Nobody knows the exact cause of autism. All medical science knows is that it s a complex neurological disorder which is detected within the first three years of life and is caused due to structural changes in the brain. Autism causes a number of symptoms which grade from mild to moderate to severe, like-

Difficulty in communication and social interaction
Language impairment
Preoccupation with fantasies
Repetitive acts (echolalia)
Excessive possessiveness to certain objects
Intellectual impairment
Over-sensitivity or under-sensitivity to pain
Developmental problems
Causes
Genetic predisposition is the most common cause of autism. Exposure to environmental toxins is the other. Other causes are use of certain drugs during pregnancy, vaccinations etc.

Diagnosis
Diagnosis of autism can only be done by clinical evaluation as there are no laboratory tests for it. The psychiatrist prepares a detailed developmental case history of the child before arriving at a diagnosis.
There are a number of Autism screening tests to diagnose autism as well. One thing to always follow is to go to a psychologist who has a history of treatment of autistic disorders.

Diet
Theories are emerging that autism may be caused by a super sensitive child s response to foods like gluten found in grains and casein, a protein found in milk. These transform into substances that act like opiates in the child s body.

These drug-like substances alter the child s behaviour, his perceptions, and his responses to his environment. Recent research has found chemicals with opiate activity in the urine of a significant number of children with autism.

Autistic children have shown mild to dramatic improvements in speech, behaviour after going on a gluten-free, casein-free (GFCF) diet.

Some of the foods that can be eaten on GFCF diet include rice, quinoa, potato, buckwheat flour, soy, amaranth, corn, fruits, vegetables, beans, tapioca, meat, poultry, fish, shellfish, nuts, eggs, and sorghum, among others.

Homoeopathic treatment of Autism:

The homoeopath carries out a detailed study of the family history of serious diseases which are linked to the development of autism in his patient.
The genetic evaluation of the patient is followed by case analysis which takes into account impaired functions in the patient like repetitive behaviour, lack of social skills, speech issues etc.
The homoeopathic medicines indicated for autism are twenty and are usually given in combinations. A homoeopath takes the decision about the exact medicine to be given, its combination with other support medicines, the dose and its repetition based on the case history of the child.
By no means should one try to cure autism by self-medicating on homoeopathic medicines as this can cause deleterious effects.
It usually takes a minimum of six months for some perceptible changes in autistic children. Homoeopathic treatment may have to be continued for over a year if the symptoms of autism are very severe.

Autism- Diagnosis, Diet And Homeopathic Treatment!

If the blood flow between left ventricle and aorta is obstructed, it is known as Aortic Stenosis.
Aortic stenosis can occur in newborn, infants, children and adolescents. It is more common among boys than in girls.
Mild cases of this disorder do not need treatment. However, if a child has a severe case of aortic stenosis, then it requires treatment.

Aortic stenosis: Causes-

Blockage in the valve, mainly in the form of bicuspid valve stenosis (Aortic valve stenosis)
Muscular/fibrinous obstruction beneath the aortic valve (Subaortic stenosis)
Narrowing above the aortic valve in aorta itself (Supravalvular aortic stenosis)
Aortic valves regulate blood flow to the body parts. When aortic valve opens, it allows blood to go forward then it closed down so that blood will not come back to left ventricle.
However, if there is a problem with the aortic valve, it cannot open entirely and that restricts the passage of blood. The heart has to work extra hard to ensure that the entire volume of blood flow through the faulty valve.

Sometimes babies are born with deformed aortic valve in the form of bicuspid aortic valve that is prone for obstruction as compared to normal trileaflet aortic valve.

Aortic Stenosis: Symptoms-

Symptoms due to aortic stenos is depends on age of the child and its severity.
If occurs in newborn babies, it is generally severe in intensity and babies are generally in shock like state due to low cardiac output.
Infants are generally tired easily during feeding.
Children show signs of easy fatigue, chest pain, loss of consciousness and in late stages with shortness of breath.
Diagnosis of Aortic Stenosis-

Pre-natal testing like a fetal echocardiogram can reveal aortic stenosis if moderate to severe in intensity. That is why as soon as the baby is born, treatment is initiated.
Even if the child was not born with a problematic valve, this condition can arise a few years later.
For diagnosing this disease pediatric echocardiogram by pediatric cardiologist needs to be done from the chest of the child
Treatment of Aortic Stenosis-

If aortic stenosis is mild to moderate in intensity then we need to do follow-up of the child at regular intervals.
However, in severe aortic stenosis, treatment needs to be done
In valvular aortic stenosis, treatment of choice is by doing ballooning of aortic valve (Balloon aortic valvuloplasty, BAV) in any age group.

Balloon Aortic Valvuloplasty - This is not open-heart surgery. It is done in cardiac cath lab under fluoroscopic guidance by using vessels in thigh. We cross the valve with wire and catheters and we inflate a balloon across the stenosed aortic valve.

Open heart surgery: In subvalvular and supravalvular aortic stenosis, treatment is by open heart surgery.

Valve Replacement - An artificial valve or a donor valve is surgically attached at aortic valve location when valve is not amenable for ballooning. It is generally done in adolescent or adult patients.
Parents need to be alert and attentive to any physical discomfort that their child is suffering because that could be a symptom of aortic stenosis. The right treatment at the right time is necessary whenever required.

Aortic Stenosis - All You Must Know About It!

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: Tension free  repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

Types of Hernia - How Laproscopy Can Help Manage?

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia.

1. Keep away from the practices, which lead to hyperglycemia
The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.

2. Discuss problems with the patient
Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.

3. Use glucagon
Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately.

Hypoglycemia: Going Lower Is Not Always Good

Breasts are integral to womanhood. They define a woman s beauty. Well grown, firmer breasts are what every woman dreams of. However, not many women are lucky enough to have the perfect shape and size of breasts. A common belief among people is that bigger the size of the breasts, the better they are. This is a big misconception. The ideal breast size is the one that is in proportion to the rest of the body. Bigger breasts do not look good on women with smaller structure and are also prone to sagging. Apart from a disproportionate figure, many women with larger breasts complain of backache, neck and shoulder pain due to the physical burden born by the upper body. Hence, the need for a medical intervention. Such women can consider breast reduction as a permanent solution to their problem.

Breast reduction or reduction mammoplasty is a procedure that reduces the size of the breasts through surgical removal of tissues, fat and skin, thereby making it ideal as per the body structure. The procedure is performed under the guidance of a trained aesthetic plastic surgeon and takes about three to five hours.

Hospital admission is usually required and a general anesthesia is given to the patient. Healing of wounds may take a few days. Breast reduction surgery also deals with issues of sagging breasts and helps them give an uplifted and firmer appearance. Another advantage of this surgery is that it can reduce the size of areola making the breasts appear younger and better.

Like any other surgery, reduction mammaplasty is not free of side effects. There are risks associated and one has to carefully weigh the risks and benefits before taking this decision. It can cause complications like excessive bleeding and adverse anesthesia reactions. Apart from this, some of the common side effects of this surgery are loss of sensation in the nipples and areola, inability to breastfeed and scarring. Sometimes, the procedure may need to be repeated in case there is a visible asymmetry in the size of both the breasts.

In general, women considering this option are overweight, have no plans to bear children in future and are suffering from heaviness and pain in upper part of the body due to larger breasts. However, many women desire to improve their appearance. Cosmetic market delivers many new gels and creams for breast reduction, claiming them to be simpler and safer than surgery, but their effectiveness is doubtful. Women looking for a more permanent solution may consider a surgical procedure. However, following the surgeon s instructions is important pre as well as post-surgery. If you are worried about the size of your breasts, do visit a plastic surgeon and discuss your options.

Should You Get Breast Reduction Surgery? 

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes. It can form curves on your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

    Your feet roll inward excessively when you walk (too much pronation)
    You have high curves or level feet
    You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
    You are overweight
    You wear shoes that don't fit well
    You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

    Avoid walking or running on hard surfaces.
    To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
    Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
    Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
    Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

What to Know About Plantar Fasciitis

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