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

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Is your child undergoing Primary Immunodeficiency Disorders (PIDDs)? If you are tired of seeing your child suffering with regular cold and cough which could be solely due to a lack of nutrients in the diet, resulting in low immunity of the body. Adopting healthy habits by cutting back on junk food while including healthy items will help raise your child s immunity levels immensely. 

Some of the best foods to include in the diet to increase the immunity of your child are mentioned below:

Eggs, pulses, lean meats and other healthy protein: Immunity buildup may be disrupted if there isn t enough protein in your diet. Milk protein in cow s milk or dairy products like butter and cheese, animal protein in lean meats such as chicken and ovo-protein in eggs are highly beneficial and raise immunity levels.
Fish for immunity build up: Fish is a great immunity builder and also helps in making the brain work more efficiently. Fish meat contains lean proteins as well as essential Omega-3 acids which help properly regulate many functions within the body raising immunity.
Stay healthy with yogurt: There are a lot many flavored varieties of curd or yogurt that your child may like and which is also considered as a power food source. It helps reduce gastrointestinal illnesses. However, try and go for the less flavored ones as they would have lesser amounts of processed sugar.
Oats and Barley for your rescue: The reason why oats and barley are healthy alternatives, especially for children is because they are composed of beta-glucan (fibre containing antioxidants and antimicrobial properties). This helps in avoiding constipation thus cleaning the intestine and hence avoiding the buildup of harmful bacteria within the body.
Fruit toppings are delicious: Fruits are not limited to mangoes, apples and bananas only. Darker the color of the fruit, greater is the nutritional value. Berries, peaches, melons, pomegranates etc, can and should also be included in your fruit intake as they are healthy as well as tasty.
Vegetables can be tasty too: Growing children require leafy green vegetables for physical and mental development as they contain zinc, iron and folic acid. Foods like fenugreek leaves and spinach are an example of vitamin rich food items. You can include spinach and other vegetables in a clever manner by making the food interesting so that children would want to eat it willingly.
Carrots to fight infection: Carrots are beneficial for good eyesight and protection from infections. With carrot intake it becomes quite difficult for the bacteria and germs to ender the blood vessels. This can be made into a salad or craved figuring to make it interesting to the kids.

Immunity of Your Child - 7 Foods that Help Boost It!

Child nutrition from age 6 months to 5 years growth and development of a child depends on the nourishment received by the child right from birth. Healthy diet and proper eating habits are essential to be inculcated in a child as early as possible. A balanced diet given to the child at the earliest provides all nutrients required for adequate growth and development. Nutritional value of every food item introduced in the child s diet should be gauged prior and then given to the child.

Nutritional requirement of children varies in accordance to the age group. It is necessary that the parents should have knowledge about the age-specific requirements of the diet, which will benefit the child in their growing years.

Following is the ideal child nutrition ranging from the age group of 6 months to 5 years.

1. 6 months to 12 months

A. Right from the birth of a newborn child, it is necessary to begin breastfeeding for the baby. It should begin within an hour of the child s birth. It is the ideal way of providing proper nutrition to the child.

B. Breastfeeding is beneficial by providing nourishment and also by improving the immunity of the baby.

C. From birth to 6 months, only breastfeeding is advised. It is a critical source of nutrition for the child even during illness.

D. After the baby turns 6 months old, solid food can be introduced in the child s diet.

E. Breastfeeding can be continued and supplemented with other food items.

F. Usually, fruit juices are introduced first in the diet.

G. Feeding bottle should be avoided and the child should be fed with a spoon and cup. Proper hygiene and good handling of the food is required.

H. It is necessary to wipe the gums and developing teeth clean with a wet gauge to prevent any decay that can be caused by sticking of the food on the teeth surfaces fed to the child.

2. 1 year to 3 years

A. Children in this age group can tell when they feel full after feeding. It is necessary to listen to their demand for food and also avoid overfeeding children.

B. This age group requires children to eat all types of nutrients, so parents should focus on providing a variety of food items to replenish their child s nutritional requirements.

C. Children in this age group require fat-rich foods and should be given dairy products for calcium requirements.

D. Processed foods should not be given to children at this age. Calories intake should be monitored to the optimum level.

E. Since children at this age are involved in activities like walking, running around and playing it is essential to keep feeding them at regular intervals to maintain the energy levels of their bodies.

3. 3 years to 5 years.

A. Children belonging to this age group require to eat a well-balanced, nutrient rich diet.

B. Grains should be included on a routine basis. They provide the child with carbohydrates, fibres and minerals. All these nutrients provide energy to the child s body.

C. Inclusion of whole wheat grains provides fibres in adequate quantity.

D. Refined foods should be avoided, whole grain bread should be included in the diet.

E. Fruit intake should be increased, as they are an important source of various vitamins. Fresh fruit should always be preferred over juices for growing children.

F. Sugar intake should be kept to a minimum quantity since refined sugars do more harm to the child s health than any good.

G. Vegetables should form a considerably greater part of the child s daily diet, with the inclusion of a variety of vegetables.

H. Protein sources of food include meat, poultry, pulses, beans and nuts. Along with protein, these food items also provide iron, zinc and minerals to the body.

Apart from the above specified food items, daily intake of milk is necessary for children of growing age. It provides the body with sufficient calcium to facilitate bone growth in growing children. Also, nuts like walnuts, almonds, cashews are advised to be given to the children daily.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

Nutrition Tips For Children From Age 6 Months To 5 Years!

Risk factors and complication of scabies

Scabies is a type of skin conditions that causes itching and rashes. This dermatological condition is caused by Sarcoptes scabiei, a microscopic mite. It is a contagious condition, which can spread through physical contact. An estimate shows that scabies infects over 300 million people worldwide per year.

This eight-legged microscopic mite creates a tunnel in the human skin and lays eggs in it. These larvae move under the surface of the skin and spread across the whole body, once hatched. Dogs, cats, and mice can also be affected by this disease. It usually takes 2-6 weeks for the symptoms to develop. Signs and symptoms of scabies involve itching, rashes, sores and thick crusts on the surface of the skin.

Some of the risk factors of scabies are:

- Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.
- An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.
- The likelihood of scabies increases easily under crowded conditions, which involve close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.
- Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting this skin condition.

Complications of scabies include:

- Persistent and vigorous scratching can break the surface of your skin, which can lead to secondary bacterial infections. Impetigo, a superficial infection, is a quite common occurrence in such cases.
- Crusted scabies, the most severe form of scabies, can be common in certain groups. People suffering from diseases such as HIV or leukemia who have weakened immune systems as well as severely ill people have high risks of contracting this condition. This condition, also known as Norwegian scabies, is very contagious and also hard to cure.



Must Know Risk Factors and Complication of Scabies

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

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