Cyclic vomiting syndrome (cvs) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: there is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to cvs. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And cvs is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce cvs. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: the syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: the child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: prodrome is an indication that a disease or a condition is about to happen. In cvs, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: as the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the cvs also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood csv, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

Cyclic Vomiting Syndrome in Children - Causes, Symptoms, Treatment

Do you believe that the world is a hostile place and you are a victim? Are you the one who often doubts his or her abilities? If so, you might be showing signs of low self-esteem. Interestingly, self-esteem has nothing do with your actual ability or talent. Your looks, weight or skills are not responsible for your low self esteem. It largely depends upon the fact that how you value yourself.

It has been observed in most cases that self-esteem is often affected by a number of reasons, including ill-health, unpleasant memories from the past, and termination of relationships. Low self-esteem is generally marked in survivors of physical or sexual abuse, victims of racial discrimination or people who have had a traumatic past life.

If you don t pay attention towards this issue, you might end up developing certain serious mental disorders. Low self-esteem is also the root cause behind the occurrence of mental disorders like borderline personality disorder, depression, etc. However, there is nothing to worry about it. There are certain simple things that are useful in building up your self-esteem.

Here s all that you need to do to start believing in yourself and be confident about your capabilities:

1. Remember your strong points: Make three separate lists of your strengths; achievements and your qualities that you admire. Take help from your friends, parents and other well-wishers for preparing these lists. These lists will help you in understanding your abilities and goodness. You will be able to believe in your strengths. You must read through these lists at least once daily.

2. Be positive: Optimism and a positive approach towards life are the key to success. Your self-esteem is influenced by the fact that how you look at life. Life is not a bed of roses. It is unavoidable that you will have to face critical situations or problems in life. But, what is important is to face them with courage and a faith in your own abilities. Be positive and stop developing negative thoughts about yourself. Get rid of thoughts like  I am a loser ;  I can t get rid of this problem ; etc.

3. Take care of your body: Your outward appearance sometimes works wonders in lifting up your inner-self and spirits. Keep yourself clean, trim your beard or hairs; cut your nails; don t forget to floss your teeth and maintain overall personal hygiene to develop a feeling of goodness.

4. Sleep well: A good night s sleep is essential for boosting up your self - esteem.

5. Eat right: A balanced diet is a key to good health. Eating the right food in the right way keeps your mental and physical health all right. Include minerals and vitamins in your regular meals. Avoid distractions like television or radio while taking meals.

6. Exercise: Regular workouts keep you away from mental-ill health.

7. Be cool and comfortable first: When it comes to your dressing, try to put on attires that you can carry well. Wear stuffs that you love the most.

How to Build your Self Esteem?

4 Life Lessons to Learn from Kangana Ranaut

Despite being an outsider in the industry, Kangana Ranaut has made her mark in Bollywood. The 'Queen of Bollywood' bagged the National Award in the best actress category for the third time for her double act in the commercial hit Tanu Weds Manu Returns. Ranaut is one of the highest paid actresses in India and is known for playing emotionally intense roles in films like Gangster and Woh Lamhe. But behind the fame and the glory, lies a story of struggle and constant perseverance. Kangana's rise to fame did not happen overnight, and her travails and triumphs have quite a few important lessons stored for all of us.

Here are 4 inspiring life lessons to take away from Kangana's real life story.

1. Be Yourself

Accept yourself and embrace the person you are. Making desperate attempts to fit in a social circle or trying to make people like you could turn depressing. Be yourself and don't compromise on your identity and be afraid to have a mind of your own. Kangana has constantly inspired us to be rebellious and to question stereotypes and sexism.

'People in the industry treated me like I didn't deserve to be spoken to and I was some unwanted object. I couldn't speak English fluently and people made fun of me for that. So dealing with rejection became a part of life...Today, when people say that I have made it and made it on my own.'

She said on an interview with Daily News and Analysis

2. Deal with your relationship problems

Stop tolerating abuse. Your partner is supposed to love and support you and not hurt you physically or emotionally. Don't be afraid of getting out of a relationship. It might be difficult and hard to deal with but it's best to get over with and start afresh. Ranaut was in a relationship with Aditya Pancholi, which turned sour after he assaulted her. Later she was also in a relationship with Adhyayan Suman and Nicholas Lafferty, an English doctor, which did not last either, but she always moved on with her head held high, personifying dignity.

3. Beat the odds

There might situations when your family does not support your career choices but don't let that stop you from going ahead with it. Believe in yourself and work hard on your goals. Kangana Ranaut inspires us to not give up easily. In spite of being an industry outsider, Ranaut made her mark with remarkable performances in Fashion, Queen, Woh Lamhe and Tanu Weds Manu. She quit pursuing medical and went for modeling instead and refused to take financial aid from her father. In short, don't give up on your dreams no matter how difficult it gets.

4. There is no end to learning

You can always continue with your interests even if you have a very busy professional life. Make time for your hobbies and interests as they expand your outlook. Ranaut learns Kathak as she enjoys dancing and considers it as a form of therapy. She also did a course on the technical aspects of filmmaking from New York Film Academy. She did not let her stardom affect her personal interests and wants to have a normal life.

'I don't want to lose my rights as a common person to learn and grow'

She said on an interview with Filmfare.



4 Life Lessons to Learn from Kangana Ranaut

Anger is an ordinary and is an expressed reaction to an attack, perceived danger or fear. It has been very useful in our struggle for survival. The brain distinguishes the danger and the body is provoked and energized to respond with battle or fight. Once in a while, obviously, it gets out of hand. A few people, unmistakably, see dangers where there are none or where the risk is negligible. Their bodies get provoked improperly. They could use some assistance in understanding the signs that trigger their reactions and discover approaches to improve control.

Health problems: There are some individuals who encounter so much anger that they cannot control their drive to strike out at other people. This is isolated and separated from the issue of alcohol and medication misuse. It is imperative to recall that in case that you are a person who effectively gets angry and has outbursts, you can hurt your health.

Aerobics: Many of us are aware of the advantageous impacts that workout has on one s well-being and health. Various studies exhibit that every day exercise, particularly a program that includes aerobic exercise, can counteract or lessen feelings of anger or depression. Aerobic exercises, much like cardio activities, such as running, brisk walking, swimming and bike riding gets a person out of breath while expanding the pulse and heart rate.

Muscle relaxation: Muscle relaxation requires you to concentrate on straining and unwinding specific muscle groups in your body, so that it can divert you from your sentiments of anger. Moreover, it is great for mitigating nervousness and pressure, which can likewise ease angry emotions. This activity additionally attempts to help you rest when your emotions are running high. Concentrate on a specific muscle group, for example, the muscles in one hand. While breathing in profoundly and gradually, crush the muscles as hard as you can and keep up that pressure for five seconds. For instance, straining your hand muscles would include shaping a tight clench hand. Concentrate on that gathering of muscles and make an effort not to unintentionally tense the surrounding muscles.

30 minutes: There is a lot to be gained even from a 30 minute routine at the gym, in the recreation center or at home. If you have any sort of medical condition, or if you are not sure about the condition of your health, you must consult your doctor. When you get medicinal freedom for activities, it helps arranging and using a work out timetable of no less than thrice each week.

All things considered, you do not have anything to lose except excess weight, depression and now, perhaps even anger. Along these lines, in case that you need to better deal with your anger as it emerges, a great workout might be the correct approach.

How Workout is the Best Way to Get Over Your Anger?

The Power Of Passion

Passion is the energy that can fuel a project, or a task. It gives you the energy to jump out of bed every morning or go to bed late after you have worked out the last block that was stopping your passion from flowing. It has a similar role to inspiration. When we engage in something we are passionate about, we feel free from external and internal blocks and in control. Time recedes into the background, and we feel empowered to engage in flow. 
Research has shown that passion has brought people back to life and start thriving again, making them more emotionally stable and a strong mental equilibrium. Abraham Maslow, a US psychologist said that without passion, nobody would reach their  self actualised  state.

Passion can make or break you. Passion can make you feel invigorated, committed, focussed, connected, courageous, creative, satisfied and productive. A man can be passionate about sports and take out time every week to indulge in his passion, while keeping his boss and family happy. 

On the other hand, it can also ruin your life by being obsessed and possessed by the fire of passion. A workaholic, who doesn t go back home till 2 am and reports to office again at 10 am, he who doesn t see his children nor relaxes or does any physical activity is ensuring a quick burnout in the guise of following a passion. A harmful passion can be diagnosed easily by gauging whether it controls you or you feel in control of your life, which is about harmonious passion.

WHY  YOU MUST NEVER GIVE UP YOUR PASSION

1. Helps you unwind and relax - Zafar liked to do puzzles, crosswords and Sudoku when he started his day. It freshened him up and his mind became sharper as he looked at various permutations and combinations for the words and numbers. Daily new neural pathways were getting stronger in his brain. This exercised his left brain adequately every day. He slept well. Do remember not to do such exercises before sleeping.   

2. Expands your life - Some hobbies like travelling, cooking, collecting trivia has its own benefits. This involves physical activity and meeting up with other people. This helps a person to remain connected with society and keep active. Ram liked travelling so much that he gave up his job to become a globe trotter and tied up with a TV channel to commentate on tourist locations. He earns handsomely from his hobby. His self esteem has doubled since then.

3. Keeps your mind productively channelized - Nandini s problem was that she didn t have anything to do while the kids were away at school. She had started feeling depressed and got headaches often. She knew that she connected well with the children in the neighbourhood and had a flair for painting. She started teaching them painting in the evenings. Soon she became very busy and had no time to get bored.  She not only made new friends, she also earned the respect and awe of her community. She feels energised, happy and motivated to work while looking forward to life.

4. Success at work - Often passion has been linked to success at work. It is seen that people who are passionate, committed and hardworking often excel in their work as they have a goal to achieve. They look forward to their day and any hurdles or failures don t deter them from trying again. Neela was always passionate about becoming an IT professional. She had grown up playing with computers. Despite her family not agreeing with her choice of profession, she went ahead and burnt the midnight oil to score high in school and college. She got picked up in campus placements and today she holds a coveted position in the company. She has motivated many girls from her conservative community to study and get work.

5. Keep away illness - Having a hobby or working passionately has its own share of health benefits. People have reported higher physical and emotional immunity. They had deep and strong bonding with their community. They didn t suffer from insomnia, depression, dementia and anxiety and hope was alive in them till the end. They knew that success and failure are two sides of the same coin. 




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5 Logical Reasons You Must Never Give Up On Your Passion

HOW TO BOUNCE BACK FROM FAILURE

“It's fine to celebrate success, but it is more important to heed the lessons of failure,” Bill Gates said. We always shower praise on those who have triumphed. Very rarely do we examine all the times the successful people have failed, and analyze how they turned their “luck” around. In this tip, you will understand how to turn failure into success and bounce back with more fervour.

1. A SUCCESSFUL MINDSET: If you’re striving to achieve anything then failure is inevitable. “Whenever you’re trying a new experiment, whether it’s a new job, a new product, a new hobby, a new boyfriend or girlfriend–whatever it is–you need to give some thought to what is your strategy and which are the possible ways to achieve it. Do you have any plan B or plan C if plan A fails? What will you do if nothing works out...and how to minimise the losses as well as taking advantage of the opportunities that you have. Assessing your opportunities and threats to success is very important. When a newly wedded girl comes to stay with her In laws, she might need to have a number of ways in her kitty to make her place in the new household rather than just stick to a few traditional ones. If one technique doesn't work, try something else. Disaster strikes when creativity is not given a place and failure was not factored in. Feeling helpless doesn't add upto success. Optimism is what people need to bounce back with.

2. LEARN AND IMPROVE WITH EACH FAILURE: Failure is just an opportunity to learn and improve. It’s a teaching moment that should be analyzed with a practical, clear mind. It helps to see mistakes as stepping stones to learning and improving and using it as an opportunity to bounce back. Every person should behave like a scientist with a mind open to exploring, assessing, making mistakes and changing. Mistakes must be embraced as being part of the process of success. If we don’t make mistakes it means that we’re not trying, and if we’re not trying then we’re not learning and getting better. Your self-worth should not rest on perfectionism, but rather value your ability to accept and learn from your mistakes. Not everyone is willing to admit when they’re wrong, which can hamper progress and relationships. When Meena and Arun started dating each other, they didn't know each other well and tried to impress each other in ways that was not working out well for both of them. It was very frustrating for them to see that their relationship was not working out. In counselling, they realised that they were not asking what each can do to impress the other. Meena told Arun that she would like to be taken out to plays and theatre by her future partner and Arun told Meena that he would like to take weekend trips to nearby destinations to get to know his partner well. When they both started doing what the other appreciated, they got to know each other better and relationship started blooming. Thus Arun and Meena assessed the situation, were open to discussion and found an amicable solution instead of thinking of their previous efforts as failure and giving up. 

3. LOVE YOUR CRITICS: How do you feel when your work gets criticised repeatedly by your boss, manager or your husband. It mighty be hurtful and demeaning to hear critical feedback, but if many people are saying the same things about your work or behaviour, then maybe it's time to give it a serious thought. When Saira was often told that she wasn't cooperative enough in team activities and tends to slacken and pass on work to other members, her mind started working. She had got the same comments in her previous organisations. She started seeing a grain of truth in this feedback and took steps to rectify complaints that stood out common in all the feedbacks and reworked her way back to become a sought after team member. Her next years' appraisal was better and got her an increment. Saira triumphed, because she knew how to learn from criticism.

4. ACCEPT FAILURE AS AN IMPORTANT PART OF LIFE: Shivani was heartbroken when her 15 year old perfect son started doing badly in exams. Her world fell apart when she came to know that he had secured 73% in 10th grade. She felt that she had failed as a parent and her son as she had not devoted enough time to her son as she was a working mother. In counselling, she was asked if she knew any parent who had never failed their kids and were always there for them. Shivani couldn't come up with any names of such mothers who had been perfect to the core. Yes, that's how real mothers are...you will fail sometimes and you will win sometimes. Every moment you are real with your child, you are succeeding as a mother. Accepting failure as a part of life and knowing that you gave it your best shot is good enough. There's magic in feeling genuine regret rather than overkilling guilt and shame. Own your failure openly, publicly, and you'll reap a harvest of forgiveness, trust, respect, and connection—the things you thought you'd get by succeeding. Ironic, isn't it?

5. GO WITH YOUR GUT: When you see a red flag, pay attention. How many times in life have you kicked yourself for not listening to that little voice in your head that says, “Something is wrong here”?. Preetam gave an interview with an organisation, going by their market reputation. Yet during the interview, he picked up feelings of dissonance within the company. After joining them, he realised that his gut was right..the company was going through major shuffle and policy changes, which were not working out for Preetam.

6. BE A PROBLEM SOLVER AND STAY CALM: In a crisis, people tend to get anxious. Maintaining a sense of Zen will not only allow you to think more clearly but will also set the tone for those around you. Kapil used to get tensed over small details. He realised that in the larger scheme of things they were really not that important. He focussed his energies on things that were more important for him to reach his monthly targets. This started calming him down.

7. FIND A SOLUTION: You need to figure out how to address and remedy the situation. Start by considering your end game — what’s the ultimate outcome you’d like to see? — and work backwards from there. Daya wanted to be a good father to his children. He wanted them to remember him as a gentle and loving father. He started working backwards and his daily actions and behaviours showed to his children that Daya was a loving father. He played with them, took them for cricket coaching, went swimming, shared personal success and failures and most of all listened to them when they had to say something.

8. TAKE RESPONSIBILITY OF YOUR MISTAKES AND FAILURES: If you screwed up, don’t make excuses — just apologise genuinely for any errors on your part. Remember, that no one is perfect and it's human to err. Prema was a caring mother. She had many dreams about her daughter and wanted her to do well in studies and be a well behaved child of the family. But when her daughter started showing disinterest in studies and marks started falling, Prema used to beat up her daughter in her anxiety to do well. In counselling Prema understood that her intentions were good, but the way she communicated were not helping the situation as Prema's daughter hated her mother and maintained distance. Prema owned up her mistakes and apologised for her errors to her daughter. She also took remedial action to be accepting of her daughter and gave her the space to make her own mistakes and learn from them. 

9. BECOME PROACTIVE: Don’t let a small mistake linger and turn into a bigger one. That’s not to say you should simply be reactive, but i f you know you did something wrong, deal with it right away. Say, for example, you stuck your foot in your mouth during an important business meeting and inadvertently offended your boss or a client. Acknowledge the gaffe, apologize and try to move on without beating yourself up. Remember that, “In any moment of decision, the best thing you can do is the right thing, the next thing is the wrong thing, and the worst thing you can do is nothing.

10. DEFINE YOUR OWN SUCCESS AND FAILURES: Its important to have your own definition of both rather than how the world sees and defines success and failure. Find answers to questions like: How would you be behaving when you have succeeded, what must happen to feel successful, how will your life change when you are successful? Every person has a very different view and definition for success and making it your own definition can spell failure. Don't let the world tell you whether you have failed or succeeded. It's also excellent for self esteem and works as a protective shield from potential damage. 

So, next time there’s that misstep, mistake or misunderstanding, remember to take a deep breath and be your own best publicist by remaining calm, seeking the solution and seeing the challenge as an opportunity to lead and learn.









How To Bounce Back From Failure - Tips From A Pyschologist

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