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Feb 22, 2023

Lacerations: Do I Need Stitches?

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Major or small, we can all think back to a time when we cut, scraped, or grazed ourselves. Sometimes all we needed was a band-aid, other times stitches. Either way, these unexpected accidents happen, especially for kids. Children love to play and sometimes when they’re monkeying around on the jungle gym or the playground, they fall and find themselves with a laceration. As a parent, it can be terrifying to find your son or daughter suffering from an open wound which is why understanding the difference between a deep wound and a shallow one is so important.

What is a laceration?

A laceration is a tear or opening in the skin caused by an injury. Lacerations may be small and need only minor treatment or may be large enough to require emergency medical care. Wounds such as cuts, scrapes, and lacerations are a split of the skin caused by an impact of some sort. It is common for children to sustain these types of injuries through play, sports, accidents, or ordinary day-to-day activities. Lacerations and other abrasions can happen in almost any area of the body. Depending on the area affected and the severity of the cut, there may be a lot of bleeding or very little.

Treatment for Minor Lacerations

Minor wounds do not usually require medical attention and can be managed with standard first-aid procedures at home. You should apply pressure to your child’s wound with a clean paper towel or cloth and after removing pressure, the bleeding should slow down or stop altogether. If bleeding continues, reapply pressure and take your child to their healthcare provider for further evaluation.

If bleeding has stopped or slowed, rinse the wound and surrounding area with water. If you can see any dirt or debris in the wound, use a pair of sanitized tweezers to remove any particles. Very small amounts of dirt are OK in grazes but if there are large amounts that you can’t remove, take them to a medical professional who can do it for you.

Lastly, cover the wound with a bandage. This will help to keep the wound clean and will protect the area as it heals. Keeping the wound covered also keeps the wound moist, which helps the healing process.

Treatment for Serious Wounds

Like minor wounds, try to stop the bleeding by applying pressure to the injured area. If this doesn’t work and there is a large amount of bleeding that does not quickly stop, or the wound is very deep or is a deep puncture wound, or the wound is gaping apart, despite controlling the bleeding it may need closing with glue or stitches which will require a visit to their healthcare provider.

What are Stitches?

Stitches are special types of thread that hold wound edges together while they heal. Stitches help to stop bleeding, reduce scarring and decrease the chance of infection in the wound.

What are Steri-Strips?

Steri-Strips are special adhesive bandages that can sometimes be used on shallow wounds instead of stitches. Steri-Strips perform the same functions as stitches.

Does My Child Need Stitches?

Lacerations that involve the face, are longer than 1/2 inch, are deep, or are bleeding heavily, may require stitches.

Treatment

If your child’s healthcare provider needs to place stitches or use Steri-Strips to close a laceration, you will be given specific instructions on how to care for the stitches. Treatment at home will be based on the place and size of the laceration, the type of stitches used, and any special needs noted by your child’s physician. Sometimes antibiotics are given to help prevent infection in the wound.

Some stitches dissolve and do not need to be removed while other stitches require removal. Your child’s provider will let you know when to return to have stitches removed. It’s important to know that you should not attempt to remove your child’s stitches at home.

Follow-up

For minor wounds, change the bandage whenever it becomes wet or dirty and replace it with a fresh one. Watch for signs of infection as the wound heals and if it seems to not be healing properly, take them to their healthcare provider for evaluation.

Afterthought

Typically, lacerations are no big deal but if your child’s wound doesn’t stop bleeding and the cut looks deep, your best bet is to have them looked at by a medical professional. Wounds can be scary, and no parent wants to witness their son or daughter bleeding, but rest assured, the experts at Chai Care will take great care of your child and will have them as good as new in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Feb 21, 2023

We All Do It, It’s Time To Talk About It

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There is no other way of saying it, but we all poop. It’s something every person does and believe it or not, your stool says a lot about your health. With that being said, your child may have a tough time expressing this because of their lack of knowledge and they may be embarrassed to talk about it. It is important for you as the parent to be aware of your child’s bathroom habits so you know if they are ill or if you need to take them to see their healthcare provider. This may not be the most fun information to learn, but it is very important.

What is Diarrhea?

Diarrhea is when stools are loose and watery. When experiencing diarrhea, your child may also need to go to the bathroom more often. Diarrhea is a common problem. It may last 1 or 2 days and go away on its own. If diarrhea lasts more than 2 days, your child may have a more serious problem and should be seen by their healthcare provider.

Symptoms of Diarrhea

The symptoms your child may experience when they have diarrhea can vary depending on if it’s mild or severe and what the cause of diarrhea might be. Sometimes there is a correlation between serious cases of diarrhea and a medical condition that has gone untreated. It can be tricky because your child may experience all these symptoms or only a few. The main symptom of diarrhea is a loose or watery stool, but other symptoms may include bloating nausea, and an immediate need to use the bathroom. In more serious cases your child may experience fever, weight loss, dehydration, severe pain, and blood in the stool. Severe diarrhea can lead to significant complications and if your child is experiencing these symptoms, call their healthcare provider and seek medical attention.

Normal Diarrhea & Severe Diarrhea

Believe it or not, there are several different ways to categorize diarrhea.

Acute diarrhea: The most common form. Acute diarrhea is loose watery diarrhea that lasts one to two days. This type doesn’t need treatment and it usually goes away after a few days.

Persistent diarrhea: This type of diarrhea generally persists for several weeks, anywhere from two to four weeks.

Chronic diarrhea: Diarrhea that lasts for more than four weeks or comes and goes regularly over a long period of time is called chronic diarrhea.

How is diarrhea Diagnosed?

Your child’s healthcare provider will ask about their symptoms and health history. They will then give your child a physical exam and if need be, your son or daughter may have lab tests to check their blood and urine. Outside of that, some other tests may include image testing to rule out certain diseases, blood tests, and a stool culture to check for abnormal bacteria or parasites in your child’s digestive tract. This requires a small stool sample to be taken and sent to a lab.

There is also something called a sigmoidoscopy. This test lets the healthcare provider check the inside of your child’s large intestine. This helps to tell what is causing diarrhea, stomach pain, constipation, abnormal growth, and bleeding. The tube is put into your child’s intestine through the rectum, then the tube blows air into the intestine to make it swell.

Causes of Diarrhea

Identifying the cause of diarrhea can be very difficult, however, the most common cause is typically when a virus infects your bowel. This usually lasts a couple of days and sometimes you’ll hear it being referred to as the intestinal flu. Some other ways your child may have diarrhea would be due to infections by bacteria or pre-formed toxins, eating certain foods, allergies, medications, and in some cases radiation therapy.

Complications of Diarrhea

Dehydration is the biggest issue when talking about diarrhea. This is more likely the case with young children and those with a weakened immune system. Their dehydration can be mild, moderate, or severe. Mild dehydration is the loss of fluid and moderate or severe dehydration puts stress on the heart and lungs. In severe cases, it can lead to shock, which is life-threatening.

Children with viral diarrhea will usually have a fever and may vomit. Soon after these symptoms appear, children will experience diarrhea. It is important to note that part of treating diarrhea is preventing your child from becoming dehydrated.

Treating Diarrhea

Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. Dehydration is the major concern with diarrhea and in most cases, treatment includes replacing lost fluids. Antibiotics may be prescribed when bacterial infections are the cause. Children should drink lots of fluids that replenish lost body fluids. If your child is dehydrated, be sure to offer drinks called glucose-electrolyte solutions. These fluids have the right balance of water, sugar, and salts. They should also avoid juice or soda and make sure not to give too much plain water to kids of any age.

When taking over-the-counter drugs, it is important to always follow the instructions. The rules for managing diarrhea in an adult are different than in children, making it important to always call your child’s healthcare provider before giving your child any type of medication for diarrhea.

Babies and Young Children with Diarrhea

If your child has severe diarrhea, call their healthcare provider. Young children are at a higher risk of dehydration than adults and you can’t treat a child’s diarrhea the same way you would treat an adult. Over-the-counter medications can be dangerous in young children, and their healthcare provider should manage all diarrhea treatments in children. It’s important to keep your child hydrated. Their provider will decide what is the best way to make sure they stay hydrated, but options often include breast milk, formula, and beverages with electrolytes (for older children, not babies).

How Serious is Diarrhea?

In extreme cases of diarrhea, your child may become very dehydrated and because of this, have serious complications. As stated before, dehydration is one of the most harmful side effects of diarrhea and in infants and small children, this can have serious consequences.

When to Contact Your Healthcare Provider

If your child has diarrhea that doesn’t seem to improve or resolve completely, you should call their healthcare provider. Pay attention to any other symptoms they may be experiencing which might include fever, vomiting, rash, weakness, numbness, lightheadedness, dizziness, weight loss, and blood in your stool.

Afterthought

At the end of the day, your child’s diarrhea is most likely nothing more than a stomach bug or a bad belly ache. Even though there is a chance it may be something more serious, over-the-counter drugs and plain food complimented with plenty of fluids should do the trick and have your child feeling healthy in no time. But if your little one doesn’t seem to be healing back to their normal selves, our trained staff at Chai Care will be happy to offer our expert advice and top-notch service!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Feb 16, 2023

Casting & Splinting: What’s The Difference?

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Broken bones are no joke. Injuries like breaks and fractures can have long-term effects if gone untreated and for children, they are that much more serious. Kids are known to horse around, rambunctiously playing without thinking about the consequences which can, unfortunately, lead to sustaining one of these injuries. Thankfully, casting and splinting have given us the ability to heal back to our healthy selves. They help to immobilize the injured limb to keep the bone in place until it fully heals. Of course, everyone has either had or knows someone who has needed a cast or splint, still, they are important to learn about just in case you or your child may need one someday.

What Are Casts and Splints?

Casts and splints are orthopedic devices that are used to protect, and support broken or injured bones and joints. Casts are usually made from fiberglass or plaster and splints are what you would call half-casts and provide less support than casts. Casts differ from splints because they supply more support and safety for a limb that is injured or broken.

Splints provide less support than casts, but the good thing is that they are faster and easier to use. Splints also can be tightened or loosened easily if the swelling in the arm or leg increases or decreases. Ready-made or “off-the-shelf” splints are available in many different sizes and shapes and in more unique cases, custom-made splints are required.

When Are Casts and Splints Used?

Simply put, casts and splints are used when a bone is broken and can also be used following orthopedic surgery. Sometimes splints are used immediately following an injury due to swelling of the injured area. After the swelling goes down, then a full cast might be applied to the injured limb. Sometimes a cast might have to be swapped during the healing process if the wounded area becomes less swollen and the cast gets looser. If this does happen, the cast might be replaced with a splint to provide more flexibility.

What Types of Casts and Splints Are Available?

It may not seem important to know, but understanding the types of casts and splints that are available and what they are made of can not only improve your child’s healing process but can also potentially harm your child depending on if they have allergic reactions to specific chemical compounds.

Casts are partly made from fiberglass or plaster, which form the solid layer that protects the injured limb and keeps it restrained. Fiberglass has several advantages compared to plaster. It’s light, making the cast weight loss and comfortable. Fiberglass is the better choice in case the limb must be X-rayed during the healing process, and they are also available in a variety of colors that your child can choose from!

Waterproof & Non-Waterproof Liners

Your child’s cast may or may not be waterproof. The outside of most casts are made of waterproof fiberglass, but the inside liner must also be made of waterproof fabric in order for the cast to be waterproof. Your child’s healthcare provider will tell you which cast they have.

Typically, waterproof liners are breathable, and they transfer moisture away from the skin by letting water pass through and drain out which allows air to go into the cast and dry the skin.

Non-waterproof liners are used if your child is allergic to the waterproof liner. These will soak up water and take much longer to dry.

Circulation Checks

It’s important to investigate problems with blood circulation in the injured limb. A good strategy to use is checking the fingers or toes of the injured limb every day. The fingers or toes should have no swelling or changes in skin color. If you press on a nail bed until it turns white, the color should return to normal within 3 to 4 seconds after you take your finger off the nail. The fingers and toes should not be pale or bluish the temperature of the fingers and toes should feel warm. Also, check the skin around all edges of the cast each day for red, dry, swollen, cracked, blistered, or bleeding areas.

How Are Casts and Splints Removed?

Your healthcare provider will remove the cast with a special cast saw when the bone has healed appropriately. The cast saw has a flat, rounded metal blade that vibrates. But don’t worry! The saw can cut through the cast without injuring the skin underneath. Your child’s physician will then cut the cast in several places, usually along both sides of the cast. After this, the cast will spread and open and a special tool is used to lift it off. Scissors are used to cut through the protective padding and stockinette layers which then are removed.

Are There Complications Associated with Casts and Splints?

Complications can range from minor to severe and may vary according to the length of time that the cast is worn. It is best to speak to your child’s healthcare provider if you feel that the cast or splint is causing them harm.

Pressure sores are one injury that may occur. These are sores that develop on the skin under the cast. This can happen because the cast was too tight or did not fit correctly, causing excess pressure on one area.

There is also something called Compartment Syndrome. This is a complication caused by a tight or rigid cast that constricts a swollen limb. When the pressure inside the cast builds, it can cause damage to the muscles, nerves, or blood vessels in the space covered by the cast. The damage may be permanent if it is not discovered and treated promptly. Call your child’s healthcare provider or visit the emergency room immediately if you notice that your child has numbness or tingling in the affected limb, cold or pale skin, burning or stinging, or increased pain or swelling.

Afterthought

Even though we live in a world where your child can receive a cast or splint and make a full recovery, it is still important to promote safe play and educate them on how to protect themselves. Kids love to mess around and sometimes that leads to an injury, but this is no reason for them not to still be their energetic selves. The good news is that if your child does wind up needing a cast or splint, the experts at Chai Care will always be here to supply your little one with a perfectly mounted cast or splint!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Feb 13, 2023

Burning Up? Everything You Need To Know About Fevers

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All kids get a fever at some point or another. This may sound like a bad thing, but it’s good because it can help your child’s immune system fight the infection they are struggling with. Still, it’s important to make sure your son or daughter receives the proper treatment and care necessary to make a full recovery. Whether you’re an adult or a child, fevers are brutal to deal with, but fortunately, there are plenty of ways to avoid, treat, and prevent them!

What is a Fever?

We all have been with a person who is sick and asks to feel their head, checking to see if they feel warm. This is a common method to see if someone is “burning” up and has a fever. However, for it to actually be a fever, the body’s temperature must be 100.4°F (38°C) or higher. The various and most accurate ways of measuring a temperature are rectal, armpit, ear, forehead, and mouth. Adults sometimes get a slightly different number, so the number that means a child has a fever is a little different too.

Other signs that your child might be suffering from a fever would be having chills, cold sweats, flushed skin, above-average temperature, or acting differently. Due to the discomfort, they are feeling your child may become fussy or cranky.

What Causes a Fever?

Typically, fevers in kids are caused by an infection. The cool thing is that a fever will help the body by stimulating the immune system to fight the infection. Healthcare experts also believe the higher the temperature, the harder it will be for germs to grow. A couple of other reasons kids may suffer from fevers would be due to immunizations, a child who is teething, and believe it or not, overdressing. Infants, more specifically newborns, may get fevers if they’re overdressed, wrapped in a blanket, or a hot environment because they don’t regulate their body temperature as well as older kids.

How Can I Help My Child?

Treating a fever with medicine isn’t needed if a child is still playing, drinking, and doesn’t have pain. You should supply your child with medicine only when a fever causes them discomfort or prevents them from drinking fluids. It’s worth mentioning that when your child does have a fever, keep an eye on them, help them to rest, and keep offering fluids. This is so they can make up for the fluids they lose from sweating. Oral rehydration solutions like Pedialyte, are a good choice. You also can give water, soup, ice pops, and flavored gelatin. Avoid drinks with caffeine, including colas and tea, which can make dehydration worse by making kids pee more often. Let kids eat what they want (in reasonable amounts), but don’t force it if they don’t feel like eating much!

Making sure your child stays hydrated isn’t the only thing you can do. Having them wear lightweight clothing and stay covered with a light sheet or blanket can also help. It’s important to remember to keep the room at a comfortable temperature and make sure they get plenty of rest. Staying in bed all day isn’t necessary, but a sick child should take it easy.

When Should I Call my Healthcare Provider?

The temperature that should trigger a call to your child’s healthcare provider depends on their age, the illness, and whether they have other symptoms. In general, call their provider if your child is younger than 3 months old with a rectal temperature of 100.4°F (38°C) or higher, 3 months or older with a temperature higher than 102.2°F (39°C), or at any age but has a health problem like cancer or sickle cell disease and has a fever.

Afterthought

In most cases, your child will be back to their old self within a couple of days. For older babies and kids, the way they act is more important than the reading on your thermometer or what symptoms they’re exhibiting. Don’t be alarmed if your son or daughter is a bit cranky when they have a fever. This is completely normal and should be anticipated, but if you are ever in doubt about what to do, or if your child is acting ill in a way that concerns you, the experts at Chai Care will happily take a look!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Jan 30, 2023

Chemical Cautery: Stopping Your Child’s Nosebleed

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It’s fair to say we all have had a nosebleed at some point in our lives. They are extremely common and can happen for many reasons, but when you see a child with one, they are that much more frightening, especially if you’re the parent of the child. A million questions race through your mind, concerned and panicked that it is due to a broken nose or a head injury. Fortunately, we live in a world with plenty of methods to treat a nosebleed, one of them being nasal cauterization—a simple procedure that can drastically improve your child’s quality of life.

What is nasal cautery?

Nasal cautery, or nasal cauterization, is a procedure used to treat nosebleeds, also known as epistaxis. This procedure is when a chemical or electrical device is applied to the mucous membranes in the nose to stop the bleeding. This is performed with topical anesthetics, usually in an operating room under general anesthesia. Sometimes this procedure is performed in conjunction with other procedures to improve nasal breathing such as sinus surgery, nasal endoscopy, or septoplasty.

Why would my child need nasal cautery?

Typically, children benefit from nasal cautery when they have recurrent nosebleeds. These episodes can occur from a prominent blood vessel in the nose that bleeds from trauma (nose picking, rubbing the nose, or bumping the nose), and from drying of the mucous membranes lining the nose. Certain underlying medical conditions can make children more prone to nosebleeds, including individual or familial bleeding disorders, platelet disorders, cancers, or medications used to treat other conditions.

If an underlying medical condition or medication is the cause of the nosebleeds, first attempts are aimed to treat or to remove these sources of the tendency for bleeding. In addition, nasal creams, ointments, gels, nasal saline spray, and increased environmental humidification can help improve nosebleeds by decreasing the dryness in the nose. This makes the nose less prone to bleeding and for young children, it’s best to avoid nose-picking. If nosebleeds continue despite these attempts, nasal cautery may be recommended.

What should I expect on the day of the procedure?

The procedure is typically performed either in the pediatric ENT clinic procedure room or in an operating room. The procedure only takes 5-10 minutes but may take longer depending on the severity and any additional combined procedures planned. The surgeon will provide an idea of how much time is expected, but this may change during the procedure.

What should I expect after my child has nasal cautery?

After the procedure, your child may be asked to stay in the hospital, but in most cases, this won’t happen. When home, Tylenol or Ibuprofen is typically appropriate for pain control. Sometimes stronger narcotic pain medications may be prescribed for additional pain control. Also, the use of topical moisturizing and/or antibiotic ointment in the nose is recommended after the procedure. This will help with healing and decreases crusting.  If the child develops any concerning symptoms after the procedure, including pauses in breathing, color change of the skin (particularly if the lips, face, or hands are turning blue), appearing lethargic or tired, severe bleeding, or any other sudden change from his/ her normal behavior, please seek immediate medical attention.

Your Child’s Recovery

As we know, nose cautery can help prevent nosebleeds. The healthcare provider uses a chemical swab or an electric current to cauterize the inside of the nose. This seals the blood vessels and builds scar tissue to help prevent more bleeding. For this procedure, the provider will numb the inside of your child’s nose and once the procedure is finished, your child may feel itching and pain in the nose for 3 to 5 days but not to worry, over-the-counter pain medicines can help with the pain! Keep in mind, your child may want to touch, scratch, or pick at the inside of the nose. Make sure to watch your child carefully so you can stop them before any touching or picking because this will cause more nosebleeds.

When should I call My Healthcare Provider?

It’s important to keep a lookout for any signs of distress in your child and to know when you should contact your provider. If your child has pain that does not get better after your child takes pain medicine, they get another nosebleed and the nose is still bleeding after you have pinched the nose shut 3 times for 10 minutes each time, they have a fever or if your child does not get better as expected, then it may be time to bring your child back in for a check-up.

Afterthought

If you feel that your child may need nasal cauterization, it’s best not to wait, hoping they will get better on their own. We live in a country that has more than enough reliable healthcare providers, Chai Care being one of them! Our trained experts will always be here to help in a time of need and will make sure your youngster is back to normal in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Sports Injuries: Playing It Safe

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Believe it or not, sports injuries are the second leading cause of emergency room visits for children and adolescents, and the second leading cause of injuries in school. Millions of children are seen in hospital emergency rooms for sports-related injuries, and even more, are seen by their primary care physician or a sports medicine clinic for injuries. This is attributable to the fact that young athletes often begin their competitive sports careers as early as age seven, with some youth participating in organized sports activities as early as age four.

A child can endure many different injuries when playing a sport and understanding how to prevent them is crucial to your child’s longevity. Our country’s obsession with sports—football, basketball, and baseball being the most popular, plays a major role in why kids start playing them so young. Even though sports teach many great life lessons such as accountability, being a team player, and hard work, there are still a plethora of injuries your child may face, which is why it’s so important to be as informed as you can.

How Do Sports Injuries Happen?

The first step toward preventing sports-related injuries is understanding how they happen. There are plenty of reasons why they occur, but the most popular reasons are due to poor equipment and technique, overuse, lack of instruction, or simply bad luck! Of course, you can’t anticipate every injury, and some are simply unavoidable, however, your child can reduce their risk of hurting themselves by practicing safe methods of playing.

Which Young Athletes Are Most At-Risk?

Injuries can happen anywhere there are bodies in motion. However, some youth sports involve a higher degree of impact than others, including football, rugby, and hockey. Basketball, and soccer. These sports require athletes to run fast, tackle, and sometimes even collide straight into one another. From the outside looking in, this is a recipe for disaster, but sports require great strength and at times violence which makes it all the more important to be as safe as possible.

The truth is no sport or activity is 100% safe. And beyond the ice, injuries can also happen at the playground as well as on the surfboard or skatepark. However, with the right equipment, coaching and technique, your kids can still have fun while playing safe!

9 Most Common Sports Injuries in Children

According to the American Academy of Pediatrics, children have more than 3.5 million sports injuries each year. All sports carry a risk of injury and while there are steps you can take to prevent sports injuries; these common injuries may still occur.

Sports injuries in children can often be treated with Rest, Ice, Compression, and Elevation (RICE). However, sometimes you should see an orthopedic specialist. If your child experiences one of the following injuries and has symptoms that don’t resolve with home treatment, see your healthcare provider.

  1. Ankle Sprains

One of the most common sports injuries in children is ankle sprains. Ankle sprains occur when the ligaments that support the ankle stretch and tear. This can happen in sports like basketball, tennis, soccer, and football that require cutting or twisting actions. Ankle sprains cause pain, tenderness, swelling, bruising, and instability of the ankle. Most sprains are minor injuries that heal with the RICE protocol, but sometimes they require treatment by an orthopedic specialist.

  1. ACL Tears

The anterior cruciate ligament (ACL) is one of the major ligaments that stabilize the knee joint. It connects the femur to the tibia. An ACL tear can occur due to a blow to the outside of the knee or without impact after a jump or twist.  ACL tears are most common in kids that play basketball, volleyball, tennis, and soccer. An ACL tear causes pain, swelling, and limited movement in the knee.

  1. Osgood-Schlatter

Osgood-Schlatter is another type of knee pain that is different from an ACL tear. It is a traction injury (also known as a stretch injury) to a growth plate at the top of the shin bone called an apophysis. The injury is caused by tightness in the muscles coupled with high activity levels. The injury may present with pain and swelling or a bump at the bottom of the knee.

  1. Little League Elbow

Little league elbow is caused by repetitive stress to the growth place located on the inside of a child’s elbow, resulting in pain and tenderness. It is common among baseball and softball players in positions such as pitcher, catcher, infielder, and outfielder. It may occur in other sports where repetitive throwing is required.

  1. Little League Shoulder

Like little league elbow, only it affects the shoulder and is caused by repetitive stress or micro trauma to the shoulder growth plate. This condition most commonly occurs among children between 11 and 14. As the name suggests, it is common in softball and baseball pitchers, but it can also occur in swimmers and tennis players.

  1. Shin Splints

Shin splints are common sports injuries in children that participate in sports that require repeated running on a hard surface. They can also be caused by overtraining at the beginning of the season without proper conditioning. Shin splints cause pain and discomfort in the front of the lower legs (the shins).

  1. Spondylolysis

Spondylolysis is a stress fracture to the lumbar spine. A stress fracture occurs when a bone breaks after experiencing repeated stress from tension or compression. This injury usually occurs in the low back. It is most commonly seen in young athletes that participate in sports like gymnastics, tennis, rowing, weightlifter, and track and field.

  1. Turf Toe

Turf toe is the hyperextension of the big toe. It occurs when a young athlete pushes off the ground forcefully with the big toe being forced upward. The main symptom of these sports injuries in children is pain, but swelling may also be present.

  1. Concussion

Unfortunately, concussions are not uncommon sports injuries in children. They can occur in many sports as the result of a direct blow to the head. After such a direct hit, the child should be monitored for symptoms like headaches, blurred vision, dizziness, or confusion. While the treatment for most concussions is rest, all concussions should still be evaluated by a medical professional so they can recommend the proper treatment.

Helping Young Athletes Avoid Injuries

So, your child loves sports, all sports, and you are terrified that they are going to injure themselves. Rest assured, there are plenty of preventative measures you can take to ensure your child will be safe!

Safe Habits

As your child learns about safe play, reinforce the good habits they’re discovering such as wearing proper safety equipment, following the rules, and getting adequate rest for their growing bodies. Talk to them about why those habits are important. Encourage them to make healthy habits a part of their daily life. The more support your child receives from their loved ones, the more they’ll feel motivated to do the right thing for their own health and wellness.

Talk To Your Child’s Coach

By communicating with your son or daughter’s coach, you can get a better idea of what your child is learning when it comes to technique and training methods. When you know what’s being taught in practice and on the field, you can help support healthy directions and be aware of common misconceptions that might be dangerous and lead to injury.

Warm-up & Cool Down

For both parents and coaches, mimicking good habits start with you. Whenever you participate in physical activities with your child, that being a pick-up game of basketball or a sprint around the neighborhood, teach your child the importance of warming up, cooling down, and proper stretching to avoid injury.

Overuse

When the competitive drive takes hold, your child might start going all-out on exercising and practicing. It’s important to keep tabs to make sure that your kid’s workouts stay safe and reasonable. Healthcare professionals recommend at least one rest day per week and three months off from a sport each year. Talk to your child about the advantages of balance and control that can lead to physical and mental health setbacks.

Pay Attention to Mental Health

Physical activity can greatly improve your child’s mental health, as long as it’s done in a safe and balanced approach. But watch out for issues like stress. The anxiety of an intensely competitive environment can negatively impact your child both on and off the court. You as the parent should provide healthy support and encouragement as well as understanding and guidance when times are rough.

What Should Be Done?

Early recognition and treatment of injuries are key in returning athletes to their sport safely and promptly. Any injury that involves swelling, deformity, and/or loss of normal function should be seen by a physician immediately while all other injuries that appear to be minor should resolve themselves within a few days. With that being said, if the injury does not heal on its own, and your child is not back to full participation without pain, it is best to have him/her evaluated by a medical professional. Lingering injuries that go untreated can turn into chronic problems that require a much longer time away from the sport to allow the injury to heal properly.

Afterthought

Even though there are many injuries your child can sustain while playing their favorite sport, the risk-reward factor is worth it. Your child will build life-long relationships and skills that will teach them the ever-important value of teamwork and competition. Sports are an amazing way for kids to mature and prepare themselves for the real world, but if they do find themselves with a sports-related injury, Chai Care will always have your back!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Childhood Vaccinations: Don’t Wait Until It’s Too Late

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We are blessed to live in a world that has dozens of options for us to heal and rejuvenate ourselves—vaccines being the most important. Thanks to all the doctors and scientists of the world, we now don’t have to be frightened of getting sick, however, when talking about children, vaccinations are that much more important because of their ability to prevent certain illnesses before they ever happen. There are cases where babies are born with protection against some diseases because their mothers pass antibodies (proteins made by the body to fight disease) to them before birth, but getting your child vaccinated is still crucial to their overall health.

Immunization

Immunization (vaccination) is a way to create immunity to some diseases. Sometimes this is done by using small amounts of a killed or weakened germ that causes the disease. Other times the vaccine is simply a small piece of the germ, such as a protein or a piece of its genetic material.

Germs can be viruses (such as the measles virus) or bacteria (such as pneumococcus). Vaccines stimulate the immune system to react as if there were a real infection. It fends off the “infection” and remembers the germ. Then, it can fight the germ if it enters the body later.

Why Childhood Immunizations Are Important

For good reason, childhood vaccines can seem overwhelming when you are a new parent. Vaccine schedules recommended by agencies and organizations, such as the CDC, the American Academy of Pediatrics, and the American Academy of Family Physicians cover just about 14 different diseases. These vaccinations not only protect your child from deadly diseases, such as polio, tetanus, and diphtheria, but they also keep children safe by significantly decreasing harmful diseases that used to spread from child to child.

It’s important to know that vaccines are dead, weakened versions, or part of the germ that causes the disease in question. When children are exposed to a disease in vaccine form, their immune system, which is the body’s germ-fighting machine, can build antibodies that protect them from contracting the disease when they are exposed to the actual disease. However, over the years, vaccines have generated some controversy over safety, but no convincing evidence of harm has been found. And although children can react to any vaccine, the important thing to know is that the benefits of vaccinations far outweigh the possible side effects.

Tracking Immunizations

In most cases, a child gets vaccinated between birth and 6 years. Typically, vaccines are given more than once, at different ages, and in combinations. This means that you should keep a careful record of your child’s shots. Although your healthcare provider will also keep track, people change physicians, records get lost, and the person ultimately responsible for keeping track of your child’s immunizations is you!

Ask your child’s healthcare provider for an immunization record form. This form is incredibly important and every parent should keep it with their other essential documents. Also, you can download an easy-to-read immunization schedule and record form at the CDC website.

Even though most parents and providers do a great job of keeping up with immunizations, studies show that about one-fourth of preschool children are missing at least one routine vaccination, which is important to know because most states will not let your child begin school without a complete immunization record. Sometimes a vaccination is missed when a child is sick, but no matter what the reason, it’s important to make up missed immunizations.

If your child has missed a vaccination shot, you don’t have to go back and start over as the previous immunizations are still good. Your doctor will just resume the immunization schedule, and if for any reason, your child receives additional doses of a vaccine, you shouldn’t sweat it as your child will still need any future doses according to the recommended schedule.

How Many Shots Do Children Need?

Although vaccines are combined to reduce the number of shots needed, the list is still long. So, to give an easy breakdown here is a typical immunization schedule recommended by age 2.

One vaccination for measles, mumps, and rubella (MMR).

Four vaccinations for influenza, a common upper respiratory infection that can also cause meningitis.

Three to four polio vaccinations (IPV).

Four vaccinations for diphtheria, tetanus, and pertussis (DPT).

Three vaccinations for hepatitis B.

One vaccination for varicella (chickenpox) no earlier than age 12 months and only if your child does not develop chickenpox on his or her own (must be verified by a health care provider).

Three vaccinations for rotavirus, a type of infection that causes severe diarrhea.

Four vaccinations for pneumococcal disease, a common cause of ear infections and pneumonia.

From age 4 to 6, your child will need booster shots for DPT, IPV, MMR, and chickenpox. Children should also start receiving a yearly flu shot after the age of 6 months. A vaccination for hepatitis A is recommended for all children. This is a lot to keep track of and why you need an immunization records form.

Vaccine Concerns

There are some parents who may hesitate to have their kids vaccinated. The concern is that their child might have a serious reaction or get the illness the vaccine prevents, but the components of vaccines are weakened or killed and in some cases, only parts of the germ are used. Thus, making them unlikely to cause any serious illness. Some vaccines indeed cause mild reactions, such as soreness where the shot was given or a fever however, serious reactions are rare. The truth is that the risks of vaccinations are small compared with the health risks of the diseases they’re intended to prevent.

Afterthought

At the end of the day, immunizations are one of the best ways to protect your family from contagious diseases. Vaccinations have allowed us to live more freely and be less frightened of all the illnesses our unforgiving world has to offer, and luckily, the friendly staff at Chai Care will always be here to give your child the medicine they need to live a beautiful life.

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Staying Informed on Your Child’s Head Trauma

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Out of every injury a child can get, head trauma is considered to be the scariest. They can lead to all sorts of issues, especially later in life, which is why it is paramount to be as informed as humanly possible. The truth is head injuries can happen from many things, not just direct blows to the head or contact sports which is why understanding the signs and symptoms of them are even more crucial to be aware of.

What Are Head Injuries?

Unfortunately, head trauma is common in children and teens. They can hurt the scalp, skull, brain, or blood vessels. They can be as mild as a bump on the head, or more serious, like a concussion. In kids, most are mild and don’t injure the brain. A head injury is a broad term that describes an extensive array of injuries that occur to the scalp, skull, brain, and underlying tissue and blood vessels in the child’s head. Head injuries are also commonly referred to as brain injury, or traumatic brain injury, depending on the extent of the head trauma.

Causes & Types of Head Injuries

In most cases, head injuries in childhood are due to falls and slips, however, they can also occur from car crashes, bike accidents, sports injuries, and child abuse. These are the most common methods, but the truth is there are many other ways your child may sustain head trauma.

Essentially there are two different types of head injuries: external and involving the scalp and internal involving the skull, brain, or blood vessels.

It’s also important to know that injuries can potentially cause a concussion, contusion, fracture, or bleeding. If this does happen, you should bring your child to their healthcare provider immediately for further observation.

What Are the Signs & Symptoms of a Head Injury?

The list can be very long for the signs of a head injury depending on the severity of your child’s injury but the most important symptoms to look out for would be a swollen scalp, headache, loss of conciseness (in serious cases), confusion, irritability, ringing in the ear and fatigue. Again, head injuries can be complicated and even discrete which is why if you fear your child may be experiencing one, you should take them to their healthcare provider for a professional opinion.

How Are Head Injuries Diagnosed?

Healthcare providers diagnose head injuries by asking questions about how the injury happened and doing a careful examination of the head and checking to see how the nerves are working. Most children with a mild brain injury don’t need medical tests, however, providers will often do a CAT scan of the head if the injury is more serious. In this case, your child may need to get blood tested, X-rayed, or receive an MRI.

What Should I Do When a Child Has a Head Injury?

You should contact your health care provider immediately if your child had a head injury is an infant, has lost consciousness, even for a moment, wines of head and neck pain (younger children who aren’t talking yet may be fussier), vomits more than one time, won’t awaken easily, becomes hard to comfort, or isn’t walking or talking normally.

If your child is not an infant, has not lost consciousness, and is attentive and behaving regularly after the fall or blow, put an ice pack or instant cold pack on the injured area for 20 minutes every 3–4 hours. If you use ice, always wrap it in a washcloth or sock. Ice placed right on bare skin can injure it. Watch your child carefully for the next 24 hours. If the injury happens close to bedtime or naptime and your child falls asleep soon afterward, check in a few times while they sleep. If your child’s skin color and breathing are normal, and you don’t sense a problem, let your child sleep unless the doctor tells you otherwise. There’s no need to keep a child awake after a head injury. It’s also important to trust your gut. If you think your child doesn’t seem to be acting like they normally do, partly awaken your child by sitting them up. They should fuss a bit and attempt to resettle. If your child still seems very drowsy, try to awaken them fully. If you can’t wake your child, call your healthcare provider or 911 for an ambulance.

Can Head Injuries Be Prevented?

The hard truth is that you can’t protect your child from every injury, but you can help prevent head trauma with precautions and by teaching them how to play safely. Your child should always wear a bike helmet that fits well and use the proper sports equipment for inline skating, skateboarding, snowboarding, skiing, and contact sports. Make sure they wear a safety seat or seatbelt every time they’re in the car and if they do sustain a head injury, wait until their healthcare provider says it’s OK before returning to rough play or sports. If the brain gets injured again while it’s still healing, it will take even longer to completely heal.

Afterthought

Head Trauma is a scary injury that no parent wishes to see their child suffer from. This is why by understanding the signs and symptoms of them and teaching your child how to safely play, you greatly reduce the risk of your child sustaining any sort of head injury. It’s an unfortunate part of life that we all get banged up every now and again but the team of dedicated staff members at Chai Care will always make sure to be here if your child ever needs a helping hand!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Jan 10, 2023

Playing With Fire: Protecting Your Child From a Burn

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If you play with fire you are going to get burned. As adults, we know this already, most likely from a bad experience, but children have yet to figure this out. Burns are nothing to trifle with and can cause serious damage, which is why it is paramount to stay informed and to teach our youth the danger of playing with fire and the consequences that may ensue.

What are burns?

As you already know, burns are a type of injury caused by heat. Heat can be thermal, electrical, chemical, or electromagnetic energy. Most burn accidents occur at home. Interestingly enough, about 75% of all burn injuries in children are preventable. Scalding is the leading cause of burn injury for children, while smoking and open flames are the leading causes of burn injury for older adults.

We all know what a burn is, but many people don’t know what the most common burns are. First off, there are thermal burns. These burns raise the temperature of the skin and tissue underneath. Thermal burns happen from steam, hot bath water, tipped-over coffee cups, hot foods, cooking fluids, etc. Next, there are radiation burns which happen from exposure to the sun’s ultraviolet rays (a sunburn because the skin isn’t well-protected in the sun) or from radiation such as during an X-ray. Then, there are chemical burns that happen from strong acids (like drain cleaner or button batteries) or spilling chemicals (like bleach) onto the skin or eyes. Lastly, electrical burns. These are from contact with electrical current and can happen from things like biting on electrical cords or sticking fingers or objects in electrical outlets, etc. Knowing the type of burn a child has can help with first-aid measures. All burns should be treated quickly to lower the temperature of the burned area and reduce damage to the skin and tissue underneath.

Types of Burns

Simply put, there are first, second, and third-degree burns—1st being the least significant and 3rd being the most serious.

First-degree burns…

…Also known as superficial burns, burns are the mildest type of burns. They’re limited to the top layer of skin. Signs and symptoms to look out for would be redness, pain, and minor swelling. The skin is dry without blisters. Healing time is about 3–6 days; the superficial skin layer over the burn may peel off in 1 or 2 days.

Second-degree burns…

…Which are a bit more serious. These burns are more serious and involve the top layer of skin and part of the layer below it. The burned area is red and blistered and can swell and be painful. The blisters sometimes break open and the area is wet looking with a bright pink to cherry red color. Healing time varies depending on the severity of the burn. It can take up to 3 weeks or longer.

Third-degree burns…

…Are the most serious type of burn. They involve all layers of the skin and the nerve endings there and may go into underlying tissue. The surface appears dry and can look waxy white, leathery, brown, or charred. There may be little or no pain or the area may feel numb at first because of nerve damage. Healing time depends on the severity of the burn. Most need to be treated with skin grafts, in which healthy skin is taken from another part of the body and surgically placed over the burn wound to help the area heal.

Burn Treatment

Most small, blistering burns can be treated and cared for at home, however taking your little one to your healthcare provider will always be your best bet. If you have any questions about whether a burn can, be taken care of at home, discuss it with your physician. If you do choose to take the home-care route, make sure to cool the burn by running cool running water over the burn for about five minutes. This helps stop the burning process and decreases pain and swelling. Do not put ice on a burn and don’t rub the burn, because this can worsen the injury. Do not break blisters as this can increase the risk of infection at the burn site. Make sure to cover the burned area with a clean bandage that will not stick to the burned site. This helps decrease the risk of infection and decreases pain. Lastly, protect the burn. It’s crucial to keep the burn site clean with gentle washing with soap and water. Do not apply any ointments to the burn site unless instructed by your pediatrician. Never apply butter, greases, or other home remedies to a burn before discussing it with your healthcare provider, as these can increase the risk of infection as well.

If you believe that your child is suffering from a third-degree burn and has blisters larger than 2 inches or full-thickness burns with white or charred skin, go to an emergency department. It is important that before coming in you should cover the burn with a sterile dressing or clean washcloth or towel.

After the Burn

Superficial or mild partial thickness burns hurt for about two days and peel like a sunburn in about a week. These burns shouldn’t leave a scar if managed correctly. If the burn is open, your child will need a tetanus booster if it has been more than five years since his/her last tetanus shot, your child has had less than three tetanus shots in his/her lifetime, or if you’re not sure when your child had a tetanus shot last. Your child should get this shot from your pediatrician within three days of the burn. Call your healthcare provider immediately if your child’s burn looks infected. Symptoms include a large red area or streak larger than 2 inches around the burn. A fever may or may not be present. If there is increased redness or notice any signs of infection, bring your child to Chai Care and our top-notch staff will gladly take care of your little one!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Men’s Health: Strong, Fit, and Sexy

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It is no secret that men take great pride in being perceived as tough. What does this mean? Providing for their family, being mentally strong, and being confident—adult men put immense pressure on themselves to be the best versions of themselves but ironically, are not willing to do as much as they should.

According to leading experts, most men avoid going to the doctor. As silly as it may sound, these men would rather silently suffer or choose to believe that they can figure it out on their own, rather than taking a simple visit to a doctor. This is not only an unhealthy approach but is also not necessary. It is counter-productive to not utilize healthcare providers and physicians who can help supply proactive information on how to live a healthy lifestyle. It’s important to stay informed to live your best overall life – whether that be nutrition, exercise, or mental health.

Staying Informed About Men’s Health

Believe it or not, men die on average five years earlier than women. This may be due to the fact that men are typically more dangerous and bolder in their decision-making. This isn’t to say that taking a risk is a bad thing, just that men tend to neglect their health and at times ignore their own well-being, telling themselves they will eventually figure it out. However, the top three causes of death for men are (in order), heart (cardiovascular) disease, cancer, and unintentional injury. Besides suffering from an unintentional injury, this is crucial to know because if you monitor your health and make thoughtful decisions, the chances of you living a longer and healthier life drastically increase.

On the bright side, once these facts come to light, one can start their journey to recovery and begin to get their health back on track. Those modifications can come through proper diet, simple lifestyle changes, and if necessary, medical or surgical intervention. There is a great opportunity to improve lifestyle habits in many men. In the United States alone, men self-report numerous risk factors for poor health, which include smoking, obesity, binge alcohol drinking, and not exercising. Improvements in these areas will add years on to a man’s life and will improve mental health as well. Furthermore, social factors that may have a negative impact on health are serving in the armed forces, incarceration, and high-risk jobs such as construction, mining, and shipping. Men should be counseled about the potential employment-related hazards they may encounter in these and other jobs.

Nutrition For Men’s Health

The simplest and best thing a man can do for themselves is eating clean. Yes, we all love a greasy cheeseburger and an ice-cold beer but in the long run, the key to a healthy lifestyle is feeding yourself food that your body actually wants!

There is a reason why you feel groggy and sluggish after a fat-filled dinner—it’s your body rejecting it and telling you that it would rather have something else. There is always going to be a certain vegetable or protein that you don’t want to eat. The great thing is we now live in a world where there is essentially an alternative to everything, allowing you to still indulge in your favorite guilty pleasures.

Dieting isn’t easy and for most men, it can be an excruciating battle. It’s hard to say no to a slice of pizza and not engage in “Taco Tuesday,” but when you lack good health, everything else suffers. Those extra calories are going to slow you down, you will have a harder time concentrating, and will even make you grumpy.

The key is to reward yourself, but only if you put in the work. There is nothing wrong with having a soda or eating a dozen chicken wings as you watch a football game, but doing this every day, that’s where you’re going to run into trouble. Most of your meals should consist of lean protein, organic vegetables, little carbs, and a lot of water. Boring? Of course, it is! But the results will have you feeling energetic and ready to take on the world.

A good strategy to take is setting a day where you know that you are going to want to lounge around all day and binge on your favorite foods—typically on the weekend. Life is meant to be enjoyed and part of the many pleasures we experience comes from a tasty meal. As good as it would be to eat these sugar-filled treats and salty snacks, the hard truth is that it is simply not doable. Setting a day where you do treat yourself will not only allow you to munch on your favorite foods, but it will also help teach the valuable lesson of discipline.

Exercising For Men

For some, clean eating is the tricky part and for others it is exercise. In today’s fast-paced world filled with social media and ten-second video clips, it is easy to feel uninspired when you check your phone only to witness how hard someone else is working which in turn will make you feel as if you are falling behind. There is no point in comparing yourself to how hard or little someone else works because they aren’t you and are not going through the same trials and tribulations. It’s best to stay in your own lane and figure out what works best for you.

Whether you enjoy working out in the gym or at home, the key is to just do it (Nike has a point)!. It’s so easy to say that you’ll start tomorrow. Tomorrow then becomes the weekend, that becomes next Tuesday, then suddenly, a month goes by, and you haven’t exercised a single day. No one expects you to work out like a professional athlete. Whether it be walking around the block for 30 minutes a day, or signing up for CrossFit, exercise is not only great for your body but your mind too. This is a time to be alone with your thoughts and listen to your favorite band or podcast, all the while giving your body what it truly needs.

Even though social media can be a distraction, it is also an amazing place to find information. Nowadays, you don’t even need a personal trainer because, with a few flicks of your thumb, you can find an expert who can give you quick and reliable information on how to get in shape. The best part is a lot of these people create exercises that you can do right from the comfort of your home!

Afterthought

No one said dieting and eating healthy is easy, but that is why it is so rewarding. It is a testament to yourself, a way of proving that through hard work and dedication, you can accomplish something that most men struggle with. The key is to be consistent and not allow yourself to fall victim to your guilty pleasures. There are many ways to stay active without “exercising.” Playing sports with your friends, taking long walks, and even certain interactive video games are awesome ways of being active without the intimidating need to enter a gym. Even though junk food and certain fast food options may seem more affordable, there are simple ways to eat clean without breaking the bank.

Getting started is difficult, but in the end, this journey is worth it. You will feel better, be a kinder person, and will drastically increase your health so you can spend more time with your loved ones. The time for excuses is over. No more saying tomorrow or that you are too busy. Look, we’re all busy and all have other things going on in our lives, but fortunately, the staff at Chai Care can supply you with healthy tips and methods on how to get your life back on track!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.