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?

Mastitis is primarily an infection that occurs inside or on women's breasts within the first three months after pregnancy. Sometimes the infection can also affect non pregnant women where it is referred to as periductal mastitis.

What are the causes and symptoms of mastitis?
The most common reason behind such an occurrence is malfunctioning mammary ducts in pregnant women. Milk stasis or blocked milk ducts happen due to irregular feeding sessions, the baby's difficulty in sucking or not being able to attach optimally to the breast for feeding. The other plausible reason is bacterial infection that has somehow entered the ducts through a crack in the nipple area. Blocked milk ducts carry a lot of stagnant milk that provides the most suitable breeding ground for bacterial cultures. Steps must be taken so as not to pass on this bacterium to the baby who depends on breast milk almost entirely for nutrition.

1. It often manifests itself in the form of redness, swelling, pain, fever and exhaustion, resulting from inflammation of the breast tissues and mammary glands.
2. There is also a palpable warmth and tenderness of the breasts, accompanied by a general feeling of malaise.
3. Other common symptoms include lumpy formations, wedges, burning sensation especially during breast feeding.
4. Nipple discharge, body aches and relatively higher body temperatures might also occur in association.

You must consult with your doctor immediately after the appearance of similar symptoms; promptness is advisable when you are pregnant.

What problems does mastitis cause?
1. Most commonly affecting nursing and recent mothers, mastitis poses a pertinent problem in breastfeeding as it causes dysfunctional lactation.
2. Mastitis is therefore also as precarious for the new born baby who is left without its primary diet.
3. Doctors often recommend such mothers to continue breast feeding in spite of the disease, after prescribing some antibiotics which usually work in suppressing the infection after a maximum of 2 to 3 weeks.
4. The affected mothers usually feel too tired to take care of their child while suffering from this kind of infection.

Preventive measures
1. Avoid wearing tight clothes or undergarments.
2. Regularize breastfeeding schedules; do not stop before 6 months.
3. Encourage your baby to feed especially when you experience of build-up of milk.

All About Mastitis

In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

  Peptic ulcer disease
  Barrett s Esophagus
  Hiatal hernia
  Radiation bowel injury
  Gastrointestinal tumours
  Inflammatory bowel disease
  GERD
  Achalasia
  Malignant disease of the pancreas
  Malignant disease of the biliary tract
  Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include  

  Colon Cancer Surgery   It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

  Oesophagal Cancer Surgery   It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

  Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

  Liver Disease Surgery   Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

  Pancreatic Cancer Surgery   The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include  

  Laparoscopic Adrenalectomy
  Laparoscopic Appendectomy
  Laparoscopic Nephrectomy
  Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

  Minimally invasive due to which scarring is less
  Shorter recovery period
  Reduced chances of infection
  Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

Gastrointestinal Surgery - Everything About It!

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

This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item	Quantity	Amount of Calcium in each serving
Milk	1 cup (240 ml)	300 mg
Cheddar cheese
1.5 oz (42 g)	300 mg
Spinach cooked	1/2 cup (90 g)	120 mg
Sardines or salmon with bones	20 Sardines (240 g)	50 mg
Sweet potatoes	1/2 cup (160 g)	44 mg
Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short.

Bow Legs - Why Do Children Suffer From Them?

It is no longer so surprising to read about alarming air pollution levels in our cities. On more than one occasion, these levels have risen above the danger levels. For some people, this may simply create an annoying fog that makes it difficult to see. For others, it can cause serious health issues. Air pollution is one of the most common reasons for the growing instances of asthma and allergies. Children are most susceptible to such diseases caused by air pollution.

Asthma and Allergies
Asthma can affect children even before their fifth birthday and the condition is characterized by breathlessness caused by a constriction of the airways. While the root cause of asthma is unknown, it is usually seen that asthmatic patients are more sensitive to others to particles in the air such as pollutants, dander, dust, smoke etc. Thus, the airways construct as a reaction to these allergens. Changes in the weather, a sudden cold draft or the flu can also aggravate asthma.

Can you Protect Your Children from Asthma?
Wheezing, panting, finding it difficult to breathe and a persistent cough are some of the signs of asthma. If you notice these symptoms, you must consult a doctor immediately. At home, here are a few things you could do.

Avoid exposing your children to smoke: Do not smoke around your children or allow others to smoke around them. If you cannot give up the habit, wear a smoking jacket when you smoke and take this off before you play with your children. When you ll go out, drive with the windows up so that your child does not inhale exhaust smoke. Set your air conditioner to circulate air within the car itself.
Dust often: Try and keep your home as dust free as possible. Use a wet cloth to clean so that the dust does not fly in the air. Wash all your bed linen once a week. Carpets and rugs should be vacuumed regularly or dusted outside. It may also be a good idea to invest in dust mite impermeable covers for your child s mattress and pillows.
Keep your Pets clean: If you share your home with pets, bathe them once a week and brush them daily. Do not let them climb on to the furniture or your beds. Also, avoid having their toys lie on your beds.
Wear a face mask: Try and time your child s outdoor activities when the pollution levels are low. Buy yourself and your child a face mask that will filter the air they breathe in. These should be worn whenever they play outdoors.
These simple steps could help your child be healthier and can prevent asthma and other such allergic reactions.

Increasing Asthma & Allergy In Children - What Should You Do?

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