Anger is a normal emotion. Children are as susceptible to anger as are adults. However, children may not understand how to deal with their anger properly. This can result in tantrums and violent behaviour. Telling a child not to get angry is not the solution to this problem. Instead, a child must be taught how to channelize his or her anger. Here are 5 tips that could help deal with aggressive behaviour.

Do not use physical punishments as a form of discipline: Children inculcate actions they see at home. While you may hit your child out of frustration when he or she does something wrong, the child may see this as an acceptable form of venting anger. Thus, hitting your child can indirectly reinforce a child s aggressive behaviour. Just as you do not expect your child to go about hitting other people, do not hit him yourself.
Develop a feeling vocabulary: A child s aggressive behaviour is usually the result of frustration at not being able to explain what he or she may be experiencing. Thus, encourage your child to develop a vocabulary to speak his mind. Teach them to use words like angry, frustrated, irritated and anxious. When your child says that he or she is angry, do not ignore him but encourage him to talk it out. You could also encourage them to find other creative outlets for their anger such as drawing and painting.
Praise good behaviour: All children seek appreciation. When your child deals with anger is a good way, praise him and reinforce the behaviour. This lets your child know that his behaviour is being noticed. Tell your child it is ok to be angry as long as it is dealt with in the right way.
Set firm limits: Children need limits to know what sort of behaviour is acceptable and what isn t. These limits should be kept very clear and consistent. The child s teachers and other caregivers should also be made aware of these rules along with the response to be given if the child breaks a rule. When a child does cross the limits set by you, they should be immediately reprimanded so that they understand their mistake.
Let your child cool off: It is no use trying to explain why something the child has done is wrong when they are in a state of anger. Instead, give them time to cool down by telling them to go to their room or sit down someplace. Once the child has cooled off, explain why his or her behaviour was wrong and discuss ways he or she could have dealt with the situation better. 

Aggressive Behaviour In Children - 5 Ways It Can Be Managed!

What Causes Early Childhood Trauma? + How to Identify this Condition?

The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.

What Does this Condition Impact Childhood?

Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.

How do you identify this condition?

Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.

They may display signs like:

- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping

Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.

For instance:

Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.

On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.

If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma.



What Causes Early Childhood Trauma? + How to Identify this Condition?

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?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

A newborn baby is always vulnerable and is dependent on parents for taking appropriate care. Following the fundamental guidelines with regard to safety, which get chalked out by a paediatrician, would make sure that a baby is completely safe and healthy.

It is important to take certain measures while feeding the baby as well. Parents need to follow certain do s and don'ts in this regard as well.

Let us take a look at some of the Do s and Don'ts while taking care and feeding of newborns: 

Do s 

Be Attentive: 

Pay close attention to your baby. Research suggests that if a parent holds, bonds and touches his or her baby, they might help promote the development of the brain. Plus there could be physical, emotional and mental growth taking place as well. 

Care From Paediatricians: 

Parents must take their child for regularly scheduled visits to the paediatricians and should get their queries solved. Do follow the recommendations of your doctor to immunize your baby at 1, 2, 4, 6, 9 and 12 months.

Care About Sleep Posture: 

Always make sure to put your baby sleep on his or her back. Moreover, a baby should sleep under a comfortable temperature by wearing light clothes.

Be Concerned About Safety Measures: 

Parents should always use a car seat while travelling with the baby in a car. Follow the instructions given by the manufacturer, while trying to strap the car seat into the car and the baby in the car seat. 

Do Get Comfortable While Feeding: 

It is important to find a very comfortable position to feed the baby. Before getting started, one must make note of the fact that there is sufficient support her back and under the baby. 

Personal Touch: 

Skin-to-skin touch should be made while feeding, as and when possible. Babies get a special feeling whenever it is done. 

Take Time: 

It is important to take time while feeding the baby. Make note of the baby's cues. Mothers can resort to singing and socializing with the baby to make the duration even more comfortable. 

Don'ts 

Now, let us briefly discuss what should not be done while taking care of and feeding the newborns. The tips include: 

Do not show your irritation on the baby, while you make him or her take their bath. 

Do not allow sick people to come close or touch your baby as they would be susceptible to catching infections. 

Do not get the baby s bottles heated in a microwave. Do not feed your baby in a noisy and chaotic place. 

Do not allow the baby to fall off to sleep while you are feeding. Never let your baby sleep on the stomach as there would be a risk of Sudden Infant Death Syndrome. 

 Newborn Care  & Feeding - Do's & Dont's Of Them!

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:
1. You must take medications exactly as your doctor has prescribed.
2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
3. You should never stop taking the medicines.
4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
5. In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.

Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

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