Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types
1. Congenital ghd - this form of ghd appears from at the time of birth itself.
2. Acquired ghd- ghd can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
3. Idiopathic ghd- idiopathic ghd is the third, and comparatively worst kind of ghd since it has no treatment.

Ghd is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (ghd).

Symptoms
Childhood onset
1. Restricted height- compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
2. Chubby and comparatively younger appearance- your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from ghd.
3. Late puberty- your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the ghd.
4. Hypoglycemia and exaggerated jaundice- low blood sugar is amongst the most primary manifestations of ghd, along with extended duration of jaundice.
5. Micro-penis- micro penis condition is one of the incident signs of ghd, which later escalates to growth deficit as the infant gets older.

Adult onset
1. Fatigue- adults with ghd may experience extreme tiredness throughout the day, with reduced muscle strength.
2. Osteoporosis- osteoporosis, along with bodily deformities, is a common sign in adults with ghd.
3. Lipid abnormalities- a test of your lipid profile may reveal abnormalities in ldl cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine ghd
1. Physical test- a chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
2. Hand x-ray- a hand x-ray can determine whether the age of bones are at par with your age.
3. Mri-mri scan can determine the health of your brain and pituitary gland.
4. Test for other hormones- growth hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment
1. Hormone supplements- hormone supplements like corticosteroids (hydrocortisone or prednisone), levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
2. Growth hormone injection- gh is injected beneath your skin, to cure gdh. This is a long-term treatment and requires constant monitoring.

All About Growth Hormone Deficiency

Many women develop uterine fibroids by the time they hit the age of 50 years and above. These are non-cancerous growths that may occur in the uterus. Most women go through severe bleeding and pain as well as discomfort as a result of these fibroids. Age, family history of the same condition, obesity or being overweight, eating habits and even ethnicity play a large role in deciding the risk of each individual patient. These fibroids can grow in the submucosal, intramural and subserosal areas.

Following are the common side effects of uterine fibroids:

    Frequent urination: Due to the pressure of the fibroids on the uterus, the patient may experience a constant feeling of fullness in the lower pelvic area of the body, which may lead to frequent filling of the bladder. This gives rise to frequent trips to the washroom for urination. 
    Heavy Bleeding: Severe bleeding is one of the most common causes of the presence of these kinds of fibroids. The patient may experience a lot of bleeding during menstrual periods, as well as pain and cramps the rest of the time. The periods will also be very painful when there are fibroids in the uterus or the uterine lining.
    Painful Intercourse: It is a well-known fact that any kind of infection or growth as well as sores and other such ailments can lead to vaginal dryness as well as pain during sexual intercourse. This is true for uterine fibroids as well, which can lead to severe pain during sexual activity. These fibroids can also give rise to pain in the lumbar or lower back region.
    Abdomen Swelling: The abdomen may go through significant swelling in such a condition and the patient may even look like she is pregnant. The growth can push the shape of the abdomen outwards and create a full feeling.
    Pregnancy Complications: The presence of uterine fibroids can give rise to several complications during pregnancy and even after child birth. One of the most common problems in this case is bleeding, followed by more severe outcomes like miscarriage. The women suffering from uterine fibroids are at greater risk of undergoing a caesarean section for the delivery of the baby. The baby may also be born breech and a premature delivery may take place. 
    Infertility: This is also a rare side effect of the uterine fibroids and is generally seen only in very severe cases. 
    Cancer: Only one in every 1000 cases might transform into malignant tumours. These uterine fibroids are generally known to be non-malignant. 

Any symptoms must be reported to a gynaecologist at the earliest to avoid any serious complications.

Common Side Effects of Uterine Fibroids

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

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?

Does your baby s skin taste too salty when you kiss him or her? Did he or she not poop after being born? These symptoms indicate cystic fibrosis in your baby, which is a condition that changes the way your body makes sweat and mucus. It also affects the functioning of the lungs and digestive system. The condition occurs from a flawed gene. If you have cystic fibroids, your mucus may be too thick or your sweat can be too salty. Heavy mucus clogging in your lungs may affect your ease of breathing. This is a serious and life-threatening disease, but it affects different people in different ways.

Causes
The gene known as CFTR is present in everybody. It makes a protein which controls the amount of salt and water that are moved in and out of the cells of the body. In case of cystic fibroids, the CTFR gene is broken, which occurs if you inherit two bad copies of the gene. A bad CFTR gene may lead your cells to make the wrong amount of water or salt. This makes the body incapable of getting sufficient oxygen and nutrients, as the body loses them via sweating.

Symptoms
Apart from the primary symptoms, several other symptoms are also likely due to cystic fibroids. The common symptoms which your child may experience are as follows:

Coughing up thick mucus, wheezing and shortness of breath
Sinus infections, pneumonia, or very frequent bronchitis
Development of polyps in the nose
Bulky, oily and foul-smelling stool
Low bone density, widening and rounding of the fingertips and weight loss
In later life, cystic fibroids may cause liver disease, gallstones or pancreatitis.
Treatment
There is no specific treatment for cystic fibroids. Several treatments are followed for relieving the symptoms and help patients feel better, breathe easier and have lesser infections or stomach problems.

Airway clearance technique can help you with breathing as the mucus from the lungs is cleared in the process. There are several ways to undertake airway clearance and special devices can be used for assistance.
Several inhaled drugs such as salt solutions, steroids and antibiotics are used in thinning the mucus, clearing the lungs and fighting infections.
Several medicines are used for fighting the inflammation and reducing swelling in the lungs.
In case your pancreas are not working properly, you can take enzyme pills for digesting proteins and fats for absorbing more nutrients from the food you take.
Vitamin A, E and D supplements provide the nutrients, which your intestine cannot absorb.
In case you experience the symptoms of cystic fibroids, you should visit a doctor immediately. This will allow you to go for an early diagnosis and effective treatment.

Cystic Fibrosis - Can it be Life Threatening?

How to Prevent Your Child from Developing Type 2 Diabetes?

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity

Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child

Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.

3. Adopting proper eating habits

It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.



How to Prevent Your Child from Developing Type 2 Diabetes?

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