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Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.
In the day and age where technology turns your child into a couch potato, introducing fitness into his/her life can be a real challenge. These trends have slowly given rise to obesity, diabetes and high blood pressure in children- diseases that they were never touched by. So it is very important to introduce fitness into your child’s life, now more than ever.
1. Get involved: It is known that children learn more by example than by instruction. Do fun activities yourself like swimming, playing basketball, going on long walks and take your child along with you. Start small, by doing this at least once a week, and then increase gradually. Not only will this encourage your child to be more fit, it will also create a deeper bond between the two of you.
2. Introduce fun activities: Structured activities such as a sport are great ways of introducing your child to fitness. Enrol your child for some routine sport classes, particularly team sport. This way your child learns essential values such as team spirit, fair play, competition and practice. Plus, it’s a great way to stay in shape.
3. Make exercising fashionable: Children these days are fond of doing things that are ‘in’. Some may want to swing the bat like Dhoni, while others may be more interested in learning Hrithik Roshan’s dance moves. Let your child decide what he wants do according to his style. Celebrity examples can act as motivation.
4. Use fitness as a reward: If you just force your child to go out and play, then chances are you’d be giving rise to resentment and resistance. Don’t use exercise as punishment, make it a reward instead. For instance, treat your child to a break from homework by encouraging him to play ball for half an hour. This strategy might make him/her enjoy the physical activity to the fullest.
5. Let your child take charge: Allow your child to decide what he wants to do in the hours after school rather than you deciding it for him/her. He may decide to cycle, go on a hike, and go for a long run. Letting him/her decide, give away the control over the situation to make him/her more inclined to follow a routine. For younger children it is best for you rationalize their choices.
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Benefits of green coffee beans for health:
1. Rich in anti-oxidants:
Green coffee beans are rich in antioxidants, which reduce the damaging effects of free radicals in our body and take care of our overall health. A number of studies have confirmed that raw and unprocessed green coffee beans possess 100% pure chlorogenic acid (cga), which is basically an ester of caffeic acid having strong antioxidant properties. It can put a check on the levels of glucose in our bloodstream and prevent our skin cells from getting dented.
2. Boosts metabolism:
The chlorogenic acid present in green coffee beans is also known as a metabolism booster. It increases the basal metabolic rate (bmr) of our body to a great extent, which minimizes excessive release of glucose from the liver into blood. Due to the lack of glucose, our body starts burning the stored fat cells in order to fulfill its glucose requirement. Thus, pure green coffee beans raise our fat burning capability and eventually help us shed off excess weight.
3. Helps burn extra fat:
These beans also contain large amount of kelp. It is a certain type of seaweed loaded with essential vitamins and minerals. Therefore, it helps in maintaining the levels of nutrients in our body. In unison, it perks up the burning metabolism of our body so that we can burn out unwanted fat and calories fast.
4. Suppresses appetite:
If you are suffering from frequent hunger pangs, green coffee beans can help you very much. Being a strong and effective appetite suppressant, it can control our cravings for food and averts us from overeating. So, our body starts burning the fat deposits and we get rid of additional weight.
5. Treatment of diabetes:
These green beans are also capable of treating type 2 diabetes successfully. Their extract is known to lower high levels of sugar in our bloodstream, while accelerating weight loss. Both of these are essential for curing diabetes mellitus type 2.
6. Reduces levels of bad cholesterol:
Our cholesterol levels can be checked considerably with green coffee beans. Low-density lipoprotein (ldl), also known as ‘bad cholesterol’, is the main culprit that makes us vulnerable to deadly cardiovascular disorders including cardiac arrest. Studies have shown that it can be prevented by consuming green coffee bean extract regularly.
7. Helps improving blood circulation:
High blood pressure can lead us to several fatal diseases like stroke, heart failure, chronic renal failure, etc. But researchers have found the presence of a very active and powerful aspirin-like ingredient in green coffee beans that imposes a positive impact on our blood vessels by preventing platelets from getting clustered. As a result, our arteries don’t get hardened and the circulation of blood throughout our body is improved to a great extent.
8. Used for natural detoxification:
Green coffee bean extract is a natural detox. It cleanses our liver to make it free from toxins, bad cholesterols, unnecessary fats, and so on. As the liver is detoxified, its functions improve a lot which eventually perks up our metabolism and improves our overall health.
9. Boosts energy:
Due to the presence of high amount of caffeine, green coffee beans can be used as excellent energy booster. They can raise our energy level and keep us active during the whole day.
10. Reduces effect of free radicals:
Chlorogenic acid present in green coffee beans can reduce the effects of free radicals in our body up to 10 times than regular green tea. As the beans are not roasted, there are some other antioxidative agents from the polyphenol family, ferulic acid, etc, which decelerate the ageing procedure and give us youthful skin.
11. Enhances immune system:
These coffee beans are highly effective in enhancing our immune system. Due to the occurrence of potent free-radical busters, they can help our body eliminate all types of toxic and damaging elements. Consequently, we can get rid of dull and acne-prone skin.
12. Helps slowing down the appearance of signs of ageing:
Green coffee beans are also known to retain high levels of volatile materials as they do not need to undergo the roasting procedure. Gamma-aminobutyric acid (gaba), theophylline, epigallocatechin gallate, etc. Are some of such ingredients that can help us maintain our skin health and avert the appearance of wrinkles.
13. Helps moisturize skin:
Apart from the antioxidant agents, green coffee beans are also rich in fatty acids and esters including arahidic acid, linoleic acid and oleic acid, which nourishes and moisturizes our skin to stop sagging, discoloration and other severe damages.
14. Removes substances that damage hair:
Antioxidant content of green coffee beans is equally beneficial for our hair. As it helps us fight against everything toxic and damaging, our hair remains strong, healthy and beautiful.
15. Fights baldness:
Androgenetic alopecia, also called ‘female pattern hair loss’ can also be cured with green coffee beans. The extract of these beans can boost the growth as well as thickness of our hair strands significantly.
I am 13 years old I have been having headache since 1week I took many medicines but there is no improvement I used many home remedies but there is no effect. What should I do now?
Here are 6 signs to watch out for that could indicate 'You need to get your Ears tested':
1. Your TV is blaring: Do you often find people around you shouting above the TV sound complaining that it's too loud? When you find it hard to hear the TV at the average volume and find yourself turning up the sound, this could signify a hearing loss. Doctors are seeing a growing number of patients visiting them after prolonged exposure to loud music and sounds.
2. You find it hard to hear phone conversations: Do you find yourself asking the person on the other end of the phone line to 'repeat' themselves, or find yourself pressing the phone instrument right into your ear? If you are trying so hard to hear, you might find yourself missing out on bits of the conversation as focussing to clearly hear the conversation is exhausting work. Getting a hearing test might be a good option if this sounds like you.
3. You have trouble hearing in noisy environments: When you are out dining with friends or family at a busy restaurant or accompanying a friend shopping in a busy street, all that background noise makes it difficult to hear what the people are saying. People with hearing loss often have problems masking out background noise.
4. Family members telling 'you're going deaf'?: Trust the views of the people closest to you, they never lie about your health. Family members often are the first to sense signs of hearing loss as they find themselves repeating things to you or calling out louder to get your 'attention'.
5. You find yourself staying away from social occasions, family gatherings or avoid being the first to start conversations
6. You find yourself leaning closer to people to follow the conversation or staring at their lips trying to lip-read what's being said.
Hi Mam, I have a 4 year old son which was born delayed, and admitted 13 days in hospital due to blood clot in the back side of skull. Now he is looking normal but some time he has become more hi-per and throwing the things which is he has in his hand. Also he still not speaking properly. Is there any problem? Or where I have to go for his check-uyp.
Hello my baby gal of 5 months was suffering from fever and loose stools so she went through a zenflox. Entroflora and redotil medicines for 8 days. She did not pass stool for 5 days and Now as soon as the course of medicines got over she started having. Loose green stools with white curd like substances. In 24 hours She passes 8 -10 watery stools when she is awake ànd next 12 hours she is fine. Baby looks fine and active has no fever and shows no sign of dehydration. Will the stool get fine on its own? Also can we give her ORS. Since she only breastfeeds and twice a day we feed her with zerolac.
My son age is Two & half years. He is very active but bahut sararati hai kisi ki bhi baat nhi sunta or na hi abhi tak acchi tarah se bol pata hai. But hum sab uski sararton se preshan ho jate hai. Is there any solution to resolve that problem. Please help.
My daughter is 11 years old. Her height is not increasing & weight is also low. Kindly suggest me Ayurveda medicine, so it can't be harmful to her.
Hi, my 2 1/2 year old daughter has severe cough from past 10 days. Tried many syrups but didn't work. Not sure whether its due to reflux or infection in lungs. Looking for a best pediatrician who doesn't do experiments on children. Please do the needful. Thanks in advance.
My 5 months old boy is not liking mothers milk instead he prefers Lactogen 1 which we were giving along with mothers milk since the breastfeeding was not filling his appetite. What to do so he starts taking the breast milk again?
My son who is 3 and half does not like going to school. It's been a month now. He wants that we should collect him early from school as compared to his classmates. He daily weeps while sleeping. I have inquired at school as well. All is well. Normal primary school in Srinagar. I have inquired with my child many a times daily as well. He just doesn't want to go away from me. I feel so bothered He is good at studies. Whatever I teach or at school he quickly grasps it. Only problem is he is unsociable. what to do? Please help a distressed mother.
Hello doctors My son is 45 days old and suffers from frequent hasli (color bone problem. How it is to be cured permanently? Had given him massage three times.
My son, 6 years, suffering from stomach pain, and his stomach becomes high temperature, and he is suffering from cold cough. Please suggest me. What should I do?
My daughter is six months old and was administered BCG vaccine at birth. Till date there is no scar on her arm. Should we vaccinate her again. Does successful BCG vaccine necessarily leave scar?
My child has a fever for last 3 days and I check all that but he not fine how can I cure from tht fever.
My grand daghter age one and half year old suffering from formation of stone in her stool and trouble in passing out stool.
Hi My one month 20 days baby's total bilirubin is 3.5 where direct bilirubin as 1.16 mg/dl and indirect as 2.34 mg/dl however there is a weight improvement and feeding properly but the skin appears yellowish. Is there iany risk factor here?
Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.
Here's what you should look for:
Breasts that are their usual size, shape, and color
Breasts that are evenly shaped without visible distortion or swelling
If you see any of the following changes, bring them to your doctor's attention:
Dimpling, puckering, or bulging of the skin
A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)
Redness, soreness, rash, or swelling
Step 2: now, raise your arms and look for the same changes.
Step 3: while you're at the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).
Step 4: next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.
Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage.
Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. This up-and-down approach seems to work best for most women. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you've reached the deep tissue, you should be able to feel down to your ribcage.
Step 5: finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step 4.