Children generally tend to be fairly over active and have lesser attention spans. However, when this tends to get into their performance at school and in general with getting along with other children it may be a sign of ADD or attention deficit disorder. Let's look at some of the common symptoms of this disorder.

Symptoms of ADD

1. Problems in staying focused: One of the very basic symptom is that children will often be very inattentive even during classes and will be easily distracted by small things.

2. Problems in trying to remember things or difficulty in following instructions: Children with attention deficit disorder tend to have issues with remembering things and if given tasks, being unable to complete as they can't remember instructions properly.

3. Issues with organizing, planning and trying to finish tasks: Due to the lack of attention, kids have problems retaining information and cannot plan or finish tasks given to them on a daily basis.

4. Easily bored or loses interest: Even if a child with ADD starts with something they like, interest may wane off quickly. Thus it is difficult to make them stick to a specific work schedule which may require regular practice.

5. Lack of attention to details and making careless mistakes: This is another trait of children with attention deficit disorder. They may be able to complete a task, but it will be fraught with mistakes as they wouldn't have much attention to detail.

6. Has a tendency to not listen when someone is speaking to them: This is also very common and is usually tied to being easily distracted and thus will drift off or not listen to when someone is speaking to them.

Some Myths about ADD

a. All kids with ADD are hyperactive
b. They will eventually grow out of it
c. Medication is the only option to treat ADD
d. ADD is not really a disorder and kids need to be trained better

Most of these are half truths and the extent of the problems varies from child to child. Only proper counseling will be able to diagnose the extent of the problem and what needs to be done.

How to spot ADD in Children

ADD can be spotted in children aged below 7 years via certain symptoms. Apart from the ones mentioned above, children generally tend be abrasive towards others and can make embarrassing comments quite often. They also change tasks very quickly without completing any of them. Any distraction would force them to change their track. It is best to go to a child specialist to get your child checked out for possible symptoms.

Symptoms and Myths About Attention Deficit Disorder (ADD) and How to Spot Them in Children

Speech therapists are known by different names but most commonly, they are referred by people as speech therapists, who make children undertake different speech therapies to make them recover from their problem in talking or in their attempt to express their thoughts. These therapists work with children having a range of disorders and delays from minor articulation delays to more complex kind of disorders such as hearing impairment, motor speech disorders and other developmental delays.

We will now look at some of the ways through which speech therapy can help in the better development of a particular child:

Articulation skills and speech intelligibility: The physical ability to get the tongues, lips, jaws and palate moving in order to produce sounds of speech individually, which people call as phonemes. For instance, in order to articulate the /b/ sound, one needs to inhale, then at the time of exhaling, one has to turn their voice on by bringing the slightly tensed lips together to pause and build the airflow up, then finally release the airflow by getting the lips parted.

Intelligibility is all about how well people can understand a child s speech. A speech therapist can work along with the child to teach them on ways to produce particular speech sounds or certain patterns, he or she is having difficulty with, which in turn is affecting his overall speech intelligibility.

Expressive language skills: On one hand, where speech requires physical motor ability for talking, language refers to a symbol or a definite rule-governed system used for conveying a message. In the English language, the symbols could be in the form of words, either spoken or in written form. There are also certain symbols in the form of gestures like shrugging of shoulders to give the impression that he doesn t know a certain thing or a wave to indicate bye-bye or getting their eyebrows raised to indicate that one is surprised by an event or by hearing something.

So, basically expressive language is referred to something which a child says through signs and gestures. Speech therapists can let a child learn new words and teach them how to put the words together and hence form phrases and sentences, hence allowing them to communicate with others.

Receptive language or development of listening skills: Receptive language is nothing but a child s ability to listen and understand a particular language. Often, children tend to have stronger skills for receptive language than the skills required for expressive language. Hence, understanding becomes easier for them than their ability to express whatever they have understood. A speech therapist can help in teaching a child new words and the way they should be used to follow particular directions, reply to questions and thus take part in simple conversations with peers and other people.

Speech fluency: Speech fluency is affected by stuttering, which refers to the breaks in the flow of speech. This hampers one s ability to talk freely. Through speech therapy, a child can come across different strategies on how to control this behavioral pattern and lead to an increase in speech fluency.

How Speech Therapy Can Help Develop Your Child Better?

The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

If your child has become increasingly addicted to sweets and other sugary items, this addiction can lead to certain behavioral problems (like mood swings, irritability, anger, etc) in children. Moreover, a high sugar intake can lead to your child falling prey to serious diseases and conditions, including diabetes, obesity and cardiovascular diseases. 

Here's what you can do to break your child's indulgent habits and wean him from ill-health causing culprits like cakes, ice creams, candies, chocolates and rich and creamy desserts etc.

1. Practice what you preach -
In order to develop healthy eating habits in your child, it is imperative for you as a parent to lead by example. When it comes to weaning your child from sugary foods and sweets, you yourself should limit your intake. So, if you tell your child to avoid sweets but love sweets yourself, you'd be setting a bad example by eating them yourself and not letting your child have them. The best thing to do is to be a role model to your child as children learn everything from their parents. 

2. Curb consumption of sugar by deferring intake to a later date -
Instead of depriving your child completely, it would prove to be more useful to tell them that they could have sweets on some other day. This is because if you deny him his indulgence, your child would invariably go on an eating spree the moment an opportunity arises. A study on a group of restrained eaters and non-diet individuals revealed that restrained eaters were found to consume more food than the non-dieting individuals. Not knowing when they could have their favourite foods again, they went on an eating spree.
Make frequent yet small offerings of sweets while explaining to him the importance of moderation and why he/she shouldn't overindulge but space out sugar intake.

3. Try the 90/10 rule - 
Teaching older children the 90/10 principle is another sure-shot way of breaking your child?'s addiction to sweets. The rule calls for 90% of the diet to be made up of healthy food with the remaining 10% being devoted to foods your child wants to indulge in such as junk food, sweets or foods with high sugar content. The total calorie intake that arises from consumption of about 10% or 1-2 fun foods is only about 100-200 calories everyday. 

4. Present your child with healthy alternatives to sugary items -
The next time your child wants to indulge in his sugar craving, instead of giving a processed sugary food, give healthier sweet foods like dates, honey or a fresh sweet fruit. 



4 Excellent Ways to Break Your Child's Addiction to Sweets

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Epilepsy is a neurological condition that leads to recurrent seizures. Seizures arise when electrical activity in the brain suddenly surges causing a temporary disturbance within the messaging systems located between the brain cells.

Epilepsy is more common in children below the age of two years and adults above the age of 65 years.

Seizure Types

Seizures are classified into two main categories depending on their area of impact. 

A focal seizure is one that affects only one part or area of the brain whereas a generalised seizure affects the whole brain. Further, both focal and generalised seizures have various sub-categories which are as follows-

Previous nomenclature- 

Partial Seizure

  Simple Partial Seizure
  Complex Partial Seizure
  Partial Seizure with Secondary Generalization

Generalized Seizure

  Absence Seizures
  Myoclonic Seizure
  Atonic Seizure
  Tonic Seizure
  Tonic-clonic Seizure
  Mixed Seizure
  Status Epilepticus

Latest nomenclature of seizure types:

Focal seizures-

  Focal aware seizures
  Focal impaired awareness seizures (previously called complex partial seizures)
. Bilateral tonic clonic seizures

Generalised onset seizures-

  Tonic clonic seizures.
  Atonic seizures (sometimes called drop attacks) and tonic seizure.
  Myoclonic seizures.
  Absence seizures.

Symptoms

The well know symptom of epilepsy is a convulsion/ fit, a few other symptoms include-

  Intermittent spells of fainting. When this happens the patient is likely to lose control of his/her bladder or bowel movements. Following this, the person is likely to suffer from extreme tiredness.
  Spells of a blackout with difficulty in remembering
  Becoming unresponsive to any instructions or questions asked during brief periods of time
  Bouts of continuous blinking without any known reason
  Inappropriate movements that keep on occurring
  Changes in sensory perceptions
  Sudden stiffness in the body

Reasons for Epilepsy

Messaging systems within the brain are responsible for every function that goes about in your body. A disruption to this system caused by defective electrical activity leads to epilepsy in a person. Many people inherit epilepsy while others may develop this condition as a result of-

  Head trauma sustained during an accident
  A stroke or a tumour that has affected the brain impairing its normal capabilities
  An injury to the brain before or during birth
  Associated with developmental issues
  Infections of the brain

Treatment for Epilepsy

Epilepsy in childhood can be treated by using medications and by adopting dietary changes in some cases. Medications for epilepsy mainly include-

  Anticonvulsants - Helps control seizures and manages the symptoms of epilepsy
  Medications for nerve pain - Reduce pain that is caused by the damaged nerves

These medications should be consumed as and when prescribed by the doctor. You must consult a paediatrician for this, as he/she will take your child s physical and mental in consideration before starting the treatment.

Seizures that occur in childhood may be benign. This means that it will not continue into one s adult life. Further, those children who have suffered from epilepsy in their childhood have been seen to have normal mental and intellectual development in their adulthood. However, some epilepsy syndromes in children can have a devastating effect on the child.

Seizure threshold is a term that is used to refer to the conditions that are important for the production of seizures. The threshold is lower for people who are more prone to having seizures whereas the threshold is higher for those who do not have a tendency to suffer from seizures.

A Complete Guide To Childhood Epilepsy!

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