Down Syndrome is a genetic disorder resulting from chromosomal aberration. Usually, a person is born with 23 pairs of chromosomes (46 chromosomes in total). In the case of a Down Syndrome, there is a total of 47 chromosomes (an extra complete or partial chromosome appearing in the 21st pair). This extra chromosome is the main wrecker in chief that triggers the behavioral and developmental alterations characteristic of Down Syndrome.

Depending on the distribution of the chromosome during cell division, Down Syndrome may be triggered by three conditions

Trisomy 21: One of the most common causes of Down Syndrome, Trisomy 21 is characterized by the presence of an extra chromosome in chromosome 21.
Translocation Down syndrome: As the name suggests, here a part of the chromosome 21 translocates itself to some other chromosome. There will be no trisomy on chromosome 21. However, there will be extra genetic material resulting from the chromosome containing the translocated portion of chromosome 21.
Mosaic Down Syndrome: This is a rare condition where some cells will have 46 chromosomes (23 pairs) while few others will have 47 chromosomes (trisomy 21).
Symptoms characteristic of Down Syndrome
Some of the symptoms synonymous to Down Syndrome include

The face appears flattened with a short mouth and a protruding tongue.
The ears, neck, arms, and legs are shorter than usual.
Children and adults with Down Syndrome usually have a short stature.
The muscles also lack proper tone.
Children with Down Syndrome are often found to have impaired cognitive ability. The condition also affects the memory, both short, as well as long-term.
Managing a child with Down Syndrome
No parent would ever want their child to suffer from Down Syndrome. Along with the medications and therapies, as a parent, you should also be prepared to manage the situation well.

The situation is by no means easy for you, but if you get weak or panic, things will only go from bad to worse. Thus, you need to be strong.
Be in constant touch with the attending physician to know the progress of your child.
If your child is still very young, get them enrolled in the special enhancement programs. These programs play a significant role in improving the language, motor movements, as well as developing the various self-help skills in the Down Syndrome children.
Connect with families dealing with identical situations. Discussing your problems with them or learning about theirs can help in better management.
Your concern for the child is understood but do not snatch their independence. Give them the freedom they deserve. They might make mistakes, but it will help build their confidence.
If the situation demands, get your child admitted to schools which are specially designed for such children.
Do not keep your child confined within the four walls of the home. Take them outside. Let them interact with people. Indulge in family outings and get-togethers.
The situation may be difficult but not impossible. Have faith and do what is in your hands.

Down Syndrome - How It Should Be Dealt With?

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

When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.

What is it: although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.

Causes: though still not exactly established, some things that are believed to cause colic include:
1. The baby's digestive system that is growing and goes through spasms
2. Extreme sensitivity to noise and light in the surrounding environment
3. Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
4. Hormones that are supposedly affecting the baby's moods

Treatment: as there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.

1. Altered feeding: given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.

2. Anti-colic bottles: these bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.

3. Simethicone: this is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.

4. Exercise: try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.

Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.

Colic Pain - How to Treat It

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

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

ADHD i.e. Attention deficit hyperactivity disorder is a mental disorder that is commonly characterised by attention problems, excessive activity or difficulty in controlling one s inappropriate behaviour, given his/her age. If ADHD occurs in an adult, the person might face significant issues in maintaining a job, managing time or being in a relationship.

In spite of being the most regularly studied and analysed mental issue in kids and teenagers, the cause, in most of the cases, remains unknown. The symptoms of ADHD might develop as one gets old. Apart from the common symptoms, the person might show signs typical to ADHD such as hyperactivity, inattention, impulsivity and disruptive behaviour as well as relationships and academic difficulties. The symptoms of ADHD need to last for about six months to be diagnosed as a disorder.

The typical management methods of ADHD include counselling or medicines, either used separately or in combination.

Behavioural Therapies: Some of the psychological therapies used are:
Cognitive Behavioural Therapy (CBT): Focuses on changing the thinking patterns of a person that ultimately alters the way he/she generally feels
Interpersonal Psychotherapy: IPT is a focused form of psychotherapy that involves symptomatic recovery and resolving interpersonal problems.
Social Skills Training
Family Therapy: Focuses on providing therapy to the individual as well as the family
School-Based Interventions
Parent Management Training
Medication: Stimulant medications are the more preferred forms of medications for ADHD. They have short-term effects on the symptoms of ADHD. One such example is that of Methylphenidate. Non stimulant medicines are administered for people who indulge in compulsive or recreational stimulant use. Examples include atomoxetine, guanfacine, bupropion and clonidine. Although these medications are usually safe, over dosage can cause side-effects and contraindications.
Diet: Modification in diet can prove beneficial for children suffering from ADHD. The benefits are usually confined to children having food sensitivities or those who are being medicated using ADHD medicines simultaneously.

ADHD - Best Amazing Ways It Can Be Managed!

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