Have you heard of a health condition in which there are insufficient red blood cells in your body for carrying sufficient oxygen to all parts of the body? This condition is called sickle cell anemia and it is an inherited form of anemia. Usually, the red blood cells in your body are round and flexible and move through the blood vessels easily. In case of sickle cell anemia, the red blood cells become sticky and rigid. They are shaped like crescent moon or sickle. Because of the irregular shape, these can get stuck in the blood vessels, which slows down the blood flow.

Treatment
The only potential cure of sickle cell anemia is a bone marrow transplant. Other treatment measures focus on easing the symptoms and preventing further complications. The various treatment modes are as follows:
Medicines
Several types of medications are used for sickle cell anemia treatment. They include:

Antibiotics: Children with sickle cell anemia can start taking antibiotic penicillin by the age of two months. This prevents infections like pneumonia. Even in the case of adults with sickle cell anemia, antibiotics help in fighting certain infections.
Pain-relieving medications: Several over-the-counter pain relief medications may be prescribed by a doctor for reducing pain during a sickle cell crisis. Hydroxyurea is another type of medicine, which helps in reducing the frequency of pain. 
Vaccinations: Childhood vaccinations should be given for preventing the disease in children. These vaccinations are more important for children already affected with sickle cell anemia as they are more prone to infections. Vaccines such as the annual flu shot and the pneumococcal vaccine are important for adults suffering from sickle cell anemia. 
Blood transfusions: In case of a red blood transfusion, red blood cells are removed from a supply of blood that is donated. The donated cells are intravenously given to a sickle cell anemia patient. Blood transfusion increases the number of normal red blood cell count in circulation, giving relief to anemia. Regular blood transfusions are important for children with sickle cell anemia, who are highly prone to stroke. 
Stem cell transplant: A stem cell transplant or a bone marrow transplant involves the replacement of the bone marrow affected by sickle cell anemia with a healthy bone marrow given by a donor. This is a risky procedure and is only recommended for patients with sickle cell anemia at a chronic stage. 
It is recommended for you to consult a doctor on experiencing any symptom of sickle cell anemia. This is a dangerous health condition and requires proper diagnosis and treatment before it gets out of your hands.

What is Sickle Cell Anemia? How Can it Be Cured?

Upper respiratory infection (URI) is a condition, which involves illness, mainly caused by critical infection in the upper respiratory tract. This region includes the pharynx, larynx, nose and sinus. This infection causes diseases, such as tonsillitis (tonsils get inflamed), pharyngitis (causes sore throat) sinusitis (nasal passage becomes inflamed), laryngitis (voice box in your throat gets inflamed) and common cold.

Causes of upper respiratory infection (URI):
1. Both virus and bacteria cause upper respiratory infection (URI). The most common form of virus causing this infection is known as 'rhinovirus.'

2. The immune system of young adults and children are often very vulnerable. Hence, they are more likely to develop upper respiratory tract infection.

3. URI is also contagious and airborne in nature. So if a person comes in contact with an infected person suffering from URI, he/she is likely to develop this infection.

4. Not washing hands before meals can also cause upper respiratory infection because the virus can be transferred easily to the mouth and can travel into your system.

5. If you have any lung problem or heart disease, you are more likely to be susceptible to upper respiratory infection.

6. Those who already have inflamed tonsils can trigger tonsillitis by drinking any cold or spicy beverage like ice-creams or cold milkshakes.

7. Exposure to some flu or cold can cause pharyngitis. It can also be caused by second hand smoking.

8. Birth defects or structural defects in the nasal cavity or nasal polyps can cause sinusitis. Sometimes the inside part of the nose may get swollen due to common cold and block your ducts. This is a common cause for sinusitis.

Symptoms of acute upper respiratory infection:
1. Congestion in the lungs or nasal area.
2. Whooping cough
3. Running nose due to common cold.
4. Feelings of fatigue and lethargy throughout the day.
5. Your body will start aching without engaging in any physical exercise.
6. You can also lose consciousness in severe respiratory tract infections.
7. Difficulty in breathing.
8. Oxygen levels in blood drop down drastically.

Sometimes in worse cases, acute upper respiratory tract infection (URI) can also cause respiratory failure, respiratory arrest and congestive heart failure. Therefore, it is necessary to book an appointment with a doctor as soon as you start experiencing the above symptoms.

Acute Upper Respiratory Infection: Causes and Symptoms

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!

Children generally tend to be fairly over active and have lesser attention spans. However, when this tends to get into their performance at school and in general with getting along with other children it may be a sign of ADD or attention deficit disorder. Let's look at some of the common symptoms of this disorder.

Symptoms of ADD

1. Problems in staying focused: One of the very basic symptom is that children will often be very inattentive even during classes and will be easily distracted by small things.

2. Problems in trying to remember things or difficulty in following instructions: Children with attention deficit disorder tend to have issues with remembering things and if given tasks, being unable to complete as they can't remember instructions properly.

3. Issues with organizing, planning and trying to finish tasks: Due to the lack of attention, kids have problems retaining information and cannot plan or finish tasks given to them on a daily basis.

4. Easily bored or loses interest: Even if a child with ADD starts with something they like, interest may wane off quickly. Thus it is difficult to make them stick to a specific work schedule which may require regular practice.

5. Lack of attention to details and making careless mistakes: This is another trait of children with attention deficit disorder. They may be able to complete a task, but it will be fraught with mistakes as they wouldn't have much attention to detail.

6. Has a tendency to not listen when someone is speaking to them: This is also very common and is usually tied to being easily distracted and thus will drift off or not listen to when someone is speaking to them.

Some Myths about ADD

a. All kids with ADD are hyperactive
b. They will eventually grow out of it
c. Medication is the only option to treat ADD
d. ADD is not really a disorder and kids need to be trained better

Most of these are half truths and the extent of the problems varies from child to child. Only proper counseling will be able to diagnose the extent of the problem and what needs to be done.

How to spot ADD in Children

ADD can be spotted in children aged below 7 years via certain symptoms. Apart from the ones mentioned above, children generally tend be abrasive towards others and can make embarrassing comments quite often. They also change tasks very quickly without completing any of them. Any distraction would force them to change their track. It is best to go to a child specialist to get your child checked out for possible symptoms.

Symptoms and Myths About Attention Deficit Disorder (ADD) and How to Spot Them in Children

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 

2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.

3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.

4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.

5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Common Insulin Alternatives

Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? here is a list of ways!

Risk identification: it has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.

Symptom identification: to be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold. 

Respiratory health: if you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis. 

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.

How to Recognise Asthma?

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