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!

Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

Children have a more active life than adults which means they need to be fed every few hours for ensuring the intake of sufficient nutrients. It is advisable to avoid giving them sugary snacks like chips, biscuits or chocolates as they are high in saturated fats and low in nutrients. It is essential to give healthy snacks to your children that are rich in nutrients and keep them healthy.

Here are five healthy snacks that you can include in your children's diet:

1. Whole grain cereal
Whole grain cereal along with milk and fruits can be one of the healthiest snacks for your children as a bowl full of these contain vitamins and calcium. Whole grains also contain fiber which helps regulate the digestive system. In order to make it a tasty snack, you can add strawberries or sliced bananas to it, which will also add more flavors to it. You can also make oatmeal cakes which are delicious as well as healthy.

2. Smoothies
Children are fond of smoothies and milkshakes and you can make it healthier too. Use low fat yoghurt and blend it with frozen fruits like mangoes, pineapple or blueberries for a delicious treat. You can also make a milkshake with peanut butter and fruits which are packed with nutrients and fiber and experiment accordingly. Avoid making the smoothies sugary as they can be harmful for your child's health if they are consumed on a regular basis.

3. Cheese
Low-fat cheese is a healthy snack for children as it is rich in calcium and nutrients. Make it an interesting snack by but cutting cheese in fun shapes and making kabobs with fruits. You can also make healthy pizzas with vegetables like tomatoes, broccoli or bell peppers topped on whole grain pita bread. You can also make snacks out of salt-free pretzels which your child can have with low-fat cheese.

4. Healthy baked food
Sneak in the fruits and vegetables in the baked foods your kids love. You can make muffins with sweet potatoes which are rich in beta-carotene. You can also make banana bread which is a delicious treat for your kids. Moreover, crispy baked snacks out of oats and apples tossed together served with low-fat yoghurt on top can also be a good snack time idea.

5. Dry fruits
Dry fruits and unsalted nuts are really a great snack for your kids. You can serve raisin toasts to your children as they are rich in fiber and vitamins and more effective than other sugary snacks. You can make a creamy raisin mix and serve it with carrot sticks or sliced apples.


5 Healthy Snacks for Your Children

The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

Maternal care during pregnancy: the teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.

Routine oral hygiene: for the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin.

Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.

Fluoride application: fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.

Pit and fissure sealants: the tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.

Space maintainers: in the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.

Orthodontic treatment: if there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time!

Benefits of Preventive Dental Treatments in Children

Mastitis is primarily an infection that occurs inside or on women's breasts within the first three months after pregnancy. Sometimes the infection can also affect non pregnant women where it is referred to as periductal mastitis.

What are the causes and symptoms of mastitis?
The most common reason behind such an occurrence is malfunctioning mammary ducts in pregnant women. Milk stasis or blocked milk ducts happen due to irregular feeding sessions, the baby's difficulty in sucking or not being able to attach optimally to the breast for feeding. The other plausible reason is bacterial infection that has somehow entered the ducts through a crack in the nipple area. Blocked milk ducts carry a lot of stagnant milk that provides the most suitable breeding ground for bacterial cultures. Steps must be taken so as not to pass on this bacterium to the baby who depends on breast milk almost entirely for nutrition.

1. It often manifests itself in the form of redness, swelling, pain, fever and exhaustion, resulting from inflammation of the breast tissues and mammary glands.
2. There is also a palpable warmth and tenderness of the breasts, accompanied by a general feeling of malaise.
3. Other common symptoms include lumpy formations, wedges, burning sensation especially during breast feeding.
4. Nipple discharge, body aches and relatively higher body temperatures might also occur in association.

You must consult with your doctor immediately after the appearance of similar symptoms; promptness is advisable when you are pregnant.

What problems does mastitis cause?
1. Most commonly affecting nursing and recent mothers, mastitis poses a pertinent problem in breastfeeding as it causes dysfunctional lactation.
2. Mastitis is therefore also as precarious for the new born baby who is left without its primary diet.
3. Doctors often recommend such mothers to continue breast feeding in spite of the disease, after prescribing some antibiotics which usually work in suppressing the infection after a maximum of 2 to 3 weeks.
4. The affected mothers usually feel too tired to take care of their child while suffering from this kind of infection.

Preventive measures
1. Avoid wearing tight clothes or undergarments.
2. Regularize breastfeeding schedules; do not stop before 6 months.
3. Encourage your baby to feed especially when you experience of build-up of milk.

All About Mastitis

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? 

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