The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Tips to prevent irritant diaper dermatitis (diaper rash)

A mother's prime focus always is how to ensure that her child is happy and comfortable, especially when the child is too small. One of the problems which bothers many mothers who are bringing up really small children, is diaper rash. Sensitive skin, tight diaper and prolonged contact with feces and urine etc are common reasons for diaper rash or irritant diaper dermatitis.

Here are few tips to avoid diaper rash and ensuring your child is always comfortable.

1. Careful with wash: if you are using a cloth diaper, be extra careful in washing such that there is no soap remaining in the cloth.

2. Clean well: when bathing your baby, make sure you clean the area covered by diaper with a mild soap and do not rub the area while drying, since the skin is sensitive.

3. Remove soiled diaper instantly: this is the most important. However busy you are, you need to aware of the times when the diaper/cloth has been soiled. And when soiled, the diaper has to be changed at the earliest. Do not keep your baby in the diaper for all hours of the day. It is good if they are out of the diaper for some time every day.

4. Keep the diaper loose. Also, ensure that you wash the cotton diapers with fabric softeners and try to avoid wipes altogether as they have strong chemicals in them.

5. Keep a tab on rashes: if your baby does get the rashes, check with the pediatrician at the earliest. Frequent topical applications of a bland protective barrier agent (zinc oxide paste) may suffice to prevent dermatitis. There are also chances of fungal infections. Antifungal creams should be used on advice of a doctor.

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5 Simple Ways To Avoid Diaper Rash For Your Baby

Forging positive peer relationships is essential for all children. Sadly, children with ADHD (Attention Deficit Hyperactivity Disorder) find making friends and being accepted by their peers difficult. The hyperactivity, inattention, and impulsiveness associated with the disorder can impede the child s attempts of socializing with others in several ways.

Non-acceptance, isolation, loneliness- these are perhaps some of the most painful aspects of ADHD-related ailments. These experiences usually leave behind long-lasting effects on the minds of the child. The good news is, you can help your child develop social skills and competencies. Here are 4 ways you can do this-

Make your child socially aware: Studies show that children with ADHD fail to monitor their own behavior. Often they are unable to have a clear awareness and understanding of social situations or the reactions they provoke in others. ADHD-related impairments can result in weaknesses of your child s ability to read or assess a situation, self-monitor, self-evaluate, and adjust accordingly to the same.
Role-play to teach your child: Children with ADHD have tough time learning from past experiences. They tend to react without thinking about the consequences. As parents, you must provide them frequent and immediate feedback on inappropriate behavior. One way you can do this is by adopting the  role-play  method. Role-playing can help you teach your child how to practice social skills, and respond to challenging situations.
Provide opportunities to forge friendships: Arrange for a specific  play time  for the child. Provide opportunities for developing friendly bonds with peer groups. Children who are of school-going age should be encouraged more to interact with others. Setting a fixed time for playful activities can be helpful. You can have your child s friends (one or two at a time) over to take part in some activity, and watch him socialize with them. As the child grows older, friendships and relationships often become complicated. Therefore, it is important that the parents be involved and continue to facilitate positive peer interaction.
Improve your child s peer status: Once the child is tagged by his/her peer group in a negative way for lacking social skills, it becomes hard to drop the tag. Having a negative reputation is in fact one of the greatest obstacles the child may have to overcome socially. Parents are advised to work with the child s teacher/coach to address such negative reputational effects, and improve their peer status.
ADHD can thus be managed by improving one s social skills. Parents of a child who suffer from this hyperactive disorder can also seek help from a professional to get some input on the condition of their child.

Before applying the tips suggested here, it is highly recommended that an Energy Assessment be done for your child by an expert in ADHD. This will help establish the correct diagnosis in the first place and you can then explore unconventional or alternative healing methods such as Intent Healing that are helping parents who have children with ADHD see their child thrive with their talents and gifts by curing the limiting symptoms in the child.

4 Ways To Improve Social Skills Of An ADHD-Affected Child!

Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.

Dyslexia is a strictly neurological condition that has little to do with a person s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.

The most common symptoms of dyslexia include:

Trouble reading
Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
Slow development of speech
Trouble with hand-eye coordination
A slow rate of learning when it comes to data
Problem with speech
Very poor concentration span
Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.

There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.

Certain practices that you yourself follow when dealing with your dyslexic child are:

Praise your child from time to time
Remind your child that being dyslexic has nothing to do with intelligence levels
Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child s confidence level.
Deal with your child patiently.

Understanding Dyslexia - What All Should You Know

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