CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

Congenital Problems With The Urinary Tract!

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?

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.
Second line therapies:

Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.


Infantile Spasms - How They Can Be Treated?

ADHD, CDD, short-term memory loss, forgetfulness, insomnia and so many more terminologies we would have come across very often. They all seem to have evolved from a common origin and that is concentration issues. Have you pondered on these questions!! Why can t it be easy to concentrate? Why can t it be easy to remember everything? If yes, then read on to know more.
Concentrate! Focus! Pay attention! These are not just words but one huge and complicated process in itself. Many children and as well as adults often develop this issue wherein they find extremely difficult to concentrate.

Science behind concentration issues: When an individual performs a single task; for example reading a book, the image of what he is seeing hits the retina. From the retina, the nerve fibres carry the image to the brain which stimulates the brain cells to fire an action potential. The signal from here moves to the thalamus and proceeds to the visual cortex. This signal activates locus coeruleus which is a brain stimulant. It targets the particular area of the brain becoming the deciding factor as to how one responds to a stimulus, which in this case is an image. When there is deregulation of the locus coeruleus, it is then that a person develops disorders like ADHA, anxiety, depression, insomnia and others.

Factors influencing concentration:
Concentration is a skill that requires you to prioritize your senses while doing any work. It is an ability to block out distractions.

Dedication to the task
Interest in the task
One s ability to complete the task
Physical and emotional state
Conducive environment with few distractions.
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD)
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD) are the two predominant concentration issues. The first one is more common among the children while the latter is observed in mostly the adults. Any individual with ADHD or CDD can show abnormalities in their behavior and social life.

ADHD individuals tend to be forgetful and face problems sticking to one task and may even display excessive fidgeting. CDD individuals tend to be lethargic, move slowly and have trouble in staying alert. Adults may become socially withdrawn and exhibit slow information processing.

Solutions for concentration issues:
Concentration issues require a lot of time to be overcome. You can try to figure out what causes the distractions and avoid them as much as possible by refocusing your mind only on what you are doing. You can give yourself timers which comprise of  distraction time  and  focus time . This strategy helps if one s mind is actively processing other things. You may also create subtasks by listing the things you need to do and then ruling out one by one once you accomplish them. Always breathe better and try for long inhalation and exhalation. This helps to bring down your anxiety levels which hinder the concentration.

Though the above-mentioned strategies are just to help you improve your concentration they are not the ultimate cure for any of the issues. Every individual is unique and sometimes accepting oneself can solve many complications as it reduces the need for unnecessary thinking. Always bear positive thoughts in your mind as it will act as a driving source.

Concentration Issue - How Can It Be Managed?

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

3 lesser known facts about breastfeeding

Breastfeeding is advocated to be the only best thing for a newborn. But while it is the most natural thing to do, it isn't an easy process. It is challenging and full of surprises. Researches throw up facts that surprise all. For example: breastfeeding is like a shield against breast cancer. 
Here are 3 such lesser known facts:

1. The milk contents - ever wondered what your baby thinks of the taste of your breast milk. Well, the fact is that your breast milk is tailor-made for your baby. From the taste to its benefits, it is a full course meal. When the feeding begins, the milk is watery. This is to quench the baby's thirst. Then the consistency thickens and the milk becomes higher in fat content. This meets your baby's electrolyte needs as well as energy requirement. Want to know something more amazing? through the day, your breasts milk's properties keep changing. By evening, it has higher sedating properties and helps the baby's body meet nutritional demands. This should explain that satisfied smile babies have when they sleep right after their feeds.
2. Variation in milk production - it is okay and natural if you feel you are lopsided. Many breastfeeding mothers feel that one breast is heavier than the other since it produces more milk. This is possible and happens a lot. Our body is not perfectly symmetrical between left and right. This applies to breasts as well and shouldn't be worried about. Because of this, milk production can also vary between both the breasts.
3. It causes weightloss - some women are known to lose their pregnancy weight by breastfeeding. Yes, this is also a lesser known fact. Breast milk happens to be a high calorie food which the baby literally sucks off the mother's body. This leads to shrinking of the mother's body.
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3 Undisclosed Facts About Breastfeeding, This World Breastfeeding Week

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