Just as children grow at different speeds, they respond to a speech therapist at different paces. Some children may need only one or two classes to master a sound, while others may need much longer. Some of the ways to make working with a speech therapist more productive are:

Have Clear Goals: When a speech therapist enters your family, the parents, therapist and child should have the same goals. Therapy would not help if the parents and therapists wanted to focus on different things. For example, the parents might be concerned with the child s vocabulary while the therapist may want to focus on articulations. Similarly, if the child does not understand the goal, he or she may not show much improvement. Ideally, a goal should be clear, measurable, realistic and be associated with a time frame. It should also be challenging but not out of reach.
Homework: A therapist has a limited amount of time to spend with the child. A majority of this time must be spent in learning something new each session. However, this will not be possible unless the child has made progress since the last class. Hence, it becomes important for the therapist to give the child homework and for the parents to oversee this. Video tutorials can be very helpful here. This helps parents know exactly what the child is supposed to practise.
Trust: A speech therapist may be an outsider to the family but he or she must be trusted to do their job in the way they think best. Very often, parents and therapists may not have the same views about how the child should be taught. Here, it is important to remember that the therapist is the expert and knows what he or she is doing. This is another reason why it is important to set clear goals together at the onset of therapy.
Speak Up: While the therapist may be an expert on how to build vocabulary and improve speech patterns, parents are experts on their child. Thus, it is important to communicate openly with the therapist. Answering therapist questions honestly can help him or her assess where the problem lies and in turn address it. Similarly, if you have questions, do not be afraid to speak to your therapist about them. Share the child s progress and changes that you have noted so that the therapist can adjust the lessons accordingly. 

Tips To Make The Speech Therapy More Effective!

Darunak or commonly known as dandruff, is a disorder that affects the scalp. Dandruff causes white, dry flakes of dead skin cells to shed from the scalp. Although dandruff rarely causes baldness and hair loss, the itchiness of this condition may most certainly be a cause of concern. If white flakes persist for a long time, the person may experience symptoms of seborrhea, psoriasis, or eczema. According to Ayurveda, Darunak is a Vatakapha predominant tridoshaj disease. According to Acharya  Sushrut , Madhav  and Yogratnakar , Darunak have symptoms like Itching, White scales like structures, Dryness in the scalp. Along with aforesaid symptoms of Acharya Vagbhatta also considered Hair loss and Numbness of scalp. The Adhisthan (place of origin) of this disease is the keshbhumi (Scalp). 

Over time, proponents of Ayurveda have conducted various researches on this disease, trying to find out an effective solution when it comes to dandruff related problems. 

Prolonged Treatment for Wet or Oily dandruff: 

The scalp skin produces sebum (Kapha), which is an oily substance. This sebum helps in keeping your scalp and hair hydrated. It is a natural process, without which your hair may turn dry and frizzy. However, when this sebum (kapha) is over produced due to certain reasons, you may suffer from problems of the scalp. Over production of sebum (kapha) causes oily scales to appear on the scalp, which may cause severe itching and may also result in infection. Therefore, wet dandruff requires prolonged treatment, whereas it is easier to treat dry dandruff. 

Impurity in the blood: 

According to Ayurvedic system of medicine, dry dandruff is caused because of  Vata Pradhan Kapha dosha . On the other hand, wet dandruff is caused because of  Kapha Pradhan Vata dosha . As per Acharya Videha Pitta and Kapha are involved in causing darunak i.e. Dandruff. The vitiation of Vata and Pitta in the body leads to vitiation of Raktadhatu(blood) thus giving rise to impurities in the blood. This in turn leads to poor nourishment of the scalp. In such cases, detoxification of blood is also required to get rid of dandruff. 

Ayurvedic View

Ayurveda places the problem of dandruff in the category of Shudra Roga, which appears due to an imbalance of all three doshas (Ayurvedic humor). The primary doshas involved are Kapha and Vata.Kapha is an Ayurvedic humor which symbolizes Softness, Stickiness, provides nourishment & lubrication. Vata is dry and rough in nature. In an aggravated state, both doshas as per their predominance cause the production of specific impurities in scalp, which are dry and sticky in nature. These impurities accumulate in the deep tissues of the scalp and contaminate them. Contamination of the deep tissues and aggravated Vata-Kapha Dosha causes itching and flaky patches on the scalp. Due to these factors, the scalp sheds larger than normal amounts of dead epidermal cells, which leads to the problem of dandruff. 

The Ayurvedic line of treatment is to generally pacify Kapha and Vata through herbal medicines, as well as a tailor-made diet and lifestyle plan. Also, special herbs are administered to cleanse the body of accumulated digestive impurities. 

The Ayurvedic system of treatment for wet or oily dandruff, in particular, is briefly mentioned here: 

According to Ayurveda, dandruff could be caused due to prolonged intake of cold water, Excessive usage of foods that taste salty, Chronic Rhinitis,  Irregular Sleeping Habits, Excessive Exposure to UV of sun, Suppressing Natural Urges, Excessive consumption of alcohol, Excessive sweating , Improper maintenance of Hair and using very less or no hair oil for massaging Head and Scalp.
Ayurveda suggests both topical and internal medicines for the treatment of wet or oily dandruff. The topical medicines are intended to manage dandruff and also provide relief from itching and infection, if any. The internal medicines are intended to detox the blood and also improve immunity, nourish the skin and thereby help in improving the quality of hair.
If dandruff is caused due to psoriasis and eczema, then there are exclusive medicines to combat the infection, detox the body and nourish the skin and hair.
Ayurveda suggests that foods like coconut, Indian gooseberry ( Amla), Raisins etc. help in preventing dandruff.
In addition to these, Ayurveda also suggests various home remedies for effective management of both wet and dry dandruff, like washing your hair with decoction prepared with Neem Leaves or Take powder of Mustard seeds and licorice, make them into paste by adding milk to it and leave it on head for 20min and wash later with water.
Taking Panchkarama detoxification procedures like Nasyam, Raktamokshnam, Shirobasti, Abhyanga Swedanam under the guidance of expert can also play very important role in the management of both the types of dandruff. 
Accumulated hair and dandruff scales can be made returned to the healthy scalp from unclean combs and brushes. This may irritate the scalp and causes flare of dandruff again. Combs and brushes are the tools for the care of your hair; they should be properly made and well cared to accomplish this purpose. Neem wood combs can work wonder but they should also be regularly cleaned and changed every six months. It can be easily deduced that wet dandruff can be effectively managed and treated by undergoing treatment under Ayurvedic system of medicines. 
However, you should avail such treatment under the supervision of an experienced doctor specialised in Ayurvedic medical science.

Dandruff (Oily & Wet) and its Management With Ayurveda 

6 ways to minimize visible pores on your skin

Pores are openings in the skin through which your body's natural oil, called sebum, is released. They appear larger when they are clogged with dirt or oil, and are home to hair follicles. Dead skin cells and sebum which, put together, form a pimple can stretch out pores. Aging and exposure to the harmful UV rays of the sun also contribute to the appearance of pores on your skin. Pores can be controlled with the right skin care. 

Here's how:
1. Choose your skin care products wisely 
Zinc and magnesium help to maintain your skin's oil balance and clear pores. Products with softening ingredients like rosemary and lavender may soothe your skin and prevent pores from stretching out. You should use products with salicylic acid as an ingredient since it unclogs pores, exfoliating your skin. 

2. Maintain cleanliness
Washing your face temporarily stops your pores from holding extra oil or dirt. Exfoliating two to three times a week can also control the cropping up of pores on your skin. However, these are temporary methods because you will have large pores naturally if your skin is oily.

3. Applying sunscreen
Exposure to the harmful UV rays of the sun for too long can make your pores look bigger. Applying sunscreen on the face and on exposed areas of your skin with SPF 30 can minimize your pores. Also, wear a broad-brimmed hat and withdraw stepping out in the sun between 10 A. M. To 4 P. M.

4. Treating the spot
Oily skin tends to have larger and more noticeable pores. Some areas of your face may be oilier making the pores visible. A clay mask can be used for spot treating if the pores on your nose, cheeks or forehead are large. Apply a thin layer of the mask on your skin and rinse it off with water after a few minutes. The clay extracts the extra oil out of your clogged pores so that the skin looks sleek. Using blotting paper on your oily areas can also be effective. 

5. Maintain a proper diet
Avoid food that is oily and high in fat because unhealthy oil can agitate the skin leading to clogged pores. You should eat low-fat foods like fruits and vegetables instead of munching on chips, cookies and candies. 

6. Remove makeup before going to bed
One of the biggest blunders that you can do is to leave your makeup on and go to bed. Leaving makeup on clogs your pores, stretching them out over time. Even if you forget to wash off your makeup at the sink due to some reasons, make sure that you at least remove it with face wipes. 





6 Ways to Minimize Visible Pores on Your Skin

It is a slowly and gradually progressing disease in which healthy liver tissue is replaced with scar tissue, hence preventing the liver from proper functioning. The developed scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins. It also slows the production of proteins and other substances made by the liver. Cirrhosis is a complication of liver disease which involves loss of liver cells and irreversible scarring of the liver. In other words, Cirrhosis is a condition in which the liver does not function properly due to long-term damage. Typically, the disease comes over months or years.

Although there are many other causes for cirrhosis, the commonest is excessive use of alcohol, viral hepatitis B and C infections and non-alcoholic fatty liver disease. Thus the scarring is most often caused by long-term exposure to toxins such as alcohol or viral infections.

According to the National Institutes of Health, it is the 12th leading cause of death. Men are more prone to develop cirrhosis than women. Globally approximately 57% of cirrhosis is attributable to either hepatitis B (30%) or hepatitis C (27%).Alcohol consumption accounting for about 20% of cirrhosis.

Persons most commonly affected: Adults of both sexes.

Unani approach to Cirrhosis of Liver (Talayyuf-e- Kabid)-

In Unani literature Cirrhosis of the liver is known as  Talayyuf-e- kabid ,  Sighr-al- kabid  or  Jigarki laghari . It is of two types.

1. AcuteType of Cirrhosis of Liver (Talayyuf-e- Kabid Hadd)-

It is rare but very dangerous. It is also called Yarqaan-e- khabees or Huzaal-e- asfar. Mainly occurs due to inflammation in hepatic cells, in which hepatic cells squeeze in few days resulting in improper functioning of liver. It is a disease in which cells throughout the liver are destroyed. Although they are replaced by areas containing normal new cells but also by much scar tissue, which alters the structure of the liver.

Causes and risk factors: Excessive use of alcohol/ chronic alcoholism, poor nutrition, highly toxic condition of the body system, viral infections caused by chronic viral hepatitis (types A, B and C), metabolic diseases such as alpha-1-antitrypsin deficiency, galactosemia and glycogen storage disorders,inherited diseases such as Wilson's disease and hemochromatosis, biliary cirrhosis, toxic hepatitis due to severe reactions to prescription drugs or prolonged exposure to environmental toxins and repeated bouts of heart failure with liver congestion etc.

Signs and Symptoms: The main signs and symptoms of this type are jaundice, pain at the site of liver, vomiting, headache, dizziness, increased body temperature, increased pulse rate, brownish coloured and dry tongue, increased thirst, initially whitish coloured diarrhoea, later on, colour becomes blackish due to contamination of blood, urine passes in less quantity and reddish in colour due to contamination of yellow bile in it,  haemorrhage from nose, stomach, intestine and uterus even abortion in women are seen. The size of the liver feels small on palpation.

2. Chronic type of Cirrhosis of Liver (Talayyuf-e- KabidMuzmin)

This type of the disease occurs due to the improper blood supply to the hepatic cells resulting in the size of liver very small in appearance but liver cells stay normal.

Causes and risk factors: The main causes of this type are the application of permanent pressure at the site of the liver such as ascites, alcohol abuse, hepatitis C virus infection, cardiomegaly, poor nutrition, highly toxic condition of the body system, peritoneal inflammation, improper diet in old age and starvation etc. Other causes which develop this disease are, obstruction of the external bile duct by stone, scar, inborn defect or tumour, use of certain medications, syphilis and passive liver congestion. Obesity has recently been recognized as a risk factor in non-alcoholic hepatitis and cirrhosis.

Signs and Symptoms: It is a slowly progressing disease. In early-stage symptoms, of indigestion like flatulence, constipation and diarrhoea may be present. General weakness, the feeling of being unwell, loss of appetite, loss of weight, and a loss of interest in sex may also be there. There may be a dull abdominal ache, nausea and vomiting. Eventually, the patient dies due to anaemia or ascites. The feeling of dullness is the peculiar sign of the disease. Other symptoms and signs include low-grade fever, bad breath, jaundiced skin and bloated and swollen abdomen.

Complications and Risks associated with Cirrhosis of Liver (Talayyuf-e-Kabid)-

Ascites (retention of fluid in the abdominal cavity) is the most common complication of cirrhosis and is associated with a poor quality of life, increased risk of infection and a poor long-term outcome. Other potentially life-threatening complications are hepatic encephalopathy (confusion and coma) and bleeding from oesophageal varices. Cirrhosis is generally irreversible, and treatment usually focuses on preventing progression and complications. In advanced stages of cirrhosis, the only option is a liver transplant.

Preventive measures for cirrhotic patients (Talayyuf-e- Kabid ke Mareezon ke liye Ehtiyaati Tadaabir):

Cirrhotic patients must completely avoid alcohol. Alcohol accelerates liver failure and hastens death in cirrhotic patients.
Avoid liver toxins. Acetaminophen (Tylenol), should be avoided because they can be toxic in cirrhotic patients.
Juice therapy helps the liver to detoxify toxins from the body. Cirrhotic patients should mix one part of pure juice with one part of water before drinking.
Cirrhotic patients are strongly advised to eat smaller meals. To avoid overworking the liver, five or six smaller, lighter meals per day are recommended.
Avoid fatty foods and processed foods, especially foods prepared with animal fats or hydrogenated oils. These types of foods put additional load on the liver.
Cirrhotic patients are also advised to eat only lean proteins (containing no fats) and in limited amounts.
Vegetable proteins are very beneficial in Cirrhotic patients. High protein intake causes increases of ammonia levels in the blood, possibly resulting in mental confusion, and in severe cases, coma. However, do not severely limit protein intake, as this may cause protein deficiency and impair the healing process.
Routinely increase consumption of fruits and steamed vegetables as fruits and vegetables are easy to digest, thus less work for the liver. In addition, they are good sources of vitamins, minerals, and antioxidants that help the liver detoxify and heal.
Cirrhotic patients are advised to practice intermittent fasting.
They are also advised to protect against hepatitis B, C and E.
Fundamentals of Management in Unani Medicine-

Identify the cause of the disease and treat it accordingly
Correct the digestive processes
Use hot dresses
Use mild and early digestible diet
In case of ascites treat it
Management/ Treatment-

In Unani medicine, very effective treatment is available for the Cirrhosis of Liver by strengthening the Liver cells and restoring normal size and functions of the Liver. In Unani medicine, there is a number of hepatoprotective drugs that protect the Liver either acute or chronic type.

SootshekharRas Swarna yukta 125 Mg twice a day
PittariAvleh 10 gm twice a Day
Duration of the treatment: 3 to 6 months or it depends upon the condition of the patients. If the patients with cirrhosis have diabetes, then the treatment may take long time for curing the disease. Diet plays a key role along with Unani Medicines. Hence, it is strictly advised to follow a proper diet plan.

Talayyuf - E - Kabid Or Cirrhosis Of The Liver - Know More About It!

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

Side-effect of certain medicines
Hormonal imbalance, especially during pregnancy
Sudden withdrawal from medication
Any infection or other medical condition
How to deal with the UC flare-ups?

Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

Proctocolectomy and Brooke ileostomy.
Abdominal colectomy and ilcorectal anastomosis.
Proctocolectomy and Kock pouch.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

Ways To Deal With Ulcerative Colitis!

The lack of red blood cells or hemoglobin in the blood is termed as anemia. You may also be diagnosed as anemic is your red blood cells do not have a high enough hemoglobin count. Since hemoglobin is responsible for the amount of oxygen in our blood, being anemic results in a decreased flow of oxygen in the blood. 

There are 5 different types of anemia. These are:
1. Iron deficiency anemia: when the iron levels of the blood are lower than normal. 
2. Sickle cell anemia: when the red blood cells are shaped like a'sickle' and hence more fragile. This is an inherited condition. 
3. Thalassemia - when the body does not produce enough red blood cells or hemoglobin. This is also an inherited condition.
4. Megaloblastic anemia - when the blood does not have enough vitamin b12 and hence cannot transport hemoglobin through the body. 
5. Hemolytic anemia - when the red blood cells are rapidly removed from the blood due to an infection, medication or disease. 

Lack of oxygen can have a serious effect on the organs of the body. Hence the symptoms of anemia are also the effects of the disease. 
Some of these are: 
Lack of energy
Fatigue
Dizziness
Chest pain
Difficulty breathing
Abnormal heartbeat
Reduced attention span
Numbness of the hands and feet. 

Anemia can also lead to a number of major health problems such as:
1. Heart disease: anemia is directly linked to heart disease. When the blood carries less oxygen, the heart needs to work harder to pump it to the rest of the body. Thus, people who are anemic are at a higher risk of having a heart attack than a non anemic person. Anemia can also lead to arrhythmia or a condition where the person suffers from an irregular heartbeat. 

2. Pregnancy complications: one of the first and most vital supplements prescribed to a pregnant woman is iron. Iron is essential not only for a healthy baby, but also for your own body. Anemia caused by a lack of iron can result in premature birth and a number of other complications at the time of pregnancy. 

3. Increased risk of infections: lack of oxygen in the blood can affect your immune system by lowering its ability to fight infections. This makes the body vulnerable to diseases. 

4. Cognitive damage: anemia in children can result in a greatly reduced attention span and weaken their memory. Sometimes, even when treated, this can result in permanent scarring and reduced iq levels. 

Fighting anemia is not hard. Consult your doctor instantly if you recognize any of its symptoms and start eating food rich in iron to fight this disease.

Anaemia and How It Can Affect Your Health

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