Dr. Ganesh Kamat

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

• The triggers that caused the bout of asthma
• How many times did your child have wheezing episodes?
• The number of times your child has been admitted for the same reason
• The medications that your child is currently taking, dosage and/or whether they have been changed
• How often does he/she need medications if he/she has acute symptoms?

3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

Uterine fibroids are referred to as benign, abnormal growths which tend to develop in the uterine walls of a woman. The size of such growths can range from a few centimeters to even excess of a few inches. As such, they can cause the uterus to increase to the size of a five month pregnancy. Although, the symptoms of fibroids are not always apparent, they often cause heavy bleeding and pain in women. A recent research concluded that around 60 to 75 percent women contract such fibroids by the age of 50, at least once in their life.

Depending on the site of formation, uterine fibroids are distinguished into different types. Intramural fibroids in the lining of the uterus and subserosal fibroids which develop outside the uterus are the most commonly observed fibroids.

What causes Uterine Fibroids?
Although, the exact reason for the formation of fibroids are obscure, medical professionals have determined certain factors that may affect their formation. Some of them are:
1) Hormones: Progesterone and estrogen, produced by the ovaries regenerate the uterine lining during each menstrual cycle and trigger the growth of fibroids.
2) Family history: If you have had a family history of uterine fibroids, then you're likely to develop the condition yourself as well.
3) Pregnancy: The production of progesterone and estrogen increases during pregnancy which increases the likelihood of fibroids.

What are the signs of the condition?
Depending on the location and size of the tumors, symptoms of such fibroids include:
1) Heavy bleeding and blood clots during periods
2) Pain in the pelvis
3) Frequent menstrual cramps
4) Pressure and pain in the lower abdomen
5) Swelling in the abdomen
6) Pain while intercourse

What is the procedure of the treatment?
Ultrasound and pelvic MRI are common diagnostic procedures to check for uterine fibroids. After diagnosis, depending on your age, size of the fibroid and your comprehensive health, the doctor would prescribe you with appropriate medications. Only after medications prove futile, doctors opt for minimally invasive surgeries. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

A baby should be breastfeed for at least the first few months after birth. Breastfeeding has a number of benefits for both the mother and child. Apart from being the best source of nutrition for the baby, it also helps the mother and child bond.

Here are a few benefits of breastfeeding your baby.

1. Nutrition: No formula can be compared to the nutrition provided by a mother’s milk. The first milk produced by a mother’s breasts is known as colostrum which is rich in antibodies and proteins. Breast milk is made up of the perfect mix of proteins, vitamins and essential fats. It is also easier to digest as compared to formula feeds.
2. Immunity boost: A mother’s milk is rich in antibodies and helps strengthen the newborn child’s immunity. These antibodies also help lower the baby’s risk of developing asthma or allergies later in life. Babies that are breastfed are also said to have a lower risk of suffering from ear infections, respiratory problems and diarrhoea. It also plays an important role in lowering chances of sudden infant death syndrome. Breastfeeding is also said to protect babies from certain types of cancer in infancy and later stages,
3. Bonding: While being breastfed, a baby is held close to the mother and has skin to skin contact. This makes the baby feel secure and helps him or her to bond with the mother. For the mother, this process can also help fight postpartum depression and help reconnect with the baby.
4. Healthy weight: Babies who are breastfed are said to be less likely to develop obesity. This is because breast milk has lower levels of insulin as compared to formula and babies who are breastfed have higher level of appetite and fat regulating hormone called leptin. As they grow, these babies put on a healthy amount of weight, but refrain from overeating and have healthier eating patterns. This helps maintain a healthy BMI and prevents diseases like diabetes etc.
5. Boosts intelligence: Studies show that babies who were breastfed for the first six months have a higher IQ than those who were not. Thus, breastfeeding is said to play a significant role in cognitive development. There are two main reasons for this. Firstly, breast milk is said to fatty acids that are not available in formulas, Secondly, the emotional bonding between mother and child is also said to contribute towards boosting IQ levels.