The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

Appendicitis in Children

Cochlear Implant is an electronic device replaced with the inner ear (cochlea) of the patients who are unable to send sound waves to the brain.

The surgery is performed on the patients who have the problem of hearing loss due to the damaged hair cells in the inner ears. The implant helps the patient to hear which are not responding to other hearing aids.

Conditions for Cochlear Implant:

Cochlear implants help people to hear with clarity. They are not like hearing aids, which make the sound louder, but it helps send sound waves to the brain and replaces the damaged hair cells in the inner ear. Following are cases where it is beneficial:

People who find it difficult to hear clearly with hearing aids.

Those with moderate hearing loss in both ears.

Patients with 50% or fewer score in the sentence recognition test.

Patients with 60% or less score in sentence recognition test with hearing aids on.

It is suggested to opt for cochlear implants in both ears. The reason is to give the patient a better perspective of sound direction and clarity in understanding the words.

How does the Cochlear Implant work?

Cochlear Implant is an electronic device with an embedded sound processor that has to be worn outside ears or on the body. Following steps are involved in cochlear implant:

The sound captured by the processor is converted digitally by the processor and sent to the coil inside the ears of the patient.

The implant converts digitally coded sound waves to electrical impulses.

The electric impulse simulates the hearing nerve of the patient.

Then sends these impulses to the brain.

Benefits of Cochlear Implants:

The cochlear implant is a blessing for people who have been suffering from hearing loss for a very long time. It provides aid to people who have not benefited from hearing devices. The benefits of the cochlear implant are:

Hear better.

Studies have shown that people with cochlear implants have better sentence recognition scores instead of hearing aids.

The patient can concentrate better in the crowd and can hear conversations across the table.

Reconnect with the missed sounds.

Enjoy music on the phone.

Cochlear Implant improves the quality of life of people with hearing loss. It gives them an aid to understand and engage themselves in a conversation. However, it takes time to learn the interpretation of the sound signals that are received from cochlear implants. But, the patient can learn and lead a normal life with the implant. The factors which affect the benefits of Cochlear implants are:

The extent of hearing loss

The duration of the hearing loss and the condition before implantation

Damage to inner hair cells

Other health issues

The practice and rehabilitation time have been done in practice after implantation

The cochlear implant is performed in the patients after taking extensive tests determining the condition of the patients. It is activated after 2-6 weeks of surgery to give the surgery site a time to heal. Most people are discharged from the hospital after surgery and are prepared for the use of an implant. There are training sessions and classes for patients who have just gone for cochlear implants.

Cochlear Implant - How Do They Help?

Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types
1. Congenital ghd - this form of ghd appears from at the time of birth itself.
2. Acquired ghd- ghd can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
3. Idiopathic ghd- idiopathic ghd is the third, and comparatively worst kind of ghd since it has no treatment.

Ghd is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (ghd).

Symptoms
Childhood onset
1. Restricted height- compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
2. Chubby and comparatively younger appearance- your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from ghd.
3. Late puberty- your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the ghd.
4. Hypoglycemia and exaggerated jaundice- low blood sugar is amongst the most primary manifestations of ghd, along with extended duration of jaundice.
5. Micro-penis- micro penis condition is one of the incident signs of ghd, which later escalates to growth deficit as the infant gets older.

Adult onset
1. Fatigue- adults with ghd may experience extreme tiredness throughout the day, with reduced muscle strength.
2. Osteoporosis- osteoporosis, along with bodily deformities, is a common sign in adults with ghd.
3. Lipid abnormalities- a test of your lipid profile may reveal abnormalities in ldl cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine ghd
1. Physical test- a chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
2. Hand x-ray- a hand x-ray can determine whether the age of bones are at par with your age.
3. Mri-mri scan can determine the health of your brain and pituitary gland.
4. Test for other hormones- growth hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment
1. Hormone supplements- hormone supplements like corticosteroids (hydrocortisone or prednisone), levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
2. Growth hormone injection- gh is injected beneath your skin, to cure gdh. This is a long-term treatment and requires constant monitoring.

All About Growth Hormone Deficiency

Choosing a career is a serious concern for students soon after completing 10th standard when one is required to make a choice of subjects for 11th grade. While still very young, many of us hardly know what is good for us and which field is best. For most of us, choosing a career is not a serious affair until 12th grade. However, once a student is done with 12th, he rethinks -  Did I make the right choice of subjects in class XIth?  I had always wanted to go in this field after school, but nobody guided me about subjects required for it in class XIth and XIIth. So, after completing school one feels very sad and frustrated that interest lay in A field but wasted 2 school years doing B-Field, a totally different course of study.

Therefore, when selecting subjects in XIth, it is very necessary to have a career goal in place keeping the market in mind. In addition to this, selecting the right education institution in XIth is equally important. Eg.  I am interested in Fine Arts but my school offers only Science and Commerce.  So, the child takes one of these only and loses track of what he wants, sowing the seeds for future distress in the field thrust upon him. Unfortunately, not many students are able to discover their potentials and interests at this stage and end up making wrong choices.

In this scenario, seeking the help of an experienced and qualified career counselor becomes absolutely necessary who can assist in discovering your potential and aptitude and accordingly suggest the right course. Career counselor usually employs testing of three factors   aptitude, interest and personality. These aspects help the counselors in deciding the right career path for a student. With an increase in the number of opportunities in the market, the importance of career counseling has also increased manifold. People have begun to realize the fact that not all can become engineers or doctors and started exploring other fields depending on their talent and interest in alternate domains.

Sound guidance will depend on the qualifications, training and experience of the professional. It is always a good idea to first know about the professional expertise of the counsellor/psychologist on whom you depend for making a life-long career choice. Generally speaking, school counsellors are post-graduates with about 9 months diploma in counselling and guidance with a focus on school children. They may or may not have done M.Phil, or Ph.D to qualify as a doctor. Similarly, anybody with just a graduation degree in Psychology can self-proclaim as a Counsellor/Psychologist and offer guidance and counselling, charging much less a fees. For any professional you choose, the higher the educational qualifications, more the number of practical trainings from reputed institutes, and the greater the professional experience, more dependable will be the advice given by them.

Vocational guidance for students and adults is one of the best ways to choose the right career path. With a plethora of career choices out there, sound career counselling plays a pivotal role in ensuring that right career choices are made. This is rewarding, considering that an individual can choose the right career path as per the strengths and talents he possesses. Right counselling not only helps the person to grow in the job quickly but gives ample room to learn in his desired field.

Here is a list of some major benefits of vocational guidance and career counselling:

Right assessment of weakness and strength: Career counselling is typically conducted by expert professionals with years of experience behind their back. They assess a candidate based on various aptitude tests. The test results rightly portray the strength and weaknesses of a candidate. This information plays a key role in determining the right career choice for a candidate. A person can ensure that he refrain from choosing a wrong career that leads to frustration and low work satisfaction.
Right goal setting leads to better choice: A counsellor can help a candidate choose the right goal and help him to outline the process of achieving it. Furthermore, an experienced counsellor can help a candidate lay down a plan to reach the goal. A step by step blueprint of reaching the goal in a realistic manner helps a candidate to achieve his dream career faster. With right goal setting, a person can attend career success over a very short period of time.
Explore various career choices: There are vast career choices that a person can explore that are available within the scope of a person s expertise. A career counsellor can throw light on these choices and help a person focus on the right option. This ensures that a person saves a lot of time and energy while figuring out the best possible career choice that is out there. This is particularly true in cases where a person is trying to make a mid-career switch. 
The right guidance and support: An experienced career counsellor can guide a candidate to get hold of the right set of skills and expertise that may be required to achieve a particular career. This ensures that a candidate is adequately prepared before the big opportunity knocks on the door. Right guidance not only cut down the preparation time, it increases the chances of success as well. 
Search Support: While the job search is on, a good counsellor can help a candidate prepare in terms of resume preparation, cover letter, video introduction etc. They can also help a candidate with the right kind of networking to land that dream job.
To conclude, the crux of career counselling is to get the necessary guidance from a qualified professional that would help the student/adult in making the right choice regarding his career. If you wish to discuss about any specific problem, you can consult a Psychologist.

Vocational Guidance & Career Counseling Benefits For Students & Adults

Coughs and colds are the commonest health issues that can occur to anybody and everybody at any point of time. Nasopharynx is one of the leading causes of common cold. Cold symptoms highly affect your body's immunity power. It is always better to rely on natural products rather than medicated drugs so that speedy results can be gained and on the other hand, side-effects can also be prevented.

Common cold is the most common dosha disorder affecting human beings. Everyone has suffered from common cold at some point or other in their lives. Its symptoms are too well-known. In ayurveda, this very ordinary ailment is called as pratishyaya.

All the three doshas are responsible for the occurrence of common cold. Vata dosha common colds have dry coughs, little mucus discharge, hoarse voice, headache and a runny nose. People with pitta dosha who have common colds will have fever, sore throat, yellowish nasal discharge and continuous blockage of the nose. People with kapha dosha common colds have thick mucus discharges with dull headaches and heaviness of the head.

Major ayurvedic products for treating cold:

Ayurveda is the ultimate solution for all kinds of health issues. There are few ayurvedic products that can efficiently deal with cold symptoms, and they are as follows:

 Karpooradi thailam: it is for direct application over face and chest. Few drops need to be put in water and then the solution should be boiled so that you can take the steam. The solution not only reduces inflammation, but chest congestion can also be well treated.
 Thaleesapathradi choornam: excess cough can be easily released if you take it along with honey.
 Agasthya rasayanam: it is equipped with potential anti-histaminic properties, and thus it acts as a valuable decongestant.
 Fluvin capsules: these capsules are now treated as one of the excellent ayurvedic solutions that can efficiently treat all kinds of cold symptoms. These capsules are enriched with anti-inflammatory and antiviral properties as a result of which cold symptoms can be easily cured, and you can get utmost relief. You also get increased immunity by having these capsules.

5 homemade solutions for dealing with cold symptoms:

 Drinking ginger tea: it improves taste buds and digestion can be stimulated as this tea is a decongestant.
 Having lemon juice: both honey and water can be mixed with this juice in order to soothe the sore throat. Excess cough can be driven out and vitamin c intake is also boosted.
 Taking garlic: this ingredient is highly enriched with antiseptic properties and thus infectious elements can be eliminated. Garlic can be used both in supplements and soup and thus you can choose any of these forms.
 Drinking ginger juice: water, amla juice and honey can be mixed with ginger juice in order to create a magical solution that can treat all signs of cold. It not only plays the role of decongestant, but your immunity can also be improved by the same.
 Make tulsi preparation: pepper and tulsi together create the most powerful combination, which drives away both toxins and infectious elements as a result of which suffering due to cold symptoms can be reduced, and you can get instant relief.

Top 5 Ways to Treat a Cold Using Ayurveda and Home Remedies

Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong. 
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

If you would like to consult with me privately, please click on 'Consult'.
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Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

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