Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers. 

So, getting pregnant at this stage can be very traumatizing. Issues such as postpartum depression have become very common among teenagers. 

Psychological Barrier in Teenage Pregnancy
As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.

However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.

Signs and Symptoms of Stress and Trauma
1. Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.

2. Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.

3. There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.

4. Excessive fatigue resulting into a brittle mood.

5. Sudden attacks of panic are also quite common.

6. Difficulties in bonding with baby or having patience with baby's demands.

This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.

Stress and Trauma Related to Teenage Pregnancy

Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible. 

Why to worry?

Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem. 

When to worry? 

Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys. 

What causes growth failure? 

Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy). 

How can I improve my child's growth?

Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth. 

What can be done if my child is very short? 

Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease. 

Time is important- act now if your child is short. 

Is My Child Short? 

World Diabetes Day is celebrated on 14 November, each year. It is the primary global awareness campaign for diabetes as it is one of the major problem of today's time. With an upsurge in the number of people suffering from diabetes, the sole aim of celebrating this day is to create awareness about this disease and suggest preventive measures to those who have not acquired it and provide tips to manage it to those who are living with it. 

So, here are 15 health tips that will help you manage your diabete effectively: 

You should quit smoking as it is very bad for diabetes patients. Smoking leads to narrowing of the blood vessels, which reduces proper blood circulation.
You have to track your exercise patterns. Take actual notes about your exercise habits and make necessary changes based on the record.
Eliminate fast food from your diet. Avoid eating out at restaurants and avoid taking extra salt, sugar and calories. You should cook your meals at home with light ingredients and less salt and sugar.
Diabetes severely affects your vision and blindness is and blindness is a serious problem which may occur. Hence, get your vision checked regularly to prevent retinopathy.
Avoid having quick coffees. Fancy cups of coffee are full of sugar, which lead to glucose and insulin fluctuation in your body.
You must stay active and fit. This is the most important lifestyle choice for any diabetic patient. By exercising, you will maintain a good shape, your metabolism gets boosted and the insulin production increases as well.
You should use a pedometer to calculate how much you are moving each day while exercising.
Try to consume fruits and vegetables. By trying new vegetables and fruits, you will be able to keep your blood sugar under check and see how your body reacts.
You must increase your amount of fibre intake. Fibre is important for diabetic patients, which keeps the digestive processes to run smoothly. Your cholesterol level decreases and blood sugar levels may reduce if you take enough fibre.
You should chew gum as it keeps your mouth busy. It makes you crave for less food.
You should eat on smaller plates. This is a psychological trick which makes you consume less amount of food and your sugar and calorie levels are maintained.
Before taking any food item or eating out, gather information about them. Learn about diabetes friendly food options at restaurants and check which products you should avoid buying from the market.
You should get your blood sugar levels checked regularly. You should check it several times a day to learn how your body responds to food.
Circulation problems may cause issues with your feet, which may lead to a lack of sensation, cuts and scrapes. Check your feet regularly to notice changes.
Instead of having 2,3 large meals a day, you should take several small meals throughout the day. This will keep your body s digestive processes active thereby increasing insulin sensitivity.

World Diabetes Day Special - 15 Ways to Effectively Manage Your Diabetes

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

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

A loss of tooth or teeth is one of the biggest dental problems that someone can face. The irony is that people consider loss of teeth to be very insignificant. But in reality loss of teeth can lead to not only cosmetic problems, but also functional problems and an unstable chewing mechanism.

Loss of teeth can lead to many problems. Some of them are:
1. Supra eruption of opposing teeth
2. Compromised efficiency of chewing
3. Adjacent teeth might drift into the space created by missing teeth
4. Food tend to accumulate between teeth, which have moved
5. Food accumulation also leads to periodontal disease and caries
6. A lopsided chewing pattern as there is loss of equilibrium in the mechanism of chewing
7. The extracted area might reveal a loss of bone height
8. Problems of the temporomandibular joints, like closed bite and tmj osteoarthritis
9. The existing functional teeth might lead to problems due to overload
10. There are increased chances of cheek biting due to collapse of the cheek in the missing space, thus leading to functional and cosmetic problems
11. The frequency of tongue biting and ulceration might increase in the area of missing teeth or tooth
When missing teeth are replaced, one can easily restore the healthy look of the teeth and also prevent any other dental problems which are due to the missing teeth.

While replacement of the missing teeth it is of utmost importance that the equilibrium is maintained with the distribution of the forces caused by chewing. Care is also taken that the cosmetic outlook is also maintained in the treatment. 

Ideally the teeth when extracted or lost should be immediately replaced. This is because the replacement prevents the bone resorption or bone loss in the area and also retains the good bone. But a drawback is that such an immediate replacement might lead to limitation. Immediate treatment is usually done with the help of implants which easily fit in the sockets created by extraction. But even for this an analysis of the bone and gum health is necessary, thus leading to only a few instances for such replacements. Other alternative is that immediate removable dentures can be prepared and these can be replaced once the gums of the area have healed. The time period for this is usually 3 months. If these need to be fixed permanently then a waiting period of 3 months is mandatory for the settling and healing of the gums and bone of the area.

The 3 basic ways of fixing missing teeth are through implants, fixed bridgework (bridges and crowns) and dentures, which can be removed.

Missing Teeth and Problems Associated With It

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