Autism Spectrum Disorder or ASD is a condition associated with brain development. ASD affects the way an individual perceives others and socializes with a group of people. This disorder shows up in early childhood; it includes repetitive and limited behaviour patterns and thus, makes it difficult for the affected child to interact or communicate with others.

The word  spectrum  in ASD refers to a range of signs related to the condition. Some children develop the symptoms of the disorder right from infancy, while others exhibit the same within 12-36 months of birth.

Signs to Watch Out for-

Early signs of Autism Spectrum Disorder in toddlers include-

  Reduced eye contact
  Lack of response (to their name)
  Difficulty learning things
  Trouble communicating
  Speaking in an abnormal tone
  Repeating words, not knowing where to place them in a sentence
  Inability to express feelings/emotions
  Inappropriate approach to social interaction   being aggressive, destructive, or passive
  Difficulty recognizing non-verbal cues
  Lack of coordination
  Oversensitive to touch, sound, or light
  Repetitive movements - spinning, rocking, hand flapping

Every child with ASD has a unique behaviour pattern.

If you notice the above traits in your child and are concerned about his/her development, then you should visit a doctor right away. A specialist can recommend an appropriate line of treatment to manage the symptoms and help your child thrive despite being autistic.

Autism and Nutrition   Is There Really a Link?

Caring for an autistic child can be challenging on many levels, and healthful eating is no exception. A child living with Autism Spectrum Disorder may not be getting enough nutrients, primarily because they are not patient enough to sit through their meals.

If your child has ASD, you should definitely reach out to a paediatrician. He/she will most likely prescribe a  special diet  to provide your child with the essential nutrients.

  Switch to a casein-free, gluten-free diet. Exclude foods such as   fishes, eggs, seafood, soy products, nuts etc. Children with ASD have an abnormally leaky gut, and these food items often cause inflammation in the gut. This further deteriorates the symptoms.
  The doctor may recommend a low-fat, high-protein ketogenic diet   cottage cheese, avocados, poultry meat, coconut oil etc.
  Serve your child a good portion of vitamin-rich foods   cereals, fruit juice, oatmeal etc. However, make sure that you are aware of any allergic reaction your child may have before incorporating these in their diet.

Health experts state that for children living with this condition, a balanced, nutritious diet can make all the difference in the world   it can improve their learning ability, help them to express themselves more and process information better.

Early Signs Of ASD In Toddlers!

Autism spectrum disorders are a group of severe neurological and developmental disorders which begin in early childhood and can last throughout a person s life. It affects the ability to interact with others and also hinders communication and well as learning ability. A proper health center can diagnose the presence of autism spectrum disorder early on. Many tests are available for evaluation and diagnosis as it is a range of disorders which can have a variety of symptoms. The environment and genetics also play a role in the development of autism spectrum disorder but the exact cause of autism spectrum disorder is not yet known.

Symptoms of autism spectrum disorder:

Your child may not be able to respond when called by his or her name by 12 months age.
Will avoid eye contact and also have the desire to stay alone.
Have trouble understanding or relating to other people or talk about their own feelings.
Delayed speech and language skills which would affect the ability to speak.
Show unusual reaction to sound, smell, taste or feelings.
Answering questions with unrelated answers that have no meaning or link.
Prefer to play alone and would avoid physical contact.

Diagnosis of Autism Spectrum Disorder:

Comprehensive Diagnostic Evaluation   The behavior of your child and development is first studied by the doctor in detail. The tests include genetic testing, neurological testing, hearing and vision testing among others. Doctors may also suggest other specialized tests in certain cases.
Developmental Screening   The development of your child s basic learning skills with respect to the age is checked. The doctor checks for some delays in the progress and will also monitor movement, behavior and speaking progress of the child. Some additional checks are also done for low birth weight, premature birth among other things.
Treatment:

Applied behavioral analysis   This is a notable treatment and widely accepted by doctors all over the world. ABA is known to encourage positive behaviors and improves a variety of skills in a child.
Occupational Therapy   Teaches the skills to live independently like eating, dressing and social skills. This can help people afflicted by autism spectrum disorders to lead a normal life within the society and thus relate to as well as interact with other people.
Speech therapy   It improves and focuses primarily on communication skills and also uses picture boards and gestures to improve the abilities and induce learning skills.

Autism Spectrum Disorder - How To Diagnose It?

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

Parkinson's disease is a neurodegenerative condition that affects your brain cells which produce dopamine and thus hampering all kinds of motor functioning and other emotional responses. After the disease is diagnosed, medication and therapy can help to provide relief from the symptoms to a large extent but a permanent cure is not possible.

Causes:

The disorder does not have a definite set of causes. A small percentage of the cases have been related to hereditary factors and others have a range of environmental causes associated with them.

1. Genetic factors:

Specific gene mutations and gene variations have been proved to cause Parkinson's, such as SNCA, PARK2, PARK7, PINK1 and LRRK2. These make or recycle proteins which are linked to the disease.

Research shows that men are at a 1.75 times greater risk of developing the condition than women are. Also, age plays a role with most cases occurring after the age of 60.

2. Environmental factors:

Regular exposure to inorganic insecticides, pesticides, herbicides and heavy metals or other toxins may cause the disorder. In rare cases, Parkinson's disease occurs in the aftermath of a severe head injury or immune disorders.

Symptoms:

The symptoms can be classified into two broad categories-

1. Motor symptoms:

The hand tremors when in resting position
The grip loosens
Walking slows down
Facial muscles freeze partially
Speech is slurred
Balance is disturbed
Swallowing is painful
Urination is abnormally frequent
Dementia-like symptoms are seen
There is involuntary twitching of the fingers and toes
Repetition of the same movement in quick succession is nearly impossible
2. Non-motor symptoms:

Dental problems
Vision impairment
Skin disorders
Panic attacks
Excessive secretion of saliva
Extreme weight loss or gain
Sexual problems
Loss of sense of smell
Lowering of the pitch of the voice
Fatigue

Causes and Symptoms of Parkinson's Disease

Bipolar disorder is a mental disease that is characterized by sudden changes in mood. People suffering from the condition may experience severe episodes called mania and the disorder can even cause depression among patients. Bipolar patients can also have difficulty maintaining relationships in their personal life, due to the unpredictable nature of their moods and behaviour.

Risk factors for bipolar disorder

Bipolar disorder is associated with a number of risk factors such as the following:

  Genetics - People who have a family history of the condition. Particularly, if an individual s siblings and parents suffer from the disorder, they face a greater risk.
  Environment - Stressful or traumatic events can lead to bipolar disorders as well. For instance, the death of a loved one may push people off the edge and lead to the mental affliction.
  Brain structure - People with certain brain structures may be at a higher risk from the bipolar disorder



Symptoms of bipolar disorder

Three main symptoms characterize bipolar disorder- mania, hypomania and depression. Each of these symptoms can lead to rapid mood swings in a person suffering from bipolar disorder.

  Mania

Mania is an episode where the person suffering from the disorder starts to feel extremely high in terms of emotion. They become hyperactive, excited and even euphoric. During such an episode, people are also liable to engage in drug use.

  Hypomania

Hypomania is similar to mania but is not as severe. Hypomania only affects people suffering from bipolar II disorder. Even though hypomania may not be noticeable to people around the patient, the person affected may notice an unexpected change in their moods.

  Depression

Depression is just opposite of what mania is. It manifests a feeling of hopelessness, lethargy, remorse. Suicidal thoughts also accompany most cases of depression. Even though depression can be caused as a separate condition, people affected with bipolar disorder undergo periodic depression and mania, which can be even more difficult to handle.

Treatment for bipolar disorder

Contemporary medicine does not have a cure for bipolar disorder as of now. However, with proper medication and therapy, a patient suffering from the mental illness can manage the symptoms and reduce the mood swings. Aside from medications, such as antipsychotics, antidepressants and mood stabilizers, patients may be prescribed psychotherapy as well.

Cognitive behavioural therapy and psycho-education are vital parts of the treatment. The former is basically a talk therapy session between the psychologist and the patient, while the latter looks to educate the patient and their families about the bipolar disorder and ways of living with the condition.

Creating a strict routine for daily life activities can also help deal with the disorder and reduce the symptoms.

Mood Swings - Are They The Signs Of Bipolar Disorder?

One of the common ailments in the elderly people is the Parkinson s. A progressive disorder, when left untreated, results in worsening of the symptoms. Hence, it is essential to understand the treatment options available to manage the condition effectively. You may be suggested surgical therapies if medication is not effective enough to treat the symptoms.

Surgical treatment options can be beneficial for patients who are suffering from symptoms, but they do not help with treating the disease. In the past, surgical methods like Thalamotomy and Pallidotomy were used to destroy brain cells that contributed to the symptoms. While these methods are still used, they are very rare and situational.

Deep Brain Stimulation (DBS), an FDA-approved procedure, has become much more popular as it is much safer and does not involve invasive surgery. Instead of destroying brain cells like traditional methods, DBS involves sending electric pulses to the affected brain cells to reduce the symptoms. It is not a treatment procedure, but a means of bringing down the severity of Parkinson s to allow better and more comfortable treatment.

Deep Brain Simulation   Who are the right candidates?
Deep Brain Simulation is commonly used for Parkinson  s disease, but it is not recommended for everyone. It is a preferred method of treatment for people who have had Parkinson s for at least four years but have complications which include long periods of time where medications do not work, or symptoms return, uncontrolled and involuntary movements or the freezing/stiffness in the body.

Deep Brain Simulation is not recommended for those who have Dementia as it can lead to memory problems. The general rule of thumb that neurosurgeons follow is that Deep Brain Simulation can help with symptoms that do not get better with medication. DBS can help reduce medication requirements for patients as well as reduce the side effects that may occur due to medication.

Disorder specialists and neurosurgeons can conduct tests to determine if DBS is going to be effective for a patient before going ahead with such a procedure. An extensive assessment is necessary to understand the symptoms, the effect of Parkinson's drugs and also brain imaging is done. All of the expected benefits are then evaluated for the patients, and if the procedure can help alleviate the symptoms, DBS is given a green signal by neurosurgeons and patients can undergo the procedure.

How Does Deep Brain Simulation Work?
Deep Brain Simulation is a very complex procedure. Brain cells communicate with the rest of the body through electric signal, and these become irregular and do not work properly when affected by Parkinson's. DBS smoothens the functioning of these brain cells and reduces symptoms through electric pulses through the implantation of a medical device known as neurostimulator which is also referred as brain pacemaker.

But, as with any treatment procedure, DBS has potential risks and side effects, hence discuss with neurosurgeon thoroughly to access the suitability.

Adopting Deep Brain Stimulation For Parkinson's disease

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