Tips to prevent irritant diaper dermatitis (diaper rash)

A mother's prime focus always is how to ensure that her child is happy and comfortable, especially when the child is too small. One of the problems which bothers many mothers who are bringing up really small children, is diaper rash. Sensitive skin, tight diaper and prolonged contact with feces and urine etc are common reasons for diaper rash or irritant diaper dermatitis.

Here are few tips to avoid diaper rash and ensuring your child is always comfortable.

1. Careful with wash: if you are using a cloth diaper, be extra careful in washing such that there is no soap remaining in the cloth.

2. Clean well: when bathing your baby, make sure you clean the area covered by diaper with a mild soap and do not rub the area while drying, since the skin is sensitive.

3. Remove soiled diaper instantly: this is the most important. However busy you are, you need to aware of the times when the diaper/cloth has been soiled. And when soiled, the diaper has to be changed at the earliest. Do not keep your baby in the diaper for all hours of the day. It is good if they are out of the diaper for some time every day.

4. Keep the diaper loose. Also, ensure that you wash the cotton diapers with fabric softeners and try to avoid wipes altogether as they have strong chemicals in them.

5. Keep a tab on rashes: if your baby does get the rashes, check with the pediatrician at the earliest. Frequent topical applications of a bland protective barrier agent (zinc oxide paste) may suffice to prevent dermatitis. There are also chances of fungal infections. Antifungal creams should be used on advice of a doctor.

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5 Simple Ways To Avoid Diaper Rash For Your Baby

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?

Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:
1. Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
2. Nightmares: They might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
3. Obstructive sleep apnea: Snoring might be the result of improper respiration while sleeping and while it isn t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.
4. Bedwetting: This is something most children experience, but usually grow out of by the time they turn six. It doesn t need to be a cause of concern unless the frequency doesn t reduce over time and more than two instances of bedwetting take place in a week.
5. Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
6. Excessive daytime sleepiness: Excess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day.

6 Common Sleep Disorders in Children

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:
1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
2. Increased restlessness: The child would be extremely restless and gets distracted easily.
3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:
1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
2. Sleep disorders
3. Difficulty in following directions
4. Poor executive functioning skills
5. Disorganization, which can lead to poor motor coordination and impaired movements
6. ADHD kids tend to forget things very easily and need help with coordinating movements
7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly. This will help identify areas that need support from an Occupational Therapy, which are the following:

1. Support with gross and/or fine motor skills
2. Support with improving handwriting
3. Support with engaging in playing sports and games
4. Support in engaging in social activities
5. Improving sensory processing difficulties
6. Improving visual perception
7. Support in adapting to the environment
8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

Symptoms of ADHD

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
Future Consequences-
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being  paedophilia  or the sexual arousal involving prepubescent children.
Conclusion-
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.


Sexual Abuse -  Mental and Psychological Effects on Children

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?

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