Have you heard of a health condition in which there are insufficient red blood cells in your body for carrying sufficient oxygen to all parts of the body? This condition is called sickle cell anemia and it is an inherited form of anemia. Usually, the red blood cells in your body are round and flexible and move through the blood vessels easily. In case of sickle cell anemia, the red blood cells become sticky and rigid. They are shaped like crescent moon or sickle. Because of the irregular shape, these can get stuck in the blood vessels, which slows down the blood flow.

Treatment
The only potential cure of sickle cell anemia is a bone marrow transplant. Other treatment measures focus on easing the symptoms and preventing further complications. The various treatment modes are as follows:
Medicines
Several types of medications are used for sickle cell anemia treatment. They include:

Antibiotics: Children with sickle cell anemia can start taking antibiotic penicillin by the age of two months. This prevents infections like pneumonia. Even in the case of adults with sickle cell anemia, antibiotics help in fighting certain infections.
Pain-relieving medications: Several over-the-counter pain relief medications may be prescribed by a doctor for reducing pain during a sickle cell crisis. Hydroxyurea is another type of medicine, which helps in reducing the frequency of pain. 
Vaccinations: Childhood vaccinations should be given for preventing the disease in children. These vaccinations are more important for children already affected with sickle cell anemia as they are more prone to infections. Vaccines such as the annual flu shot and the pneumococcal vaccine are important for adults suffering from sickle cell anemia. 
Blood transfusions: In case of a red blood transfusion, red blood cells are removed from a supply of blood that is donated. The donated cells are intravenously given to a sickle cell anemia patient. Blood transfusion increases the number of normal red blood cell count in circulation, giving relief to anemia. Regular blood transfusions are important for children with sickle cell anemia, who are highly prone to stroke. 
Stem cell transplant: A stem cell transplant or a bone marrow transplant involves the replacement of the bone marrow affected by sickle cell anemia with a healthy bone marrow given by a donor. This is a risky procedure and is only recommended for patients with sickle cell anemia at a chronic stage. 
It is recommended for you to consult a doctor on experiencing any symptom of sickle cell anemia. This is a dangerous health condition and requires proper diagnosis and treatment before it gets out of your hands.

What is Sickle Cell Anemia? How Can it Be Cured?

ADHD i.e. Attention deficit hyperactivity disorder is a mental disorder that is commonly characterised by attention problems, excessive activity or difficulty in controlling one s inappropriate behaviour, given his/her age. If ADHD occurs in an adult, the person might face significant issues in maintaining a job, managing time or being in a relationship.

In spite of being the most regularly studied and analysed mental issue in kids and teenagers, the cause, in most of the cases, remains unknown. The symptoms of ADHD might develop as one gets old. Apart from the common symptoms, the person might show signs typical to ADHD such as hyperactivity, inattention, impulsivity and disruptive behaviour as well as relationships and academic difficulties. The symptoms of ADHD need to last for about six months to be diagnosed as a disorder.

The typical management methods of ADHD include counselling or medicines, either used separately or in combination.

Behavioural Therapies: Some of the psychological therapies used are:
Cognitive Behavioural Therapy (CBT): Focuses on changing the thinking patterns of a person that ultimately alters the way he/she generally feels
Interpersonal Psychotherapy: IPT is a focused form of psychotherapy that involves symptomatic recovery and resolving interpersonal problems.
Social Skills Training
Family Therapy: Focuses on providing therapy to the individual as well as the family
School-Based Interventions
Parent Management Training
Medication: Stimulant medications are the more preferred forms of medications for ADHD. They have short-term effects on the symptoms of ADHD. One such example is that of Methylphenidate. Non stimulant medicines are administered for people who indulge in compulsive or recreational stimulant use. Examples include atomoxetine, guanfacine, bupropion and clonidine. Although these medications are usually safe, over dosage can cause side-effects and contraindications.
Diet: Modification in diet can prove beneficial for children suffering from ADHD. The benefits are usually confined to children having food sensitivities or those who are being medicated using ADHD medicines simultaneously.

ADHD - Best Amazing Ways It Can Be Managed!

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.

Signs and symptoms

The early-stage symptoms of hearing loss in children are as follows:

No reaction to extremely loud noises

No response or reaction to your voice

The child makes some sounds, which taper off

The other symptoms which follow include:

He may pull and rub his ears.

He may act cranky constantly without any proper reason.

He might stop paying attention.

Low energy levels are indicated.

He may find it hard to follow directions.

He may ask you to increase the volume of the radio or TV.

Fever and ear pain are also likely symptoms.

Treatment

Early hearing loss can affect a child s language learning skills. If the problem is diagnosed and treated soon, the problem with language can be avoided. The method of treatment depends on the cause of hearing loss in your child and the severity of hearing loss.

There are certain medicines for hearing---prescribed by your ENT Surgeon. Please take the point watchful waiting. Even, if you have the slightest doubt of hearing loss contact ENT immediately.

The primary treatment methods of hearing loss in children include the following:

Watchful waiting: Sometimes, the condition may resolve on its own and the treatment involves simple monitoring of your child for positive changes.

Medicines: There are certain medicines for hearing loss in children, which may be prescribed by your pediatrician.

Ear tubes: Ear tubes may be recommended if medicines and monitoring do not work. The tubes allow fluid to drain and help in preventing infections. A minor surgery has to be undertaken on your child for getting the ear tubes placed. This will solve hearing loss and other related issues.

Hearing aids: Hearing aids may be used to allow your child to hear better. It is safe for children to use ear tubes after the age of one month. For the right hearing aid for your child, you need to consult a hearing specialist.

Implants: Cochlear implants are used to treat hearing loss in many children. These are electronic devices that are put in the inner ear to benefit hearing. These should be used only if hearing aids did not succeed and these are meant to be used only in the case of children with serious hearing problems.

There are several other devices, which can help your child with hearing loss. For suggestions and recommendations, you must take your child to a hearing specialist.

Hearing Loss In Children - Signs And Treatment Of It!

A genetic disorder, Down s Syndrome is caused due to extra genetic material during cell division. It is the faulty arrangement of chromosomes which results in the Down s Syndrome. It approximately affects one in 800 births around the world, across a wide spectrum of race, gender, region, and socio-economy. Since it is a naturally occurring condition whose underlying cause cannot be controlled or regulated, there is nothing one can do to undo this condition. Instead, people with Down s Syndrome, because they are generally socially and intellectually underdeveloped, are equipped with learnings and interventions related to life-skills from very early in life and striving towards making them independent. Various therapies can be incorporated for improving the overall quality of life of the people born with Down s Syndrome.

Occupational Therapy and Down s Syndrome -

Development of motor skills is delayed in the children born with Down s Syndrome. This is due to their certain physical characteristics like low muscle tone (hypotonia), loose ligaments or ligamentous laxity making the joints extra flexible, and decreased strength.

The aim of the Occupational Therapy for children born with Down s Syndrome is to facilitate or enable the development of movement patterns optimally, as against accelerating the rate of development which is a general assumption. It helps in achieving developmental milestones in an efficient manner. Occupational Therapy hence helps children in developing a good or correct posture, aligning their foot properly for proper balance and movement, improving their walking pattern, and helping them generally through developing fine and gross motor skills for carrying out daily activities.

Moreover, Occupational Therapy helps in teaching self-care skills like getting dressed, eating, toileting writing, using a computer, etc. For teenagers, Occupational Therapy helps in identifying suitable skills, careers, jobs, and vocations to match with strengths, capabilities, and interests. Sensory integration activities help in teaching the child to produce an appropriate response to any situation, and in developing attention and concentration.

Occupational Therapy Assessment -

Children with Down s Syndrome have delayed gross and fine motor skills, and lack basic cognitive and communication skills among many other issues they face due to their condition. Occupational Therapy addresses all these shortcomings of development for comprehensive management of the disease.

Occupational Therapy checks the sensorimotor components like muscular tone, strength, endurance, coordination, balance, range of motion, hand function, and posture. It also checks the perceptual and cognitive components like memory, attention, figure-ground, and directionality. For checking social skills, areas like peer relationship, verbal and non- verbal communication, and group interaction are assessed.

According to the assessment results, intervention strategies and fun activities are devised for the child to promote optimal function of motor senses.

Take Away -

Down s Syndrome cannot be cured but can be managed through methods like Occupational Therapy which helps in teaching basic life skills for making the patients confident and independent to face the world on their own.

Down Syndrome - Know How Occupational Therapy Can Help!

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don t come up to irritate your throat.
Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don t have asthma as steam can prove harmful for you.
Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.
By following these few tips every day, you can manage the night time cough and have a good night s sleep without any interruptions.

Night Time Cough - 5 Tips to Manage it

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