The habit of thumb sucking is very common in many toddlers and babies, but often disturbs the parents to a great extent. Before dealing with this habit, it is very imperative for parents to understand the cause of this behavior. The tendency of thumb sucking is quite normal for the babies as it makes them feel comforting.

Problems that occur with thumb sucking
There are certain problems that occur if the baby develops the habit of prolonged thumb sucking. The problem that occurs mainly on sucking the thumb for longer time is with the teeth of the toddlers which may result in speech problems. Some babies get over this habit of thumb sucking on their own without any adverse after affects. However, sometimes prolonged thumb sucking may result in irritation on the skin or lead to peeling off of the skin, causing discomfort and pain to the child. There are chances that even the nails on the fingers grow in a crooked manner because of infection caused by thumb sucking.

How to get your child to leave thumb sucking habit?

Parents must in any case not force their toddlers to stop this habit or get upset with them, as it can cause the toddler to develop this habit all the more.
A child mainly sucks his thumb for comfort, and the habit can be stopped by diverting their mind and offering the child a soft toy or giving them a special blanket.
It is better to give the toddler something to hold which makes him feel secure and comfortable.
It is very important to assess whether it is a problem before stopping the habit of thumb sucking. But if the habit continues, it may affect the alignment of the teeth.
It is always better to make use of ways like positive reinforcement and encouraging behavior change in your child. Parents must set up a reward system and take a note of the days the child does not suck his thumb. It is important that parents praise their child verbally and give them some reward at the end of the month.
The best and simple way to quit the habit of thumb sucking is to cover the thumb with a thumb guard or mittens.
The best way to help your child quit the habit would be to distract him or her and involve them in activities that would require the use of both the hands. Parents can keep their child busy by giving them puzzles or blocks to play.

Thumb-sucking Habit - 7 Things to Keep in Mind!

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: Tension free  repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

Types of Hernia - How Laproscopy Can Help Manage?

Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

Contact Dermatitis and Eczema or Atopic Dermatitis may be caused due to a variety of reasons. While contact dermatitis is a less severe condition that is caused when irritants escape from dirt and pollution to settle on the skin, Eczema refers to the inflammation of the skin due to allergic reactions or a family history of a similar condition. Contact dermatitis is usually characterised by sores and redness, while contact dermatitis will show up in the form of boil like eruptions. Homeopathy is one of the best, long term methods for treatment of this condition. 

Let us see how this medicinal field can be used.

- Graphites: This medication helps in soothing the oozing that may happen from the boils found in eczema. This is also ideal for eczema patients who are obese or suffering from constipation. It is best suited for skin that has become hard and rough. It can cure the sticky discharge that may come from the pus filled boils. It can also be used for dermatitis, which can be seen in the folds of the skin and the abdomen. 

- Mezereum: This medicine helps when there is a crust like formation due to dermatitis. The substance can also soothe the acute itching sensation, which takes place when there is pus filled below the dark layer of the crust. This itching usually gets worse at night.

- Hepar Sulphur: This medicine is best for severe cases when there is too much pus involved and about to burst out. It can also treat the deep cracks that may be found on the surface of the skin as well as the acute and intense itching sensation. Also, such severe cases leave the skin feeling sensitive to the slightest breeze or wind, in which case Hepar Sulphur can work well. 

- Dulcamara: This medicine is best suited for patients, who live in places where it rains often and heavily. Dermatitis usually increases and becomes even more painful during monsoons and this medicine can help in bringing down the itching which may also cause bleeding on the yellow black crusts. 

- Sulphur: When a burning sensation is one of the symptoms of dermatitis, Sulphur can be used. This is also prescribed for other skin ailments and for those who have a hereditary skin condition. This can also be used by patients who have had a relapse in their condition due to damp or cool weather, especially like monsoons, springtime or autumn. It also helps in soothing the symptoms of contact dermatitis which may occur due to contact with new detergent and clothing as well as pollution.

Treat Dermatitis With Homeopathy

Children who suffer from recurring cold and cough usually develop other respiratory infections that can result in fever, dry cough and a difficulty in breathing.

Causes-
With more than over 200 different viruses which can cause cold in children, it can be a difficult condition to treat and prevent from recurring. As the immune system in children is comparatively weaker or underdeveloped, changes in weather can make them susceptible to cold and cough.

Symptoms-
A cold usually begins with a sore throat followed by a runny nose and cough. The sore throat is a result of built-up mucus which will then run down to the throat from the nose. As the cold gets worse, the child will start feeling tired, start coughing and experiencing soreness in his throat and muscle pain. It might also cause severe vomiting and diarrhoea.

The repeated recurrence of cold and cough makes many children dependent on prescription medications, which is detrimental to their health in the long run. Homeopathy is a much more natural alternative that remedies the infections causing the cold and cough and prevents them from recurring.

Boost Immunity With Medication Of Homeopathy!

Homeopathic Treatments-

Homeopathy uses different herbaceous plant extracts to cure colds and coughs that a child might develop after being exposed to cold weather. If the cold causes dryness of mouth and hoarseness, then these extracts will help remedy that.
The essential oils derived from certain root vegetables help remedy nasal discharge and violent sneezing. This also helps relieve congestive headaches that occur in the frontal area of the head due to a cold.
Certain chemicals are used in diluted concentrations to treat the redness and puffiness of eyes and the frequent sneezing caused by cold. It also helps relieve any fatigue and muscle pain that might be caused by a cold.
Plant extracts are also used to treat heavy and constricted breathing that might be caused by a cold.
Benefits of Homeopathy-

Small dosages-
Medicines in homeopathy are prepared from substances derived from minerals and plants and administered in low doses. This makes it much safer for consumption by children compared to other forms of medicine. It also ensures that there are no adverse allergic reactions.

Builds Immunity-
Since homeopathic medicines are sourced from natural ingredients, they counteract any illness at its root level. This helps enhance the body s resistance and immunity against the disease.

Lifelong viability-
Homeopathy does not carry any risk of side-effects or toxicity, thereby making it suitable for people across all age groups.

Recurrent Cold & Cough In Children - Immunity Medication Of Homeopathy! 

Vertigo is that sensation when a person feels that the world is spinning around him. It is a feeling of off balance.

While having a Vertigo, people often complain about feeling dizzy, basic daily activities like walking or moving becomes really intense for them. These episodes can impact everyday life.

Is Vertigo common?

Experiencing Vertigo at least once during a lifetime is quite common. It is often seen in older people, but it can happen to anyone at any age. Women are a little more prone to experience an episode of Vertigo than men.

Types of Vertigo:

There are two major types of Vertigo:

Central Vertigo: Central Vertigo occurs when there is a sudden and temporary malfunction in the brain, precisely in an area called the cerebellum.

Peripheral Vertigo: Peripheral Vertigo occurs due to a problem in areas of vestibular nerve or the inner ear. This area connects the inner ear and the brain. Peripheral Vertigo is the most common type of Vertigo.

According to the American Institute of Balance, Peripheral Vertigo is generally a more serious and dangerous problem compared to Central Vertigo.

Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus:

Recently, researchers discovered a new type of Vertigo called  Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus  or (RSV-HNS).

To diagnose RSV-HNS, the patients need to sit in a room without lights. The examiner changes the position of their heads, first in forward direction, then in side to side direction for about 15 seconds. The camera records the patient s eye motions. It results in those who have RSV-HSN making an eye movement which lasts longer than the others. This movement is known as  nystagmus .

Compared to other types of Vertigo, RSV-HSN shows a more severe sensation of motion sickness. People with RSV-HSN experience things like nausea, headaches, vomiting, and an unwillingness to head motions. These symptoms can be experienced anywhere from a couple of times a week to once a year.

The reason behind RSV-HSN is still unknown. Doctors recommend that proper medication helps to improve the condition.

Treatment for Vertigo:

A major part of the treatment of Vertigo depends on the cause of the Vertigo. Often, Vertigo goes away without any treatment. The reason behind Vertigo curing itself is that people adapting to the inner ear changes and finding different mechanisms to maintain balance.

Why a neurologist is the right choice to consult for vertigo?

The patient of vertigo should not visit an ENT doctor and must consult a good neurologist as basically it's either a problem of brain or of abnormal signals from the vestibular nerve from the ear. In no way it is a problem of ear per se. A neurologist has the training and expertise to deal with it, not an ENT doc. Also, it's important to consult urgently as sometimes it can be a sign of brain stroke (specially if associated with imbalance). Importantly, to rule out brain lesions like cyst, tumor, clots and nerve infections, consulting a neurologist is the best option available.

Apart from this, these are a few treatments:

Medicines: Medication tends to give relief to symptoms like motion sickness associated with Vertigo.

Vestibular Rehabilitation: Under this treatment, doctors try to aim at the patient s vestibular strengths which send the signals to the body movement and head related to  gravity.

Canalith Repositioning Manoeuvres: In this treatment, a physical therapist suggests different head and body movements, which help to release the deposit out of the canal and into an inner ear which can be absorbed by the body. This treatment is quite effective to treat Vertigo.

Surgery: If the reason behind causing Vertigo is some serious internal problem like tumor or a head injury, then, in such circumstances, surgery is highly recommended.

Conclusion:

There are many treatments and medicines available for Vertigo. They are totally dependent upon the cause, symptoms, and condition of the patient. This is why it is important to consult a doctor or specialist for the best treatment option.

Vertigo - Know The Types & Treatment Of Them!

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