an anti-foaming action on the stomach contents. It is however important to note that there is no guarantee that it will cure your baby’s colic

Questions about baby colic

Does my diet have anything to do with baby colic?

It’s quite possible that what ever you are eating may trigger or even make the colic worse with time. How ever babies who are prone to colic tend to have symptoms on most days, and your diet can obviously vary from day to day. Diets with foods such as citrus fruits or the juices may worsen, or even perhaps trigger, colic in breast-fed babies.
Another possible trigger of baby colic is cow’s milk. Some infants have allergies to the protein in cow milk and may present with colic, so try to eliminate milk and dairy products from your diet when this becomes persistent.

What other foods should I avoid to prevent colic?

If your baby develops persistent colicky symptoms more frequently, it may also be due to some of the foods you eat that trigger this. Perennial offenders include “gassy” foods such as cabbage, onions, garlic, broccoli, and turnips; and caffeine. You may have to change your diet to avoid this. It is however of paramount importance to note that if the baby is exclusively bottle feeding and you avoid giving cow milk, find diets that have rich sources of calcium to supplement to loss of calcium.

Common causes of hair loss in children

Common causes of hair loss in children

Common causes of hair loss in children

Hair loss in children is a common observation. There are several causes and most of them are easily treatable. Among the commonest know causes include:

Fungal infection (TINEA CAPITIS)

Fungal skin and scalp infections account for the majority causes of hair loss. The prevalence is about 90% of causes presenting to the doctor. The fungus has no known natural reservoir and persists for long periods on fomites, such as hairbrushes, combs, furniture, stuffed toys, and clothing. The highest incidence of this kind of infection is during school opening season when there is over crowding and contact with the infected persons. Most patients are between 1 and 10 years of age, but infection may occur at any age.

The infection survives in environments such as tight braiding, or the use of pomades.

How fungal infection presents:

The classic presentation is of one or more round to oval patches of partial to complete hair loss and with varying degrees of redness at the infection site. There may be repeated episodes of itchiness and scratching. The scratching may lead to secondary bacterial infection since there is introduction of bacteria to the injured area.

How is Tinea Diagnosed?

The bets diagnosis is clinical. The doctor examines and notices a clear pattern of presentation to the scalp. Some of the lesions may be noted on other sites such as the skin on the armpit, neck, fingers and interdigital spaces. A lab test with KOH staining also helps diagnose the fungi. The fungi are collected with a toothbrush on a culture plate or on a moistened culturette swab.

Treating fungal scalp infections

Treatment may be difficult in some patients due to various factors such as, repeated infections, poor drug compliance, incorrect diagnosis or resistance to treatment. Successful treatment requires a combination therapy with oral griseofulvin tablets and antifungal creams. Some antifungal shampoos are also available for use such as ketoconazole (candid –TV) shampoo. Griseofulvin is the agent of choice that is best taken with fatty food to promote absorption. The treatment may last 4 to 6 weeks or even up to 12 weeks depending on the response to treatment and severity.

Other types of shampoos in use include selenium sulfide 2.5%. This is done twice weekly

Partial hair loss (ALOPECIA AREATA)

Alopecia areata is a condition that is characterized by the sudden onset of asymptomatic round, bald patches located on any hair-bearing part of the body. The presentation is common on the head. There are no hair follicles and the patients have a scaly reddish crusting on the scalp. There may be pus formation too. Most patients recover well and have hair growing back in 1 to 2 years.

How alopecia areata is treated?

The main aim of treatment is to reduce the inflammation and infections. Treatments available include the use of topical steroids, topical minoxidil, tar preparations, and anthralin. Some healthcare providers may also use ultraviolet light to treat. The medications with minoxidil are used to promote hair growth and give good results.

TELOGEN EFFLUVIUM

This is a form of hair loss that is characterized by diffuse alopecia that is usually not clinically obvious to anyone but the patient and parent. The causes may be due to physiologic and pathologic stresses such as recent infections, high fever, severe influenza, surgery, and drugs. The hair follicles normally regress to the resting, or telogen, state of hair cycle. Telogen effluvium usually occurs 3 to 5 months after the stressor and is self-limited. The patients need not worry about it but may use minoxidil in cases of severe hair loss.

TRICHOTILLOMANIA

Trichotillomania is a type of hair loss that is caused by the compulsion to pull out one’s own hair. This applies traction to the hair leading to hair loss. The patients may present with areas of incomplete hair loss. Some of the hairs appear short and broken. Amazingly other areas involved include the eyebrows and eyelashes. This condition may be due to a psychiatric illness and treating it may help resolve the compulsion.

TRACTION ALOPECIA

Traction alopecia is hair loss that comes after forms of hairstyles that apply tension for long periods of time. Some patients also do like to pull on their hairs and this can cause hair loss (see Trichotillomania). The patients normally have noninflammatory linear areas of hair loss at the margins of the hairline, part line, or scattered regions, depending on hair styling or mode of traction used. The best treatment is avoidance of the causes of traction or styling products or styles that result in traction.