Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

How to Surgically Treat Cleft Palate

Uterine fibroids, also known as leiomyomata, are non-cancerous growths which develop in and around the uterus or the womb and form benign tumors in course of time. Though there are several types of uterine fibroids, they are all consistently similar in their genetic makeup. They are generally classified depending on their specific locations:

Myometrial or intramural fibroids
Submucosal fibroids
Subserosal fibroids
Pedunculated fibroids
Signs and symptoms

In most cases, uterine fibroids display little or no symptoms at all. Therefore many women are caught unawares and do not realize whether they have leiomyomata or not. When symptoms do show, however, they may include any one of the following:

1. Prolonged menstrual periods, usually for seven days or even longer
2. Bloating belly or pelvis
3. Intensive bleeding during periods
4. Pain during sexual intercourse
5. Constipation

Treatment

Since uterine fibroids do not cause any significant complications, they normally do not require much treatment. The condition, however, can be treated through either one of the following approaches:

1. Non-surgical approach

(1) Alert and careful inspection as well as watchful anticipation of the growth and development of uterine fibroids
(2) Birth control pills or oral contraceptives which help reduce heavy periods caused by uterine fibroids
(3) Pain relievers to help numb the pain
(4) Intrauterine device along with levonorgestrel to help reduce heavy periods
(5) Iron tablets are helpful in substituting the blood loss caused by heavy menstruation

2.Surgical approach

i) Myomectomy

ii) Hysterectomy

These two procedures can be performed using several techniques like:

Laparoscopy
Open abdominal surgery
Robot-assisted laparoscopy
Vaginal approach
Hysteroscope approach
iii) Uterine artery embolization (UAE)

Uterine Fibroids - Surgical & Non Surgical Treatment!

Tooth eruption is not only a sign that your child is acquiring the ability to tear, bite, and chew food but it also effects the baby's weight gain, immunity strengthening and development of the brain indirectly.
It is observed that most babies get their first tooth at around 6 months after birth, but they may start gnawing as early as 3 months or as late as 14, and may vary from child to child.  This depends on many factors, one of them being as when the parents started sprouting teeth and whether or not your baby was a preemie. In case of premature and low birth weight babies there may be a delay in their first tooth eruption. Children should have a full set of primary teeth by the time they are almost three.
Babies generally undergo the following Teething Timeline:
6 months: lower central incisors
8 months: upper central incisors
10 months: lower and upper lateral incisors
14 months: first molars
18 months: canines
24 months: second molars
 Symptoms of Teething:
Babies start gnawing to relieve the pain of an emerging tooth.
Puffy and red gums
Excessive drooling
Irritation, especially at night
Tugging Ear
A change in eating habits
Methods to Soothe the Pain:
Teething is a physiological process, no major intervention is needed.
Distraction: You can often soothe your child simply by diverting their minds off the pain by any new toy.
You shouldn't use teethers and topical teething gels to soothe the pain as they might be toxic to babies.
Symptoms of teething usually disappear when the tooth breaks through the gum. In case your baby is teething and the pain prevails , the following signs and symptoms are seen - high fever, diarrhea, or vomiting, highly inflamed gums or blue gum (Cysts) or any kind of lesion or bumps on the gums. In such case you should consult the pediatrician for further guidance

When Will My Newborn Start Teething?

Causes of iron deficiency in children

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

Low birth weight
Excessive intake of cow's milk at less than 2 years of age
Feeding exclusively on breastmilk beyond 6 months of age
Lead poisoning
Insufficient intake of lean meat
Pure vegetarian diet
Gastrointestinal disease or infection
Improper diet of the mother during pregnancy
Chronic diarrhea
Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment.



What Causes Iron Deficiency in Children?

Hearing loss is experienced by millions of people these days. Ageing is not the only factor that brings hearing impairment. The causes are many. Certain medications, continuous exposure to loud noise, genetic involvement, injury and some medical conditions may cause hearing loss.

There are quite a few myths that people have come to believe about hearing loss over the years. Since it is such a common phenomenon, here we take a look at the common myths surrounding hearing loss.

Myth no. 1: Hearing loss is exclusive to elderly.

Fact: As said before, hearing loss can be an outcome of various causes. Nearly half of the people suffering from the same are below the age of 55 years. No matter what your age is, you must always get your ears checked, especially if you are feeling that are you missing things.

Myth no. 2: Diagnosing hearing loss is easy.

Fact: Most people do not come to know about the condition until it gets worse. Also, your physician never really checks for hearing loss symptoms in a general check-up unless you ask for it specifically.

So, always get a check-up done, like you do for other probable diseases.

Myth no. 3: There's no effective solution for hearing loss.

Fact: Like there have been advancements in the medical field for everything else, there are aids available these days that improve your hearing and have finer adjustments for noise adaptation. Also, there are certain other procedures and surgeries that have proved to improve the condition in many.

So, seek help as soon as possible.

Myth no. 4: The sounds aren't loud enough; my ears are healthy and fine.

Fact: If there is a problem you're experiencing with hearing, you have got to accept that and get it treated. Avoiding a certain condition will only get things worse for you.

Also, hearing aids are no more a stigma. Ear aid devices have designs similar to earphones these days, which are comfortable enough to wear. Ignoring a medical condition or inability to accept the same would only do more harm instead of making things fine.


Common Myths About Hearing Loss

Measles refer to an infection caused by a virus. It mainly affects the respiratory system and its onset is accompanied by high fever, runny nose, frequent coughing and itchy rashes all over the face. It is extremely contagious and spreads through saliva or even mucus. This infection has several symptoms. Some of them are: 

1.  Persistent coughing
Affecting the respiratory system, the onset of measles can be identified by persistent and a nagging cough, one that refuses to recuperate.
2.  Fever
As discussed above, if you are infected by the measles virus, chances are very high that you will suffer from extremely high fever. It is often accompanied by chills.
3.  Sore throat
The throat forms an important part of the respiratory system and if it is infected, its repercussions can be felt in the throat. You will have extreme difficulty in eating or swallowing food when suffering from measles.
4.  Small white spots develop inside the mouth
Sometimes you may notice outbreak of small white spots in the interior of your mouth. In case you do, do not take it lightly. This is an important symptom of measles and you must consult a doctor immediately. 

Notwithstanding the contagious nature of the infection, there are various treatments available in order to treat this infection. Some of them are: 
1.  Acetaminophen
This is used to relieve one of fever as well as pain in the muscles.
2.  Take rest
Suffering from measles is an extremely uncomfortable situation and taking rest always helps. Your immune system, being infected by a virus is rattled and needs sufficient rest to recuperate. 
3.  Drink lots of water
Nothing can be an alternative to water. Therefore when suffering from measles, drink as much water as you can. Try to drink at least six to seven glasses of water, a day in order to purge your system.

All About Measles

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