Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types
1. Congenital ghd - this form of ghd appears from at the time of birth itself.
2. Acquired ghd- ghd can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
3. Idiopathic ghd- idiopathic ghd is the third, and comparatively worst kind of ghd since it has no treatment.

Ghd is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (ghd).

Symptoms
Childhood onset
1. Restricted height- compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
2. Chubby and comparatively younger appearance- your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from ghd.
3. Late puberty- your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the ghd.
4. Hypoglycemia and exaggerated jaundice- low blood sugar is amongst the most primary manifestations of ghd, along with extended duration of jaundice.
5. Micro-penis- micro penis condition is one of the incident signs of ghd, which later escalates to growth deficit as the infant gets older.

Adult onset
1. Fatigue- adults with ghd may experience extreme tiredness throughout the day, with reduced muscle strength.
2. Osteoporosis- osteoporosis, along with bodily deformities, is a common sign in adults with ghd.
3. Lipid abnormalities- a test of your lipid profile may reveal abnormalities in ldl cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine ghd
1. Physical test- a chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
2. Hand x-ray- a hand x-ray can determine whether the age of bones are at par with your age.
3. Mri-mri scan can determine the health of your brain and pituitary gland.
4. Test for other hormones- growth hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment
1. Hormone supplements- hormone supplements like corticosteroids (hydrocortisone or prednisone), levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
2. Growth hormone injection- gh is injected beneath your skin, to cure gdh. This is a long-term treatment and requires constant monitoring.

All About Growth Hormone Deficiency

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

    Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
    Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
    Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

Asthma in Children: Diagnosis and Treatment

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

A deaf child is the one who suffers from hearing loss. Children with deafness may also fail to develop speech. Such children might have no defect in their speech but they cannot speak anything. The main reason is deafness. They do not hear a speech, therefore, cannot develop it. Deafness may not be hereditary, but it occurs due to several other causes. 

The period of 5 years is crucial in a child s life. During this period, they develop their speech and language. Therefore, parents need to take the utmost care for the early identification of hearing loss and treat the child accordingly. 

Causes of Deafness in Children

There are several causes of deafness in children.

Otitis Media: In young children, if the eustachian tube is not fully formed, it forms fluid behind the eardrum. This fluid can get infected and affect the hearing. The fluid may not cause any pain or infection but still, it can harm and cause hearing loss even if it stays for a short time. 

Problems by Birth: Some children have hearing problems by birth. Sometimes, the problem lies in the genes. But, other times during pregnancy or prenatal care, the problem arises. If a mother, while pregnancy, has diabetes or preeclampsia, she is likely to deliver a deaf child. A prematurely born baby also has a high risk of deafness.

Illness or Injury: Some young children suffer hearing loss due to some injury in the ear or some other illness. Illness includes meningitis, measles, chickenpox, and flu. Head injury or listening to loud music for a long time can also be a reason.

Symptoms of a Deaf Child

A deaf child shows no reaction to the loud noises.

He/she doesn t respond to the voices.

The sound of the child is simple that taper off.

The child may pull or rub the ear several times, which is noticeable.

The child is continuously cranky for no particular reason.

He/she does not pay any attention when anyone is talking.

He/she has very little energy to do anything. 

He/she fails to understand the direction.

Often asks to raise the volume of TV or radio.

Have fever and ear pain.

Treatment of the Problem

Hearing loss affects a child s learning ability. So, the problem must be diagnosed and treated immediately. Here are some treatment approaches: 

Treatment for Otitis Media: The very first thing parents and doctors can do is watchful waiting because sometimes the problem cures itself. Some pediatricians might prescribe some antibiotics. If the problems continue, then the doctor will suggest getting an ear tube to the child that will allow the fluid to drain. For this, the child will have to visit an ENT doctor also called Otolaryngologist. 

Treatment for other causes: The child may use a hearing aid. Some can get cochlear implants. 

Conclusion
It is necessary for parents to accept the child with deformity and stay by his/her side. They must get themselves educated and communicate the problem with others to get help. It is essential to stay in touch with the child and take care of him.

Deaf Child - What Should You Know?

Cold and cough is caused by a viral infection, which can last for about two to four weeks. The symptoms include stuffy or a runny nose, coughing and sore throat. Many times, the infection may raise body temperature and the child may suffer from fever. Our body s immune system naturally fights with such infections. Depending on the type of cough and the symptoms, the virus can stay active in the body for about 4 to 6 weeks. It is quite painful to see the child suffering from cold and cough. The symptoms of this infection are worse during the first two days.

The child will experience pain and irritation in the throat with difficulty in swallowing, frequent coughing with mucous, breathing difficulty and high fever. Most parents rush to over the counter drugs for cold and cough to ease of their child s agony. However, most drugs/ cough syrups available over the counter only provide temporary relief. Medical evidence suggests that antibiotics do not kill viruses, thus, it is not advisable to treat cold and cough with antibiotics unless accompanied by another infection. So, what do parents do? Well, there is a lot that can be done.

Let s first understand the type of a cough your child might be suffering from:



Dry cough: Generally occurs due to infection in upper respiratory tract, cold or influenza. Children with asthma and allergies are also prone to this type of cough as dry cough is triggered by smoke or dust.
Croup Cough: A harsh barking and dry cough with swelling beneath vocal cords.
Wet Cough: Most commonly caused by cold. This is an infection of the lower respiratory tract characterised by mucous secretions.
Whooping cough: Characterised by fast coughing, breathing difficulties and a whooping sound while breathing.
Apart from this, If coughing starts suddenly along with choking, the child may have inhaled a foreign body. Immediate help may be required. For babies less than 12 months of age, cold cough followed by breathing difficulties may indicate bronchiolitis and require a paediatric attention. A normal cold and cough generally subside with two to four weeks. However, it is important to understand when to consult a doctor.

Chest pain or breathing problems
Cough lasting for more than 6 weeks.
A yellow, green or brown mucous indicating another infection.
Swollen glands, persistent high fever, rashes.
Body getting pale and symptoms getting worse.
Temperature higher than 38 degrees in the case of infants.
Precautions and diet that should be taken care of

Increase Intake of fluids especially hot liquids
Never stop breastfeeding the baby
Vapour rub applied on chest and back is an effective remedy
Inhaling steam provides relief to a sore throat and nose
Intake of crushed tulsi leaves with honey or hot turmeric milk is soothing and very helpful
There is little we can do to prevent viral infections. However, proper care and caution can ensure a smooth recovery.

Cold and Cough in Children - Precautions that Parents Must Take

Using a hearing aid presents a number of advantages to a hearing impaired person. First and foremost, you will hear a lot better. Hearing aids do not restore your hearing to normal but they improve it significantly. It becomes easier to hear what other people say. Sounds you have not heard for a long time such as birds singing, door bell ringing, the howling of the wind and water running may become audible to you.

Hearing aid usually improves the user s social, psychological and physical sense of well being.

Study as well as experience shows that hearing aid generally improve the quality of life and will help you:

Get a better relationship with your family
Feel better about yourself
Get better mental health
Improve your physical well being
To concentrate better
Feel more independent and secure
Feel less tired or exhausted
Be more able to participate in social gathering
Be able to increase your social contact
Be able to do better in your job  
Hearing aid will help you to reduce tinnitus
Hearing aid will help you to avoid dementia by helping you to hear and improve cognitive functioning
As you start hearing through hearing aid, you will start socializing yourself and indirectly improve your quality of life.
Why you need to wear two hearing Aids?

Better understanding of speech
Better understanding in group and even in noisy situation
Better ability to tell the direction of the sound (Localization)
Better sound quality
Greater listening comfort
Hearing is less tiring and more pleasant
Keeping both ears active preserves speech understanding in both ears
Effective tinnitus masking
Better understanding of listening to radio and television
Speech will be clear

Advantages Of A Hearing Aid!

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