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

Upon reaching adolescence, children's bodies undergo several changes and so do their minds. It is then that their minds are most, as well as least impressionable. And the daunting question regarding the upbringing of an adolescent is how to treat their constantly changing behavior?

Here are some of the tantrums adolescents more commonly throw, and what should ideally be your approach to it:

Your child seems to hate you: It is very common for a phase of emotional exclusionism to prevail between 16-17 years of age approximately. And the worst thing you could do is heighten that emotion by returning the hatred. Make sure you're firm against any extremely unacceptable behavior, but at the same time, show them that you're there for them no matter what.
Electronic devices become the center of their attention: Whenever you want to have an earnest conversation with your children, their attention seems to be drawn solely to their phones and computers. They feel the need to be connected to their friends and all times. Ways to monitor that are by setting limit to the maximum hours spent on devices or making them pay their own bills, which will make them more responsible rather than splurging unnecessarily. Also, if your child is not entirely secluded from the family, it is probably best not to interfere all the time.
Ignoring the curfew: Your kids often stay out later than the set limit. But it is quite possible that your curfew is unreasonable when compared to other parents' curfew. Find out what the average time limit is; it may prevent your child from bearing a grudge against you. In case they still fail to respect your curfew, make sure you spill out to them what the consequences can be, like being grounded for a week. However, in certain cases, your child may be spending time doing nothing constructive, but away from home. There may be something else going on, find out what that is.
Being friends with the wrong people: Sometimes it might happen that you think some children do not have a good influence on your child, but you cannot say that directly because adolescents tend to get very defensive about their choice of friends. Unless the adolescent is doing something harmful with the friend, like using drugs, let him exercise his choice. Otherwise, don't hesitate from seeking professional help to counsel your child.
Being over-dramatic: Every emotion is heightened in your child and you cannot tell them that what they are whining or being overjoyed about are trivial, because that's their prime focus then. Let them realize on their own how irrational they sound or else you may risk spoiling your relation with them.

Behavioral Problems in Adolescents

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

How to Surgically Treat Cleft Palate

Anger is a normal emotion. Children are as susceptible to anger as are adults. However, children may not understand how to deal with their anger properly. This can result in tantrums and violent behaviour. Telling a child not to get angry is not the solution to this problem. Instead, a child must be taught how to channelize his or her anger. Here are 5 tips that could help deal with aggressive behaviour.

Do not use physical punishments as a form of discipline: Children inculcate actions they see at home. While you may hit your child out of frustration when he or she does something wrong, the child may see this as an acceptable form of venting anger. Thus, hitting your child can indirectly reinforce a child s aggressive behaviour. Just as you do not expect your child to go about hitting other people, do not hit him yourself.
Develop a feeling vocabulary: A child s aggressive behaviour is usually the result of frustration at not being able to explain what he or she may be experiencing. Thus, encourage your child to develop a vocabulary to speak his mind. Teach them to use words like angry, frustrated, irritated and anxious. When your child says that he or she is angry, do not ignore him but encourage him to talk it out. You could also encourage them to find other creative outlets for their anger such as drawing and painting.
Praise good behaviour: All children seek appreciation. When your child deals with anger is a good way, praise him and reinforce the behaviour. This lets your child know that his behaviour is being noticed. Tell your child it is ok to be angry as long as it is dealt with in the right way.
Set firm limits: Children need limits to know what sort of behaviour is acceptable and what isn t. These limits should be kept very clear and consistent. The child s teachers and other caregivers should also be made aware of these rules along with the response to be given if the child breaks a rule. When a child does cross the limits set by you, they should be immediately reprimanded so that they understand their mistake.
Let your child cool off: It is no use trying to explain why something the child has done is wrong when they are in a state of anger. Instead, give them time to cool down by telling them to go to their room or sit down someplace. Once the child has cooled off, explain why his or her behaviour was wrong and discuss ways he or she could have dealt with the situation better. 

Aggressive Behaviour In Children - 5 Ways It Can Be Managed!

Eczema is an autoimmune disorder wherein the skin overreacts to certain triggers in or outside the body resulting in inflammation and lesions. Eczema is also known as atopic dermatitis. The skin becomes dry, patchy and rough, and it tends to form itchy and red blisters. Eczema is usually caused due to inflammation; in most cases, allergy triggers eczema. It has been observed that quite often, patients who suffer from eczema have a family history of allergy. In some cases, patients having other allergies, may also develop eczema. Apart from this, low immunity triggers this disease.

Symptoms

Red patches over skin
Dry rough skin with blisters
Intense itching on skin, with occasional bleeding
Formation of a thick leather-like layer over the affected areas of the skin
Discharge of an oozing watery and sticky liquid from the affected area, in case of wet eczema (In case of dry eczema, there is no watery discharge; the skin stays rough and dry.)
Treating eczema with homeopathy
Treating eczema might be possible by taking several medications. But treating doesn't mean curing. People who suffer from eczema know how irritating the disorder is. So they want a cure for eczema, which is possible with homeopathic medicines. Homeopathy is known for curing eczema, from the root. Basically, homeopathy helps to improve the immune system, as low immunity is responsible for causing allergies. When immunity is built, and low immunity quits from overreacting to several reactions, eczema is cured.

Here are five homeopathic medicines suitable for treating eczema:

Graphites: Graphites is one of the finest homeopathic medicines for treating wet eczema, when there is thick, oozing watery and sticky discharge. In most cases, the patient with this type of eczema suffers from constipation and obesity. He or she might be sensitive towards cold. Their usual skin becomes hard and cold, but the affected area remains dry and rough. The remedy is prescribed mostly to women with menstrual disorders.
Mezereum: This is the suitable for patients with eczema, which tends to form a leathery crust on the head. The patient might feel intense itching especially at night.
Hepar sulphur: This is suitable for eczema with formation of pus. The patient is usually too sensitive to cold. Intense itching, sneezing and sensitivity towards cold are the symptoms, which indicate the need for this medicine.
Dulcamara: This is one of the finest homeopathic medicines for eczema, which aggravates in damp or cold weather. Thick formation of yellowish crust and intense itching are the symptoms, which clearly indicate the need for this remedy.
Sulphur: This one is suitable for eczema with burning sensation along with intense itching. Symptoms usually worsen in summer and the skin feels rough and dry.

Eczema - 5 Best Homeopathic Remedies to Treat It

Breastfeeding has shown to have an incredible impact on the growth and development of an infant on account of the nutrients which are provided to the baby. The mental development which occurs due to breastfeeding is said to show even years from the time that a person was an infant. When a person considers just how important breastfeeding truly is, she would not want to make a mistake, would she?

A lot of new mothers are concerned, if their babies seem to fall asleep while feeding a lot quicker than they should. As a matter of fact, they worry that the babies will not get enough breast milk and this can stunt the development of the young ones. While this is true, it can be said that a few steps taken can make sure of the fact that there would be nothing for the mothers to worry about.

Inadequate consumption: It is natural for a baby to have a tendency to fall asleep, after all, that rapid rate of growth is likely to consume a lot of energy. In order to make sure the baby consumes enough milk prior to falling asleep, what should be done is that the mother should transfer the baby from one breast to the other one when she notices that the rate at which the baby is consuming is slowing down. The effect this has is to make sure that the rate of transfer is maximised; as the fastest rate, the milk transfers is when the baby begins suckling, for the first few minutes.
Risk of Infection: Taking into due account what a sensitive and important process breastfeeding is, it can be said that an infection is something which can disrupt the process. One of the infections happens to be thrush. This is one which can spread from the mouth of the baby to the breasts of the mother. The effects of the infection include soreness and possibly even a rash. A doctor would probably provide the patient with some anti-fungal medication in order to fight the infection off.
Latching problems: Another issue which is faced by new mothers is that there is a pain when the baby is to latch on to the nipple. In order to reduce this, what can be done is that the mother can try keeping the baby in a position to cover as much of the area under the nipple than over and adjust the baby to cover the nipple when he or she yawns.
These are just some of the common issues faced by new mothers. However, following a few simple measures can ensure that the experience of breastfeeding is most satisfying for both mother and child.

Common Breastfeeding Problems & Their Solutions!

Don't wait any longer, manage your Pediatric Nephrology online with a Lybrate doctor today

Consult for Pediatric Nephrology - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES