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

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
Future Consequences-
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being  paedophilia  or the sexual arousal involving prepubescent children.
Conclusion-
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.


Sexual Abuse -  Mental and Psychological Effects on Children

Epilepsy is a neurological condition that leads to recurrent seizures. Seizures arise when electrical activity in the brain suddenly surges causing a temporary disturbance within the messaging systems located between the brain cells.

Epilepsy is more common in children below the age of two years and adults above the age of 65 years.

Seizure Types

Seizures are classified into two main categories depending on their area of impact. 

A focal seizure is one that affects only one part or area of the brain whereas a generalised seizure affects the whole brain. Further, both focal and generalised seizures have various sub-categories which are as follows-

Previous nomenclature- 

Partial Seizure

  Simple Partial Seizure
  Complex Partial Seizure
  Partial Seizure with Secondary Generalization

Generalized Seizure

  Absence Seizures
  Myoclonic Seizure
  Atonic Seizure
  Tonic Seizure
  Tonic-clonic Seizure
  Mixed Seizure
  Status Epilepticus

Latest nomenclature of seizure types:

Focal seizures-

  Focal aware seizures
  Focal impaired awareness seizures (previously called complex partial seizures)
. Bilateral tonic clonic seizures

Generalised onset seizures-

  Tonic clonic seizures.
  Atonic seizures (sometimes called drop attacks) and tonic seizure.
  Myoclonic seizures.
  Absence seizures.

Symptoms

The well know symptom of epilepsy is a convulsion/ fit, a few other symptoms include-

  Intermittent spells of fainting. When this happens the patient is likely to lose control of his/her bladder or bowel movements. Following this, the person is likely to suffer from extreme tiredness.
  Spells of a blackout with difficulty in remembering
  Becoming unresponsive to any instructions or questions asked during brief periods of time
  Bouts of continuous blinking without any known reason
  Inappropriate movements that keep on occurring
  Changes in sensory perceptions
  Sudden stiffness in the body

Reasons for Epilepsy

Messaging systems within the brain are responsible for every function that goes about in your body. A disruption to this system caused by defective electrical activity leads to epilepsy in a person. Many people inherit epilepsy while others may develop this condition as a result of-

  Head trauma sustained during an accident
  A stroke or a tumour that has affected the brain impairing its normal capabilities
  An injury to the brain before or during birth
  Associated with developmental issues
  Infections of the brain

Treatment for Epilepsy

Epilepsy in childhood can be treated by using medications and by adopting dietary changes in some cases. Medications for epilepsy mainly include-

  Anticonvulsants - Helps control seizures and manages the symptoms of epilepsy
  Medications for nerve pain - Reduce pain that is caused by the damaged nerves

These medications should be consumed as and when prescribed by the doctor. You must consult a paediatrician for this, as he/she will take your child s physical and mental in consideration before starting the treatment.

Seizures that occur in childhood may be benign. This means that it will not continue into one s adult life. Further, those children who have suffered from epilepsy in their childhood have been seen to have normal mental and intellectual development in their adulthood. However, some epilepsy syndromes in children can have a devastating effect on the child.

Seizure threshold is a term that is used to refer to the conditions that are important for the production of seizures. The threshold is lower for people who are more prone to having seizures whereas the threshold is higher for those who do not have a tendency to suffer from seizures.

A Complete Guide To Childhood Epilepsy!

When you hold your new born in your arms for the first time, you will count him or her as the greatest blessing of your life. This is also the time when you are burdened with the responsibilities of another human. The sleep patterns in new-borns are erratic and you will never see them follow any pattern as such. They sleep off just about any time of the day and you will not see any pattern until about your angel is about 6 to 7 weeks old. After that age, they get quite adaptable and you will be able to get him or her adapted to certain patterns. This will make things very easy for you and your partner.

So why won t your baby sleep?

1. Your baby is too excited to fall asleep

Babies are a powerhouse of energy. Activities like tossing him in the air or giving him an exciting bath full of fun and frolic will probably do the opposite of winding him down. It will make him more excited and he will not want to go to bed thinking he would miss out on the other fun activities that are in store for him.

Solution: Replace the fun tickles with other activities like comforting massages or story time and lullabies. Dim the lights, cosy up the room. Make it a routine and you will find your baby easing into a deep slumber in no time.

2. Your baby is too sensitive to the external or internal environment

Every baby is not a sound sleeper. Some babies may jolt awake with just a simple nod, others may dose off amidst noise and screams as well. If your baby is of the first kind, then you may face a bunch of troubles to keep your baby calm and cosy. You may bother your baby s sleep if your phone starts to ring around her or by the constant honking of cars outside.

Solution: Keep her surroundings as warm and comfortable as possible. Keep her in a room that is away from the bustling noise of the cars, if possible or sound proof her room. Start by dimming the lights and getting her comfortable clothes that will keep her free when she is sleeping. Keep her sheets and pillows clean and ensure they do not remain wet.

3. Your baby snacks in the middle of the night

As it was mentioned before, babies have erratic schedules. They can get hungry or cranky just about any time of the day. Mid-night snacking is probably numero uno reason as to why your baby will not fall asleep at night. If you feed your baby to sleep every time, he or she might associate it with nursing.

Solution: It is okay to train your baby to comfort itself in the middle of the night. Whenever it may think it is hungry, he or she will cry and expect you to nurse him to sleep. Put him in the nursery when he is relatively sleepy to allow him to fall asleep all by himself. You may stand by till he does, but do not swaddle him.

Why Your Baby is Missing Sound Sleep?

Air pollution is known to take a toll on the lungs of even the healthiest adults. So, it comes as no surprise that the effects of this pollution on the lungs of children is deemed as a grave situation, full of health hazards including the onset of Chronic Obstructive Pulmonary Disorders and conditions like asthma and other lung disorders. Read on to find out more about the link between air pollution and its effect on the lungs of children.

Children's Lungs: Mostly, all the organs of a child's body are considered delicate and not fully matured until the child reaches a certain age. The main and largest part of the child's lungs will usually grow only after the child is born, much like the arms and legs. In fact, it is a medically proven fact that about 80% of the tiniest of air sacs grow after the child's birth, these are called the alveoli and they facilitate the transfer of the oxygen into the bloodstream with a life-sustaining function that is built into our lungs. These alveoli continue to grow until the child becomes an adult. 

Immunity and Infections: Like the lungs of the child, the immunity of the child is also still in its growth phase, and is very much, unlike the immunity that an adult enjoys. This makes the child more susceptible to infections that are usually carried by air pollution in today's day and age of urban living when myriad pollutants are sent into the air every single day. Also, since children play outdoors more often and spend more time breathing in this air, they are more prone to these infections and lung or respiratory ailments due to this reason. Various studies and tests have shown inflammation in the respiratory passages caused by deposits of carbon dioxide emissions in the lungs of children.

Symptoms: Usually, the very first symptoms that show that air pollution is affecting your child's lungs can be seen when persistent coughing and wheezing sets in, without any proper reason. Also, when the child faces bronchial infections time and time again, all these are indicators of hazardous effects of air pollution in children.

Respiratory problems: Apart from respiratory problems, which can lead to asthmatic attacks, hay fever and allergies as well as other COPD ailments, there are other related dangers as well. These can happen when constant choking and obstruction of oxygen due to pollution becomes a regular affair. These include stroke and brain damage which can eventually also lead to a higher risk of dementia. 

How can you protect your child during such times?

Restrict outdoor activity for the time being, especially during the early morning and evening
Make sure that your child wears a face mask when outside, preferably N95 or 99
Use air purifiers at home 
Go green and use indoor plants that can remove indoor toxins
Boost your child's immunity
Lastly, keep a track of air quality index in your locality

Pollution - How It Can Affect Your Child's Lungs?

Abdomen pain or abdominal pain is usually experienced in the area between the chest and the stomach. This kind of pain usually comes as a dull cramp that also produces shooting stabs of pains intermittently, or it may be a localised pain in one side of the stomach. This may also be accompanied by inflammation and other diseases related to organs like intestines, kidneys, pancreas, liver, spleen and stomach. So what are the causes of stomach or abdomen pain? Read on to find out:

Food Poisoning: Food poisoning can be caused due to dirty water or contaminated food. This can give rise to various infections as well as conditions like traveler's diarrhea or loose motions.

Gastro-Intestinal Conditions: GERD or gastroesophageal reflux disease and gastroenteritis, among various others, can also lead to abdomen pain as a symptom along with severe acidity and nausea. Irritable bowel syndrome is another major ailment which can leave you with persistent abdominal pain. 

Generalized Pain: This kind of pain occurs in the overall area all around the stomach and may point at the presence of conditions like Crohn's Disease, a traumatic injury, appendicitis, flu, or even a urinary tract infection. Further, when the gas settles and tightens the stomach due to the inability to pass a motion on a normal, regular basis, this may be termed as constipation. This also leads to abdomen pain. 

Localised Lower Abdomen Pain: Pain that is found specifically in the lower area of the abdomen can be caused due to appendicitis, obstruction or blockage in the intestine or colon, and other ailments. This pain can also be accompanied by nausea and vomiting. 

Localised Upper Abdomen Pain: This kind of pain may emanate due to the presence of gallstones, liver inflammation or hepatitis, pneumonia, or even in the middle of a heart attack.

Localised Centre Abdomen Pain: Pain in the centre part of the stomach or abdomen may be caused due to gastroenteritis, an injury or even the accumulation of waste products in the body, otherwise known as uremia.

Abdomen Pain and Women: For women, such localised pain may be caused due to pelvic inflammatory disease, urinary tract infection, endometriosis, ectopic pregnancy, menstrual cramps which are also called dysmenorrhoea, and fibroids. Miscarriages can also cause pain in this part of the abdomen, for women.

Renal Stones: Renal stones or stone in kidney is one of the most common causes of abdomen pain. The pain caused by kidney stone is such that it can make a patient roll in bed and this pain may radiate to toward the groin as well. Persistent pain and nausea that come with vomiting and finally give rise to blood in the vomit or stool should be checked by the doctor immediately, so as to rule out any serious ailment. Imaging tests, ultrasound and an X-Ray can help in diagnosis.

Abdomen Pain - Knowing The Common Causes Of It!

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