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Epigastric Pain

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Epigastric Pain is a type of abdominal pain which occurs in the epigastrium. The area of the abdomen just below the sternum and above the umbilicus. This type of pain is common in children. As they are children, they are unable to pinpoint the exact location of the pain. Older children can generally locate the pain. According to Dr Mubina Agboatwalla – Child Specialist in Karachi , Epigastric pain generally occurs due to gastritis. When the child has taken too much spicy food, chips etc. Sometimes the epigastric pain maybe due amoebiasis or giardiasis. Giardia lamblia infections are quite common in children in tropical countries. This type of pain is characterized by a feeling of fullness or diarrhoea. The child may pass foul smelling gas. In addition, there maybe worm infestation. This is in fact very common. Referred pain to the epigastrium can occur too. Pain from the liver or gall bladder. Another dangerous and emergency type of epigastrium pain is due to pancreatitis. This is very

Wheezing

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  Wheezing is a whistling sound heard in the chest due to broncospasm. This occurs chiefly in allergic children occurring chiefly in winter or even throughout the year whenever any allergin stimulates the bronchial system. This is whistling sound , as if the air passes through a narrow bottle. It is so loud that it can be heard if the mother is standing next to the child. The allergic reaction causes the bronchi to go into spasm, in addition mucus gets collected and as the air passes through the bronchi and bronchioles it produces a whistling sound. The wheezing is best heard with a stethoscope. According to Dr Mubina Agboatwalla – Child Specialist in Karachi   the wheezing is treated with a bronchodilator, which can be given with a nebulizer or oral bronchodilator. In severe cases when the spasm is not relieved steroids may need to be given. It is important to prevent bronchospasm. The child should be protected from cold air, dust, paint smell, perfume smell or any factor which prom