Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

It is nightmarish when your babies have cough, congestion and stomach aches – and they happen often. The littles ones can't express very well, but as parents you might be able to figure out. Here are common and highly effective home remedies to these baby ailments.
 
1) COLD & COUGH : Honey is highly soothing for temporary cough relief. You can prepare a warm drink with ginger, honey, and lemon juice to drink before bedtime. The ginger and lemon soothe the throat, and the honey loosens up mucus and also acts as a gentle cough suppressant.  Don't give honey to babies ages one or under, though, due to the risk of infantile botulism. For the really little ones, a hot steam vaporizer usually does the trick. 
 
2) NASAL CONGESTION: A stuffy nose is an added challenge with babies and toddlers, as they can’t blow their nose. Prepare a solution of salt in lukewarm water, put this saline solution into the nose, then let your baby lie down for a while, and use the aspirator to remove the loosened mucus. This remedy is safe for babies as well as toddlers.
 
3) STOMACH UPSET/VOMITING:  Stomach aches or infections are the most difficult to get around and can be highly uneasy for the child. Try giving light liquids like dal/rice and vegetable stock, the best that works for everything is breat milk. If you can't breast feed, try to boil fennel seeds (sauf) in milk to make the baby's stomach feel better. 
 
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3 Must-know Home Remedies For Every Parent

Parents today, are more concerned about their child's healthy diet and hygiene compared to earlier days. They are more inclined towards quality when it comes to providing medical assistance to their children. They are also now well aware of the side effects of conventional drugs and are keen towards trying alternative treatments, which come with no side effects. 

Studies prove that conventional drugs suppress diseases and antibiotics hamper digestion. But homeopathy on the other hand, offers natural remedies, which are safe, and has long-lasting effect by boosting your body's immunity.

Below are some of the conditions, in which homeopathy works wonders with the kids:

1. Acute conditions such as cold, flu, sore throat and stomach infections, etc. These conditions are self-limiting. Homeopathic remedies not only cure these acute problems, but also prevent their recurrence.

2. Chronic diseases like eczema and allergies are cured completely and never reoccur when treated with homeopathy. In both the above cases, homeopathy works miraculously. Alongside the healing process, it boosts the child's self-defense mechanisms to fight against diseases. While antibiotics may be too harsh for the child's body, homeopathy is a safer option, since it does not have any side effects.

Homeopathy is also effective in treating colic, earache and reduces pain and discomforts. Some of the common problems of children where homeopathy works well are fever, teething, vomiting, diarrhea, dysentery, kidney diseases, infant colic, jaundice, eczema, convulsions, ear infection, fungal infections, warts, thyroid problems, and other growth related problems.

Not just physical symptoms, homeopathy also treats mental and emotional disturbances.
- You can take help of homeopathy treatment if the child is cranky or restless, and it is very beneficial even in case of hyperactive children.
- It is also effective in increasing concentration.
- Homeopathy works perfectly for specially challenged children as well.
- One of the plus points with homeopathic medicine is that it is easy to administer given their light doses and consumable taste.
- In addition, injections are not required. Furthermore, homeopathic treatment helps in all stages of childhood.

Homeopathy is a holistic system of medicine. It works on improving immunity rather than only curing the disease. Thus, it is very important to complete courses in homeopathy medication. Even though handy, homeopathy does not allow self-medication. It is always advisable to seek a doctor's help.

Homeopathy Is Best For Children 

Is your child getting exhausted after a bout of cough? Does he or she suffer from constant wheezing and tightness of the chest? Does your child feel drained out after climbing a flight of stairs? Do you know a child who always seems to run out of breath and cannot participate in school sports tournaments or play outside for a long time? The child could be suffering from asthma, which is a serious breathing problem. Most children are affected by asthma. Staying in a polluted city just makes the condition worse.

Asthma - Know the disease

Asthma is a condition that causes inflammation of the airways, known as trachea and bronchioles.
The muscles around the airways constrict and prevent the smooth flow of air.
The lining of the bronchioles swell and block the airways.
Asthma is mostly triggered by an allergic reaction.
There is a difficulty in breathing out. Exhalation of air is often accompanied by a wheezing, that is, a whistling sound.
There is a constant shortness of breath, feeling out of breath and gasping for air.
There is an uncomfortable tightness in the chest, the feeling of not breathing in enough air.
Coughing bouts in the middle of the night, that leave the child feeling exhausted and completely out of breath.
Causes of Asthma 

Asthma is mostly triggered by asthma allergens. These allergens are mostly pollens and animal fur.

Exposure to pollution, such as dust and smoke
Heredity
Obesity
History of heartburn, GERD and acid reflux
Inflammation of sinus and airways
History of bronchial disorders and pneumonia
Viral infections
Chronic rhinitis
Low immunity causing constant cold and blockage of nose
Treatments of asthma

A nebulizer that turns asthma medicine into a mist can then be inhaled easily
An inhaler can be used to take in inhaled steroids into the lungs or a bronchodilutor
Try and avoid asthma triggers and allergens as much as possible
Avoid physical stress and heat
Get sufficient rest of about 7-8 hours every day

Troubled Breathing - Can It Be a Sign of Asthma?

Chromosomal abnormality happens when a cell has too many or too few chromosomes. The most common form of chromosomal anomaly is Down s syndrome. If a parent has a chromosomal anomaly, she/he will pass it on to the child. PGD or Pre-implantation Genetic Testing aims to select only the embryos with normal chromosomal count and only these embryos are implanted to achieve a healthy pregnancy and bring down the number of children affected with a chromosomal anomaly.

The risk of Aneuploid pregnancy:

The older a woman is when she tries to conceive (aged 35 or more), the higher the risk of Aneuploid pregnancy (carrying a baby with genetic or chromosomal abnormality). Most of these pregnancies end in miscarriages and the few that come to term produce babies with chromosomal abnormalities.

Causes of Chromosomal Abnormality:

Usually, chromosomal abnormalities occur due to an error in the cell division. Meiosis refers to the cell division, which the sperm and the egg undergo during the development procedure. Normally, meiosis breaks the chromosomal material into two equal halves, so that each of the parents contributes 23 chromosomes to the pregnancy. However, when the number of chromosomes in the cell goes up or down than the normal, it results in genetic/chromosomal anomalies.

PGD Procedure for a Chromosomal Anomaly:

If a couple elects to go for Pre-implantation Genetic Diagnosis, they have to undergo ICSI Cycle. ICSI cycle initiates a fertilization cycle to produce embryos. When the embryos reach upto day 5 and blastocyst are formed, they are biopsied and further sent to genetic lab for detecting the chromosomal abnormalities. The embryos are incubated for the entire duration of the genetic screening. Only the embryos that the genetic test clears are implanted. PGD never reveals the gender of the embryo.

PGD can help detect the single genetic disorders that may lead to the following ailments:

  Cystic fibrosis
  Muscular dystrophy
  Tay-Sachs
  Sickle cell anaemia
  Thalassemia
  Turner syndrome

PGD is a revolutionary science that can help root out incurable disorders linked to genetics. It ensures that pregnancy is sustained until term and a healthy baby is born.

Suffering From Genetic & Chromosomal Anomalies - Know About PGD!

While siblings are the force that breathes life into any family structure, it has also been seen as a challenge of sorts to manage siblings and bring out the best in each one of them. In any family unit, there are a number of entities who need to be nurtured in a certain way to ensure that their identities are not hampered by a "one size fits all" style of parenting. Every child is different and will need to be handled differently. Besides this, there are other related challenges that will contribute to the quality of the relationships between the siblings, as well as the rivalry that they may feel towards each other when it comes to attention, achievements and varied other factors.

Read on to know the ten tips to tackle sibling rivalry:

1. Make Friends before Birth: encourage your first born to connect even before the birth of the new baby by including him or her in the changes you see and feel. Planning for the new baby with your first born will also help in such cases.

2. Staying positive is a big factor that will help the children in feeling confident despite their different qualities and strengths.

3. Comparison is a big no no. Stay away from these kind of comparisons so that the children do not feel like they have to fight with each other for your praise.

4. Time Sharing: Ensure that you divide your time well and indulge each child in his or her area of interest so that they feel like you are always there for each of them.

5. Harmonious Start to the day: this will ensure that the children have a special bond at the end of the day. Make sure that they help each other and divide chores accordingly. The older siblings should be given the care giving tasks while the younger ones should be taught to obey them and play along.

6. Humour them: It is a known fact that humour is the best medicine that breaks even the most tension filled atmosphere.

7. Family Meetings: Hold family meetings to discuss important things and even intense fights so that everyone's needs and issues are addressed.

8. Empathy: Teaching your child to empathize with others will help him or her steer clear of needless rivalry at home too.

9. Ignore the Small: Let them figure out the smaller fights, yet always be there to address the bigger issues so that they know you are there for them.

10. Equal Treatment: Treating them equally does not mean doing the same thing for each of them. It means giving them equal time and attention with personalized treatment to suit varied temperaments. This will also give them a lot of individual confidence which eventually kills any feelings of rivalry.

10 Tips to Tackle Sibling Rivalry

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