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

Thumb or finger sucking is common in infants through the first year of their lives. A child usually turns to his thumb when he is tired, upset or bored.

A child younger than five years should not be pressured to stop thumb sucking. While majority of children give up such habits on their own before they enter school, about 15 percent of children continue thumb sucking past their fifth birthday. This is an age when teasing often starts, causing difficulties for children.

Apart from this, thumb sucking can also lead to dental problems. A child who is still sucking his thumb by age five, when permanent teeth start coming in, may develop an abnormal bite. In addition, prolonged thumb sucking can cause minor physical problems, such as chapped lips or cracked skin, calluses, or fingernail infections.

The effects of thumb sucking are usually reversible until the age of seven because children still have their deciduous (baby) teeth. If thumb sucking continues beyond that age, when the second teeth are erupting, permanent dental problems can occur.

There are various things you can do to help your child stop thumb sucking:

1. Reward your child and offer encouragement - for example, with a hug or praise to reinforce their decision to stop the habit.

2. Limit nagging - if children feel they are being nagged they will become defensive.

3. Mark their progress on a calendar - for example, place a star or a tick for each period (such as a day or week) that the child does not suck thumb or finger. Provide a special outing or a toy if the child gets through the period successfully.

4. Encourage bonding - for example, with a special toy.

5. Reminders - give the child a mitten to wear as a reminder not to suck, or place unpleasant tasting nail paint (available from chemists) on the fingers or thumb. Placing a band aid over the thumb at bedtime is another reminder.

6. Offer distractions - while a child is watching tv, have toys available for children to play with. Sit with the child during this time and give a cuddle to help them not to suck. In the car, have toys available to keep children occupied.

7. Talk to your pediatrician and your child's dentist, who may recommend appropriate treatment that prevents thumb sucking.

Preventing Thumb Sucking in Children

Best Way To Treat Fever In Children

Let us imagine a scenario: It is 4 in the morning. You are fast asleep and suddenly you hear the discomforting cries of your child. You sense that something is wrong and you immediately rush to the other room. As soon as you touch him, you realize that the child's body is burning up like a furnace? You immediately rush to get your thermometer and the figures on it do not make for a good reading - 102 degrees F. Panic dulls your response rate. Your first reaction is to call the doctor. It might be the right thing to do in some rare cases, but in most cases experts advise differently.

Stay Calm

The most important thing is for you to stay calm and relax and realize that it is still well within your hand to take care of the child. First things first, fever is not your enemy. Rather, it is body's way of telling you that your immune system is fighting alien elements in your body. Children of the age group 0 to 3 almost always face high temperatures at some point in their nascent lives.

The Need of the Hour

How you should go about it depends on your child's age and thermometer's readings. If your child is a newborn or is less than 3 months old and reading is above 100.4 degrees, then you must call the doctor at once.

Between 3 to 6 months, temperature threshold is 101 degrees F, while 103 degrees F is usually the limit for children older than 6 months. But, if the child is showing alarming symptoms such as body ache, fatigue, and diarrhoea, along with the high temperature of 101 degrees F or 102 degrees F, then you should consider calling the doctor on a priority basis.

Take the Hints - Be Wary of the Symptoms

Keeping an eye out on the symptoms is extremely important. If your child has a running nose and low-grade fever (99-100 degrees F), then he might be suffering from a bout of common cold. Vomiting and diarrhoea usually indicate stomach virus. For children with weak immune system or at higher risk than others, it is advisable to consult a doctor.

A 24 hours rest is generally advised in flu, till the patient is fever free without taking any antibiotics. Ailments like an earache, sore throat or discomfort in peeing should be brought to the notice of doctor as it might indicate soar throat, UTI or ear infection, all of which require antibiotic treatments. Certain signs warrant an immediate medical attention. Discomfort in breathing along with constant crying, difficulty in walking, unusual rashes and purple looking spots demand that he be taken to the E.R. right away.

The most important thing is to complete the treatment course diligently and let the fever run its course as it may actually aid the body in building immunity against the fever causing germs and fight them. One must remember that being calm and relaxed at taxing times go a long way in helping you take right decisions and treating fever in children is all about patience and right decisions.

Best Way To Treat Fever In Children

Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

Symptoms
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:
1. Social withdrawal
2. Irritability
3. Feeling of worthlessness
4. Difficulty in concentrating
5. Reduced ability to function during events
6. Continuous feelings of sadness
7. Physical complaints

Causes
1. Depression in children can be caused due to the combination of a multitude of reasons.
2. Children from a family history of depression are more likely to be suffering from depression.
3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

Treatment
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.

In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:
1. Changes in eating, sleeping or activities
2. Isolating oneself even from family
3. Talking of suicide, feeling helpless or hopeless
4. Increased risk taking behavior
5. Substance abuse
6. Giving away possessions

Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.

All About Depression in Children

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong. 
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

If you would like to consult with me privately, please click on 'Consult'.
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Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

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