Outer Ear Inflammation Should Not Be Your Nightmare In The Summer!

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With the arrival of the summer holiday plans are on the rise, but did you know that there is an increase in the proportion of some ear diseases with the arrival of the summer?
If these diseases are not dealt with in a timely and appropriate manner, they can cause your holiday pleasure to escape!
What is the most common ear disease in the summer?
The most common of these diseases are external ear infections (external ear infections). External ear canal; It is a very suitable environment for the growth of pathogens such as bacteria and fungi due to being moist, dark and hot.
Why does external ear inflammation increase in summer?
The most important reason for the increase of the external ear infection in summer is the unhygienic pool and sea water. In addition, after swimming, the external ear canal remains wet, ear sticks and similar tools can cause the risk of infection.
What are the symptoms of external ear inflammation?
In the ears of people with external ear inflammation;

Itching,
Severe pain,
Congestion,
Stream
Hearing loss may occur. If these complaints occur, the person should consult an Otolaryngologist without losing any time.

How is external ear inflammation treated?
In the treatment of the disease, cleaning of the ear canal, ear drops, regular dressing, and rarely oral medication are used.
What kind of preventive measures can be taken?
Apart from the fact that the patient falls on the recommendations of the duty doctor during the treatment period and uses the drugs regularly; keeping the ear dry, avoiding water sports, scratching, scrubbing, cleaning behaviors. The use of ear plugs is not recommended since it can accelerate the spread of infection after the onset of infection.
How many days of external ear inflammation?
External ear inflammation will improve within 7 to 10 days if there is no other underlying disease (diabetes, external auditory stenosis, etc.). Patients should consult an Ear Nose Throat Doctor before returning to the pool, sea and water sports even after the symptoms disappear.
What measures can be taken against external otitis?
To keep your summer holiday as smooth as possible, keep your ears as dry as possible, to dry with a cotton or towel without coming into the outer ear canal after contact with water; keep you away from you and your family.
This article Prepared by Ozan Gokler.
For more information, please contact our Ear Nose Throat Department.

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How should we treat someone who has epileptic seizures?

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What should we do when we see a person with epileptic seizures?
Patients with precursor symptoms should remove themselves from dangers. (window edge, ladder head, piercing cutting tools, etc.). People who have a seizure without a forerunner sign should take away the person from these hazardous areas in case of any seizure.
Generalized contraction, called a large seizure, jumps on the watch, people who have a seizure while falling to the floor while pushing the head to the ground by pushing the head or by supporting the head to be able to fall to the ground softly. It is necessary to turn the patient’s head aside on the floor. Turning the head sideways prevents the vomiting of the lungs if the person vomits.
If the teeth are not yet closed, they are placed in the upper part of a soft body. This soft object should never be finger. The soft body is the edge of the blanket, the edge of your jacket and so on. can. The goal is to break the gap between the teeth and to prevent the bite of the tongue. Never attempt to open if the teeth are closed. Never try to stop the contractions in the arms and legs, or you may cause fractures and dislocations. The only thing to do is to determine the duration of contractions.

After the seizure, the person usually wakes up, is confused, does not understand what is said, but he tends to sleep around and sleep. If the seizure lasted for more than five minutes, if the person had no known epilepsy, was hit by a head while crashing, but could not be aroused despite a seizure, he should be taken to the hospital urgently.
What should we do when we see a person with epileptic seizures?

Onion smelly is the most performed and non-beneficial application.
Never put your finger between your teeth during seizure. He can bite your finger.
Never try to open if the mouth-teeth are closed during the seizure. Even if the tongue is bleeding, bleeding will stop within one minute. However, the broken teeth will not replace a new one.
Do not try to stop the contractions in your body. You can cause bone fractures and dislocations.
Never try to eat and drink water to the person who has seizures.

This article Dr. Prepared by Candan Gürses.
You can contact our Neurology department for more information.

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My child has a tiki, what should I do?

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What is Tik? Why?
Tics are involuntary movements occurring in certain muscle groups, occurring suddenly, repetitive, stereotyped and non-rhythmic, as motor movement or noise extraction. Teak usually begins in boys and at an early age and occurs for spiritual reasons. Ticks are usually not seen before 3-4 years of age. The most common is 6-7 years of age and the first adolescence (11-13 years) period. Tics are not considered to be just learned behaviors as they were before.
Tics are caused by neurobiological structural defects, but they can worsen and heal as a result of environmental stimuli. In other words, environmental impacts by the behavioral techniques or the effects of the individual on the environment can be modified. Since each individual’s interaction with his environment and environment is different, it is necessary to understand in detail the interaction of the individual with the environment. This understanding will strengthen the hand of both the individual and the doctor in dealing with tics.

How should families treat their children with tics?
– The families of children should be careful about the following issues.
Both medical (drug) and behavioral therapy methods should be followed closely. The support of the family is important for your child to use their medicines regularly and to continue their regular therapy at home regularly.
– Factors that increase and decrease the levels should be determined by family observation and support. These situations should be talked about, the cases considered to increase tics should be reduced as much as possible;
-The parents must learn exactly what the parents are and help the child to learn. The more knowledgeable the child is, the easier it can handle their tics. In this case, it is also useful to exercise the competing response determined with the therapist.
Conflicts and tensions in the home should be reduced as much as possible and the child should feel safe.
-Those attitudes should be avoided, since all the individuals in the family can emphasize this behavior and often feel that they are annoyed by increasing the anxiety due to tike.
– As the teak response increases in the face of stress and tension, there should not be a strong reaction to the issue.
-The child should be made to feel loved and a positive self-perception and self-confidence should be developed.
-Prompting the child constantly by parents and leaving him to do is put him under emotional and physical strain, which may lead to tics or new tics. Be careful about this.
It should be noted that even if the child stops tics for a while, these tics are not under his control. Parents’ approach should be in this direction.
– Threats threaten the child’s self-confidence and impair social cohesion. Children with tics often find it difficult to socialize and make friends. The child can be helped to create a play environment with his friends for socialization and to develop positive social relations with the support of other adults he is associated with.
– Apart from these, multi-faceted approach to tick intervention is required. Family counseling, child psychotherapy, and drug therapy can also be applied along with behavioral therapy.
This article Prepared by Tuba Mutluer.
For more information please contact our Child and Adolescent Mental Health (Psychiatry) department.

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