Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
The person who is sleepwalking is usually not aware of it.
Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
They may not respond when they are actually sleepwalking, or respond very slowly
They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
There could be chances of small injury like tripping or fall during the sleepwalking episode
Sleepwalkers may be more restless compared to other children during their waking hours
Bedwetting is also quite common in children who sleepwalk
Causes

Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
Stress
Excessive drinking
Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking
Management

For a parent to see their child walking around in their sleep can be quite disturbing.
Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects.

Sleepwalking - 11 Things You Must Know!

Every person suffering from migraine will agree that -  although medications can control the head-piercing pain that each attack brings with it, preventing the onset of the pain altogether is the best way to deal with it. Follow these three simple strategies and based on the reaction of your body to these, mould your lifestyle to effectively prevent the occurrence of migraine to a good extent.

1. Get adequate amount of exercise
A large majority of people who suffer from migraine steer clear of any highly intensive or strenuous exercise as it is known to be the prime trigger for a severe attack. Having said that, avoiding physical activity altogether can worsen your migraines and thus you should focus on indulging in some light exercises. Activities such as jogging, walking and yoga can reduce the duration of your migraines and also bring down its severity and frequency. Moreover, regular exercise brings down stress levels which are also a major factor for triggering migraine attacks.

2.  Take note of your meal schedule and type of food that precipitates headache
For most patients migraine is triggerred by irregular meal schedule and some foods acts as triggers for migraine like cheese, chocolate, chinese foods. It is very imprtant to maintain a regular meal schedule, avoid skipping meals and take note of the items that precipitate your headache. Items that can precipitate headache is different for every individual and maitaining a headache diary can help you to identify these triggers. Also, note down the occurrence of your migraines, their duration and severity. Having adequate data makes it extremely simple to recognize a recurring pattern and leads you to the main cause behind your migraine attacks.

3. Maintain a stable sleep schedule
Sleep plays a great role in triggering migraine attacks and irregular sleep patterns, not getting adequate sleep, or sleeping more than required – all these habits can lead to a severe attack. Thus, try and create a sleep schedule for yourself keeping your daily routines in mind and follow it without fail.

Top 3 Strategies To Keep Migraine At Bay

Children should be brought up with utmost care. A child should not be your centre of attraction only because it is incapable to fend for itself, but also because it is not half as aware as you are or could be about its problems. Parents punish their children for the slightest of their mistakes; they at times even threaten children to bring home a lesson. Patience and observation are two key things in good parenting. The foibles of your child might indicate at an underlying medical condition. Instead of fixating over the mistakes try and locate the root cause. Early diagnosis of autism can save your child from a bleak future.

The following are a few symptoms of autism in children:

Social interaction is a huge challenge: Children suffering from autism are usually noticed to live in a world of their own. They hardly listen to people around them or hardly talk. The presence of many people can scare them or make them conscious. When spoken to, they look away. They do not feel comfortable in revealing their joys or fears. Autistic children like to play alone; they are not interested in group activities with friends.
Difficulties in communicating their needs: Communication is the biggest problem autistic children seem to face regularly. They are not able to express their needs and emotions. If they are hungry they might scream or break things but not ask for food. They even fail to comprehend instructions and seem confounded by simple situations. Their speech could comprise of mumbling. Autism in children could make them develop a condition popularly known as echolalia under the effect of which they mouth words without knowing their meanings in an extremely strange tone.
An obsessive, repetitive behavior: Children with autism could be persistent in some of their actions. Their body gestures could be repetitive; for instance, they can continue flapping their arms for hours together. Children in certain cases are also very particular about routine. Quite strikingly, objects affect them and they might scrutinize an object meticulously.
Sensory problems: Light sound and touch can have a huge impact on children suffering from autism. Patches of light and shade intrigue them whereas high pitched sounds could depress or intimidate them. They usually prefer deep pressure touch and might not respond to anything else.

Autism in Children: Prevalent Symptoms

The brain contains numerous nerve cells which help in its normal functioning. Epilepsy or seizures occur when there is a disruption in the activity of the nerve cells in the brain. A neurological disorder of the CNS (Central Nervous System), epilepsy can affect all and sundry, irrespective of their age, sex and ethnicity. However, children and aged people (above 60 years) are more susceptible to the condition. A study suggests approximately 10 million people in India suffer from epilepsy.

Types of Epilepsy
Based on the activity of the brain that causes an epileptic attack, Epilepsy can be of two types - Focal or Generalized
Focal Epilepsy: An epileptic attack triggered by unusual activities restricted to a particular area of the brain.

In some cases, focal epilepsy may result in unconsciousness. A person may also lose awareness and become unresponsive (keeps staring into space), a condition termed as Focal Dyscognitive Seizures. A person with this condition may behave strange, such as walking in circles, chewing or rubbing their hands.
In another type of focal epilepsy known as Focal seizures without loss of consciousness, a person does not lose consciousness. In such cases, there may be sudden and involuntary jerking of the arms or the legs. There may also be dizziness or a tingling sensation.
Generalized Epilepsy: Here, the seizures or epilepsy result from unusual activities throughout the brain. Generalized epilepsy, may, in turn, be of the following subtypes

Tonic seizures: This affects the muscles of the legs, arms, or the back, causing them to stiffen and tighten up.
Atonic seizures: Here, a person may suddenly fall down due to loss of muscle control. The condition is also known as Drop Seizures.
Absence seizures: Mostly affecting children, the affected person may lose awareness (temporary) and behave strangely such as staring into spacing, smacking their lips, or blinking their eyes continuously.
Clonic seizures: They are characterized by sudden and continuous jerking movements of the arms, face, and neck muscles.
Tonic-clonic seizures: Here, a person may suddenly lose consciousness. There are violent shaking and stiffening of the body. Some people may even be seen biting their tongue.
Myoclonic seizures: In this arms, and legs of a person suddenly twitches and jerks.

What triggers an Epilepsy?
Epilepsy may be an outcome of the following factors

Medical conditions such as stroke or even brain tumors may affect the normal activities of the brain, thereby resulting in epilepsy. Diseases such as Viral Encephalitis, AIDS or Meningitis act also act as a trigger, accelerating the chances of epilepsy.
Developmental disorders such as Neurofibromatosis or Autism can also trigger epilepsy.
In some cases, epilepsy may be a genetic predisposition. Thus, a person with a family history of epilepsy may suffer from the condition.
Epilepsy may also be an outcome of a prenatal brain injury due to oxygen deficiency or an infection to the mother.
People with dementia may also suffer from an epileptic attack.

Epilepsy - Know The Most Common Types!

Are you aware of behavioral and emotional disorders in children? During the developmental years of a child, constant growth and change are signified. This fact should be strictly kept in mind while dealing with behavioral and emotional disorders in children. Brain disorders like bipolar disorder, depression and anxiety disorders may affect any child during early childhood. The assistance of a mental health professional should be taken while dealing with these problems. On a global scale, almost 15% of children suffer from behavioral disorders. Among the different forms of behavioral disorders, Attention Deficit Hyperactivity Disorder (ADHD) accounts for being one of the most common ones.

Here is a list of the different forms of behavioral and emotional disorders, which are observed in children:

ADHD- This common mental disorder in children is more common in boys than in girls. Commonly, children affected with this disorder are unable to finish familiar tasks, plan or sit still. They may even lose awareness about what goes around them. ADHD-affected children may seem fine on some days, but on other days, they may experience disorganized and frenzied activities. This disorder may continue into adolescence and adulthood as well. There are several treatment options for ADHD, which may include medications, therapy and educational options.

Autism- Children affected with autism seem to become indifferent, remote and isolated in a world of their own. They are unable to form emotional ties with other people or their peers. Autism is more likely to occur in boys than in girls. The condition may result in language delays, mental retardation, and in some cases, a child may suffer high functioning and usual speech and intelligence. This is because the brain of such children functions differently than others. Consistency is very important for managing autism in children.

Bipolar Disorder- This disorder is most likely to begin in early childhood and it continues into adulthood. It is featured by extreme mood swings in the patient. A child may have extremely high or euphoric feelings, but his mood may turn into depression and sadness all of a sudden. This condition is a genetic illness, and it is often mistaken or misdiagnosed as ADHD.

Anxiety- Anxiety disorders make children feel uneasy, distressed and unusually scared for no appropriate reason. Panic disorders, featured, by intense episodes of fear, which occur without any kind of provocation or signal are a common type of anxiety disorder. OCD or obsessive compulsive disorder, which is repetitive and compulsive in nature, is another type of anxiety disorder.

It is very important to treat and deal with children s behavioral and emotional disorders at an early stage. Early diagnosis enables an early start of treatment, which prevents further degradation of the condition.

Types Of Behavioral And Emotional Disorders In Children

Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

There are several types of head injuries from mild as a cut, bruise, bump, contusion to severe ones caused due to a concussion, fractured skull bone, deep cut, internal bleeding, brain damage, etc.

A head injury is a comprehensive term which consists of an array of injuries that damage the skull, scalp, brain, and blood vessels and tissues in the head. It is generally referred to as a traumatic brain injury (TBI) and brain injury, depending upon the type and extent of trauma.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Domestic violence

Street fights

Fall from height

Child abuse

Subdural hematomas

Brain hemorrhages

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of all the possible symptoms of brain injuries:

Nausea and vomiting.

Fatigue or sleepiness.

Extreme headache.

Confusion.

Loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected.

Coma.

Dilation of the pupils and related visual problems; Blurred vision, photosensitivity, blindness, loss of muscle control in the eyes.

Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood.

Problem breathing.

Low pulse rate.

Increase in blood pressure.

Difficulty in swallowing.

Loss of hearing.

Problems in cognitive functions.

Numbness or tingling in the limbs.

Loss of bladder and bowel control due to loss of control over muscle functions.

Loss of consciousness.

Treatment of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Cardiac and pulmonary function test.

Glasgow Coma Scale test.

Pupil dilation and corneal function test.

Brain stem reflex tests.

The most common way of diagnosis is the use of CT scans and MRI scans.

A severe head injury often needs surgery to reverse symptoms like chronic fatigue, bleeding, or loss of bodily function. Diagnosis involves finding out the type and severity of the injury and treatment involves removing the problem surgically.

Take Away-

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.

All You Must Know About Head Injury & Its Treatment!

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