What causes the growth of the nasal flesh in children?

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Growth of Genetic Meat in Children
Fungal growth is one of the most common diseases in children. Geniz is the name given to the space behind the nose that combines the mouth with the nose. Adenoid tissue in the flesh or medical language is a lymphoepithelial tissue in this region. Aphimous meat with tonsils, nose and mouth through the body as a part of the immune system to fight against infections. The growth of pubescent meat usually occurs between 3-7 years of age, when children are most frequently confronted with infection. As the age progresses, the growth decreases and the nasal passages in adulthood are almost lost. From our Ear Nose Throat Department. Ozan Gokler informs about Geniz Meat:
What are the symptoms of flesh growth?
Nasal congestion, difficulty in breathing through the nose, accordingly mouth breathing, open mouth, snoring, frequent upper respiratory tract and middle ear infections.
How is a flesh diagnosis made?
The history of the patients and the families are almost sufficient for the diagnosis. In the Otorhinolaryngology examination, the nasal lobe can be seen endoscopically with special instruments by mouth and nose. X-rays can also help diagnose if necessary.
How is the process of treating the flesh meat?
Treatment of the growth of pheromone is surgery. Surgery can be performed at any age when the indication is correct. The operation is very easy for both the surgeon and the child, it is performed under general anesthesia and the duration is about 5-10 minutes. Different methods can be used as surgical technique. No matter what method is used, the complications related to surgery are very low. The operated child is discharged on the same day. Children may continue their normal life the day after surgery. Surgery should be avoided in children with cleft palate or blood clotting problem.

Be careful!
Nephrine growth, which is not properly treated or not treated timely, may lead to greater and permanent problems. Enlarged nasal flesh may adversely affect middle ear ventilation due to its anatomical position. As a result of the inadequate ventilation of the middle ear, fluid collection in the middle ear can cause hearing loss and chronic otitis media. Sleep quality is reduced due to nasal congestion and snoring. Decreased sleep quality may lead to distraction and, consequently, a decrease in course achievement.
Untreated chronic nasal flesh growth, obstructive sleep apnea in children, upper airway resistance syndrome, swallowing and speech disorder, decrease in taste and odor, abnormal facial and tooth development, growth and growth retardation, sinusitis, pharyngitis and lung infections may cause.
It is very important for the healthy development of children that it is very easy to diagnose and treat this childhood disease, which is very common and easy to diagnose and treat.
Click on the link to get detailed information about Koç University Hospital’s Otolaryngology Department.

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What are the symptoms of diabetes in children and what is the difference between adult diabetes?

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Symptoms of diabetes in children, the main problem in Type 1 diabetes is deficiency in the secretion of insulin hormone, whereas in Type 2 diabetes in adults, there is a disorder in the cell elements called ler receptor ana in which insulin hormone is bound to act. This disorder is called ”insulin resistance Bu. Although the mechanisms are different, the glucose taken with nutrients cannot enter the cell enough and accumulate in the blood.
What is the main difference between Type 1 and Type 2 diabetes? What are the symptoms of diabetes?
The main difference between Type 1 diabetes and Type 2 diabetes is the rate at which clinical findings occur. In children with type 1 diabetes, symptoms such as drinking too much water, too much urination, weight loss, and fatigue occur suddenly in 2-3 weeks, while adult Type 2 diabetes symptoms occur over the years and often these symptoms may be overlooked for a long time.
What is the problem, how are the signals? How should families approach their children?
The most common findings in children with diabetes as well as adults are frequent and frequent urination, drinking a lot of water and increasing appetite, although not always seen. Families first say that children start to drink more water than usual, that they have a water bottle all the time, they do not get enough water, they are fed only with water. Too much urine becomes noticeable in the day when children go to the toilet frequently. Therefore, other findings should be investigated in children starting to ask for permission to go to the toilet during the course. Besides, it is noteworthy that children who do not wake up to urinate at night before awaken 1-2 times to urinate and sometimes wet under the night. In small children, mothers often begin to change diapers. Children lose weight despite increasing appetite. Girls may have fungal infection in the genital area, or infants may have persistent rashes.
Some children go to the doctor with non-specific findings such as fatigue, mild fever, abdominal pain, and families may not be able to say specific findings of diabetes. Children may have complaints of school performance, fatigue, and more frequent absenteeism than before. For this reason, it should be examined by the teachers that children start to make absenteeism.
Is early diagnosis important in children with diabetes?
Early diagnosis is very important. The symptoms of nausea, vomiting, abdominal pain, eyes collapse, deep and fast breathing (respiratory distress), and the smell of acetone in the mouth begin as a result of the exacerbation of insulin deficiency. There is a close relationship between the early discovery of diabetes findings or the risk of diabetes diagnosis in health care facilities and the application of a dangerous picture, such as a diabetes coma.
How is diabetes treated?
It is necessary to give insulin hormone from the moment of diagnosis in type of diabetes (type 1 diabetes) seen in children. In adults, sugar-lowering pills and diet may work in the initial period. In both types of diabetes, it is important to adhere to the principles of healthy eating and exercise regularly.
What can be done to facilitate the lives of children with diabetes?
The first step to make life easier for children with type 1 diabetes is to create an environment that will enable them to make peace with diabetes. Therefore, it is important not to discriminate against children in the home, school and other areas of daily life and to support them in their çocuklar new normal elik lives. In addition, the most important way to facilitate the lives of children with Type 1 diabetes is to benefit from new technologies related to blood sugar monitoring and insulin delivery, thereby alleviating their burden. You can make an appointment with our doctors by clicking on the link for more detailed information.
Click on the link to get detailed information about the Department of Pediatric Endocrinology and Diabetes Department of Koç University Hospital.

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Causes Cough in Children?

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What causes cough in children and how often?
Cough is one of the reasons that causes the most frequent application in childhood. Cough is actually a normal reflex and protects the airway from environmental harmful particles, secretions and aspiration.
 Is every cough a symptom of disease?
Healthy children may cough 11 times a day without other symptoms.
However, cough may be a symptom of some diseases according to the severity and frequency. Acute cough is usually caused by viral upper respiratory tract infections. In children, 50% of coughs due to upper respiratory tract infections decrease in 10 days and 90% in 25 days. Children may experience such infections 6-8 times a year, and these infections can be seen in a row especially in the nursery or school period.

What are the main diseases that cause coughing?
Pneumonia, pertussis and allergic airways diseases are some of the diseases that cause cough. Pneumonia (pneumonia) is an inflammation of the lung tissue. Bacteria can occur mainly due to various microorganisms. Cough with fever, rapid breathing, such as sputum may be complaints. Listening findings of the lung are guiding in the diagnosis.
Pertussis cough; It is a cough that occurs in seizures, which does not allow for breathing in succession, which requires breathing with a long sigh at the end of coughs, and sometimes ends with vomiting. With the swelling of the main airway, larynx, or vocal cords, a child may experience coughing similar to dog barking. This may be caused by swelling or edema, infection or allergy in the airway.
How effective are drugs used to treat cough in children?
The efficacy of cough medications for the pediatric age group has not been established. The use of these drugs is not recommended for children under two years of age, especially because of their toxic effects. The use of drugs containing codeine is not recommended for children under 12 years of age due to suppression of the respiratory system.
For more information about the Department of Pediatrics, Koç University Hospital, click on the link.

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What is Chronic Cough in Children and What Causes?

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Cough that lasts more than four weeks in children is defined as chronic cough and causes a decrease in quality of life. Chronic cough should be considered carefully because it may be an evidence of an underlying chronic lung disease.
The age of onset of cough is important. Coughing that begins in the neonatal period usually indicates an underlying underlying cause and requires an in-depth examination. Genetic diseases such as tracheo-oesophageal fistula, tracheomalacia, or cystic fibrosis and primary ciliary dyskinesia can be manifested by chronic cough from the newborn period. Cough; wheezing or wheezing, especially at night, if the child is difficult to breathe when it is moving, the possibility of asthma should be evaluated. With a continuous cough, runny nose, watery eyes, a feeling of itching in the throat, and nasal discharge, these children may have hay fever or sinusitis.
What causes chronic cough besides respiratory diseases?
It should also be taken into consideration that children may have fled a child’s airway at all times. When a child is evaluated by a doctor due to chronic cough, it can be suspected that a foreign body has escaped the airway according to the findings of the examination and radiological findings. In children, symptoms such as recurrent vomiting with cough, a bad taste in the mouth, burning in the chest may indicate gastroesophageal reflux. It is dry, repetitive, persistent, bursting, and psychogenic cough may come to mind especially in the coughs that are lost during sleep at night or when the child is busy with something he likes. It is useful to evaluate the psychological status of the child after it is understood that there are no other cough diseases. Considering the protective nature of the airway, cough suppression is harmful in many respiratory diseases.
For more information about the Department of Pediatrics, Koç University Hospital, click on the link.

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What is Allergic Nezle? Spring in Children

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Tree pollen in late spring and early summer, meadow pollen at the end of the summer, weed pollens in the beginning of autumn in the air is mixed. These pollens reach the nose and eye surface and cause allergic rhinitis.
The pollen reaches the tissue called the mucosa, which paves the inner surface of the nose and causes an allergic reaction. It should be kept in mind that allergic conditions often start at an early age, but can also be seen in adulthood.
Seasonal Allergic Flu
People with pollen allergy experience allergic rhinitis during the season when they are allergic to pollen. However, weather conditions, changes in the surrounding environment and the person’s immune system, some years of mild complaints are experienced, some years, more severe complaints and the need for medication increases. In some patients, the eyes with the nose are also affected and this condition is called allergic conjunctivitis.
Allergic rhinitis throughout the year
If a person is susceptible to allergic substances found in closed environments, the symptoms of allergic rhinitis continue throughout the year. Allergic allergic rhinitis and conjunctivitis are seen in individuals who have allergy to house dust mite, cat, dog, cockroach, mold fungus due to domestic humidity.
When should we think of allergic flu?
Children with allergic rhinitis can experience sneezing, nasal itching, runny nose and / or nasal congestion shortly after being exposed to pollens, cats, dogs and house dust mites. This movement is called an allergic salute because children often erase their noses upward; This movement may occur due to a horizontal line on the nose. This disease is usually accompanied by eye rash (allergic conjunctivitis) eyes redness, itching, watering is common. Nasal congestion and fullness in the vessels cause swelling and dark color under the eyes. Nasal discharge, headache, cough may accompany. Because of nasal congestion, children wakes up at night and wakes up in the morning tired. Fatigue, perception difficulties, sleep disorders adversely affect daily life.
Does allergic rhinitis increase the risk of other allergic diseases?
When they are allergic to the cause of the skin eczema, urticaria (hives) can be seen. Asthma symptoms may be seen in 10-40% of patients with allergic rhinitis, or asthma symptoms are increased in children with asthma.
Seasonal Allergic Diagnosis
The most important thing in the diagnosis of allergic rhinitis is the patient’s history. It should be questioned when symptoms are encountered, and how they occur. If the nose is exposed to pollen in the nose, itching, sneezing, clear runny nose should be considered spring fever. Allergen level measurement from the blood (pollen specific IgE) and prick allergy tests applied to the skin can be determined which particles are allergic to the individual.
How to treat seasonal allergic rhinitis?
Allergen avoidance is a priority in the treatment of allergic rhinitis. For this reason, in spring and early summer when pollen numbers are increased, it is recommended that people with spring fever should reduce the time zone for outdoor activities and do their outdoor activities in the morning or evening instead of afternoon hours.
In house of dust mite allergy patients should be removed moisture, moisture should be destroyed, mites holding mites, pillows, mattresses and pillows filled with wool, mattresses and quilts are recommended to be removed from the bedroom. Special non-permeable bed linens help treatment in patients with home dust allergy.
In the treatment of allergic rhinitis, nasal sprays and oral syrups or tablets may also be used to control symptoms. It is recommended that the physician regulate the medications by evaluating the severity of the allergic disease and the patient’s condition. In addition, vaccination therapy (immunotherapy) can be applied to patients who have severe allergic complaints and have limited response to drug treatment. This treatment, called immunotherapy, is applied in 2 different ways: there are injection forms applied to the tablet / drop or arm that melts under the tongue. Allergic reactions may develop during these treatments, so if you apply at least 3-4 years under the control of allergy physicians, the likelihood of successful long-term results is increasing.
For more information about the Department of Allergy and Immunology at Koç University Hospital, click on the link.

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How should children be fed in the summer months?

With the warming of the air, our body temperature increases and changes in our requirements are observed. Pregnant women, elderly people, chronic illnesses and especially children are among the most affected group during the summer months. It is important to pay attention to and be aware of nutrition in reducing health problems frequently seen in the summer months.
Which foods should be consumed most?
Adequate and balanced nutrition should be taken in every period of life. You can create your daily nutrition program by dividing your plate in four and selecting a nutrient from each group. In summer, due to perspiration, loss of fluid and vitamin and mineral losses are experienced. Therefore, taking care of water consumption in summer should be the first for us. Water needs vary from person to person. You can check your child’s urine to see if he has had enough water. Urine should be very light yellow. Second is to increase the consumption of fruit and vegetables in order to prevent increasing vitamin and mineral losses.
In the summer months, children wake up late, causing breakfast to be close to noon. In such cases, you should not force 3 meals to complete, you can make 2 main meals and frequent meals between breakfast and dinner. It should not be forgotten; The first rule of healthy eating is to start the day with breakfast.

What kind of discomfort can lead to inappropriate nutrition in summer?
Diarrhea (diarrhea) is a common disorder especially in children in summer. There are many reasons such as rapid deterioration of food and rotavirus with increasing temperatures. The following measures should be taken to protect them;

Hand hygiene for protection from rotavirus, good washing of vegetables and fruits
The risk of deterioration of cream foods should be kept short because of the increase in the amount of food, should not wait more than a day in the cupboard
Foods (meat, poultry, fish, milk, etc.) should not be kept in the open conditions.
Shopping at the nearest convenience store should be done despite the risk of deterioration until you come home from frozen groceries

What are the mistakes that parents know correctly about feeding their children in summer?
Parents, the more they feed their children, the better they think. With the increase of heat in summer, the appetite decreases. For this reason, children should not be forced to eat too much. Light and non-fat foods should be preferred. Snacks should be supported with liquid foods and fruit. As we have always said, fruits should be consumed as fruits and not fruit juice. Because fruit juices rapidly increase blood sugar, lowering the glycemic index is among the foods we define as high. In order to prevent sudden drops of sugar with increasing temperatures, it should be avoided from foods with high glycemic index, ie simple carbohydrates (pasta, rice, potatoes, etc.), and complex carbohydrates (bulgur, whole wheat pasta etc.) should be preferred.

Yeditepe University Hospital
Nutrition and Dietetics Expert Nazlı Şişik

Does the Prevalence of Reflux in Children Increase?

Attention if you have weight loss and unrest!
Does the frequency of reflux in children increase?
The reflux problem, which is thought to be an adult problem, can occur even in infants. Research shows that around 15 percent of all children have reflux. Yeditepe University Hospital Pediatric Health and Diseases, Child Gastroenterology Specialist Assoc. Dr. Meltem Uğraş points out that children with discomfort, nausea and especially weight loss should also be evaluated for reflux.
Reflux is the result of the loss of stomach contents to the esophagus due to the slackness in the valve between the esophagus and the stomach. Recently, the increase in signs of reflux in children of all age groups is important. This problem can reduce the quality of life of children and parents, as well as treatment of asthma, esophageal damage, recurrent otitis media and pneumonia can prepare for different diseases such as. Allergies and food allergies in particular can damage the esophagus and cause reflux symptoms. As the development process of infants continues, reflux is more common.
Reflux of children due to difficulty in gaining weight Yeditepe University Hospital Child Health and Diseases, Child Gastroenterologist Specialist Assoc. Dr. Meltem Uğraş states, however, that the development of children can also be affected. In addition, the acid escaping from the stomach to the esophagus, tissue damage and small wounds can lead to the risk of developing anemia.
Symptoms can be mixed
Complaints related to reflux can vary in infants and children. For example, nausea, vomiting and weight loss are observed in infants, but vomiting does not occur in children, but chest burning, hoarseness and slowing in development occur. In general, many of the symptoms are similar to different diseases, Assoc. Dr. Meltem Uğraş speaks: Ta Unless the underlying cause is found in the upper respiratory tract infections that develop with reflux, the child may be exposed to long and recurrent antibiotic treatments. In addition, complaints such as chest pain or compression can also be confused with heart-related diseases. Therefore, it is important to be vigilant about the symptoms of reflux and to consult a physician immediately. Dolayısıyla

Patient history is important in diagnosis
Asserting that the most important factor in the diagnosis of the disease is taking the child’s detailed history. Dr. Meltem Uğraş said, den We use various methods developed for the diagnosis of reflux and we do not approach each child with the same method. Some children only listen to complaints, while the clinical situation of some of them, depending on the severity of the complaint we use endoscopic or radiological methods.
Treatment begins with lifestyle change
In the treatment of reflux disease, first of all, some changes in life style need to be done. In dairy children, changing the contents of the food (intensification) is often one of the measures to be taken when feeding a small amount and raising the head while lying. In older children, orange juice, chocolate, mint-like foods that may cause reflux, and after the dinner need to reduce the intake of fluid. In addition, problems such as constipation, obesity, which leads to increased intraabdominal pressure, not to wear too tight clothes, to sit at the table while eating, eat frequently and a small amount of food, to eat 1.5-2 hours before bedtime and to raise the head while lying other measures that can be taken. Child Health and Diseases Specialist Assoc. Dr. Meltem Uğraş said, çık In accordance with the child, drugs can be used to regulate the movement of the digestive system and to decrease the stomach acid and to strengthen the valve functions. This treatment can last for about 4-6 months. However, surgery can be an option in very rare cases, which cannot improve despite long-term treatment. Ancak
Symptoms indicating reflex
Infants:
• Frequent nausea, vomiting • Rejection of feeding (bottle) • Grouching • Restlessness • Frequent crying spells • Recurrent cough • Recurrent otitis media • Slow development
Children:
• Burning in the chest • Pain in the mouth • Loss of dental brightness • hoarseness • Slowening in development • Common upper respiratory tract infection • Common ear diseases • Common pneumonia / pneumonia