Adhd or attention deficit hyperactivity disorder refers to those psychological disorders, which significantly alter a child's behavior and considerably affects his or her relationships with others. This condition is seldom preceded by perceptible symptoms and even when they do, they are difficult to decipher. However some of them are:

1. Self-centered
Those children who suffer from the attention deficit hyperactivity syndrome tend to be encapsulated in their own subjectivity. Though this does seem harmless apparently, this tendency may lead them to be insensitive to other's needs and wants.

2. Emotional outbursts
Adhd makes children extremely susceptible to frequent emotional outbursts and makes them erratic.

3. Difficulty in concentration
Children who suffer from adhd face extreme difficulty in concentrating or focusing on things. Many a times they fail to repeat what was told to them.

There might be several causes which can contribute to the development of this disorder. Some of them are:

1. A drastic change in the child's lives
A sudden or a drastic change like the divorce of parents may severely affect the child and maim him emotionally. This may lead to the development of this disorder.

2. Depression
Though always associated with adults, depression can be and is common among children as well. In such instances, a consequent development of adhd is highly plausible.

3. Bipolar disorder
Bipolar disorder refers to excessive and incomprehensible mood swings. Many children suffer from it in their early lives, making them susceptible to adhd.

Notwithstanding the ambiguity and the erratic nature of the disorder, there might be preventive measures which parents might adopt to deter the outbreak of the disorder.

Some of them are:

1. Less use of preservatives
Parents must be careful about what their children eat. Those foods which contain a certain amount of preservatives tend to aggravate the disorder thereby causing more harm than good.

2. Consider alternative forms of medications
Another way of dealing with this problem is by exploring other forms of medications and not sticking to one form. In this respect, practicing yoga may be very beneficial.

ADHD: Symptoms, Causes and Prevention

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

While siblings are the force that breathes life into any family structure, it has also been seen as a challenge of sorts to manage siblings and bring out the best in each one of them. In any family unit, there are a number of entities who need to be nurtured in a certain way to ensure that their identities are not hampered by a "one size fits all" style of parenting. Every child is different and will need to be handled differently. Besides this, there are other related challenges that will contribute to the quality of the relationships between the siblings, as well as the rivalry that they may feel towards each other when it comes to attention, achievements and varied other factors.

Read on to know the ten tips to tackle sibling rivalry:

1. Make Friends before Birth: encourage your first born to connect even before the birth of the new baby by including him or her in the changes you see and feel. Planning for the new baby with your first born will also help in such cases.

2. Staying positive is a big factor that will help the children in feeling confident despite their different qualities and strengths.

3. Comparison is a big no no. Stay away from these kind of comparisons so that the children do not feel like they have to fight with each other for your praise.

4. Time Sharing: Ensure that you divide your time well and indulge each child in his or her area of interest so that they feel like you are always there for each of them.

5. Harmonious Start to the day: this will ensure that the children have a special bond at the end of the day. Make sure that they help each other and divide chores accordingly. The older siblings should be given the care giving tasks while the younger ones should be taught to obey them and play along.

6. Humour them: It is a known fact that humour is the best medicine that breaks even the most tension filled atmosphere.

7. Family Meetings: Hold family meetings to discuss important things and even intense fights so that everyone's needs and issues are addressed.

8. Empathy: Teaching your child to empathize with others will help him or her steer clear of needless rivalry at home too.

9. Ignore the Small: Let them figure out the smaller fights, yet always be there to address the bigger issues so that they know you are there for them.

10. Equal Treatment: Treating them equally does not mean doing the same thing for each of them. It means giving them equal time and attention with personalized treatment to suit varied temperaments. This will also give them a lot of individual confidence which eventually kills any feelings of rivalry.

10 Tips to Tackle Sibling Rivalry

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:
1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
2. Increased restlessness: The child would be extremely restless and gets distracted easily.
3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:
1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
2. Sleep disorders
3. Difficulty in following directions
4. Poor executive functioning skills
5. Disorganization, which can lead to poor motor coordination and impaired movements
6. ADHD kids tend to forget things very easily and need help with coordinating movements
7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly. This will help identify areas that need support from an Occupational Therapy, which are the following:

1. Support with gross and/or fine motor skills
2. Support with improving handwriting
3. Support with engaging in playing sports and games
4. Support in engaging in social activities
5. Improving sensory processing difficulties
6. Improving visual perception
7. Support in adapting to the environment
8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

Symptoms of ADHD

What is ADHD?

ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.

ADHD Symptoms

The symptoms of this disorder among children can be categorized under three headings.

1.Hyperactivity which includes

- Fidgets often
- Restlessness
- Inability to stay at one place runs around and tries to climb things
- Trouble playing quietly
- Excessive talking

2. Inattention, which can be divided into symptoms like

- Getting easily distracted
- Tendency to loose things
- Daydreaming
- Facing problems related to organizing things
- Not listening carefully
- Forgetting about daily activities, carelessness

3. Impulsiveness

- Interrupts others as they speak and talks out of turn
- Answers questions without listening to what has been asked
- Not being able to wait for their turn to come

Prevalence :

10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.

ADHD Causes

The probable causes of ADHD among children are,

1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.

2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.



What are the Causes and Symptoms of ADHD?

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Heartburn
- Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

Barium swallow
The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
pH probe

A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.

Upper GI endoscopy
Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.

Gastric emptying study
One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

Gastro-Oesophageal Reflux In Babies

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