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!

Benefits of breastfeeding 

Breast milk contains the right balance of nutrients for your baby. Breast milk is easier to digest than is commercial formula.
The antibodies in breast milk boost your baby's immune system. Breastfed babies get fewer colds and sinus and ear infections. They also have less diarrhea and constipation and a decreased chance of having allergies.
Helps to increase the bonding with your baby
Helps to reduce the risk of breast cancer in the mother
No frantic runs to the store. No bottle cleanup. Many moms just roll over (especially if their baby is in a co-sleeper) and nurse in a sleepy state. Breast milk is instantly available and delivered warm.
If you mostly breastfeed, you save money on formula
Breast-feeding might even help you lose weight after the baby is born.
Its tough in the begining
Consider a breastfeeding class while you're pregnant. Getting baby to latch on may not feel natural. Ask for help in the hospital. Those first days, you might feel what experts call extreme tenderness -- and what we call pain. But once your baby is properly latched, discomfort should diminish during each nursing session and go away completely with time. Don't ignore shooting pain; a knot in the breast accompanied by soreness and redness could be a plugged milk duct, which can lead to mastitis, a nasty infection that requires antibiotics.

Start by getting comfortable. Support yourself with pillows if needed. Then cradle your baby close to your breast rather than learning forward to bring your breast to your baby. Support the baby's head with one hand and support your breast with the other hand. Tickle your baby's lower lip with your nipple to encourage your baby's mouth to open wide. Look and listen for a rhythmic sucking and swallowing pattern.

If you need to remove the baby from your breast, first release the suction by inserting your finger into the corner of your baby's mouth. If your baby consistently nurses on only one breast at a feeding during the first few weeks, pump the other breast to relieve pressure and protect your milk supply.

You're the food supply, so mother yourself

The nutrient needs of a woman are at an alltime high during breastfeeding. Keep taking prenatal vitamins, get ample calcium. By weight, 88% of breast milk is water. Breast milk volume increases from as little as 50 ml on the first day, to as much as 750 ml a day, when breastfeeding is well established. So, the most critical nutrient needed for the production of ample breastmilk to meet a suckling baby s demand, is water. Aim to drink at least 1.5- 2 litres/day.

You'll also need to learn to relax, however you can -- stress might affect letdown (the start of your milk flow). Take a warm shower, sink into a chair, and remember to breathe as you help your squirmy baby latch on. 

Select wholesome food such as wholegrains, fruit, vegetables, low fat dairy products, lean meat, fish, poultry, eggs, beans, nuts and seeds to maximise the overall nutrient quality of your diet.If you need medication (for anything from a cold to a chronic condition), check with your doctor. Most meds -- but not all -- are fine in breast milk. 

Breastfeeding - Why Is It Advocated & Tips For Moms

As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process. What has changed? It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world; 'Do as I say and not as I do' style of parenting does not work. But, 'I will do as I see you doing' phrase from kids define our parent child relationship.

With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! When there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models. How positive parenting style will help? The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.

Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.

Tips to get you started:

1. Everyone deserves to be treated with respect and dignity, including children.

2. When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.

3. Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these 'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (10 minutes will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).

4. Let your love for them be the driving force. Shift your internal conversations from 'have to' to 'Want to'. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.

5. Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.

6. Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! They will be open to your wisdom and suggestion when they are at the cross road.

7. Last but not the least, 'be a role model'. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the TV till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.

8. Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? if you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!!

Positive Parenting

5 priceless gifts for your child this children’s day

On the occasion of Children’s Day this year, switch to smarter choices from entertaining toys and noisy video games as gifts for your kids. Enhance their lifestyle by making available gifts that involve constructive physical, cognitive or emotional skills. All you need to do is find the ideal gift for your little one that adds a smile on his face while teaching him something meaningful.

Maintain your own Calendar!

Gift #1- Most children like to know what day it is, how many days until a certain event, or even what the plan of the day is and so on. Some kids struggle with spur-of-the-moment plans. Gifting your little boy or girl their own month or annual planner will also make your world run smoothly. This enables them to write down their own classes, events, play dates or school days.
Benefit- A calendar would make your young one responsible enough to remember important dates and maintain his/her own schedule.

Challenging Games and Puzzles!

Gift #2- Kids love great indoor activities that pique their interests. Some are known to be constructive activities that teach your child a lot. Certain games help in strengthening mathematical skills in children like Monopoly and Payday. Memory or language games too help in adding value to your child’s mind. Rory’s Story Cubes and Q-bitz are challenging games that check and increase visual and creative skills.
Benefit- Games help in brain development and enhance problem solving skills. Puzzles increase creative and novel thinking that help in building your kid’s IQ.

Home-cooking Spree!

Gift #3- If your children enjoy eating or cooking food, they will love this gift. All you need to do is select an easy recipe of a yummy treat and purchase all the required ingredients. To make the event a special one, set a date and time for cooking together. Baking or cooking together with your child is an ideal time to share a beautiful bond while they learn life skills.
Benefit- This special home activity will surely instil culinary values. As a whole this process would also train them to work as team and follow procedures and steps carefully.

A Micro-Library for Kids

Gift #4- Reading is a habit that mostly develops at a younger age and it’s an essential if you want your child to have a strong hold over a language. Books with a message and stories with a deep-rooted moral go a long way in inspiring the young minds. Good reads with a positive layout for kids that you can opt for are “I Believe in Me” by Connie Bowen or “On My Way to a Happy Life” by Deepak Chopra.
Benefit- Books are teachers in itself as they impart knowledge. Good books develop spoken, written, creative and cognitive skills whilst teaching your kid perfect usage of the language.

Telling the Time

Gift #5- You can check whether or not your child knows how to read analog clocks in this age of digitalisation. If you find he/she takes too long to think about it you can think of getting them a cool analog watch with three hands. This makes them want to be able to tell time on it.
Benefit- Being on time is a wonderful thing. Train your kid to be punctual at his/her growing years by gifting them the perfect time-managing instrument.



5 Priceless Gifts for Your Child this Children’s Day

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
 
Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
 
What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
 
Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
 
Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
 
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

Parenting Tips for Fever in Children

It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

How to Remove Insect from Ear at Home? 

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