Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.

The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.

In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.

Few Causes:

Head injury

Tuberculosis

Radiation treatment

Stroke

Brain tumors

Brain surgery

Meningitis (brain infection)

Hypophysitis (autoimmune inflammatory disorder)

Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.

Impaired hormone secretion by the pituitary gland is caused by genetic mutations.

Sheehan s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.

Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.

Symptoms:

Fatigue

Reduced sex drive

Decreased appetite

Anemia

Irregular menstruation, pubic hair loss, hot flashes (feverish heat), and inability to breast-feed properly because of low breast milk production).

Dwarfism in children

Weight loss

Increased sensitivity to cold temperature

Infertility

Facial puffiness

Reduction in body hair or facial hair

Treatment Options:

Hormone replacement drugs include:

Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.

Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.

Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.

Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging.

Hypopituitarism: Causes, Symptoms and Treatment

Dementia is the declining condition of the brain to function that interferes with daily life. It is not a disease but rather various symptoms. In such a condition, the communicative skills, as well as cognitive functions of the patient, compromised. Dementia is knowns to affect the functioning of memory, visual perception, and attention. These symptoms often cause disorientation, impaired judgment, and depression.

Speech therapy in Dementia is a way in which a speech-language pathologist can help the patients in maintaining a certain level of independence in themselves. Speech therapy helps in stimulating the cognitive abilities of the patient by engaging and practicing certain activities.

There are certain ways in which the cognitive functioning of the brain can be stimulated:

Spaced Retrieval errorless learning

Memory books and other Memory Aids

The speech therapists determine the changes in how a person is eating, swallowing, and drinking. The changes, if directed towards the improper cognitive abilities, are managed by certain strategies.

Other than normal activities, the person with Dementia also faces difficulty in communication aspects. It can either be verbal or non-verbal or both which includes gesturing, speaking, writing, and reading. The major areas that get affected by Dementia include social interaction, behavioral self-regulation, academic performance, as well as vocational performance.

It can get difficult to communicate with the person showing symptoms of Dementia. Hence, there are certain ways to help such situations.

Speaking Way

Speak calmly and clearly

Speak at a slower pace, so that the person processes the information and respond accordingly

Avoid speaking in sharp or loud voices

It is advisable to use simple and short sentences

Try speaking in a humorous way

You can also try to indulge them in conversations with others

Include them in a social group. Doing this can help in maintaining a sense of identity for the person with Dementia

Apart from this, speech therapists suggest that there are certain things you can talk about with the person of Dementia.

Whatever you are saying, say in a positive way

Try and avoid the direct questions

If you re asking questions, ask one at a time and try framing them in  yes  or  no  category

Try another way if the person cannot understand too complicated information. Don t repeat the same sentences.

Try to break down too much information in simpler explanations and sentences

A person with Dementia may have difficulty in determining particular information to be true or false. In such a case, try not to contradict them directly rather try to steer the conversation around the topic.

Take Away
A person showing symptoms of Dementia may have difficulty in carrying out simpler tasks of everyday life. Moreover, the patient may show certain behavioral, social, and physical imbalance. Such imbalance is caused by the declining cognitive abilities of the person. A speech therapist can help to overcome these disabilities through persistent training and practice.

Dementia - Know Speech Therapy For It!

Epilepsy is a neurological condition that leads to recurrent seizures. Seizures arise when electrical activity in the brain suddenly surges causing a temporary disturbance within the messaging systems located between the brain cells.

Epilepsy is more common in children below the age of two years and adults above the age of 65 years.

Seizure Types

Seizures are classified into two main categories depending on their area of impact. 

A focal seizure is one that affects only one part or area of the brain whereas a generalised seizure affects the whole brain. Further, both focal and generalised seizures have various sub-categories which are as follows-

Previous nomenclature- 

Partial Seizure

  Simple Partial Seizure
  Complex Partial Seizure
  Partial Seizure with Secondary Generalization

Generalized Seizure

  Absence Seizures
  Myoclonic Seizure
  Atonic Seizure
  Tonic Seizure
  Tonic-clonic Seizure
  Mixed Seizure
  Status Epilepticus

Latest nomenclature of seizure types:

Focal seizures-

  Focal aware seizures
  Focal impaired awareness seizures (previously called complex partial seizures)
. Bilateral tonic clonic seizures

Generalised onset seizures-

  Tonic clonic seizures.
  Atonic seizures (sometimes called drop attacks) and tonic seizure.
  Myoclonic seizures.
  Absence seizures.

Symptoms

The well know symptom of epilepsy is a convulsion/ fit, a few other symptoms include-

  Intermittent spells of fainting. When this happens the patient is likely to lose control of his/her bladder or bowel movements. Following this, the person is likely to suffer from extreme tiredness.
  Spells of a blackout with difficulty in remembering
  Becoming unresponsive to any instructions or questions asked during brief periods of time
  Bouts of continuous blinking without any known reason
  Inappropriate movements that keep on occurring
  Changes in sensory perceptions
  Sudden stiffness in the body

Reasons for Epilepsy

Messaging systems within the brain are responsible for every function that goes about in your body. A disruption to this system caused by defective electrical activity leads to epilepsy in a person. Many people inherit epilepsy while others may develop this condition as a result of-

  Head trauma sustained during an accident
  A stroke or a tumour that has affected the brain impairing its normal capabilities
  An injury to the brain before or during birth
  Associated with developmental issues
  Infections of the brain

Treatment for Epilepsy

Epilepsy in childhood can be treated by using medications and by adopting dietary changes in some cases. Medications for epilepsy mainly include-

  Anticonvulsants - Helps control seizures and manages the symptoms of epilepsy
  Medications for nerve pain - Reduce pain that is caused by the damaged nerves

These medications should be consumed as and when prescribed by the doctor. You must consult a paediatrician for this, as he/she will take your child s physical and mental in consideration before starting the treatment.

Seizures that occur in childhood may be benign. This means that it will not continue into one s adult life. Further, those children who have suffered from epilepsy in their childhood have been seen to have normal mental and intellectual development in their adulthood. However, some epilepsy syndromes in children can have a devastating effect on the child.

Seizure threshold is a term that is used to refer to the conditions that are important for the production of seizures. The threshold is lower for people who are more prone to having seizures whereas the threshold is higher for those who do not have a tendency to suffer from seizures.

A Complete Guide To Childhood Epilepsy!

Migraine is a very common form of a headache which strikes nearly 15 % of the population. Females are more prone to migraines. Science has not been able to find the real cause behind migraine attacks and the way it treats these massive headaches is also patchy at best. A migraine occurs for a definite period of time, usually, comes with a warning and paralysing pain.

Ayurvedic view
According to Ayurveda, migraine is a tri-dosha disorder. It occurs when vata or the wind element goes out of sync. Vata controls the nervous system and brain activity. Vata imbalances are linked to many diseases like joint problems, dizziness and it happens because of faulty metabolism, poor elimination, sleeplessness, etc. Pitta the fire element also has a role to play in migraines. It causes dilation of the blood vessels, which brings on a migraine attack.

Ayurvedic physicians can identify which dosha is causing a migraine. If the patient is constipated, has acute pain and has dry skin, his Vata is out of whack. If a patient has nosebleeds, is hypersensitive to light, has burning eyes and is irritable, pitta is out of balance. And if a patient has fatigue, is depressed and has a dull throbbing in the head, he is suffering a Kapha imbalance.

Ayurvedic therapies

Shirolepa: Application of herbal pastes to pacify pitta like sandalwood, camphor, Jatamansi.
Shiro Dhara: Medicated oils are poured on the scalp.
Taila dhara: Oils like ksheerabala taila, chandanadi taila are poured on scalp for calming higher vata imbalances. 
Ksheera dhara: Here cow milk is poured on the scalp to pacify pitta.
Takra dhara:  Also known as buttermilk is poured when there is obstruction to passage of vata.
Kavala graha: Oil pulling done with oils like chandanadi taila and mahanarayana taila.
Shirovasti: Medicated oils are retained on the scalp by wearing a leather cap.
Sneha nasya: Oils like Anu tailam are poured into nostrils.
Apart from there therapies herbs like Kumari or Aloe vera, Amalaki or amala and Bala or Sida cardifolia are very useful as migraine cures. Several Ayurvedic medicines are also very useful in migraine-like-

Pathyadi khada: It is used in the treatment of headaches, earaches, and migraine etc.
Shirashooladi vajra rasa: It is used in the treatment of headache, migraine, tension headache, vascular headache etc.
Bhoonimbadi khada: Used as a cure for fever, cold, sinusitis, headache.
Kamadugha rasa: Used to cure all high pitta conditions.
Godanti Bhasma: 250 mg of this medicine is also given twice a day for immediate relief from migraines.
Patients should also eat warm, nutritive foods like sesame, sweet fruits, cumin, garlic, jaggery and rice for balancing Vata. For balancing pitta, they should stay away from smoking and drinking at the very least.

Migraine - 8 Ayurvedic Remedies For Treating It!

Cerebral palsy is a neurologic condition that occurs in children, and is due to brain injury that develops before, during, or after childbirth. The condition presents with motor impairment, and therefore there is generalized physical and mental dysfunction. The brain continues to develop for the first two years of life, and so conditions like premature birth, asphyxia at birth, and postnatal meningitis and encephalitis.

The diagnosis could be trigged by the slow motor development, poor muscle tone, and delayed response of the baby. One of the main noticeable feature that becomes evident is the spasticity of the limbs. The child may not be able to voice it out, but pain is a significant disabling factor too. While doctors would advise that physical movement is required to keep the spasticity at bay, the pain keeps the child away from most activities. This further adds to the spasticity and worsening of the condition.

Pain control therefore assumes a significant role and the modes can range from physical therapy to pain killers to injections to surgery. The idea, in addition to pain control, is also to:

Improve range of motion
Improve motor response
Promote good motor development
Reduce and control contractures
Improve overall lifestyle
Improve muscle strength
Improve exercise tolerance
Reduce spasticity
Some of the non-medical ways to control pain are listed below. 

Of course, pain killers and injections are always used when immediate relief is required. A structured physical therapy program that includes medications and exercise is the best way to manage cerebral palsy pain. Though initially difficult, over a period of time, it improves range of motion and improves joint movement.

Acupuncture: Triggering specific points via needles is believed to stimulate the nerve endings and help in pain control
Alternating ice and heat therapy: This is also believed to improve pain control, blood circulation, and muscle movement.
Positioning in bed: A well-positioned child in bed may have less pain compared to another child who is not. Special equipment may be used also to keep the child in place, once the most comfortable situation is located.
Muscle massage: The affected muscles need to be massaged repeatedly so that blood flow improves, joint movement is better, and pain is controlled.
Botox is successfully used to pain control, as it paralyzes the specific muscles along with providing pain control.
Medications are used regularly, which are mainly anticholinergic and anti-spastic medications. They reduce stiffness, control pain, and help in pain control too.
Surgery is the last option and needs to be explored with the doctor.

Pain Management Of Spasticity With Cerebral Palsy!

Social interactions and social skills are going to help a child make friends, help to develop hobbies and interests. It helps a child to learn something new. For children with Autism, it is not going to be easy to interact with people, in classrooms, in some simple conversations or on the playground. Being a parent of a child with Autism is not at all easy. You will never want to see your child suffer even when they interact with their friends.
But there are ways to help your child to enhance their social skills.

Here are some of them for you:

Reward them: You need to support your children as much as possible. When you get less time to spend with them, then you can opt for therapy sessions. But therapy sessions alone will not help. When there is something done at the session, practice it at home as well. Reward them if they are able to meet the expected behaviour.
Buy a Pet: Yes, a pet can help them to improve social behaviour. They form an emotional bonding with the pets and that is when they will be able to understand these emotions and feeling. Many studies show that when a child with Autism has a pet, they learn to interact in a much better way.
Help them understand what is expected: At the very beginning, do not try to teach your child what is right or what is wrong. Rather, you should try to help them understand what is expected from them. For example, when someone is talking to them, they tend to look elsewhere. Do not tell them that it is wrong to look elsewhere, rather help them understand that when a person is talking, they expect your attention. Give them some example, some concrete example to make it easy for them.
With right practice and understand, you will be able to help your child improve their social skills. In fact, you play the major role.

Helping Your Child With Autism To Improve Social Skills!

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