There is always a sense of anxiety, whenever we tend to start off with something new, as people are resistant to change. It is more so in the case of young children. School refusal refers to the refusal of children to attend school as a result of emotional distress. This school refusal can wreak a kind of havoc on families.

Elaborate on symptoms a little more and causes

Symptoms

There are certain symptoms related to the refusal of children to attend schools. They include:

Often it comes in the form of tantrums
Frequent complaints of stomachaches, vomiting, nausea, exhaustion, headaches or diarrhea
There could be loud meltdowns in an overwhelming manner, which include their refusal to leave the house, running down the street to avoid getting inside the car or on the school bus
Children might even become aggressive and lash out at their parents with physical blows
Child feeling fearful of being alone in a room or dark


Causes

Some of the primary causes include:

It arises out of students having a feeling of separation from their parents and homely atmosphere, hence, leading to anxiety
It comes out of an emotional attachment which children tend to have with their parents, especially mothers
Children tend to feel scared with the thought of getting into an unknown atmosphere all of a sudden.
Consistent fear of criticism, ridiculing, confrontation or punishment by the teacher or any other person in the school
Having learning difficulties
Being afraid of qualifying the tests
Not feeling comfortable with school activities like singing, playing or attending school assembly
Fear of being ridiculed due to appearance, clothes, weight, etc.
Fear of being bullied by a class or schoolmate
How Can Children be Helped to Get Rid of this Problem?

The ideal treatment to help all those children struggling with school refusal includes a team approach. It will be beneficial to have a strong team which includes the class teacher, family and if possible, a mental health professionals. The steps include:

1. Assess: The very first step is to complete medical and psychological examination. Given the fact that school refusal is usually linked to an underlying anxiety or depressive disorder, it is necessary to get to the root of the problem and begin there. This would include both family and teacher questionnaires for interviews.

2. Cognitive Behavioral Therapy: This is a very structured form of therapy, which helps children to identify their maladaptive patterns of thought and also learn replacement behaviours. It would help children to confront and work through their anxiety.

3. Desensitization in a Systematic Manner: Those children who struggle with school refusal, need a graded approach to return to school. They can return for a some increased amount of time and then gradually build upon it.

4. Training for Relaxation: This is extremely essential for all those children who struggle with anxiety. Some of the relaxation strategies include deep breathing, guided imagery and mindfulness, which kids practice at home and also utilize in school.

5. Plan for Re-entry: The treatment team even creates a plan to help children re-enter the classroom. The plan includes contingencies to help the student during anxious moments throughout the day.

6. Routine and Structure: Children who are anxious can even benefit from routines at home that are predictable. Establishing healthy sleeping habits and a regular sleep cycle during holidays and on weekends can yield positive results.

School Refusal - Symptoms, Causes & Treatments Of It!

Abdominal pain after surgery is common. It is only a part of the healing process. But extreme pain or prolonged pain is a sign of infection, surgical complications or some other underlying health condition. It is difficult to detect whether the pain is normal or abnormal when the person concerned is a child.

Symptoms:

A child complaining about abdominal pain after surgery should not be ignored no matter how common it may be; especially if the pain does not start reducing after 3 days from surgery. Children who are too young to verbally communicate the pain or feel discomfort show symptoms like:

Excessive crying.

Difficulty in sleeping.

Irritability.

Reduced activity.

Refusal to eat

After surgery, a child's behavior must be closely observed.

Causes:

A common cause of abdominal pain after surgery on children is fear of the surgery itself. Children might associate the fear with the pain psychologically which can prevent them from realizing that the physical pain has actually already started to reduce.

In this case, the child needs attention and maybe placebo medication, if all possible causes of physical pain have been ruled out.

The obvious causes of pain after surgery include:

Surgical complications like collection (i.e. bile or blood or pus) below the wound or inside.

Infection at the site of surgery.

Not getting the right dose of pain-killers.

Diagnosis:

Apart from the symptoms already discussed, the diagnosis of complications after surgery includes:

Fever.

Swelling at the site of surgery.

Abdominal distension after abdominal surgery.

It is best to contact the Surgeon who performed the surgery. Diagnosis might involve:

Blood tests.

Ultrasound.

CT scan

Effects:

Possible complications resulting in abdominal pain after surgery are:

Wound Dehiscence.

Wound infection.

Hematoma or collection which may be bile or pus.

Treatment:

Pain management involves pain killers in the right dose, according to their body weight. If the medication doesn't help, the Surgeon should be consulted.

Other treatment methods include:

Rest to ensure no further injury occurs and the wound gets time to heal.

Antibiotics for the infection.

The site of the surgery must be kept clean and dry to prevent further infection.

The recommended diet, if any, must be followed for quick healing.

Pain after surgery isn't difficult to manage, even in children, as long as a reliable doctor's instructions are followed well.

Abdomen Pain After Surgery - How To Resolve It In Children?

Our teeth are most definitely, vital for our living. Our everyday choices, pertaining to our lifestyle would call for changes, adjustments and lots of sacrifices without them. Though, a number of replacement options are available for the people with missing teeth, the most recommended are dental implants. Ask why?

They are simply the ideal solution due to their look and feel, which is similar to the natural teeth.

What happens if replacement is not considered?
To prevent the nasty repercussions from occurring, it is necessary that any missing teeth are replaced in time. Though, the symptoms of problems due to missing teeth only appear to be superficial in the early stages, the long term effects may certainly prove to be quite severe.

Some of the short term consequences of missing teeth are as follows
People with missing teeth tend to feel self-conscious or even embarrassed at times, while they talk to others or smile.
Problem in speech is a common issue that may arise due to tooth loss.
When teeth are missing, people find it difficult to consume some certain food types. These may include ones which contain some essential nutrients, hence leading to possible malnutrition.
Increased wear or stress can also lead to the weakening of the teeth that are remaining.
People with tooth loss find it difficult to chew the food properly.
When teeth are missing, there is movement of the teeth that remain, to compensate for the gap places created. This leads to ugly looking gap teeth.

Though, these were the short term issues, the major consequence of not getting any lost teeth replaced is the gradual bone loss. Our teeth are firmly embedded in the jaw bone. Chewing and biting are the constant uses, which are required by the jaw bone to remain hale and hearty as well as active. You may believe it or not, be it at the beginning or at the end; the major focus is not on the teeth, but on the bones.

Maintaining form as well as density of the bone requires regular stimulation, coming from the teeth, as mentioned above. The contact with teeth causes small stresses, which the periodontal ligament transmits to the bone and prompts its continual rebuilding as well as remodelling. When any missing teeth are not replaced, it leads to the gradual deterioration in the jaw bones, over time. This not only results in facial shape changes but also will eventually burn a huge hole in your pockets, as increased complications will also lead to increased costs required for rectifying the problems.

So, now it's up to you. Choose healthy and wise. Go for teeth replacement at the earliest, if and when, need arises.

Consequences of Unreplaced Missing Teeth

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

You look your best when you wear a smile on your face. Everyone prefers a smiling face over a frowned one. Since we are talking about smiles, one can never underestimate the role that teeth play in the beauty of a smile. Dental hygiene and care is mandatory if you wish to secure your beautiful smile for years to come.

However, the global statistics for dental care suggests that we do not care enough for our teeth. 60-90% of children who are in school and almost every adult suffer from dental cavities. Dental cavities are pretty common nowadays. And yellowing of teeth can now be seen in almost every other person. It spoils the smile and makes people conscious. By ensuring a few dental care habits in your daily routine lives, you can avoid yellow teeth. Let us discuss the tips and tricks to avoid yellowing of teeth.
 
1. Say no to specific foods: Yellowing of teeth is caused by food choices including coffee, red wine, sodas, juices, sports drinks, white wine, coloured candies and other artificially coloured foods. It will help if these foods are consumed in less quantity and frequency as they are the major contributors towards discoloration of teeth.

2. Water after every coloured drink: Here is a habit that you must inculcate in your routine, whenever you consume any of the above mentioned food items. Post every drink or food intake which can cause tooth-staining, top it up with a glass of water. When you swirl or gargle the water in your mouth, you remove the acids that get accumulated in your mouth. It is one of the simplest preventive measures one can implement to avoid tooth stains.
 
3. Dental Hygiene: Our parents and dentists kept reminding us all the time to brush twice a day and gargle with water post every food intake but did we listen to them as kids? No we did not. Proper brushing, flossing and going for dental checkups at regular intervals are sure shot ways to keep your teeth healthy for majority of your lifetime. One must develop these habits quite early in life to gain benefits from it.

4. Whiten those Yellow teeth:  You might be at that stage of your life where inculcating the above mentioned habits won't do much good. The damage might already have been done. Your teeth are probably yellowish already and you have a history of dental cavities. In this 21st century, there are ways to whiten your teeth artificially with the many alternatives available in the market. One can opt for a solution, which can be done at home itself or go for a laser whitening which is now possible at a dentist clinic.
 
So there is still hope for those who are unable to share that smile with the world due to the yellowing of teeth. Nothing is irreparable here and the health of your teeth lies in your hand.

How to Avoid Yellowing of Teeth

Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:
1. Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
2. Nightmares: They might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
3. Obstructive sleep apnea: Snoring might be the result of improper respiration while sleeping and while it isn t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.
4. Bedwetting: This is something most children experience, but usually grow out of by the time they turn six. It doesn t need to be a cause of concern unless the frequency doesn t reduce over time and more than two instances of bedwetting take place in a week.
5. Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
6. Excessive daytime sleepiness: Excess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day.

6 Common Sleep Disorders in Children

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