Out of the many things a parent can be worried about their child, physical growth and development are the major ones. Height development is indeed a very crucial part of the overall development of a child's body. But how will you know whether your child is short and should you worry if he or she is short?

When is a child categorised as being short?
A child is said to be of short stature when the height is two standard deviations less than the mean height for the specific age and sex. However, it does not signify that your child is sick or has some deformity.

What are the causes of being short?
The most common reasons that need not be worried about are:

Ancestry: Your child short height could be a result genetics. If his/her parents belong from a short family stature, then, the child is most likely to follow the same. Being said that, their body performs in a normal way and they do not face any medical issue despite being short.
Delay in Growth: In case a child faces a severe growth delay between the age of 6 months and up to 2 years, then it may lead to him/her staying short. Such children usually grow at a much slower pace, compared to other children of the same age without any development issues. However, no medical treatment is required as the child usually catches up with the height of their friends of the same age, once they become adults.
What are the medical Conditions behind the short stature?
For children who show an excessive delay in growth, doctors can find out whether they are going through any serious medical condition that needs attention or not. Some of the medical conditions which can cause short height are:

Malnutrition: For those who do not receive proper nutrition on a daily basis, tend to face physical health issues.
Chronic Illness: Any congenital disease or something that affects the major organs of one's body might slow down the height growth.
GHD: Growth Hormone Deficiency is a common condition in children. When the pituitary gland does not produce enough hormones, such a condition occurs.
Mental Stress: When a child faces stress from a very little age, often he or she becomes mentally and physically hampered.
Genetic Problems: A condition known as Turner s syndrome can cause growth failure in a girl child.
Hormonal Imbalance: For those who suffer from improper production of hormones, they might face obstruction in case of height growth.
Endocrine diseases: Endocrine diseases disrupt hormone production thus resulting in a delay in growth.
For every 100 children of a particular age, 3 tend to be shorter. However, unless your child suffers from a medical problem, short stature is not to be worried, and it is recommended that they have a proper and balanced nutrition to ensure a proper height development.

Short In Height - Should You Be Worried About Your Child?

The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.

Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.

Torsion of Testes - 5 Common Causes Behind It

Almost all the metabolic processes in a person's body are influenced by the hormones produced by the thyroid gland. The most common types of thyroid diseases caused due to dysfunctional thyroid glands are thyroid nodules, hypothyroidism, hyperthyroidism, goiter, thyroiditis, and thyroid cancer. 

Hypothyroidism is when the thyroid gland is underactive and the amount of hormones produced is insufficient. Hypothyroidism can be caused due to multiple reasons such as iodine deficiency, radiation or surgery on the thyroid gland, and drugs such as lithium and phenylbutazone. You should note that treating thyroid is not a speedy process and a reoccurrence of symptoms might also take place. However with the appropriate remedies and proper diet control, one can make sure that these symptoms are less pronounced. 

Ayurveda:
According to ayurveda, imbalance or disequilibrium in the doshas is the main cause of hypothyroidism. The kapha dosha i. E. The dosha responsible for body fluids and lubrication and pitta dosha i. E. The dosha responsible for fire and water body humors, are vitiated. Lifestyle and diet discrepancies further promote imbalances in the doshas. Hypothyroidism is categorized under the yapya diseases which recur once you cease to take the treatment. 

Treatments:
1. It is essential to consume adequate quantities of milk. 
2. Apart from that, coconut oil is one of the best remedies for a hypothyroid patient, since it increases slow and sluggish metabolism. Coconut contains mcfas i. E. Medium chain fatty acids and mtcs i. E. Medium chain triglycerides in abundance which help the metabolism be revved up. 
3. Ayurvedic herbs useful for treating hypothyroidism are kanchnar, bauhinia variegata i. E. Purple mountain ebony, jatamansi, brahmi, guggulu, shilajit, gokshura, and punarnava. 

Remedies:
1. Consume a mixture of indian gooseberry i. E. Amla churna with honey, daily before breakfast. 
2. One of the main causes of hypothyroidism is insufficient amount of iodine. Drinking the juice acquired from jalakumbhi i. E. Pistia stratiotes everyday in doses amounting from 11gm to 22gm increases the iodine content and helps treat hypothyroidism.

Ayurveda and Hypothyroidism

Everybody has experienced headaches at some time or other in their lives. It is the most common pain which one suffers from and usually goes away on its own without any treatment. In rare cases, this pain may be a sign of a serious medical condition and you need to see a specialist for headaches. Normally headaches which are moderate or severe in nature and are not responsive to over-the-counter pain relievers are a cause of concern.

However, here are some signs that can be warnings that should not be ignored:

It occurs more than three times per month
Headache with nausea and vomiting
Headache with fever
Headache with pain in the eye or ear
Headache accompanied by other neurological symptoms such as seizures or change in vision, numbness, and difficulty with speech or weakness
It awakens you from sleep
A sudden headache that feels like explosion or thunderclap
It causes confusion or loss of consciousness
Headache after head injury
Headaches beginning after the age of 50
The reason why you need to see a specialist in such cases is first to identify the cause of headache and then to get a pain management plan accordingly. The pain management specialist doctors have completed additional training and have additional certification in treating headaches. They may also work in a clinic dedicated to treating headaches. This empowers them to identify the cause of headache accurately. You might be surprised that headaches can be caused due to simple reason like dehydration or in some cases be an early sign of a life threatening brain tumor.

Pain management plans offered by the specialist
Depending on the signs and symptoms of your headache the pain management specialist will guide you if you have tension headaches, migraine headaches, or cluster headaches and treat it appropriately.

Tension headache   These are the most common headaches caused due to the stress of day to day living and the specialist will mostly treat it with a prescription of over the counter pain medication and sometimes meditation too.
Migraine headache - A person with a migraine headache has a more severe headache pain and may also experience sensitivity to light and sound, nausea and vomiting. Hence along with medication the specialist will guide you to keep a journal of the possible triggers and help you eliminate them.
Cluster headache - Cluster headaches typically occur on one side of the head and are quite rare. They are more painful and usually will not respond to over-the-counter medication. People with cluster headaches usually have to take medication every day to prevent their headaches, because they are difficult to stop once they have started and they are utterly incapacitating.
What the specialist will actually do for your headache depends not just on the type of headache but also its cause and severity. So reach out to a specialist if you have any of the above mentioned signs and symptoms for an accurate diagnosis and to recover sooner.

When To See A Specialist For Headache?

Anorexia is one of the most common eating disorders plaguing a large section of today's youth. Anorexia is one such condition which arises as a psychological ailment and then culminates as serious physical manifestations. One of the most prominent preconditions of anorexia is the severe dissatisfaction with your body. The desire to lose weight constantly reigns supreme in your mind. So much so, that all that you can permit yourself to eat and all that you can't pre-occupies your mind entirely. This extensively impairs your social life and threatens your potential in all other aspects of life. This undermines your health and self-confidence tremendously and inflicts a distorted body image complex upon your psyche.

Under the spell of anorexia, you tend to dread even the slightest weight gain and consequently, it builds a sense of self-disgust in you. It can be an extremely stressful and harmful physical condition, gravely affecting your moments of joy and happiness. Drastic diets, excruciating exercising or using laxatives and diuretics could be some of the most common leeways into anorexia. The terror which looms around your weight gain will disable you from acknowledging how thin you are or for that matter, appreciating the body that you have. This may not only jeopardize your normal body functioning but also subjugate you to acute emotional distress and depression. What is worse is that anorexia works in such insidious ways that in most cases, one doesn't even realize the existence of the problem. The first and foremost step to recovery is to avoid anything and everything that may trigger the condition. Other recourses that one may take have been enlisted below.

Realizing the difference between dieting and anorexia-
Anorexia often indicates deeper problems like depression and insecurities and the eating disorder simply emerges as a consequence of the same. Dieting does not entail an austere denial of food to self or completely throttling all of one's hunger pangs. Fulfilling the basic nutritional needs of your body as against starvation is the first step to recovery.

Seeking advice from well-wishers-
If your loved ones seem perplexed about your health conditions, know all of it is well founded. Learn to acknowledge the furzy body images that afflicts you and take proactive steps towards combating them. Share your problems with your trusted ones and learn to adopt a healthier way of living. Join some productive engagement that will keep your mind off such baseless weight obsession.

Anorexia- How to treat it

Chronic obstructive pulmonary disease is a long-term condition of the lungs where the flow of air to the lungs is restricted (obstructed). Symptoms include cough and breathlessness. The condition is most often caused by smoking and the most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms.

What causes COPD?
Smoking is by far the biggest risk factor for COPD. The lining of the airways becomes inflamed and damaged by smoking. Cigarette smoking is the biggest risk factor.

Air pollution may cause some cases of COPD, or make the disease worse. Air pollution can be indoor air pollution or outdoor air pollution. Indoor air pollution seems to be involved in more cases of COPD than outdoor air pollution. Indoor air pollution includes fumes from indoor fires or stoves, and dust, fumes or chemicals present in some workplaces. The combined effect of exposure at work to air pollutants and smoking increases the chances of developing COPD.

A small number of people have a hereditary (genetic) risk of COPD due to very rare protein deficiencies that can lead to lung, liver and blood disorders. (The condition is called alpha 1 antitrypsin deficiency. Less than 1 in 100 cases of COPD are due to this.


COPD symptoms-


Cough is usually the first symptom to develop. It is produced with phlegm (sputum). It tends to come and go at first, and then gradually becomes more persistent (chronic). You may think of your cough as a 'smokers cough' in the early stages of the disease. It is when the breathlessness begins that people often become concerned.
Breathlessness (shortness of breath) and wheeze may occur only when you exert yourself at first. For example, when you climb the stairs. These symptoms tend to become gradually worse over the years if you continue to smoke. Difficulty with breathing may eventually become quite distressing.

Sputum - the damaged airways make a lot more mucus than normal. This forms sputum. You tend to cough up a lot of sputum each day.

Chest infections are more common if you have COPD. A sudden worsening of symptoms (such as when you have an infection) is called an exacerbation. Wheezing with cough and breathlessness may become worse than usual if you have a chest infection and you may cough more sputum. Sputum usually turns yellow or green during a chest infection. Chest infections can be caused by germs called bacteria or viruses. 
Other symptoms of COPD can be vaguer. Examples are weight loss, tiredness and ankle swelling.

What is the difference between COPD and asthma?


COPD and asthma cause similar symptoms - in particular difficulty breathing (breathlessness). However, they are completely different diseases. Briefly:

In COPD there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are persistent (chronic). Treatment to open up the airways is therefore limited.

In asthma, there is inflammation in the airways which makes the muscles in the airways narrow (constrict). This is temporary so the narrowing comes and goes. So, the symptoms tend to come and go, and vary in severity from time to time. Treatment to reduce inflammation and to open up the airways usually works well.

COPD is more likely than asthma to cause an ongoing cough with phlegm (sputum).

Waking at night with breathlessness or wheeze is common in asthma and uncommon in COPD.

COPD is rare before the age of 35, whilst asthma is common in under-35s.

There is more likely to be a history of asthma, allergies, eczema and hay fever (so-called atopy) in people with asthma.

Do I need any tests?

The most common test used in helping to diagnose the condition is called spirometry. This is a breathing test. You will be asked to breathe or blow into a small machine called a spirometer which will measure how well your lungs are working. This test can help make a diagnosis of COPD.


A chest X-Ray show signs of COPD and can be used to help exclude other serious conditions (including lung cancer). Occasionally, a special CT scan of the chest - high-resolution CT - is needed. A blood test to make sure you are not anemic is often helpful.

A pulse oximeter is a device which can be clipped on to your finger. It measures your heart rate (pulse) and the amount of oxygen in your circulation (oxygen saturation). Lower levels than normal tend to be found in people who have COPD, especially if you have a flare-up (exacerbation) of your symptoms.

COPD treatment-

Smoking cessation is the most important step towards treatment.
Inhalers

The main treatments are medications given in devices called inhalers. The medicine within the inhaler is in a powdered form which you breathe in (inhale). The medicines in standard inhalers reach the lungs better if used with a spacer device. Inhalers include one, two or even three types of medicines. They may include:


A bronchodilator agent - this is a medicine which opens up (dilates) the airways. Some work quickly but don't last very long; others are longer-acting.
A steroid - these reduce the inflammation in the airway, thereby reducing the swelling. This, in turn, adds to the space available for air to pass.
A medicine which helps to dry up the secretions produced by the airways.
Home oxygen
This may help some people with severe symptoms or end-stage COPD. It does not help in all cases. Unfortunately, just because you feel breathless with COPD it does not mean that oxygen will help you. Great care has to be taken with oxygen therapy. Too much oxygen can actually be harmful if you have COPD.
Regular follow up in OPD is an essential part of treatment success.

Chronic Obstructive Pulmonary Disease - Know More About It!

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