HERBAL REMEDIES FOR EDEMA (SWOLLEN BODY AND SWOLLEN LEGS) BY BABALAWO OBANIFA-Obanifa extreme documentaries


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HERBAL REMEDIES FOR EDEMA (SWOLLEN BODY AND SWOLLEN LEGS) BY BABALAWO OBANIFA-Obanifa extreme documentaries
                                       

 This work will document in detail varieties of the herbal formula available in Yoruba herbal medicine for the treatment of Edema (swollen arms and legs ) in Yoruba herbal medicine. The  term use for Edema in Yoruba herbal medicine is known as  Lobutu/Ara Wiwu/Ogodo.  This work will document some of the herbal formula available for the treatment of such conditions.  Before embarking  on this documentation of various herbal remedies available in Yoruba herbal medicine for the treatment of this condition. The work will first explore the scientific explanation of what is Edema and it treatment  as made available by Webmed.com in their work titled, what is Edema>(explanation information source https://www.webmd.com/heart-disease/heart-failure/edema-overview#1) according to this source "Edema" is the medical term for swelling. Body parts swell from injury or inflammation. It can affect a small area or the entire body. Medications, pregnancy, infections, and many other medical problems can cause edema.

Edema happens when your small blood vessels leak fluid into nearby tissues. That extra fluid builds up, which makes the tissue swell. It can happen almost anywhere in the body.

Types of Edema

Peripheral edema. This usually affects the legs, feet, and ankles, but it can also happen in the arms. It could be a sign of problems with your circulatory system, lymph nodes, or kidneys.

Pedal edema. This happens when fluid gathers in your feet and lower legs. It’s more common if you’re older or pregnant. It can make it harder to move around in part because you may not have as much feeling in your feet.


Lymphedema. This swelling in the arms and legs is most often caused by damage to your lymph nodes, tissues that help filter germs and waste from your body. The damage may be the result of cancer treatments like surgery and radiation. The cancer itself can also block lymph nodes and lead to fluid buildup.

Pulmonary edema. When fluid collects in the air sacs in your lungs, you have pulmonary edema. That makes it hard for you to breathe, and it’s worse when you lie down. You may have a fast heartbeat, feel suffocated, and cough up a foamy spittle, sometimes with blood. If it happens suddenly, call 911.

Cerebral edema. This is a very serious condition in which fluid builds up in the brain. It can happen if you hit your head hard, if a blood vessel gets blocked or bursts, or you have a tumor or allergic reaction.

Macular edema. This happens when fluid builds up in a part of your eye called the macula, which is in the center of the retina, the light-sensitive tissue at the back of the eye. It happens when damaged blood vessels in the retina leak fluid into the area.

Causes of Edema


Things like a twisted ankle, a bee sting, or a skin infection will cause edema. In some cases, like an infection, this may be helpful. More fluid from your blood vessels puts more infection-fighting white blood cells in the swollen area.

Edema can also come from other conditions or from when the balance of substances in your blood is off. For example:

Low albumin. Your doctor may call this hypoalbuminemia. Albumin and other proteins in the blood act like sponges to keep fluid in your blood vessels. Low albumin may contribute to edema, but it’s not usually the only cause.

Allergic reactions. Edema is a part of most allergic reactions. In response to the allergen, nearby blood vessels leak fluid into the affected area.

Obstruction of flow. If drainage of fluid from a part of your body is blocked, fluid can back up. A blood clot in the deep veins of your leg can cause leg edema. A tumor blocking the flow of blood or another fluid called lymph can cause edema.

Critical illness. Burns, life-threatening infections, or other critical illnesses can cause a reaction that allows fluid to leak into tissues almost everywhere. This can cause edema all over your body.

Congestive heart failure . When the heart weakens and pumps blood less effectively, fluid can slowly build up, creating leg edema. If fluid builds up quickly, you can get fluid in the lungs. If your heart failure is on the right side of your heart, edema can develop in the abdomen.

Liver disease. Severe liver disease, such as cirrhosis, causes you to retain fluid. Cirrhosis also leads to low levels of albumin and other proteins in your blood. Fluid leaks into the abdomen and can also cause leg edema.

Kidney disease. A kidney condition called nephrotic syndrome can cause severe leg edema and sometimes whole-body edema.

Pregnancy. Mild leg edema is common during pregnancy. But serious complications of pregnancy like deep vein thrombosis and preeclampsia can also cause edema.

Head trauma , low blood sodium (called hyponatremia), high altitudes, brain tumors, and a block in fluid drainage in the brain (known as hydrocephalus) can cause cerebral edema. So can headaches, confusion, unconsciousness, and coma.

Medications. Many medicines can cause edema, including:


When they cause swelling, usually it's mild leg edema

Symptoms of Edema


Your symptoms will depend on the amount of swelling you have and where you have it.

Edema in a small area from an infection or inflammation (like a mosquito bite) may cause no symptoms. On the other hand, a large allergic reaction (such as from a bee sting) may cause edema on your entire arm that can bring pain and limit your arm's movement.

Food allergies and allergic reactions to medicine may cause tongue or throat edema. This can be life-threatening if it interferes with your breathing.

Leg edema can make the legs feel heavy. This can affect walking. In edema and heart disease, for example, the legs may easily weigh an extra 5 or 10 pounds each. Severe leg edema can interfere with blood flow, leading to ulcers on the skin.

Continue Reading Below

Pulmonary edema causes shortness of breath and sometimes low oxygen levels in the blood. Some people with pulmonary edema may have a cough.

There may be an indent or a “pit” that remains for a while after you push on the skin in some types of edema. This is called pitting edema. If the tissue springs back to its normal shape, it’s called non-pitting edema. It’s a symptom that may help your doctor figure out the cause of your edema.



Treatment of Edema

To treat edema, you often must treat its underlying cause. For example, you might take allergy medications to treat swelling from allergies.

Edema from a block in fluid drainage can sometimes be treated by getting the drainage flowing again. A blood clot in the leg is treated with blood thinners. They break down the clot and get drainage back to normal. A tumor that blocks blood or lymph can sometimes be shrunk or removed with surgery, chemotherapy, or radiation.

Leg edema related to congestive heart failure or liver disease can be treated with a diuretic (sometimes called a ''water pill'') like furosemide (Lasix). When you can pee more, fluid from the legs can flow back into the blood. Limiting how much sodium you eat can also help..

Herbal Remedies for Edema In Yoruba Herbal Medicine as Document By Babalawo Obanifa

1.

Egbo Ifon (roots of Treculia Africana)

Ataare (alligator pepper)

Omi osan wewe(fruit of lime orange juice)

Preparation

You will grind the two aforementioned items on the list together and mix it with lime orange juice.

Usage

You will be applying the preparation to the affected part of the body.

2,

Eeru (xylopia aethopica)

Omunu ewe ahun (tender leaves or shoot of  Stool wood /Alstonia boonei)

Ose dudu(local black soap)

Preparation

You will grind the aforementioned item together and mix it with the soap.

Usage

The person will be bathing the whole body with it.

3.

Ewe gbogbonise(leaves of Uvaria Afzeli)

Egbo gbogbonise(roots of Uvaria afzeli)

Preparation

You will boil the aforementioned items with water .

Usage

The person will be drinking one full glass of the preparation two times daily

4.

Eepo Igi Ahun ( bark stem of of  Stool wood /Alstonia boonei)

Eeru (xylopia aethopica)



Eepo igi Egun (unidentified)

Preparation

You will put the aforementioned items inside sufficient lime orange juice. You will boil the aforementioned item together.

Usage

Drink half glass of it daily.

5.

Odidi ataare meta (three whole alligator pepper)

Eeru (xylopia aethopica)

Preparation

You will boil it with water

Usage

The patient will be drinking one glass of it daily.

6

Tender leave of Egi. You will grind it and use it to cooked fish for the person to eat.

7

Isu atewo Edun (yam of Cola milleni )

Preparation

You will grind it to paste and use it to cook meat for the person to eat.

Copyright :Babalawo Pele Obasa Obanifa, phone and whatsapp contact :+2348166343145, location Ile Ife osun state Nigeria.

IMPORTANT NOTICE : As regards the article above, all rights reserved, no part of this article may be reproduced or duplicated in any form or by any means, electronic or mechanical including photocopying and recording or by any information storage or retrieval system without prior written permission from the copyright holder and the author Babalawo Obanifa, doing so is considered unlawful and will attract legal consequences





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 RECURSOS HERBARIOS PARA EDEMA (CUERPO INFLAMADO Y PIERNAS INFLAMADAS) POR BABALAWO OBANIFA-Obanifa documentales extremos



 

 Este trabajo documentará en detalle las variedades de la fórmula herbal disponible en la medicina herbal Yoruba para el tratamiento del edema (brazos y piernas hinchados) en la medicina herbal Yoruba.  El término uso para Edema en la medicina herbal Yoruba se conoce como Lobutu / Ara Wiwu / Ogodo.  Este trabajo documentará algunas de las fórmulas a base de hierbas disponibles para el tratamiento de tales afecciones.  Antes de embarcarse en esta documentación de varios remedios herbales disponibles en la medicina herbaria Yoruba para el tratamiento de esta afección.  El trabajo primero explorará la explicación científica de lo que es el edema y su tratamiento, puesto a disposición por Webmed.com en su trabajo titulado, qué es el edema> (fuente de información explicativa https://www.webmd.com/heart-disease/heart  -failure / edema-overview # 1) según esta fuente "Edema" es el término médico para la inflamación.  Las partes del cuerpo se hinchan por lesiones o inflamación.  Puede afectar un área pequeña o todo el cuerpo.  Los medicamentos, el embarazo, las infecciones y muchos otros problemas médicos pueden causar edema.

 El edema ocurre cuando sus pequeños vasos sanguíneos pierden líquido en los tejidos cercanos.  Ese líquido adicional se acumula, lo que hace que el tejido se hinche.  Puede suceder casi en cualquier parte del cuerpo.

 Tipos de edema

 Edema periférico.  Esto generalmente afecta las piernas, los pies y los tobillos, pero también puede ocurrir en los brazos.  Podría ser un signo de problemas con su sistema circulatorio, ganglios linfáticos o riñones.

 Edema de pedal.  Esto sucede cuando se acumula líquido en los pies y las piernas.  Es más común si eres mayor o estás embarazada.  Puede hacer que sea más difícil moverse en parte porque es posible que no tenga tanta sensación en los pies.


 Linfedema  Esta hinchazón en los brazos y las piernas generalmente es causada por daño a los ganglios linfáticos, tejidos que ayudan a filtrar gérmenes y desechos de su cuerpo.  El daño puede ser el resultado de tratamientos contra el cáncer como cirugía y radiación.  El cáncer en sí mismo también puede bloquear los ganglios linfáticos y provocar la acumulación de líquido.

 Edema pulmonar.  Cuando el líquido se acumula en los alvéolos de los pulmones, tiene edema pulmonar.  Eso te dificulta la respiración y es peor cuando te acuestas.  Puede tener latidos cardíacos rápidos, sentirse sofocado y toser una saliva espumosa, a veces con sangre.  Si sucede de repente, llame al 911.

 Edema cerebral.  Esta es una condición muy grave en la cual se acumula líquido en el cerebro.  Puede suceder si se golpea la cabeza con fuerza, si un vaso sanguíneo se bloquea o estalla, o si tiene un tumor o una reacción alérgica.

 Edema macular.  Esto sucede cuando se acumula líquido en una parte del ojo llamada mácula, que se encuentra en el centro de la retina, el tejido sensible a la luz en la parte posterior del ojo.  Ocurre cuando los vasos sanguíneos dañados en la retina pierden líquido en el área.

 Causas del edema

 Cosas como un tobillo torcido, una picadura de abeja o una infección de la piel causarán edema.  En algunos casos, como una infección, esto puede ser útil.  Más líquido de los vasos sanguíneos coloca más glóbulos blancos que combaten las infecciones en el área inflamada.

 El edema también puede provenir de otras afecciones o de cuando el equilibrio de sustancias en la sangre está apagado.  Por ejemplo:

 Baja albúmina  Su médico puede llamar a esto hipoalbuminemia.  La albúmina y otras proteínas en la sangre actúan como esponjas para mantener el líquido en los vasos sanguíneos.  La baja albúmina puede contribuir al edema, pero no suele ser la única causa.

 Reacciones alérgicas.  El edema es parte de la mayoría de las reacciones alérgicas.  En respuesta al alergeno, los vasos sanguíneos cercanos pierden líquido en el área afectada.

 Obstrucción del flujo.  Si se bloquea el drenaje de líquido de una parte de su cuerpo, el líquido puede retroceder.  Un coágulo de sangre en las venas profundas de la pierna puede causar edema en la pierna.  Un tumor que bloquea el flujo de sangre u otro líquido llamado linfa puede causar edema.

 Enfermedad crítica.  Las quemaduras, las infecciones potencialmente mortales u otras enfermedades críticas pueden causar una reacción que permite que el líquido se filtre a los tejidos en casi todas partes.  Esto puede causar edema en todo el cuerpo.

 Insuficiencia cardíaca congestiva .  Cuando el corazón se debilita y bombea sangre con menos eficacia, el líquido puede acumularse lentamente, creando edema en las piernas.  Si el líquido se acumula rápidamente, puede obtener líquido en los pulmones.  Si su insuficiencia cardíaca está en el lado derecho de su corazón, se puede desarrollar edema en el abdomen.

 Enfermedad del higado.  La enfermedad hepática grave, como la cirrosis, hace que retenga líquidos.  La cirrosis también conduce a niveles bajos de albúmina y otras proteínas en la sangre.  El líquido se filtra hacia el abdomen y también puede causar edema en las piernas.

 Enfermedad del riñon.  Una afección renal llamada síndrome nefrótico puede causar edema grave en las piernas y, a veces, edema en todo el cuerpo.

 El embarazo.  El edema leve de la pierna es común durante el embarazo.  Pero las complicaciones graves del embarazo, como la trombosis venosa profunda y la preeclampsia, también pueden causar edema.

 El traumatismo craneoencefálico, el bajo nivel de sodio en sangre (llamado hiponatremia), las grandes altitudes, los tumores cerebrales y un bloqueo en el drenaje de líquidos en el cerebro (conocido como hidrocefalia) pueden causar edema cerebral.  Al igual que los dolores de cabeza, la confusión, la inconsciencia y el coma.

 Medicamentos  Muchos medicamentos pueden causar edema, que incluyen:

 AINE (como ibuprofeno y naproxeno)

 Bloqueadores de los canales de calcio

 Corticosteroides (como prednisona y metilprednisolona)

 Pioglitazona y rosiglitazona

 Pramipexol

 Cuando causan hinchazón, generalmente es un edema leve en las piernas

 Los síntomas de edema

 Sus síntomas dependerán de la cantidad de inflamación que tenga y de dónde la tenga.

 El edema en un área pequeña por una infección o inflamación (como la picadura de un mosquito) puede no causar síntomas.  Por otro lado, una reacción alérgica grande (como la picadura de una abeja) puede causar edema en todo el brazo que puede provocar dolor y limitar el movimiento del brazo.

 Las alergias alimentarias y las reacciones alérgicas a los medicamentos pueden causar edema en la lengua o la garganta.  Esto puede poner en peligro la vida si interfiere con su respiración.

 El edema de la pierna puede hacer que las piernas se sientan pesadas.  Esto puede afectar la marcha.  En el edema y la enfermedad cardíaca, por ejemplo, las piernas pueden pesar fácilmente 5 o 10 libras adicionales cada una.  El edema severo en las piernas puede interferir con el flujo sanguíneo y provocar úlceras en la piel.

 Continuar leyendo a continuación

 El edema pulmonar causa dificultad para respirar y, a veces, niveles bajos de oxígeno en la sangre.  Algunas personas con edema pulmonar pueden tener tos.

 Puede haber una sangría o un "hoyo" que permanezca por un tiempo después de presionar la piel en algunos tipos de edema.  Esto se llama edema de picadura.  Si el tejido vuelve a su forma normal, se llama edema sin picaduras.  Es un síntoma que puede ayudar a su médico a determinar la causa de su edema.

 Tratamiento de edema

 Para tratar el edema, a menudo debe tratar su causa subyacente.  Por ejemplo, puede tomar medicamentos para la alergia para tratar la inflamación de las alergias.

 El edema de un bloqueo en el drenaje de líquidos a veces se puede tratar haciendo que el drenaje fluya nuevamente.  Un coágulo de sangre en la pierna se trata con anticoagulantes.  Rompen el coágulo y hacen que el drenaje vuelva a la normalidad.  Un tumor que bloquea la sangre o la linfa a veces puede reducirse o extirparse con cirugía, quimioterapia o radiación.

 El edema de la pierna relacionado con insuficiencia cardíaca congestiva o enfermedad hepática puede tratarse con un diurético (a veces llamado "píldora de agua") como furosemida (Lasix).  Cuando puede orinar más, el líquido de las piernas puede regresar a la sangre.  Limitar la cantidad de sodio que comes también puede ayudar.

 Remedios herbales para el edema en la medicina herbaria yoruba como documento de Babalawo Obanifa

 1)

 Egbo Ifon (raíces de Treculia Africana)

 Ataare (pimienta de cocodrilo)

 Omi osan wewe (fruta de zumo de lima y naranja)

 Preparación

 Molerás los dos elementos mencionados anteriormente en la lista y los mezclarás con jugo de lima y naranja.

 Uso

 Aplicará la preparación a la parte afectada del cuerpo.

 2,

 Eeru (xylopia aethopica)

 Omunu ewe ahun (hojas tiernas o brotes de madera de heces / Alstonia boonei)

 Ose dudu (jabón negro local)

 Preparación

 Molerás el artículo antes mencionado y lo mezclarás con el jabón.

 Uso

 La persona estará bañando todo el cuerpo con él.

 3)

 Oveja gbogbonise (hojas de Uvaria Afzeli)

 Egbo gbogbonise (raíces de Uvaria afzeli)

 Preparación

 Hervirás los elementos antes mencionados con agua.

 Uso

 La persona tomará un vaso lleno de la preparación dos veces al día.

 4)

 Eepo Igi Ahun (tallo de corteza de madera de heces / Alstonia boonei)

 Eeru (xylopia aethopica)


 Eepo igi Egun (no identificado)

 Preparación

 Pondrás los artículos antes mencionados dentro de suficiente jugo de limón y naranja.  Hervirán el artículo mencionado juntos.

 Uso

 Beba medio vaso de ella diariamente.

 5)

 Odidi ataare meta (tres pimientas de cocodrilo enteras)

 Eeru (xylopia aethopica)

 Preparación

 Lo hervirás con agua.

 Uso

 El paciente tomará un vaso de él diariamente.

 6 6

 Tierna licencia de Egi.  Lo triturará y lo usará para cocinar pescado para que la persona coma.

 7 7

 Isu atewo Edun (ñame de milleni de cola)

 Preparación

 Lo triturará para pegarlo y lo usará para cocinar carne para que la persona coma.

 Copyright: Babalawo Pele Obasa Obanifa, teléfono y contacto de WhatsApp: +2348166343145, ubicación Ile Ife osun state Nigeria.

 AVISO IMPORTANTE: Con respecto al artículo anterior, todos los derechos reservados, ninguna parte de este artículo puede reproducirse o duplicarse de ninguna forma ni por ningún medio, electrónico o mecánico, incluyendo fotocopias y grabaciones, o por cualquier sistema de almacenamiento o recuperación de información sin permiso previo por escrito.  del titular de los derechos de autor y del autor Babalawo Obanifa, hacerlo se considera ilegal y traerá consecuencias legales



  Clique no Vedio acima para assistir e baixar alimentos para comer para tratar edema natural remédios caseiros

  RECURSOS HERBAIS PARA EDEMA (CORPO INCOLOR E PERNAS INCOLORADAS) DE BABALAWO OBANIFA-Obanifa documentários extremos



  

  Este trabalho documentará em detalhes as variedades da fórmula à base de plantas disponíveis em fitoterapia iorubá para o tratamento de edema (braços e pernas inchados) na fitoterapia iorubá.  O termo uso para edema na medicina herbal iorubá é conhecido como Lobutu / Ara Wiwu / Ogodo.  Este trabalho documentará algumas das fórmulas de ervas disponíveis para o tratamento de tais condições.  Antes de embarcar nesta documentação de vários remédios fitoterápicos disponíveis na medicina herbal iorubá para o tratamento dessa condição.  O trabalho explorará primeiro a explicação científica do que é edema e seu tratamento, conforme disponibilizado por Webmed.com em seu trabalho intitulado, o que é edema> (fonte de informações da explicação https://www.webmd.com/heart-disease/heart  visão geral do defeito / edema # 1) de acordo com esta fonte "Edema" é o termo médico para inchaço.  As partes do corpo incham devido a lesões ou inflamação.  Pode afetar uma pequena área ou todo o corpo.  Medicamentos, gravidez, infecções e muitos outros problemas médicos podem causar edema.

  O edema acontece quando seus pequenos vasos sanguíneos vazam líquido para os tecidos próximos.  Esse fluido extra se acumula, o que faz o tecido inchar.  Isso pode acontecer em quase qualquer lugar do corpo.

  Tipos de edema

  Edema periférico.  Isso geralmente afeta as pernas, pés e tornozelos, mas também pode acontecer nos braços.  Pode ser um sinal de problemas com o sistema circulatório, linfonodos ou rins.

  Edema do pedal.  Isso acontece quando o líquido se acumula nos pés e nas pernas.  É mais comum se você é mais velho ou está grávida.  Isso pode dificultar a movimentação em parte porque você pode não ter tanta sensação em seus pés.


  Linfedema.  Esse inchaço nos braços e pernas é causado com mais freqüência por danos aos linfonodos, tecidos que ajudam a filtrar os germes e os resíduos do corpo.  O dano pode ser o resultado de tratamentos contra o câncer, como cirurgia e radiação.  O próprio câncer também pode bloquear os linfonodos e levar ao acúmulo de líquidos.

  Edema pulmonar.  Quando o líquido se acumula nos sacos de ar nos pulmões, você tem edema pulmonar.  Isso dificulta a respiração e é pior quando você se deita.  Você pode ter um batimento cardíaco acelerado, sentir-se sufocado e tossir um cuspo espumoso, às vezes com sangue.  Se isso acontecer de repente, ligue para o 911.

  Edema Cerebral.  Esta é uma condição muito séria na qual o líquido se acumula no cérebro.  Isso pode acontecer se você bater com a cabeça com força, se um vaso sanguíneo for bloqueado ou estourar, ou você tiver um tumor ou reação alérgica.

  Edema macular.  Isso acontece quando o fluido se acumula em uma parte do olho chamada mácula, que fica no centro da retina, o tecido sensível à luz na parte posterior do olho.  Isso acontece quando os vasos sanguíneos danificados na retina vazam fluido para a área.

  Causas do edema

  Coisas como um tornozelo torcido, uma picada de abelha ou uma infecção de pele causam edema.  Em alguns casos, como uma infecção, isso pode ser útil.  Mais líquido de seus vasos sanguíneos coloca mais glóbulos brancos no combate à infecção na área inchada.

  O edema também pode vir de outras condições ou de quando o equilíbrio de substâncias no sangue está desligado.  Por exemplo:

  Baixa albumina.  O seu médico pode chamar isso de hipoalbuminemia.  Albumina e outras proteínas no sangue agem como esponjas para manter o líquido nos vasos sanguíneos.  A baixa albumina pode contribuir para o edema, mas geralmente não é a única causa.

  Reações alérgicas.  O edema faz parte da maioria das reações alérgicas.  Em resposta ao alérgeno, os vasos sanguíneos próximos vazam líquido na área afetada.

  Obstrução de fluxo.  Se a drenagem de fluido de uma parte do seu corpo estiver bloqueada, ele poderá voltar.  Um coágulo sanguíneo nas veias profundas da sua perna pode causar edema na perna.  Um tumor que bloqueia o fluxo de sangue ou outro fluido chamado linfa pode causar edema.

  Doença grave.  Queimaduras, infecções com risco de vida ou outras doenças críticas podem causar uma reação que permite que o líquido vaze para os tecidos em quase toda parte.  Isso pode causar edema em todo o corpo.

  Insuficiência cardíaca congestiva.  Quando o coração enfraquece e bombeia o sangue com menos eficácia, o líquido pode se acumular lentamente, criando edema nas pernas.  Se o líquido se acumular rapidamente, você poderá obter líquido nos pulmões.  Se a sua insuficiência cardíaca estiver do lado direito, pode ocorrer edema no abdômen.

  Doença hepática.  Doenças graves do fígado, como cirrose, fazem com que você retenha líquidos.  A cirrose também leva a baixos níveis de albumina e outras proteínas no sangue.  O líquido vaza para o abdômen e também pode causar edema nas pernas.

  Doenca renal.  Uma condição renal chamada síndrome nefrótica pode causar edema grave nas pernas e às vezes edema no corpo todo.

  Gravidez.  Edema leve nas pernas é comum durante a gravidez.  Mas complicações graves da gravidez, como trombose venosa profunda e pré-eclâmpsia, também podem causar edema.

  Trauma na cabeça, baixo nível de sódio no sangue (chamado hiponatremia), grandes altitudes, tumores cerebrais e um bloqueio na drenagem de fluidos no cérebro (conhecida como hidrocefalia) podem causar edema cerebral.  O mesmo acontece com dores de cabeça, confusão, inconsciência e coma.

  Medicamentos.  Muitos medicamentos podem causar edema, incluindo:

  AINEs (como ibuprofeno e naproxeno)

  Bloqueadores dos canais de cálcio

  Corticosteróides (como prednisona e metilprednisolona)

  Pioglitazona e rosiglitazona

  Pramipexol

  Quando causam inchaço, geralmente é um edema leve nas pernas

  Sintomas de edema

  Seus sintomas dependerão da quantidade de inchaço que você tem e de onde está.

  O edema em uma área pequena causada por uma infecção ou inflamação (como uma picada de mosquito) pode não causar sintomas.  Por outro lado, uma grande reação alérgica (como uma picada de abelha) pode causar edema em todo o braço, causando dor e limitando o movimento do braço.

  Alergias alimentares e reações alérgicas ao medicamento podem causar edema na língua ou na garganta.  Isso pode ser fatal se interferir na sua respiração.

  O edema das pernas pode fazer com que as pernas fiquem pesadas.  Isso pode afetar a caminhada.  Em edema e doenças cardíacas, por exemplo, as pernas podem pesar com facilidade 5 ou 10 libras extras cada.  O edema grave nas pernas pode interferir no fluxo sanguíneo, causando úlceras na pele.

  Continue lendo abaixo

  O edema pulmonar causa falta de ar e, às vezes, baixos níveis de oxigênio no sangue.  Algumas pessoas com edema pulmonar podem ter tosse.

  Pode haver um recuo ou um "fosso" que permanece por um tempo depois que você pressiona a pele em alguns tipos de edema.  Isso é chamado de edema cutâneo.  Se o tecido voltar à sua forma normal, é chamado de edema sem caroço.  É um sintoma que pode ajudar seu médico a descobrir a causa do seu edema.

  Tratamento de edema

  Para tratar o edema, muitas vezes você deve tratar sua causa subjacente.  Por exemplo, você pode tomar medicamentos para alergia para tratar o inchaço causado por alergias.

  Às vezes, o edema de um bloqueio na drenagem de fluidos pode ser tratado fazendo com que a drenagem flua novamente.  Um coágulo de sangue na perna é tratado com anticoagulantes.  Eles quebram o coágulo e recuperam a drenagem ao normal.  Às vezes, um tumor que bloqueia o sangue ou a linfa pode ser encolhido ou removido com cirurgia, quimioterapia ou radiação.

  O edema das pernas relacionado à insuficiência cardíaca congestiva ou doença hepática pode ser tratado com um diurético (às vezes chamado de "pílula de água") como a furosemida (Lasix).  Quando você pode fazer xixi mais, o líquido das pernas pode fluir de volta para o sangue.  Limitar a quantidade de sódio que você come também pode ajudar ..

  Remédios à base de plantas para edema na medicina herbal iorubá como documento por Babalawo Obanifa

  1

  Egbo Ifon (raízes da Treculia Africana)

  Ataare (pimenta de jacaré)

  Omi osan wewe (fruto do suco de laranja limão)

  Preparação

  Você irá moer os dois itens mencionados acima na lista e misturá-los com suco de laranja-limão.

  Uso

  Você aplicará a preparação na parte afetada do corpo.

  2

  Eeru (xylopia aethopica)

  Omunu ovelha ahun (folhas tenras ou broto de madeira de fezes / Alstonia boonei)

  Ose dudu (sabão preto local)

  Preparação

  Você vai moer o item acima mencionado e misturá-lo com o sabão.

  Uso

  A pessoa estará banhando todo o corpo com ele.

  3)

  Ovelha gbogbonise (folhas de Uvaria Afzeli)

  Egbo gbogbonise (raízes de Uvaria afzeli)

  Preparação

  Você ferverá os itens acima mencionados com água.

  Uso

  A pessoa vai beber um copo cheio da preparação duas vezes ao dia

  4)

  Eepo Igi Ahun (tronco de casca de madeira de fezes / Alstonia boonei)

  Eeru (xylopia aethopica)


  Eepo igi Egun (não identificado)

  Preparação

  Você colocará os itens mencionados dentro de suco de laranja com limão suficiente.  Você irá ferver o item acima mencionado juntos.

  Uso

  Beba meio copo diariamente.

  5)

  Odidi ataare meta (três pimenta de jacaré inteira)

  Eeru (xylopia aethopica)

  Preparação

  Você vai ferver com água

  Uso

  O paciente irá beber um copo diariamente.

  6

  Licitação de Egi.  Você vai moer e usá-lo no peixe cozido para a pessoa comer.

  7

  Isu atew Edun (inhame de Cola milleni)

  Preparação

  Você vai moer para colar e usá-lo para cozinhar carne para a pessoa comer.

  Direitos autorais: Babalawo Pele Obasa Obanifa, telefone e whatsapp: +2348166343145, local Ile Ife osun state Nigeria.

  AVISO IMPORTANTE: Com relação ao artigo acima, todos os direitos reservados, nenhuma parte deste artigo pode ser reproduzida ou duplicada de qualquer forma ou por qualquer meio, eletrônico ou mecânico, incluindo fotocópia e gravação ou por qualquer sistema de armazenamento ou recuperação de informações sem permissão prévia por escrito  do detentor dos direitos autorais e do autor Babalawo Obanifa, fazê-lo é considerado ilegal e atrairá consequências legais



  Cliquez sur le Vedio ci-dessus pour regarder et télécharger les aliments à manger pour traiter l'Å“dème naturellement à la maison

  RECOURS À BASE D'HERBES POUR L'Å’DÈME (CORPS ET ÉPAULES ENROULÉS) PAR BABALAWO OBANIFA-Obanifa documentaires extrêmes



  

  Ce travail documentera en détail les variétés de la formule à base de plantes disponibles en phytothérapie Yoruba pour le traitement de l'Å“dème (bras et jambes gonflés) en phytothérapie Yoruba.  Le terme utilisé pour l'Å“dème en phytothérapie Yoruba est connu sous le nom de Lobutu / Ara Wiwu / Ogodo.  Ce travail documentera certaines des formules à base de plantes disponibles pour le traitement de ces conditions.  Avant de vous lancer dans cette documentation sur les différents remèdes à base de plantes disponibles en phytothérapie Yoruba pour le traitement de cette condition.  Le travail explorera d'abord l'explication scientifique de ce qu'est l'Å“dème et son traitement tel que mis à disposition par Webmed.com dans leur travail intitulé, qu'est-ce que l'Å“dème> (source d'informations d'explication https://www.webmd.com/heart-disease/heart  -failure / Å“dème-aperçu # 1) selon cette source "Å“dème" est le terme médical pour le gonflement.  Les parties du corps enflent à cause d'une blessure ou d'une inflammation.  Il peut affecter une petite zone ou tout le corps.  Les médicaments, la grossesse, les infections et de nombreux autres problèmes médicaux peuvent provoquer un Å“dème.

  L'Å“dème se produit lorsque vos petits vaisseaux sanguins fuient du liquide dans les tissus voisins.  Ce liquide supplémentaire s'accumule, ce qui fait gonfler les tissus.  Cela peut arriver presque n'importe où dans le corps.

  Types d'oedèmes

  Å’dème périphérique.  Cela affecte généralement les jambes, les pieds et les chevilles, mais cela peut également se produire dans les bras.  Cela pourrait être un signe de problèmes avec votre système circulatoire, vos ganglions lymphatiques ou vos reins.

  Oedème de la pédale.  Cela se produit lorsque du liquide s'accumule dans vos pieds et le bas de vos jambes.  C'est plus courant si vous êtes plus âgée ou enceinte.  Il peut être plus difficile de se déplacer en partie parce que vous ne ressentez peut-être pas autant vos pieds.


  Lymphoedème.  Cette enflure dans les bras et les jambes est le plus souvent causée par des dommages à vos ganglions lymphatiques, tissus qui aident à filtrer les germes et les déchets de votre corps.  Les dommages peuvent être le résultat de traitements contre le cancer comme la chirurgie et les radiations.  Le cancer lui-même peut également bloquer les ganglions lymphatiques et entraîner une accumulation de liquide.

  Å’dème pulmonaire.  Lorsque le liquide s'accumule dans les sacs aériens de vos poumons, vous avez un Å“dème pulmonaire.  Cela vous rend la respiration difficile, et c'est pire lorsque vous vous allongez.  Vous pouvez avoir un rythme cardiaque rapide, vous sentir étouffé et cracher une salive mousseuse, parfois avec du sang.  Si cela se produit soudainement, appelez le 911.

  Å’dème cérébral.  Il s'agit d'une condition très grave dans laquelle du liquide s'accumule dans le cerveau.  Cela peut se produire si vous vous frappez fortement la tête, si un vaisseau sanguin est bloqué ou éclate, ou si vous avez une tumeur ou une réaction allergique.

  Oedème maculaire.  Cela se produit lorsque du liquide s'accumule dans une partie de votre Å“il appelée macula, qui est au centre de la rétine, le tissu photosensible à l'arrière de l'Å“il.  Cela se produit lorsque des vaisseaux sanguins endommagés dans la rétine fuient du liquide dans la région.

  Les causes de l'oedème

  Des choses comme une cheville tordue, une piqûre d'abeille ou une infection cutanée provoqueront un Å“dème.  Dans certains cas, comme une infection, cela peut être utile.  Plus de liquide de vos vaisseaux sanguins met plus de globules blancs anti-infectieux dans la zone enflée.

  L'Å“dème peut également provenir d'autres conditions ou de la perte de l'équilibre des substances dans votre sang.  Par exemple:

  Faible albumine.  Votre médecin peut appeler cette hypoalbuminémie.  L'albumine et d'autres protéines dans le sang agissent comme des éponges pour garder le liquide dans vos vaisseaux sanguins.  Un taux d'albumine faible peut contribuer à l'Å“dème, mais ce n'est généralement pas la seule cause.

  Réactions allergiques.  L'Å“dème fait partie de la plupart des réactions allergiques.  En réponse à l'allergène, les vaisseaux sanguins à proximité fuient du liquide dans la zone affectée.

  Obstruction de l'écoulement.  Si le drainage du fluide d'une partie de votre corps est bloqué, le fluide peut remonter.  Un caillot de sang dans les veines profondes de votre jambe peut provoquer un Å“dème de la jambe.  Une tumeur bloquant le flux sanguin ou un autre liquide appelé lymphe peut provoquer un Å“dème.

  Maladie critique.  Les brûlures, les infections mortelles ou d'autres maladies graves peuvent provoquer une réaction qui permet au liquide de s'écouler dans les tissus presque partout.  Cela peut provoquer un Å“dème sur tout le corps.

  Insuffisance cardiaque congestive.  Lorsque le cÅ“ur s'affaiblit et pompe le sang moins efficacement, le liquide peut lentement s'accumuler, créant un Å“dème des jambes.  Si le liquide s'accumule rapidement, vous pouvez obtenir du liquide dans les poumons.  Si votre insuffisance cardiaque est du côté droit de votre cÅ“ur, un Å“dème peut se développer dans l'abdomen.

  Maladie du foie.  Une maladie hépatique grave, telle que la cirrhose, vous fait retenir du liquide.  La cirrhose entraîne également de faibles niveaux d'albumine et d'autres protéines dans votre sang.  Le liquide fuit dans l'abdomen et peut également provoquer un Å“dème des jambes.

  Maladie rénale.  Une maladie rénale appelée syndrome néphrotique peut provoquer un Å“dème sévère des jambes et parfois un Å“dème du corps entier.

  Grossesse.  Un léger Å“dème des jambes est fréquent pendant la grossesse.  Mais les complications graves de la grossesse comme la thrombose veineuse profonde et la prééclampsie peuvent également provoquer un Å“dème.

  Un traumatisme crânien, une hypoglycémie (appelée hyponatrémie), des altitudes élevées, des tumeurs cérébrales et un blocage du drainage des fluides dans le cerveau (appelé hydrocéphalie) peuvent provoquer un Å“dème cérébral.  Tout comme les maux de tête, la confusion, l'inconscience et le coma.

  Médicaments.  De nombreux médicaments peuvent provoquer un Å“dème, notamment:

  AINS (comme l'ibuprofène et le naproxène)

  Bloqueurs de canaux calciques

  Corticostéroïdes (comme la prednisone et la méthylprednisolone)

  Pioglitazone et rosiglitazone

  Pramipexole

  Quand ils provoquent un gonflement, il s'agit généralement d'un léger Å“dème des jambes

  Les symptômes de l'oedème

  Vos symptômes dépendront de la quantité de gonflement que vous avez et de l'endroit où vous en avez.

  Un Å“dème dans une petite zone d'une infection ou d'une inflammation (comme une piqûre de moustique) peut ne provoquer aucun symptôme.  D'un autre côté, une réaction allergique importante (telle qu'une piqûre d'abeille) peut provoquer un Å“dème sur tout votre bras, ce qui peut provoquer de la douleur et limiter les mouvements de votre bras.

  Les allergies alimentaires et les réactions allergiques aux médicaments peuvent provoquer un Å“dème de la langue ou de la gorge.  Cela peut être mortel s'il interfère avec votre respiration.

  L'Å“dème des jambes peut rendre les jambes lourdes.  Cela peut affecter la marche.  Dans l'Å“dème et les maladies cardiaques, par exemple, les jambes peuvent facilement peser 5 ou 10 livres supplémentaires chacune.  Un Å“dème sévère des jambes peut interférer avec la circulation sanguine, entraînant des ulcères sur la peau.

  Continuer la lecture ci-dessous

  L'Å“dème pulmonaire provoque un essoufflement et parfois de faibles niveaux d'oxygène dans le sang.  Certaines personnes souffrant d'Å“dème pulmonaire peuvent tousser.

  Il peut y avoir un retrait ou une «fosse» qui reste pendant un certain temps après avoir poussé sur la peau dans certains types d'oedèmes.  C'est ce qu'on appelle un Å“dème piqueur.  Si le tissu reprend sa forme normale, il s’agit d’un Å“dème sans piqûres.  C'est un symptôme qui peut aider votre médecin à déterminer la cause de votre Å“dème.

  Traitement de l'oedème

  Pour traiter l'Å“dème, vous devez souvent traiter sa cause sous-jacente.  Par exemple, vous pouvez prendre des médicaments contre les allergies pour traiter l'enflure due aux allergies.

  L'Å“dème d'un bloc dans le drainage des fluides peut parfois être traité en faisant à nouveau s'écouler le drainage.  Un caillot de sang dans la jambe est traité avec des anticoagulants.  Ils décomposent le caillot et ramènent le drainage à la normale.  Une tumeur qui bloque le sang ou la lymphe peut parfois être rétrécie ou enlevée par chirurgie, chimiothérapie ou radiothérapie.

  L'Å“dème des jambes lié à une insuffisance cardiaque congestive ou à une maladie du foie peut être traité avec un diurétique (parfois appelé «pilule d'eau») comme le furosémide (Lasix).  Lorsque vous pouvez faire pipi plus, le liquide des jambes peut refluer dans le sang.  Limiter la quantité de sodium que vous mangez peut également aider.

  Remèdes à base de plantes pour l'Å“dème en phytothérapie yoruba comme document de Babalawo Obanifa

  1.

  Egbo Ifon (racines de Treculia Africana)

  Ataare (piment alligator)

  Omi osan wewe (fruit de jus d'orange citron vert)

  Préparation

  Vous broyez ensemble les deux éléments susmentionnés sur la liste et le mélangez avec du jus d'orange à la lime.

  Usage

  Vous appliquerez la préparation sur la partie affectée du corps.

  2,

  Eéru (Xylopia aethopica)

  Omunu ewe ahun (feuilles tendres ou pousses de bois de selles / Alstonia boonei)

  Ose dudu (savon noir local)

  Préparation

  Vous broyez ensemble l'élément susmentionné et le mélangez avec le savon.

  Usage

  La personne baignera tout le corps avec.

  3.

  Brebis gbogbonise (feuilles d'Uvaria Afzeli)

  Egbo gbogbonise (racines d'Uvaria afzeli)

  Préparation

  Vous allez faire bouillir les éléments susmentionnés avec de l'eau.

  Usage

  La personne va boire un verre plein de la préparation deux fois par jour

  4.

  Eepo Igi Ahun (tige d'écorce de Tabouret bois / Alstonia boonei)

  Eéru (Xylopia aethopica)


  Eepo igi Egun (non identifié)

  Préparation

  Vous mettrez les articles susmentionnés dans suffisamment de jus d'orange à la lime.  Vous ferez bouillir l'élément susmentionné ensemble.

  Usage

  Buvez-en un demi-verre par jour.

  5.

  Odidi ataare meta (trois piments alligators entiers)

  Eéru (Xylopia aethopica)

  Préparation

  Vous allez le faire bouillir avec de l'eau

  Usage

  Le patient en boit un verre par jour.

  6

  Tendre congé d'Egi.  Vous allez le moudre et l'utiliser pour du poisson cuit que la personne pourra manger.

  sept

  Isu atewo Edun (igname de Cola milleni)

  Préparation

  Vous allez le broyer pour le coller et l'utiliser pour faire cuire de la viande pour la personne à manger.

  Copyright: Babalawo Pele Obasa Obanifa, téléphone et contact WhatsApp: +2348166343145, emplacement Ile Ife osun state Nigeria.

  AVIS IMPORTANT: En ce qui concerne l'article ci-dessus, tous droits réservés, aucune partie de cet article ne peut être reproduite ou dupliquée sous quelque forme ou par quelque moyen que ce soit, électronique ou mécanique, y compris la photocopie et l'enregistrement ou par tout système de stockage ou de récupération d'informations sans autorisation écrite préalable  du titulaire du droit d'auteur et de l'auteur Babalawo Obanifa, le faire est considéré comme illégal et entraînera des conséquences juridiques


Facial Tingling: Causes, Diagnosis, Natural Treatment
A sudden tingling sensation overtaking your hands, feet, or face is a fairly common complaint reported by people in the United States. It may be a result of either sleeping for prolonged hours on either of your limbs or sitting in the same position when reading or writing.

Medically termed as paresthesia, a tingling sensation is usually an outcome of trauma or injury to the peripheral nervous system (PNS). The PNS is a component of the nervous system that connects the brain to the various organs of the body through a network of nerve fibers. It transmits information back and forth in the form of nerve impulses or signals.

When a nerve is pinched or compressed, the transfer of signals may be delayed, slowed, or hampered, affecting the brain’s capacity to interpret signals and send back responses. In order to cope with this phenomenon, the brain responds by associating the sensation to numbness and tingling. These are the first symptoms of a nerve injury.

A mild or temporary tingling marked by a “feeling of pins and needles” can be relieved as soon as the pressure on the associated nerve is relieved. In cases of transient paresthesia, usually caused by a mild nerve compression, the symptoms resolve on their own.

Tingling and sensory problems are common in patients suffering from neurological disorders, chronic painful conditions such as fibromyalgia, and other diseases, complicating the diagnosis at times. However, there is partial clarity in cases of facial tingling.

In nearly all facial injuries, the trigeminal nerve is mechanically compressed, stretched, or inflamed.[1] Facial tingling affects the facial skin region as a numb tingling or a skin crawling feeling often coming without pain in the initial stages. If the predominant symptom is facial pain, then the disorder is called trigeminal neuralgia, a relatively well-characterized neurological disorder of the trigeminal nerve.[6]

Contents
Contents

What Can Cause Facial Tingling?
What Are the Signs and Symptoms of Facial Tingling?
How Is Facial Tingling Diagnosed?
What Is the Medical Treatment for Facial Tingling?
Natural Ways to Reduce Facial Tingling
1. Try Cognitive Behavioral Therapy
2. Practice Mindfulness Meditation
3. Consider Vitamin B6 Supplements
4. Drink Turmeric Milk
5. Take Ginkgo Biloba Extract
Complications
When to See a Doctor
End Note

What Can Cause Facial Tingling?
Facial tingling is not a disease per se but a symptom of diseases inflicting the nerve or nerve function.

It may be caused by:

A psychiatric disease
Damage inflicted on the upper spinal cord or posterior part of the brain stem
Dehydration around 5–6 percent
Improper circulation of blood
Vitamin B6 deficiency
Individuals receiving chronic hemodialysis
Malnutrition in chronic alcoholics
Pregnancy or lactation
Medications such as penicillamine, isoniazid, or phenelzine
Medical conditions related to the nervous system such as:
Stroke
Transverse myelitis
Encephalitis
Injury to the dental and facial region
Compression of the trigeminal nerve
Sarcoidosis
Autoimmune disorder
A tumor or vascular lesion putting pressure on the brain or spinal cord
What Are the Signs and Symptoms of Facial Tingling?
Facial tingling is marked by a characteristic numbness and tingling sensation on the face. It may also be accompanied by:

Skin sensitivity over the affected facial region
At times, pain

How Is Facial Tingling Diagnosed?
Evaluating a patient’s medical history is of utmost importance to ascertain the exact problem. Several patients may interpret the loss of sensitivity or any other neurological damage as a case of tingling.

The objective here is to determine the areas with reduced or lost sensations and the perimeters surrounding the affected facial region suggesting nerve damage on a particular point.

Your doctor may prescribe either of the following to ascertain the exact cause:

MRI or CT scan if the suspected cause is a stroke
Blood tests if an underlying illness is the cause
A referral to a psychiatrist if the cause is psychiatric in nature
What Is the Medical Treatment for Facial Tingling?
The treatment for paresthesia will solely rely on diagnosing the cause of your condition.

Mild conditions are generally harmless, involving little or no pain, and tend to resolve spontaneously. However, patients with severe conditions riddled with pain need to seek professional help. The consultant neurologist may prescribe corticosteroids to reduce the tingling sensation.

If severe anxiety, panic attacks, or a psychiatric cause is behind the tingling sensation in your face, your doctor may refer you to a mental health professional.

Natural Ways to Reduce Facial Tingling


Let’s take a look at the natural ways to help you brave through the tingling sensation in your face.

1. Try Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) focused on sensory training can help the affected patient understand the alterations in the nerve impulses being transmitted.

Sensory reeducation can help the patient relearn his touch perceptions in the case of facial tingling. This form of CBT educates the senses to make out the difference between the moving touch sensation and constant touch sensation. It also helps the patient evaluate the location of the touch on the affected skin.[1] However, the stimulus to trigger the touch perceptions must never be so intense as to inflict pain.

2. Practice Mindfulness Meditation
Mindfulness meditation combines the attentiveness of meditation with the self-contemplation of the present.

Practicing mindfulness meditation captures your attention in the present, opening the door to consciousness, sensation, your ambiance, acceptance, and being forthright without any room for judgmental thoughts. This will help calm your mind in the process, by combating stress and stimulating the relaxation response of your body.

Mindfulness-based interventions can help relieve the perceptions of pain and also reduce the symptoms of depression in individuals suffering from chronic conditions.[4]

Although there is no direct link between facial tingling and meditation therapies, practicing mindfulness meditation can help manage stress and depression, two of the causes of facial tingling.

3. Consider Vitamin B6  Supplements
A deficiency in vitamin B6, also known as pyridoxine, is associated with nerve damage and tingling, which can be remedied with its supplementation.

The dietary supplementation of pyridoxine is imperative because of the body’s inherent inability to synthesize it. Although our dietary intake is sufficient to cater to our vitamin B6 needs and its deficiency is rare, some individuals are prone to a deficiency of vitamin B6.  Adult individuals deficient in vitamin B6  may experience tingling in the hands, legs, and eventually the face.[5]

Consider taking vitamin B6  supplements upon your doctor’s approval.

. Drink Turmeric Milk
Turmeric is bestowed with a polyphenol called curcumin that can help resolve facial tingling due to its anti-inflammatory properties.

Peripheral nerve damage is initially manifested in the sensory fibers and experienced as pain and tingling. As the nerve fibers are injured, various biological processes come into force and the damage appears in the form of pain, tingling, and numbness. Oxidative stress and inflammation are among the many processes that contribute to nerve damage.

A study has highlighted the supplementation of an adjunct treatment containing turmeric with alpha-lipoic acid to reduce the numbness, pain, and tingling experienced in peripheral neuropathy.[2]

The anti-inflammatory nature of the bioactive ingredient curcumin can help reduce the production of molecules that trigger inflammation. Its antioxidant activity can help combat the oxidative stress that causes the pain, tingling, and numbness in the mechanically compressed nerves.

Add ½ to 1-inch piece of turmeric to a pan.
Add 8 ounces of milk to the pan containing turmeric.
Let the mixture boil for about 15 minutes.
Strain the milk and drink 1 cup of it daily.

Take Ginkgo Biloba Extract
Ginkgo biloba extract (GBE) has been accredited with antioxidant and neuroprotective activities that can help fight oxidative stress and reduce nerve damage.

Its medicinal value stems from its ability to prevent oxidation-induced injuries and its positive effects on nerve regeneration, cerebral insufficiency, and peripheral vascular disease.

A study has demonstrated the effects of GBE on the numbness and tingling sensation associated with a compressed nerve. The results highlighted that GBE could inhibit the paresthesias and also facilitate the recovery process for motor function after an injury to the facial nerve.[3]

The recommended intake of GBE for adults is 120–240 milligrams a day.
Complications
Tingling has been associated with many diseases. Prolonged tingling in the face can lead to severe complications. Appropriate treatment is required to reduce any potential risks:

Brain damage, if the cause of your tingling is a stroke
Paralysis
Permanent nerve damage
When to See a Doctor
There are varied reasons that can cause a tingling sensation in your face. Consider getting an opinion from a neurologist if you experience:

A sudden appearance of the tingling sensation
Tingling that is restricted to one side of the body
Persistent tingling sensation
These might be signs of an impending stroke.

Prolonged tingling can be a harbinger of other medical conditions, which may be a serious cause of concern. It is important to seek the opinion of a medical professional if symptoms persist beyond minutes.

End Note
Facial tingling most often appears as an aftermath of an injury or trauma to the trigeminal nerve. There are several causes that can induce facial tingling and must be addressed accordingly.

Mild cases can be overcome on their own. However, seek immediate medical evaluation in case of prolonged loss of sensation to avoid any adverse consequences.

Trying CBT and practicing mindful meditation can help refurbish your sensory judgments and reduce the tingling sensation in your face.

Resources:

Phillips C, Blakey G, Essick GK. Sensory retraining: a cognitive behavioral therapy for altered sensation. Atlas of the oral and maxillofacial surgery clinics of North America. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073500. Published March 2011.
Di Pierro F, Settembre R. Safety and efficacy of an add-on therapy with curcumin phytosome and piperine and/or lipoic acid in subjects with a diagnosis of peripheral neuropathy treated with dexibuprofen. Journal of pain research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3704545. Published July 3, 2013.
Jang CH, Cho YB, Choi CH. Effect of ginkgo biloba extract on recovery after facial nerve crush injury in the rat. International journal of pediatric otorhinolaryngology. https://www.ncbi.nlm.nih.gov/pubmed/23021527. Published December 2012.
Edenfield TM, Saeed SA. An update on mindfulness meditation as a self-help treatment for anxiety and depression. Psychology research and behavior management. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3500142. Published November 23, 2012.
Hammond N, Wang Y, Dimachkie MM, Barohn RJ. Nutritional neuropathies. Neurologic clinics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4199287. Published May 2013.
Majeed MH, Arooj S, Khokhar MA, Mirza T, Ali AA, Bajwa ZH. Trigeminal Neuralgia: A Clinical Review for the General Physician. Cureus. https://www.ncbi.nlm.nih.gov/pubmed/30800555. Published 2018.

Forehead Wrinkles: How to Minimize and Reduce Their Appearance
There is no magic formula to turn back the clock on aging. As the years roll by, the steady onslaught of time is perhaps most noticeable on your skin. Besides being the largest organ of the body, your skin is also reflective of your internal well-being. In other words, the appearance of your skin is an indicator of how healthy you are and vice versa.

Time may be the most dominant reason for skin aging, but it alone is not responsible for adding years to your face. The skin gradually loses its elasticity and suppleness with advancing age due to several factors, some of which are beyond your control while others can still be avoided. You may not be able to escape skin aging altogether, but you can certainly delay the process and mitigate its effects.

Some of the most common physical manifestations of skin aging include the surfacing of wrinkles around the eyes, fine lines around the lips, and age spots on the hands.
The most conspicuous and stubborn wrinkling pattern to appear on the face develops in the form of vertical or horizontal creases on the forehead. Once these forehead wrinkles set in, it can be hard to get rid of them, and they usually stick around for a lifetime, unless certain cosmetic procedures are performed, such as cosmetic injections and laser resurfacing.

Moreover, there is reason to believe that deep-seated forehead wrinkles can be more than just a harmless cosmetic concern.

A research paper presented in 2018 established an association between deep forehead wrinkles and a higher risk of cardiovascular disease. Results of the study showed that the cardiovascular mortality risk of the subjects tended to increase with their wrinkle score.

Although the exact logic behind this relationship is yet to be established, the researchers suggest that it may have something to do with atherosclerosis or plaque buildup inside your arteries.

Because the blood vessels in the forehead are relatively small, they may be more vulnerable to plaque buildup. Thus, the appearance of forehead wrinkles could actually result from and be a sign of vessel aging. However, these results have not been confirmed and future studies are warranted to establish these findings.

Contents

What Causes Forehead Wrinkles?
Medical Treatment for Forehead Wrinkles
Which Treatment to Choose?
Home Remedies for Forehead Wrinkles
1. Keep Yourself Hydrated
2. Exercises to Reduce Wrinkles on the Forehead
3. Apply a Cold Compress
Topical Remedies
1. Apply Aloe Vera Gel
2. Try a Coffee Mask
3. Massage Your Skin with Manuka Oil
Anecdotal Remedies
1. Apply Honey and Lemon to Improve Your Skin Quality
2. Give Coconut Oil a Try for Its Moisturizing Effect
How to Prevent Forehead Wrinkles?
The Difference Between Fine Lines, Wrinkles, and Furrows

What Causes Forehead Wrinkles?
Aging: Collagen is the primary structural protein that is responsible for keeping your skin firm and supple. As you grow older, there is a natural decline in your body’s collagen synthesis, causing your skin to lose its elasticity. The age-related decrease in collagen production is perhaps the major contributor to the development of wrinkles and fine lines, which become more prominent and permanent over the years.
Sun Damage: Exposing your skin to the UV rays of the sun can accelerate skin aging like nothing else. The only good thing about sun-induced skin damage is that it is something you can control, unlike time and genetics. Whether spending a day at the beach or running errands, sun protection is essential. You can protect your skin by seeking shade, covering up with clothing, and using sunscreen that is broad spectrum, SPF 30 (or higher), and water resistant. You should apply sunscreen every day to all skin that is not covered by clothing.
Smoking: People who smoke are more susceptible to premature skin aging due to the ill effects of nicotine, a major component of tobacco. Nicotine causes your blood vessels to shrink and stifles the blood supply to your skin. As a result, your skin does not receive enough oxygen and nutrients that travel through the blood, and the damage begins to show in the form of premature aging of the skin. Exposure to the other chemicals in cigarette smoke only makes the damage worse by directly hampering the production of collagen and elastin, the two essential building blocks of your skin. Thus, with every puff of cigarette smoke, you are virtually making your skin lose its inherent flexibility and youthfulness.
Repetitive Facial Expressions. The permanent creasing of the forehead due to repetitive facial expressions is caused by the frequent contraction of the underlying muscles for many years. Wrinkles that develop on the skin due to repeated contractions of the underlying muscles attached to it are known as dynamic wrinkles. When the muscle contracts, the overlying skin bunches together, forming ripple-like lines between the muscle mass. Repeated contraction of the same muscles reinforces this wrinkling and makes the resulting lines more permanent. Forehead wrinkles often result from frowning or squinting too much.
Low Water Intake: Inadequate water intake can leave your skin parched and lackluster. If your skin does not get the hydration it needs, it will turn dry, tight, dull, and flaky. The drier your skin, the more prone it is to wrinkling.
Poor Diet: Consuming a healthy, well-balanced diet helps to supply your body with a wide array of skin-friendly nutrients. Your skin, just like any other part of the body, needs a good dose of certain vitamins and minerals to stay healthy. If you do not supplement these nutritional needs through your diet, the deficiency will begin to show on your skin. An undernourished skin is increasingly susceptible to premature signs of aging.

Unfavorable Sleeping Positions: If you have spent a good part of your life sleeping on your side or your stomach, the repeated compression of your face can give rise to wrinkles on your chin, cheeks, and forehead. These facial creases are referred to as “sleep lines.” As your face remains partially smashed into the pillow for several hours a night, every night, the blood flow to your facial skin gets restricted, resulting in weaker skin that is more prone to wrinkling. For younger people, as their skin is generally more resilient, it can instantly bounce back to its normal state even after being compressed the entire night. Adults, however, have a lower level of collagen and elastic tissue and should consider sleeping on their back as much as possible. If you are in the habit of sleeping on one side more than the other, the sleep lines will be largely limited to that particular side of your face.
Stress: People who are prone to taking a lot of stress, either as an inevitable result of their hectic lifestyles or a force of habit, tend to age more rapidly. The primary stress hormone, which goes by the name of cortisol, is majorly to blame, as it has been associated with the degeneration of the collagen in your skin, among other things. The higher the stress level, the higher the production of cortisol in the body. Over a period of time, increased levels of cortisol renders your skin cells unable to naturally rebuild the elastin and collagen as well as they used to. Moreover, the premature appearance of wrinkles is largely attributed to the unhealthy lifestyles associated with chronic stress.


Medical Treatment for Forehead Wrinkles
Botulinum toxin injection (Botox, Dysport, Xeomin) is a cosmetic treatment strategy used to address wrinkles caused by repetitive muscle movement. It keeps these dynamic wrinkles from getting deeper and thereby becoming more pronounced and permanent with repeated contractions of the underlying muscles. It is commonly used for smoothening the wrinkles that appear on the forehead, between the eyes (glabellar region), around the corners of the eyes (crow’s feet), and in the lips.
Injectable fillers, such as Restylane, Juvederm, and Radiesse, provide a temporary solution to wrinkles. This treatment works on the mechanism of volumizing the face, after which the doctor may recommend skin resurfacing techniques to address the deeper lines that are beyond the scope of injectable fillers.
Laser skin resurfacing, which also goes by the name of laser vaporization and laser peel, can make your facial wrinkles, scars, and blemishes visibly lighter. As the name suggests, this technique helps bring fresh undamaged layers of skin to the surface. With the advancement in laser technologies, plastic surgeons have now acquired a new level of autonomy in laser surfacing, permitting extreme precision, especially in sensitive areas.
Chemical peels help accelerate the process of skin regeneration by increasing skin cell turnover. As you shed the worn-out layers of the facial skin at a faster rate, the visible signs of skin aging tend to fade out, at least to a certain degree. Thus, chemical peels not only reduce the appearance of wrinkles and fine lines, but they also help to smoothen the overall texture of the facial skin. People with a minimal degree of wrinkling can opt for over-the-counter chemical peels that are usually mild in intensity and do not pose any real threat. However, it is still better if you run it by your dermatologist first, just to avoid any undue side effects later. Deeper chemical peels, on the other hand, can only be administered by an experienced clinician or doctor as the risk involved is much greater. Deep chemical peels can even result in some degree of scarring or changes in your skin tone. This type of invasive treatment has a more profound effect and warrants a longer recovery period as well as greater precautions such as little to no sun exposure until the skin has healed adequately.
Dermabrasion involves the use of a small high-speed, rotating metal brush or file to scrape off the damaged epidermal layers. This erosion inadvertently triggers the growth of new skin cells. As fresh layers of the skin surface to the top, your face appears visibly smoothed out. Dermabrasion is typically used for treating acne scarring, substantial wrinkling and leathering from the sun, and uneven pigmentation. A relatively less invasive form of this technique, known as microdermabrasion, is used for addressing mild to moderate photoaging. This involves the use of tiny particles that pass through a vacuum tube to gently erode the aging skin and stimulate skin regeneration.
Retinoids are synthetic derivatives of vitamin A that have emerged as a popular treatment for photoaged skin. They can reduce skin discoloration, breakdown of elastic tissue, and fine wrinkling by enhancing the natural production of collagen and elastic fibers. Note that retinoids can irritate the skin and cause dryness and photosensitivity – an extreme sensitivity to the sun. They are available by prescription only.

Which Treatment to Choose?
There are a number of cosmetic treatments available to diminish the appearance of your forehead wrinkles, but each one comes with its own set of precautions and side effects. Only a qualified board-certified dermatologist, cosmetic surgeon, or a health professional trained in facial aesthetic treatments would be able to advise the ideal treatment option for your particular problem and skin type.

It is important not to make any hasty decisions as you will have to live with the consequences if something goes amiss. You must also know what to expect from each treatment option, in terms of both positive and negative outcomes before deciding to go through it or not.

To save yourself the disappointment later, it is important to remember that these treatment methods can improve your condition only to a certain degree. You must get down to the brass tracks of the entire process by discussing it with your clinician. Staying informed will help you realistically manage your expectations.

Some points to consider when deciding on a treatment option:

Botox injections are largely ineffective against deep-seated wrinkles brought on by aging and sun damage. Combination treatments are the best.
Dermal fillers are helpful to address volume loss.
If you wish to correct sagging skin, deep wrinkles, and extra fat, the only appropriate option is cosmetic surgery.
Laser facial resurfacing has been associated with changes in the skin pigment (color) and is, therefore, not suitable for dark-skinned people.

Home Remedies for Forehead Wrinkles


Here are some natural ways to delay or diminish the appearance of forehead wrinkles. These are less invasive and safer alternatives to standard medical therapies.

1. Keep Yourself Hydrated
Keeping your skin well hydrated by drinking enough fluids is perhaps the easiest way to ward off premature signs of skin aging. Low water intake is damaging to your health, but the damage is most visible on the skin. This is mainly because the water you drink reaches all the other organs before it makes its way to your skin.

Our body loses water every day, primarily in the form of sweat and urine. It is, therefore, important to make a concerted effort to replace the loss of fluids on a daily basis.

If your skin does not get the hydration it needs, it will inadvertently turn dry and flaky. Dry skin is more susceptible to premature aging, whereas well-hydrated skin is far more resilient against it.

Drink a minimum of 6 to 8 glasses of water per day. This might seem like simple stuff, but works wonders for general skin care, rather than just wrinkles.

2. Exercises to Reduce Wrinkles on the Forehead
The visible signs of skin aging are not limited to skin laxity and superficial photodamage alone. The development of wrinkles and fine lines can also be traced back to a loss of fat and muscle volume beneath the overlying skin.

There are a number of facial exercises that are specifically designed to address these deeper substructural issues, presumably by inducing underlying muscle growth. In fact, these simple facial exercises or facial “yoga” have gained a lot of popularity among the general public to set back facial aging.[1]

Here’s a forehead smoothening exercise that will help release the tension pent up in your forehead muscles and diminish the appearance of wrinkles and lines:

Make a fist with both hands and put the middle and index finger knuckles in the middle of your forehead.
While applying gentle pressure, slide your fists out to each side.
Repeat this exercise routine 3–5 times a day.
3. Apply a Cold Compress
The American Society for Dermatologic Surgery proposes cold therapy as a safe, effective, nontoxic, and noninvasive alternative to conventional wrinkle-reducing treatments. Cold compress application for the reduction of wrinkle appearance has yielded significant clinical success with high subject satisfaction and no serious adverse events.[2]

Treating your skin with such focused cold therapy supplies it with adequate hydration, nourishment, and oxygen and leaves it well stretched and visibly smooth. In fact, cosmetic cryotherapy has often been employed in procedures relating to the breast and upper or lower limbs to provide satisfactory firmness and is also used in antiwrinkle therapy such as cryopeeling.[3]

Topical Remedies
1. Apply Aloe Vera Gel
The fresh gel extracted from the aloe vera plant is recognized as a certified skin salve due to its wide range of beneficial attributes. Different concentrations of this gel have been found helpful in improving the viscous and elastic properties of the skin structure.

Aloe gel also works as a hydrating agent, which helps restore moisture to the skin, thereby keeping it soft and supple. Aloe vera gel with a concentration of up to 0.5 percent is safe for topical application and can help moisturize your skin without any toxic aftereffects.

This natural skin healer owes much of its therapeutic potential to its synergistic antioxidant, anti-inflammatory, and UV protective properties.[4]
2. Try a Coffee Mask
A 2013 study published in Evidence-Based Complementary and Alternative Medicine demonstrated the antioxidant activity exhibited by the coffee plant (Coffea arabica), which was found to be mediated by potent antioxidant polyphenols, especially chlorogenic acid, condensed quinic acid, and ferulic acid.

The findings of this study showed that the topical application of the coffee extract diminished the appearance of fine lines, wrinkles, and pigmentation and visibly improved the overall appearance of the skin.[5]

Take one organic egg and separate its white from its yolk.
Transfer the egg white into a bowl and whisk it.
Add ¼ teaspoon of freshly ground coffee beans to the bowl.
Continue whisking the solution until the coffee is well mixed and froth forms.
Wash your hands and make sure that your fingers and nails are squeaky clean before you move on to applying the mask.
With light circular motions, smooth the mixture onto your freshly cleansed face.
Let the mask sit for 20 to 30 minutes until it dries, and then peel it off from your skin.
3. Massage Your Skin with Manuka Oil
In an animal study conducted on mice to test the efficacy of manuka oil in treating wrinkles, it was found that the topical application of this oil suppressed the UVB-induced increase in skin thickness and wrinkle grading in a dose-dependent manner.

Manuka oil was also found to inhibit the production of inflammatory cytokines, thereby reducing the UVB-induced skin inflammation.

All in all, significant improvement in the appearance of the wrinkles was reported in terms of reduced length, depth, and coverage area. The topical application of 10 percent manuka oil had a mitigating effect on the loss of collagen fiber content and epidermal hyperplasia, which accounts for its efficacy in diminishing the appearance of wrinkles.[6]


Simply put a few drops of manuka oil on your fingers and massage it on your forehead until it gets absorbed by the skin.
Anecdotal Remedies
The following remedies, unlike the ones listed above, are not backed by scientific evidence nor are they approved by our doctors.

Nonetheless, these complementary therapies have yielded successful outcomes for a considerable number of general users, which speak for their effectiveness. If you do intend on using these anecdotal remedies, you must do it at your own discretion.

1. Apply Honey and Lemon to Improve Your Skin Quality
Honey is reputed to be a natural humectant, which means that it helps restore and seal moisture in the top layer of your skin. This viscous skin tonic is, therefore, a godsend for people with particularly dry skin, which is often considered to be a precipitating agent for premature wrinkling.

Honey works especially well when combined with lemon. Both these ingredients work together to lighten the appearance of facial wrinkles and leave you with a well-moisturized, evenly toned, soft, and supple skin.

Mix equal amounts of honey and lemon juice in a bowl until they are completely blended.
Apply this solution on your wrinkled skin.
Then, gently massage the mixture in circular motions for 5 minutes so that it seeps deep into your skin.
Let it dry for the next 15 minutes.
Rinse it off with water.
Use this method daily or at least four times a week.
You can use raw honey (preferably manuka honey) to give your entire body a deeply hydrating massage every time you take a shower.

Apply a generous amount of honey to your skin from head to toe, including your hair and lips.
Let it sit on your skin for a few minutes so that it penetrates deeply.
Finally, rinse off the honey that remains on the skin surface by stepping into the shower.
Pampering your skin with some honey will leave it smooth, matte, and hydrated.

2. Give Coconut Oil a Try for Its Moisturizing Effect
Coconut oil is one of the most easily available ingredients that you can add to your wrinkle-fighting arsenal. This all-natural moisturizer is readily absorbed by the skin and helps protect it from free radical damage. A lot of people struggling with wrinkles or skin sagging stand by coconut oil as a safe and effective skin healer.

Because coconut oil turns solid at room temperature, you will have to melt a small amount of coconut oil in a bowl.
Soak a cotton ball in the oil and dab it on your skin, applying it evenly all over your face.
Use clean fingers to gently massage the oil deeper into your skin for at least 5 minutes.
Leave it on overnight to allow enough time for the skin to absorb the oil.
Rinse your face with water the next morning.
While these remedies are largely preventative measures to delay the onset of skin aging, they also help reduce the visibility of wrinkles and fine lines in people who already have them. Besides, all the ingredients used are completely nontoxic and safe, so there’s no harm in trying.

How to Prevent Forehead Wrinkles?
Adopt the following preventative measures to minimize your risk of developing forehead wrinkles.

Some people are given to repeating certain facial expressions, usually out of habit. This repeated contraction of the same underlying muscles for many years can deepen the creases that develop on your skin as a result of it. You must try to overcome such a habit as it will only leave you with permanent wrinkles and fine lines on your face. For instance, if you unknowingly frown, furrow your brows, or squint too much, ask your family and friends to stop you the minute they notice you making such expression.
Consume a wholesome diet that includes plenty of fresh fruits and vegetables to meet the nutritional needs of the skin. Eating right plays a very important role in preventing the precursory skin damage that ultimately paves the way for premature skin aging. Conversely, consuming a diet rich in sugar or other refined carbohydrates can speed up the process of skin aging.
Limit your alcohol intake as it can be very rough on the skin. It can be extremely dehydrating for the entire body, and the damage is most pronounced on the skin.
Sunscreen and moisturizer are two of the most foundational elements of an effective skin care routine, and the same holds true for your average antiaging regimen. You must unfailingly use a premium-quality sunscreen and an antiaging moisturizer to give your skin some much-needed protection, especially when stepping out in the sun. Choose a sunscreen that is broad spectrum, water resistant, nonfragrant, and noncomedogenic and offers an SPF of 30 or higher. Apply it on all the exposed areas of your skin at least 20 minutes before going out. Much of the skin damage responsible for premature wrinkles stems from the UV rays of the sun. Meanwhile, an antiaging moisturizer essentially helps to minimize the appearance of fine lines.
Wear sun-protective clothing and accessories such as sunglasses or hats to keep the sun out.
Always take your makeup off before going to bed. Cleansing, toning, and moisturizing makes for an infallible nighttime skincare routine.

The Difference Between Fine Lines, Wrinkles, and Furrows
The skin is the body’s most external and largest organ, which comprises three layers: the epidermis, the dermis, and the hypodermis (also known as the subcutis).

The surface or outermost layer is referred to as the epidermis, which contains regenerative layers of skin cells and provides a waterproof barrier to your body from the outside elements.

The layer underneath the epidermis, called the dermis, contains connective tissue (i.e., collagen) and other fibers that give the skin strength and elasticity along with hair follicles and sweat glands. The deep-most layer, which falls underneath the dermis and is known as the subcutis or hypodermis, is primarily made of fat.

Wrinkles are usually classified depending on how deep they penetrate into these skin layers. When the damage is limited to the superficial layer or upper dermis, fine lines may appear etched into the skin. Medium wrinkles extend deeper to reach the mid-dermis, whereas deep wrinkles extend all the way to the deep dermis and subcutis.

Resources:
Resources:

Alam M, Walter AJ, Geisler A, et al. Association of Facial Exercise With the Appearance of Aging. JAMA dermatology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885810/. Published March 2018.
Palmer FR, Hsu M, Narurkar V, et al. Safety and effectiveness of focused cold therapy for the treatment of hyperdynamic forehead wrinkles. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. https://www.ncbi.nlm.nih.gov/pubmed/25654195. Published February 2015.
Herman J, Rost-Roszkowska M, Skotnicka-Graca U. Skin care during the menopause period: noninvasive procedures of beauty studies. Postepy dermatologii i alergologii. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3907896/. Published December 2013.
Binic I, Lazarevic V, Ljubenovic M, Mojsa J, Sokolovic D. Skin ageing: natural weapons and strategies. Evidence-based complementary and alternative medicine : eCAM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569896/. Published 2013.
Binic I, Lazarevic V, Ljubenovic M, Mojsa J, Sokolovic D. Skin ageing: natural weapons and strategies. Evidence-based complementary and alternative medicine : eCAM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569896/. Published 2013.
Kwon OS, Jung SH, Yang BS. Topical Administration of Manuka Oil Prevents UV-B Irradiation-Induced Cutaneous Photoaging in Mice. Evidence-based complementary and alternative medicine : eCAM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3677636/. Published 2013.

Cluster Headache Relief: Tips and Remedies to Feel Better
Cluster headaches are a rare form of headaches that are marked by a debilitating one-sided pain. Cluster headaches derive their name from their occurrence in groups (clusters). They are also known as “suicide headaches,” owing to their reputation of rendering the suffering individual drained and exhausted after an attack.

However, neurologists like Dr. James Berheimer who is also certified in Clinical Neurophysiology, and has been working in the field for nearly two decades, consider this condition to be largely “non-threatening” as it does not result in any long-term health complications.

Cluster headaches involve the trigeminal nerve of the face. The hallmark symptom of a cluster headache is a deep, burning pain around on eye (the site of the trigeminal nerve). This period of intense pain is the attack that can occur several times throughout the day/week(s)/month(s), hence the name cluster.[1]

Cluster headaches tend to occur five to six times more in men than women and are most common between the ages of 20 and 40.

Cluster headaches affect approximately 0.1 percent of the population. These headaches can be familial and have an autosomal dominant genetic basis in some cases.

This claim is further supported by Dr. Bernheimer, who has served as Medical Director of the Stroke Program at Mercy Medical Center and Greater Baltimore Medical Center. According to Dr. Bernheimer, “There is a genetic component to cluster headache, and often there will be a family history of migraine as well.”

Cluster headaches are different than migraines both in the intensity of symptoms and frequency of occurrences.

In the words of Dr. Bernheimer, “I would not say cluster headaches are necessarily worse (or better) than migraine. Just different: different pattern of occurrence, slightly different treatment, and cluster headaches are less common in general and more common in men than women, whereas migraines are much more common in general but affect twice as many women as men.”

There is no concrete evidence regarding the exact cause of cluster headaches, making the complete treatment or prevention of a cluster headache all the more difficult. There is literature that suggests a role of a portion of the hypothalamus as a cause of cluster headaches. Certain substances, habits, and environments have also been known to trigger cluster headaches.

Although over-the-counter painkillers are often ineffective in ameliorating the intense pain of a cluster headache, one can avert or reduce its occurrence by using prescribed medications, abstaining from and avoiding predictable triggers, and trying alternative therapies.

Let’s take a look at the various aspects of a cluster headache.

Contents

Pattern of Attacks
What Can Trigger a Cluster Headache?
Signs of a Cluster Headache
Diagnosis of a Cluster Headache
Standard Treatment for a Cluster Headache
Tips to Manage a Cluster Headache
1. Apply a Cold/Hot Compress
2. Consider Acupressure
3. Get a Massage
4. Go for a Chiropractic Therapy
5. Give Essential Oils a Thought
6. Lifestyle Changes
7. Dietary Additions
Anecdotal Remedies
Types of Cluster Headaches
When to See a Doctor
Final Word
Expert Answers (Q&A)
Pattern of Attacks

Pattern of Attacks
Cluster headaches may follow one particular pattern in each individual. It may awaken a person in the middle of the night. Several people may experience more than a single attack a day, about the same times every day. These headaches may also occur at the same time every year, especially during the months of autumn and spring. The pattern differs from person to person.

Each attack may last for several days, weeks, or months before the symptoms may reduce or disappear. This period where the individual may experience no symptoms at all can extend from a few months to years prior to the onset of a cluster headache.

A small 10–20 percent of people may experience chronic cluster headaches that may last for a lifetime or may take a month or less for the symptoms to subside or resolve.

Dr. James Bernheimer throws further light on the pathology of cluster headaches. “Each headache usually lasts no more than 30-60 minutes, but they may recur several times over the course of a day, or commonly at night.  However, a patient may have a cluster of multiple brief headaches a day, daily, for up to several weeks followed by intervals of being completely headache free”, as per the doctor.

What Can Trigger a Cluster Headache?
The primary reason behind a cluster headache is not yet known. It is suggested that it is an outcome of a sudden release of biochemical compounds such as serotonin and histamines that act as an irritant/trigger on the trigeminal nerve.

The common triggers include:

Physical activity, especially exercising in hot weather
Intense light, including sunlight accompanied by heat/high temperature
Alcohol
Smoking
High altitudes during air travel or trekking
Certain foods such as shellfish, smoked fish, and canned meats
Certain medications including nitroglycerin
Genetics
Dr. Bernheimer dispels any doubts regarding the causative relation between eye strain and the onset of cluster headaches. According to him, “Eye strain is not recognized as a possible trigger for cluster headaches.

Signs of a Cluster Headache
The signs and associated symptoms that are indicative of a cluster headache include:

Severe excruciating pain around one eye, radiating to the forehead, cheeks, temples, and upper gum on the same side of the face.
Nasal congestion and/or rhinorrhea.
Agitation and restlessness.
Unilateral sweating on the forehead.
Drilling pain that may be prominent around one eye, which may become watery or bloodshot with drooping eyelids.
The affected side of the face may be reddened or flushed.
Steady painful attacks one to three times a day, lasting for 15–180 minutes. Attacks may occur consecutively for 6-8 weeks.
Photophobia may occur.
Diagnosis of a Cluster Headache
Your doctor will diagnose your case based on the pain, pattern of attacks, and symptoms you have been experiencing during a headache. He will physically examine your pupils and eyelids to check if they appear to be different than normal.

Keeping a track of your triggers can help you identify them and steer clear of an attack in the future. It is advised to keep a log book and write down the details pertaining to the attacks you experience, including the severity, frequency, and type of pain and anything that might be a possible trigger to your headache episode.

Standard Treatment for a Cluster Headache
Cluster headaches cannot be resolved with over-the-counter painkillers.

You can considerably reduce your chances of having a cluster headache episode by avoiding triggers such as alcohol, stress, high altitude, and insufficient sleep.

Your doctor is likely to recommend the following medications or therapies for you to survive through a cluster headache:

Sumatriptan injections – These work by constricting the blood vessels in the brain that help to block the transit of pain signals. Also used to treat migraines, sumatriptan injections are administered into the skin of the upper arm or thigh, but never into a muscle or vein. Always get these injections under the supervision of a doctor.
Oxygen therapy – Inhaling pure oxygen can help bring down a cluster headache. A face mask is used to deliver at least 7–10 liters per minute of oxygen for a short period of 15 minutes. You and your doctor will have to sign a Home Oxygen Order Form (HOOF) if you want a small unit at your house. NOTE: Oxygen in such high concentrations is toxic to the lungs and can scar lung tissue. It must be used for short periods of time (<15 minutes) only once or twice in a day. In fact, Dr. Bernheimer is of the opinion, “The best treatment for quick relief from cluster headaches is oxygen, which is usually administered by a nasal cannula.”
Nasal sprays – Nasal sprays such as lidocaine may provide relief from acute pain induced by a cluster headache.
Biofeedback technique –  Biofeedback has been used as a therapy to reduce the frequency and severity of headaches with a 45–60 percent positive outcome. Its efficacy is backed with evidence from researches for the past 25 years. This alternative therapy is targeted at controlling involuntary body functions such as blood pressure, heart rate, muscle tension, and brainwave activity.[5]
When combined with conventional medications, biofeedback can help control a headache.
It includes relaxation techniques such as meditation, yoga, relaxation exercises, and focus and concentration imagery exercises.
For most patients suffering from headaches, a combination of electromyographic (EMG) feedback and temperature feedback is preferred.

Tips to Manage a Cluster Headache


Besides the standard prescribed medications, you can incorporate certain changes in your lifestyle, diet, and daily routine to overcome a cluster headache.

1. Apply a Cold/Hot Compress
An easy solution to your cluster headache is a cold compress.[10] The cold temperature of the ice has a numbing effect on the pain.

Take a bag of frozen vegetables or wrap some ice cubes in a washcloth. Apply this on the back of your neck. Alternatively, you can dip a washcloth in cold water and place it over your head for 5 minutes. Repeat the application several times as needed.
Heat will help relax muscle tension and relieve you from the pain of a pulsating headache.

Take a hot water shower and let the water drip on your neck. This will help relax your neck muscles.
Keep a cotton cloth on the back of your neck and place a hot water bag over it. Keep it on for 10–15 minutes.
Note: You can do any of these remedies according to what provides you relief.

2. Consider Acupressure
Acupressure is a widely used technique in Chinese medicine.

Pressure is applied on specific points in the fingers and hands, called acupoints. Stimulating these points with pressure can help reduce pain and several other health ailments.

A 2014 study published in Pain Management Nursing corroborated the use of acupressure as an alternative therapy for people suffering from the pain of chronic headache and other traumatic pains.[2]

Another 2010 study published in the American Journal of Chinese Medicine  highlighted the effectiveness of acupressure treatment in reducing chronic headache compared with a muscle relaxant treatment. The study was conducted for a period of 1 month and the commonly used acupoints to relieve pressure were BL2, GV20, GB20, TH21, and GB5.[3]

Make sure that acupressure is done by an expert or under the supervision of a professional.

3. Get a Massage
A gentle head massage can help relax your headache by promoting serotonin activity and triggering the serotonin receptors to curtail the frequency and symptoms of a headache.[4]

It can also help relieve a headache by blocking the signals for the headache-induced pain sent to the brain.

Using your first two fingers, massage your head gently in a circular motion. Properly pressing the pain-relieving pressure points lying at the base of the skull, in the corner of the eyes, and in between the eyebrows can help provide some relief from the pain.
Alternatively, you can prepare a massage oil by mixing 2 tablespoons of hot sesame oil and ½ teaspoon each of cardamom powder and cinnamon powder. Use this mixture to massage your forehead. Leave the oil mixture on for a few hours.
4. Go for a Chiropractic Therapy
Cluster headaches can be relieved by chiropractic care by tending to the regions from where the headache is stemming from.[5]

Chiropractic therapy is a treatment wherein a practitioner helps relieve the tension around the bones, joints, and muscles of the cervical area by making use of his hands.

The chiropractor will use different techniques to relieve the pain. These include:

Stretching or pulling the muscles in varied directions
Sharp short thrusting movements
Moving the joints in different positions
Applying force in the spinal region
Note: Although this therapy is not painful, any amount of discomfort experienced should be reported to the practitioner.
5. Give Essential Oils a Thought
Essential oils are accredited with antispasmodic and anti-inflammatory properties that can have a soothing effect on your nerves and help calm your headache.[14]

Note: Avoid oral consumption of any essential oil as a relief for cluster headaches.
5.1. Marjoram Oil
The fresh and dried leaves of the marjoram plant (Origanum majorana) yield an essential oil that harbors analgesic properties. The oil, when massaged on to the temples, has an ability to recirculate the flow of blood.[14]

It also relaxes and calms the mind and body and helps bust stress and anxiety.

Add it to your bath water, or use it to massage your head.
5.2. Rosemary Oil
Rosemary oil contains soothing and anti-inflammatory properties owing to its primary bioactive ingredient – rosmarinic acid. These properties can help relieve a headache.

A 2013 study published in Food Chemistry stated that rosemary has anti-inflammatory and pain-relieving properties, making it a suitable choice to treat headaches.[15]

Mix a few drops of rosemary oil in 1 tablespoon of carrier oil and use the oil mixture to massage your temples.
Note: Rosemary oil is not recommended for those suffering from high blood pressure or epilepsy.
5.3. Peppermint Oil
Peppermint oil boasts a rich composition of menthol that is known to have an analgesic effect on headaches. It works by opening up the blocked blood vessels that are known to cause a cluster headache.

A 2016 study highlighted that a solution of 10 percent peppermint oil in ethanol can effectively treat headache in children over 6 years old as well as in adults.[16]

Add 3 drops of peppermint essential oil in 1 tablespoon of almond oil or olive oil. Use this oil mixture to massage your temples.
You can also put roughly ground peppermint leaves on your forehead.
Alternatively, do steam inhalation. To a small pan of boiling water, add a few drops of peppermint essential oil. Inhale the vapors emanating from the pan for a few minutes.

5.4. Lavender Oil
Lavender essential oil is a soothing remedy to relax a cluster headache.

A 2013 study published in Evidence-Based Complementary and Alternative Medicine accredited lavender oil with pain-relieving properties.[17]

Smear a tissue with a few drops of lavender essential oil. Smell this tissue throughout the day.
You can also do steam inhalation. To 2 cups of boiling water, add 2 drops of lavender essential oil. Inhale the vapors.
In 1 tablespoon of a carrier oil such as almond oil or olive oil, add 2–3 drops of lavender essential oil. Use this oil mixture to massage your forehead.
5.5. CBD Oil
Applying CBD oil (Cannabidiol) can influence the vast network of an individual’s endogenous endocannabinoid system to ameliorate many types of headaches, including cluster headaches.[21]

Lifestyle Changes
6.1 Drink Adequate Amounts of Water
Drinking little or inadequate amounts of water is associated with headaches.[6] If you have a habit of not drinking an adequate amount of water a day, you might get dehydrated, which can result in a headache.

A 2015 study published in the Journal of Evaluation in Clinical Practice links the role of chronic mild dehydration as a possible trigger for headaches. Such headaches can be prevented by increasing a person’s water intake.[7]

If you have a headache of any sort, be it migraine or a cluster headache, make sure to drink plenty of water.

Aside from drinking the required 8 glasses of water a day, you can also consume coconut water, lemon water, and ORS to steer clear of dehydration.
Eat fruits and vegetables that contain a huge percentage of water such as watermelon, spinach, and cucumber, to name a few.
6.2 Avoid Food Triggers
Certain individuals can get a headache by eating certain foods. Once you have identified these food triggers, you can easily avoid their consumption to prevent a headache. Such triggers include:

Alcoholic drinks
Artificial sweeteners
Monosodium glutamate
Nitrite rich foods in wine, cured meats, aged cheeses, and some medicines
Caffeine-containing drinks such as tea, coffee, and cola
A lot of people resort to caffeine to tide over a bad episode of migraine, but Dr. Bernheimer says, “I am not sure if caffeine helps the way it can for migraine.”

Several other common foods that can engender a headache in susceptible individuals include dairy products, chocolates, meat, wheat, shellfish, nuts, peanuts, bananas, onions, eggs, and citrus fruits.

Do Yoga
Yoga is an alternative therapy that is being practiced since ages to manage chronic pain. It is a combination of various postures and deep-breathing exercises that promote the overall health of an individual.[8]

A 2015 study published in the Journal of Physical Therapy Science corroborated that yoga should be used as an adjunct therapy to help provide relief from the frequency and intensity of headaches.[9]

Yoga does not have any side effects as a treatment to relieve headaches. You can include the following simple yoga poses for a few minutes every day to relieve your headache and prevent it from happening:

Marjariasana (Cat Stretch)
Paschimottanasana (Two-Legged Forward Bend)
Adho Mukha Svanasana (Downward-Facing Dog Pose)
Setu Bandhasana (Bridge Pose)
Shishuasana (Child’s Pose)
Padmasana (Lotus Pose)
Hastapadasana (Standing Forward Bend)
Shavasana (Corpse Pose)
6.4 Quit Smoking
Smoking can trigger a headache.

Moreover, exposure to secondhand smoke is harmful and can have side effects such as the narrowing of blood vessels and triggering a headache.

Individuals suffering from a cluster headache must stay away from secondhand smoke or give up smoking altogether.[20] Doing so can reduce the occurrence of headaches.
Dietary Additions
7.1 Include Magnesium in Your Diet
Magnesium is an essential nutrient that helps regulate various metabolic processes and the nervous system.

The recommended dosage of 300–400 mg/day of magnesium is sufficient for your daily intake.

Magnesium deficiency has been related to headaches and migraines.

According to a 2015 study published in Nutrients, declining magnesium levels can be related to several diseases.[11]

Enrich your diet with foods rich in magnesium such as sesame seeds, sunflower seeds, almonds, oatmeal, eggs, peanut butter, and milk.
Magnesium supplements can have side effects on digestion; hence, consult your doctor for approval.
7.2 Take Melatonin
Melatonin is the hormone that helps regulate your sleep cycles and hormonal levels. Sleep hygiene and its disturbance are related to cluster headache initiation and recurrences.

Some studies have also reported that people experiencing cluster headache may have decreased melatonin levels. However, melatonin can help only when it is taken before the cluster headache episode starts.

Melatonin can improve the quality of your sleep. People who experience trouble sleeping are often recommended to take melatonin supplements. It may be useful as an adjuvant treatment for cluster headaches.[12]

As cluster headaches tend to occur at night, a peaceful sleep may help avoid their occurrence.

Consider Cayenne Pepper/Capsaicin Cream
Cayenne pepper contains a compound called capsaicin that can stimulate the flow of blood and relieve the pain of a headache.

The bioactive capsaicin can also help alleviate cluster headaches by reducing the related inflammation.[13]

Consider taking capsaicin supplements upon your doctor’s approval.
Alternatively, you can make a cayenne pepper drink by mixing ½–1 teaspoon of cayenne pepper powder, a few drops of lemon juice, and ½ teaspoon of honey to 1 cup of warm water. Drink this solution to reduce the pain of a cluster headache.
7.4 Consult Your Doctor for Vitamin Supplements
Around 80 percent of people with an existing cluster headache condition experience an increased incidence of cluster headaches as a result of seasonal changes.

Weather changes with decreased sunlight availability can result in decreased synthesis of vitamin D. Researchers have proposed that depleted levels of vitamin D may play a role in inducing chronic headache, including a cluster headache.[18]

Incorporating a high dose of vitamin B2  in the diet has been reported to reduce the incidence of headaches. Administering 500 mg of vitamin B2  every day for a month has been reported to keep away headaches.

Include foods that are rich in vitamin D including milk, eggs, and fish such as tuna, salmon, and mackerel.
Eat foods rich in vitamin B2, including beans, seeds, nuts, organ meats, legumes, and green leafy vegetables.
Alternatively, keep a check on your vitamin D and vitamin B levels. Low levels of these vitamins can be tended to with supplements approved by your doctor.
7.5 Consume Psilocybin Mushrooms
Psilocybin mushrooms can help lessen the intensity and even wipe a cluster headache for weeks to months.

The positive effect of psychedelics, such as psilocybin mushrooms, on people suffering from a cluster headache is quite clear.[19]

Psilocybin mushrooms act as a hallucinogen and it may help treat a cluster headache. However, do not consume them in excessive amounts and avoid them if you suffer from a mushroom allergy.

Anecdotal Remedies
There are several remedies that have not been researched enough to be backed by evidence but do require a mention because of their popularity among people as a solution to their health conditions.

Although medical doctors do not appreciate the use of the below-listed options very much, they have been used immensely as an old wives’ remedy to calm an existing headache and stop a cluster headache in its tracks.

Inhale the Steam of Apple Cider Vinegar
Apple cider vinegar has been used for centuries for its varied health benefits.

You can calm your throbbing headache by inhaling the vapors of apple cider vinegar.

Fill half a bowl with boiling water and add ¼ cup of apple cider vinegar to it.
Use a towel to cover your head, lean over the bowl, and inhale the vapors by taking deep breaths. Make sure to keep your face at a safe distance to prevent burns.
Do this for 5–10 minutes.
2. Apply a Paste of Sandalwood
Sandalwood paste has been used as an age-old remedy to help calm a cluster headache. It can help lessen headache pain by soothing the tensed nerve endings in the optical region.

Using a little water and ½ teaspoon of sandalwood powder, make a paste. Apply a thin layer of this paste on your forehead. Keep it on for 20 minutes before rinsing it off with cold water.
3. Drink a Cup of Herbal Tea
Chamomile Tea

Chamomile has anti-inflammatory, antispasmodic, and soothing properties that help relieve a headache. Regularly drinking chamomile tea can also help prevent the problem.

Steep 2–3 teaspoons of dried chamomile flowers in 1 cup of hot water for a few minutes. You can also add some lemon juice and honey. Strain the liquid and drink this tea three or four times a day for relief from migraine symptoms.
Another option is to steep equal quantities of chamomile, horehound, and meadowsweet in 1 cup of hot water for at least 5 minutes. Strain the liquid and drink it. Repeat as needed.
Ginger Tea

Ginger contains bioactive compounds called gingerols. These have potential anti-inflammatory and antioxidant properties that have a therapeutic effect on pain.

Ginger can help alleviate pain and nausea, which are the signs of an impending cluster headache.

Drink ginger tea two times a day to help reduce the symptoms of a cluster headache.

Types of Cluster Headaches
Cluster headaches can be categorized into two distinct types depending on the pattern:

Episodic cluster headaches – These are marked by sudden attacks that last for short periods of time, ranging from 15 minutes to 3 hours. Although these attacks have a short duration, the frequency might range from 1–8 attacks a day, lasting for weeks to months. The headaches can be predicted by keeping in mind the time when the headache usually strikes. Each attack may be separated by a symptom-free period.
Chronic cluster headaches – These headaches are chronic and are marked by long durations of severe headache. The individual suffers from a continuous blow of cluster headaches without any symptom-free periods in most cases. In some cases, the symptom-free periods are very short, lasting for less than 1 month in a 1-year time span


When to See a Doctor
Seek immediate medical help when you experience the following warning signs:

Seizures
Changes in vision
Numbness or inability to move
Sleepiness
Protracted nausea or vomiting
Increased frequency, duration, and severity of the cluster headaches
Final Word
Although cluster headaches are incurable per se, you can take measures to reduce the associated discomfort and prevent their recurrence.

It is advised to keep tabs on the triggers and be mindful of the symptoms.

Aside from the conventional medications prescribed by your doctor, develop healthy habits, follow alternative therapies, get a massage, and incorporate changes in your diet to curtail the discomfort and severity of a cluster headache.

Expert Answers (Q&A)
Answered by Dr. Ajeet Sodhi, MD (Neurologist)

How long does a cluster headache normally last?
Cluster headache is one of the most painfully severe form of headaches, which can last for anywhere between 10 minutes to several hours.

What are the most common triggers for cluster headaches?
Common triggers for cluster headaches include alcohol, certain vasodilating medications such as nitroglycerin, and exposure to tobacco smoke.

Can cluster headaches lead to brain damage?
Cluster headaches are not damaging to the brain. However, they are typically among the worst headache pain syndromes that exist, and for this reason, are often referred to as “suicide headaches.”
Can caffeine help relieve a cluster headache?
Caffeine can be helpful for migraines but is generally not useful for cluster headaches.

Please provide some important tips to remember when suffering from cluster headaches.
Cluster headaches do have some treatments available. It is important to seek a neurologist skilled in headache treatments. Cluster headache sufferers often go for extended periods without a confirmed diagnosis, which can lead to needless suffering. Avoiding triggers is also important.

About Dr. Ajeet Sodhi, MD: Dr. Sodhi is the Director of Neuro Critical Care at California Institute of Neuroscience. He trained in Neurology after graduating from the Medical College of Virginia and further specialized in Stroke and Vascular disease, Neurocritical Care, and Neurointerventional Endovascular Surgery.

In addition to his neurologic subspeciality training, Dr. Sodhi has a significant interest in the new field of neuroregeneration and unorthodox therapies, especially for conditions in which current treatments are limited.

Resources:

Wei DY-T, Ong JJY. Cluster headache: Epidemiology, pathophysiology, clinical features, and diagnosis. annals of indian academy of neurology. http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=5;spage=3;epage=8;aulast=Wei. Published 2018.
Chen Y-W, Wang H-H. The effectiveness of acupressure on relieving pain: a systematic review. Pain management nursing : official journal of the American Society of Pain Management Nurses. https://www.ncbi.nlm.nih.gov/pubmed/23415783. Published June 2014.
Hsieh LL-C, Liou H-H, Lee L-H, Chen TH-H, Yen AM-F. Effect of acupressure and trigger points in treating headache: a randomized controlled trial. The American journal of Chinese medicine. https://www.ncbi.nlm.nih.gov/pubmed/20128040. Published 2010.

Calandre EP, Hidalgo J, Garcia-Leiva JM, Rico-Villademoros F, Delgado-Rodriguez A. Myofascial trigger points in cluster headache patients: a case series. Head & face medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2631448/.
West J, Phillips RB. Chiropractic management of a patient with persistent headache. Journal of chiropractic medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838720/. Published December 2013.
https://www.sciencedirect.com/science/article/pii/S0072975210970127.
Barloese M, Jennum P, Knudsen S, Jensen R. Cluster headache and sleep, is there a connection? A review. Cephalalgia: an international journal of headache. https://www.ncbi.nlm.nih.gov/pubmed/22407656. Published April 2012.
Kim S-D. Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. Journal of physical therapy science. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540885/. Published July 2015.
Rossi P, Whelan J, Craven A, Ruiz De La Torre E. What is cluster headache? Fact sheet for patients and their families. A publication to mark Cluster Headache Day 2016. Functional neurology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115234/.
Yablon LA. Magnesium in headache. Magnesium in the Central Nervous System [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK507271
Gelfand AA, Goadsby PJ. The Role of Melatonin in the Treatment of Primary Headache Disorders. Headache. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5012937/. Published September 2016.
Gooriah R, Buture A, Ahmed F. Evidence-based treatments for cluster headache. Therapeutics and clinical risk management. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646474/. Published November 9, 2015.
Suppression of LPS-induced inflammatory activities by Rosmarinus officinalis L. Food Chemistry. https://www.sciencedirect.com/science/article/pii/S0308814612013817. Published September 12, 2012.
Lakhan SE, Sheafer H, Tepper D. The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis. Pain research and treatment. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192342/. Published 2016
Suppression of LPS-induced inflammatory activities by Rosmarinus officinalis L. Food Chemistry. https://www.sciencedirect.com/science/article/pii/S0308814612013817. Published September 12, 2012.
Göbel H, Heinze A, Heinze-Kuhn K, Göbel A, Göbel C. Peppermint oil in the acute treatment of tension-type headache. Schmerz (Berlin, Germany). https://www.ncbi.nlm.nih.gov/pubmed/27106030. Published June 2016.
Koulivand PH, Khaleghi Ghadiri M, Gorji A. Lavender and the nervous system. Evidence-based complementary and alternative medicine: eCAM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612440/. Published 2013.
Jong-Hee Sohn M-KC. Vitamin D deficiency in patients with cluster headache: a preliminary study. The Journal of Headache and Pain. https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0886-7. Published July 17, 2018.
Andersson M, Persson M, Kjellgren A. Psychoactive substances as a last resort-a qualitative study of self-treatment of migraine and cluster headaches. Harm reduction journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584001/. Published September 5, 2017.
Bhargava A, Pujar GS, Banakar BF, Shubhakaran K, Kasundra G, Bhushan B. Study of cluster headache: A hospital-based study. Journal of neurosciences in rural practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173234/. Published 2014.
Lochte BC, Beletsky A, Samuel NK, Grant I. The Use of Cannabis for Headache Disorders. Cannabis and cannabinoid research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436334/. Published April 1, 2017.


Pancreatitis: Causes, Symptoms and Natural Relief
Pancreatitis is an inflammation of the pancreas. This happens when there is congestion in the flow of digestive enzymes and these enzymes start attacking the pancreas itself. Hence, the person affected may feel a discomfort in the abdominal region.

Prolonged pancreatitis can reduce the functionality of the pancreas, leading to a decline in its ability to produce normal quantities of digestive enzymes and hormones. This affects the performance of the pancreas, causing malabsorption of nutrients and often resulting in diseases such as diabetes.

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), around 275,000 American adults are admitted to the hospital for acute pancreatitis every year.[1]

Contents

What is the Pancreas?
Types of Pancreatitis
Acute Pancreatitis
Chronic Pancreatitis
Where is the Pain of Pancreatitis Felt?
Diagnosing Pancreatitis
Treatment for Pancreatitis
Diet Considerations for Patients with Pancreatitis
Home Remedies to Relieve Pancreatic Pain
1. Apply Hot Compress
2. Drink Apple Cider Vinegar
3. Take Omega-3 Fatty Acids
4. Enjoy Ginger Tea/Ale
5. Try Acupuncture Therapy
6. Consume Turmeric
7. Include Blueberries in Your Diet
8. Take Reishi Mushrooms
Preventing Pancreatitis
Additional Tips
Complications with Pancreatitis
When to See a Doctor

What is the Pancreas?
The pancreas is a flat gland deep-seated in the abdomen. It is a vital organ associated with the production of various enzymes and hormones responsible for the smooth functioning of the digestive system.

The digestive enzymes are released into the duodenum, where they target the proteins and fats for absorption. Specialized cells in the pancreas secrete mutually antagonistic hormones, namely, insulin and glucagon, into the bloodstream to regulate blood sugar levels.

Insulin absorbs excess glucose from the bloodstream when blood sugar levels are high, whereas glucagon releases the stored glucose into the bloodstream as per the body’s requirements.


Types of Pancreatitis
Pancreatitis can present itself in acute and chronic forms.

Acute pancreatitis is a condition wherein the inflammation lasts for a short period (most cases of acute pancreatitis improve within a week and patients can go home after 5-10 days of hospitalization), whereas chronic pancreatitis is characterized by longer durations lasting over years of inflammation and associated effects.

Acute Pancreatitis
Acute pancreatitis is a sudden inflammation of the pancreas, with associated discomfort that ranges from mild pain to moderate. Through proper treatment, most patients can recover completely, but in severe cases, acute pancreatitis can result in infection, bleeding into the gland, cyst formation, and severe tissue damage.

The severe form of pancreatitis is associated with damage to other vital organs including the lungs, kidneys, and heart.

Causes of Acute Pancreatitis
Gallstones: The most common cause of acute pancreatitis, gallstones can obstruct the path of the digestive enzymes and hormones, and this obstruction can lead to an inflammation of the pancreas.
Excessive fats called triglycerides in your blood: Elevated levels of triglycerides can cause free radical-induced damage to the pancreatic cells.
Alcohol abuse: Excessive alcohol intake is a potential threat to the pancreas.
Autoimmune pancreatitis: It is a rare type of pancreatitis caused by the body’s immune system attacking the pancreas.
Injury: An injury to the pancreas in the event of an direct abdominal or motor vehicle injury can cause inflammation in the pancreas.
Cystic fibrosis: Cystic fibrosis is a chronic genetic disease that is characterized by abnormally thick and sticky production of mucus that constricts the passageways of the lungs and digestive systems.
Certain medications containing estrogen, corticosteroids, and certain antibiotics play an essential role in triggering pancreatitis, either as a direct toxic effect or as a side effect.
Viral reinfections of mumps in adulthood is a rare and probable cause of pancreatitis.

Symptoms of Acute Pancreatitis
Nausea
Vomiting
Swollen and tender abdomen that feels worse after eating
Pain in the upper abdomen
Abdominal pain that radiates to your back
Fever
Rapid pulse
Chronic Pancreatitis
Chronic pancreatitis is manifested by recurring events of pancreatic inflammation accompanied by mild to moderate or severe pain in the abdominal region.

Chronic pancreatitis impairs the digestive system of the individual, affecting the absorption of nutrients in the small intestine. Despite a wholesome diet, individuals suffering from chronic pancreatitis frequently lose weight, owing to the inability of the digestive system to absorb nutrients.

Recurrent acute pancreatitis can progress to chronic forms. Chronic pancreatitis can lead to scarring and can render the pancreas dysfunctional for a lifetime.

Symptoms of Chronic Pancreatitis
Recurrent or even constant abdominal pain, which may be severe
Steady unintentional weight loss caused by the poor absorption of nutrients required by the body
Fatty, foul-smelling stools (steatorrhea)
Diabetes, as a consequence of the loss of the functionality of the insulin-producing cells in the pancreas
Causes of Chronic Pancreatitis
Alcohol consumption is a potential risk factor in approximately 70 percent of the cases.[2]
Hypertriglyceridemia: Elevated levels of triglycerides.
A narrow pancreatic duct; a blockage of the pancreatic duct by gallstones or pancreatic stones, hindering the passage of digestive enzymes or hormones.
Cystic fibrosis, characterized by abnormally thick and sticky production of mucus, interfering with the smooth passage of fluids in the lungs and digestive system.
Hereditary: Familial pancreatitis that runs in the family.
Hypercalcemia can engender an injury to the pancreas via accumulation of secretory proteins.
Pancreatitis can be identified with several autoimmune diseases, namely, inflammatory bowel disease, rheumatoid arthritis, primary biliary cirrhosis, Sjogren’s syndrome, retroperitoneal fibrosis, sarcoidosis, and sclerosing cholangitis.
Recurrent episodes of acute pancreatitis can acquire a chronic form.


Where is the Pain of Pancreatitis Felt?
Both acute and chronic pancreatitis is characterized by pain in the upper abdominal area, usually under the ribs. Middle-left upper abdominal pain is a common symptom irrespective of the diagnosed form of pancreatitis. The duration of the pain ranges from a few minutes to several hours at a stretch.

Mild pain at first that worsens after eating or drinking.
Pain that may aggravate while lying down on the back and may reduce while leaning forward in a seated posture
Constant and severe pain that lasts for several days
Pain that radiates towards the back region
Sometimes, pain that encompasses the upper body and back in a band-like pattern
The intensity of pain is associated with the cause of pancreatitis. A sudden stabbing pain that radiates to the back is a symptom of gallstone-induced pancreatitis, whereas slight localized pain is indicative of alcohol-induced pancreatitis.

Diagnosing Pancreatitis
A combination of blood tests and imaging studies will be prescribed. Physical examination and medical history will be required to evaluate the possible causes.

The diagnostic criteria for pancreatitis are as follows:

Patient presents with sever epigastric pain or pain in the left upper quadrant which worsens after eating or drinking particularly fatty foods.
Lipase or amylase levels three times higher than the normal value is a definitive diagnostic for pancratitis.
A value greater than 4 for lipase to amylase ratio strongly suggests alcoholic cause of pancreatitis.
Besides blood tests, healthcare professionals may choose one or more of the following imaging tests for diagnosis:

Abdominal ultrasound
Endoscopic ultrasound
Computerized tomography (CT) scan
Endoscopic retrograde cholangiopancreatography (ERCP), using an endoscope to help get an X-ray of the bile and pancreatic ducts
Magnetic resonance cholangiopancreatography (MRCP)
Pancreatic function test, a test that is performed at some centers in the United States. In this test, the response of hormone secretin (secreted by the small intestine) is measured against your pancreas.
Blood tests of an individual suffering from pancreatitis must show high levels of:

Digestive enzymes (amylase and lipase) almost thrice the normal amount
High levels of blood sugar
High levels of lipids (fats) blood
Treatment for Pancreatitis
Your doctor may suggest a visit to the gastroenterologist or surgeon for the following procedures and measures, depending on the type of pancreatitis that you have:

To heal your pancreas, you may be hospitalized and restricted to intravenous nutritional support.
Surgery is warranted if the underlying cause of pancreatitis is gallstones or some other obstruction of the bile or pancreatic ducts.
Medication and antibiotics are administered orally or intravenously.
The diet is low in fat and high in fluids with frequent meals in small portions.
If the doctor suspects that the condition is stemming from a particular medication, the said medication is likely to be discontinued or swapped with a safer alternative.
Alternative therapies such as yoga, exercise, meditation, and acupuncture have been suggested to ease the pain.
Diet Considerations for Patients with Pancreatitis
The treatment for pancreatitis may involve fasting for a while, to give rest to your pancreas. During this time, intravenous nutritional support is provided. Once the inflammation is contained, a diet low in fat and plenty of fluids is prescribed to speed up recovery. Moreover, alcohol use is restricted if not avoided altogether to keep pancreatitis from worsening or recurring.

Home Remedies to Relieve Pancreatic Pain
Pancreatitis requires immediate medical attention. Treatment usually demands intravenous (IV) fluids, antibiotics, and pain medication. However, you can try some natural remedies, along with your medical treatment, to ease the pain and discomfort associated with the disease.

Here are some effective ways to relieve pancreatitis pain.

1. Apply Hot Compress
A hot compress is a quick and effective remedy for upper abdominal pain due to pancreatitis. The warmth of the compress helps relax the muscles of your abdomen, thus reducing the pain.[3][4]

It is even helpful in alleviating the inflammation.

Prepare a hot water bottle or warm up a heating pad on a low setting. Wrap it in a small towel and place it on the painful area for 5 to 10 minutes. Repeat as needed.
Enjoying a warm bath or shower for 15 to 20 minutes twice a day also helps relieve stomach pain.
Caution: Care should be taken while using a hot water compress to reduce the risk of burns.
2. Drink Apple Cider Vinegar
Apple cider vinegar is rich in anti-inflammatory properties. It helps reduce the abdominal pain related to pancreatitis. Its natural acid content helps in reducing the thickness of the bile, thus preventing the formation of stones in the gall bladder (one of the critical causes of acute pancreatitis). Additionally, it helps to maintain an ideal body weight and abdominal fat content, which can aid in pancreatitis treatment.[5]

Mix 1 tablespoon of raw, unfiltered apple cider vinegar in 1 cup of warm water.
Stir in 1 teaspoon each of lemon juice and honey.
Drink this solution two times a day.
3. Take Omega-3 Fatty Acids
Omega-3 fatty acids are polyunsaturated fats (PUFAs) that are essential to the human body but cannot be synthesized. These are involved in various metabolic pathways of the human body. Omega-3 fatty acids possess anti-inflammatory properties and help in reducing the inflammation and pain due to pancreatitis. A study reports that by increasing the tissue content of omega-3 polyunsaturated fatty acids, there can be a reduction of systemic inflammation in acute pancreatitis and of tissue fibrosis in chronic pancreatitis.[6]

According to a 2015 meta-analysis published in Nutrients, omega-3 fatty acid supplementation was found to reduce the risk of mortality and infectious complications and decrease the span of hospital stays of patients with pancreatitis.[7]

To include omega-3 fatty acids in your diet, consume soybean, flaxseed, walnut, canola, spinach, shrimp, clams, and fatty fishes such as salmon, trout, and tuna. You can also consider taking a supplement on consultation with a doctor.
Enjoy Ginger Tea/Ale
Ginger helps reduce inflammation in the pancreas and soothe the pain owing to its anti-inflammatory and antioxidant properties.

A 2013 study published in the Journal of Preventive Medicine highlighted the antioxidative and anti-inflammatory effects of ginger.[8]

Aggravated cases of pancreatitis have been identified with pancreatic cancer. A study published in Gastroenterology Research and Practice (2015) established that ginger and its constituents are effective against pancreatic cancer.[9]

Sip on warm ginger tea to reduce pain. To make ginger tea, peel and slice a ½ inch-long piece of ginger root. Put the slices in 1 cup of hot water. Cover it and let it steep for 10 minutes. Strain, add honey if you want, and drink it while it is still warm. You can also chew the ginger slices.
You can also drink ginger ale to get relief from pain.
5. Try Acupuncture Therapy
Acupuncture is a safe and effective way of relieving discomfort and pain. Used for thousands of years for a wide array of physical and mental ailments, acupuncture can be used to alleviate the pain related to pancreatitis.

Acupuncture is a type of procedure that involves stimulation of the anatomic points on the body by a variety of techniques. Thin, solid, metallic needles are penetrated into the skin and are manipulated by the hands or by electrical stimulation.

A 2017 study published in Pancreas  studied the analgesic effect of acupuncture in pancreatic pain. Because the outcome lasted only for a short duration, further studies are required to validate the impact of acupuncture on visceral pain.[10]

Another study conducted in 2018 and published in Trials demonstrated the efficacy of electroacupuncture for pain relief in patients with acute pancreatitis.[11]

Consultation with a doctor is a must before undergoing acupuncture therapy.

6. Consume Turmeric

Consume Turmeric
Turmeric possesses properties that help fight many cancers, including pancreatic cancer. The anti-inflammatory properties of turmeric can be attributed to its bioactive ingredient, curcumin.

A 2011 study published in the Indian Journal of Medical Research suggested that curcumin could attenuate pancreas tissue and other organ injuries by inhibiting the release of an inflammatory marker.[12]

Another study published in Pain Medicine (2016) reports that curcuminoid supplements may be a safe and effective strategy to mitigate the severity of pain associated with this condition. However, further rigorously conducted studies are warranted to define the long-term efficacy and safety of these supplements.[13]

Boil 1 teaspoon of turmeric powder in 1 glass of milk or 2 glasses of water. Drink this twice daily.
You can also take 400 to 600 milligrams of curcumin supplement up to three times a day or with each meal. Always consult your doctor before taking any supplement.
Note: Avoid high doses of turmeric in pregnancy as it may put the pregnancy at risk. Use turmeric with caution if you are diabetic or suffering from gall stones, bleeding disorders etc.
7. Include Blueberries in Your Diet
The anti-inflammatory properties of blueberries make them a good remedy for pancreatitis pain. It even reduces vascular damage to the pancreas caused by diabetes.

Blueberries are rich in antioxidants, which protect the pancreas from oxidative stress as a result of free-radical damage. These berries can also reduce your risk of developing severe conditions such as pancreatic cancer.

According to the American Institute of Cancer Research, blueberries have a large number of phytochemicals, particularly anthocyanins, which help in inhibiting tumor growth and may decrease inflammation.[14]

Include at least 1 cup of fresh blueberries in your daily diet to keep your pancreas healthy.

8. Take Reishi Mushrooms
Reishi mushrooms contain powerful anti-inflammatory compounds that can reduce inflammation in and around the pancreas. This, in turn, reduces the risk of developing pancreatitis.

They are also rich in phytochemicals that prevent free-radical damage to the body, thus reducing the risk of several cancers, including pancreatic cancer.

A 2014 study published in Mediators of Inflammation found mushrooms to be a potential source of anti-inflammatory compounds for medical applications.[15]

Another 2016 study done on mice shows the potential usage of this mushroom as a possible therapy for chronic pancreatitis. However more work need to be done on human subjects.[16]

When taken for health reasons, consume this mushroom in dried or extract form. It is readily available on the market in liquid, capsule, or powdered form.

Take 150 milligrams to 300 milligrams of reishi mushrooms twice a day to help relieve inflammation, in the process boosting your immune system.

Preventing Pancreatitis
To prevent pancreatitis, bring about different changes in your lifestyle to metamorphose into a healthier individual, such as:


Limit your alcohol consumption to a minimal. Avoid smoking. Consult a doctor if you suffer from an addiction.
Choose a diet plan that is high in fruits, vegetables, and proteins and limits carbs and fats.
Keep yourself hydrated by drinking plenty of fluids throughout the day.
Instead of drinking coffee, go for decaffeinated green tea, which is extremely good for your health.
Include foods rich in antioxidants to fight free radical damage.
Additional Tips
Try meditation as it aids in easing pain from chronic illnesses.
Mental and emotional stress factors dramatically affect pain and inflammation in the body. Hence, try to reduce stress as much as possible.
Drink aloe vera juice daily, as it hosts a sufficient quantity of anti-inflammatory compounds, which can help reduce inflammation of the pancreas.[17]
Papaya juice is another nutrient-rich formula often used to treat pancreatitis.[18]
Complications with Pancreatitis
Several complications may develop if a case of pancreatitis is not treated in a timely or proper fashion.

Pseudocysts are sacs formed as a result of collected fluids and debris, which when ruptured can result in internal bleeding in the organ and subsequent infection.
Respiratory distress occurs, affecting the functioning of the lungs.
Diabetes is a severe complication that may arise due to the diminished levels of insulin as a result of the pancreatic inflammation.
Untreated chronic pancreatitis can result in pancreatic cancer.
Poor absorption of nutrients can lead to unintentional weight loss or malnourishment of the diseased individual.
Because pancreatitis is associated with diarrhea, vomiting, and even internal bleeding, a prolonged episode can trigger hypovolemic shock, which is a potentially fatal situation that occurs due to a loss of more than 20 percent of the body’s blood or fluid supply.
Damage to other vital organs including the kidneys, lungs, and heart may occur.

When to See a Doctor
Pancreatitis is characterized by an inflamed pancreas, with symptoms including abdominal pain, nausea, vomiting, breathing difficulties, and digestive distress. These symptoms are not peculiar to pancreatitis and can often be confused for some another ailment.

In order to get a proper diagnosis, it is recommended to get your symptoms evaluated properly by a medical professional. This is particularly important because undermining your condition and not tending to it promptly can give rise to a number of far more serious and life-threatening complications.

Resources:

National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/pancreatitis.
Day JA. FAQs about Chronic Pancreatitis. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/gastroenterology_hepatology/diseases_conditions/faqs/chronic_pancreatitis.html. Published October 13, 2017.
Pancreatic Cancer Pain. Pancreatic Cancer Action Network. https://www.pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/managing-side-effects-palliative-care/symptoms-pain/.

WANG Y, Zhang X, LI C. Applying Hot Compresses with Rhubarb and Mirabilite to Reduce Pancreatic Leakage Occurrence in the Treatment of Severe Acute Pancreatitis. Iranian Journal of Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401925/. Published January 2017.
Beh BK, Mohamad NE, Yeap SK. Anti-obesity and anti-inflammatory effects of synthetic acetic acid vinegar and Nipa vinegar on high-fat-diet-induced obese mice. Scientific Report. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532206/. Published July 27, 2017.
Weylandt KH, Nadolny A, Kahlke L. Reduction of inflammation and chronic tissue damage by omega-3 fatty acids in fat-1 transgenic mice with pancreatitis. Biochimica et Biophysica Acta (BBA) – Reviews on Cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2614880/. Published September 12, 2008.
Lei QC, Wang XY, Xia XF, et al. The Role of Omega-3 Fatty Acids in Acute Pancreatitis: A Meta-Analysis of Randomized Controlled Trials. Nutrients. https://www.mdpi.com/2072-6643/7/4/2261. Published March 31, 2015.
Askari G, Hariri M, Darvishi L. Anti-Oxidative and Anti-Inflammatory Effects of Ginger in Health and Physical Activity: Review of Current Evidence. Internation Journal of Preventive Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665023/. Published April 2013.
Prasad S, Tyagi AK. Ginger and Its Constituents: Role in Prevention and Treatment of Gastrointestinal Cancer. Gastroenterology Research and Practice. https://www.hindawi.com/journals/grp/2015/142979/. Published March 8, 2015.
Juel J, Liguori S, Liguori A, et al. Acupuncture for Pain in Chronic Pancreatitis: A Single-Blinded Randomized Crossover Trial. Pancreas. https://www.ncbi.nlm.nih.gov/pubmed/28060186. Published February 2017.
Jang DK, Jung CY, Kim KH. Electroacupuncture for abdominal pain relief in patients with acute pancreatitis: study protocol for a randomized controlled trial. Trials. https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2644-1. Published May 16, 2018.
Yu W- G, Xu G, Ren G-J. Preventive action of curcumin in experimental acute pancreatitis in mouse. Indian Journal of Health Sciences and Biomedical Research KLEU. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249972/. Published November 2011.
Sahebkar S, Henrotin Y. Analgesic Efficacy and Safety of Curcuminoids in Clinical Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Medicine. https://academic.oup.com/painmedicine/article/17/6/1192/2240744. Published December 12, 2015.
AICR’s Foods That Fight Cancer. American Institute for Cancer Research. http://www.aicr.org/foods-that-fight-cancer/blueberries.html.
Elsayed EA, Enshasy HE, Wadaan MAM. Mushrooms: A Potential Natural Source of Anti-Inflammatory Compounds for Medical Applications. Mediators of Inflammation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258329/. Published November 23, 2014.
Li K, Zhuo C, Teng C, et al. Effects of Ganoderma lucidum polysaccharides on chronic pancreatitis and intestinal microbiota in mice. International Journal of Biological Macromolecules. https://www.ncbi.nlm.nih.gov/pubmed/27616696. Published December 2016.
Mohamed S, Azab E-, Eraky NE-. The possible protective role of aloe vera extracts in… : Egyptian Journal of Histology. LWW. https://journals.lww.com/ejhistology/Fulltext/2014/09000/The_possible_protective_role_of_aloe_vera_extracts.14.aspx. Published September 2014.
Hewavitharana AK, Shaw PN, Cabot, PJ. Anti-inflammatory and immunomodulatory properties of Carica papaya. Journal of Immunotoxicology . https://www.tandfonline.com/doi/full/10.3109/1547691X.2016.1149528. Published July 14, 2016.


How to Relieve Sinus Pressure without Nasal Decongestants
Everyone goes through bouts of increased sinus pressure from time to time, some more than the others. Your paranasal sinus system essentially comprises four pairs of sinuses located in different areas of the face, namely:

Frontal sinuses in the forehead
Ethmoid sinuses between the nose and eyes
Maxillary sinuses below the cheeks, above the teeth, and on the sides of the nose
Sphenoid sinuses on either side of the nasal cavity, behind your eyes, and along the back of your head
These sinuses are lined with mucous membranes and minute, finger-like outgrowths called cilia, which serve as the first line of defense against airborne irritants. The membrane, which is made up of soft, pink tissue, secretes mucus, which helps filter the air we breathe by trapping dust and other respiratory allergens. Most of the sinuses empty into the nose through a small drainage channel called the middle meatus. The cilia help move the mucus along with the trapped particles into the nose and out of the sinuses for good.

Contents

Causes of Sinus Pressure
Symptoms of Sinus Pressure
Home Remedies for Sinus Pressure
1. Do Steam Inhalation
2. Try Saline Flush
3. Proper Hydration
4. Cayenne Pepper- A Natural Decongestant
5. Use Eucalyptus Essential Oil
6. Warm Washcloth Compression
7. Massage Therapy
8. Raise the Humidity
9. Proper Rest and Sleep Posture
Additional Tips
Causes of Sinus Pressure
Whenever there is a breach in this security wall such that an irritant finds its way into the respiratory system, the smooth sinus drainage is bound to get disrupted. Respiratory infections such as the common cold as well as seasonal allergies can lead to an irritation or inflammation of the mucous membrane that lines the insides of your nose. Subsequently, the body’s natural defenses go into overdrive to flush out the culpable irritants, and this results in an increased amount of mucus secretion. The swelling of the mucosal lining makes it difficult for the sinuses to drain out the excessive mucus, leading to nasal blockage and subsequent buildup of sinus pressure.


Symptoms of Sinus Pressure
As the mucus piles up in the sinus cavity and the inflammation continues, the mounting sinus pressure can be felt around the nose and cheeks and above the eyes.
Moreover, these areas of the face may feel painful or tender.
You may even experience pain over your teeth.
The throbbing pain associated with sinus pressure tends to be at its worst during the morning.
The pain gets aggravated when you look down or bend over.
Home Remedies for Sinus Pressure
Sinus pressure symptoms can be painful and uncomfortable to deal with, and it can take a toll on your daily life. While decongestants and pain relievers can help, they often come with unwanted side effects. Why put your body through the extra trouble when this relatively harmless problem can easily be treated by alternative home remedies by using some commonly available ingredients and easy healing techniques. Such all-natural home remedies work particularly well to ease mild to moderate symptoms and boost your recovery in the nascent stages of the condition.

Note: If you continue to experience sinus pressure symptoms after a week or if they begin to worsen, get help from a doctor as it could be a sign of a more serious infection that warrants antibiotics.


Here are the top 9 ways to relieve sinus pressure

1. Do Steam Inhalation
Dry air and dry sinuses can increase sinus pressure and lead to a headache. Steam inhalation is considered to be extremely beneficial in keeping the sinuses moisturized.

Steam helps to moisten your sinus passages and thins out mucus that may have thickened over time.

A 2016 study published in the International Journal of Contemporary Medical Research reports that steam inhalation definitely improves nasal mucociliary clearance.[1]

Another 2016 study published in CMAJ reports that primary care for chronic or recurrent sinus symptoms cannot depend solely on the use of steam inhalation, but it did provide some symptomatic benefit nonetheless.[2]

You can either use plain water or infuse it with herbs or essential oils to promote sinus drainage.

Fill a pan with water, heat it until it boils, and then turn the heat off. Add a few drops of peppermint or eucalyptus essential oil to the hot water. Put a towel over your head, lean over the pan, and inhale the steam for a few minutes. Repeat this technique 2–4 times a day.
Alternatively, close the bathroom door, run a hot shower, and breathe in the steam vapors for 5 to 10 minutes. Do this daily for a few days until the symptoms clear.
Caution: Steam inhalation is not recommended for small children, pregnant women, and those suffering from high blood pressure.
2. Try Saline Flush
Another common treatment for sinus pressure is a saline wash.

Gently flushing out your nasal passages with a sterile saline solution helps alleviate the congestion by thinning and dislodging the jammed mucus. Moreover, it increases the moisture in your nostrils, which in turn helps reduce the inflammation or pressure on your blood vessels.

A 2014 study published in the Journal of Microbiology, Immunology and Infection reports that nasal irrigation is an effective adjunctive treatment for acute sinusitis in atopic children.[3]

Another 2017 study published in the International Journal of Environmental Research and Public Health adds further support to the merits of nasal irrigation as an effective treatment technique for several acute and chronic sinus conditions.[4]

Mix 3 teaspoons of salt and 1 teaspoon of baking soda.
Transfer the mixture to an airtight container.
Mix 1 teaspoon of this mixture into 1 cup of lukewarm boiled water.
Fill a bulb syringe with this solution.
Lean your head over a basin and gently squirt the solution into one nostril, while keeping the other one closed with your finger.
Allow the solution to drain from the other nostril by removing your finger.
Repeat the process with the other nostril.
Use this remedy once or twice daily.
3. Proper Hydration
Whenever you suffer from sinus pressure or nasal congestion, keeping your body optimally hydrated acquires even greater importance.

Proper hydration helps keep the mucous membranes in the sinuses adequately lubricated, thus helping dislodge the mucus more readily. On the other hand, insufficient fluid intake can cause dehydration and ultimately lead to thickening of the mucus, which then becomes too consolidated for proper drainage.

A review article published in the Canadian Family Physician upholds the textbook recommendations of maintaining adequate hydration in order to loosen mucus secretions, which is imperative for tackling symptoms of acute sinusitis.[5]

While water is the best choice to remain hydrated, you can also retain fluids through other foods and beverages such as broth, soups, herbal tea, and water-based vegetables and fruits.

At the same time, it’s just as important to cut back on alcohol and caffeine as both are renowned diuretics that contribute to dehydration. Alcoholic and caffeine consumption near bedtime is particularly detrimental and can exacerbate your sinus strain greatly.

Cayenne Pepper- A Natural Decongestant
Cayenne pepper is another good remedy to relieve sinus pressure. Being a natural decongestant, it helps loosen mucus and promote sinus drainage.

The natural chemical capsaicin in cayenne pepper helps relieve the swelling and inflammation that is narrowing your nasal passages.

A study published in Annals of Allergy, Asthma & Immunology reports that a nasal spray containing an ingredient derived from hot chili peppers may help people “clear up” certain types of sinus inflammation.[6]

Add ¼ teaspoon of cayenne pepper powder to 1 cup of boiling water. Sip a cup of this tea a few times a day.
Another option is to use a nasal spray containing cayenne pepper; this is readily available over the counter at pharmacies. Use it as directed.
5. Use Eucalyptus Essential Oil
Eucalyptus oil can help relieve sinus congestion.[7] Possessing strong anti-inflammatory and decongestant properties, this natural tonic may be what you need to get rid of sinus pressure.

Eucalyptus oil has emerged as an effective and safe treatment for sinusitis, mainly due to one key component: 1,8-cineole.[8]

Add a few drops of eucalyptus essential oil to hot water and inhale the steam. Repeat the process a few times until you get complete relief.
Also, dilute a few drops of eucalyptus oil with some carrier oil such as almond or jojoba oil. Rub this gently on the affected areas – around the nose, forehead, temples, and cheeks.
6. Warm Washcloth Compression
Applying heat to the sinus area can also help to relieve pressure. One of the easiest ways to do this is by using a warm washcloth.[9]

The warmth from the compress also provides comfort from any pain and helps relieve the inflammation in the nostrils.

Soak a towel in a bowl of hot water. Squeeze the excess water out of the towel. Fold it and place it over your nose and forehead. Do this for 3 to 5 minutes. Repeat as often as necessary until all the mucus has cleared.
You can also pace warm, damp towels around your nose, cheeks, and eyes to ease facial pain.
7. Massage Therapy
To aid sinus drainage and reduce sinus pressure, massaging the nostrils is a simple yet highly effective remedy.[10]

Massage improves circulation to the area, helping thin out the mucus and facilitating its movement out of the sinuses. This is perhaps one of the most hassle-free ways of getting quick relief from sinus pressure.

Warm up some olive oil and add a few drops of peppermint oil to it.
Sit in a semireclining position and apply the oil on your nose.
Using your left thumb and index finger, massage both sides of your nose and the bridge of the nose for 1 minute.
Take a break of 1 minute and do it again.
Repeat the cycle 5 to 7 times.
Do this several times daily.
When performing this massage, make sure to breathe through your mouth and not through your nose.

Raise the Humidity
Increasing the humidity in your home or the room in which you sleep can aid in sinus drainage and thus help in reducing sinus pressure.

The sinuses need a moist, warm environment to function properly. Moist air can soothe irritated tissues and swollen blood vessels in your nose and sinuses.

On the other hand, lack of moisture in the air can irritate the sinus cavity further, causing more congestion.

The American Academy of Otolaryngology – Head and Neck Surgery recommends keeping your breathing environment adequately moist to prevent drying out your sinuses.[11]

Hence, it is recommended to run a humidifier and maintain a humidity level of 45 percent to 50 percent.

Instead of a commercial humidifier, placing a bowl of hot water on your bedroom floor can increase the moisture in the air. Be sure to place it in a safe place where you won’t accidentally tip it over or step into it.

Irrespective of what you prefer to use, keep your humidifier clean to prevent the growth of bacteria and mold.

9. Proper Rest and Sleep Posture
Sleeping peacefully can be quite challenging when you feel like your head is going to explode due to mounting sinus pressure. However, getting enough rest and shut-eye is extremely important for timely healing.

A good night’s sleep can help the body to heal as, when you’re at rest, your body is able to produce more white blood cells essential for combating the viruses and other bacteria that may be at the root of your respiratory discomfort.

However, for sleep to be effective in alleviating sinus symptoms, you must do it right. Certain sleeping positions can end up adding to your discomfort and are to be avoided. These include lying flat on your bed as it can increase mucus buildup in your nasal passages and augment sinus pressure. You may be jolted out of sleep due to hampered breathing on account of the congestion, which can considerably disrupt your sleep cycle.[9]

Instead, prop a few pillows under your head to keep it raised above your heart. This will help prevent sinus buildup and can help you to breathe more comfortably.

To enjoy better sleep, refrain from indulging in overstimulating activities or consuming sugary or caffeinated beverages too close to bedtime.

Additional Tips
Practice deep breathing and meditation to achieve relaxation and reduce sinus pressure.
Physical activity can increase blood circulation and temporarily relieve congestion to ease breathing.
Avoid chlorinated pools as it can irritate your nasal passages.
Acupressure, a key part of traditional Chinese medicine, may also ease symptoms.
If allergies are to blame for your sinus pressure, consider taking an antihistamine before bed.
Blow your nose to reduce mucus before bed, but avoid aggressive blowing as it can increase irritation and move harmful bacteria into your sinuses.
Resources:

Gujrathi AB, Ambulgekar V, Handal A. Effect of Steam Inhalation on Nasal Mucociliary Clearance in Normal Individuals and Nasal Disease Sta. Scribd. https://www.scribd.com/document/322558148/Effect-of-Steam-Inhalation-on-Nasal-Mucociliary-Clearance-in-Normal-Individuals-and-Nasal-Disease-Sta.
Little P, Stuart B, Mullee M. Effectiveness of steam inhalation and nasal irrigation for chronic or recurrent sinus symptoms in primary care: a pragmatic randomized controlled trial. CMAJ : Canadian Medical Association Journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026511/. Published September 20, 2016.

Wang Y- H, Ku M- S, Sun H-L. Efficacy of nasal irrigation in the treatment of acute sinusitis in atopic children. Journal of Microbiology, Immunology and Infection. https://www.sciencedirect.com/science/article/pii/S168411821200179X. Published September 30, 2012.
Principi N, Esposito S. Nasal Irrigation: An Imprecisely Defined Medical Procedure. International Journal of Environmental Research and Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451967/. Published May 11, 2017.
Worrall G. Acute sinusitis. Canadian Family Physician. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093592/. Published May 2011.
Bernstein JA, Davis BP, Picard JK. A randomized, double-blind, parallel trial comparing capsaicin nasal spray with placebo in subjects with a significant component of nonallergic rhinitis. Plum X Metrix. https://www.annallergy.org/article/S1081-1206(11)00383-8/fulltext. Published August 2011.
Kehrl W, Sonnemann U, Dethlefsen U. Therapy for Acute Nonpurulent Rhinosinusitis With Cineole: Results of a Double‐Blind, Randomized, Placebo‐Controlled Trial. Wiley. https://onlinelibrary.wiley.com/action/showCitFormats?doi=10.1097/00005537-200404000-00027. Published January 3, 2009.
Hendry ER, Conway BR, Lambert PA. Antimicrobial efficacy of eucalyptus oil and 1,8-cineole alone and in combination with chlorhexidine digluconate against microorganisms grown in planktonic and biofilm cultures. Journal of Antimicrobial Chemotherapy . https://academic.oup.com/jac/article/64/6/1219/743860. Published October 16, 2009.
Harvard Health. https://www.health.harvard.edu/newsletter_article/sinusitis. Published December 2008.
Kecskes AA. Lymphatic Drainage and Facial Massage can Help Sinus Infections and Allergies. Pacific College. https://www.pacificcollege.edu/news/blog/2014/10/12/lymphatic-drainage-and-facial-massage-can-help-sinus-infections-and-allergies. Published December 18, 2017.
ENT Health. https://www.enthealth.org/nose-landing-page/.
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Baby’s Middle Ear Infection: Home Remedies, Causes and Risks
An indication that there’s something wrong with a baby’s ear is when the baby is fussier than usual and cries while pulling their ear. More often than not, an ear infection is to be blamed for this unexplained change in your baby’s mood.

In fact, according to the National Institute on Deafness and Other Communication Disorders, 5 out of 6 children will have an ear infection before their 3rd birthday in the USA.[1]

Ear infections are some of the most commonly reported complaints at the pediatrician’s office, and they are not to be taken lightly. At this tender age, babies rely heavily on sounds and hearing in order to learn to speak.

Thus, prolonged periods of muffled hearing due to severe or recurrent ear infections can lead to delayed speech development and loss of hearing in babies.[2]

Contents

Causes of Middle Ear Infection in Babies
Symptoms of Middle Ear Infection in Babies
Risk Factors for Middle Ear Infection in Babies
Preventive Tips
When to See a Doctor
Treating Middle Ear Infection in Babies
1. Apply Warm Compresses
2. Try Cold Compresses
3. Breastfeed Your Baby
4. Put Garlic Oil
5. Use Olive Oil
6. Prevent Exposure to Secondhand Smoke
7. Keep Your Child Up-to-Date with Vaccines
8. Check Your Baby’s Sleeping Position
9. Chiropractic Treatment
Expert Answers (Q&A)
Causes of Middle Ear Infection in Babies
Otitis media, commonly known as ear infection, is characterized by painful swelling and infection of the middle ear (located just behind the eardrum).[3]

An ear infection can be caused by bacteria or a virus. It happens when fluid builds up in the area behind your child’s eardrum and then the ear becomes infected.[5]
These infections often spring from a common cold or an allergic flare-up that causes the inflammation or blockage of the eustachian tube. Because this tube connects the middle ear to the back of the throat and nose, it is tasked with the responsibility of draining any fluids that enter this area. However, in the wake of a cold, sinus infection, or an allergy-induced tube blockage, the ear secretions get trapped behind the eardrum, causing pain and pressure. This is further compounded by the fact that children have shorter, narrower, and increasingly horizontal eustachian tubes than adults. Subsequently, this fluid retention further welcomes bacteria and viruses to flourish in the dark, warm, and moist confines of the middle ear, causing an infection.
Some other reasons for the eustachian tubes to become swollen or blocked are a sinus infection, excess mucus, infected or overgrown adenoids, and exposure to tobacco smoke.
Because babies have underdeveloped immune systems, they become easy targets for these infection-causing pathogens.
Using a pacifier may increase the risk of middle ear infections in babies and toddlers.[6]
Symptoms of Middle Ear Infection in Babies
Aside from pain, other common symptoms of an ear infection amongst babies are.[4]

Fever of 38 C (100.4 F) or above
Decrease in energy
Difficulty hearing
Pus-like discharge draining out of the child’s ear only with otitis externa or ruptured TM (tympanic membrane)
A feeling of pressure or fullness inside the ear
Unpleasant odor from the ear
Young children and infants with an ear infection may also:[4]

Rub or tug at their ear.
Be unresponsive to certain sounds.
Be unusually irritable or restless.
Have loss of appetite.
Have loss of balance; sometimes, an ear infection can also cause dizziness in babies, which can make them prone to falls and accidents.[4]

Risk Factors for Middle Ear Infection in Babies
Babies who are bottle-fed while lying on their back run the risk of milk entering the eustachian tube, causing inflammation. Some other risk factors for acute ear infections in babies include:[5]

Changes in altitude or climate.
A family history of ear infections.
Use of pacifier at an early age. Pacifier use should be stopped or limited after 6 months of age to reduce the risk of ear infection.
Children below the age of 5 as they have shorter eustachian tubes.
Children who attend daycare, because they are more susceptible to contracting common cold infections.
Children with active allergies.
Exposure to cigarette smoke can end up inflaming the eustachian tube, making ear infections more likely.
Children who were not breastfed tend to be bereft of certain antibodies that help fight infections.
Children with cleft palates usually have swollen eustachian tubes.
Preventive Tips
Breastfeed your baby for at least 6–12 months, because the mother’s milk is well endowed with disease-fighting antibodies.
Keep your baby away from secondhand smoke of any kind.
Offer your child fluids often as swallowing can help open the eustachian tube so the trapped fluid can drain.
If you bottle feed your baby, hold the infant in a semi-upright position so the formula doesn’t flow back into the eustachian tubes.
As soon as your baby reaches the age when he is capable of holding the bottle on his own, swap the bottle with a cup. Teach your baby to drink fluids from a regular cup, although not the “sippy cup.”
Avoid exposing your baby to situations where cold and flu bugs abound.
Make sure your child is up to date with vaccinations, including flu shots and pneumococcal vaccines.
When to See a Doctor
As soon as you suspect that your baby is suffering from an ear infection, book an appointment with your pediatrician. The doctor will take a closer look inside your child’s ear with an otoscope. The doctor will confirm if the discomfort is arising from an infection or some other condition. If the eardrum appears red or swollen or oozing with discharge, chances are it’s an infection.

While the eardrum usually heals within a couple of weeks, in some cases, it can cause permanent damage to the child’s hearing.

It is important to consult with your doctor when you first notice signs of possible infection, to see if your child requires treatment.

Occasionally, an acute middle ear infection without timely or appropriate treatment can spiral into graver concerns:

The eardrum might rupture on account of increased or unabated pressure, causing blood and fluid to drain out of the ear. According to the Children’s National Health System, approximately 5 percent to 10 percent of children with an ear infection will experience a ruptured eardrum.[7]
The adjoining bone around the ear might get infected.
Meningitis or infection of the tissue adjoining the brain is always a risk.
Recurrent infections can lead to the formation of abnormal skin-like tissue, called a cholesteatoma, in the middle ear and possibly through the eardrum, causing irreparable hearing damage or deafness.

Treating Middle Ear Infection in Babies
The American Academy of Pediatrics recommends pediatricians prescribe antibiotics for children 6 months of age and older with evidence of an ear infection with severe symptoms such as ear pain and fever. If symptoms are less severe, then observation may be warranted before the use of antibiotics.[8]

To treat an ear infection in babies under 6 months, most doctors prescribe antibiotics right away.

To reduce the pain and prevent the infection from spreading, there are also some simple yet effective remedies that you can try.

Here are the top few home remedies for ear infection in babies.

1. Apply Warm Compresses
Placing a warm, moist washcloth over the affected ear may lessen the pain that babies experience as a result of an ear infection.[9]

The warm heat will reduce the pain and even prevent the pathogens from multiplying.

Dip a clean washcloth in lukewarm water, wring out the excess water, and place the washcloth on the pain-stricken ear of your baby for 5 minutes. Wait for 10 minutes, and then repeat the process as needed.
Another option is to heat 1 cup of salt on the stove or in the microwave, put the warm salt on a piece of cloth, and tie the cloth properly. Place the compress on the affected ear for 10 minutes at a time. Use as needed.
Note: Before applying a warm compress, always check the temperature to avoid burning the baby’s extrasensitive skin.
2. Try Cold Compresses
Just like warm compress, you can also reduce ear pain in babies due to ear infection with a cold compress. The cold temperature will numb the nerves around the ears temporarily, providing short-term relief from the pain to your little one.[10]

Soak a washcloth in cool water and wring out the excess water.
Put the washcloth over the ear that’s bothering your child.
Do this for up to 20 minutes at a time.
Repeat as needed.
Note: Never put ice directly on the skin, as it can cause frostbite.
Breastfeed Your Baby
Breast milk contains many substances that protect your baby from a variety of diseases, and ear infection is just one of them. Breastfed children are less prone to bacterial or viral infections; breast milk even helps speed up the healing process of any kind of ear infection.

A 2016 study published by the University of Texas Medical Branch at Galveston demonstrated that breastfeeding led to a decline in the rate of ear infections among babies under the age of 1. The study also attributed considerable credit to the use of vaccinations and lower smoking rates for this favorable drop in the incidence of ear infections among infants.[11]

Try to breastfeed your baby for 6 to 12 months if possible.
4. Put Garlic Oil
Garlic has antimicrobial and anti-inflammatory properties; hence, it is considered a good remedy for ear infections.

A 2001 study published in the Archives of Pediatrics and Adolescent Medicine  reports that that naturopathic eardrop containing garlic, among other ingredients, was just as effective as over-the-counter anesthetic eardrops in managing ear infection-induced pain.[12]

Take two crushed garlic cloves.
Soak them in 1 tablespoon of warm olive or sesame oil for 30 minutes.
Strain the garlic out.
Put a drop of the oil into each of the ear canals using a dropper.
Repeat twice daily.
5. Use Olive Oil
If your child’s ear infection hasn’t escalated to the level that he has a ruptured eardrum or discharge is oozing out of the ear, only then is this olive oil remedy recommended.

Olive oil works as an ear canal lubricant that can loosen troublesome ear wax and provide soothing relief.

Olive oil works as an ear canal lubricant that can loosen troublesome ear wax and provide soothing relief.

Sometimes, an ear infection can be traced back to some fungal or bacterial growth that gets attached to the wax in the ear, leading to blockages in the eustachian tube. This obstruction can easily be dealt with by the use of olive oil.

A 2013 study published in Practice Nursing reports that regular olive oil lubrication increased the ear canal contents. However, olive oil sprayed into the ears immediately before removing wax enabled total wax removal.

Further research is needed to provide improved evidence for ear care.[13]

Giving further legitimacy to olive oil as an ear infection remedy is a 2003 study published in Pediatrics, which found that herbal ear drops containing olive oil helped to reduce pain from an ear infection in children.[14]

Warm some olive oil slightly.
Put a few drops of the warm oil into the infected ear.
You may put a piece of cotton in the ear as needed so that the oil doesn’t leak out.
Note: Make sure the olive oil is no warmer than your body temperature by using a thermometer to avoid burning your baby’s eardrum.
6. Prevent Exposure to Secondhand Smoke
Exposure to secondhand smoke is one of the reasons behind ear infections in children.

Inhaled smoke irritates the eustachian tube, which connects the back of the nose with the middle ear. This leads to swelling and obstruction, which interfere with pressure equalization in the middle ear, leading to pain, fluid retention, and infection.

A 2012 study published in the International Journal of Pediatric Otorhinolaryngology reports that childhood exposure to environmental tobacco smoke (ETS) is high among an ENT clinic population of Hungarian children.

Such exposure correlates with acute otitis media (AOM) episodes, ENT operations, and conductive hearing loss.[15]

Hence, try to quit smoking and protect your baby from exposure to secondhand smoke, which can make ear infections more severe and more frequent.

Keep Your Child Up-to-Date with Vaccines
Keeping your child up-to-date with vaccines can help prevent ear infection.

A 2016 study published by the University of Texas Medical Branch at Galveston reports that use of vaccinations can help lower ear infection in children.[11]

Another 2017 study published in Cochrane Database of Systematic Reviews reports that, because antibiotic treatment increases the risk of antibiotic resistance, influenza vaccines might be an effective way of reducing this risk by preventing the development of acute otitis media.[16]

Talk with your child’s doctor about the vaccines that protect against pneumonia and meningitis and get your baby immunized on time.

8. Check Your Baby’s Sleeping Position
Your child’s sleeping position can either aggravate or reduce ear pain. For instance, lying down flat can sometimes worsen the feeling of pressure and pain in the infected ear.

Hence, when suffering from an ear infection, you need to make sure that your baby is sleeping in the right position. Slightly elevate the crib at the head to improve your baby’s sinus drainage. Do not place pillows directly under your baby’s head. Instead, place a pillow or two under the mattress.

9. Chiropractic Treatment
This is another effective treatment to deal with pain due to ear infections in babies.

The nerves in the upper portion of the neck affect the health and functioning of the inner ear and surrounding tissues. In some babies, spinal misalignments can interfere with proper neurological control and regulation, making them more susceptible to an infection.

In such a case, making an appointment with a seasoned chiropractor can help a lot. They help locate and correct areas of spinal misalignment by using very little pressure, leading to more normal nervous system functioning.

A study published in the Journal of Manipulative and Physiological Therapeutics indicates that the addition of chiropractic care to limited medical care may decrease the symptoms of ear infections in young children.[17]

Expert Answers (Q&A)
Answered by Dr. Jen Trachtenberg, MD (Pediatrician)

How long does it typically take for children to recover from an ear infection?
Most ear infections, about 80%, clear up on their own without any antibiotics. In general it can take about 7-14 days however, residual fluid build up behind the eardrum can last even a few months.

Can ear infection in babies lead to deafness? If so, then can this deafness be reversed?
Ear infections most often cause temporary hearing loss due to the fluid and pus build up inside the middle ear area. When an ear infection resolves and the fluid is gone, the hearing returns.

Only in extremely severe cases of untreated infection can there be potential for damage to the structures in the middle ear leading to permanent hearing loss.

What are the most common complications associated with an untreated case of ear infection in babies?
Rare complications with severe untreated cases can cause mastoiditis (infection of the mastoid bone) and meningitis. However, most common complication with middle ear infection is temporary hearing loss which in young infants and toddlers can affect speech and language.

Will putting a drop of breast milk in the baby’s ear help clear the infection?
There is no scientific evidence that dropping droplets of breast milk in baby’s ear will help clear up an ear infection particularly because the infection is in the middle ear on the other side of the tympanic membrane. However, breastfeeding does decrease the risk of ear infections in babies.

What are the obvious signs of a worsening case of a middle ear infection?
Signs of worsening ear infection or one that is not resolving on its own in babies can be increased fever, very irritable or cranky, poor balance, vomiting, not eating, dehydration, not sleeping, or not responding to sound or noises.

Are there any safe and effective methods available to drain the infected fluid from the ear?
There is no safe way at home to drain the fluid from behind the tympanic membrane of the middle ear. If required, an ENT surgeon can perform a procedure to place myringotomy tubes for drainage and pressure balance in chronic cases of ear infections.

Please provide some additional tips or inputs regarding pediatric cases of middle ear infection.
Most cases of ear infections are viral and can resolve on their own with just pain medication as needed. However, antibiotics are given if the child is less than 24 months, has severe pain, fever or infection in both ears.

Children who are older and with mild symptoms can be monitored, given pain management with close follow up to check if it is resolving or if antibiotics are needed after 24-48 hrs. Some important points to remember include:

Prevention is key
Breastfeeding reduces incidence of ear infections
Avoid smoking or second hand smoke near a baby
Make sure immunizations are up to date, for example the pneumococcal vaccine has drastically reduced instances of ear infections in infants


About Jen Trachtenberg, MD: Dr. Trachtenberg is a board-certified pediatrician, nationally renowned parenting expert, author, spokesperson for the American Academy of Pediatrics and an Assistant Clinical Professor of Pediatrics at The Icahn School of Medicine at Mount Sinai. She has a successful private practice in New York City for over 22 years.

Dr. Jen’s mission is to maximize the inherent potential in every child. She is the creator of Pediatrician in Your Pocket, the only science-based, mom-tested, no-judgment, video guide for new parents.

Resources:

Quick Statistics About Hearing. National Institute of Deafness and Other Communication Disorders. https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing. Published October 5, 2018.
Jasenka BF. Speech-Language Disorders in Children with Hearing Loss Connected with Otitis Media with Effusion. Journal of Health Education Research &Development . https://www.omicsonline.org/open-access/speechlanguage-disorders-in-children-with-hearing-loss-connectedwith-otitis-media-with-effusion-2380-5439-1000190.php?aid=79877. Published September 26, 2016.

Goodman DM. Ear Problems in Children. JAMA. https://jamanetwork.com/journals/jama/fullarticle/1693890. Published June 5, 2013.
Ear Infections in Children. National Institute of Deafness and Other Communication Disorders. https://www.nidcd.nih.gov/health/ear-infections-children. Published October 2, 2018.
Ear infections. Canadian Paediatric Society. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786955/. Published September 2009.
Warren JJ, Levy SM, Kirchner HL, Nowak AJ, Bergus GR. Pacifier use and the occurrence of otitis media in the first year of life. Pediatric Dentistry. https://www.ncbi.nlm.nih.gov/pubmed/11340716/. Published 2001.
Pediatric Otitis Media (Middle Ear Infection) . Children’s National Health System . https://childrensnational.org/choose-childrens/conditions-and-treatments/ear-nose-throat/otitis-media-middle-ear-infection.
Lieberthal AS, Carroll AE, Chonmaitree T. The Diagnosis and Management of Acute Otitis . Pediatrics. http://pediatrics.aappublications.org/content/131/3/e964. Published March 2013.
Stenfors LE, Henriksen AO. Treatment of earache among the Lappish people. The Journal of Laryngology & Otology. https://www.ncbi.nlm.nih.gov/pubmed/2324615. Published February 1990.
Earache. nidirect. https://www.nidirect.gov.uk/conditions/earache. Published November 13, 2018.
Breastfeeding, vaccinations help reduce ear infection rates in babies. University of Texas Medical Branch at Galveston. https://www.eurekalert.org/pub_releases/2016-03/uotm-bvh032516.php. Published March 28, 2016.
Sarrell EM, Mandelberg A, Cohen HA. Efficacy of Naturopathic Extracts in the Management of Ear Pain Associated With Acute Otitis Media. JAMA. https://jamanetwork.com/journals/jamapediatrics/fullarticle/190792. Published July 1, 2001.
Rodgers R. Does olive oil prevent earwax build-up? An experimental study. Practice Nursing. https://www.magonlinelibrary.com/doi/full/10.12968/pnur.2013.24.4.191. Published September 29, 2013.
Sarrell EM, Cohen HA, Kahan E. Naturopathic Treatment for Ear Pain in Children. Pediatrics. http://pediatrics.aappublications.org/content/111/5/e574.long. Published May 1, 2003.
Csákányi Z, Czinner A, Spangler J. Relationship of environmental tobacco smoke to otitis media (OM) in children. International Journal of Pediatric Otorhinolaryngology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894111/. Published April 15, 2015.
P SGK, CB DM, L D. Delayed antibiotic prescriptions for respiratory tract infections. Cochrane. https://www.cochrane.org/CD004417/ARI_delayed-antibiotic-prescriptions-respiratory-tract-infections. Published September 7, 2017.
Froehle RM. Ear infection: a retrospective study examining improvement from chiropractic care and analyzing for influencing factors. Journal of Manipulative and Physiological Therapeutics. https://www.ncbi.nlm.nih.gov/pubmed/8728460. Published 1996.

Bronchitis in Children: 8 Home Remedies to Ease Symptoms
Bronchitis is an infection or inflammation of the lining of a child’s bronchial tubes. These tubes are the air passageways that connect the trachea, or windpipe, to the lungs.

The lining of the bronchial tubes is extremely fragile and secretes pathogen-fighting mucus, which helps safeguard your child’s respiratory system by warding off the threat of infections. Bronchitis sets in when these tubes become increasingly inflamed and start producing more mucus than normal, causing labored breathing.

This inflammation of the bronchial lining in children usually occurs when the virus responsible for your child’s cold, sore throat, flu, or sinus infection breaks through the respiratory defenses and spreads to the bronchi. It is particularly important to look out for and pay heed to any warning signals of bronchitis in babies so as to catch the infection early and prevent it from spreading further.(1)


Contents

Causes of Bronchitis in Children
Signs and Symptoms of Bronchitis in Children
Prevention for Bronchitis in Children
When to See a Doctor
1. Salt Water Gargle
2. Humidifier
3. Honey
4. Ginger
5. Garlic
6. Turmeric
7. Fluids
8. Rest
Causes of Bronchitis in Children
There are two kinds of bronchitis – acute bronchitis and chronic bronchitis – both of which differ in terms of their causes.

1. Acute Bronchitis

The onset of acute bronchitis in children is rather quick, and it leads to severe symptoms.(2) Acute bronchitis generally lasts for two to three weeks.

This condition can be majorly attributed to a viral infection, even though a bacterial infection can also engender the same effect despite a rarer incidence. Acute bronchitis often ensues in the wake of a common cold episode or some other respiratory tract infections such as the following:(3)

Children who suffer from chronic sinusitis and allergies or those with enlarged tonsils and adenoids are at an increased risk of developing acute bronchitis.
Dust, allergens, strong fumes, secondhand smoke, and asthma attack are prime culprits for the onset of acute bronchitis.
Bronchitis can even spiral into the more severe pneumonia, which is considered to be one of its most common complications.
Children who grapple with immunodeficiency or cystic fibrosis are predisposed to developing secondary bacterial infections that could result in bronchitis.(4)

Chronic Bronchitis

Chronic bronchitis is mainly prevalent among people over the age of 45, but children, teenagers, and young adults are not completely out of its grasp. Children with chronic bronchitis tend to take longer than normal to recover from respiratory infections like the common cold. The severity of this condition can range from mild to intense, and it tends to last for at least four weeks or more.(5)

Signs and Symptoms of Bronchitis in Children
The most common bronchitis signs and symptoms in children are a wet-sounding cough and increased mucus or sputum production. In fact, bronchitis results in a persistent cough and clogging of the airways, which makes it increasingly difficult to pass air in and out of the lungs.(6)

Other associated signs and symptoms include:

A mild headache
Low-grade fever
A sore throat
Soreness or tightness in the chest
Feeling tired
Body aches
Wheezing
Shortness of breath
Prevention for Bronchitis in Children
Make sure your child does not mingle with people who may have a cold or a viral infection, such as the flu.
Instruct your child to refrain from sharing his food bowls or drinking glasses with others.
Always make sure that your child washes his/her hands before eating or touching food.
Inculcate in your child the habit of covering the mouth with a handkerchief or tissue when sneezing or coughing or, when a handkerchief or tissue is unavailable, coughing into the inner elbow.
Clean and disinfect surfaces around the child to prevent the spread of the infection.
Let the child sit or sleep in an upright position to ease any breathing problems.
Try to keep your child in an environment that is free from smoke, pollutants, and dust particles.
Regular cleaning of the house is necessary to keep the house free from dust, mites, and other allergy triggers and infection-causing pathogens.
Bed sheets, carpets, toys, and other usable items must be washed well or vacuumed regularly.
Food substances that seem to trigger a bronchial cough must be avoided to prevent bronchitis in children.
Limit exposure to air irritants, such as dust, chemical fumes, and other pollutants. Make your child wear a mask, if necessary.

When to See a Doctor
Consult your pediatrician if your child’s wet cough fails to clear on its own even after two or three weeks. When it comes to your child’s health, it’s always best to be on the safer side and seek professional help at the slightest whiff of trouble. Get your child medically examined by a trusted pediatrician if you encounter any of the following symptoms:

Ongoing fever that fails to subside
Daily congestion
Troubled breathing
Persistent wheezing
Other symptoms of concern that should be investigated further include:

Blood in the sputum
Loss of appetite
Dehydration caused by a lack of fluid intake
If your child has asthma and has suffered an attack in the recent past, it is all the more important to work closely with your doctor to avoid any potential complications.

Note: Before you start evaluating the best treatment options for bronchitis in children, you must not get it confused with another condition called bronchiolitis, a specific condition that affects the smaller airways that branch off from the bronchial tubes. This is more common with infants and children under the age of 2.
While the usual culprit for this condition is the respiratory syncytial virus, it can sometimes be caused by adenoviruses and rhinoviruses. For bronchiolitis, the treatment options are very different from those for acute or chronic bronchitis in children.
The majority of childhood bronchitis is self-limiting, which means the condition gets better on its own.  However, you can try some home remedies to alleviate the symptoms.


Here are the home remedies for managing bronchitis in children.

1. Salt Water Gargle
If your child is old enough to gargle, gargling with salt water can provide quick relief from bronchitis signs and symptoms, especially cough and sore throat.

Salt works like an antiseptic that helps draw out the mucus. This, in turn, helps cut down the phlegm, reduces inflammation, and soothes the irritated throat membranes.(7)

Mix ½ teaspoon of salt into a glass of warm water. If needed, add a small amount of honey to improve the taste.
Make your child gargle with the solution, and remind him or her to spit the water out after gargling.
Do this several times a day for best results.
Note: Make sure the child does not swallow the water after gargling.
2. Humidifier
Humidifiers are machines that add moisture to the air in a room and help reduce the mucus associated with bronchitis, helping your child to breathe easier.

A cool-mist humidifier is highly recommended to ease coughing.(8)

Use a humidifier wherever possible in your home, especially in the room where your child sleeps.

Another option is to place a bowl of hot water in the room to increase the moisture in the air. You can also place a pot of water on the radiator in your child’s room.
Note: Whether you are using a humidifier or a bowl of hot water, be sure to place it in a safe place to prevent accidents. Also, regularly disinfect and clean it to keep it mold-free. Make sure the humidifier machine is cleaned very well before use and that the humidity levels don’t stay too high. This can breed mold or bacteria.
3. Honey
Honey is a good remedy to curb coughing, one of the most common symptoms of bronchitis.(9)

Due to the antibacterial and antiviral ability of honey, it greatly contributes to the relief of a cough associated with bronchitis. It can help relieve the throat inflammation as well.

A study published in the Archives of Pediatrics and Adolescent Medicine in 2007 reports that honey is a preferable treatment for cough and sleep difficulty associated with childhood upper respiratory tract infection.(10)

Mix 2 teaspoons of raw honey with 1 teaspoon of lemon juice. Give it to your child every few hours for symptom relief.
You can also have your child swallow a spoonful of buckwheat honey several times a day.
A glass of warm milk with honey before going to sleep can relieve a cough and promote better sleep.
Note: Honey is only recommended for children older than 1 year of age.

4. Ginger
Ginger is an excellent natural remedy to treat bronchitis.

Containing anti-inflammatory and immunity-boosting properties, ginger is very effective at reducing bronchitis symptoms. It can also help to reduce the associated irritation and inflammation of the bronchial tubes.

A 2012 study published in Phytotherapy Research suggests that distinct ginger compounds could be used as anti-inflammatory drugs in respiratory infections.(11)

You can make herbal ginger tea by boiling 1 teaspoon of ground ginger in water for 15 minutes. Add a little honey(for children older than 1) and give it to your child 2–3 times a day.
You can also combine 1teaspoon each of ginger powder and honey and give it to your child with milk 2–3 times a day.
You can even give ginger candies to your child to chew throughout the day.
5. Garlic
Due to its antibiotic and antiviral properties, garlic is highly beneficial in treating bronchitis, especially acute bronchitis in children.

A 2016 study reports that garlic was successful in inhibiting the growth of the bronchitis-inducing virus, thereby making it an effective ingredient for treating bronchitis.(12)

Chop about 2–3 cloves of garlic.
Place them in a pot.
Add a glass of milk(for children aged 1 and above)
Boil the mixture.
Give this to your child to drink daily before bedtime.

Turmeric
Turmeric is another effective herb in treating bronchitis in children.(13) It contains the active ingredient curcumin, a powerful antioxidant and anti-inflammatory compound that helps expectorate the mucus and minimize the swelling of the bronchial tubes. Also, it helps deal with cough, pain, and other related symptoms of bronchitis.

Mix 1 teaspoon of turmeric powder into 1 cup of milk and boil it. Allow it to cool a bit, and then give it to your child to drink twice daily.
You can opt to give curcumin supplements to your child, but only after consulting a doctor.
Note: Consult your doctor for the correct weight-based dosage before administering turmeric to your child.
7. Fluids
When dealing with bronchitis in children, be sure to give plenty of fluids to your child. This will help prevent dehydration, which can worsen the condition.

Staying well-hydrated also helps thin the mucus, making it easier to expel it and reduce coughing. Expelling mucus also helps get germs out of your child’s system for faster healing from any kind of infection.

When it comes to healthy fluids, water is the best option. It is recommended to offer warm fluids. A 2008 study published in Rhinology reports that a hot tasty drink is a beneficial treatment for the relief of most signs and symptoms of the common cold and flu.(14)

Make your child drink enough lukewarm water throughout the day. Along with water, give lemon water, fruit juice, vegetable soup, and clear broths at regular intervals.

If your child refuses large amounts of fluids at a time, give smaller amounts more often. Also, do not force your child to take fluids, as that may cause your child to vomit.

Rest
Because bronchitis is a lung infection that requires you to put in a lot of effort to do something as basic as breathing, it can really take it out of your child. Due to the constant exertion on the chest, your child can feel extremely tired all the time, rendering him/her incapable to do anything else.

As your lungs need time to heal, proper rest and sleep are a must. So, let your child get plenty of rest and sleep to expedite the recovery process.

Children can go to school as long as there is no fever, although sports or exercise activities should be avoided regardless. Exercising while having a lung infection can make it worse. Playtime would have to be cut short as running, swimming, biking, and other exercises that lead to heavy breathing can end up aggravating the lung damage. Limit activity until symptoms improve.

Resources:

Karunanayake CP, Rennie DC, Ramsden VR. Bronchitis and Its Associated Risk Factors in First Nations Children. Children. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742748/. Published November 24, 2017.
Antibiotic Prescribing and Use in Doctor’s Offices. Centers for Disease Control and Prevention. https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/bronchitis.html. Published September 25, 2017.
Acute Bronchitis | Boston Children’s Hospital. Boston Children’s Hospital. http://www.childrenshospital.org/conditions-and-treatments/conditions/a/acute-bronchitis.

Acute Bronchitis | Boston Children’s Hospital. Boston Children’s Hospital. http://www.childrenshospital.org/conditions-and-treatments/conditions/a/acute-bronchitis.
Couriel J. Assessment of the child with recurrent chest infections. British Medical Bulletin. https://academic.oup.com/bmb/article/61/1/115/286883. Published March 1, 2002.
HEATH JOHNM, MONGIA RUPA. Chronic Bronchitis: Primary Care Management. American Family Physician. https://www.aafp.org/afp/1998/0515/p2365.html. Published May 15, 1998.
Acute Bronchitis in Children. University of Rochester Medical Center. https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02930.
Satomura K, Kitamura T, Kawamura T, et al. Prevention of upper respiratory tract infections by gargling: a randomized trial. American journal of preventive medicine. https://www.ncbi.nlm.nih.gov/pubmed/16242593. Published November 2005.
Vaporizer or Humidifier: Which Is Best? Children’s Hospital of Philadelphia. https://www.chop.edu/news/vaporizer-or-humidifier-which-best. Published February 23, 2015.
Ashkin E, Mounsey A. A spoonful of honey helps a coughing child sleep. The Journal of Family Practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601686/. Published March 2013.
Paul IM, Beiler J, Monagle AM. Effect of Honey, Dextromethorphan, and No Treatment on Nocturnal Cough and Sleep Quality for Coughing Children and Their Parents. Archives of Pediatrics and Adolescent Medicine. https://jamanetwork.com/journals/jamapediatrics/fullarticle/571638. Published December 1, 2007.
Podlogar JA, Verspohl EJ. Anti-inflammatory effects of ginger and some of its components in human bronchial epithelial (BEAS-2B) cells. Phytotherapy Research. https://www.ncbi.nlm.nih.gov/pubmed/21698672. Published March 2012.
Mohajer T, Ghalyanchi A, Karimi V, Barin A, Sadri N. The effect of Allium sativum (Garlic) extract on infectious bronchitis virus in specific pathogen-free embryonic egg. Avicenna Journal of Phytomedicine. https://www.ncbi.nlm.nih.gov/pubmed/27516987. Published 2016.
Abidi A, Gupta S, Agarwal M. Evaluation of Efficacy of Curcumin as an Add-on Therapy in Patients of Bronchial Asthma. Journal of Clinical and Diagnostic Research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190737/. Published August 20, 2014.
Sanu A, Eccles R. The effects of a hot drink on nasal airflow and symptoms of common cold and flu. Rhinology. https://www.ncbi.nlm.nih.gov/pubmed/19145994. Published December 2008.


How to Treat Itchy Ears: 9 Tips and Home Remedies
Having an incessant itch in the ear that no amount of scratching can shake off can take a real toll on you. It keeps you from concentrating on anything else, sucks the fun out of everything, and makes you want to rip your ears off.

Sounds a bit extreme for a little harmless itch in the ear, but those who have suffered from it will vouch that it’s anything but little or harmless.

The human outer ear canal is very sensitive; as a result, even a sudden change in the environment in the ear canal can lead to the onset of itchy ears.[1] The ear canal is innervated with sensitive nerves, which make the ear canal just as responsive and prone to itching as any other part of the human body.

Additionally, the fact that we cannot view our own ear canals can cause uneasiness and drive us to probe the ear recklessly and too invasively.
Despite being a commonly reported nuisance, most people who suffer from ear canal itching often find themselves at their wit’s end when dealing with this distressing problem. Often, they end up aggravating the problem by using unsterile and sharp objects such as bobby pins, toothpicks, and coat hangers to relieve their itch.

Forceful insertions of such abrasive tools into an area as sensitive as the ear canal can cause skin scraping and eardrum ruptures. These will, in turn, provide free entry to bacteria as well as other foreign particles and debris to lodge deeper into the skin, paving the way for a far more serious infection.

Contents

Causes of Itchy Ears
Signs and Symptoms of Itchy Ears
Simple Ways to Treat Itchy Ears at Home
1. Use Gravity to Remove the Fluid Buildup
2. A Little Amount of Warm Water
3. Olive Oil can be Beneficial
4. A Few Drops of Hydrogen Peroxide Solution
5. Trust the Healing Potential of White Vinegar
6. Apply Warm Compress
7. Use Blow Dryer
8. Keep Your Ears Dry
9. Maintain Good Ear Health
Prevention of Itchy Ears
When to See a Doctor
Additional Tips


Causes of Itchy Ears
Some of the most common causes of itchy ears are:

Allergic reactions[2]
Ear infections
Ear dryness due to insufficient or no secretion of ear wax
Compulsive and intrusive ear cleaning with cotton buds that rids the cavity of the natural wax and the subsequent buildup of flakes of dry skin within the ear canal
Earwax accumulation, as the wax tends to get pushed deeper into the ear canal by the constant probing with cleaning tools
Water trapped in the ear canal
Hearing aid- or headphone-induced irritation
Ear canal dermatitis
Insect bites
At times, even psoriasis, eczema, or acne can involve the skin of the ear canal.

A 2011 study published in BMC Ear, Nose and Throat Disorders reported that temporomandibular joint disorders (TMD) can have many symptoms, and an itchy ear is one of them.[3]

A 2015 study published in Otolaryngology Online reported that there need not be an underlying bacterial or fungal infection to cause itching as evidenced by a condition called asteatosis. The study stresses the fact that it is important to consider asteatosis as one of the differential diagnosis for chronic and persistent itching when all other causes have been ruled out.[4]

Signs and Symptoms of Itchy Ears
Aside from the obvious (itchiness), an itchy ear can also present with the following symptoms:

Redness on the outside
Discharge or a type of drainage that comes from your ear
Pain or tenderness to the touch
Fever
Swelling
Simple Ways to Treat Itchy Ears at Home

Here are some home remedies to treat an itchy ear.

1. Use Gravity to Remove the Fluid Buildup
If you feel like water has entered your ears during swimming or while taking a shower or bath and this is the reason behind itchiness in your ear, allow gravity to take its course and work its magic.

Gravity will help remove all the fluid buildup in the affected ear.

Tilt the side of your head with the affected ear parallel to the ground.
Put a clean finger in your ear.
Now, try to create a vacuum to help dislodge the fluid.
Use a cotton bud or towel to clean up the discharge.
You can also simply lie down on your side with a towel under your ear.

This remedy can also help to cope with a case of swimmer’s ear.

2. A Little Amount of Warm Water
Flushing your ear with warm water is one of the best ways to get rid of excess earwax that can cause itchiness in the ear. The gentle force of the water will dislodge the wax, making it easier to remove from the ear. Be sure to use only distilled water; never use tap water.

A 2013 study published in the Journal of Laryngology & Otology documented that only distilled water should be used for softening earwax. The study found distilled water to be comparatively much more effective than water mixed with sodium bicarbonate or an oil-based solution for the purpose of disintegrating earwax.[5]

Fill a rubber bulb syringe with slightly warm distilled water.
Tilt your head upright and pull the outer ear up and back to straighten the ear canal.
Use the syringe to gently put a small amount of water into the ear canal.
Leave it for a minute, and then drain it out by tilting your head to the opposite side.
Clean away the water and earwax with a clean cloth.
Repeat the process on the other ear.
3. Olive Oil can be Beneficial
One of the most well-known home remedies to relieve an itch in the ear is olive oil.

Olive oil helps remove excess earwax and keeps your ear canal adequately lubricated. It can soften the rigid ear wax, thereby facilitating its expulsion from the ear. It also has antiseptic properties that may reduce the risk of ear infection.[7]

A 2013 study published in Practice Nursing reported that regular olive oil lubrication may reduce itching and dryness of the ear canal skin, which often contributes to itching but may also assist in the ear’s natural cleaning ability and may help with the ear’s natural wax removal.

Lie on your side with the affected ear facing up.
Gently pull the outer part of your ear up and back.
Put 2-3 drops of lukewarm olive oil in the opening of your ear using a dropper.
Gently massage the skin at the front of the ear to help the oil work its way in.
Remain on your side for 5 to 10 minutes.
Wipe away any extra oil that drips from your ear when you sit up.
Repeat in the other ear if needed.
A Few Drops of Hydrogen Peroxide Solution
Hydrogen peroxide is very effective in dealing with itchiness in the ear due to wax buildup. In fact, many commercial ear drops contain hydrogen peroxide or a similar compound as one of the main ingredients.[9] However, too frequent use of hydrogen peroxide in the ear canal may worsen ear canal skin dryness.

Hydrogen peroxide helps dilute the consistency of the wax and causes it to bubble up and move out of the ear.

Mix equal parts of hydrogen peroxide (3%) and water.
Fill an ear dropper with this solution.
Tilt your head sideways and put a few drops of this solution into the ear. Maintain this position for some time.
Then, tilt your head to the opposite side to drain out the solution.
Wipe away the earwax using a clean cloth.
Repeat this process for your other ear.
5. Trust the Healing Potential of White Vinegar
White vinegar is another effective ingredient to get rid of an itchy ear.[10]

However, it works best when combined with rubbing alcohol. While the vinegar helps dissolve the earwax, the rubbing alcohol serves as a drying agent and helps evaporate any residual liquid from the ear.[11]

Moreover, vinegar also prevents the ear from any kind of infection by maintaining an acid balance in the skin of the ear canal.

Mix equal parts of white vinegar and rubbing alcohol in a bowl.
Soak a cotton ball in the solution.
Tilt the affected ear upward, pull the outer ear up and back, and then squeeze 2-3 drops of this solution into the ear.
Wait for 5 minutes, and then tilt your head to the opposite direction with the treated ear down so that gravity can exert its action and pull the solution and the wax out of the ear cavity.
Remove the earwax from the outer ear with a tissue.
6. Apply Warm Compress
If the cause of itchiness in the ear is acne, then a warm compress can be extremely useful as it dries out the acne. Once the acne is healed, the itchiness will be gone[12]

The heat from a warm compress helps reduce inflammation and irritation, which in turn can soften the acne to bring the pus to the surface. Plus, the warmth helps reduce any pain.

Soak a washcloth in warm water and squeeze out the excess.
Apply the warm compress on the ear for 5 minutes.
Use a gentle cleanser to wash the ear.
Use this remedy twice daily for a few days.

Use Blow Dryer
To help evaporate moisture in the outer ear canal, which can occasionally be the reason behind the itchiness, a blow dryer can come in handy.

The warm, dry air will promote the natural evaporation of the moisture from the ear canal and speed up the drying of a wet canal.

Pull your earlobe away from your body.
Hold a blow dryer about 10 to 12 inches away from your ear.
Set the dryer heat to warm and air flow to low.
Turn the dryer on and aim it directly into the ear canal.
Hold the dryer in position for approximately 30 seconds.
If required, repeat the process again.
Note: Do not expose your ear to the dryer heat for more than a few minutes to avoid burning.
8. Keep Your Ears Dry
Whether it is trapped moisture or an infection of the skin of the ear canal that may be causing the itchiness in the ears, keeping your ears dry as much as possible will help a lot.

Any moisture in the ear can cause irritation, inflammation, and infection.

Dry your ears thoroughly after exposure to moisture from swimming or bathing. Dry only your outer ear, wiping it slowly and gently with a soft towel or cloth. Tilt your head to the side to help water drain from your ear canal.
To prevent getting water in your ear canals when bathing, coat 2 cotton balls with petroleum jelly and put 1 in each of the outer ears; swimmers’ earplugs and a shower cap may also be helpful.

Maintain Good Ear Health
The maintenance of proper ear health is very important in preventing any kind of ear problems, including itchiness in the ears.[13]

Don’t use cotton swabs to clean the inside of your ear canal. It can ultimately cause more damage than good.
Regularly clean the outside of your ears using a cotton ball, some warm water, and mild soap. Keeping the outside clean will help keep debris and allergens out of your ear canal.
Always wear earplugs when swimming to keep water and debris out of your ears and to reduce the risk of an infection in the outer ear canal.
Prevention of Itchy Ears
Because the ears are largely self-cleaning, you must refrain from indulging in unwarranted ear cleaning yourself. All of the following objects that are usually employed for maintaining ear hygiene can be detrimental to the integrity of your eardrum:

Cotton balls
Cotton swabs
Paper clips
Bobby pins
Other preventive ways to stave off ear irritation and itching include the following:

Be careful when choosing ear jewelry, and avoid jewelry made of metals that might result in an allergic reaction that leads to itching.
If you are a frequent swimmer, use a solution to rid the ear of excess water.
Manage overproduction of earwax by using doctor-approved approaches, such as ear drops or a bulb syringe.
To save your ear cavity from excessive moisture, wear a shower cap while bathing.
Use mild shampoos and shower gels that are specifically formulated for sensitive skin.
If you use a hearing aid or earplugs regularly, make a point to disinfect them from time to time and insert them gently so as not to irritate the ear.
Always keep your cell phone and earphones clean, as they can contribute to an ear infection.
Avoid touching your ears with dirty fingers.

When to See a Doctor
An itchy ear that is not rooted in some underlying infection or ailment is rarely a cause of concern and tends to clear on its own within a few days. However, if you encounter problems such as bleeding or drainage from your ears or a sudden loss of hearing, please visit your doctor at once.

Also, if the itch fails to subside within a week despite proper home care, medical help will be warranted to identify the underlying cause and address the symptoms. Understanding the cause behind an itchy ear is the key to a successful treatment plan.

Minor itching related to dry ears, too much earwax, or a mild infection can be successfully managed at home with the help of some simple and effective remedies.
Additional Tips
Yawning or chewing motions can also help get water out of the ear canal by changing the shape of the ear canal.
Clean only the outer ears regularly to prevent oil, dead skin cells, and other debris from collecting in the opening of the ear canal.
Avoid putting foreign objects in your ear, especially cotton swabs.
Protect your ears from irritants by putting cotton balls in your ears while applying products such as hair sprays and hair dyes. Be sure not to insert them too deeply.
Use a humidifier to add moisture to your home environment if you suffer from dry ears.
Resources:

Otorhinolaryngology – Head & Neck Surgery. Otorhinolaryngology – Head & Neck Surgery . https://med.uth.edu/orl/online-ear-disease-photo-book/chapter-15-miscellaneous/itchy-ears/.
Bernstein DI, Teper A, Gopalan G, Gates D. Effects of intranasal mometasone furoate on itchy ear and palate in patients with seasonal allergic rhinitis. Annals of Allergy, Asthma & Immunology. https://www.ncbi.nlm.nih.gov/pubmed/22541408. Published May 2012.
Kitsoulis P, Marini A, Iliou K. Signs and Symptoms of Temporomandibular Joint Disorders Related to the Degree of Mouth Opening and Hearing Loss. BMC Ear Nose & Throat Disorder. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3117795/. Published May 25, 2011.
Rai S. Microbiology of itchy ears. Orontology Online Journal. https://www.semanticscholar.org/paper/Microbiology-of-itchy-ears-Rai/f56a59e9238cf7637bcfea1ce423b7486f945ad8. Published January 2015.
Saxby C, Williams R, Hickey S. Finding the most effective cerumenolytic. The Journal of Laryngology & Otology. https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/finding-the-most-effective-cerumenolytic/94EA5C9F4BCF30FCFE3F43470A6B102E. Published November 2013.
Hidir Y, Ulus S, Karahatay S, Satar B. A comparative study on efficiency of middle ear pressure equalization techniques in healthy volunteers. Auris Nasus Larynx. https://www.ncbi.nlm.nih.gov/pubmed/21216116. Published August 2011.
Rodgers R. Does olive oil prevent earwax build-up? An experimental study. Practice Nursing. https://www.magonlinelibrary.com/doi/abs/10.12968/pnur.2013.24.4.191. Published September 29, 2013.
Hand C, Harvey I. The effectiveness of topical preparations for the treatment of earwax: a systematic review. British Journal of General Practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1324923/. Published November 1, 2004.
Otitis externa: Get rid of swimmer’s ear. University of Iowa Hospitals & Clinics. https://uihc.org/health-topics/otitis-externa-get-rid-swimmers-ear. Published June 2017.
Collier S, Beach M, Brady M. Swimmer’s ear a mild but burdensome illness. AAP Gateway. http://www.aappublications.org/content/32/6/1.2. Published June 1, 2011.
Stenfors LE, Henriksen AO. Treatment of earache among the Lappish people. The Journal of Laryngology & Otology. https://www.ncbi.nlm.nih.gov/pubmed/2324615.
Conductive Hearing Loss. ENT Health. https://www.enthealth.org/conditions/conductive-hearing-loss/.

Calming Children’s Pneumonia Symptoms Naturally
Pneumonia is a lower respiratory lung infection that is widely prevalent among people of all ages. This condition can afflict one or both lungs and causes the air sacs or alveoli in either or both the lungs to become inflamed and fill up with pus or fluid.

This build-up of fluid makes it increasingly difficult for oxygen to reach the blood and causes labored breathing along with other flu-like symptoms that persist for weeks and are often unresponsive to traditional cold and sinus medicines.

Note: Consult your doctor for proper diagnosis and treatment of this condition. Use home remedies only as an adjunct to treatment.
Children are one key demographic that are at an increased risk of this disease. Contrary to adults, however, newborns and infants may not exhibit the characteristic symptoms of pneumonia such as a nagging cough or fever, and the manifesting symptoms might be too vague or subtle to be readily detected.

Children have an underdeveloped immune system and their infection-fighting responses are still rather nascent, this makes them an easy prey for pneumonia-causing pathogens.

Needless to say, malnourished children or those with compromised immune responses are at a far greater risk of catching pneumonia, for whom this condition can even turn fatal. This should be reason enough for you to take pneumonia seriously and proactively look out for any worrisome symptoms of the disease in your child.

To give you a real sense of the magnitude of this health scare, we’ll let the numbers do the talking. As of 2016, pneumonia emerged as the leading cause of death due to infectious disease among children under five, accounting for the death of around 880,000 children globally. Most of these children were less than 2 years of age.[1]

So, while the period between birth and 2 years of age is when the threat looms largest, children above 2 years are not immune to this disease either.

The severity and diagnosis of this condition usually depend upon the causative pathogen, and its symptoms can range from mild to life-threatening.

Contents

Causes of Pneumonia in Children
Symptoms of Pneumonia in Children
Prevention of Pneumonia
When to See a Doctor
Dealing with Pneumonia in Children
1. Slightly Warm Moist Air
2. Breast Milk
3. Proper Rest
4. Hydration
5. Lukewarm Water Compress
Additional Tips
Expert Answers (Q&A)
Causes of Pneumonia in Children
Pneumonia can be caused by a number of viruses and bacteria[2]

Bacterial causes of pneumonia include:

Streptococcus pneumoniae
Hemophilus influenzae
Staphylococcus aureus
Mycoplasma pneumoniae- which causes a mild form of pneumonia known as walking pneumonia in school-going children
Viral pneumonia is the usual culprit when it comes to pre-school children between the ages of 4 to 5, and is often less serious than bacterial pneumonia. The major viral causes of pneumonia in infants and children are:

Respiratory syncytial virus
Influenza virus
Adenoviruses
Parainfluenza virus type 3
Human metapneumovirus[3]
Moreover, if your child has an already weakened immune system, he/she runs the risk of developing aspiration pneumonia which is caused by inhaling large amounts harmful fumes emanating from air pollution, cigarette smoke, chemicals or vomit.

Similarly, breathing in the fungi present in soil and bird droppings is another less prevalent cause of pneumonia in children, especially those with suppressed immunity.

Symptoms of Pneumonia in Children
The symptoms of pneumonia in children vary depending on the child’s age and cause of pneumonia. Children often exhibit one or more of the following symptoms:[4]


High fever
Fast and/or difficulty breathing
A cough
Irritability or fatigue
Pain in the chest (especially when coughing)
Abdominal (tummy) aches or pain
Loss of appetite
Weakness
Prevention of Pneumonia
Vaccination is the main preventive measure of pneumonia. There are vaccines available that prevent some types of pneumonia and flu. In fact, the Centers for Disease Control and Prevention recommend pneumococcal vaccination for all children younger than 2 years old and all adults 65 years or older as a preventive measure.[5]

The CDC also recommends an influenza shot for all children over the age of 6 months.[12]

In a 2017 study published in the Bulletin World Health Organization, researchers analyzed the benefits of pneumococcal conjugate vaccines and hospitalization of children for pneumonia in South Africa from the period 2006-2014. It was found that post the introduction of pneumococcal conjugate vaccines into the country’s national immunization program; there was a record decrease in pneumonia hospitalizations among children under 5 years old.[6]

So, to protect your child from pneumonia, make sure your child gets vaccinated at the right time. Consult your doctor to stay abreast of any advancements in vaccine options, and to stay on top of the vaccine schedule stipulated for your child.

Other preventive steps to lower the odds of your child coming down with pneumonia include the following:

Ensure that your child stays away from anyone who is sick. Also, if your child is suffering from fever, runny nose, coughing, sneezing, etc., then it would be advisable to keep him/her away from healthy children.
Make sure that your child is given the flu shot yearly.
Regular hand washing is crucial in preventing virus or bacteria from entering the body. For added convenience, always carry a hand sanitizer to rid your child’s hand of festering germs in situations where hand washing is rendered impossible.
Do not allow your child to share personal items, such as eating utensils, cups, tissues, and handkerchiefs with anyone.
Keep your child’s immune system strong by following a healthy diet. Include fresh vegetables and fruits, especially the ones containing a high quantity of vitamins C and A to strengthen their immune system.
Make exercise a part of your child’s daily routine to build immunity.


When to See a Doctor
Consult your child’s doctor immediately if you think your child has pneumonia. Immediate medical attention is all the more imperative if you notice any of the following symptoms in your child:

Fast, noisy, or heavy breathing
Loss of appetite
Looks pale and unwell
Is taking forever to recover from a mild illness
Suddenly seems to get worse after signs of recuperative improvement
In developed countries like the United States, pneumonia is not as life-threatening as it once was because of the availability of antibiotics and other modern treatments. However, in developing countries, pneumonia is still a big threat to children.

Given your child’s immature immune system, it would be ill-advised to take your kid’s health in your hands and tackle a potentially life-endangering problem such as pneumonia without proper medical supervision.

Prompt referral to a seasoned pediatrician is the first step towards recovery. Once the doctor lays down a treatment plan custom-made according to your child’s symptoms and severity, it is essential to stick to it.

You can simultaneously adopt certain adjunctive remedies to give your child’s immune system a much-needed push in order to eliminate the infection and help relieve the distressing symptoms.

Dealing with Pneumonia in Children
Here are some home remedies to ease the symptoms of pneumonia and promote a healthy recovery in children. You can use these remedies to complement the doctor’s treatment plan.

1. Slightly Warm Moist Air
Warm moist air will help loosen and break down the sticky mucus that could be blocking your child’s airway and making it difficult to breathe. You can use a humidifier or a mist vaporizer in the room where your child rests.[7]

Fill the humidifier with warm water.
Allow your child to breathe in the warm mist.
Caution: DO NOT use steam vaporizers because they can end up burning your child if he/she happens to fiddle with it.[8] Also, be sure to clean the humidifier regularly to prevent mold buildup.
2. Breast Milk
For babies younger than 6 months who are diagnosed with pneumonia, breast milk is very important. It offers a unique balance of nutrients that strengthen the baby’s weak immune system and is tailored to fight the baby’s illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for fast recovery.

A 2011 study published in the Journal de Pediatria reports that increased prevalence rates of breastfeeding during the first year of life and exclusive breastfeeding during the first 6 months of life is associated with a reduction in the number of hospitalizations for pneumonia.[9]

Another 2013 study published in BMC Public Health highlights the importance of breastfeeding during the first 23 months of life as a key intervention for reducing illness and death due to pneumonia.[10]

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions.
If your baby refuses to nurse regularly, then pump out the breast milk and feed it to your baby using a spoon or bottle.

Proper Rest
A sick body needs plenty of downtime to heal. For small children suffering from pneumonia, it is important for parents to make them rest as much as possible.

Refrain your child from physical activity and get him/her enough bed rest to allow the body to focus on repairing itself, rather than using energy to power the muscles. Rest is vital for cellular repair in the body and is especially beneficial for shortness of breath. Conversely, physical exertion can end up exaggerating the symptoms.

Do not send your child to play school or take him/her to the playground until after his/her temperature returns to normal and he/she stops coughing up mucus.

Even when your child starts to feel better, be careful that he/she does not overdo it. Because pneumonia can recur, it’s better not to make your child jump back into his/her routine until fully recovered. Thus, adequate rest is also vital for preventing a relapse.

4. Hydration
To properly manage pneumonia in infants and children, proper hydration is a must.[11]

Pneumonia can cause mild fever in children. During fever, keeping the body sufficiently rehydrated with the help of liquids and electrolytes is essential to prevent dehydration.

Also, fluid intake helps to thin excess mucus and to ease coughing. Expelling mucus helps the body to get rid of the germs out of your child’s system, allowing quick recovery from the lung infection.

Feed breast milk as well as fruit juice and chilled yogurt to babies 6 months or older. For younger babies, feed plenty of breast milk or baby formula.
If your child is older, make him/her drink lukewarm water or milk at regular intervals.
Fruit juice, vegetable soup, and clear broths are also good options.
If your child refuses large amounts of fluids at a time, give smaller amounts more often.


Lukewarm Water Compress
Apart from coughing, your child may develop mild chest pain due to pneumonia. To help your child get relief, use a lukewarm compress.[11]

Put some lukewarm water in a bowl.
Soak a clean washcloth in the water.
Wring out the excess water, and then place the wet cloth on child’s chest.
Once the cloth warms, remove it and repeat again.
You can also use a damp washcloth to sponge areas like your child’s armpits, feet, hands, and groin to reduce the body temperature during fever.

A lukewarm water bath also goes a long way in reducing the fever.

Additional Tips
Avoid smoking in front of your child as second-hand smoke will aggravate the symptoms.
It is crucial to complete the child’s full antibiotic course if he/she has been prescribed.
Always use a measuring device to give medication.
Don’t treat a fever in children less than 18 years of age with aspirin, as it can lead to serious health problems.
Expert Answers (Q&A)
Answered by Dr. David Stukus, MD (Pediatric Allergist/Immunologist)

Why are children more prone to pneumonia than adults?
Children have much smaller airways and decreased ability to effectively cough mucous out of their lower airways compared with adults. Young children may also not have received their full vaccine series yet, which can make them vulnerable to some types of bacterial infections.

Increased exposure to viruses and bacteria at daycare and school can also contribute to the risk of contracting the infection.

Do infants exhibit different symptoms as compared to adults while suffering from pneumonia? If so, what are these symptoms?
The most common symptoms when anyone has pneumonia are cough and fever. Infants with pneumonia often breathe faster than normal, have much more difficulty breastfeeding or taking a bottle, don’t sleep as well as normal, and may become more lethargic.

How should a fever be treated in children below the age of 18? Should aspirin be used to treat it?
Tylenol and Motrin are tried, and true fever-reducing medications and are our first line treatment for fever in children. Aspirin should never be used in children less than 18 years old without discussing with their doctor first. Reye’s syndrome is a rare but serious condition that can occur when aspirin is used in children less than 3 years old or any child who may have chicken pox or flu-like symptoms.

How much time does it take for pneumonia to subside? Can it subside on its own?
Children with pneumonia can have a lingering cough for weeks after they initially become sick. There are many factors that determine how sick a child with pneumonia can become and how long it takes before they improve. Viral pneumonia does not require antibiotics and subsides on its own; supportive care is given to make people feel better. Bacterial pneumonia should be treated with antibiotics.

At what stage should a doctor be visited mandatorily when suffering from pneumonia?
Pneumonia cannot be diagnosed without a thorough physical exam by a qualified health care professional and a chest x-ray. Pneumonia cannot be diagnosed over the phone, by a parent or caregiver, or just based upon a cough and fever. So, anyone who suspects pneumonia needs to be seen by their doctor. If someone already has pneumonia, then they should be seen again if they are having difficulty breathing, shortness of breath, or severe chest pain.

About Dr. David Stukus, MD: Dr. Stukus is a pediatric allergist/immunologist who treats children with various allergic conditions as well as those who have recurrent infections. He is dedicated to patient advocacy, research, quality improvement and the dissemination of evidence-based information.
Resources:

UNICEF DATA. https://data.unicef.org/topic/child-health/pneumonia/. Published June 2018.
The Royal Children’s Hospital Melbourne. https://www.rch.org.au/kidsinfo/fact_sheets/Pneumonia/. Published February 2018.
Chang AB, Ooi MH, Perera D, Grimwood K. Improving the Diagnosis, Management, and Outcomes of Children with Pneumonia: Where are the Gaps? Frontiers in Pediatrics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864194/. Published 2013.
Children’s National Health System. https://childrensnational.org/choose-childrens/conditions-and-treatments/airway-lungs/pneumonia.
Vaccines and Preventable Diseases. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/vpd/pneumo/public/index.html. Published December 6, 2017.
Izu A, Solomon F, Nzenze SA, et al. Pneumococcal conjugate vaccines and hospitalization of children for pneumonia: a time-series analysis, South Africa, 2006–2014. Bulletin of the World Health Organization. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578378/. Published September 1, 2017.
Pneumonia in adults – discharge. Loyola Medicine. http://loyolamedicine.adam.com/content.aspx?productId=117&isArticleLink=false&pid=60&gid=000017. Published February 24, 2018.
Akhavani MA, Baker RHJ. Steam inhalation treatment for children. The British Journal of General Practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1472796/. Published July 1, 2005.
Boccolini CS, Carvalho MLde, Oliveira MICde, Boccolini Pde MM. Breastfeeding can prevent hospitalization for pneumonia … Jornal de Pediatria. https://www.researchgate.net/publication/51838677. Published 2011.
Lamberti LM, Zakarija-Grković I, Walker CLF, et al. Breastfeeding for reducing the risk of pneumonia morbidity and mortality in children under two: a systematic literature review and meta-analysis. BMC Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847465/. Published 2013.
Walking Pneumonia. East Tennessee Children’s Hospital. http://www.etch.com/Kids-Health/Parents/2016/Walking-Pneumonia.aspx.
Centers for Disease Control and Prevention. Key Facts About Seasonal Flu Vaccine. Retrieved from https://www.cdc.gov/flu/protect/keyfacts.htm. Published September 6, 2018.

Vomiting and Nausea in Children: Cure it the Natural Way!
Vomiting, or throwing up, is the forceful discharge of stomach contents through the mouth and is very common in children. Sometimes, vomiting may even prove beneficial in ridding their bodies off of unwanted substances and pathogens that they may have unknowingly ingested.

Usually,  vomiting in children will cease on its own without the need for any medical intervention. It is, nevertheless, important to remain vigilant for signs of dehydration in children, and proactively try to settle their stomach and replenish the loss of fluid and energy before the condition escalates to a life-threatening level.

Contents

Causes of Nausea and Vomiting in Children
Symptoms of Nausea and Vomiting in Children
Preventing Nausea and Vomiting in Children
When to See a Doctor
Simple Ways to Ease Nausea and Vomiting in Children
1. Increase Your Child’s Water Intake
2. Give Homemade ORS to Your Child
3. Fennel Seeds can Help
5. Make Your Child Drink Lemon Juice
6. Acupressure can be Beneficial
Additional Tips
Expert Answers (Q&A)

Causes of Nausea and Vomiting in Children
Vomiting is usually a symptom of some underlying ailment, such as-[1]

Gastroenteritis or stomach flu
Gastroesophageal reflux
Food poisoning
Motion sickness
Food allergy
Mental stress
Lack of sleep
Indigestion
Empty stomach
Respiratory infections
Some serious health issues and infections, such as- meningitis, urinary tract infection, middle-ear infections, appendicitis
An injury like a blow to the head, in which case vomiting may be indicative of increased intracranial pressure[2]
Overeating, rushed eating or eating foods loaded with fat, sugar and fiber which can overburden the still nascent digestive system in kids and trigger a vomiting spell.
Cyclic Vomiting Syndrome- Sometimes, frequent vomiting may not be related to any of the above-mentioned causes, instead, it may be a symptom of cyclic vomiting syndrome, which is characterized by sudden repeated attacks of vomiting, lasting from a few hours to several days.[3] A 2012 study published in Neurogastroenterology and Motility  reports that cyclic vomiting syndrome occurs in approximately three out of every 100,000 children.[4]
Projectile vomiting in infants soon after feeding can also be indicative of Pyloric stenosis, a condition which afflicts the baby’s gastrointestinal tract blocking food from entering into the small intestine. This condition requires immediate medical attention.
Accidentally swallowing some toxic or poisonous substance can also cause your child to vomit.

Symptoms of Nausea and Vomiting in Children
In general, vomiting is often accompanied by other symptoms related to the specific illness or a result of general weakness. Some of the symptoms that may accompany vomiting are-[5]

Lethargy
Irritability or listlessness
Pale skin
Headache
Abdominal pain
Low-grade fever
Increased heartbeat
Bloating
Diarrhea
Preventing Nausea and Vomiting in Children
To reduce the chances of vomiting in children-

Teach them to wash hands regularly and well; especially before and after eating and also after going to the bathroom.
Limit the children’s exposure to anyone with stomach bug.
When to See a Doctor
Sometimes, a visit to the doctor is a must, especially when there is prolonged vomiting, the child is dehydrated, the child is not able to keep fluids down for a span of 12 hours, and when the following symptoms are present- blurred vision, stiff neck, coughing, high fever, and migraine.

Vomiting and the associated symptoms are often “cured” once the cause of the problem subsides. In most cases, vomiting in children tends to stop without specific medical treatment. However, you can try some home remedies to stop the vomiting and make your child feel better.

Simple Ways to Ease Nausea and Vomiting in Children
Here are some home remedies to cure nausea and vomoting in children.

1. Increase Your Child’s Water Intake
Vomiting can lead to loss of water in the body and ultimately dehydration, which can be harmful for your child. Hence, the first step to treat vomiting in children and stop dehydration is increasing water intake. A liquid diet is not only easy on the stomach, but it also goes a long way in restoring the body’s strength.

Water is usually enough to rehydrate your child’s body. It is essential that you give your child sufficient water to drink from time to time even if he/she does not feel particularly thirsty.[6]

Moreover, a study suggests that parents should feel free to give young children with minimal dehydration apple juice or their favorite beverage instead of an electrolyte solution when they’re recovering from vomiting.

Children who are being breastfed should continue to receive breast milk, but make sure to feed more often than usual.
Make your child sip small amounts of water and clear fluids throughout the day.
You can also offer carbohydrate- or electrolyte-containing drinks, however be careful, because the increased sugar in these drinks can often cause diarrhea.
Making them suck on popsicles made from juices. Sports drinks can also help a lot.
Even giving ice chips to suck at frequent intervals is beneficial.
Note: For the first 24 hours or so of any illness that causes vomiting, keep your child off solid foods, and encourage him/her to have more fluids. Babies should NOT receive water unless instructed by your doctor.

Give Homemade ORS to Your Child
Homemade Oral Rehydration Solution (ORS) is recognized by the World Health Organization (WHO) as the first line treatment for dehydration. It is a quick fix solution to replenish the lost nutrients and fluids and can be easily prepared at home. Packs of ORS are readily available in the market as well.

A 2009 study published in the American Family Physician reports that oral rehydration therapy is the preferred treatment of mild to moderate dehydration caused by diarrhea in children.[7]

Add ½ teaspoon of salt and 6 teaspoons of sugar (or brown sugar) to 4 cups of drinking water.
Stir thoroughly until the salt and sugar dissolve completely.
Give the child this solution several times a day until he/she recovers completely.
3. Fennel Seeds can Help
Another good anecdotal remedy that has been proven by the research as well about its efficacy in stopping vomiting in children is fennel.[8]

Fennel seeds soothe the digestive tract and ease nausea and vomiting. They also have antimicrobial properties that help prevent and treat stomach flu that could be causing the vomiting. Plus, its aromatic flavor helps calm the stomach.

Add 1 tablespoon of crushed fennel seeds to 1 cup of boiling water and allow it to steep for 10 minutes. Strain this mixture and let your child drink this tea 1–2 times a day.
You can also let your child chew a teaspoon of fennel seeds to help combat the problem.
5. Make Your Child Drink Lemon Juice
Lemon can also help deal with chronic vomiting. Its zesty smell has an energizing effect on the body that can reduce nausea and prevent vomiting. Enriched with vitamins and minerals, lemon can help make up for those lost due to vomiting.

The high vitamin C content of lemons is another reason to include it in your treatment as it helps boost the body’s immunity. Even the acid in lemons helps kill bacteria that cause food poisoning and lead to vomiting.

Squeeze a fresh lemon into 1 glass of water and add a little honey. Give it to your child to drink a few times a day. (Do not give honey to children under age 1.)
You can even let your child simply smell fresh lemon peels to ease nausea and vomiting.
Sucking on hard candies, such as lemon drops, can help eliminate the unpleasant taste in the mouth after vomiting.
6. Acupressure can be Beneficial

Since vomiting and the accompanying nausea and uneasiness often render the child unable to even drink, let alone eat, acupressure serves as an effective non-drug treatment to check the persistent loss of fluid and minerals and prevent dehydration.

Traditional Chinese medicine prescribes different acupressure points on the body which are to be pressed for near instantaneous relief to the child in a painless manner. Applying pressure on these acupoints tends to release muscle tension and spur blood circulation that can help stop vomiting and nausea.

So it uses pressure to stimulate certain points in the body to relieve symptoms.[9]

For instance, pressure point Neiguan (P6), located on the palm side of the forearm near your wrist, is pressed to help relieve nausea and vomiting.

To massage the P6 pressure point:

Place three fingers across the wrist of your child.
Put your thumb under your child’s index finger.
Rub this point in a firm, circular motion for 2–3 minutes. Don’t press too hard, though.
Repeat on the other wrist.
If your child is old enough, he/she can do it on his/her own.

Additional Tips
Do not give over-the-counter medicines unless they’ve been specifically prescribed by your child’s pediatrician.
When your child is vomiting while lying down, try to keep him/her lying on the stomach or on the left side as much as possible.
After vomiting, do not give anything to eat for at least an hour.
Steer clear of solid foods until clear liquids are tolerated, as solid foods can irritate a sensitive stomach.
Your child may need prescribed antiemetic drugs for frequent vomiting. These medications help to reduce the frequency of vomiting episodes.
Let your child have enough rest and sleep. A well-rested child tends to recover faster since it gives the body time to heal after the strain it goes through during a vomit attack.
Deep breathing helps keep the biological response that causes motion sickness in check.
Avoid feeding large meals to your child. Instead, opt for several small meals throughout the day.
Keep your child away from fried and fatty foods, which can be difficult to digest and cause vomiting.
Keep a note of nausea triggers and try to avoid them.
Expert Answers (Q&A)
Answered by Dr. Ahmed Samir Abouelnaga, MD (Pediatrician)

What is the best remedy to stop vomiting in children instantly?
I guess the best remedy to stop vomiting in children instantly is to treat the main cause of vomiting first. There are a lot of simple home remedies such as making ice cubes from oral rehydration solutions, giving Gelatin to the child as an alternative to liquids, giving rehydration fluids 30 minutes after vomiting to reduce the likelihood that the child will immediately vomit again, and feed bland foods to the child once the vomiting ceases for about 8 hours. It is important to keep an eye out for dehydration symptoms and avoid using medications without the doctor’s approval.

What drinks should be given to a child after a vomiting episode?
It is important to administer more fluids to the child in case of excessive or frequent vomiting to prevent dehydration. The best fluid for this purpose is oral rehydration solution. If not tolerated by the child, he can be given other fluids to keep him hydrated and to ease nausea like: Ginger ale, Mint tea, Water, Warm Ginger tea, Fennel seeds or Cloves.

Can a child suffer from vomiting without any fever?
A lot of children have vomiting without fever especially in the case of viral gastroenteritis, commonly known as stomach flu. Many other causes like food allergy, concussion, intestinal obstructions, habitual vomiting, migraines, motion sickness, use of some medications or stress can induce vomiting without fever.

Why do children throw up during the night?
Certain conditions can cause nighttime vomiting such as: Gastroesophageal reflux, Gastroenteritis, Appendicitis, Head trauma, Migraines, Pancreatitis, Food poisoning, Hepatitis, and Peptic ulcers.

Please provide some additional tips or inputs on how to manage vomiting in children.
Some additional tips for management of vomiting in children include the following:

Pediatricians should educate parents to stay calm and reassure them that their child will most likely be better within 24 hours.
Avoid sports drinks, sodas and juices as they contain inadequate sodium and large quantities of carbohydrates.
Keep children off solid foods for 24 hours after vomiting. Use bananas, rice, and toast as an effective way to reintroduce foods after vomiting.
About Dr. Ahmed Samir Abouelnaga, MD: Dr. Abouelnaga is a specialty Paediatrics doctor at University Hospitals of Morecambe Bay NHS Foundation Trust, UK.

Resources:

Vomiting in children and babies. NHS inform – Scottish health information you can trust. https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/vomiting-in-children-and-babies. Published 2018.
Brown, Brown J, Beattie. Why do children vomit after minor head injury? Emergency Medicine Journal. https://emj.bmj.com/content/17/4/268. Published July 1, 2000.
Cyclic Vomiting Syndrome. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/cyclic-vomiting-syndrome/Pages/facts.aspx.
Drumm BR, Bourke B, Drummond J, et al. Cyclical vomiting syndrome in children: a prospective study. Neurogastroenterology and Motility. https://www.ncbi.nlm.nih.gov/pubmed/22762244. Published October 2012.
Vomiting. Is There Really Any Benefit to Multivitamins? https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/pediatrics/vomiting_22,Vomiting.
Drinks to Prevent Dehydration in a Vomiting Child. HealthyChildren.org. https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Drinks-to-Prevent-Dehydration-in-a-Vomiting-Child.aspx. Published 2015.
Canavan A, Arant BS. Diagnosis and Management of Dehydration in Children. AAFP Home. https://www.aafp.org/afp/2009/1001/p692.html. Published October 1, 2009.
Anheyer D, Frawley J, Koch AK, et al. Herbal Medicines for Gastrointestinal Disorders in Children. American Academy of Pediatrics. http://pediatrics.aappublications.org/content/139/6/e20170062. Published June 2017.
Jindal V, Ge A, Mansky PJ. Safety and Efficacy of Acupuncture in Children A Review of the Evidence. Journal of Pediatric Hemotology Oncology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518962/. Published June 2008.


Home Treatments and Remedies for Wet Cough
Cough is a common reflex, and it is the body’s mechanism to clear the airways of irritants. Cough may be acute, lasting less than three weeks, or chronic, lasting for more than eight weeks.[1]

There are different types of cough: dry, wet, or whooping. The treatment for cough, of course, depends on its nature and causes.

A wet or productive cough, i.e., cough that produces phlegm, indicates that your body is producing more mucus than normal.[2]


Contents

Causes and Symptoms of Wet Cough
How to Prevent Coughing
When to See a Doctor
Are Over the Counter Preparations Recommended?
Natural Remedies to Deal with Wet Cough at Home
1. Salt Water Gargle
2. Steam Inhalation
3. Honey
4. Ginger
5. Licorice
6. Garlic
7. Apple Cider Vinegar
8. Pineapple Juice, Honey, Ginger, Cayenne, and Salt
Additional Tips
Causes and Symptoms of Wet Cough
Acute cough in adults most often occurs because of infections caused by microorganisms such as bacteria or viruses, like those that cause a cold or flu.

Other reasons why your body may produce more mucus than usual may include different health problems such as bronchitis, pneumonia, chronic obstructive pulmonary disease (COPD), cystic fibrosis, and asthma.

In a toddler or baby, a cough is most often caused by a viral infection or asthma. A wet cough in children may also be caused by inhaling a foreign body (e.g. peanuts!), cigarette smoke, or other environmental irritants.[3]

A cough often begins with a dry hacking cough that causes heaviness in the chest and ultimately leads to coughing up phlegm as the illness progresses. It may feel like you have something stuck in your chest or a tickle at the back of your throat.

For immediate relief from chest congestion, Dr. Janette Nesheiwat, MD. has some pointers that would help you, which include, “stay hydrated, use a humidifier or take a hot shower-the steam mist will help, hot tea (adults can add honey), apple cider vinegar can help break up & loosen mucous/phlegm (mix it in water), a warm compress on the chest can help soothe symptoms.”

Other signs and symptoms that can be associated with cough are a rattling or whistling sound when breathing-in or coughing (wheezing), breathlessness, chest pain or tightness, and fever.

A cough may follow a sore throat or a cold, and can be worse in the morning. It can affect your work and sleep, and it can disturb others around you, too.

How to Prevent Coughing
Although it cannot be completely avoided, there are certain steps you can take to ensure that you do not come down with a flu or cough. Here are some examples:-

Avoid getting in contact with others who are or might be sick.
In case you are sick, avoid going to school or work, to prevent spreading the infection.
Sneeze or cough with your nose and mouth covered.
Increase your fluid intake to stay hydrated.
Keep the common areas of your home or work clean.
Always wash your hands, especially after coughing, eating, using the bathroom, or looking after someone who is sick.
If your cough is due to allergy, then you can identify the allergen that affects you, and avoid exposure to them.
One daily habit, that could prevent chest congestion, according to Dr. Janette Nesheiwat, is to, “stay hydrated- most important thing to do.”


When to See a Doctor
Usually, most coughs go away on their own. However, there may be times when you may need medical attention. Seek the help of a doctor IMMEDIATELY when at least one of the following occurs:

Your cough is becoming worse instead of better.
You are unable to eat and breathe properly.
You cough up blood.
Any of the following symptoms accompany your cough: chills; fever higher than 101 ˚F (38 ˚C); dehydration; foul-smelling, thick, green-or yellow-tinted phlegm; and weakness.
Your cough lasts more than 3 weeks.
There are swollen glands on the side of your neck.
You are also experiencing chest pain.
You are losing weight for no apparent reason.
Are Over the Counter Preparations Recommended?
There is little evidence for or against the effectiveness of over-the-counter (OTC) medicines.[4]

Fortunately, there are several natural cough remedies that can help fight the cause of the problem or even provide quick relief from the symptoms.

Natural Remedies to Deal with Wet Cough at Home
Here are some home remedies for a wet cough.

1. Salt Water Gargle
Gargling with salt water several times a day provides significant relief from cough. Salt helps remove mucus from the respiratory tract,[5] while the warm water reduces irritation in the throat.

Plus, the antiseptic property of salt may help fight any infection that may have caused the illness.

Add ¼-½ teaspoon of salt to a glass of warm water.
Mix well until the salt is thoroughly dissolved.
Gargle with this 2-3 times daily until your congestion clears.
2. Steam Inhalation
Inhaling steam is another effective way to get quick relief from a cough. The heat and moisture from the steam help break up and dissolve mucus. Moreover, inhaling steam infused with tulsi leaves-extract can help relieve cough and cold even better.[6]

Fill a bowl with very hot water. Add the equivalent of 6-8 tulsi leaves (also known as Holy or Sacred Basil). Put a towel over your head and position your face over the bowl. Inhale the steam for as long as you can and breathe deeply. Do this 2-3 times a day.
You can also take a hot shower and breathe in the steam for 5 minutes. Try this twice daily until the cough is resolved.
Note: Steam inhalation might not be suitable for young children, pregnant women or people suffering from high blood pressure or heart conditions.
3. Honey
Honey is another well-known home remedy for cough.[7]

It helps reduce the thickness of the mucus and promotes its easy removal from the respiratory tract. Also, being high in antiviral and antibacterial properties, honey helps fight infection.

Put 1 large organic onion (halved and thinly sliced) and 1 teaspoon of dried thyme (or 3 teaspoons of fresh thyme) in a glass, ceramic, or nonstick saucepan, and add enough honey to fully cover the ingredients (preferably 2 cups of raw local honey).
Simmer over low heat for 1 hour, until the onion becomes juicy and soft.
Pour the mixture into a glass jar, cover with lid, and label. You can store this in the refrigerator for up to 1 month.
Consume 1 tablespoon of this honey-thyme elixir daily during cold season to prevent or treat a cold.
Note: Do not give honey to children under age 1 as it can lead to botulism.

4. Ginger
Whether you are suffering from productive or non-productive cough, ginger is a good remedy.

As an expectorant, ginger helps in thinning and expelling mucus. It even reduces the intensity and duration of coughing bouts characterized by airway hyperresponsiveness and inflammation.[8]

Moreover, ginger has immune-boosting properties that help promote quick recovery.

Cut an inch of fresh ginger root into small slices and crush them a little. Put the ginger and 1½ cups of water in a pan and bring it to a boil. Let it simmer on low heat for another 5 minutes. then strain it. Drink this up to 3 times a day.
Alternatively, mix together 1 tablespoon of freshly extracted ginger juice and 1 tablespoon of raw honey. Take this twice daily for a few days.
You can also chew fresh raw ginger throughout the day.
5. Licorice
Licorice acts as an expectorant and thus can help relieve some symptoms of a cough. It also helps soothe a sore throat.

A 2017 study published in Bioorganic & Medicinal Chemistry highlights the antitussive and expectorant activities of licorice and its major compounds.[9]

Add ½ teaspoon of licorice root to 1 cup of hot water. Cover and allow it to steep for 5-10 minutes, and then strain. Add a little honey and drink this tea 2-3 times a day.
Another option is to add ½ teaspoon of licorice power and ½ teaspoon of dry ginger powder to 1 glass of hot water. Drink this 2 times a day.
To soothe throat irritation, you can even suck on some licorice candies.
Note: Licorice remedies are not advisable for people with high blood pressure.

6. Garlic
Garlic is also a good remedy for chesty cough. It acts as a natural expectorant, which helps provide quick relief from coughing.

Garlic also has immune-enhancing,[1

Pineapple Juice, Honey, Ginger, Cayenne, and Salt
Another traditional cough remedy is to blend pineapple juice[12] with honey, ginger, salt, and a little cayenne pepper. The cayenne helps to expel the mucus, and honey and ginger soothe the throat. They also offer anti-inflammatory properties. For this remedy, blend the following together:

1 cup pineapple juice
1 teaspoon minced or chopped ginger
1 tablespoon honey
¼ teaspoon cayenne pepper
¼ teaspoon salt
Drink ¼ cup of this blend up to 3 times per day.

Note: Do not give raw honey to children under 1 year of age.

Additional Tips
Suck on cough drops or hard candies to soothe an irritated throat. However, don’t give these to small children due to the risk of choking.
Drink lukewarm water, clear broth, warm lemon water, warm green tea, warm turmeric milk, and homemade chicken soup to soothe your throat and stay hydrated.
Caffeine and alcohol can contribute to dehydration. Hence, avoid them.
Use a humidifier when you are in a dry environment to prevent the mucus from becoming thicker. A humidifier adds moisture to the air, which can help thin the mucus and reduce the discomfort. But be sure to clean it regularly to prevent mold buildup.
Avoid tobacco smoke. Smoking or breathing secondhand smoke can worsen your cough.
While sleeping, elevate your head with extra pillows.
You can use decongestant sprays to unblock your nose and ease your breathing.
Include spicy foods in your diet as it can help thin mucus and make it easier to cough up.
Foods rich in vitamin C can boost the body’s immune system.
Avoid dairy, especially milk, as it could stimulate extra mucus production.
Keep your room and surroundings clear of dust and bacteria that cause a buildup of mucus.
Get enough sleep to keep your body strong to fight the infection and build your immunity.
Resources:

Resources:

Cough. National Heart Lung and Blood Institute. Retrieved from https://www.nhlbi.nih.gov/health-topics/cough
Cough. Ministry of Health NZ. Retrieved from https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/cough
Emma Maloney, George H. Meakin; Acute stridor in children, Continuing Education in Anaesthesia Critical Care & Pain, Volume 7, Issue 6, 1 December 2007, Pages 183–186, https://doi.org/10.1093/bjaceaccp/mkm041. Retrieved from https://academic.oup.com/bjaed/article/7/6/183/508301
Schroeder K, Fahey T. Over‐the‐counter medications for acute cough in children and adults in ambulatory settings. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD001831. DOI: 10.1002/14651858.CD001831. Retrieved from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001831/full
Elkins, M. R., & Bye, P. T. (2011). Mechanisms and applications of hypertonic saline. Journal of the Royal Society of Medicine, 104(1_suppl), 2–5. https://doi.org/10.1258/JRSM.2011.S11101. Retrieved from https://doi.org/10.1258/JRSM.2011.S11101
Kamble, M., Londhe, S., Rapelli, P., Thakur, P., & Ray, S. (2017, March 01). A comparative study to assess the effect of steam inhalation v/s Tulsi leaves inhalation on the sign and symptoms of cold and cough among adult group in selected areas of Pune city. Retrieved from http://www.medicinesjournal.com/archives/2017/vol2/issue2/2-3-13
Kumar, K. P., & Bhowmik, D. (2010, January 30). Medicinal uses and health benefits of Honey: An Overview. Retrieved from http://www.jocpr.com/abstract/medicinal-uses-and-health-benefits-of-honey-an-overview-55.html
Townsend, E. A., Siviski, M. E., Zhang, Y., Xu, C., Hoonjan, B., & Emala, C. W. (2013). Effects of ginger and its constituents on airway smooth muscle relaxation and calcium regulation. American journal of respiratory cell and molecular biology, 48(2), 157-63. Retrieved from https://www.atsjournals.org/doi/abs/10.1165/rcmb.2012-0231OC
Kuang, Y., Li, B., Fan, J., Qiao, X., & Ye, M. (2018). Antitussive and expectorant activities of licorice and its major compounds. Bioorganic & Medicinal Chemistry, 26(1), 278-284. doi:10.1016/j.bmc.2017.11.046. Retrieved from https://www.sciencedirect.com/science/article/pii/S0968089617318539?via%3Dihub
Sultana, Shahnaz & Khan, Andleeb & M. Safhi, Mohd & Alhazmi, Hassan. (2016). Cough Suppressant Herbal Drugs: A Review. (n.d.). Retrieved from https://www.scribd.com/document/323822205/Cough-Suppressant-Herbal-Drugs-A-Review
Apple cider vinegar boosted immunomodulatory and health promoting effects of Lactobacillus casei in common carp (Cyprinus carpio). (2017, June 07). Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1050464817303388
Dr. Sujata Pandit Sharma, Dr. Brajbhushan. A Study on Nutritional Efficacy of Pineapple Juice in the Treatment of Bronchial Asthma. International Journal of Scientific and Research Publications, Volume 5, Issue 1, January 2015. Retrieved from http://www.ijsrp.org/research-paper-0115/ijsrp-p3743


Home Remedies to Remove Unwanted Body Hair
Unwanted body hair is something that nobody wants to deal with! The problem can make you more self-conscious about your appearance.

In medical terms, abnormal or unwanted hair growth is known as hirsutism. It’s a problem that is more common in women than men.

Contents

Causes and Symptoms of Unwanted Body Hair
1. Sugar and Honey
2. Sugaring
3. Egg Whites
4. Raw Papaya
5. Spearmint Tea
6. Gelatin
7. Gram Flour
8. Omega-3 Fatty Acids
Causes and Symptoms of Unwanted Body Hair
Hirsutism affects between 5 and 10 percent of women, according to a report by the Indian Journal of Dermatology.[1]
It tends to run in families. Also, women with dark hair are more likely to be hairier than those with a lighter pigmentation or blonde hair.

Plus, it can be caused by an imbalance of hormones in the body or use of certain medications.

For instance, issues such as polycystic ovarian syndrome (PCOS) or adrenal gland disorders can also cause unwanted hair on the body. In rare cases, the problem can be caused by a tumor or cancer of the adrenal gland or ovaries.

Apart from the face, excess hair may grow on the legs, arms, armpits, back and bikini area, making it one of the main cosmetic problems faced by many women.

The market is flooded with products and services that can help with excess body hair. From depilatory creams, shaving creams, razors, hair trimmers, waxing strips to laser hair reduction services, there are many options. But all these come with their own sets of side effects.



Here are the top 10 home remedies to remove unwanted body hair.

1. Sugar and Honey
For a homemade wax to remove unwanted hair on different areas of the body, nothing works better than sugar and honey.

Sugar works as an excellent exfoliating agent. While removing dead skin cells, it also gets rid of excess hair. Plus, honey keeps the skin well-hydrated and moisturized. It also reduces the risk of any infection or rashes on the skin.

Put 3 tablespoons of sugar and 1 tablespoon of honey in a microwave-safe bowl.
Heat it for a few seconds until the sugar dissolves completely.
Remove it from the microwave, optionally add 1 teaspoon of lemon juice and mix thoroughly.
Allow the mixture to cool down a bit.
Apply the slightly warm mixture on areas where you have unwanted hair.
Put a waxing strip over the mixture, press it down and pull it off against the direction of the hair growth.
Clean the area with cool water, pat your skin dry and apply a light moisturizer.

Sugaring
Like the homemade sugar and honey wax, sugaring is another effective technique for removing unwanted body hair. It can be used to remove fine facial hair, too.

Put ¼ cup of water in a saucepan and heat it on the stove.
When the water is hot, add 2 cups of sugar and ¼ cup of lemon juice.
Using a spatula, mix the ingredients well.
Let it heat up until bubbling occurs, then turn the heat to low and let the mixture simmer until it has an amber color.
Remove the pan from the stove and set it aside so the mixture can cool down.
Apply a little baby powder on the body where you have unwanted hair.
On top of the baby powder, apply a thick layer of the paste using a butter knife.
Place a waxing strip over the paste and allow it to sit for a few minutes.
Finally, pull off the strip in the opposite direction of the hair growth.
Do it as needed but not very frequently.
You can store any remaining mixture in an airtight container for future use.

3. Egg Whites
You can also use egg whites to remove unwanted body hair, including facial hair.

In fact, egg whites work as a great ingredient in natural peel-off masks to remove unwanted hair as well as impurities from your skin.

Whisk the egg whites from 1 egg.
Add 1 tablespoon of sugar and ½ tablespoon of corn flour to it and mix well.
Apply the mixture on the hairy part of your body.
Let it dry for 15 to 20 minutes, then peel or simply scrub it off.
Wash the area with running water.
Repeat the process as needed.
This remedy does not work on very thick hair.


Raw Papaya
Raw papaya is another effective home remedy you can use.

The enzyme papain in raw papaya helps stop unwanted hair growth by breaking down the hair follicles from which the hair grows. It can also improve the texture of the skin and remove the dead skin cells.

A 2007 study published in the International Journal of Pharmaceutics reports that a papain cream formula had a significantly higher depilatory effect than a papain gel formula in removing hair on mice.[2]

Cut peeled raw papaya into little pieces and grind them into a fine paste.
Mix 2 tablespoons of the paste with ½ teaspoon of turmeric powder.
Apply this mixture on the areas where you have unwanted hair.
Massage the skin with this mixture for 5 minutes.
Leave it on for 10 minutes, then wash it off with water.
Repeat this remedy at least twice a week to remove the unwanted hair.
5. Spearmint Tea
Drinking a few cups of spearmint tea can also resolve the problem of unwanted body hair. It helps regulate hormone levels and deal with excessive production of androgen in the body that causes excess hair growth.

Preliminary findings of a short study done in 2010 and published in Phytotherapy Research show the potential for use of spearmint tea as a natural treatment for hirsutism in women with PCOS.[3]

Boil 1 cup of water.
Add 1 teaspoon of dried spearmint to it.
Cover and let it steep for 10 minutes.
Strain it and drink the tea.
Have it twice daily.


Gelatin
Due to its sticky nature, gelatin works as an effective home remedy for removing fine hair. In fact, many commercial peel-off masks have gelatin as one of the main ingredients.

Put 1 tablespoon of unflavored gelatin, 1½ tablespoons of milk and a few drops of lavender essential oil in a microwave-safe bowl.
Using a non-metallic spoon, mix the ingredients well.
Microwave the mixture for 10 to 15 seconds, then allow it to cool down a little.
Apply a thick layer of the mixture on the unwanted hair using a wooden stick like a popsicle stick.
Allow it to dry, then peel it off against the direction of the hair growth.
Rinse off the area with cool water.
Repeat as needed.
This remedy is not very effective for removing thick hair that you find on legs, armpits or the back.

7. Gram Flour
Gram flour can also be used to remove unwanted hair from your face or other areas of the body. Its slightly coarse nature works as an excellent exfoliating agent.

It also absorbs impurities that may be clogging your pores, which helps loosen the hair in their follicles and remove the extra hair.

Put 1 tablespoon of gram flour and ¼ teaspoon of turmeric powder in a bowl.
Mix in a little milk or water to form a thick paste.
Apply the paste on your upper lip or other areas with unwanted hair and wait for it to dry.
Scrub off the paste using wet fingers against the direction of the hair growth.
Finally, rinse your skin with cool water.
Do this twice a week regularly.
Omega-3 Fatty Acids
Those who have excess hair on unwanted areas of the body due to hormonal changes must include omega-3 fatty acids in their diet.

Omega-3 fatty acids play an important role in producing hormones, hence they are highly beneficial in balancing them. Also, due to their antioxidant and anti-inflammatory properties, omega-3 fatty acids have a profound effect on your health.

Some good sources of omega-3 fatty acids are oily fish, flaxseeds, chia seeds, walnuts, soy extracts, winter squash and olive oil.
You can opt to take omega-3 supplements after consulting your doctor. The general dosage is 500 mg per day.
Coconut oil is also helpful in correcting the hormonal imbalance causing unwanted hair growth. You can eat 2 to 3 tablespoons of extra-virgin coconut oil daily for at least a few months. The best way to have it is to add it to your smoothies, soups and salads. Or, you can use it for cooking.

Resources:

HIRSUTISM: EVALUATION AND TREATMENT. Indian Journal of Dermatology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856356. Published 2010.
Histological evaluation of hair follicle due to papain’s depilatory effect. International Journal of Pharmaceutics. https://www.ncbi.nlm.nih.gov/pubmed/17314016. Published April 20, 2007.
Spearmint herbal tea has significant anti-androgen effects in polycystic ovarian syndrome. A randomized controlled trial. Phytotherapy Research. https://www.ncbi.nlm.nih.gov/pubmed/19585478. Published February 2010.


Fever in Children: Home Remedies and When to See a Doctor
Fever is the most common concern prompting parents to bring their child to the emergency department or urgent care.[1]

Fever is not an illness per se but a sign that the body is trying to fight an underlying foreign attack on the human body. As the body encounters a foreign invasion, its defense mechanism enables the various infection-fighting cells to ward off any impending illness.

A rise in the body temperature above the average of 100.4°F (38°C) measured rectally is termed as fever.

A fever itself is not life-threatening unless it is extremely and persistently high. In most cases, there is nothing to worry about, as a fever is usually a normal response of a child’s immune system to a viral or bacterial infection. Most healthy children can tolerate a fever well enough.

Contents

What Causes Fever in Children?
What are the Symptoms of Fever in Children?
Treatment for Fever in Children
How to Ease Fever in Children with Home Remedies?
1. Give them a Lukewarm Bath
2. Keep them Hydrated
3. Let them Rest
4. Keep them in a Cool Place
5. Dietary Additions to Promote Fast Recovery
Risk Factors Associated with Fever in Children
Complications Related to Fever in Children
When to See a Doctor
Additional Tips
What Causes Fever in Children?
Some common reasons that cause fever in children are:

Bacterial infections
Viral infections
Side effects of medications
Overuse of medications
Heat exposure and allergies
The body’s response to immunization or vaccines
Ear infections
Urinary tract infections
Certain inflammatory diseases
What are the Symptoms of Fever in Children?
Aside from the rise in the average body temperature, fever in children can show up on their faces.

May look pale with tired eyes and a red face.[3]
Chills
Body aches and/or headaches
Sweating or feeling flushed
Loss of activity
Loss of appetite
Dehydration
Weakness or lack of energy
In small children, irritability, crankiness, feeling tired, and crying more often
The American Academy of Pediatrics  recommends measuring the rectal temperature to accurately determine the body temperature in children aged 4 years and below.[1]

Range of Normal Temperature for a Child

The following are normal temperature levels according to the method chosen:

Range of Normal Temperature for a Child

The following are normal temperature levels according to the method chosen:

Body part Range of normal temperature
Rectum 36.6 ˚C to 38.4 ˚C (97.9 ˚F to 101.1 ˚F)
Mouth 35.5 ˚C to 37.9 ˚C (95.9 ˚F to 100.2 ˚F)
Ear 35.8 ˚C to 38.0 ˚C (96.4 ˚F to 100.4 ˚F)
Armpit 34.7 ˚C to 37.4 ˚C (94.5 ˚F to 99.3 ˚F)
You can use this chart as a reference to determine whether your child’s temperature is normal so you can follow a course of action accordingly.

Treatment for Fever in Children
The treatment for fever in children includes bringing down the temperature of the child’s body to ease the discomfort.

You can give him medications such as acetaminophen or ibuprofen to help decrease his body temperature. Never ever give aspirin to a child as it can cause Reye’s syndrome.[2]
Give him plenty of rest.
Do not overdress your child. Overdressing can cause a spike in body temperature.
If your child is below 6 months old, breastfeed him/her frequently. Breastfeeding is fine at any age if they are still doing it.
Give your child plenty of liquids to maintain his fluid balance. Keep him hydrated.
How to Ease Fever in Children with Home Remedies?
Although fevers are not usually a cause for serious concern, seeing your child suffer can be heartbreaking. However, when children have a fever, they do not always need to be given medication to lower their temperature.

You can manage your child’s fever by following these natural remedies.

1. Give them a Lukewarm Bath
Cooling the body from the outside is very effective in reducing body temperature.

When your child develops a fever, the first thing to do is to give your child a lukewarm bath. A lukewarm bath will help regulate body temperature. It will also help your child relax, sleep better, and recover fast.

However, avoid a cold bath, as it can shock the body into trying to raise the internal thermostat even more.



A 2018 study published in the International Journal of Applied Research reports that immersing the body or part of the body in a water bath stimulates circulation and reduces body temperature.[5]

You can give your child a lukewarm tub bath or sponge bath, depending upon which is more comfortable for your child. It can be done two to three times a day.
As an alternative, you can put a cool, wet washcloth on your child’s forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.[4]

Soak a clean washcloth in cool water and wring out the excess water.
Place the wet cloth on your child’s forehead.
Once the cloth warms, remove it and repeat the application.
Do this until the fever has reduced sufficiently.
Note: Do not use freezing water, as it may cause the internal body temperature to rise.
2. Keep them Hydrated
For children suffering from a fever, it is vital to increase their fluid intake. Fluids will help cool them down and replace the fluid lost through sweating. This will also prevent dehydration, which may lead to various other complications and delay recovery.

This remedy is also helpful for dengue fever. A 2017 study published in PLOS One reports that improved oral fluid intake in patients with suspected dengue fever reduced hospitalization and intravenous fluid requirements.[6]

Give your child an oral rehydration solution (either homemade or readily available in the drugstore) along with lukewarm water from time to time.
Cold milk, coconut water, homemade fruit juice, fruits rich in water, broth, ice pops, and yogurt can also be given to children.
Because of the fever and associated discomfort, children may refuse large amounts of fluid at a time. So, give them smaller amounts frequently.

3. Let them Rest
Irrespective of whether a child or an adult is suffering from a fever, adequate rest and sleep is a must.

When your child rests, his body can dedicate his energy to healing rather than distributing for other activities.

Also, through sleep, the body will have the energy and time it needs to fight the causative agents. So, it becomes essential to make your child rest or relax as much as possible.

If your child is reluctant to sleep or cannot sit in one place for a long time, pick activities that restrict his movement such as coloring, solving puzzles, or playing with a favorite toy.

You can also switch on the television and play your child’s favorite movie or videos.

4. Keep them in a Cool Place
When your child has a fever, you need to keep him in a cool place. The temperature of the room should not be too hot or too cold. Try to keep your child’s room at a comfortable temperature between 70°F and 74°F (between 21.1 °C and 23.3 °C).
If using a fan, keep it on a low setting. However, make sure your child is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your child is not shivering, as this can raise the body’s temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Additionally, dress your child in light clothing and have him sleep with only a sheet or light blanket. Bundling up your sick child with layers of clothes or extra blankets will keep the temperature from going down or even make it go higher.

5. Dietary Additions to Promote Fast Recovery
a) Give a Ginger Concoction to Your Child
An excellent way to treat a low fever is to use ginger.[8]

Ginger helps the body expel heat, which in turn helps reduce the temperature. Its antibacterial and antiviral properties make it effective against any kind of infection. Plus, it boosts the immune system, aiding in the recovery process.

Mix a ½ teaspoon of ginger juice, 1 teaspoon of lemon juice, and 1 tablespoon of honey. Give this mixture to your child two to three times daily until the fever is gone.
Another option is to mix 2 tablespoons of ginger powder into a bathtub filled with warm water. Soak your child in this bathwater for 10 minutes. Pat his skin dry and cover him entirely with a blanket. Soon, your child will start sweating, and the fever will come down.
b) Make Your Child Drink Basil Juice
A herb for all reasons, basil is useful in bringing down fever in children.[7]

It has antibiotic and antibacterial properties that can help get rid of the bacteria that may be causing the fever. Moreover, it boosts the immune system, which is vital for the healing process. Basil leaves can help reduce the heat in the body as well.
Put a handful of basil leaves in 2 cups of water. Boil it until the solution is reduced to half. Add a little honey and let it cool. Give it to your child a few times a day.
You can also give your child some thoroughly washed basil leaves to chew at regular intervals.
Another option is to extract the juice of 5-7 basil leaves. Add a pinch of freshly ground black pepper to the juice and give it to your child two to three times a day until the fever is gone.
A study in 2014 published that holy basil can be used as a treatment for cough, asthma, fever, and diarrhea.[9]

c) Serve Warm Soup to Your Child
Feeding your child high-nutrition foods at regular intervals is a must to help him recover from the illness.

As the body becomes weak from the fever, it is important to follow a special diet to provide proper nutrition. A good diet will also help balance the body’s fluids and electrolytes and boost the immune system.

The diet recommended for your child is a high-calorie, high-protein, low-fat, and high-fluid diet.

Bone broth or chicken soup with vegetables is ideally the best option for your child. Bone broth has a high content of cartilage, which helps in the generation of white blood cells that defend the body against infections. Also, bone broth is easily digestible.
Vegetarians can go for carrot soup and other healthy vegetable soups and broths.
High-carbohydrate foods must also be included in your child’s diet to meet the body’s energy requirements. Spicy, fatty, and high-fiber foods need to be avoided, as they are difficult to digest.
Due to a loss of appetite, do not expect your child to eat the right amount. Feed your child every 2 hours initially, and as they feel better, you may reduce the frequency to once every four hours.

Risk Factors Associated with Fever in Children
Some children can be frequently down with an episode of fever. This might be due to an underlying disease that must be reviewed by a pediatrician, such as:

Cancer
Autoimmune diseases
Disorders in the brain
Complications Related to Fever in Children
Fever can affect the overall health of your child and cause complications including:

Dehydration
Convulsions
Febrile seizures
A seizure lasting for more than 5 minutes calls for emergency care. Call 911 immediately.

It is essential to get a medical review in case of a fever lasting for longer than 3 days or in a child under 2 months to avoid any severe consequences on the health of your child.

When to See a Doctor
Check in with your child’s doctor if your child:

Has a high-grade fever of 104°F (over 40 °C)
Is younger than 3 months
Has a fever accompanied by a rash
Is shivering uncontrollably
Has a fever lasting more than 3 days
Has a temperature that does not go down with medications
Is not being himself, low on energy, or lethargic

Additional Tips
Doctors may prescribe antibiotics if your child has a bacterial infection that is causing the fever. Antibiotics cannot be used to treat viral infections.
If your child has frequent fevers, consider talking to your child’s doctor about additional testing.
Make sure your child does not participate in any strenuous activities, as such could elevate the body temperature.
Small children should never be given aspirin for an illness. It may increase the risk of a rare, but fatal condition called Reye’s syndrome.
Do not expose your child to direct sunlight while he has a fever.
Avoid excessive exposure to public places, as a weak body is vulnerable to infections.
Smoking suppresses the body’s immune system, so make sure that your child is not exposed to passive smoke from cigarettes or any other tobacco products.
Resources:

Barbi E, Marzuillo P, Neri E, Naviglio S, Krauss BS. Fever in Children: Pearls and Pitfalls. Children (Basel, Switzerland). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615271/. Published September 1, 2017.
Niehues T. The febrile child: diagnosis and treatment. Deutsches Arzteblatt international. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849992/. Published November 2013.
Fever in children: Overview. InformedHealth.org [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK279455/. Published November 17, 2016.
Fever in children: How can you reduce a fever? InformedHealth.org [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK279453/. Published November 17, 2016.
Pereira AC, Sebastian S. Effectiveness of hot water foot bath therapy in reduction of temperature among children (6-12 years) with fever in selected hospitals at Mangaluru. International Journal of Applied Research. http://www.allresearchjournal.com/archives/?year=2018&vol=4&issue=1&part=B&ArticleId=4720. Published January 1, 2018.
Nasir NH, Mohamad M, Lum LCS, Ng CJ. Effectiveness of a fluid chart in the outpatient management of suspected dengue fever: A pilot study. PloS one. https://www.ncbi.nlm.nih.gov/pubmed/28977019. Published October 4, 2017.
Cohen MM. Tulsi – Ocimum sanctum: A herb for all reasons. Journal of Ayurveda and integrative medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296439/. Published 2014.


Raal A, Volmer D, Sõukand R, HratkevitÅ¡ S, Kalle R. Complementary treatment of the common cold and flu with medicinal plants–results from two samples of pharmacy customers in Estonia. PloS one. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3590151/.
Cohen MM. Tulsi – Ocimum sanctum: A herb for all reasons. Journal of Ayurveda and integrative medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4296439/. Published 2014.

Home Remedies for Frequent Urination
If you find that you are making a trip to the bathroom every two hours or more frequently to urinate, it’s more than normal. And you don’t have to just accept it as the way it is.

In normal circumstances, the human bladder can store urine until it is convenient to go to the toilet, from 4 to 8 times per day.

Frequent urination occurs when your body is not able to control the activity of urination accurately and due to an overactive bladder, you are unable to hold the urine and need to pee more often.

An overactive bladder is not unusual.  According to the American Urological Association, about 33 million Americans have an overactive bladder and as many as 30 percent of men and 40 percent of women in the United States live with overactive bladder symptoms (1).

There are many causes behind an overactive bladder. Some common causes include old age, obesity, nerve damage, pregnancy, menopause, cystitis, uncontrolled diabetes, aggregated crystals called gravel in the urinary tract, urinary tract infections, bladder cancer and diseases like prostatitis, prostate fibrosis and urethral stenosis.

Too much water intake, excessive consumption of caffeine or alcohol, anxiety and medications that cause a rapid increase in urine production or require that you take them with lots of fluids can also cause this annoying problem.

Due to an overactive bladder, you may experience symptoms like an increased urge to urinate, uncontrolled urination, pain while urinating, blood clots in the urine, lower abdominal pain, bladder tenderness and pain in the back as well as hip areas.

Frequent urination is not a very serious problem, but it can cause a lot of discomfort as you have to urinate several times a day, even at night. Fortunately, you can treat this annoying problem with some effective home remedies.


Here are the top 10 home remedies for frequent urination.

Contents

1. Kegel Exercises
2. Apple Cider Vinegar
3. Warm Compresses
4. Yogurt
5. Acupuncture
6. Biofeedback
7. Indian Gooseberry
8. Avoid Dietary Triggers
9. Don’t Restrict Fluids Too Much
10. Avoid Constipation
Expert Answers (Q&A)
1. Kegel Exercises
Regularly doing Kegel exercises can help you deal with frequent urination.

Kegel exercises, also known as pelvic floor exercises, consist of repeatedly contracting and relaxing the pelvic floor muscles to make them stronger. By strengthening the muscles of your urethra and pelvis, these exercises support the bladder.

A 2017 study published in the Journal of the Brazilian Medical Association found that pelvic floor muscle training improves the symptomatology, the function of pelvic floor muscles and the quality of life of women with overactive bladder symptoms (2).

Sit or lie down in a quiet place and locate your Kegel muscles. These are the muscles that you use to stop the flow of urine when urinating.
Contract these muscles for 5 seconds, while breathing normally. Your stomach, back, sides and thigh muscles should not tighten when you do this.
Relax for 5 seconds and repeat again.
Repeat 10 to 20 times per session.
Do this at least 3 times a day.
2. Apple Cider Vinegar
When it comes to home remedies for frequent urination, apple cider vinegar is also effective.

Apple cider vinegar has antibacterial and antifungal properties that help combat any infection that may lead to frequent urination (3). It also reduces the pain associated with infections in the digestive system.

Moreover, it is a rich source of enzymes, potassium and other useful minerals, and helps restore the body’s natural pH balance.

Add 1 tablespoon of raw, unfiltered apple cider vinegar and 1 teaspoon of raw honey to a glass of warm water. Drink it twice daily.
Also, you can add 1 to 2 cups of apple cider vinegar to your bathwater. Soak in it for 15 to 20 minutes. Do this once daily until your condition improves.
3. Warm Compresses
To ease the pain associated with an overactive bladder, nothing can be better than a soothing warm compress.

The heat will help minimize bladder pressure as well as relax your muscles, thereby lessening the pain.


Wrap a hot water bottle in a towel.
Lie down and place it over your lower bladder.
Leave it there as long as possible.
Repeat as needed.
You can also use a heating pad to get relief from the pain.

4. Yogurt
Keeping your bladder healthy is a preventive measure for an overactive bladder.

For bladder health, including yogurt in your diet is a simple yet very effective option. Being a probiotic food, Greek yogurt can boost the growth of good bacteria in the urinary tract and promote a healthy balance of bacteria in your gut.

It helps treat urinary tract infections and improve kidney health as well as digestion at the same time.

A 2006 study published in Drugs suggests that probiotics can be beneficial for preventing recurrent urinary tract infections in women (4).

Every day, you should eat 1 or 2 bowls of plain yogurt for best results. Remember not to consume flavored yogurt, since they contain sweeteners and artificial agents.

Along with yogurt, you can have other fermented foods like kimchi, sauerkraut and sour pickles.

5. Acupuncture
Acupuncture is effective for controlling overactive bladder syndrome. In this Chinese technique, acupuncture practitioners treat problems by inserting extremely thin, disposable needles into certain acupuncture points.

A 2005 study published in Obstetrics and Gynecology found that women who received 4 weekly bladder-specific acupuncture treatments had significant improvements in bladder capacity, urgency, frequency and quality-of-life scores as compared with women who received placebo acupuncture treatments (5).

Another study published in the British Medical Journal in 2014 indicates that acupuncture could reduce micturition and urgency episodes over 24 hours and improve quality of life among people with overactive bladder (6).

In a recent 2018 study published in Medicine (Baltimore), researchers concluded that acupuncture might have an effect in decreasing the number of micturition episodes, incontinence episodes and nocturia episodes. However, the evidence is insufficient to show the effect of using acupuncture alone or the additional effect to drugs in treating overactive bladder (7).

Always have acupuncture done by a professional expert only. Never try acupuncture on your own if you have not been trained in it.

6. Biofeedback
An alternative treatment, biofeedback can also provide relief from overactive bladder and uncontrolled urination.

In biofeedback, you are connected to electrical sensors that help make subtle changes in your body, such as strengthening your pelvic muscles. This way when you have feelings of urgency, you can suppress them.

A 2000 study published in Urology reports that biofeedback can be employed as an adjunct to other forms of treatment, such as drug therapy, and is particularly useful in children (8).

A 2016 study published in the Journal of Pediatric Urology found that biofeedback can be thought of as the first-line treatment option when standard urotherapy fails in children with overactive bladder (9).

For biofeedback, you need to consult an expert.

7. Indian Gooseberry
Indian gooseberry, also known as amla, is good for your overall urinary health.

A great source of vitamin C, it increases the acidity of the urine, thereby killing infection-causing bacteria. The potential problems of urinary tract infections are one of the key causes behind an overactive bladder.
Moreover, vitamin C is good for your immunity.

Extract the juice of an amla, add 1 teaspoon of honey to it and stir well. Consume this mixture along with a banana 2 to 4 times a day.
Add 1 teaspoon each of Indian gooseberry and turmeric powder to 1 cup of water. Boil the solution until half the water evaporates. Allow it to cool for some time. Drink the solution 3 times a day for 3 to 5 days.
8. Avoid Dietary Triggers
Certain dietary triggers can make your bladder overactive and cause more urination. In such a scenario, it is best to avoid the dietary triggers as much as possible.



Foods and drinks that are known to contribute to overactive bladder are caffeinated beverages; citrus juices and fruits; soda and other carbonated beverages; chocolate; spicy foods; artificial sweeteners; milk and milk products; and sugar and high-sugar foods.

Although cranberry juice is often recommended for bladder health, it actually acts as an irritant if you have overactive bladder. So, avoid this juice.

You must also limit your alcohol intake, as drinking too much alcohol can also lead to frequent urination.

9. Don’t Restrict Fluids Too Much
An overactive bladder in no way means that you should limit your fluid intake. In fact, you must try to drink enough fluid to keep your body hydrated, but avoid excess intake at any cost. Ask your doctor how much fluid you need daily.

If you don’t drink enough fluids, your urine becomes concentrated and can irritate the lining of your bladder. This in turn will increase the urge to urinate. Dehydration may even exacerbate some conditions, specifically chronic constipation and headache intensity.

A 2015 study published in the Journal of Wound, Ostomy, and Continence Nursing recommends decreased fluid intake for managing overactive bladder symptoms, while ensuring adequate hydration for other health needs (10).

To manage your fluid intake:

Spread out fluid intake throughout the day, sipping water between meals.
Unless you’re exercising, avoid carrying a large water bottle with you.
To drink water, use smaller cups and sip your water slowly.
You must avoid drinking too many liquids right before bed, as you may have to empty your bladder more often during the night and this will only affect your sleep.

10. Avoid Constipation
Hard stools can press against the urinary tract and block the flow of urine, allowing bacteria to grow and increasing the risk of a urinary tract infection, which in turn can result in an overactive bladder.

Also, constipation can worsen the symptoms of an overactive bladder.

A 2017 study published in BioMed Research International reports that moderate to severe overactive bladder symptoms are correlated with functional constipation. Moreover, functional constipation is related to moderate to severe overactive bladder symptoms and to overactive bladder with urinary incontinence (11).
Hence, it is important to have regular bowel movements and prevent constipation. To prevent constipation, include high-fiber foods in your diet. Fiber helps soften the stools by drawing water into them, making them bulkier and easier to pass.

A 2012 meta-analysis published in the World Journal of Gastroenterology reports that dietary fiber intake can increase stool frequency in patients with constipation (12).

To get fiber, include whole-grain cereals and breads, brown rice, beans, lentils, and fresh fruits and vegetables in your diet.

Additional Tips

Once you need to pee, just do it. If you hold it inside, it increases the risk of an infection.
Do not wear tight clothes, particularly undergarments.
Manage chronic conditions, such as diabetes, that might contribute to overactive bladder symptoms.
Schedule toilet trips so that your body gets trained to urinate at the same times every day.
Use absorbent pads or undergarments to protect your clothing and avoid embarrassing incidents.
Try bladder training to train yourself to delay voiding when you feel an urge to urinate.
If you are overweight, try to lose weight. Your bladder will suffer from more pressure due to excess weight.
Stop smoking. It not only irritates the bladder, and also increases the risk of bladder cancer.

Expert Answers (Q&A)
Answered by Dr. Daniel C. Edwards, DO (Urologist)

What is the normal frequency of urination for a healthy adult?
It is highly dependent on the volume of liquids consumed per day. Adults should aim for a minimum of 2.5 liters of urine output per day.

As a normal bladder capacity ranges from 350cc (about a soda can) to 500cc (a soda bottle), an adult can urinate anywhere from 4-8 times a day in the normal range. Less than 4 or greater than 8 urinations per day may signify a problem, or may just be a factor related to the amount of fluid consumed.

Can any dietary changes help in controlling the problem of frequent urination?
For patients without identifiable causes of frequent urination, dietary modification such as decreasing caffeine intake and limiting spicy foods may help, though decreasing fluid intake is rarely an issue as most people don’t drink enough.

Are kegel exercises beneficial for treating the problem of frequent urination?
Kegel exercises can be beneficial in some scenarios when patients experience frequent urination, but this should be discussed with a urologist before assuming it will help.

What precautions can be taken to deal with frequent urination at night?
In many people, the frequency of urination at night may be related to evening consumption of caffeine, alcohol, or fluid in general, and limiting this intake may help.

If the nighttime frequency is due to poor daytime emptying or related to hormones released overnight, a urologist will be able to narrow down the causes and offer management strategies.

Is the problem of frequent urination any way connected with obesity?
Frequent urination is not a function of a person’s body size.

Please provide some important tips to help prevent and treat the problem of frequent urination.
It is reasonable to start by assessing how many times one urinates and at what times during the day, as well as how much fluid is consumed during the day and at what times.

This information can be presented to a urologist who can then guide a patient in lifestyle and dietary modification, if appropriate, or can even pursue a further investigation if the cause is unclear.

About Dr. Daniel C. Edwards, DO: Dr. Edwards is a urologist and practices in Southeastern Pennsylvania with a special interest in cancerous conditions that affect the kidneys, bladder, prostate, and genitalia.

Resources:

Urology Care Foundation – What is Overactive Bladder (OAB)? Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/overactive-bladder-(oab).
Pelvic floor muscle training for overactive bladder symptoms – A prospective study. Revista da Associacao Medica Brasileira (1992). https://www.ncbi.nlm.nih.gov/pubmed/29489983. Published December 2017.
Antimicrobial activity of apple cider vinegar against Escherichia coli, Staphylococcus aureus and Candida albicans; downregulating cytokine and microbial protein expression. Scientific Reports. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788933.
Probiotics for prevention of recurrent urinary tract infections in women: a review of the evidence from microbiological and clinical studies. Drugs. https://www.ncbi.nlm.nih.gov/m/pubmed/16827601.
Acupuncture for overactive bladder: a randomized controlled trial. Obstetrics and Gynecology. https://www.ncbi.nlm.nih.gov/pubmed/15994629. Published July 2005.
Acupuncture for adults with overactive bladder: a systematic review protocol. BMJ Open. https://bmjopen.bmj.com/content/5/1/e006756. Published January 01, 2015.
Acupuncture for adults with overactive bladder- A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841968. February 2018.
Biofeedback in overactive bladder. Urology. https://www.ncbi.nlm.nih.gov/pubmed/10767447. Published May 2000.
Biofeedback as a first-line treatment for overactive bladder syndrome refractory to standard urotherapy in children. Journal of Pediatric Urology. https://www.ncbi.nlm.nih.gov/pubmed/27102986. Published October 2016.
Does Increasing or Decreasing the Daily Intake of Water/Fluid by Adults Affect Overactive Bladder Symptoms? Journal of Wound, Ostomy, and Continence Nursing. https://www.ncbi.nlm.nih.gov/pubmed/26528873.
Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence. BioMed Research International. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5350309. Published 2017.
Effect of dietary fiber on constipation: a meta analysis. World Journal of Gastroenterology. https://www.ncbi.nlm.nih.gov/pubmed/23326148. Published December 28, 2012.
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Natural Sore Throat Remedies for Children
A sore throat is the second most common acute infection seen by family physicians and is predominantly a disease of youth and children in their early school years. The problem is more common in autumn and winter.

Contents

Causes of Sore Throat in Children
Signs and Symptoms of Sore Throat in Children
Preventing Sore Throat in Children
When to See Doctor
Natural Treatment Options for Sore Throat in Children
1. Salt Water Gargle
2. Offer Warm Fluids
3. Steam
4. Humid Air
5. Lemon
6. Honey
7. Ginger
8. Turmeric
Additional Tips
Causes of Sore Throat in Children
Most sore throats are caused by viruses, according to the Centers for Disease Control and Prevention (CDC).[1]

About one-third of sore throats in children aged 5 to 15 years are caused by a throat infection from the A β-hemolytic streptococcus group of bacteria, according to a 2007 study published in Canadian Family Physician.[2]

Other common causes of sore throats include-

Allergies
Dry air
Weak immunity
Acid reflux
Exposure to someone with an infection that causes a sore throat
The flu
A common cold
Pollution (airborne chemicals or irritants)
Exposure to secondhand smoke

Signs and Symptoms of Sore Throat in Children
Signs and symptoms of a sore throat in children include-

Painful throat
Pain when swallowing
Fever
Swollen glands in the neck
Bad breath
Scratchiness in the throat
Sneezing
Hoarse voice
Watery eyes
Cough
Redness in the back of the mouth
A sore throat can also result in excessive crying, crankiness and refusal to eat or drink most foods. This can worsen the situation.

Preventing Sore Throat in Children
You cannot completely prevent the chances of your child coming down with a sore throat, but you can take following precautions that may reduce the chances of a sore throat.

Wash hands regularly to prevent the spreading of infection.
Use alcohol-based hand rubs in case washing hands is not possible.
Use tissues to cover the mouth when sneezing or coughing. Dispose these tissues immediately.
Sneeze/cough into the sleeve of one’s clothing (at the inner elbow).
Wash hands after coughing, blowing the nose, or sneezing.
Limit contact with anyone who is sick.
When to See Doctor
If the sore throat in the child is accompanied by any of the following symptoms, then you would need to seek medical attention for your child:

Difficulty in swallowing or breathing
Excessive drooling
Temperature equal to or more than 101°F or 38.3°C
Swelling of the neck
Inability or unwillingness to drink or eat
Muffled voice
Difficulty opening the mouth
Stiff neck
Most sore throats, particularly those caused by viruses, will go away on their own without antibiotics. But to get relief from the symptoms, you can use some natural remedies.

Caution: Some remedies listed below contain honey. For babies younger than age 1, use sugar instead of honey for taste. Raw honey can carry harmful bacteria that can cause infant botulism.[3]
Natural Treatment Options for Sore Throat in Children
Here are some home remedies for sore throat in children.

1. Salt Water Gargle
If your child is old enough to gargle, one of the best ways to get relief from a sore throat is gargling with salt water.

A 2005 study published in the American Journal of Preventive Medicine found that simple water gargling was effective to prevent URTIs among healthy people. This virtually cost-free modality would appreciably benefit the general population.[4]

Salt works like an antiseptic and helps draw out the mucus. This cuts down the phlegm and reduces inflammation, giving your child instant relief.

Also, the warm salty water is soothing on your throat.

Mix ½ teaspoon of salt into a glass of warm water. If needed, add a small amount of honey to improve the taste.
Make your child gargle with the solution, and remind him or her to spit the wate

Make your child gargle with the solution, and remind him or her to spit the water out after gargling.
Do this several times a day for best results.
2. Offer Warm Fluids
Drinking warm fluids will also provide comfort to children suffering from a sore throat.

First of all, warm fluids will help keep the body hydrated, which is very important as fluids help thin excess mucus. Secondly, when the throat is raw and inflamed, drinking warm beverages keeps it moist and comfortable.

In a 2008 study published in the journal Rhinology, researchers analyzed the benefits of hot drink over drinks at room temperature in providing relief from most symptoms of common cold and flu. It was found that hot drink provided immediate and sustained relief from symptoms of  sore throat, whereas the same drink at room temperature only provided relief from symptoms of runny nose, cough and sneezing.[5]

You can offer lukewarm water or warm lemonade. Hot chocolate, warm milk and weak tea can also be offered. Homemade bone broth or light soups made with bone broth are also good.

If your child refuses large amounts of fluids at one time, give smaller amounts more often.

3. Steam
While steam inhalation is beneficial, the risk of an accident is high with small children. For this reason, most parents are not comfortable with it.

However, to relieve a sore throat, warm steam created from a hot shower can be effective. The warm steam helps alleviate congestion and make breathing a bit easier. The warmth of the moisture will also thin the mucus to make it easier to expel.

In a 2015 study published in the IOSR Journal of Dental and Medical Sciences, researchers investigated the efficiency of steam inhalation as adjunct treatment with inhalant capsules in relieving the respiratory symptoms of common cold and found that there was better and quicker relief in symptoms when steam inhalation was used.[6]

Run a hot shower and keep the bathroom door shut to prevent steam from escaping.
Sit with your child in the bathroom, inhaling the steam for at least 30 minutes. (Do not leave your child in the bathroom alone.)
Repeat as needed.
4. Humid Air
A 2009 study published in Respiratory Medicine found cold temperature and low humidity to be associated with increased occurrence of respiratory tract infections and a decrease in temperature and humidity preceded the onset of the infections.[7]

Humid air helps ease breathing and provides quick relief from the discomforts of a sore throat. So, you need to increase the level of humidity in your home and especially where your child sleeps.

Moist air can also help with congestion and lessen the intensity of coughing fits associated with a sore throat.

Use a humidifier wherever possible in your home, especially in the room where your child sleeps.
Alternatively, you can place a bowl of hot water in the room to increase the moisture in the air. You can also place a pot of water on the radiator in your child’s room.
Be careful to place humidifier or a bowl of hot water in a safe place to prevent accidents. Also, keep it clean to prevent mold growth.
5. Lemon
You can use fresh lemons to get relief from a sore throat as they help remove mucus.

Being rich in vitamin C, lemon also helps boost the immune system and assists the body in fighting the infection that is causing the sore throat.

Its antibacterial and anti-inflammatory properties also help reduce associated symptoms, such as a runny nose and coughing.

Lemon works better when combined with honey. A 2017 study found that honey and lemon juice has promising antibacterial activity against bacteria that causes respiratory tract infections with relatively higher sensitivity to Staphylococcus aureus and streptococcus pyogenes.[8]

The streptococcus group of bacteria is the main cause behind sore throat infections.

Put the juice and peels from 4 lemons and 1 tablespoon of ginger slices in a pan.
Add enough boiling water to cover the ingredients.
Cover and let it steep for 10 minutes.
Strain the liquid.
Dilute this liquid with an equal amount of warm water and add raw honey for taste.
Give your child this hot lemonade to drink, a few times a day.
Note: For babies younger than 1 year, add sugar instead of honey for taste.

6. Honey
Honey is a safe remedy for children age 1 and older who are suffering from a sore throat.

Honey can relieve the symptoms of a sore throat, due its moisturizing and humectant properties. It also contains antibacterial, antimicrobial and antiseptic properties that fight the microbes that cause a sore throat.

In a 2016 study published in the Asian Pacific Journal of Tropical Biomedicine, researchers noted that honey showed distinguished antibacterial activities against the most common bacteria causing respiratory infections with varied sensitivity.[9]

It is also good for your child’s immunity.

Mix 1 tablespoon of raw, organic honey into a cup of warm water. Stir well and give it to your child to drink, 2 or 3 times a day.
Alternatively, mix 1 tablespoon each of honey and lemon juice into a cup of lukewarm water. Make your child sip the mixture slowly, a few times a day.
Before going to bed, add 1 teaspoon of honey to a glass of warm milk and offer it to your child.
Caution: As raw honey can carry harmful bacteria that can cause infant botulism, you should never feed it to babies under age.

7. Ginger

Ginger
Ginger is another good home remedy for treating sore throat in the children.

It has anti-inflammatory, antiviral and antitussive (cough-suppressant) properties that help reduce congestion and relieve the symptoms of a sore throat.

A 2002 study published in the East African Medical Journal highlights the antibacterial activity in ginger and found that it can kill some strains of bacteria responsible for respiratory tract infections.[10]

Another 2005 study published in the Journal of Ethnopharmacology shows that one of the main bioactive components of ginger possesses analgesic and anti-inflammatory properties.[11] This means that ginger can help reduce throat inflammation, also reducing the sensation of pain, commonly associated with sore throat.

Plus, it boosts the immune system to help speed up recovery.

Mix 1 teaspoon each of ginger juice and honey. Give it to your child to relieve throat discomfort. Follow it up with a cup of warm milk. Do this twice daily.
Alternatively, pour 6 cups of water into a pan and add ½ cup of thinly sliced ginger and 2 cinnamon sticks. Simmer it on low heat for 20 minutes, then strain it and add a bit of raw honey. Give it to your child to drink several times a day.
Also, you can give older children ginger slices with a little salt sprinkled on them to chew on.
8. Turmeric
In Ayurveda, turmeric is a well-known remedy for a variety of health problems, including a sore throat in children. Most of the medicinal property of turmeric comes from the compound curcumin.

The hexane and methanol extracts of curcumin demonstrated antibacterial effect against 13 bacteria, including streptococcus group of bacteria.[12]

As suggested by a 2013 study, the herb also exhibits antimicrobial and immune-stimulatory activity, making it one of the most valuable home remedies for sore throats.[13]

While its anti-inflammatory properties help reduce inflammation in the airways to make breathing easier, it also boosts the immune system to help fight any kind of infection.

Add 2 teaspoons of turmeric powder to a glass of hot milk. Sweeten with a little honey and give it to your child to drink twice daily to soothe the sore throat.
Also, you can gargle with turmeric to soothe a bad throat. Add ½ teaspoon each of turmeric powder and salt to a glass of warm water and mix it well. Make your child gargles with this mixture twice daily.
Additional Tips
Keeping the throat warm helps soothe inflammation. So, wrap something warm around your child’s neck.
A warm oil massage is excellent for a sore throat, as it warms up the area and soothes the pain.
Offer mild chamomile tea to soothe a sore throat and even clear any congestion that accompanies it.
Give a mixture of ¼ tablespoon of cinnamon and 1 tablespoon of honey to your child once daily for relief from a sore throat.
Give your child ice chips, popsicles or throat lozenges to suck on to help keep the throat adequately moist.
Do not make your child talk too much. Encourage him or her to give their throat a rest.
Avoid common irritants like fried foods, cold drinks and hard foods like nuts and biscuits that can aggravate a sore throat.
Pay attention to the air quality that your child is breathing. Avoid exposing your child to highly polluted areas, as it can trigger a sore throat.
Include plenty of fresh and organic fruits and vegetables in your child’s diet.
Don’t allow smoking around your child. Exposure to tobacco smoke is a common trigger for a sore throat.
Make sure your child gets adequate sleep and rest for faster recovery.
Elevate your child’s head with an extra pillow at night, so that mucus can drain.
Resources:


Antibiotic Prescribing and Use in Doctor’s Offices. Centers for Disease Control and Prevention. https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sore-throat.html. Published July 23, 2015.
Worrall GJ. Prevention of upper respiratory tract infections by gargling: a randomized trial.Advances in pediatrics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2231494. Published November 2007.
Botulism. World Health Organization. http://www.who.int/news-room/fact-sheets/detail/botulism.
Satomura K, Kitamura T, Kawamura T, et al. Prevention of upper respiratory tract infections by gargling: a randomized trial. American College of Preventive Medicine. https://www.ncbi.nlm.nih.gov/pubmed/16242593. Published November 2005.
Sanu A, Eccles R. The effects of a hot drink on nasal airflow and symptoms of common cold and flu. Rhinology. https://www.ncbi.nlm.nih.gov/pubmed/19145994. Published December 2008.
Efficacy of Steam Inhalation with Inhalant Capsules in Patients with Common Cold in a Rural Set Up. Scribd. https://www.scribd.com/document/252681843/Efficacy-of-Steam-Inhalation-with-Inhalant-Capsules-in-Patients-with-Common-Cold-in-a-Rural-Set-Up.
Mäkinen TM, Juvonen R, Jokelainen J, et al. Cold temperature and low humidity are associated with increased occurrence of respiratory tract infections. Respiratory Medicine. https://www.ncbi.nlm.nih.gov/pubmed/18977127. Published March 2009.
IJMAS Assessing the Antibacterial Activity of Honey and Lemon Juice Against Bacterial Isolated from Upper Respiratory Tract Infections. IJMAS Silk Road and Buddhism in Central Asia. http://ijmas.iraj.in/paper_detail.php?paper_id=8178&name=Assessing_the_Antibacterial_Activity_of_Honey_and_Lemon_Juice_Against_Bacterial_Isolated_from_Upper_Respiratory_Tract_Infections.
Natural antibacterial remedy for respiratory tract infections. Asian Pacific Journal of Tropical Biomedicine. https://www.sciencedirect.com/science/article/pii/S2221169115305931. Published January 13, 2016.
Akoachere JF, Ndip RN, Chenwi EB, Ndip LM, Njock TE, Anong DN. Antibacterial effect of Zingiber officinale and Garcinia kola on respiratory tract pathogens. East African Medical Journal. https://www.ncbi.nlm.nih.gov/pubmed/12630492. Published November 2002.
Young HY, Luo YL, Cheng HY, Hsieh WC, Liao JC, Peng WH. Analgesic and anti-inflammatory activities of [6]-gingerol. Journal of Ethnopharmacology. https://www.ncbi.nlm.nih.gov/pubmed/15588672. Published January 4, 2005.
Moghadamtousi SZ, Kadir HA, Hassandarvish P, Tajik H, Abubakar S, Zandi K. Advances in pediatrics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022204/. Published 2014.
Chandrasekaran CV, Sundarajan K, Edwin JR, Gururaja GM, Mundkinajeddu D, Agarwal A. Pharmacognosy Research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685767/. Published 2013.

Home Remedies for Jellyfish Stings
Summer brings with it fun days at your favorite seaside beach and people of all ages playing in the ocean. But the fun can end quickly if you or someone you’re with gets stung by a jellyfish.

Jellyfish are a common sea creature, and several species of jellyfish carry poisonous venom in their tentacles as a means of self-defense against predators.

When you come in contact with a jellyfish tentacle, it can cause millions of nematocysts to pierce the skin and inject venom. It’s this venom that makes a jellyfish sting so painful.

According to the National Science Foundation, 200,000 people are stung by jellyfish every year in Florida alone and 150 million people worldwide are exposed to jellyfish each year (1).

Some common symptoms of a jellyfish sting are burning, stinging and itching sensations on the skin; a tingling or numbness where the sting occurred; throbbing pain that radiates up a leg or an arm; and the skin in the area of the sting turning red or purple.

At times, one may experience severe symptoms like nausea, dizziness, vomiting and difficulty breathing. In such a case, immediate medical attention is required or it can become fatal.

The severity of the symptoms depends on the type of jellyfish that stings you and the number of nematocysts in your skin. The two most dangerous types of jellyfish are the box and the Irukandji jellyfish, both of which are only found in the Pacific Ocean near Australia.

Most jellyfish stings get better with home treatment. In fact, there are many simple and effective remedies that can help remove the venom and provide quick relief from the symptoms.

Here are the top 10 home remedies for jellyfish stings.

Contents

1. Calmly Get Out of the Water
2. Rinse with Vinegar
3. Hot Water Immersion
4. Apply a Cold Compress
5. Baking Soda
6. Aloe Vera Gel
7. Oatmeal
8. Chamomile
9. Witch Hazel
10. Wear Protective Clothes
1. Calmly Get Out of the Water
As soon as you know that you’ve been stung by a jellyfish, do not panic and get out of the water as calmly as possible. Seek land to avoid being repeatedly stung, which can make things really bad.

As you get out of the water, do not scratch the sting-site or touch it with your hands. When touched with bare hands, the tentacles that may still be attached to your skin will only get you stung more.

Once you are in a safe area, rinse the sting with sea water to wash away any clinging tentacles or stinging tissue. Do not use fresh water, it is believed to activate the nematocysts.

Avoid rubbing the area with a towel after rinsing, as this can activate any remaining stingers.

2. Rinse with Vinegar
After leaving the water and rinsing the site of the sting with sea water, the next step is to immediately rinse it with vinegar. White vinegar should reduce the pain and deactivate the toxin.

Rinse with Vinegar
After leaving the water and rinsing the site of the sting with sea water, the next step is to immediately rinse it with vinegar. White vinegar should reduce the pain and deactivate the toxin.



A 2017 study published in Toxins concludes that rinsing with vinegar before applying heat is the most effective treatment for jellyfish stings (2).

Rinse the affected area with vinegar for at least 30 seconds.
Carefully pluck out visible tentacles with a fine tweezers. Do not touch the tentacles directly!
Soak the skin in hot water that is between 110° and 113° F (43° to 45° C). Keep the affected skin immersed or in a hot shower for 20 to 45 minutes.
If the vinegar feels too strong, you can dilute it with salt water. Do not use fresh water to dilute it, as this will irritate the stings even more.

3. Hot Water Immersion
After the initial treatment, a hot water immersion is highly recommended.

The high temperature will help deactivate the venom and help decrease the burning sensation from the sting.

3. Hot Water Immersion
After the initial treatment, a hot water immersion is highly recommended.

The high temperature will help deactivate the venom and help decrease the burning sensation from the sting.



A 2006 study published in the Medical Journal of Australia reports that immersion in water at 113° F (45° C) for 20 minutes is an effective and practical treatment for pain from bluebottle jellyfish stings (3).

Heat a few cups of water to between 110° and 113° F (43° to 45° C).
Put some salt in the water and stir well.
Soak the affected area in the salt water for 10 minutes at a time.
Repeat as needed.
4. Apply a Cold Compress
After the initial treatment is done, you can use a cold compress to reduce pain and swelling.

The cold temperature has a numbing effect, which helps reduce the sensation of pain. It will also reduce swelling and inflammation by numbing the nerves.



Wrap some ice cubes in a thin cloth. Apply this compress on the affected area for 10 minutes. Take a break and repeat if needed to reduce pain.
Soaking the affected area in cool water may also help. Repeat as needed.
Caution: Never put ice directly on the skin, as it can cause frostbite.

Baking Soda
To neutralize the nematocysts and their venom, you can also use baking soda.

It acts as a natural acid neutralizer that helps reduce the effect of the jellyfish’s venom. This in turn lessens the itching as well as the risk of infection.



Plus, being an anti-inflammatory agent, it helps reduce swelling, inflammation and redness.

Mix 1 teaspoon of salt with 3 tablespoons of baking soda.
Add 1 cup of sea water to the mixture to form a paste.
Apply this paste on the affected area.
Let it sit for 5 minutes, then rinse it off with sea water.
Repeat twice per day to get the best results.
6. Aloe Vera Gel
Aloe vera contains excellent anti-inflammatory properties that can help reduce swelling, inflammation and pain that you may experience due to jellyfish stings.



It will also effectively work to soothe your skin, as well as preventing the itchy sensation from occurring in the skin.

Extract the gel from a freshly rinsed aloe vera leaf. Apply it on the affected area. Leave it on for a few hours, then rinse it off with lukewarm water. Use this remedy 2 or 3 times daily.
You can even freeze aloe vera gel in an ice cube tray and use the frozen cubes as a cold compress. Apply it on the site of the sting a few times a day.
7. Oatmeal
For any kind of itching and inflammation, oatmeal is a very effective home remedy and it can obviously be used to deal with jellyfish stings.

Oatmeal contains anti-irritating, anti-inflammatory and soothing properties that provide instant relief from itching and reduce inflammation.

It is recommended to use colloidal oatmeal, meaning oats that are ground into an extremely fine powder.

Add 2 cups of colloidal oatmeal to a bathtub filled with lukewarm water and stir thoroughly.
Soak in this water for at least 30 minutes.
Repeat 2 or 3 times a day, depending on the severity of your symptoms.
8. Chamomile
Chamomile is another useful remedy for jellyfish stings. Its anti-irritant and anti-inflammatory properties soothe the skin, relieve itching, reduce inflammation and promote healing.


It is as effective as hydrocortisone, the main active ingredient in topical steroid creams that doctors recommend to treat jellyfish stings.

Make 2 cups of chamomile tea and keep it in the refrigerator for 1 hour. Soak a washcloth in this cool tea, then place it on the affected area. Allow it to sit for 10 minutes. Do this a couple of times a day for a few days.
Alternatively, add 4 or 5 drops of chamomile essential oil to 1 tablespoon of coconut or castor oil. Apply it on the affected area a few times daily.
9. Witch Hazel
Witch hazel is an excellent remedy for relieving the symptoms of jellyfish stings, thanks to its astringent and anti-inflammatory properties.


swelling.

Put a few drops of witch hazel in a cup of water. Soak a cotton ball in it and dab it on the affected area. Repeat as needed.
Another option is to use an over-the-counter witch hazel lotion on the affected area.
10. Wear Protective Clothes
Jellyfish typically only pose a threat to bare skin, which means that protective clothing can prevent most stings. So, when swimming or diving in areas where there’s a risk of being stung, wear a wet suit or other protective clothing.


A 2009 study published in the Journal of Coastal Research reports that protective clothing for marine stinger safety is a must. The study found the fabric Lycra to be the best choice for routine-use, stinger-protective clothing (4).

Also, opt for protective footwear, as stings can also occur while wading in shallow water.

Additional Tips

Another safe and effective way to avoid jellyfish stings is to use a lotion designed to repel and protect against them.
If you’re stung, do not rinse the wound with fresh water, alcohol or methylated spirits. The change in pH can cause the nematocysts to release more venom.
Do not treat jellyfish stings with urine, as it can actually cause the nematocysts to release more venom.
Do not use bare hands to pull off any tentacles stuck in the skin. To remove stingers that did not fall away after rinsing the area, use tweezers and carefully pluck them out.
Don’t scrape, rub or shave a jellyfish sting.
A hydrocortisone cream can be used to reduce inflammation.
Apply castor oil to the jellyfish sting every day until the sting starts to heal. Use a cotton ball to apply the oil.
Rub an antihistamine cream onto the sting if you experience excessive redness or swelling, or if you get hives.
Resources:

Sharing Seas With Toxic Tentacles. The Huffington Post. https://www.huffingtonpost.com/entry/jellyfish-stings-increasing-health_n_4122006. Published October 19, 2013.
Assessing the Efficacy of First-Aid Measures in Physalia sp. Envenomation, Using Solution- and Blood Agarose-Based Models. MDPI. http://www.mdpi.com/2072-6651/9/5/149. Published April 26, 2017.
A randomised controlled trial of hot water (45 degrees C) immersion versus ice packs for pain relief in bluebottle stings. Medical Journal of Australia. https://www.ncbi.nlm.nih.gov/pubmed/16584366. Published April 03, 2006.
Comparison of Eight Types of Protective Clothing against Irukandji Jellyfish Stings. Journal of Coastal Research. http://www.jcronline.org/doi/abs/10.2112/07-0896.1.
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Constipation in Children: Causes, Symptoms and Remedies
A normal bowel pattern can be taken as one of the prime indicators of good health but having issues with bowel movements every once in a while is not entirely uncommon as well.

The prevalence of such digestive distress is particularly frequent among children and accounts for 3-5 percent of all visits to pediatric outpatient clinics. Although at the outset, pediatric constipation seems to be fairly manageable, if left untreated it can cause significant discomfort to your child.

If the child is having fewer than two bowel movements in a week, or if the stools are hard, dry or lumpy, or difficult and painful to pass, then it may be said that the child is suffering from constipation.[1]

When a child with normal bowel movements suddenly becomes constipated, e.g., when traveling, starting a new school, after an acute illness etc., it is called acute constipation and usually resolves with simple remedies. But when the problem persists for 2 or more weeks, it is called chronic constipation which may or may not respond to home remedies alone.

Fortunately, most cases of constipation in children are of the acute type and temporary.

The most common cause of constipation in children accounting for 90 to 95 percent of all cases is functional or idiopathic, meaning it is not caused by any serious medical disease. The remaining 5 percent are due to underlying medical conditions ranging from Hirschsprung disease, anorectal malformations, neuromuscular disease, metabolic to endocrine disorders.[2][3]

Contents

Causes of Constipation in Children
Other causes of constipation:
Signs and Symptoms of Constipation in Children
How to Prevent Constipation in Children
When to See a Doctor
Treating Constipation in Children at Home
1. Feed Your Child High-Fiber Foods
2. Increase Your Child’s Fluid Intake
3. Massage Your Child’s Stomach
4. Encourage Your Child to Do Regular Exercise
5. Give Prunes to Your Child
6. Make Fennel Tea for Your Child
7. Good Bowel Habits
Additional Tips
Causes of Constipation in Children
Constipation may be due to a number of factors, including-

Changes in diet. Insufficient fiber-rich fruits and vegetables or fluid in your child’s diet may be the cause of constipation. When a child switches from all-liquid to a solid food diet, then he is more susceptible to experience constipation.[4]
Allergy from cow’s milk. An allergy to cow’s milk or consuming too many dairy products (cheese and cow’s milk) sometimes leads to constipation.[5]
A family history of constipation. If there is a history of any family member suffering from constipation, then even the child is likely to develop constipation. This could be due to shared genetics or environmental factors.[6]
Other causes of constipation:
Apart from the above-mentioned causes, there could also be a number of other causes for constipation.

Medical conditions. Sometimes, though it is quite rare, constipation in a child could be an indication of anatomic malformation, metabolic or digestive problem, or possible another underlying condition.
Medications. Common contributors include over-the-counter cold medications and antacids. Antidepressants, anticonvulsants, chemotherapy medications, or narcotic pain medications (such as codeine) can also cause constipation.
Withholding feces: Functional constipation is commonly the result of a child withholding feces to avoid painful defecation, for e.g., your child may ignore the urge to have a bowel movement because he or she is afraid of the toilet or doesn’t want to take a break from play. Some children also withhold and avoid using public toilet because they are not comfortable doing so when they are way from home.
Also, if it hurts to poop, then it is quite possible that your child would try to avoid repeating the distressing experience. So, if the child is facing painful bowel movements due to large, hard stools then it may lead to withholding.
Changes in routine. If there are any changes in the child’s routine, due to maybe, travel, hot weather or stress, then it could also affect the bowel function. The chances of experiencing constipation are high when children first start school, away from home.
Early toilet training. One of the causes of constipation could also be early beginning of toilet training, it could lead the child to rebel and hold in stool. When it comes to rebelling against toilet training, a decision on the part of child to ignore the urge to poop could very quickly lead to habit that would be tough to change.
People with learning disabilities are more likely to suffer from constipation than people without learning disabilities.[7]


Signs and Symptoms of Constipation in Children
Constipation is a symptom, not a disease. Children with constipation may present their problem in various ways, and the most common symptoms are

pain while having a bowel movement
loss of appetite
nausea
abdominal pain
irritability
change in posture due to full/bloated abdomen
soiling accidents in a previously fully toilet trained child
itching in the bottom (especially in the child with soiling)
fresh (bright red) blood on the surface of a hard stool
vomiting in severe cases.
Sometimes a constipated child might actually appear to have diarrhea, which can be confusing and happens when a large mass of formed stool gets stuck in the child’s rectum whilst the soft/freshly formed liquid stool seeps around it, also known as constipation with overflow incontinence, often leading to soiling.

Constipation that cannot be explained could also be a sign of abuse. Childhood constipation has often shown an association with physical, sexual and emotional abuse.[8]

How to Prevent Constipation in Children
To help prevent constipation in children:

High-fiber foods. To prevent constipation in children, it is a good idea to feed them more of high-fiber foods like fruits, vegetables, beans, whole-grain cereals, and breads. If the child is not used to a high-fiber diet, then you could start by adding several grams of fiber every day in the meal to prevent gas and bloating.[4]
Plenty of fluids. Encourage your child to drink plenty of fluids, for water is the best solution in almost every situation.
Physical activity. Regular physical activity helps stimulate normal bowel function.
Toilet routine. Set a fixed routine for your child to use the toilet. You can even provide your child a footstool so that your child may have enough leverage to comfortably release stool.
Remind your child to never ignore nature’s call. Sometimes children lose track of everything while playing and in fact, they might even ignore the urge to poop which could be a contributing factor to constipation.
Review medications. If a medicine that your child is taking is causing constipation, then you will need to ask the doctor for other options and avoid that medicine.
When to See a Doctor
Even though constipation in children is not usually serious, chronic constipation could either lead to further complications or could also be an indication of some underlying conditio



“We recommend encouraging the intake of fruits and vegetables as well as a good water intake to help with constipation. Exercise and physical activity also play a role in the motility of the GI tract, and we recommend this to our patients. However, sometimes when the issue has been ongoing for years, these changes might not be sufficient and consultation with the pediatrician might be necessary“, says Dr. Maria Stella Serrano, Chief, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, MedStar Georgetown University Hospital.

You would need to take your child to a doctor immediately if constipation lasts more than two weeks, or worse if it is accompanied with either vomiting, blood in stool, abdominal swelling, weight loss, painful tears in the skin around the anus or intestinal protrusion out of the anus.

As a parent or guardian, it is crucial that you be aware of any sudden constipation spells that your child may suffer from without any probable cause. Such unexplained digestive disruption in your child could also be a sign of abuse since childhood constipation has often shown an association with physical, sexual and emotional abuse.[8]

Treating Constipation in Children at Home
Although as a parent or guardian it is quite stressful for you to see your child in pain and discomfort, there are many simple and effective remedies as well as lifestyle changes that can help prevent as well as treat constipation and help alleviate your child’s discomfort.

Here are some home remedies for constipation in children.

Feed Your Child High-Fiber Foods
The very first thing that you can do to treat constipation in children is to increase your child’s dietary fiber intake. Fiber is a natural laxative that helps soften stool and encourage regular bowel movements.

For every 1000 calories in your child’s diet, 14 grams of fiber is the recommended daily intake.

Lack of dietary fiber may play an important role in causing chronic functional (idiopathic) constipation in children.[9]

On the other hand, adequate dietary fiber intake has shown to increase stool frequency in patients with constipation.[10]

You can include foods rich in both soluble and insoluble fiber in your child’s diet.
Some good sources of soluble fiber are oranges, apples, carrots, barley, oatmeal, and flaxseeds.
Some good sources of insoluble fiber are nuts, seeds, beans, legumes, unprocessed grains and dark leafy vegetables like kale or spinach.
2. Increase Your Child’s Fluid Intake
Children tend to go for long periods without drinking water, especially when they’re engrossed in playing or distracted by watching cartoons, leaving them quite dehydrated. Dehydration is one of the main causes of constipation in children.

Water is essential for the digestive system to function properly, and without enough water intake, the stool becomes hard and difficult to pass.

Insufficient intake of dietary fiber and fluids are associated with aggravated constipation symptoms. [11]

Make sure that your child drinks water, fruit juices, and other healthy drinks as much as possible during the day.

Plain water or lukewarm water with a little juice can help your child stay hydrated.
If your child does not like the taste of water, try flavored water, coconut water, fruit juice or vegetable juice.
Apple, prune, and pear juices are usually recommended for constipation. [12][13]
Breastfeeding is enough to keep babies below 6 months of age hydrated.

Massage Your Child’s Stomach
Stomach massage can be as effective as laxatives in the treatment of constipation. The advantage of the abdominal massage is that it engenders no known side-effects that can adversely affect your child’s overall health.

Gently massaging your child’s stomach and lower abdomen stimulates bowel movements. It can help loosen the abdominal muscles and release the pressure, helping to promote bowel activity. It can even help relieve gas.

Always ask your child’s permission to touch his or her tummy before getting on with the massage. If s/he doesn’t want the massage, s/he is likely to be too tense to benefit from it.
Place your child in a warm room before doing the massage, especially if you are removing the child’s clothing for massaging.
Use a hypoallergenic oil to rub in between your hands. Warm your hands by rubbing them together vigorously.
Gently massage the child’s stomach in a clockwise direction for 5 minutes. Apply firm but gentle pressure.
Do several massages throughout the day, until your child has a bowel release.
4. Encourage Your Child to Do Regular Exercise
Be it an adult or a child, doing exercises daily can help aid digestion and relieve constipation.

Exercising regularly will help food move faster through the large intestine and help the bowel muscles contract, moving the waste along.

On the other hand, lack of exercise leads to weakness in the intestines, making it hard to pass waste regularly.

Thus, constipation can be prevented by the promotion of physical activity. [14]

For children, one of the best exercises is walking. Aim for 30 minutes of walking a day, especially after meals, to help with bowel movements.
Swimming, bicycling or doing yoga on a regular basis can also help flex the intestines and stimulate bowel movements.
5. Give Prunes to Your Child
One of the best ways to deal with constipation in children is to make them eat prunes.

Prunes are high in fiber and sorbitol, which helps soften the stool and add bulk to it for easy passage.

Dried plums are safe, palatable and more effective than psyllium for treating mild to moderate constipation, and should be considered as a first-line therapy. [15]

Give your child 3 or 4 prunes to eat daily.
Blend 2 or 3 prunes into some warm almond milk, and make your child drink it at night before going to bed.
6. Make Fennel Tea for Your Child
Fennel seeds are also helpful in treating constipation in kids.

Early research suggests that drinking herbal tea containing a combination of fennel, anise, elderberry, and Senna daily for 5 days can reduce constipation. [16]

Fennel seeds encourage smooth muscle movement in the digestive tract, resulting in healthy digestion and regular bowel movements. Fennel seeds also prevent gas in children.

Dry roast 1 cup of fennel seeds. Grind them and sieve the mixture. Store the powder in a jar. Give ½ teaspoon of this powder with warm water to your child daily.
Alternatively, you can give your child fennel tea. Add 1 teaspoon of crushed fennel seeds to 1 cup of hot water. Let it steep for 5 minutes, then strain it. Give your child this tea to drink a few times a day.

Good Bowel Habits
For settling your child into a regular toilet habit[17] make your child sit on the toilet at least twice a day for 10 minutes. Try to do this just after a meal. Be sure to make this a pleasant time. Don’t get angry at your child in case he/she doesn’t have a bowel movement.

Give stickers or other small treats as positive reinforcements for encouraging your child to use the toilet more often. Also, highlight and celebrate the progress made by your child with his/her potty training by making posters and displaying them, so that child gets more involved.

As per Dr. Maria Stella Serrano, “a good amount of fiber intake with fruits and vegetables –the recommendation is 5 servings of fruits/ vegetables daily, and a good intake of water is important for healthy bowel habits. It is also important for kids to have an awareness of their bowel movements, and create a healthy habit of making time to go to the bathroom regularly in their busy days.”

Also, it is important to help small children sit in the right posture on the toilet. Give them a footstool or step stool to provide ample support to the legs.

When possible, help your child use squat toilets, as they are the best when experiencing constipation. Keep telling your child not to hold back whenever there is an urge to use the bathroom.

Additional Tips
If your child is taking medication that causes constipation, ask your doctor about other options.
Incorporating Greek yogurt or other probiotics into your child’s diet is another safe and effective way to fight constipation.
Include raw fruit, a vegetable or salad in all of your child’s meals.
When suffering from constipation, give your child five or six small meals throughout the day, instead of three large meals.
Whenever possible, encourage them to eat skins along with the fruits and vegetables.
Avoid food that contain little or no fiber like cheese, meat or processed foods.
Encourage your child to have regular three meals every day and to limit snacks between the meals so that his/her appetite is not affected during mealtimes. A child who is hungry would be more likely to eat vegetables than one who has been munching on crisps and cookies. Besides, a full stomach will encourage healthy bowel movement. Therefore, children who are fussy eaters are more likely to experience constipation.
Resources:

Definition & Facts for Constipation in Children. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/constipation-children/definition-facts. Published May 1, 2018.
Levy EI, Lemmens R, Vandenplas Y, Devreker T. [Full text] Functional constipation in children: challenges and solutions | PHMT. Open Access Journal of Sports Medicine. https://www.dovepress.com/functional-constipation-in-children-challenges-and-solutions-peer-reviewed-fulltext-article-PHMT. Published March 9, 2017.
PY C, HY C, Leung AK. Alberta Children’s Hospital, Calgary, Canada. Health communication. https://europepmc.org/abstract/med/8701840. Published August 1, 1996.
Diet and Chronic Constipation in Children: The Role of Fiber : Journal of Pediatric Gastroenterology and Nutrition. LWW. https://journals.lww.com/jpgn/Fulltext/1999/02000/Diet_and_Chronic_Constipation_in_Children__The.15. Published February 1999.
Intolerance of Cow’s Milk and Chronic Constipation in Children | NEJM. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJM199810153391602. Published October 15, 1998.
Childhood constipation; an overview of genetic studies and associated syndromes. Egyptian Journal of Medical Human Genetics. https://www.sciencedirect.com/science/article/pii/S1521691810001617. Published March 5, 2011.
Alabaf S, Gillberg C, Lundström S, et al. Physical health in children with neurodevelopmental disorders. Journal of Autism and Developmental Disorders. https://link.springer.com/article/10.1007/s10803-018-3697-4. Published July 24, 2018.
Rajindrajith S, Devanarayana NM, Lakmini C, Subasinghe V, de DG, Benninga MA. Association between child maltreatment and constipation: a school-based survey using Rome III criteria. Journal of Pediatric Gastroenterology and Nutrition. https://www.ncbi.nlm.nih.gov/pubmed/24253365. Published April 2014.
Roma E, Adamidis D, Nikolara R, Constantopoulos A, Messaritakis J. Diet and chronic constipation in children: the role of fiber. Journal of Pediatric Gastroenterology and Nutrition. https://www.ncbi.nlm.nih.gov/pubmed/9932850. Published February 1999.
Yang J, Wang HP, Zhou L, Xu CF. Effect of dietary fiber on constipation: a meta analysis. World Journal of Gastroenterology. https://www.ncbi.nlm.nih.gov/pubmed/23326148. Published December 28, 2012.
Mazlyn MM, Nagarajah LH, Fatimah A, Norimah AK, Goh KL. Stool patterns of Malaysian adults with functional constipation: association with diet and physical activity. Malaysian Journal of Nutrition. https://www.ncbi.nlm.nih.gov/pubmed/24800384. Published April 2013.
Bae SH. Diets for Constipation. Pediatric Gastroenterology, Hepatology & Nutrition. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291444/. Published December 2014.
Bothe G, Coh A, Auinger A. Efficacy and safety of a natural mineral water rich in magnesium and sulphate for bowel function: a double-blind, randomized, placebo-controlled study. European Journal of Nutrition. https://www.ncbi.nlm.nih.gov/pubmed/26582579. Published March 2017.
Huang R, Ho S-Y, Lo W-S, Lam T-H. Physical Activity and Constipation in Hong Kong Adolescents. PLoS One. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938666/. Published February 28, 2014.
Attaluri A, Donahoe R, Valestin J, Brown K, Rao SS. Randomised clinical trial: dried plums (prunes) vs. psyllium for constipation. Alimentary Pharmacology & Therapeutics. https://www.ncbi.nlm.nih.gov/pubmed/21323688. Published April 2011.
Rawat AKS, Srivastava S, Ojha SK. Herbal remedies for management of constipation and its ayurvedic perspectives. https://www.researchgate.net/publication/289468603_Herbal_remedies_for_management_of_constipation_and_its_ayurvedic_perspectives. http://medind.nic.in/jav/t12/i1/javt12i1p27.pdf. Published January 2012.
How to Treat Constipation in Children. Johns Hopkins Medicine Health Library. https://www.hopkinsmedicine.org/healthlibrary/conditions/pediatrics/constipation_in_child










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