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

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.
Second line therapies:

Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.


Infantile Spasms - How They Can Be Treated?

ADHD, CDD, short-term memory loss, forgetfulness, insomnia and so many more terminologies we would have come across very often. They all seem to have evolved from a common origin and that is concentration issues. Have you pondered on these questions!! Why can t it be easy to concentrate? Why can t it be easy to remember everything? If yes, then read on to know more.
Concentrate! Focus! Pay attention! These are not just words but one huge and complicated process in itself. Many children and as well as adults often develop this issue wherein they find extremely difficult to concentrate.

Science behind concentration issues: When an individual performs a single task; for example reading a book, the image of what he is seeing hits the retina. From the retina, the nerve fibres carry the image to the brain which stimulates the brain cells to fire an action potential. The signal from here moves to the thalamus and proceeds to the visual cortex. This signal activates locus coeruleus which is a brain stimulant. It targets the particular area of the brain becoming the deciding factor as to how one responds to a stimulus, which in this case is an image. When there is deregulation of the locus coeruleus, it is then that a person develops disorders like ADHA, anxiety, depression, insomnia and others.

Factors influencing concentration:
Concentration is a skill that requires you to prioritize your senses while doing any work. It is an ability to block out distractions.

Dedication to the task
Interest in the task
One s ability to complete the task
Physical and emotional state
Conducive environment with few distractions.
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD)
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD) are the two predominant concentration issues. The first one is more common among the children while the latter is observed in mostly the adults. Any individual with ADHD or CDD can show abnormalities in their behavior and social life.

ADHD individuals tend to be forgetful and face problems sticking to one task and may even display excessive fidgeting. CDD individuals tend to be lethargic, move slowly and have trouble in staying alert. Adults may become socially withdrawn and exhibit slow information processing.

Solutions for concentration issues:
Concentration issues require a lot of time to be overcome. You can try to figure out what causes the distractions and avoid them as much as possible by refocusing your mind only on what you are doing. You can give yourself timers which comprise of  distraction time  and  focus time . This strategy helps if one s mind is actively processing other things. You may also create subtasks by listing the things you need to do and then ruling out one by one once you accomplish them. Always breathe better and try for long inhalation and exhalation. This helps to bring down your anxiety levels which hinder the concentration.

Though the above-mentioned strategies are just to help you improve your concentration they are not the ultimate cure for any of the issues. Every individual is unique and sometimes accepting oneself can solve many complications as it reduces the need for unnecessary thinking. Always bear positive thoughts in your mind as it will act as a driving source.

Concentration Issue - How Can It Be Managed?

Sexual abuse of children may sound very scary and degrading, but the truth is it is a very prevalent problem. As much we may not want to believe, the number of boys and girls who are sexually abused, and that too by close family and friends is very high. This may be difficult to digest, but is the truth. The sexual abuse in male and female children is 50% in each group which is again unbelievable but true.

What is considered child sexual abuse?

Child sexual abuse includes touching and non-touching activity. Some examples of touching activity include:

touching a child's genitals or private parts for sexual pleasure.
making a child touch someone else's genitals, play sexual games or have sex putting objects or body parts (like fingers, tongue or penis) inside the vagina, in the mouth or in the anus of a child for sexual pleasure.
The thing to ponder, however, is that people who abuse children have a deeper problem. This could be due to a combination of social and psychological issues that the person is facing. Often helping identify the underlying problem could be a solution to the problem too, but this is rarely done. If you think a child could be subjected to abuse, look out for the following symptoms.

A feeling of guilt or shame.
Irritability and anger with minimal reasons.
Mood swings, often uncommon in children.
Feeling very isolated and sad.
Very anxious and angry.
Symptoms of withdrawal, not wanting to be left alone.
Sleeplessness.
Fatigue and pain in the back, legs.
Loss of energy, appetite.
Bruises (look out for these, which may not be in visible areas).
How to handle?

Given the fact that the offender is in close family and/or friends circle, the suspicion levels are quite low.

The first step, therefore, is to open up and talk with either your parents or someone close.
Look for support groups which can be very helpful.
Do not be isolated though the urge is very strong.
Build a daily schedule to ensure your routine continues (studies, work, etc.).
Focus on exercise or other passions as they help you deviate your mind.
Be sure to not be alone with the offender, stay in a group.
Give out a strong message saying it is not acceptable, and do not keep quiet.
Homoeopathic remedies:

Homoeopathy can come rescue of the offender all well as the victim. If we see according to the point of view of who committed the crime, many reasons may come to the light and we can be treated accordingly. Usually, these criminals have a very painful and sad childhood. This could lead them to commit a crime like child abuse. 

The following are the medicines to treat such people with anti-social behaviour-

Aur.
Bar-C.
Hyoscyamus.
Stramonium.
Merc.
Tarentula.
Med.
Nux V.
Syphilinear.
There are certain homoeopathic medicines which are helpful in the treatment of children who are victimized. The most common symptom is nightmares.

Calc.carb. 
Aloes. 
Phosphorous. 
Cechris. 
Sepia. 
Staphysagria. 
For treatment for actual physical and mental symptoms of the victim child, following homoeopathic medicines may help:

Aconite. 
Ignatia. 
Arnica. 
Staphysagria. 
Calendula. 
Nat. mur. 
Homeopathy is a safe and effective way to treat the victims as well as the culprits of sexual abuse. It focuses on the way patients have reacted to events and the personality of the patient. It helps to bring complete harmony of physical, mental and social well being.

Sexual Abuse In Children

It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

How to Remove Insect from Ear at Home? 

Cystic Fibrosis is a genetic disorder that is known to affect some of the vital organs of the body including the lungs, digestive system to name a few. For long it was believed that cystic fibrosis affects a person in their childhood. However, various research and studies suggest that adults are also susceptible to this inheritable disorder. In this article, we will discuss the cause and symptoms associated with cystic fibrosis.

Cause
The epithelial cells that line the stomach, nasal cavity and lungs, are responsible for the production of the digestive fluids, sweat, tears, mucus. The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene codes for a protein called the CFTR protein. The CFTR protein, a membrane protein plays a pivotal role in transporting the chloride ions of the epithelial cells inside and out of the cell. This regulation of the chloride ions goes a long way in ensuring that the mucus produced is free-flowing and thin.

In the case of Cystic Fibrosis, the CFTR gene that codes for the protein undergoes a mutation. With the CFTR protein unable to perform its function, sticky and thick mucus builds up and clogs some of the major systems of the body including the digestive system, reproductive, and respiratory system. There is also a higher salt content in the sweat of the affected person.

For a person to be affected by cystic fibrosis, he/she must inherit a copy of the mutated CFTR gene from both the parents ( Autosomal Recessive Disorder) at birth.

Symptoms
The symptoms associated with cystic fibrosis depends on the organs and systems affected.

The thick mucus formed can clog the digestive tract resulting in incomplete absorption of the essential nutrients from the food. This may have an impact on the overall growth and development of the body.
- There may be stunted growth or no weight gain.
- The stool may appear greasy and foul smelling. Some may also suffer from constipation.
- Newborns and infants may suffer from an intestinal blockage.
Cystic fibrosis, left unattended can lead to diabetes, intestinal blockage or obstruction.
- The mucus can also block the bile duct triggering a host of problems including liver disorders.
- At times, the obstruction or blockage can occur at the junction where the large and the small intestine meets (Distal intestinal obstruction syndrome).
The thick mucus can also affect the lungs and the respiratory system by blocking the tubes that act as a passage carrying the air inside and out of the lungs. As a result,
- A person may suffer from lung infections frequently.
- There may be difficulty in breathing, stuffy and blocked nose, or wheezing.
- Some people may also suffer from a chronic cough with a thick sputum.
Left untreated the complications can worsen resulting in

Nasal polyps, Chronic infections, Hemoptysis (there is blood while coughing), and Pneumothorax (air fills up in the space bifurcates the chest wall from the lungs).

In severe cases, there may be a respiratory failure.

Cystic fibrosis can also trigger fertility problems (both in males and females).

Cystic Fibrosis- Causes and Symptoms!

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