Thalassemia is a genetic (which is passed from parents to children through genes) blood disorder. People with Thalassemia disease are not able to make enough hemoglobin, which causes severe anemia. Hemoglobin is found in red blood cells and carries oxygen to all parts of the body. When there is not enough hemoglobin in the red blood cells, oxygen cannot get to all parts of the body. Organs then become starved for oxygen and are unable to function properly.

Symptoms

The symptoms depend on the type of thalassemia:

Thalassemia Minor: Thalassemia minor usually doesn t cause any symptoms. If it does, it causes minor anemia.
Beta-thalassemia: Beta-thalassemia comes in two serious types, which are thalassemia major, or Cooley s anemia, and thalassemia intermedia. The symptoms of thalassemia major generally appear before a child s second birthday. The severe anemia related to this condition can be life-threatening. Other signs and symptoms include:
fussiness
paleness
frequent infections
a poor appetite
failure to thrive
jaundice, which is a yellowing of the skin or the whites of the eyes
enlarged organs
This form of thalassemia is usually so severe that it requires regular blood transfusions.

Alpha-thalassemia: Alpha-thalassemia also has two serious types, which are hemoglobin H disease and hydrops fetalis. Hemoglobin H disease can cause bone issues. The cheeks, forehead, and jaw may all overgrow. Hemoglobin H disease can cause:
jaundice, which is a yellowing of the skin or the whites of the eyes
an extremely enlarged spleen
malnourishment
Hydrops fetalis is an extremely severe form of thalassemia. It occurs before birth. Most individuals with this condition are either stillborn or die shortly after being born.

Thalassemia - Symptoms Based on Types of Thalassemia 

What is anemia?

Anemia is due to lack of haemoglobin in the blood which is below the normal level or due to less than normal levels of red blood cells in blood.

The haemoglobin helps carry oxygen in blood. Lack of haemoglobin thus causes deficiency of life giving oxygen to vital organs. (1-4)

Types of anemia

There are various causes of anemia. It could be due to:

Decreased production of RBCs in blood
Increased blood loss OR
Excessive destruction of RBCs
Causes of anemia
Anemia most commonly occurs due to nutritional problems. This includes lack of iron in the diet.
Iron deficiency is the commonest form of anemia.
In the United States 7% of toddlers ages 1 to 2 years old and 9-16% of menstruating women suffer from iron deficiency.
The poorer nations 30-70% of the people have iron deficiency anemia.
Iron and anemia

Since iron is needed for the manufacture of haemoglobin in the body its deficiency can lead to anemia.
Iron is found in meat, dried fruit and some vegetables.
Lack of iron may be caused due to bleeding especially in stomach ulcers or within the intestines.
Women before menopause commonly suffer from iron deficiency anemia due to heavy periods and increased demands during pregnancy.
Vitamins and anemia

Certain vitamins like vitamin B12 and folic acid or folate are also essential in the normal production of RBCs in blood. Their lack in diet may lead to anemia.
Both vitamin B12 deficiency and folate deficiency are more common in older people, affecting around 1 in 10 people above the age of 75.
There is an inherited condition called Pernicious anemia where patients find it difficult to use the vitamin B 12 in diet for production of healthy RBCs. This is a rare condition and affects 1 in 10,000 people in northern Europe.
Other causes of anemia

Increased blood loss due to surgery or major trauma may lead to anemia.
Excessive destruction of RBCs may occur due to certain conditions called haemolytic anemias. These are often inherited and include Sickle cell anemia, Thalassemia etc. Anemia can also occur in severe infections, cancers and due to exposure to a drug or toxin.
For example, the RBCs are made in bone marrow. If there is cancer in the marrows a shortage of good red blood cells results. This is called aplastic anaemia and may also occur with blood cancers like leukaemia.
Symptoms

Anemia signs and symptoms vary depending on the cause of your anemia. They may include:

Fatigue
Weakness
Pale or yellowish skin
Irregular heartbeats
Shortness of breath
Dizziness or lightheadedness
Chest pain
Cold hands and feet
Headache
At first anemia can be so mild that it goes unnoticed. But symptoms worsen as anemia worsens.

Treatment of anemia

Treatment depends on the cause of the anaemia. If the anaemia is due to a lack of iron, eating iron-rich food or iron supplements may be given. If, however, the cause of anemia is deeper like internal bleeding or cancers, the cause should be explored before treatment. When the anaemia is more severe, a blood transfusion may be prescribed.

Anemia - Causes, Symptoms & Treatment Of It!

The number of children suffering from eating disorders are on the rise. Change in eating habits, stress, depression, low self-esteem, lack of control in life, anger and loneliness are some of the causes of eating disorders. Some genetic disorders could also be a reason for eating disorders.

Eating disorders may lead to several health conditions which may arise in case of abnormal eating patterns. The common modes of eating disorders in children are as follows:

Anorexia
Children who are affected with anorexia think they are very overweight in spite of actually being very thin. Anorexia affected children consume less than a thousand calories per day.
The treatment for anorexia nervosa generally includes a mix of mental treatment and regulated weight gain program. The best ways to deal with anorexia are:

1. Psychological Treatment: Different psychological treatments can be used to cure anorexia of different stages in children. They include cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy and focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be provided.

2. Weight gain program: A weight gain program will guide an anorexic child to improve his diet habits and slowly gain weight. A patient is monitored carefully; the traits are recognized and a diet pattern is given, which is ideal for him.

Bulimia
Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimia affected child is constantly trapped in the cycle of overeating and then thinks about losing weight.

In spite of not liking the idea of binge eating for the fear of getting obese, a child affected by bulimia cannot follow this and continues binge eating. Later, they take extreme measures to lose weight. The primary methods to deal with bulimia are:

1. Psychotherapy: Psychotherapy or talk therapy includes examining the bulimia and related issues with an expert. It has been proven that psychotherapy restricts the symptoms of bulimia. The three modes of psychotherapy include, Cognitive behavioral therapy, Family-based therapy and Interpersonal psychotherapy

2. Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is one medicine that can be taken.

3. Proper diet plan: For bulimia affected children, having a proper balanced diet is very important. A diet expert should be consulted, who will make the most essential food pattern for the child. Undertaking a weight-loss program is also vital.

Binge eating
Similar to bulimia, binge eating includes out of control eating in huge quantities in a short period of time. The food is not vomited out, and binge eating causes obesity. Intense emotions are experienced in binge eaters. Binge eating in children can be treated with behavioral therapy, medications and psychotherapy.
Eating disorders are quite common in children who are yet to gain maturity. 

These disorders may lead to severe health consequences, which may affect a child physically and psychologically. A proper treatment is also essential to deal with these disorders.

How to Treat Eating Disorders in Children

Abdominal pain after surgery is common. It is only a part of the healing process. But extreme pain or prolonged pain is a sign of infection, surgical complications or some other underlying health condition. It is difficult to detect whether the pain is normal or abnormal when the person concerned is a child.

Symptoms:

A child complaining about abdominal pain after surgery should not be ignored no matter how common it may be; especially if the pain does not start reducing after 3 days from surgery. Children who are too young to verbally communicate the pain or feel discomfort show symptoms like:

Excessive crying.

Difficulty in sleeping.

Irritability.

Reduced activity.

Refusal to eat

After surgery, a child's behavior must be closely observed.

Causes:

A common cause of abdominal pain after surgery on children is fear of the surgery itself. Children might associate the fear with the pain psychologically which can prevent them from realizing that the physical pain has actually already started to reduce.

In this case, the child needs attention and maybe placebo medication, if all possible causes of physical pain have been ruled out.

The obvious causes of pain after surgery include:

Surgical complications like collection (i.e. bile or blood or pus) below the wound or inside.

Infection at the site of surgery.

Not getting the right dose of pain-killers.

Diagnosis:

Apart from the symptoms already discussed, the diagnosis of complications after surgery includes:

Fever.

Swelling at the site of surgery.

Abdominal distension after abdominal surgery.

It is best to contact the Surgeon who performed the surgery. Diagnosis might involve:

Blood tests.

Ultrasound.

CT scan

Effects:

Possible complications resulting in abdominal pain after surgery are:

Wound Dehiscence.

Wound infection.

Hematoma or collection which may be bile or pus.

Treatment:

Pain management involves pain killers in the right dose, according to their body weight. If the medication doesn't help, the Surgeon should be consulted.

Other treatment methods include:

Rest to ensure no further injury occurs and the wound gets time to heal.

Antibiotics for the infection.

The site of the surgery must be kept clean and dry to prevent further infection.

The recommended diet, if any, must be followed for quick healing.

Pain after surgery isn't difficult to manage, even in children, as long as a reliable doctor's instructions are followed well.

Abdomen Pain After Surgery - How To Resolve It In Children?

Allergic rhinitis is characterized by symptoms of a runny nose, congestion, itchy eyes and sneezing. This disorder is usually caused by allergens such as pollen and dust. Commonly known as hay fever, allergic rhinitis may exhibit the following symptoms:

The symptoms of allergic rhinitis are:
1. You may experience a runny nose and congestion in the nose
2. You may have allergic conjunctivitis where your eyes turn itchy and watery
3. Persistent coughing
4. Symptoms of sneezing
5. Swelling may develop underneath the eyes
6. You may have an itchy nose
7. Constant signs of fatigue

Causes
Allergic rhinitis or hay fever causes the immune system to recognize certain airborne substances as harmful. The immune system in the body starts to form antibodies to combat these irritants. The antibodies cause the body to release  histamine , a chemical that triggers the symptoms of allergic rhinitis.

The various triggers that may cause allergic rhinitis are:
1. Dust mites
2. Tree pollen
3. Grass pollen
4. Spoors from outdoor and indoor fungi
5. Ragweed pollen

The treatment for this disorder is to avoid exposure to the triggers. Mild symptoms of this disorder may be treated with over-the-counter medications whereas severe symptoms may require prescription medications.
The various medications for allergic rhinitis are:

Antihistamines: Antihistamines may be administered as pills or nasal sprays; these medications can help with itching and sneezing. Antihistamines help in limiting the effects of histamine in the body.
Nasal corticosteroids: These prescription medications can help treat itching and inflammation in the nose. They are usually the first medications that are administered.
Decongestants: Decongestants are over-the-counter medications that can be used to treat congestion in the nose. You should be careful not to overuse these medicines as they can increase blood pressure.
Allergy shots: If medications do not relieve symptoms of allergic rhinitis, the doctor may prescribe allergy shots to treat the disorder. The injections contain allergens in small amounts which are injected over a period of time; this causes the body to get used to these allergens, resulting in a reduction of the symptoms.

Allergic Rhinitis - 7 Signs You Are Suffering from it!

Diarrhea is a condition wherein you suffer from loose, watery bowel movements on a frequent basis, generally 3-4 times a day. This lasts for a few days and due to the frequency of fluid loss, it results in dehydration. Dehydrations signs begin to show up with the loss of ability to stretch the skin and frequent irritations in behaviour. Passing of less urine, loss of skin, heart rates getting faster and slow responses are some of the other signs. You can easily sense the occurrence of diarrhea by following certain symptoms. We take a look at some of the signs and symptoms typically associated with the problem of diarrhea.

Signs and symptoms of diarrhea

As mentioned earlier, one of the most common symptoms of diarrhea is watery bowel movements on a frequent basis, occurring minimum 3 to 4 times a day for a few days.

Some other symptoms are as follows:

Cramps in the abdomen followed by pain

Fever

Blood in the stool

Bloating, a situation, arising when stomach gets swollen due to gas.

Nausea

You feel an urgency to have a bowel movement.

When you come across these symptoms and feel as if they are slowly turning into severe ones, consult your doctor. Diarrhea persisting for more than two days seek for an immediate appointment with the doctor.

You need to be extra cautious if your children seems to have either of these symptoms, as diarrhea can very easily lead to dehydration for them.

Causes behind diarrhea

Diarrhea can be caused as result of a number of diseases and conditions. They include:

Viruses: Norwalk virus, cytomegalovirus and viral hepatitis are some of the viruses, that can cause diarrhea. Diarrhea among children are caused due to Rotavirus.

Bacteria and parasites: Another cause behind diarrhea is contaminated food or water, which has the potential to transmit bacteria and parasites to the body. Giardia lamblia and Cryptosporidium are the two parasites which cause diarrhea.

Medications: Some antibiotics can also cause diarrhea as they destroy both good and bad bacteria, thereby causing disturbance to the natural balance of bacteria in our intestines.

Dairy Products: Dairy products like milk, curd etc have lactose in them. Lactose is a sugar found in these products. Now people, who face difficulty in digesting lactose suffer from diarrhea after eating dairy products.

Artificial Sweeteners: Sorbitol and Mannitol are some of the artificial sweeteners, generally found in chewing gum and many other sugar-free products, cause diarrhea.

Treatment for Diarrhea

In majority of the cases involving diarrhea, they get resolved without treatment. Still, some of the treatment options which people go for to get relief from diarrhea are:

Rehydration: As diarrhea results in loss of fluid during to frequent bowel movements, so drinking enough water to stay hydrated is a must. ORS can help replenish the water and salt in the system.

Eat Bland Diet: Only drink water for one whole day. Then gradually limit your diet to only bananas, rice, toast and tea.

Antidiarrheal Medication: Medicines like Loperamide and Imodium, which restricts stool passage are both available over-the-counter.

Can Consuming Artificial Sweeteners Cause Diarhhea?

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