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Please log in or register first (it's free!) to post your questions about common childhood illnesses to Dr Barathi Rajendra, a Senior Consultant with the General Paediatric Service, Department of Paediatrics at KK Women's and Children's Hospital (KKH).
Have problems posting your question? Please email your questions to firstname.lastname@example.org.
Kindly note: Your question will go live/appear when the doctor answers it.
I'm new here, so apologies if I posted this question in the wrong place.For asthma, it is well known that a mitigation measure would be to remove the asthmatic triggers like pet dander, or dust, and often caretakers or patients resort to cleaning measures. However, after some research, I have felt certain concern regarding such measures.
Are vacuum cleaners, air conditioners, air purifiers, or cleaning devices of the like helpful in mitigating asthma attacks? Or could they actually be harmful?
It is my understanding that some of these measures can actually increase allergen exposure in the household, for example, there have been studies on how vacuum cleaners aerosolise dust and spit dust back out, which is indeed rather concerning.
Hope that Dr Barathi Rajendra would be available to help address my concerns. Thank you!
Dear Dr. Barathi,
Could you kindly advice on my child, son of 13 year-old, who is still bed wetting. We have tried various methods to train him but he still bed wetting as he used to be deep sleep symptom which he himself also unaware he's wet. I would like to seek you professional advice on whether to administer him with medication & any therapy that could help him overcome.
Many thanks in advance for reading my question & look forward to hearing from you soon...
With warmest regards,
Mr. Fong YC
My school going son 9 years often complains of unbearable headache. He wears specs. I have got his eyes rechecked. The doctor has given anti congestion nasal drip. But his problem continues. Please advise.
Answered by Dr Barathi Rajendra, a Senior Consultant with the General Paediatric Service, Department of Paediatrics, at KK Women’s and Children’s Hospital.
Thank you for your questions.
In certain patients, an asthma attack can be triggered by pet hairs or dust, hence the advice is to keep the home environment clean. All vacuum cleaners in general will emit some dust. It is important to keep the vacuum cleaner clean and to open windows or ventilate the room that is being cleaned. Better-quality vacuum cleaners or air purifiers will have a HEPA (high efficiency particulate air) filter that aims to remove a high percentage of pollen, pet dander and particles from the air.
In general, a vacuum cleaner will clean up more dust than it emits. Just remember to service or keep all these devices in good working condition, so that they do not contribute to the problem and they operate efficiently.
Thank you for your question.
Bedwetting is a fairly common problem in childhood. Once it persists into later childhood, it can become quite stressful and unpleasant for the affected child as well as the parents.
You should bring your child to a paediatrician for further assessment. There are two options that can help your son - medication or the use of an enuresis (bedwetting) alarm. Before selecting any of the options, your son should be examined to make sure there are no other underlying health problems which may be contributing to the bedwetting. A urine sample would be checked and an ultrasound scan of the bladder may be performed.
If medication is prescribed, this will reduce excess urine production. Up to 70% of children respond to medication and would have treatment for three months or longer.
As you mentioned that your son is a deep-sleeper, enuresis alarm training may work for him as the alarm trains the child to wake up when the bladder is full. Most children who use the night time alarm show some improvement within one or two weeks of training.
Headaches in children is a fairly common issue that we manage at KK Women’s and Children’s Hospital. Poor or deteriorating eyesight can often cause headaches, so it is good that your son had repeated an eye check to exclude this possible cause. Another common cause for headaches is allergic rhinitis or “sensitive nose”. Your son may have this condition, hence he was prescribed a nasal spray.
Excessive screen time (computer, tablet or mobile phone) can also contribute to headaches. Poor or insufficient sleep is another factor. Sometimes stress from school or other factors can also contribute to headaches. Eating nutritious and regular meals, as well as drinking sufficient water regularly will help with mild headaches.
In summary, the cause of headaches is often multifactorial and likely due to simple lifestyle factors. Try to make lifestyle adjustments as detailed above, and monitor for improvement. If your child wakes up at night due to the headache or vomits in the early morning, please bring him to see a doctor to reassess his condition.