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But if it is not treated, after 5 or 10 years the yaws infection can spread throughout the body, harming bones, joints, and causing other problems. Yaws can be tested for using the same test and treated using the same medicines and doses for syphilis (see pages 237 to 238). Where There Is No Doctor 2011 203 Treatment: Put hot compresses over the boil several times a day (see p. Hives are thick, raised spots or patches that look like bee stings and itch like mad. Be on the watch for any reaction caused by certain medicines, especially injections of penicillin and antivenoms or antitoxins made from horse serum. A rash or hives may appear from a few minutes up to 10 days after the medicine has been injected. Sometimes the rash can be avoided by starting with a small amount of medicine and slowly increasing the amount to the full dose. Juices or hairs of certain caterpillars and other insects produce similar reactions. Treatment: All these irritations go away by themselves when the things that cause them no longer touch the skin. In severe cases, you can use a cream that contains cortisone or a cortico-steroid (see p. Shingles is caused by the virus that causes chickenpox and usually affects persons who have had chickenpox before. Treatment: Put light bandages over the rash so that clothes do not rub against it. To prevent spreading them from one child to others: Do not let a child with a fungal infection sleep with the others. Contrary to popular opinion, none of these types of white spots is a sign of anemia. Where There Is No Doctor 2011 207 Vitiligo (White Areas of the Skin) In some persons, certain areas of the skin lose their natural color (pigment). Some fungus infections also cause whitish spots (see tinea versicolor, on the opposite page). General or patchy, partial loss of skin and hair color in children may be caused by severe malnutrition (kwashiorkor, p. It is very common in places where people eat a lot of maize (corn) or other starchy foods and not enough beans, meat, fish, eggs, vegetables, and other body-building and protective foods (see p. Every day a person should try to eat beans, lentils, groundnuts, or some chicken, fish, eggs, meat, or cheese. He the maize, the swelling was was eating mostly maize (corn) gone and the spots had almost without any foods rich in proteins disappeared.

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If the cord becomes dirty or has a lot of dried blood on it, clean it gently with medical alcohol or strong drinking alcohol, or with gentian violet. If the cord or the area around the cord gets red, drains pus, or smells bad, see page 272. Cleaning the Newborn Baby With a warm, soft, damp cloth, gently clean away any blood or fluid. If the baby breastfeeds, this will help to make the afterbirth come out sooner and to prevent or control heavy bleeding. Checking the afterbirth: When the afterbirth comes out, pick it up and examine it to see if it is complete. A piece of placenta left inside the womb can cause continued Use gloves or plastic bags on your hands to handle bleeding or infection. When the placenta is delayed in coming: If the mother is not losing much blood, do nothing. This should make it continues, push downward on the top of the womb very contract and push out the placenta. It normally lasts only a few minutes and not more than a quarter of a liter (1 cup) of blood is lost. Scoop it up and fold it forward so the womb is pressed hard against the pubic bone. Keep pressing for several minutes after the bleeding has stopped, or until you can get medical help. Used the wrong way, they can cause the death of the mother or the child in her womb. If there is heavy bleeding before or after the placenta has come out, inject 10 units of oxytocin in the muscle (Pitocin, p. For heavy bleeding after the placenta comes out, you can give ergonovine or ergometrine (Ergotrate, p. Some authorities now recommend giving all women a single dose of oxytocin, ergonovine, or misoprostol as described above to prevent heavy bleeding after birth. This will prevent some dangerous bleeding, but also treats many women with medicine when they do not need it. A midwife who only has a little medicine may choose to save the medicine she has for emergencies. If the woman is rapidly losing blood and medical help is far away, use oyxtocin, misoprostol, or ergonovine as suggested above. These medicines are rarely needed before the baby is born, and then only a highly trained birth attendant should use them.

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The hormone uses this iodine to nullify germs in the bloodstream and to create a self cleansing of internal toxemia. If sea bathing is not possible, the patient should relax for 30 minutes every night in a tub of warm water in which a cupful of sea salt has been mixed. The minerals in the sea salt, especially iodine, can be absorbed through the skin pores. Joints should not be bandaged tightly as this limits movement and interferes with the free circulation of blood. Rest is of greatest importance to arthritis, who should not overdo their work, exercise or recreation activities. Constipation should be avoided as it poisons the system and adds to the irritation and inflammation of the joints. Maintaining a normal body weight is also an important factor in preventing arthritis. Obesity places excess stress on weight-bearing joints and interferes with the smooth functioning of tendons, ligaments and muscles. The yogic asanas helpful in curing arthritis are trikonasana, bhujangasana, shalabhasana, naukasana, vakrasana and shavasana. Yogic kriyas like jalneti and kapalbhati and pranayamas such as anulomaviloma, ujjai and bhrameri are also beneficial. The patient should be given a lukewarm enema for a few days to cleanse the bowels. Neutral immersion baths, hot foot baths, ultrasonic diathermy and exposure of the affected parts to infra-red rays, a knee pack applied for an hour every night, stream baths and a massage once a week are beneficial in the treatment of arthritis. All general cold water treatments, such as cold baths and cold sprays, should be avoided. The asthma patient gets frequent attacks of breathlessness in between which he is completely normal. Actually, they have more trouble exhaling than inhaling because the air passages of the small bronchi become clogged and constricted with mucus, thus making it difficult for the patient to breathe out. Sudden onsets are often preceded by a spell of coughing which may be associated with itching of the chin, the back of the neck or chest. When the onset is gradual, the attack is usually brought on by respiratory infection. A severe attack causes an increase in heartbeat and respiratory rates and the patient feels restless and fatigued. An asthmatic attack begins when the bronchial tubes in the lungs become constricted. The tubes having become narrow, the inhaled air becomes trapped in the tiny air sacs at the end of the tubes, making the release of breath difficult.

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