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

Top 4 Ways You Can Increase Your Willpower

There are days when you wake up but you don’t want to move out of the bed. When your alarm goes off and you open your eyes feeling groggy and disoriented.Times when you accept defeat and stop moving towards what you want to achieve in life. These are just indicators of being low on motivation and lacking will power to chnage things. It’s more psychological than physical. Follow these simple tips, to come out of your cocoon and boost your willpower. 

Try these four ways to up your willpower.

1) Meditate - Meditation is the key to unleashing your powers, especially willpower. Practicing mindfulness, even for few minutes a day can help in boosting your willpower.

2) Exercise - The magic pill of exercise is another best way to boost your willpower. It is recommended that you exercise for 30 minutes, at least three times a week to ensure that you feel fitter, reduce your anxiety levels and boost your overall willpower to achieve bigger and better things in life.

3) Hold yourself accountable - That’s one of the best ways to boost your willpower. If you hold yourself accountable in your own life, if you know that those reasons of not getting out of the bed are mere excuses, then you would certainly increase your willpower.

4) Set Goals - One of the reasons why people experience a faltering in their will power is the fact that they don’t set their goals. Setting definitive targets is a must.You must ensure that the goal is set with measurable quantities, is specific, attainable, relevant and timely. All of this will certainly help you in enhancing your willpower.

If you have any further questions, ask me by clicking on 'consult'.

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Top 4 Ways You Can Increase Your Willpower

Vomiting in infants and kids are very common. Most of the vomiting cases do not require patients to see a doctor. But there are some conditions that cause forceful vomiting in babies and infants leading to dehydration.

One such condition is called Infantile Hypertrophic Pyloric Stenosis. Infantile Hypertrophic Pyloric Stenosis is a problem that affects infants and requires the immediate attention of a Pediatric Surgeon. In this disease, the lower portion of the stomach known as Pylorus is blocked. Due to the blocked Pylorus, the food in the stomach cannot enter the small intestine. Due to this obstruction, the child experiences vomiting persistently.

Risks Prone to Pyloric Stenosis -

The disease is more common in boys than girls.

Children from white race are more prone to Pyloric Stenosis.

There is evidence of genetic predisposition.

Symptoms - 

The most common symptom of Pyloric Stenosis is frequent and projectile non-bilious vomiting in kids. Whatever feed they take from mothers is vomited after few hours. However, the vomiting is different than that of wet burps which are very common among infants.

Kids remain hungry after vomiting

Weight loss

Ongoing crying

Lack of energy i.e. lethargic

Sleeping

Fewer bowel movements

Bloating and constipation

Diagnosis -

In addition to the physical examination the following investigations are done:

Blood tests to evaluate dehydration and electrolyte imbalance.

Abdominal ultrasound is diagnostic to know the presence of pyloric mass and the length of pyloric canal

Treatment -

The only practical course for treating Pyloric Stenosis is to operate the infant. However, first doctors administer the infant with the medicines and IV fluid to treat dehydration and electrolyte imbalances. Once the baby is hydrated and ready to get operate, surgery is performed.

TAKE AWAY -

Consult a Pediatric Surgeon if your child is vomiting after feeds. He needs evaluation to know the cause of vomiting and treat accordingly.

Surgical Causes Of Vomiting In Children!

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

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

When you get a compliment'smart thinking or you are intelligent or that was intelligent of you, you definitely feel good. These comments fill us with confidence, admiration and pride and we want it to happen to us again and again. But owing to a busy schedule and long working hours it might not be possible. Having said this, it does not mean that a person cannot stay intelligent throughout. This can be easily achieved by regular meditation. Regular meditation and yoga helps the mind to be more reflective and efficient.

Here are reasons how yoga and meditation lead to an intellectual learning and growth:

 Utilizes the brain: almost everyone uses one half of their brain more and this leads to imbalance. Meditation is believed to sync the left and the right hemispheres, thereby allowing neural connection and great processing power. When logical left and creative right brains start working in harmony, then solving problems becomes easy; and it also increases creativity, deep thinking comes to be known of and concentration and focus magnifies. Highly successful people usually display whole brain synchronization.
 Functional capabilities of brain enhance due to meditation: research backs it that meditation increases the gray matter thickness of the brain regions, thus making the brain smarter, bigger and faster. This is very similar to doing physical exercise which makes the muscles denser and stronger. The increase in functional capabilities of brain is based on the concept of neuroplasticity, which states that our intelligence is not based on genetics and there are some things which can be done to improve the way our brain works. Meditation is a good brain enhancer with an ability to increase intelligence.
 Beneficial brainwave patterns can be seen: meditation can help to guide the brainwaves into beneficial frequencies. The frequencies: alpha, theta and delta when guided can show case a myriad of benefits including idea generation, creativity, cognitive functioning, and intellectual capacity. Meditation helps to transform these beneficial states of mind and help boost the iq.
 Develops intuition and insights: these are generally obtained through listening and developing to the inner voice. Thus meditation forms to be the basic key to tap these latent abilities. The intelligence can be mapped through tests and quizzes and is valuable at each level to stimulate insights and creativity. As per some people, inner intelligence, is considered to be the most important and best success in the world. Successful people including steve jobs have stated that their super revolutionary ideas and business acumen came through their intuition.
 Meditation helps in improving both short and long term memory: the key memory areas hippocampus and frontal lobe show increase in activity during meditation. By stimulating these areas, the short and long term memories are improved.

Can Yoga Improve Your IQ?

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