It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

How to Remove Insect from Ear at Home? 

Toothache is a painful dental condition that affects many people worldwide. At times the excruciating pain can drive a normal person insane. Cavity and tooth decay contribute to toothache in a big way. However, toothache can also be an indication of some serious dental ailments that needs immediate attention. The following factors/reasons can equally contribute to toothache (mild or severe).

Tooth decay: Tooth decay and cavities are synonymous to unhealthy teeth and toothache. Cavities can also give rise to awkward complications like bad breath. Thus, proper dental care and hygiene is of topmost priority. It is highly recommended to brush the teeth three times daily.
Accidental falls: Accidents incurred during sports or games often go unnoticed and untreated. This can invite unwanted complications like broken teeth, infections or inflammations resulting in toothache.
Unhealthy gums: Bleeding, painful and swollen gums and many other gum ailments can severely affect the teeth. At an advanced stage, this can lead to unbearable toothache.
Bruxism: Many people knowingly or unknowingly indulge in Bruxism or tooth grinding. Bruxism can have serious dental implications. It exerts tremendous pressure on the teeth and the supporting tissues. Eventually the jaw muscles also get affected, with toothache being the inevitable consequence.
Decaying enamel: Healthy enamel implies healthy teeth. Factors like excessive intake of sweets, drinks and chocolates play a significant role in enamel decay.  This can have a detrimental effect on the teeth resulting in toothache.
Abscess, a serious dental ailment:  Abscess is the manifestation of dental infections, whereby pus formation takes place between the gum and a tooth. Pus formation can also take place at the base of a tooth resulting in toothache.
Cracked tooth syndrome: A fractured tooth often acts as a catalyst, leading to toothache. The crack on the tooth is so small that even an x-ray fails to reveal it. Factors like bruxism, tooth decay, to name a few; contribute to the Cracked Tooth Syndrome.
The wisdom mystery: Lucky are those whose wisdom teeth erupt completely, at a single go. Impacted wisdom teeth can give a person sleepless nights. Misaligned teeth are no better.
Toothache and periodontal complications: It is a serious condition leading to shooting pain and inflammation. The inflammation and pain affects the root of the tooth immensely. It usually results from infections in plaque formations.
Sinus infections: In many cases, it has been found that sinus infection can lead to toothache. Positioned close to the upper back teeth, the sinuses give rise to what is known as a dull ache.
Toothache can be an amalgamation of many factors. Thus, it is very important to go for periodical dental & full body check ups.

10 Reasons for Toothache

ADHD is often diagnosed as a complex neurological disorder which is medically described as a developmental impairment of the self-management functions that are linked to brain operations. It impacts the important functions that are required to assess, plan and carry on with a normal life.

Causes of ADHD
ADHD is generally caused by bad parenting, too much sugar consumption and even playing too many video games. ADHD is a brain-based disorder and brain images have shown that people suffering from ADHD to possess psychological differences in their brains.

There are studies which revealed that a child is four times likely to be diagnosed with ADHD if his/her relative suffers from the same brain disorder, thus, clearly pointing to the genetic factor of carrying ADHD. Exposure to dangerous chemicals such as toxins in food, carpeting and flooring, cleaning products, lawn products and several personal care products can also induce ADHD in a child. When these toxins disrupt the development of the brain, a disorder such as ADHD occurs.

Symptoms of ADHD
There are a number of symptoms of ADHD. There are mainly two categories of symptoms of ADHD. They are:
ADHD - Primarily Inattentive Type of Symptoms

The person affected often fails to pay close attention to details and are prone to silly mistakes in schoolwork and other tasks.
They often lack the attention or are unable to retain attention on the task at hand.
It seems that the affected person is not listening when spoken to directly.
They do not follow the instructions given to them and fail to complete their tasks and activities.
They face difficulty in organizing things.
They avoid engaging in tasks that require constant mental effort.
They are prone to losing things essential for tasks and activities.
They are easily distracted by unnecessary and trivial stimuli in their surroundings.
They are forgetful of their daily activities.
ADHD: Primarily Hyperactive-Impulsive Type of Symptoms

The affected individual is fidgety and constantly taps their hands, feet or squirms when seated.
Leaves their seat and stands up on occasions where they are required to be seated.
They run or climb in certain situations where it is inappropriate and unnecessary.
They are unable to engage in or play in leisure and quietly.
They are hyperactive as if they are driven by some kind of motor.
They talk excessively and unnecessarily on all occasions.
They will blurt out answers even before the question is finished.
They are unable to be patient and wait for their own turn to arrive.
They have a tendency to interrupt and intrude others and take over their privacy.
It is advised to consult a doctor if one or many of these symptoms are noticed in an individual.

ADHD - Different Types & Its Symptoms!

Child nutrition from age 6 months to 5 years growth and development of a child depends on the nourishment received by the child right from birth. Healthy diet and proper eating habits are essential to be inculcated in a child as early as possible. A balanced diet given to the child at the earliest provides all nutrients required for adequate growth and development. Nutritional value of every food item introduced in the child s diet should be gauged prior and then given to the child.

Nutritional requirement of children varies in accordance to the age group. It is necessary that the parents should have knowledge about the age-specific requirements of the diet, which will benefit the child in their growing years.

Following is the ideal child nutrition ranging from the age group of 6 months to 5 years.

1. 6 months to 12 months

A. Right from the birth of a newborn child, it is necessary to begin breastfeeding for the baby. It should begin within an hour of the child s birth. It is the ideal way of providing proper nutrition to the child.

B. Breastfeeding is beneficial by providing nourishment and also by improving the immunity of the baby.

C. From birth to 6 months, only breastfeeding is advised. It is a critical source of nutrition for the child even during illness.

D. After the baby turns 6 months old, solid food can be introduced in the child s diet.

E. Breastfeeding can be continued and supplemented with other food items.

F. Usually, fruit juices are introduced first in the diet.

G. Feeding bottle should be avoided and the child should be fed with a spoon and cup. Proper hygiene and good handling of the food is required.

H. It is necessary to wipe the gums and developing teeth clean with a wet gauge to prevent any decay that can be caused by sticking of the food on the teeth surfaces fed to the child.

2. 1 year to 3 years

A. Children in this age group can tell when they feel full after feeding. It is necessary to listen to their demand for food and also avoid overfeeding children.

B. This age group requires children to eat all types of nutrients, so parents should focus on providing a variety of food items to replenish their child s nutritional requirements.

C. Children in this age group require fat-rich foods and should be given dairy products for calcium requirements.

D. Processed foods should not be given to children at this age. Calories intake should be monitored to the optimum level.

E. Since children at this age are involved in activities like walking, running around and playing it is essential to keep feeding them at regular intervals to maintain the energy levels of their bodies.

3. 3 years to 5 years.

A. Children belonging to this age group require to eat a well-balanced, nutrient rich diet.

B. Grains should be included on a routine basis. They provide the child with carbohydrates, fibres and minerals. All these nutrients provide energy to the child s body.

C. Inclusion of whole wheat grains provides fibres in adequate quantity.

D. Refined foods should be avoided, whole grain bread should be included in the diet.

E. Fruit intake should be increased, as they are an important source of various vitamins. Fresh fruit should always be preferred over juices for growing children.

F. Sugar intake should be kept to a minimum quantity since refined sugars do more harm to the child s health than any good.

G. Vegetables should form a considerably greater part of the child s daily diet, with the inclusion of a variety of vegetables.

H. Protein sources of food include meat, poultry, pulses, beans and nuts. Along with protein, these food items also provide iron, zinc and minerals to the body.

Apart from the above specified food items, daily intake of milk is necessary for children of growing age. It provides the body with sufficient calcium to facilitate bone growth in growing children. Also, nuts like walnuts, almonds, cashews are advised to be given to the children daily.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

Nutrition Tips For Children From Age 6 Months To 5 Years!

Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.

Risk factors for iron deficiency in children

Infants and children at highest risk of iron deficiency include:

Babies who are born prematurely or have a low birth weight
Babies who drink cow's milk before age 1
Breast-fed babies who aren't given complementary foods containing iron after age 6 months
Babies who drink formula that isn't fortified with iron
Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
Children who have certain health conditions, such as chronic infections or restricted diets
Children ages 1 to 5 who have been exposed to lead
Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia

The signs and symptoms of iron deficiency anaemia in children may include:

Pale skin
Fatigue or weakness
Slow cognitive and social development
Inflammation of the tongue
Difficulty maintaining body temperature
Increased likelihood of infections
Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children

Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:

Breast-feed or use iron-fortified formula. Breast-feeding until your child is age 1 is recommended. If you don't breast-feed, use iron-fortified infant formula.
Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same.

Iron Deficiency - How it Puts Your Child at Risk

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

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