When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.

What is it: although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.

Causes: though still not exactly established, some things that are believed to cause colic include:
1. The baby's digestive system that is growing and goes through spasms
2. Extreme sensitivity to noise and light in the surrounding environment
3. Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
4. Hormones that are supposedly affecting the baby's moods

Treatment: as there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.

1. Altered feeding: given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.

2. Anti-colic bottles: these bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.

3. Simethicone: this is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.

4. Exercise: try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.

Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.

Colic Pain - How to Treat It

As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process. What has changed? It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world; 'Do as I say and not as I do' style of parenting does not work. But, 'I will do as I see you doing' phrase from kids define our parent child relationship.

With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! When there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models. How positive parenting style will help? The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.

Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.

Tips to get you started:

1. Everyone deserves to be treated with respect and dignity, including children.

2. When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.

3. Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these 'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (10 minutes will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).

4. Let your love for them be the driving force. Shift your internal conversations from 'have to' to 'Want to'. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.

5. Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.

6. Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! They will be open to your wisdom and suggestion when they are at the cross road.

7. Last but not the least, 'be a role model'. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the TV till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.

8. Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? if you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!!

Positive Parenting

CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

Congenital Problems With The Urinary Tract!

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

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

ADHD is one of the commonest behavioral disorders that are found in mostly school going kids. In fact, this kind of trouble might affect kid's ability quite adversely. There are a few signs with the help of which ADHD in kids can be easily detected and some of the commonest ones are emotional turmoil, unfinished tasks, squirm and fidget, low focus careless mistakes and other related ones. 

Both interpersonal relationship and schooling success can be hampered to a great extent with this kind of mental disorder. This is why the kids facing the mentioned signs need to be thoroughly diagnosed medically so that the doctors can recommend best treatments that can provide fastest recovery and that too safely and easily. 

Best tips for tackling ADHD in kids
1. Setting behavior limits: If you make your kids learn how to lead a disciplined life, then appropriate behavioral limits are established. Arrogant child is mostly exposed towards ADHD. 

2. Staying calm: Child anger should be efficiently controlled otherwise. ADHD cannot be cured. If the kids remain calm and quiet, then only their concentration level will increase, and they can show productive outcomes. 

3. Setting pressure free structure: sensible routines and scheduled charts are to be prepared so that unwanted risks can be easily avoided. If the kids are under tremendous pressure, then they might face different kinds of behavioral troubles. 

4. Allow kids to make wise choices: If you let your kids free, then only they will be able to take right decisions. Kids with a cool mind can take wise decisions that are very much appropriate for upgrading their performances. 

5. Advocating child: Child advocating is highly needed for maintaining a good and healthy balance. But too much strictness should be avoided so that your kids' behavior can be controlled with ease.  This should be done either by parents or tutors so that they can choose the best direction in life. 

6. Avoid muting any headstrong child: Communicate with your child so that a proper interaction can be maintained. If your child remains silent for too long, then they might face different behavioral troubles. 

7. Acquiring knowledge about ADHD: Both parents and kids should have equal knowledge about ADHD and then only the probable signs can be easily avoided, and the necessary treatments can be known. 

8. Being persistent: Persistent behavior is to be maintained, and if you find any deviation in your kids, then you should take them to a doctor.

Parenting in Attention Deficit Hyperactivity Disorder

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