A child s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings   seen respectively in one, two, or more settings. Some of the symptoms are listed below.

Repeated temper tantrums
Anger bursts, swearing, using obscene language
Extremely argumentative, especially with people in authority (teachers, parents, etc.)
Annoying others and getting annoyed easily
Noncompliance to rules and regulations at school and institutions
Defending one s mistakes and blaming others for it
These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
Cognitive-behavioural therapy tries to mould the behaviour.
If required, the parents also would be involved to improve family s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
The child also needs to be trained for appropriate behaviour under different circumstances.
Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well.

Oppositional Defiant Disorder in Kids - How to Deal with it ?

Many women develop uterine fibroids by the time they hit the age of 50 years and above. These are non-cancerous growths that may occur in the uterus. Most women go through severe bleeding and pain as well as discomfort as a result of these fibroids. Age, family history of the same condition, obesity or being overweight, eating habits and even ethnicity play a large role in deciding the risk of each individual patient. These fibroids can grow in the submucosal, intramural and subserosal areas.

Following are the common side effects of uterine fibroids:

    Frequent urination: Due to the pressure of the fibroids on the uterus, the patient may experience a constant feeling of fullness in the lower pelvic area of the body, which may lead to frequent filling of the bladder. This gives rise to frequent trips to the washroom for urination. 
    Heavy Bleeding: Severe bleeding is one of the most common causes of the presence of these kinds of fibroids. The patient may experience a lot of bleeding during menstrual periods, as well as pain and cramps the rest of the time. The periods will also be very painful when there are fibroids in the uterus or the uterine lining.
    Painful Intercourse: It is a well-known fact that any kind of infection or growth as well as sores and other such ailments can lead to vaginal dryness as well as pain during sexual intercourse. This is true for uterine fibroids as well, which can lead to severe pain during sexual activity. These fibroids can also give rise to pain in the lumbar or lower back region.
    Abdomen Swelling: The abdomen may go through significant swelling in such a condition and the patient may even look like she is pregnant. The growth can push the shape of the abdomen outwards and create a full feeling.
    Pregnancy Complications: The presence of uterine fibroids can give rise to several complications during pregnancy and even after child birth. One of the most common problems in this case is bleeding, followed by more severe outcomes like miscarriage. The women suffering from uterine fibroids are at greater risk of undergoing a caesarean section for the delivery of the baby. The baby may also be born breech and a premature delivery may take place. 
    Infertility: This is also a rare side effect of the uterine fibroids and is generally seen only in very severe cases. 
    Cancer: Only one in every 1000 cases might transform into malignant tumours. These uterine fibroids are generally known to be non-malignant. 

Any symptoms must be reported to a gynaecologist at the earliest to avoid any serious complications.

Common Side Effects of Uterine Fibroids

Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.

Dyslexia is a strictly neurological condition that has little to do with a person s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.

The most common symptoms of dyslexia include:

Trouble reading
Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
Slow development of speech
Trouble with hand-eye coordination
A slow rate of learning when it comes to data
Problem with speech
Very poor concentration span
Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.

There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.

Certain practices that you yourself follow when dealing with your dyslexic child are:

Praise your child from time to time
Remind your child that being dyslexic has nothing to do with intelligence levels
Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child s confidence level.
Deal with your child patiently.

Understanding Dyslexia - What All Should You Know

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:
1. You must take medications exactly as your doctor has prescribed.
2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
3. You should never stop taking the medicines.
4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
5. In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.

Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

There is an ongoing intense debate on what to eat, how to eat and when to eat during pregnancy. While quality eating is becoming crucial by the day for everyone, it becomes vital for a pregnant woman. It is a widely known and well-established fact that what a woman eats and drinks during pregnancy is the primary source of nourishment for the baby. So, the experts suggest that a would-be mother should choose a wide array of healthy foods and beverages in order to provide the required nutrients that the baby needs for optimal growth and development.

Foods to eat during pregnancy:
To improve prenatal nutrition, you should eat more fruits, lean protein, vegetables, whole grains and of course, dairy products. You must fill half of your plate with fruits and vegetables, 1/4th of it with lean protein and the remaining 1/4th with whole grains. It is also vital to include dairy products in each meal.

During pregnancy, you should eat more protein, which can be found in dairy products, particularly Greek yogurt. Also, increase your intake of soybean, peanuts, chickpeas, beans, and peas in your daily diet as they are excellent plant-based source of iron, folate, protein, and fiber. Sweet potatoes should always find a place in your diet since they contain copious amounts of beta-carotene, which is converted to Vitamin A in the body. Salmon contains Omega 3-fatty acids such as DHA and EPA, which are required for the development of the baby s brain and the eyes.

Foods to avoid during pregnancy:
To enhance the good effects of these helpful foods, you should also curb down those that can prove to be detrimental to your health. Some of these include:

Alcohol: Alcohol can directly pass to the baby through the umbilical cord, and heavy consumption of alcohol during pregnancy is linked with fetal alcohol spectrum disorders which may cause physical issues along with learning and behavioral problems in the unborn child.
Fishes with high mercury level: Fishes with high levels of methylmercury can prove to be detrimental to the baby. It is a toxic substance which may pass through the placenta and may prove to be harmful to the unborn baby's brain, nervous and renal system.
Raw meat: A mother may pass the Toxoplasma infection to her baby, which may lead to blindness and mental disability in later life of the child by consuming raw meat. So, it is essential to avoid sushi, uncooked poultry, raw cookie dough, homemade ice cream, tiramisu and raw and undercooked sprouts.
Note that even though pregnancy diet is referred to as eating for two, it doesn't mean that you will have to consume twice as much food as you used to consume. You are not eating for two until your second trimester, and the best thing you can do is to add 300 calories more along with the general dietary intake. So, consult with your doctor and frame a proper diet plan along these lines as suggested above to deliver a healthy baby.

Prenatal Care - Know What To Include In Your Diet!

Causes of iron deficiency in children

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

Low birth weight
Excessive intake of cow's milk at less than 2 years of age
Feeding exclusively on breastmilk beyond 6 months of age
Lead poisoning
Insufficient intake of lean meat
Pure vegetarian diet
Gastrointestinal disease or infection
Improper diet of the mother during pregnancy
Chronic diarrhea
Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment.



What Causes Iron Deficiency in Children?

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