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Dr K K Aggarwal

Honey excellent for Cough

By Dr K K Aggarwal
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A spoonful of honey can quieten children’s night time cough and help them and their parents sleep better.

When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. As per a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that it can be said that honey is better than no treatment and dextromethorphan. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey–flavored dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants below one year of age because of the risk of botulism spores.

Fever in children

By Dr K K Aggarwal
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  • Do not ignore fever in children.
  • Fever with cough and cold means viral sore throat.
  • Fever with chills and rigor may be due to malaria.
  • Fever with severe headache and pain behind the eyes may be dengue.
  • If a child has fever with urinary symptoms, the child needs further investigations.
  • Do not ignore fever with jaundice.
  • Do not give aspirin to children for fever.
  • Immediately lower the temperature if the fever is more than 104°F.
  • If fever is associated with altered behavior, then immediately contact the doctor.
  • Tepid water sponging is better than sponging with cold and ice water.
  • In heat stroke, cold water sponging can lower the temperature if anti-fever medication is not working.
  • Do not ignore if body temperature is low.
  • If body temperature is less than 95°F, immediately warm the child using blankets and other measures.
  • Paracetamol is the safest medicine for children in fever.

Cough Hygiene

By Dr K K Aggarwal
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When you cough or sneeze you tend to expel out respiratory waste which can be droplets larger than 5 micron or airborne droplet less than 5 micron both have different clinical implications. Droplets remain suspended in the air for a limited period only and exposure of less than 3 feet is usually required for human to human transmission of droplet borne respiratory organisms. In flu this can be up to 6 feet. The examples of droplet infections are meningitis influenza rubella German measles etc. No precaution needs to be taken by a person who is 6 10 feet away from the patient but if a person is sitting or working even 3 6 feet distance the non coughing person should wear a simple mask. Airborne droplet nuclei that carry respiratory secretion smaller than 5 micron can remain suspended in the air for extended period and can cause infections to people who are standing even more than 10 feet away. The example of airborne droplet nuclei infections are TB measles chickenpox and SARS. Patients with these diseases should be placed in an isolation room and all healthcare personnel who are looking after these patients must use a safe N95 mask. In normal house with windows opened there is a constant exchange of air which prevents spread of infections but in AC setups with no air exchange the infections can spread from one person to another. When sitting in an air conditioned atmosphere the setting of the AC should be such that the same air is not circulated and fresh air is allowed to exchange. Split ACs therefore are more dangerous than the window ACs. In an office with split AC if one employee is suffering from any of the droplet nuclei disease can transmit infection to others. Therefore patients with confirmed TV measles chickenpox and SARS should not be allowed to work in split AC atmosphere.

Swine Flu is back but no panic

By Dr K K Aggarwal
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• Swine flu presents with fever of more than 1000 F with cough or sore throat in the absence of any other main cause. • The diagnosis is confirmed with a lab test using rRT/PCR technique. • Mild or uncomplicated flu is characterized by fever, cough, sore throat, nasal discharge, muscle pain, headache, chills, malaise and sometimes diarrhea and vomiting. In mild cases, there is no shortness of breath. • Progressive swine flu is characterized by the above symptoms along with chest pain, increased respiratory rate, decreased oxygen in the blood, labored breathing in children, low blood pressure, confusion, altered mental status, severe dehydration and exacerbation of underlying asthma, renal failure, diabetes, heart failure, angina or COPD. • Severe or complicated swine flu is characterized by respiratory failure, requirement of oxygen or ventilator, abnormal chest x-ray, inflammation of the brain, lowering of blood pressure to less than 60 and involvement of the heart muscle. These patients will have persistent high fever and other symptoms lasting more than three days. • Most patients will remain asthmatic with illness lasting 3-7 days. • The characteristic features are presence of chills, muscle pain and joint pain. • In the pregnant women, flu can cause more serious complications including death of fetus. • Mild cases do not require admission but progressive cases need to be admitted. • Underlying, organ disease and requirement of mechanical ventilation is the indication for admission. • Oseltamivir phosphate is the treatment of choice but it should be taken under medical supervision. It has to be given in the first 48 hours. It is given in severely low patients, pregnant women, underlying organ disease or age less than 5 years. • Flu vaccine can be given to all. It should be given to all high-risk patients. • The virus spreads through droplet infection and spreads with a person coughs, sneezes, sings or speaks. The virus can cover only a distance of 3 to 6 feet. • Stay 3 feet away from the person who is coughing. • The standard prevention is respiratory hygiene, cough etiquette and hand hygiene. • Hand washing should be performed before and after every patient contact or infectious material and before putting and after removing gloves. • Hand hygiene can be performed by washing with soap and water or with alcohol based hand drops. • If hands are visibly soiled, they should be washed with soap and water. • Patients should be placed in a private room or area. The health care staff should wear a face mask while entering the patient’s room. When leaving the room, the health care workers should remove the face mask, dispose it off and then perform hand hygiene. • Patients should wear a surgical mask and should be aware of respiratory hygiene, cough etiquette and hand hygiene. • Droplet precaution should be taken for seven days after illness onset or 24 hours after resolutions of fever and respiratory syndrome. • One should not cough in the hands, handkerchief but instead cough either in the tissue paper and dispose it off or in the side of the arm. • Swine flu causes fewer deaths than normal seasonal flu. • Hong Kong Study of H1N1 (Between April and December 2009]: Overall attack rate was 10.7 percent, case-hospitalization rate was 0.47 to 0.87 % among people aged 5 to 59 years, case-ICU rate was 7.9 cases per 100,000 infections in children aged 5 to 14 years, case-ICU rate was 75 cases per 100,000 infections in adults aged 50 and 59 years, case-fatality rate was 0.4 cases per 100,000 in children aged 5 to 14 years and case-fatality rate 26.5 cases per 100,000 in adults aged 50 to 59 years. • Case fatality is 0.4 – 26.5 cases per 100,000. That means 10 deaths would occur if one lac people gets fly. For getting 95 deaths we need almost one crore people getting infected with flu. This again means 10% of the society suffering from flu or two patients per family. Either the figure 95 is wrong or the figure number of positives deaths is wrong. • Two third of deaths occur in people with underlying chronic illness. • In seasonal flu more deaths are in people above 65 years of age and in H1N1 flu more deaths are in 50-64 years old age group.

Honey excellent for Cough

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them and their parents sleep better. When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. As per a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that it can be said that honey is better than no treatment and dextromethorphan was not. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks. Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey–flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.

Honey excellent for cough

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Honey excellent for cough

A spoonful of honey can quieten night time cough in children and help them and their parents sleep better. When compared to the cough syrup ingredient dextromethorphan or no treatment, honey comes out on top. As per a study from Archives of Pediatrics and Adolescent Medicine, the results are so strong that one is able to say that honey is better than no treatment and dextromethorphan was not. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works and it carries risks. Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey-flavored dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.

Honey excellent for Cough

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off on Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them and their parents sleep better.


When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. According to a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that it can be said that honey is better than no treatment and dextromethorphan was not in children with upper respiratory infections (URIs). There is currently no proven effective treatment for cough due to an URI like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine.

To investigate its role, the researchers compared buckwheat honey, a honey–flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects.

Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.

Honey excellent for Cough

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them — and their parents — sleep better.

When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. As per a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that it can be said that honey is better than no treatment and dextromethorphan was not. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey–flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.

Honey excellent for Cough

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them — and their parents — sleep better.

When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. As per a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that one is able to say that honey is better than no treatment and dextromethorphan was not. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey–flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.

Honey excellent for Cough

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Filed Under Wellness | Tagged With: , , , | | Comments Off on Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them — and their parents — sleep better.

When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. As per a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that one is able to say that honey is better than no treatment and dextromethorphan was not. There is currently no proven effective treatment for cough due to an upper respiratory infection like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine. To investigate, the researchers compared buckwheat honey, a honey-flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects. Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.