Baby bottle syndrome is a decay that affects the milk teeth in children who fall asleep with a bottle containing sugary drinks. Prolonged contact between the liquid and the surface of the teeth promotes the destruction of tooth enamel.

Causes and symptoms

The symptoms of baby bottle tooth decay are discoloration of the tooth (enamel), with the formation of yellow or black spots on the surface.

When a child falls asleep with a bottle containing sugary liquids such as milk, fruit juice, sugar water, or with a pacifier dipped in honey or syrup - bacteria present in the mouth, (streptococcus mutans to be precise) transform the sugar into lactic acid.

Normally, the saliva helps to neutralize this acidity, but its production declines during sleep. Thus, teeth are subjected to acid attacks that promote the formation of cavities. As milk teeth are weaker than permanent teeth, decay can be quick with enamel getting hit first, then dentin and finally the pulp in the centre of the tooth.

At this stage, the infection can spread rapidly to other teeth, causing significant pain when the dental abscess formation often requires removal of the damaged teeth.

Precautions

To avoid it, the first thing to do of course is to stop giving your child a sweetened drink at night or when putting the child for a nap. You should also brush your baby's milk teeth twice a day, especially at bedtime with a cotton swab and water and in a year - with a toothbrush and toothpaste.

In case, the teeth are already decayed or you have doubts about it (staining of the tooth that becomes pink or white can be the harbinger of decay), consult a paediatric dentist immediately. Decayed milk teeth may lead to deformation of the permanent teeth if not attended to immediately.

Causes and symptoms of Baby Bottle Tooth Decay

Parents sometimes tend to neglect their children due to various reasons. However, this negligence influences the children severely. It can affect the development, personality, relationship traits of the children. Every child needs care and love. Parents are naturally the closest people in a child s world. Negligence from the closest people can lead to destructive character traits in their personality.

1. Attachment problems: One of the primary and direct effects of parental negligence towards children can lead children to be less attached with family. If a child does not get the warmth and care from parents, he automatically detaches from the family bonding and even does not develop the love and compassionate feelings for the family. This pattern hardly changes over time, and it can even lead to problematic relationship of the child in the future. The child may not be able to be close to his own children later.

2. Brain development: Children are tender and sensitive, just like floral buds. Every stimulus has an action. For instance, a child who is affected by malnutrition suffers from weak neural cells. This can be a reason behind weak brain functions. The basic pillars of brain processes, that is, thinking and logical thinking, everything is affected due to parental negligence. It may lead to low level of self-confidence, depression, frustration, anxiety, troubled thoughts and emotional distortions.

Signs of parental negligence in children

1. Eating Disorders

2. Disrupted Sleep

3. Withdrawal from family bonding

4. Aggressive attitude

5. Bed wetting

6. Missing out school

7. Obsessive traits in behavioural patterns

8. Nightmares

9. Sudden change in attitude and behaviours

10. Depression

11. Violence

Every child seeks complete attention and love of his or her parents. However, parents may neglect them due to work stress, social obligations, personal problems and other such reasons. But parents should be considerate about the developmental barriers that could be posed due to this type of negligence. Some children also show eating habit changes, abusive attitude, violence or sometimes even plunge into complete isolation. While children require free scope to let their emotional and mental development boost with social activities, neglected children can withdraw themselves from social activities.

This means no friends, no social activity in life. This is a major reason for depression, suicidal attempts, deformed thought processes and misled lifestyle. As a parent, you can offer your optimum care and affection to your child to avoid such mental distortions, which can be avoided with love and warmth.

How Neglect from Parents Affects Your Child?

Bathing  the newborn baby is a pleasurable experience both for the mother and the baby. It can also be defined as a process through which the mother and child bond. A mother understands the requirements of the child and the baby adapts itself to the cleanliness regime of the mother.
When should I start bathing my new born baby?
According to guidelines of WHO, initial bath for a term newborn weighing more than 2.5kg should be given 6 hours after birth. In the term low birth weight babies weighing less than 2.5kgs, only sponge bath is to be given, till the weight crosses 2.5kg.
Dip baths can be given once the umbilical cord falls off i.e. by 7 -10 days. Till then sponge baths are to be given.
How should I bathe my baby?
The room should be warm and free from draught of air as a wet baby can easily catch the chill. Check the temperature of the bath water before placing the baby in the bath tub. The depth of the water should be 5 cms upto the hip of the baby. Eyes can be cleaned by using one sterile water-soaked cotton swab for each eye. The Head should be washed last and dried first to prevent exposure due to large surface area. Pay special attention to skin folds of the neck, behind the ears, underarms, and diaper area. Also wash between the fingers and the toes.
What cleanser/ soap should I use for my baby?
Do not use soap for the first 1 month of life. After that, use any mild unmedicated soap or liquid cleanser with acidic/ neutral pH, that maintains the pH of the baby's skin. Avoid scented soaps and bubble baths.
How frequently should I bathe my baby?
In summer months, daily baths can be given. In winters, dip bath may be given twice/thrice a week and rest of the days, it is preferable to sponge the baby.
Hair wash can be given twice  a week.
A word of caution:
Never leave your baby unattended  to in the bath tub.Bath tub should be disinfected after use.

How Should I Bath My Baby

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?

Diabetes or diabetes mellitus is referred to as a group of disorders that are characterized by a high blood sugar level. Diabetes mellitus occurs when the secretion of insulin (a pancreatic hormone responsible for converting the sugar from consumed foods into energy) is insufficient or the body cells do not properly respond to insulin. Insufficient secretion of insulin causes glucose formation in the bloodstream and mixes with the urine.

The psychological factors responsible for Diabetes Mellitus. In majority (not all), this disease originates with some recent stress in life. This disease is an epidemic in late thirties till fifties. In this age, a person is productive in his profession and most of the time there are job or financial issues that play a very vital role in generating stress and hence Diabetes.

Mostly, in my practice patients reported, before developing Diabetes, a recent financial loss or strain, love disappointment, a betrayal, or fear of loosing a job etc., sedentary habits, diet and genetic factors are secondary. Homeopathy keep such things in account before prescribing and in many cases Diabetes is irreversible. Thers is a vast field of diabetic complications where Homeopathy has a lot to offer. One of them is diabetic neuropathy. For example pain in soles, nerves, lack of energy, sexual dysfunction, mood disorders, diabetic ulcer etc.

Homeopathy For Diabetes

In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopathic treatment can help improve the general health of a person with diabetes:

If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.  Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor. The homeopathic preparations useful for diabetes are as follows:

    Phosphoric acid: Useful remedy for diabetes with the symptoms of recurrent physical or mental exhaustion, loss of memory and numbness in the feet.

    Abroma Augusta: This homeopathic preparation is useful for diabetics who show the symptoms of polyuria, an increased sensation of hunger and weakness in the muscles.

    Syzygium Jambolanum: Useful in reducing the blood sugar level quickly and effectively. This homeopathic preparation is also useful to cure diabetics with the symptoms of polyuria, increased sensation of thirst and long-term ulcers.

    Gymnema Sylvestre: This Homeopathic preparation acts as a useful remedy for diabetics who are experiencing the symptoms of weight loss with a severe lack in energy levels.

    Uranium Nitricum: This homeopathic preparation is a useful cure for diabetes with the symptoms of depression, nausea, irregular urination, severe pain in the back, delayed menstrual periods in women, significant pain in the head and dry skin.

Role of Homeopathy In Diabetes

Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:
1. Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
2. Nightmares: They might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
3. Obstructive sleep apnea: Snoring might be the result of improper respiration while sleeping and while it isn t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.
4. Bedwetting: This is something most children experience, but usually grow out of by the time they turn six. It doesn t need to be a cause of concern unless the frequency doesn t reduce over time and more than two instances of bedwetting take place in a week.
5. Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
6. Excessive daytime sleepiness: Excess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day.

6 Common Sleep Disorders in Children

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