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?

Does your baby s skin taste too salty when you kiss him or her? Did he or she not poop after being born? These symptoms indicate cystic fibrosis in your baby, which is a condition that changes the way your body makes sweat and mucus. It also affects the functioning of the lungs and digestive system. The condition occurs from a flawed gene. If you have cystic fibroids, your mucus may be too thick or your sweat can be too salty. Heavy mucus clogging in your lungs may affect your ease of breathing. This is a serious and life-threatening disease, but it affects different people in different ways.

Causes
The gene known as CFTR is present in everybody. It makes a protein which controls the amount of salt and water that are moved in and out of the cells of the body. In case of cystic fibroids, the CTFR gene is broken, which occurs if you inherit two bad copies of the gene. A bad CFTR gene may lead your cells to make the wrong amount of water or salt. This makes the body incapable of getting sufficient oxygen and nutrients, as the body loses them via sweating.

Symptoms
Apart from the primary symptoms, several other symptoms are also likely due to cystic fibroids. The common symptoms which your child may experience are as follows:

Coughing up thick mucus, wheezing and shortness of breath
Sinus infections, pneumonia, or very frequent bronchitis
Development of polyps in the nose
Bulky, oily and foul-smelling stool
Low bone density, widening and rounding of the fingertips and weight loss
In later life, cystic fibroids may cause liver disease, gallstones or pancreatitis.
Treatment
There is no specific treatment for cystic fibroids. Several treatments are followed for relieving the symptoms and help patients feel better, breathe easier and have lesser infections or stomach problems.

Airway clearance technique can help you with breathing as the mucus from the lungs is cleared in the process. There are several ways to undertake airway clearance and special devices can be used for assistance.
Several inhaled drugs such as salt solutions, steroids and antibiotics are used in thinning the mucus, clearing the lungs and fighting infections.
Several medicines are used for fighting the inflammation and reducing swelling in the lungs.
In case your pancreas are not working properly, you can take enzyme pills for digesting proteins and fats for absorbing more nutrients from the food you take.
Vitamin A, E and D supplements provide the nutrients, which your intestine cannot absorb.
In case you experience the symptoms of cystic fibroids, you should visit a doctor immediately. This will allow you to go for an early diagnosis and effective treatment.

Cystic Fibrosis - Can it be Life Threatening?

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

A genetic disorder, Down s Syndrome is caused due to extra genetic material during cell division. It is the faulty arrangement of chromosomes which results in the Down s Syndrome. It approximately affects one in 800 births around the world, across a wide spectrum of race, gender, region, and socio-economy. Since it is a naturally occurring condition whose underlying cause cannot be controlled or regulated, there is nothing one can do to undo this condition. Instead, people with Down s Syndrome, because they are generally socially and intellectually underdeveloped, are equipped with learnings and interventions related to life-skills from very early in life and striving towards making them independent. Various therapies can be incorporated for improving the overall quality of life of the people born with Down s Syndrome.

Occupational Therapy and Down s Syndrome -

Development of motor skills is delayed in the children born with Down s Syndrome. This is due to their certain physical characteristics like low muscle tone (hypotonia), loose ligaments or ligamentous laxity making the joints extra flexible, and decreased strength.

The aim of the Occupational Therapy for children born with Down s Syndrome is to facilitate or enable the development of movement patterns optimally, as against accelerating the rate of development which is a general assumption. It helps in achieving developmental milestones in an efficient manner. Occupational Therapy hence helps children in developing a good or correct posture, aligning their foot properly for proper balance and movement, improving their walking pattern, and helping them generally through developing fine and gross motor skills for carrying out daily activities.

Moreover, Occupational Therapy helps in teaching self-care skills like getting dressed, eating, toileting writing, using a computer, etc. For teenagers, Occupational Therapy helps in identifying suitable skills, careers, jobs, and vocations to match with strengths, capabilities, and interests. Sensory integration activities help in teaching the child to produce an appropriate response to any situation, and in developing attention and concentration.

Occupational Therapy Assessment -

Children with Down s Syndrome have delayed gross and fine motor skills, and lack basic cognitive and communication skills among many other issues they face due to their condition. Occupational Therapy addresses all these shortcomings of development for comprehensive management of the disease.

Occupational Therapy checks the sensorimotor components like muscular tone, strength, endurance, coordination, balance, range of motion, hand function, and posture. It also checks the perceptual and cognitive components like memory, attention, figure-ground, and directionality. For checking social skills, areas like peer relationship, verbal and non- verbal communication, and group interaction are assessed.

According to the assessment results, intervention strategies and fun activities are devised for the child to promote optimal function of motor senses.

Take Away -

Down s Syndrome cannot be cured but can be managed through methods like Occupational Therapy which helps in teaching basic life skills for making the patients confident and independent to face the world on their own.

Down Syndrome - Know How Occupational Therapy Can Help!

Our teeth are most definitely, vital for our living. Our everyday choices, pertaining to our lifestyle would call for changes, adjustments and lots of sacrifices without them. Though, a number of replacement options are available for the people with missing teeth, the most recommended are dental implants. Ask why?

They are simply the ideal solution due to their look and feel, which is similar to the natural teeth.

What happens if replacement is not considered?
To prevent the nasty repercussions from occurring, it is necessary that any missing teeth are replaced in time. Though, the symptoms of problems due to missing teeth only appear to be superficial in the early stages, the long term effects may certainly prove to be quite severe.

Some of the short term consequences of missing teeth are as follows
People with missing teeth tend to feel self-conscious or even embarrassed at times, while they talk to others or smile.
Problem in speech is a common issue that may arise due to tooth loss.
When teeth are missing, people find it difficult to consume some certain food types. These may include ones which contain some essential nutrients, hence leading to possible malnutrition.
Increased wear or stress can also lead to the weakening of the teeth that are remaining.
People with tooth loss find it difficult to chew the food properly.
When teeth are missing, there is movement of the teeth that remain, to compensate for the gap places created. This leads to ugly looking gap teeth.

Though, these were the short term issues, the major consequence of not getting any lost teeth replaced is the gradual bone loss. Our teeth are firmly embedded in the jaw bone. Chewing and biting are the constant uses, which are required by the jaw bone to remain hale and hearty as well as active. You may believe it or not, be it at the beginning or at the end; the major focus is not on the teeth, but on the bones.

Maintaining form as well as density of the bone requires regular stimulation, coming from the teeth, as mentioned above. The contact with teeth causes small stresses, which the periodontal ligament transmits to the bone and prompts its continual rebuilding as well as remodelling. When any missing teeth are not replaced, it leads to the gradual deterioration in the jaw bones, over time. This not only results in facial shape changes but also will eventually burn a huge hole in your pockets, as increased complications will also lead to increased costs required for rectifying the problems.

So, now it's up to you. Choose healthy and wise. Go for teeth replacement at the earliest, if and when, need arises.

Consequences of Unreplaced Missing Teeth

Using a hearing aid presents a number of advantages to a hearing impaired person. First and foremost, you will hear a lot better. Hearing aids do not restore your hearing to normal but they improve it significantly. It becomes easier to hear what other people say. Sounds you have not heard for a long time such as birds singing, door bell ringing, the howling of the wind and water running may become audible to you.

Hearing aid usually improves the user s social, psychological and physical sense of well being.

Study as well as experience shows that hearing aid generally improve the quality of life and will help you:

Get a better relationship with your family
Feel better about yourself
Get better mental health
Improve your physical well being
To concentrate better
Feel more independent and secure
Feel less tired or exhausted
Be more able to participate in social gathering
Be able to increase your social contact
Be able to do better in your job  
Hearing aid will help you to reduce tinnitus
Hearing aid will help you to avoid dementia by helping you to hear and improve cognitive functioning
As you start hearing through hearing aid, you will start socializing yourself and indirectly improve your quality of life.
Why you need to wear two hearing Aids?

Better understanding of speech
Better understanding in group and even in noisy situation
Better ability to tell the direction of the sound (Localization)
Better sound quality
Greater listening comfort
Hearing is less tiring and more pleasant
Keeping both ears active preserves speech understanding in both ears
Effective tinnitus masking
Better understanding of listening to radio and television
Speech will be clear

Advantages Of A Hearing Aid!

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