Emsey Hospital renders diagnostic and therapeutic services for Neurologic Diseases, Endocrinology Diseases, Cardiologic Diseases and Allergic Diseases within the scope of Pediatrics .
In the department, healthy children at age 0 to 15 are followed up and screened and all children are vaccinated, parents are educated on nutrition and growth and development are followed up; all diseases are diagnosed and treated.
Outpatient rooms are designed to ensure that children feels safe and comfortable in the examination in an environment that they are familiar with.
All employees act carefully according to the psychological status of the child.
Appointment system is utilized in outpatient services. Outpatient services are rendered from 08.30 to 17.30 in week days and from 08.30 to 13.00 on Saturdays. Fully equipped neonatal and intensive care units are available at our hospital.
A well equipped and spacious baby care room is available, where mothers can change diapers and breastfeed the baby.
Our patients can select a doctor among our team. Our doctors act in line with the joint scientific programs both in supervision of healthy child (vaccination, nutrition, development and screening) and disorders. Examinations (laboratory, radiology) are done safely within a pre-determined period in case of disorders.
In addition to control examinations of our patients at outpatient clinics, our pediatric surgeons can assess inpatients at any time.
As our hospital is a ‘baby-friendly hospital', general control examinations of neonatal patients are made and mothers are educated on breastfeeding.
ALLERGIC RHINITIS IN CHILDREN
Definition of Disease
Allergic rhinitis is a recurrent disease of nose and upper respiratory tracts and is associated with nasal congestion, sneezing, runny nose, nasal itching and itching in palate. Findings of allergic conjunctivitis are observed in 50-60% of the patients. The disease may persist for whole year (perennial) in form of allergic rhinitis; it can occur in different time periods during the year with changing severity or only in specific seasons (for example in spring). The initial findings can emerge at any age in childhood period (especially after 5-6 years of age). Generally, fever is not seen amongst symptoms of disease.
Prevalence is mean 10-15% amongst the children in our country. Prevalence of allergic rhinitis increases in patients whose mother and/or father has allergic rhinitis or any other allergic diseases.
The disease most commonly occurs after exposure to allergens such as air-borne pollens of plants and mites, mold spores and skin and fur of pets.
Moreover, the factors that irritate the upper respiratory tract, such as cigarette smoke, air pollution, strong odors, cold weather and windy weather, cause onset of symptoms. Children are usually very well and appear completely healthy in asymptomatic periods.
Diagnosis and Methods
Allergic rhinitis is diagnosed in the light of physical examination, laboratory tests and skin allergy tests in the children with itchy nose and eye, runny nose and nasal congestion. Skin allergy tests can be performed at any age group and they should be evaluated by allergists. Resultant data dictate the treatment.
The most important stage in treatment of allergic rhinitis is to eliminate exposure of patients to triggering factors (such as allergens like pollens and mites or irritants like cigarette smoke and strong odors). There are 2 groups of medications used in medical treatment. One group of them should be regularly used, even if the child has no complaint. For example, medications can be given continuously for the children with seasonal allergic rhinitis in spring (from April to July). Medications can be given intermittently or for a long time in children with allergic rhinitis that persist throughout the year (perennial). If allergic rhinitis is associated by allergic conjunctivitis, additional drugs such as eye drops may be necessary. Drugs in this group are generally antihistaminic tablets and steroid nasal sprays.
Another group of medications is used when symptoms of the disease emerge or in other words, when necessary.
Drugs used for allergic rhinitis drugs can be in syrup, tablet or nasal spray form. Moreover, allergy vaccines (immunotherapy) are additionally recommended for patients, if deemed necessary, and thus, hypersensitivity reactions against allergens are reduced.
Treatment is planned and patients are followed up at appropriate intervals; they are also informed about how to manage exacerbations and where to apply if they face a problem that they cannot cope with. If patients follow the recommended treatment, severity of disease decreases and otherwise, the disease progresses.
It is very important to follow up patients at appropriate intervals and modify the treatment according to the course of disease.
Sometimes, allergic rhinitis in children may occasionally be associated with other diseases such as sinusitis, adenoid hypertrophy and otitis due to close proximity to and sensitivity of upper respiratory tracts. Moreover, patients with asthma frequently suffer from allergic rhinitis that persist throughout the year.
Potential Risks In Case of Incompliance to Treatment
When the disease is left untreated, the condition can negatively affect the child’s daily life, quality of life and success in school. It can lay the ground for recurrent upper respiratory tract problems (such as sinusitis) and other diseases such as otitis media.
In addition, symptoms of another allergic disease may sometimes add to the picture in patients with an allergic disease. For example, symptoms of asthma can emerge in children with allergic rhinitis.
Generally, treatments usually decrease severity and frequency of symptoms quickly.
The treatment aims to control the disease rather than complete recovery.
Pediatric neurosurgical diseases are very common, but they are recognized very hardly by attentive parents. Seizures, syncope, growth retardations, inability to talk, inability to walk, imbalance, tics and some behavioral diseases underlie the pediatric neurological diseases.