Most children dislike dentists and will make any excuse to not visit them until the pain of a cavity becomes too much to bear. A cavity can be described as a hole in the tooth caused by tooth decay. Cavities affect people of all ages, but are most commonly experienced by children. Cavities can affect both milk teeth and permanent teeth. The good news is that cavities can be easily prevented. Here are a few tips.

Pregnant women and mothers can transfer cavity germs to the children. Thus, the first step to preventing cavities in children is for mothers to practice good oral habits by brushing and flossing daily along with a healthy diet. Visit a dentist regularly and get your teeth and gums properly cleaned and examined.
Do not encourage your child to drink juices, sodas or other artificially sweetened drinks. When your child is an infant, do not fill his bottle with anything other than milk or water. Also, do not put your child to sleep with a bottle of milk or anything other than water. Once your child has brushed his teeth at the end of the day, he should have nothing with sugar in it. This is because saliva production decreases while sleeping and without enough saliva, teeth cannot protect themselves against mouth acids.
Limit snacking between meals. This prevents the buildup of acids in the mouth and gives the mouth enough time to repair itself without causing damage to tooth enamel. Give your child a healthy, well-balanced diet. A diet rich in calcium, phosphorus, and proteins will help build strong teeth. Instead of sugary snacks, give your child let your child snack on fruits, vegetables, yogurt, cheese, nuts etc.
Teeth can be cleaned as soon as they appear. Teach your child to brush their teeth twice a day with a pea-sized amount of a fluoride-based toothpaste and a soft-bristled toothbrush. Brush your teeth along with your child to teach them the proper way of brushing and build a healthy habit.
Get your child s teeth regularly checked by a dentist. The dentist will be able to identify early signs of cavities that you may have missed along with other dental problems that may increase your child s risk of cavities. He will also be able to check the growth and development of your child s teeth. A child s first dental visit should be before he celebrates his first birthday.

Teeth Cavity In Children - Is Prevention Actually Possible?

What Causes Early Childhood Trauma? + How to Identify this Condition?

The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.

What Does this Condition Impact Childhood?

Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.

How do you identify this condition?

Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.

They may display signs like:

- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping

Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.

For instance:

Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.

On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.

If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma.



What Causes Early Childhood Trauma? + How to Identify this Condition?

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
 
Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
 
What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
 
Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
 
Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
 
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

Parenting Tips for Fever in Children

Scabies is a contagious disease that is caused by small insects called mites, primarily the  human itch mite . Small blisters are formed along the trail where the mites lay the eggs. You may experience symptoms of intense itching at night. The usual spots where scabies usually tend to develop are the fingers, armpits, elbows and the inner thighs.

This disease can spread by touch; sharing toiletries or sleeping with an infected person all contribute to the spread of this disease. The eggs and the feces of the mites in the burrows of the skin are what cause the itching in scabies. The eggs and the feces usually trigger allergic reactions on the skin.

The various homeopathic treatments for scabies are:
1. Carbo-veg: This remedy is effective when you experience dry abrupt eruptions on the body. Symptoms of itching tend to aggravate at night, especially during undressing. There is usually a smelly discharge from the infected areas.
2. Arsenic album: This remedy is used to treat scabies eruptions which appear on the bends of the knees. The burning and itching sensations tend to worsen at night.
3. Causticum: This is used to treat symptoms of scabies which include wet pustules with foul smelling pus. In this case, the skin develops a yellowish hue along with the presence of warts. Coughing and sneezing can lead to involuntary urination.
4. Hepar sulph: Hepar sulph is used when symptoms of crusty pustules develop on the hands, folds of the skin and the feet. The skin becomes sensitive to cold weather and the pustules have a cheese like discharge.
5. Lycopodium: Lycopodium is used to treat symptoms of scabies that occur on the genitals, scalp and the abdomen. Exposure to anything warm can aggravate the condition and intensify the itching. The pustules are moist and yellowish brown in color. The itching usually subsides if the skin comes in contact with anything cold.

5 Common Homeopathic Remedies for Treating Scabies

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

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

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