The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

It is sad to hear of a loved one suffering, but it is downright painful if that someone is your own child. Attention deficit hyperactivity disorder (ADHD) is a condition which was not paid much attention to for many years. The fact remains, however, that ADHD is something that can adversely affect the life of your child and their relationships. One example is Olympian Michael Phelps, who had been diagnosed with this disorder. In order to know if a child does suffer from it, it is important to pay attention to a few signs.

Signs You Must Not Ignore

To start off, if a child seems to be fidgety all the time, it is a good sign that there is a chance that he or she may have ADHD. While it is true that children often display feelings of excitement as well as a degree of restlessness most of the time, the ability of a child suffering from ADHD to sit still, quite literally, surpasses any normal standards for even a very restless child who does not have ADHD. 
As a matter of fact, most children who are diagnosed with the disorder are diagnosed by the time they are 7 or 8 years old. For many kids, this has something to do with the signs that are displayed once they join school, which are related to their behavioural habits. For example, children who have ADHD are likely to show their inability to await their turn in a group activity. As a result, they are likely to interrupt not only their peers, but also their teachers to say express their thoughts.
For those who are not well versed with this issue that so many children face, the behaviour of a child with ADHD come across as being outright selfish. However, this is really not the case. In many cases, since children with ADHD find it difficult to follow plans and set out tasks, their inability to do so is often considered as lack of intelligence. Such judgements can lower the morale of the child and make him or her feel inadequate, insecure and left out.
Many children who have ADHD are not loud and usually do not stand out in a group. Rather, they are more likely to be the quiet ones who daydream. All this can have major effects on the academic record of the child, and it is fair to say that he or she is quite likely to under perform compared to the rest of the students in the class.

If you see any of these signs, do not be alarmed. However, do seek a doctor s opinion to know for sure if your child has ADHD.

Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

The early childhood period is considered to be the most important developmental phase throughout the lifespan.  This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.
Physical Development
Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands.  The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes. 
Cognitive Development
Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:
Stage
Age Period Between
Milestones
Sensorimotor Stage
Birth to age 2
Respond to sensory stimuli by simple motor skills.
Preoperational Stage
Age 2 to 6
Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.
Concrete Operational Stage
Age 7 to 11
Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.
Formal Operational Stage
Age 12 to adulthood
Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.
 
Language Development
It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.

What Is Early Childhood Development?

Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible. 

Why to worry?

Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem. 

When to worry? 

Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys. 

What causes growth failure? 

Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy). 

How can I improve my child's growth?

Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth. 

What can be done if my child is very short? 

Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease. 

Time is important- act now if your child is short. 

Is My Child Short? 

You look your best when you wear a smile on your face. Everyone prefers a smiling face over a frowned one. Since we are talking about smiles, one can never underestimate the role that teeth play in the beauty of a smile. Dental hygiene and care is mandatory if you wish to secure your beautiful smile for years to come.

However, the global statistics for dental care suggests that we do not care enough for our teeth. 60-90% of children who are in school and almost every adult suffer from dental cavities. Dental cavities are pretty common nowadays. And yellowing of teeth can now be seen in almost every other person. It spoils the smile and makes people conscious. By ensuring a few dental care habits in your daily routine lives, you can avoid yellow teeth. Let us discuss the tips and tricks to avoid yellowing of teeth.
 
1. Say no to specific foods: Yellowing of teeth is caused by food choices including coffee, red wine, sodas, juices, sports drinks, white wine, coloured candies and other artificially coloured foods. It will help if these foods are consumed in less quantity and frequency as they are the major contributors towards discoloration of teeth.

2. Water after every coloured drink: Here is a habit that you must inculcate in your routine, whenever you consume any of the above mentioned food items. Post every drink or food intake which can cause tooth-staining, top it up with a glass of water. When you swirl or gargle the water in your mouth, you remove the acids that get accumulated in your mouth. It is one of the simplest preventive measures one can implement to avoid tooth stains.
 
3. Dental Hygiene: Our parents and dentists kept reminding us all the time to brush twice a day and gargle with water post every food intake but did we listen to them as kids? No we did not. Proper brushing, flossing and going for dental checkups at regular intervals are sure shot ways to keep your teeth healthy for majority of your lifetime. One must develop these habits quite early in life to gain benefits from it.

4. Whiten those Yellow teeth:  You might be at that stage of your life where inculcating the above mentioned habits won't do much good. The damage might already have been done. Your teeth are probably yellowish already and you have a history of dental cavities. In this 21st century, there are ways to whiten your teeth artificially with the many alternatives available in the market. One can opt for a solution, which can be done at home itself or go for a laser whitening which is now possible at a dentist clinic.
 
So there is still hope for those who are unable to share that smile with the world due to the yellowing of teeth. Nothing is irreparable here and the health of your teeth lies in your hand.

How to Avoid Yellowing of Teeth

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