Down Syndrome is a genetic disorder resulting from chromosomal aberration. Usually, a person is born with 23 pairs of chromosomes (46 chromosomes in total). In the case of a Down Syndrome, there is a total of 47 chromosomes (an extra complete or partial chromosome appearing in the 21st pair). This extra chromosome is the main wrecker in chief that triggers the behavioral and developmental alterations characteristic of Down Syndrome.

Depending on the distribution of the chromosome during cell division, Down Syndrome may be triggered by three conditions

Trisomy 21: One of the most common causes of Down Syndrome, Trisomy 21 is characterized by the presence of an extra chromosome in chromosome 21.
Translocation Down syndrome: As the name suggests, here a part of the chromosome 21 translocates itself to some other chromosome. There will be no trisomy on chromosome 21. However, there will be extra genetic material resulting from the chromosome containing the translocated portion of chromosome 21.
Mosaic Down Syndrome: This is a rare condition where some cells will have 46 chromosomes (23 pairs) while few others will have 47 chromosomes (trisomy 21).
Symptoms characteristic of Down Syndrome
Some of the symptoms synonymous to Down Syndrome include

The face appears flattened with a short mouth and a protruding tongue.
The ears, neck, arms, and legs are shorter than usual.
Children and adults with Down Syndrome usually have a short stature.
The muscles also lack proper tone.
Children with Down Syndrome are often found to have impaired cognitive ability. The condition also affects the memory, both short, as well as long-term.
Managing a child with Down Syndrome
No parent would ever want their child to suffer from Down Syndrome. Along with the medications and therapies, as a parent, you should also be prepared to manage the situation well.

The situation is by no means easy for you, but if you get weak or panic, things will only go from bad to worse. Thus, you need to be strong.
Be in constant touch with the attending physician to know the progress of your child.
If your child is still very young, get them enrolled in the special enhancement programs. These programs play a significant role in improving the language, motor movements, as well as developing the various self-help skills in the Down Syndrome children.
Connect with families dealing with identical situations. Discussing your problems with them or learning about theirs can help in better management.
Your concern for the child is understood but do not snatch their independence. Give them the freedom they deserve. They might make mistakes, but it will help build their confidence.
If the situation demands, get your child admitted to schools which are specially designed for such children.
Do not keep your child confined within the four walls of the home. Take them outside. Let them interact with people. Indulge in family outings and get-togethers.
The situation may be difficult but not impossible. Have faith and do what is in your hands.

Down Syndrome - How It Should Be Dealt With?

The Mind of a Smoker 

There are a few instances when our body and mind refuse to acknowledge rationality, and quickly give in to carvings. Alcohol abuse, junk foods, depressant medications are a few of them. Among these, the most harmful is undoubtedly, smoking. In today's time, almost everyone knows about the ill-effects of tobacco. But despite our knowledge, we continue to give in and smoke. Let us have a look in depth about the usage, and the various steps one can use to come out of this dangerous habit. 

Ill-Effects of Smoking 

Smoking is dangerous for your health, and quitting can vastly reduce your risk of getting a disease related to the heart or lung. There is also a 50% chance that your life expectancy will be less due to smoking. On an average, a smoker has 10 - 12 years of lesser life expectancy than that of the nonsmoker. Also, quitting tobacco products can greatly reduce your chances of getting cancer. A smoker is always in the higher risk group of getting a tumor in the voice box (larynx), mouth, throat, intestines, kidney, and pancreas. Smoking can also hamper your sexual urge and erectile strength. Pregnant women who smoke carry a greater risk of having babies with many complications. 

How to Curb Smoking 

Quit smoking, and you can see visible differences right away. Your breathing will improve, and your asthma symptoms will likely to get better once you quit. Apart from a healthier you, you can also avoid health complications for your family members. Passive smoking is as harmful as active smoking, and a passive smoker is also easily susceptible to the complications of that of a smoker. Do not opt for lighter nicotine content cigarettes, as they have advertised that they contain less tar and nicotine. They simply do not, and they are equally harmful to you. Once the decision has been made, quit it altogether. Also stay away from chewing tobacco products. There are many ways by which you can quit smoking. Consult with your doctor in case you need medications for staying away. 

There are safe non-nicotine gums and chewing tablets for curbing the smoking feel and sensation. There are also self-help groups and treatment centers that can rehabilitate you from your habits. Indulge yourself in activities that keep you happy and passionate. Try signing up for your favorite sports and keep yourself occupied at all times. Always be positive, and do not give into temptation. Believe in yourself and always remember that you are also spoiling the health and wealth of your near and dear ones. Your children follow you, and they can easily be misguided. Be a role model to them and quit smoking, and inculcate the healthy habit now and forever.

Strategies and Medications to Stop Smoking, and Benefits of Stopping Tobacco Use!

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. But an early detection of any irregularity proves to be more beneficial for the patient in the long run.

It is important to know the telltale symptoms of mental disorder to distinguish between what is regular and what is not.

Withdrawal
Everyone needs some quiet time to cool off and relax but if a person continuously withdraws him/herself from social occasions and avoids meeting or speaking to friends, it could be a sign that something is wrong. Losing interest in life, work and people are symptoms of depression and psychotic disorder.

Thinking problems
Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.

Anxiety
Excessive stress and anxious behavior for a prolonged period are not normal. Frequent heart palpitations, headache, shortness of breath, racing mind and restlessness are cries of help that need to be heard.

Emotional outbursts
Sudden dramatic outbursts for no apparent reason, frequent mood swings and feeling distressed are potent signs of mental illnesses. These kinds of behavior are seen as part of a person's nature and so they are often unnoticed.

Changes in appetite and sleeping patterns
Oversleeping may be a sign of depression and insomnia could be a sign of anxiety. Changes in appetite and not caring about oneself or the world are indicators of a mental problem.

5 Silent Signs Of A Psychiatric Disorder

The brain contains numerous nerve cells which help in its normal functioning. Epilepsy or seizures occur when there is a disruption in the activity of the nerve cells in the brain. A neurological disorder of the CNS (Central Nervous System), epilepsy can affect all and sundry, irrespective of their age, sex and ethnicity. However, children and aged people (above 60 years) are more susceptible to the condition. A study suggests approximately 10 million people in India suffer from epilepsy.

Types of Epilepsy
Based on the activity of the brain that causes an epileptic attack, Epilepsy can be of two types - Focal or Generalized
Focal Epilepsy: An epileptic attack triggered by unusual activities restricted to a particular area of the brain.

In some cases, focal epilepsy may result in unconsciousness. A person may also lose awareness and become unresponsive (keeps staring into space), a condition termed as Focal Dyscognitive Seizures. A person with this condition may behave strange, such as walking in circles, chewing or rubbing their hands.
In another type of focal epilepsy known as Focal seizures without loss of consciousness, a person does not lose consciousness. In such cases, there may be sudden and involuntary jerking of the arms or the legs. There may also be dizziness or a tingling sensation.
Generalized Epilepsy: Here, the seizures or epilepsy result from unusual activities throughout the brain. Generalized epilepsy, may, in turn, be of the following subtypes

Tonic seizures: This affects the muscles of the legs, arms, or the back, causing them to stiffen and tighten up.
Atonic seizures: Here, a person may suddenly fall down due to loss of muscle control. The condition is also known as Drop Seizures.
Absence seizures: Mostly affecting children, the affected person may lose awareness (temporary) and behave strangely such as staring into spacing, smacking their lips, or blinking their eyes continuously.
Clonic seizures: They are characterized by sudden and continuous jerking movements of the arms, face, and neck muscles.
Tonic-clonic seizures: Here, a person may suddenly lose consciousness. There are violent shaking and stiffening of the body. Some people may even be seen biting their tongue.
Myoclonic seizures: In this arms, and legs of a person suddenly twitches and jerks.

What triggers an Epilepsy?
Epilepsy may be an outcome of the following factors

Medical conditions such as stroke or even brain tumors may affect the normal activities of the brain, thereby resulting in epilepsy. Diseases such as Viral Encephalitis, AIDS or Meningitis act also act as a trigger, accelerating the chances of epilepsy.
Developmental disorders such as Neurofibromatosis or Autism can also trigger epilepsy.
In some cases, epilepsy may be a genetic predisposition. Thus, a person with a family history of epilepsy may suffer from the condition.
Epilepsy may also be an outcome of a prenatal brain injury due to oxygen deficiency or an infection to the mother.
People with dementia may also suffer from an epileptic attack.

Epilepsy - Know The Most Common Types!

If you are young chances are you aren t worried about this particular neurodegenerative disease, and rightly so since the only people afflicted by it are above the age of 50. Although, there are a lot of cases where it develops in the younger age bracket, so you need to be careful and examine the signs of early onset Parkinson s and be wary if any of these symptoms apply to you.

Parkinson s is a neurological disorder wherein the dopamine-producing neurons are affected in a particular area of the brain. It can cause tremors and balance problems, eventually worsening over time. Here are some signs that you should keep an eye out for:

Tremors: If you are experiencing tremors, while at rest, in your hands, arms, fingers or your jaw then it is a sign that you need to be aware about. In an excitable or stressful situation, the tremors may even worsen.
Micrographia: Your hand movements become restricted and, as a result, your handwriting may become cramped and the words smaller in size. Examine your handwriting from the past with your present one, if you find a noticeable difference in the size and positioning of the letters and if you feel like the sentences are extremely crowded together, be wary.
Olfactory issues: One of the symptoms of early onset could be the loss of the sense of smell. If you feel like you can t sense stronger aromas like that of spices and pickle or even bananas as well as others and it isn t because your nose is blocked then you need to be on the lookout.
Sleeping troubles: There are times when you feel restless in bed while trying to sleep. If this becomes a routine then it could be a sign that you are prone to Parkinson s. Sudden movements and jerking while sleeping is a bad sign.
Stiffness: If your arms and joints feel stiff without reason, and you feel like free body movement is restricted or limited if you feel like you can t swing your arms or move your fingers freely, it is a definite sign that you might have Parkinson s. Stiffness can even lead to muscle pain in various parts of the body. Bradykinesia or slowness of movement is common with the stiffness of the body.
Constipation: If every time you have to defecate you have to strain yourself and put a lot of pressure on your bowels, and bowel movement does not come naturally or easily, even with the inclusion of roughage in your diet, it is a symptom.

6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

Depression is spreading at a fast pace in modern India due to many reasons like poor diet, lifestyles, poor social support system and having too many unrealistic expectations from themselves and other people in their lives. It can affect the rich and the poor and any age group also. According to World Health Organisation, 1 in every 10 people suffer from depression. Due to the social stigma attached to it, most people remain undiagnosed and hence suffer from it silently. This is a huge waste of human potential and capability. Some common symptoms of Depression include:

Appetite loss or an increased hunger,
Insomnia or Oversleeping,
Pervading feelings of worthlessness, helplessness and hopelessness,
Anger and Irritability,
Intense physical, emotional and mental fatigue,
Self hatred for making mistakes and not coming up to the expectations of self or other people
Risky Behaviour like rash driving, addictions, dangerous sports,
Problems in Concentration, Memorising and Focussing
Unexplained aches and pains, stomach-aches, Back pain or Headaches
Sudden loss of Interest in Daily Activities, Hobbies. Work
Suicidal Thoughts or Attempts

Here are some basic tips to beat the blues.

Recognising and Conquering Self Criticising Inner Voice:
You would have heard this harsh voice which often reprimands you for making mistakes, or doing something silly or taking any risks. Often this voice would have said, "Its always your fault"," You are capable of nothing"," You are always making mistakes", "Only bad things have happened in my life", " My life is Over". These are called self destructive negative thoughts which can interfere and distract you from your daily activities and a general sense of confidence, power, wellbeing and balance. Depressed people often associate themselves with a negative image of self and of the world, which is very incapacitating and makes the person feel guilty, angry, worthless, hopeless and helpless. The trick is to combat this inner thinking process with evidence to disprove it and support the evidence with logical and rational reasoning and seeing the whole picture with its positives rather than focussing on the negative parts only. For eg.."Good things have also happened in my marriage"," I can learn from my mistakes and do things differently next time"," I have achieved many things in life so I am capable and intelligent"," Life is not over yet, there is hope because I am still alive". such statements are compassionate and help in restoring lost confidence, faith and hope which is vital to beat depression blues.

Be Active:
During depression, physical energy takes a beating as a person goes through an emotionally low phase. People who don't exercise regularly are more prone to depression as the body and mind lacks in blood circulation and "feel good" neuro chemicals called Endorphins. When you are feeling down in the dumps, exercising, yoga, gym, cycling, aerobics, dance can help in elevating the heart rate and thus increasing the blood circulation and elevating the moods. Cycling to work, using the stairs, walking just a little bit as a  daily small goal can be beneficial as energy levels can be very low in depression. Getting the sun on the back bone which carries many nerves is also important and helps in chemical synthesis in combating depression.

Be Social:
Man is a social animal by evolutionary process. We tend to feel better in harmonious social communities for our social and psychological wellbeing. Identify people who are well meaning and supportive of your condition. Don't withdraw from the society, thought hat may be the easiest and logical thing to do in depression. Meeting people with similar interests as yours, people who value you for who you are and some people who are funny and can make you laugh will be of immense importance for boosting your self esteem and self worth. See if some one can benefit from your care..caring for others is a huge booster of self worth and self esteem. Having a pet and caring for it can be another activity that you can look into. Watching comedy shows, movies, laughing at your own mistakes or other people mistakes can be a wonderful way to look at life more objectively. Don't take yourself and other people too seriously..everyone makes mistakes and nobody is perfect.


By no means is this list complete. Please look around and find more tips that can help in beating the blues. If Depression is caught in its early stages then its completely curable. Please don't self diagnose and take medications. Get it diagnosed with a psychiatrist or a psychologist. Cognitive Behaviour Therapy, Stress management, Marital Counselling, Meditations and relaxation techniques, Spirituality are very powerful in dealing with depression too.

3 ways to combat depression

Don't wait any longer, manage your Cognitive Consultant online with a Lybrate doctor today

Consult for Cognitive Consultant - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES