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

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.
Second line therapies:

Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.


Infantile Spasms - How They Can Be Treated?

5 Easy ways to prevent obesity in your child

Research shows that overweight children have a higher chances of developing chronic health problems such as hypertension, asthma, high cholesterol, and even cancer as they grow up. Apart from these health conditions, being obese can cause severe self-esteem problems as well. In short, obesity in children, more specifically childhood obesity, can affect the overall physical, mental and emotional health of your child.  

Here are 5 easy ways to prevent your child from falling into the perils of obesity.

1. Develop healthy eating habits in your child
Encouraging your little ones to develop healthy eating habits is vital for maintaining optimum body weight. Instead of high sugar and high fat foods, a child’s diet should consist of fruits, vegetables and whole-grain foods (such as oats, quinoa and wheat). Proteins such as lean meats, lentils, beans and fish should be included in his/her eating plan as well. Most importantly, serving food in the right portion sizes will ensure your child is getting the right amount of nutrients, while preventing him/her from consuming empty calories. Inculcate these eating habits in them right from the time they are toddlers so that it stays with them as they get older.

2. Make your child avoid calorie-rich foods
Getting your child to avoid fatty, sugary and salty foods can also prevent him from tipping over the weighing scale. Present before your child low sugar and low fat alternatives that he/she would enjoy eating such as apples, bananas, carrots, etc. 

3. Encourage your child to pursue physical activity
Try to encourage your child to engage in some form of physical activity for about 60 minutes every day. From brisk walking, swimming, dancing to skipping - your child could opt for any of these physical activities. Having your child lead an active life can see him/her enjoying a number of health benefits like respite from stress, strengthening of his/her bones and muscles and decrease in blood pressure, to name a few. 

4. Put a limit on your child’s TV time
When it comes to the time that your child may spend before the TV, computer or other gizmos, it should be not more than 2 hours a day. Instead, devise fun activities wherein your child as well other members of the family can take part in or ones in which your child does not need a company.

5. Ensure your child gets enough sleep
Lastly, a good night’s rest that lasts about 9-12 hours is vital for optimal weight maintenance. Studies reveal that children who slept for fewer hours were more at risk of being obese. This is because less sleep causes fatigue, leading to a decrease in physical activity and therefore, use of energy. 




5 Practical Ways to Prevent Obesity in Children

Bronchial asthma is a medical condition. It happens when the airways of your lungs swell up and become narrow. This limits the amount of air that can pass through the passages and this leads to respiratory distress. Asthma can affect anyone and usually, it starts from childhood.

What are the Symptoms of Bronchial Asthma?
Some common symptoms of bronchial asthma are-

  Wheezing and breathlessness
  Tightness of the chest
  Frequent bouts of coughing which are more common at night or in the early morning, making sleep difficult. 

Bronchial asthma does not go away on its own. It requires treatment.

What is Siddha?
Siddha is a very ancient system of medication and treatment that originated in Tamil Nadu. According to Siddha, the individual is a microcosm of the entire universe. And it is made up of some fundamental elements- earth, air, fire, water and ether as well as three humours- Vata, Pitta and Kapha. An imbalance of these components causes an ailment. So, the chief goal of Siddha is to restore the right balance to root out any illness.

Types of Asthma according to Siddha -
We find mention of asthma in Siddha literature. It is called Eraippu Noi. There are five types of asthma -

  Vazhi Eraippu Noi - Digestive troubles may lead to accumulation of Vata. This is not a grave form of asthma and can easily be cured.

  Iya Eraippu Noi - Exposure to cold climes or freezing winds or being drenched in rain can cause Kapha to build up in the system, which triggers this form of asthma. It is accompanied by symptoms such as the runny nose, nasal congestion, breathing trouble when lying down.

  Iyavazhi Eraippu Noi - Both Vata and Kapha accumulate to trigger this kind of asthma. Its symptoms include breathlessness, bloating, indigestion, disorientation, etc.

  Mukkuttra Eraippu Noi - An imbalance of all three humours- Vata, Pitta and Kapha are the culprits behind mukkuttra Eraippu Noi. A person who has contracted it might experience severe chest pain, constipation and even loss of consciousness.

  Mel nokku Eraippu Noi - This is the gravest form of bronchial asthma and requires extensive treatment.

Treatment of Asthma according to Siddha -

Siddha will first try to understand what kind of imbalance has caused your asthma. The medication depends on the type of asthma. Siddha medicines are made from particular parts of herbs that will induce you to either vomit or defecate to get rid of the excess humour that has accumulated in your body. Thus, the balance of Kapha, Pitta and Vata is restored.

You might also be suggested a few breathing exercises to strengthen your lungs and diaphragm.
Siddha follows a holistic way to curing bronchial asthma and targets it at its source. Unlike allopathic medication, medicines prescribed by Siddha are herbal and have no side effects.

Siddha Approach In Treating Bronchial Asthma!

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

Baby bottle syndrome is a decay that affects the milk teeth in children who fall asleep with a bottle containing sugary drinks. Prolonged contact between the liquid and the surface of the teeth promotes the destruction of tooth enamel.

Causes and symptoms

The symptoms of baby bottle tooth decay are discoloration of the tooth (enamel), with the formation of yellow or black spots on the surface.

When a child falls asleep with a bottle containing sugary liquids such as milk, fruit juice, sugar water, or with a pacifier dipped in honey or syrup - bacteria present in the mouth, (streptococcus mutans to be precise) transform the sugar into lactic acid.

Normally, the saliva helps to neutralize this acidity, but its production declines during sleep. Thus, teeth are subjected to acid attacks that promote the formation of cavities. As milk teeth are weaker than permanent teeth, decay can be quick with enamel getting hit first, then dentin and finally the pulp in the centre of the tooth.

At this stage, the infection can spread rapidly to other teeth, causing significant pain when the dental abscess formation often requires removal of the damaged teeth.

Precautions

To avoid it, the first thing to do of course is to stop giving your child a sweetened drink at night or when putting the child for a nap. You should also brush your baby's milk teeth twice a day, especially at bedtime with a cotton swab and water and in a year - with a toothbrush and toothpaste.

In case, the teeth are already decayed or you have doubts about it (staining of the tooth that becomes pink or white can be the harbinger of decay), consult a paediatric dentist immediately. Decayed milk teeth may lead to deformation of the permanent teeth if not attended to immediately.

Causes and symptoms of Baby Bottle Tooth Decay

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