Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

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? 

Attention Deficit Disorder or ADD is a behavioral disorder that comprises impulsive behavior, inattentiveness and hyperactivity. This disorder tends to affect children more commonly, but the symptoms tend to disappear as one ages.

There are a number of symptoms for this disorder:

1. Concentration problems
People affected by this disorder have problems in staying focused on routine tasks. You may have problems in listening to conversations, get distracted easily, overlook various important things and have trouble remembering various things.

2. Being disorganized and forgetting things
You may exhibit symptoms such as having an extremely cluttered desk. You may also experience difficulties in completing projects and forgetting appointments. You may also lose track of time while doing important things.

3. Emotional problems
Various emotional problems such as mood swings, hypersensitivity to criticism, problems in staying motivated and having low self-esteem are common signs of ADD. The disorder may also lead you to be extremely short tempered and be constantly frustrated.

4. Hyperactivity
This symptom causes you to remain constantly agitated, unable to focus due to a racing mind, fidgeting constantly and talking excessively.

5. Impulsivity
You will exhibit impulsive behavior such as not being able to exercise self-control, blurting out inappropriate comments and have certain addictive tendencies.

Attention Deficit Disorder can cause various problems in your life. Most of these are related to the following domains:

1. Work related problems
You may constantly feel a sense of underachievement and will unable to meet your work responsibilities. You may be unable to meet deadlines, and face problems in filing paperwork.

2. Relationship problems
This disorder takes a toll on your relationships such as it can create a rift between you and your family. They may feel that you are not sensitive to their concerns.

3. Mental health problems
You may face various mental health problems such as drug abuse, anxiety, self-esteem issues and chronic stress.

Remedies for this disorder are:
1. Get proper sleep
You should always aim to sleep for at least 6 hours every day. If you are well rested, then you will be more energetic and stress free.

2. Regular exercise
You should exercise on a regular basis to keep yourself fit and healthy. It can also help you avoid problems such as obesity.

3. Improve your relationships
You should schedule time for your loved ones and engage with them. It may contribute to your overall mental well-being.

All About ADD

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

Appendicitis in Children

Conjunctivitis, also known as pinkeye, is a very common eye disease. Though it is not harmful, anyone suffering from this infection must consult a doctor and receive treatment so that it can be cured in 7 to ten days.

Conjunctivitis can be treated through a range of medical treatments. Usually, one goes to an optometrist but have you tried consulting a homeopathic for a change?

Advantages of Homeopathy

Natural medicine: Homeopathy is a natural form of medicine and is considered to be an alternative form of medicine. It would not aggravate the problem, but it would find a quick solution to relieve you from it. Allopathic medicines contain certain chemicals and drugs which might not be suitable for many individuals.

Can fight all the symptoms of conjunctivitis: This disease has some common symptoms. Some of them are redness, swelling of the eye, yellow discharges, water flow from the eyes, and others. These symptoms can be well managed by homeopathic medicines as well. These medicines work to heal the root cause of the disease and cure it.

You recover quickly: Usually it takes around a week to t10 days for conjunctivitis to completely heal. For this period, it is advised that the affected person stays indoors to avoid contamination and spread of the disease. Adhering to homeopathy can actually reduce the time span of this disease, thereby completely healing you in no time and so that you can go about your daily routine.

No side effects: Most medicines are made of drugs and chemicals and have various side effects. But with homeopathy being a naturally sourced medicinal option, the chances of having side effects are less. However, it is advisable to know beforehand if homeopathy suits you or not. If it does, then there are lesser chances of side effects.

The above factors have made it clear that conjunctivitis can be easily treated with homeopathic medicines. In case homeopathy suits you, then it might be a good idea for you to follow this course of medicine to treat this disease.

Homeopathic Medicines For Conjunctivitis

Here are the 5 best Homeopathic medicines for allergic conjunctivitis-

Apis Mel

Euphrasia

Argentum Nitricum

Ruta

Pulsatilla

The dosage and the exact medicine varies from patient to patient and depends on the severity of the problem. This does not in any way mean that only these 5 homeopathic medicines that can be used in conjunctivitis. There are dozens of other medicines that are required at times depending on individual symptoms of the patient. It is always recommended to consult a specialized homeopath before taking any such medication.

How To Treat Conjunctivitis With Homeopathy Remedies?

Children may run around having fun and growing in the process. Some children may be more active than the others and some may be more attentive at school. All children go through some sort of trouble while growing up. This is because of the drastic changes that the bodies of little children constantly go through. One such problem commonly faced by the children is bedwetting. This problem may be a common one, but it should be brought under control as soon as possible so that the children do not have to face social embarrassment as they grow older.

Apart from providing a healthy and happy living to the children, it may be essential to find a way of treatment that may not leave the child affected by the harmful ingredients of the regular allopathic medication. One of the safest and the most effective ways to be able to treat bedwetting is homeopathy. Homeopathy is a branch of medicine and treatment that works on the body of the user with the most natural ways. The medicines in homeopathy are made using basic ingredients from plants and other organic materials.

Homeopathy for children:
The use of homeopathy for problems that affect the children in particular is essential because of the fact that they have growing systems and the growth may get adversely affect with the strong and highly potent allopathic drugs. It is also important to understand the nuances of controlling the bedwetting issue in children and also know what the causes of the problem may be:

    When the children are highly fatigued, they may wet the bed due to the deep sleep that they may be experiencing after a tiring time.
    In times of winter when the cold is uncontrollable or much more than usual, it may be natural for some children to not be able to control their bladder.
    In a lot of cases, the children may also wet the bed when they have had a scary or traumatic experience.

Just as the causes of the problem are varied, it must be realized that the medications are also supposed to be administered according to the issue.

Homepathic medication for betwetting
Homeopathy is a stream of medicine that treats the body in the most delicate manner, which is why it is a safe alternative for children. However, it must also be ensured that proper medical intervention is attained to start a course of homeopathic medication as well, so that bedwetting may be treated within a desired amount of time and the child may feel free from the embarrassment of wetting the bed.

Bedwetting - Can Homeopathy Help in Curing  it?

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