The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them. 

Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:

Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child s needs better, both physical and psychological. 
Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child. 
Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning. 
Focus on your child s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child s diet. 
Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones.

Tips for Parents to Deal with Autistic Children 

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Heartburn
- Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

Barium swallow
The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
pH probe

A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.

Upper GI endoscopy
Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.

Gastric emptying study
One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

Gastro-Oesophageal Reflux In Babies

Health advice for a breastfeeding mom

Breastfeeding mothers need to be conscious and aware of their diets. How the mother eats is how the child gets its nutrition. While they do not need any major changes from what they were eating during the pregnancy, a few adjustments are advised. A few basic adjustments in daily routine are enough. They are:

1. Eat very well - Eat a balanced diet to suit your health. Remember, first it is important to meet your nutritional needs. Only when you are eating well would the quality and quantity of your milk be ideal for your baby. Do not diet under any circumstance. We understand you wish to lose all the pregnancy weight soon, but remember, you child is your priority now. When you diet, your body will start drawing on its reserves. This will affect milk production. By dieting, you will also lack the amount of stamina you need to take care of your baby. Be aware that feeling extra hungry during breastfeeding is normal. Your body is working around the clock. Eat small meals at regular intervals to keep your hunger satisfied, your weight concern at bay and your body strong.

2. Don't count your calories - Not until you are breastfeeding. You need at least 500 calories more than you did when you were not breastfeeding. Don't let this shock you, your child will be feeding off you. There are other ways to regulate your weight and lose the extra pounds gained during pregnancy, do not compromise on food at all.

3. Do not rush to exercise - Consult your doctor and ask for suitable exercises for your body. You might have stitches which are yet to dry, so don't be hasty. Get your workout regime planned professionally and under guidance.

4. Do not avoid fats - Eat healthy foods and opt for good fats. Foods that are good for you and for milk production are a big yes. Foods which do not contribute in any positive way can be done without. They will only harm you in the long run.

5. Avoid alcohol - Stay away, and if you do want to indulge consult your doctor. An occasional drink is usually okay, still it is better you abstain altogether until you stop breastfeeding. And if you do have a drink, feed at least after two hours.

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Advice For A Breastfeeding Mom

A loss of tooth or teeth is one of the biggest dental problems that someone can face. The irony is that people consider loss of teeth to be very insignificant. But in reality loss of teeth can lead to not only cosmetic problems, but also functional problems and an unstable chewing mechanism.

Loss of teeth can lead to many problems. Some of them are:
1. Supra eruption of opposing teeth
2. Compromised efficiency of chewing
3. Adjacent teeth might drift into the space created by missing teeth
4. Food tend to accumulate between teeth, which have moved
5. Food accumulation also leads to periodontal disease and caries
6. A lopsided chewing pattern as there is loss of equilibrium in the mechanism of chewing
7. The extracted area might reveal a loss of bone height
8. Problems of the temporomandibular joints, like closed bite and tmj osteoarthritis
9. The existing functional teeth might lead to problems due to overload
10. There are increased chances of cheek biting due to collapse of the cheek in the missing space, thus leading to functional and cosmetic problems
11. The frequency of tongue biting and ulceration might increase in the area of missing teeth or tooth
When missing teeth are replaced, one can easily restore the healthy look of the teeth and also prevent any other dental problems which are due to the missing teeth.

While replacement of the missing teeth it is of utmost importance that the equilibrium is maintained with the distribution of the forces caused by chewing. Care is also taken that the cosmetic outlook is also maintained in the treatment. 

Ideally the teeth when extracted or lost should be immediately replaced. This is because the replacement prevents the bone resorption or bone loss in the area and also retains the good bone. But a drawback is that such an immediate replacement might lead to limitation. Immediate treatment is usually done with the help of implants which easily fit in the sockets created by extraction. But even for this an analysis of the bone and gum health is necessary, thus leading to only a few instances for such replacements. Other alternative is that immediate removable dentures can be prepared and these can be replaced once the gums of the area have healed. The time period for this is usually 3 months. If these need to be fixed permanently then a waiting period of 3 months is mandatory for the settling and healing of the gums and bone of the area.

The 3 basic ways of fixing missing teeth are through implants, fixed bridgework (bridges and crowns) and dentures, which can be removed.

Missing Teeth and Problems Associated With It

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

How to Surgically Treat Cleft Palate

An infant is usually called a bundle of joy and with good reason. There are simple and carefree, and bring a smile to your face with their antics. However, the mood and health of an infant can be tarnished due to an issue which is known as galactosemia.

What is Galactosemia?
When a baby has galactosemia, he or she will have a problem when it comes to digesting galactose, which is something that is present not only in milk but in all milk products. Galactose is a sort of sugar, just like fructose and glucose is. As a matter of fact, lactose, which is what milk has, is, in fact, a combination of glucose and galactose. Also, when lactose is processed, it is broken down by the human body into its constituents.

The condition is something that is passed down through the genes of the parents of the baby. The condition would occur if the gene which causes a tendency for a baby to have galactosemia is present not only in one parent but both of them. A baby who has the condition will be lacking an enzyme which is known as the GALT enzyme. The enzyme could also not be functioning as it should be under normal circumstances.

When it comes to the problem, it is very important, to say the least, to detect it sooner rather than later as if there is a build-up of unprocessed galactose which is allowed to occur, it can affect the baby adversely and in some cases, it can also be threatening to the life of the baby!

How does it affect a baby?
The problems which can erupt due to galactosemia include issues which affect organs such as the brain, eyes, liver and kidneys. It is interesting to take note of the fact that these are all organs which either have something to do either processing the blood or are heavily dependent on it. While a baby is not in the position in which he or she can communicate the issues that are being faced, when keeping an eye out for galactosemia, the signs which are displayed include an irritability of the baby as well as lacking consumption of the milk of the mother.

Even though galactosemia may not be the case, a doctor should be consulted as the exacerbated issue can include seizures and jaundice. It is to be kept in mind that galactose is something that can be found not only in the milk of the cow but also human milk as well as the milk of other animals such as goats.

Galactosemia In Infants - Know the Reasons Behind It!

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