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

A newborn baby is always vulnerable and is dependent on parents for taking appropriate care. Following the fundamental guidelines with regard to safety, which get chalked out by a paediatrician, would make sure that a baby is completely safe and healthy.

It is important to take certain measures while feeding the baby as well. Parents need to follow certain do s and don'ts in this regard as well.

Let us take a look at some of the Do s and Don'ts while taking care and feeding of newborns: 

Do s 

Be Attentive: 

Pay close attention to your baby. Research suggests that if a parent holds, bonds and touches his or her baby, they might help promote the development of the brain. Plus there could be physical, emotional and mental growth taking place as well. 

Care From Paediatricians: 

Parents must take their child for regularly scheduled visits to the paediatricians and should get their queries solved. Do follow the recommendations of your doctor to immunize your baby at 1, 2, 4, 6, 9 and 12 months.

Care About Sleep Posture: 

Always make sure to put your baby sleep on his or her back. Moreover, a baby should sleep under a comfortable temperature by wearing light clothes.

Be Concerned About Safety Measures: 

Parents should always use a car seat while travelling with the baby in a car. Follow the instructions given by the manufacturer, while trying to strap the car seat into the car and the baby in the car seat. 

Do Get Comfortable While Feeding: 

It is important to find a very comfortable position to feed the baby. Before getting started, one must make note of the fact that there is sufficient support her back and under the baby. 

Personal Touch: 

Skin-to-skin touch should be made while feeding, as and when possible. Babies get a special feeling whenever it is done. 

Take Time: 

It is important to take time while feeding the baby. Make note of the baby's cues. Mothers can resort to singing and socializing with the baby to make the duration even more comfortable. 

Don'ts 

Now, let us briefly discuss what should not be done while taking care of and feeding the newborns. The tips include: 

Do not show your irritation on the baby, while you make him or her take their bath. 

Do not allow sick people to come close or touch your baby as they would be susceptible to catching infections. 

Do not get the baby s bottles heated in a microwave. Do not feed your baby in a noisy and chaotic place. 

Do not allow the baby to fall off to sleep while you are feeding. Never let your baby sleep on the stomach as there would be a risk of Sudden Infant Death Syndrome. 

 Newborn Care  & Feeding - Do's & Dont's Of Them!

Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn t it be a good idea to get to know a little more so as to separate the myths from the facts?

Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad!

Diabetes - 3 Myths Decoded!

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

Stomach aches and pains are common in babies, infants and parents are always in search of quick fixer to help their little ones get a relief instantly. Though instant reliefs do not come always, and there are colicky infants and babies with common stomach problems, yet some remedies and treatments always help.

Stomach pain in older kids
The common home remedies in not so serious pains are as follows:
- let the child rest and lie down. This may help to ease the pain in 20-30 minutes.
- give the child some liquid to drink, which is soothing, like light tea, soup, water or diluted fruit juice.
- let the child go to the toilet and encourage him or her to pass stool. This may help ease off the pain sooner.
- avoid any bulk food intake in one meal and divide it into smaller meals through the day until symptoms go away.
- don't give oily and fried food. Give easy to digest food, mostly boiled or light fried.
- avoid giving a medicine without medical advice.

These steps generally help and the pain goes away without going to a doctor immediately. If the pain is severe and is persistent in any one part of the abdomen, then it may require immediate medical attention. Common causes may be appendicitis or gall stone problem or may be a case of acute jaundice, diarrhoea, food poison, etc. Pain on pressing one part of the belly, or high body temperature with pain, and serious vomiting are serious symptoms which you must not ignore and take the kid immediately to a medical centre or doctor.

Stomach pain in infants
Stomach pains in infants are caused due to extra air entering the stomach while feeding. This can be avoided by burping the baby manually. There are a few burping techniques which your paediatrician and baby care giver will show you.

If you are with a colicky baby, then you would try administering the baby's nursing bottle first. There are new age nursing bottle designs, which keep off extra air from entering the stomach. The extra air mainly causes the stomach pain, and therefore, the bottle which prevents mixing of air with milk or water keeps the baby safe from colicky pains. Keep baby colic pain syrups at home ready, and give the baby a dose as and when required. It will eventually give the pain a relief.

Treating Stomach Aches and Pains in Kids

Puberty is a time when a girl's body begins to define itself in more womanly terms. This is the start of a process that will usher in decades of sexual activeness and child bearing years. The changes that a girl goes through during this period can be quite challenging with a play of hormones as well as physical changes, such as growth of hair in private parts and the development of breasts, among various other changes. When these changes come at an early age, it can be all the more challenging to cope and comprehend the process. The onset of early puberty is something that is becoming more and more common with girls between the age bracket of 12 &amp; 13. How can you help deal with early puberty? Here's a list of tips!

1. Self-Image: One of the most important side effects of early puberty remains one's image of the self, as this phase in life is characterised by the most dramatic physical changes that can leave a lifelong effect on the girl's mind. The reinforcement of positive self-image to help the girl grow more comfortable in her skin despite the wide array of feedback she may be getting from sources outside the home, will help in creating a positive impact on a lifelong basis.

2. Doubts: This is a time when the child goes through a number of doubts regarding looks and appearance as well as how well she may be able to cope with the onset of the new process. As parents, the best thing to do is to let the child explore this terrain even as you remain firmly in the background for hand holding when the child asks for it. This will help the girl become even more confident to take life's decision more efficiently and seriously.

3. Talking About It: The best thing to do is to talk things out. Once you start seeing the changes in the girl's appearance by way of hair growth and sudden sprouting of breasts and height, it is important to understand that puberty may be close by. So have a talk about menstrual cycles and the changes that the child will be seeing soon. This will help in mentally preparing the child and giving her the leeway to ask questions that you can answer over a period of time.

4. Opposite Sex: It would also be beneficial to discuss the changes in the behaviour of boys towards her, as this will help her blossom into a more confident lady in the years to come.

Remember to love and support your child through this important milestone of her life, as the way you reach can have a lasting impact on her.

How to Deal with Early Puberty

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