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

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy. 

I personally support Psychotherapy. Specialized educational planning based on the child s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

Inattentiveness: having a short attention span and being easily distracted making careless mistakes   for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

anxiety disorder   which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 
oppositional defiant disorder (ODD)   this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 
conduct disorder   this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 
depression 
sleep problems   finding it difficult to get to sleep at night, and having irregular sleeping patterns 
autistic spectrum disorder (ASD)   this affects social interaction, communication, interests and behaviour 
epilepsy   a condition that affects the brain and causes repeated fits or seizures 
Tourette s syndrome   a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 
learning difficulties   such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

carelessness and lack of attention to detail 
continually starting new tasks before finishing old ones 
poor organisational skills 
inability to focus or prioritise 
continually losing or misplacing things 
forgetfulness 
restlessness and edginess 
difficulty keeping quiet and speaking out of turn 
blurting out responses and often interrupting others 
mood swings, irritability and a quick temper 
inability to deal with stress 
extreme impatience 
taking risks in activities, often with little or no regard for personal safety or the safety of others   for example, driving dangerously 
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

personality disorders   conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 
bipolar disorder   a condition that affects your moods, which can swing from one extreme to another 
obsessive-compulsive disorder (OCD)   a condition that causes obsessive thoughts and compulsive behaviour 
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. 

Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

What causes hearing loss? + How to ensure you can help it as you age

The partial or total inability to hear is known as hearing impairment or hearing loss. It can be present at birth, or develop later in life.

There are a number of factors, which may cause hearing loss

1. Age - Age is the biggest factor when it comes to the loss of hearing, and you may lose the ability to hear as you age. This condition is known as presbycusis. It becomes difficult to understand high-frequency sounds like that of a child or a woman when you get old.

2. Noise - When you are exposed to loud noises for a prolonged period of time, it damages your ears. This leads to loss of hearing. 5% of the total population of the world is affected by noise (the degree of suffering varies). It may be a result of continuous exposure to loud music or a sudden exposure to a loud noise like an explosion.

3. Hereditary disorders - Hearing disorder may be inherited by the dominant or recessive genes of parents in the child. 70-80% of these cases inherit from the recessive genes, whereas 20-25% inherit hearing loss from the dominant genes.

4. Trauma - Serious injuries of the head/ears may cause loss of hearing, which may be either temporary or permanent. When damage is caused to the brain, the brain fails to process the message conveyed by the ears. So even if the ears are totally functional, a person may face the problem in hearing.

5. Perinatal problems - The ototoxic effects on the fetus due to excess intake of alcohol during pregnancy lead to hearing the loss in about 64% of the infants born to alcoholic mothers.

Also, premature birth can be associated with hearing loss due to high risk of being exposed to noise in neonatal units.

Knowing about the causes of hearing loss can lead you a step closer to preventing this disorder as you age.

Here are some useful tips that can help prevent hearing loss:

1. Be more aware - You should be diligent and aware of the situations, which may risk your hearing ability and should try to avoid such situations as much as possible. Limit your exposure to sources of hazardous noises like firearms, firecrackers, concerts and clubs.

2. Take precautionary measures - If your occupation calls for working at an environment of loud noises, use earplugs or earmuffs to block out the excessive noise. Also, make sure that you work in a place where employers take all the necessary measures of noise control under the federal or state regulations.

3. Monitor your use of gadgets - Monitor and control the use of hearing devices, and try to reduce the use of headphones/ earphones as much as possible.



What causes hearing loss? + How to ensure you can help it as you age

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

A recent study found that about 14.4 million children in India are overweight or obese. This makes childhood obesity one of the leading health concerns for Indian parents. Research states that on average, children and teenagers who spend over seven hours a day browsing the internet or playing games on electronic gadgets are at greater risk of obesity. Smartphone, Tablets, Kindle   these keep your child occupied for quite some time, but too much screen time may infuse unhealthy habits in them, which persist even as they grow up. 

Obesity, Technology and Sedentary Behaviour 

Overexposure to gadgets goes hand-in-hand with reduced physical activity. As children spend most of their leisure time glued to Smartphone watching videos on YouTube, playing games online, they spend little or no time outside playing or running around and burning those excess calories. Over time, they are unable to cope with any outdoor activities/exercise. This eventually leads to significant weight gain.

Increased Snacking

Too much time spent on electronic gadgets may lead to mindless eating and increased snacking. Many times the commercials featured in between videos prompt your child to crave for foods that are low in nutrition, and high in sodium, added sugar and fat. This type of food marketing largely influences children s food preferences and in turn, affects their health.

How Overuse of Gadgets Interfere with Quality of Sleep?

Looking at your Smartphone just before going to bed will likely disrupt the quality of sleep long after you turn them off. Continuous exposure to gadgets not only causes digital fatigue in children but also exposes their eyes to Blue light. This light hampers the creation of  sleep hormone  in the body. As a result, you find it hard to sleep. Children and teenagers who do not get adequate sleep as is required for their age are at higher risk of developing obesity. 

Limit Your Child s Screen Time

Experts suggest adolescents and children spend no more than two hours on Tablets and Smartphone.

  Encourage your children to get off the couch and engage in some sort of exercise/physical activity 

  Focus on providing them with healthy snacks and food that will keep them fuller for a long time. Fruits and vegetables, whole grains, low-fat milk, high-fibre foods should definitely be on the list. Make sure they do not skip breakfast and meals. 

  Ensure that they restrain from using gadgets at least two hours before going to bed. Read them a book instead of handing them Kindle. The ill effects of gadget use should not be overlooked. Childhood obesity can lead to several health complications in adulthood, which is why it is imperative that you take adequate measures to ensure that your child maintains healthy body weight. 

Children Obesity & Gadget Use!

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 in 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, fibers and minerals. All these nutrients provide energy to the child s body. 

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

D. Refined foods should be avoided, whole grain breads 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.

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

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