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

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage 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

Homeopathy and its role in treating ADHD

A brain disorder, attention deficit hyperactivity disorder (ADHD) is characterized by a continuous pattern of hyperactivity and inattention, resulting in interference with normal development and functioning. The term is applied to both adults and children who exhibit these two characteristics over a long period of time. The condition is usually discovered during a child's early school years, between the third and sixth year (during which he or she may display problems associated with attention) and can go on into adulthood. Although medications are available under western medical science for treating this condition, they aren't free from any side effects.

Which remedies are generally used for treating ADHD?

Homeopathic remedies can help in easing some of the symptoms of this condition, making it easy for children to take part in normal school and social activities. A homeopath prescribes the relevant remedies after having a clear understanding of your characteristics. Some of the medicines that are used for treating the condition are Cina, Hyoscyamus Niger and Stramonium. While Cina is prescribed for alleviating aggressive behavior, Stramonium is recommended for treating fears or PTSD and Hyoscyamus Niger for sexualized or manic symptoms. But the one remedy that is most preferred for treating the varied symptoms of ADHD is Tarentula Hispana.

How is homeopathy different from conventional medicine?

When it comes to the homeopathic treatment approach for ADHD, it differs from conventional western medicine in two very different ways. Firstly, the treatment is personalized to suit your needs and health condition. For this reason, the remedy that is suggested to you differs from the one that is suggested to another individual. Such an approach allows a homeopath to better help you by addressing your specific symptoms compared to the conventional treatment of ADHD. Secondly, it treats the condition using smaller doses of the remedies and not higher doses so as to not aggravate the symptoms of ADHD.

In addition to being safe and non-toxic, when these homeopathic remedies are taken along with dietary modifications and lifestyle changes, they can bring about vital improvements in your health.

If you would like to consult with me privately, please click on 'Consult'.

How Hyperactivity of ADHD can be Controlled by Homeopathy

A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.

Here are few very simple ways you can prevent your child from getting it:

1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.

2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.

3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day.




What is Rickets? How to Prevent Your CHILD From the Disorder?

Anger is a normal emotion. Children are as susceptible to anger as are adults. However, children may not understand how to deal with their anger properly. This can result in tantrums and violent behaviour. Telling a child not to get angry is not the solution to this problem. Instead, a child must be taught how to channelize his or her anger. Here are 5 tips that could help deal with aggressive behaviour.

Do not use physical punishments as a form of discipline: Children inculcate actions they see at home. While you may hit your child out of frustration when he or she does something wrong, the child may see this as an acceptable form of venting anger. Thus, hitting your child can indirectly reinforce a child s aggressive behaviour. Just as you do not expect your child to go about hitting other people, do not hit him yourself.
Develop a feeling vocabulary: A child s aggressive behaviour is usually the result of frustration at not being able to explain what he or she may be experiencing. Thus, encourage your child to develop a vocabulary to speak his mind. Teach them to use words like angry, frustrated, irritated and anxious. When your child says that he or she is angry, do not ignore him but encourage him to talk it out. You could also encourage them to find other creative outlets for their anger such as drawing and painting.
Praise good behaviour: All children seek appreciation. When your child deals with anger is a good way, praise him and reinforce the behaviour. This lets your child know that his behaviour is being noticed. Tell your child it is ok to be angry as long as it is dealt with in the right way.
Set firm limits: Children need limits to know what sort of behaviour is acceptable and what isn t. These limits should be kept very clear and consistent. The child s teachers and other caregivers should also be made aware of these rules along with the response to be given if the child breaks a rule. When a child does cross the limits set by you, they should be immediately reprimanded so that they understand their mistake.
Let your child cool off: It is no use trying to explain why something the child has done is wrong when they are in a state of anger. Instead, give them time to cool down by telling them to go to their room or sit down someplace. Once the child has cooled off, explain why his or her behaviour was wrong and discuss ways he or she could have dealt with the situation better. 

Aggressive Behaviour In Children - 5 Ways It Can Be Managed!

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