Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

The child's gender: Bedwetting is more common in boys.
The child's development and maturity
The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
Urinary tract infection: This infection can make it difficult for your child to control urination.
Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

Wetting during the day
Frequency, urgency, or burning on urination
Straining, dribbling, or other unusual symptoms with urination
Cloudy or pinkish urine, or blood stains on underpants or pajamas
Soiling, being unable to control bowel movements
Constipation
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

Your child still wets the bed after age 7
Your child starts to wet the bed after a few months or more of being dry at night
Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
Self-Care at Home-
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

Reduce evening fluid intake.
The child should urinate in the toilet before bedtime.
A system of sticker charts and rewards works for some children.
Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet.

Bedwetting - 7 Possible Reasons Behind It

While children can light up your life with joy and laughter, sometimes they can appear to be monsters with their temper tantrums and their stubbornness. Stubborn or obstinate children can be very difficult to deal with and could end up disrupting your life as well. However, there are a few techniques that mental health professionals have suggested that can help you deal with your stubborn and obstinate child. These are mentioned here briefly  

Hear Them Out: It s often the case that children tend to be stubborn or obstinate and start screaming when they think they weren t heard. This makes them feel helpless and thus forces them to bottle up and then take out their frustration by either not doing what you are telling them to do or doing exactly the opposite of that. The best treatment in this scenario is to hear them out and patiently try to resolve their problems.

Ensure They Follow Your Example: If one or both of the parents are extremely stubborn, then this would translate into a stubborn kid as well. Doctors have said that obstinacy is often in the genes. Also, environmental influence is a big deal for them as well. Ensure that you are flexible enough with your partner and the child picks up on it.

Teaching Kids About Give And Take: This is a very important lesson in life as it teaches kids to choose priorities. If you teach your kid to always give, then it sends a message that putting themselves second is the best option. However, if he or she is always fighting to take first priority, it may lead to too many conflicts later. Thus it is best to teach them that it is okay to fight for what is yours but also let others have their way sometimes. This attitude will help them develop a balanced attitude and lessen their obstinacy.

Give Them The Illusion Of Choice: Children are very malleable when it comes to their minds and you can use this trick to do certain things that make them appear they have some control when they actually may not. For example, if they are unwilling to go to sleep, you can say that you cannot make them sleep, but they have to stay in bed. Your child would then automatically fall asleep after some time due to boredom which would end up serving your purpose.

Use Scolding Or The Parent Card As A Last Resort: If any of the techniques mentioned don t work, then you can scold or warn your kid with consequences which may result in capitulation. For example, if you child is not willing to come back and study, then try and stop them from whatever they were doing and make them sit with their books. This lets them know that certain areas you will absolutely not compromise on and they will understand the limits better.

How To Deal With Stubborn Or Obstinate Children?

Infestation on the skin caused by a tiny insect called sarcoptes scabiei, which live on the skin up to 2 months, is called scabies. Reproduction occurs on the surface of the skin and later they tunnel into the skin and lay eggs. This forms an extremely irritated, pimple-like rash structure on the skin.

Despite the fact that scabies can be troublesome, the infestation can usually be dealt with successfully. Treatment commonly comprises of drugs that eliminate the scabies parasites and their eggs. Since scabies is so infectious, specialists usually prescribe treatment for a whole gathering of individuals who come in successive contact with people having scabies.

Symptoms
Typical symptoms such as rashes and intense itching, appear up to 6 weeks since initial exposure. Infected sores, which may require additional treatment, are formed due to continuous scratching. Common sites for occurrence in babies are head, neck, face and hands while in adults, it occurs on the wrist, elbow, waist, penis, armpits, etc. The rash comprises of small blisters or pimple-like knocks which are the tunnel tracks of the mite apparent on the skin.

A more severe form of the condition, called crusted scabies may be developed in some people. This condition which is highly contagious is marked by thick crusts containing thousands of eggs and mites which developed on the skin. It usually occurs in people with weak immune systems. The mites are capable of overpowering the immune system and multiplying at a higher rate.

Treatment

Typical treatment includes disposing of the infestation with medicine balms, creams, and moisturizers. It is advisable to apply the cream all over the body and at night, when the mites are active.
Amid the main week of treatment, it might appear as though the symptoms are worsening. Nonetheless, after the initial week, you'll see less tingling and you should have recovered by the fourth week of treatment.

Precautions should be taken to prevent re-infestation as the mites are capable of living up to 72 hours after being abolished from the body. All clothing must be washed with hot water (122f). This should be followed by drying of the items at a high temperature for half an hour. Finally, the dried items should be vacuumed.

Symptoms and Treatment of Scabies

There are few things I hear over and over again from students
1.  How they are studying for so many in a day
2.  How they do not have even time for anything else in their life due to study pressure
3. How they are sleep deprived
4. How much they are stressed
5. And finally, after all the sacrifices and hard work, their exam performance is not what they expect.

Here are few tips to study smart, improve your grades and yet have a life!
We all know that 2 hours of focused study will be much more productive than 4 hours of distracted study. And, the good news is that concentration is a mental skill that you can develop and improve. There are two ways to improve your concentration:

A. First, work on raising your brain's natural ability to concentrate or in other words, learn to increase your attention span.
B. Second, adjust the environment around you to make concentrating easier.

Improving your concentration takes a little time and effort, but it is worth it. In my personal experience with students, I have seen noticeable improvement in relatively short time.

A. Ideas for daily concentration boosting habits include

1. Mindfulness meditation: Many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Mindfulness meditation, where one focuses on one's breathing,  is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. To begin with you may try a guided meditation. One can easily find audios for guided meditation online.

2. Proper sleep: I am sorry to say this. Pulling all nighters will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be to study as well as answer questions in exams.

3.  Food for your Brain: The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not just keep scoring higher in the game! Try Lumosity and use only free version this will help you restrict your daily play time to 20 minutes and have maximum benefit.

4. Eat healthier: Your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Instead you could keep some nuts such as walnuts, almond or peanuts as in between munches. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white flour in your diet as much as you could.  

5. Exercise: It is helpful in both reducing stress and increasing energy and focus. At least 20 minutes a day would go a long way. Going for a short jog of 20 minutes will make next 4 to 5 hours of study very efficient.

B. Optimize your mental state & environment

In addition to building the habits described above into your daily routine; also adjust your environment and your current mental state to improve your concentration when studying.

1. Create a study space: Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed.

2. Remove distractions: Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration.

3. Reduce background noises: If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking.

4. Use timer: Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time.

5. Stay motivated: If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing 2-3 hours of intense studying.
That way, even if the material is dry, you have the reward to look forward to.

6. Take breaks: Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind.

Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also.

How an expert can help?
If you want to get individualized expert opinion about how you are studying currently and what ways you can improve; you can always consult the expert. Once he/she knows what your current study methods are, they will be able to give you specific tips to improve upon. Most likely once you incorporate those tips you will be spending less time studying and your grades will improve. That's what is studying smarter and not harder means!!

Study Smarter and Not Harder!

Both natural and homeopathic remedies can efficiently deal with lactose intolerance and thus you should check the reports of the patient for finding the best solution. You can choose any of these remedies or else can continue with both.

List of homeopathic medicines for treating lactose intolerance

    Aethusa Cynapium: The medicine helps in the digestion of milk so that unwanted stomach aches can be easily avoided. On the other hand, health condition of the kids can also be improved to a great extent using this medicine. Loose tools or green colour diarrhea due to dairy products can be prevented with care.
    Apis Mellifica: Milk allergies can be easily cured with this medicine and thus kids are often prescribed the drug by a homeopathic expert. A few symptoms are found in kids due to lactose intolerance like breathing difficulty, body itchiness, redness, swelling, skin rashes and others. All these symptoms can be treated by this homeopathy medicine.
    China Officinalis: This medicine is mainly prescribed to those kids for whom Apis Mellifica is not the suitable one. Flatulence, belching and bloating can be properly controlled or regulated by taking this drug regularly.  Excessive mucus formation, chest's rattling sound and excessive coughing might occur with dairy intolerance and these symptoms might get severe. This is the reason the doctors often prescribe this medicine as the best option. 

A few natural remedies for treating lactose intolerance

    Probiotics: These are specialized bacteria that not only help in improving digestion, but proper nourishment can also be gained. 
    Coconut milk: This is now considered as one of the leading substitutes for different dairy products. 
    Apple cider vinegar: Lactose intolerance signs can be completely eradicated along with the maintenance of body balance by consuming apple cider vinegar regularly. This is a natural product, and thus you can take the same regularly without taking a doctor's permission. 
    Fermented products: Kimchi and Sauerkraut are those fermented foods that can create helpful bacteria as a result of which the gut can be re-populated and digestive system can be regulated. The symptoms will get reduced slowly with the consistent intake of these foods.
    Yogurt: This can be taken with meals as it is enriched with beneficial bacteria that can help in digesting different other dairy products. With the consumption of yoghurt, Lactose can be broken down naturally, and on the other hand, digestion can be improved.

Homeopathic and Natural Remedies for Lactose Intolerance

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?

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