This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item	Quantity	Amount of Calcium in each serving
Milk	1 cup (240 ml)	300 mg
Cheddar cheese
1.5 oz (42 g)	300 mg
Spinach cooked	1/2 cup (90 g)	120 mg
Sardines or salmon with bones	20 Sardines (240 g)	50 mg
Sweet potatoes	1/2 cup (160 g)	44 mg
Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short.

Bow Legs - Why Do Children Suffer From Them?

A recent study found that about 14.4 million children in India are overweight or obese. This makes childhood obesity one of the leading health concerns for Indian parents. Research states that on average, children and teenagers who spend over seven hours a day browsing the internet or playing games on electronic gadgets are at greater risk of obesity. Smartphone, Tablets, Kindle   these keep your child occupied for quite some time, but too much screen time may infuse unhealthy habits in them, which persist even as they grow up. 

Obesity, Technology and Sedentary Behaviour 

Overexposure to gadgets goes hand-in-hand with reduced physical activity. As children spend most of their leisure time glued to Smartphone watching videos on YouTube, playing games online, they spend little or no time outside playing or running around and burning those excess calories. Over time, they are unable to cope with any outdoor activities/exercise. This eventually leads to significant weight gain.

Increased Snacking

Too much time spent on electronic gadgets may lead to mindless eating and increased snacking. Many times the commercials featured in between videos prompt your child to crave for foods that are low in nutrition, and high in sodium, added sugar and fat. This type of food marketing largely influences children s food preferences and in turn, affects their health.

How Overuse of Gadgets Interfere with Quality of Sleep?

Looking at your Smartphone just before going to bed will likely disrupt the quality of sleep long after you turn them off. Continuous exposure to gadgets not only causes digital fatigue in children but also exposes their eyes to Blue light. This light hampers the creation of  sleep hormone  in the body. As a result, you find it hard to sleep. Children and teenagers who do not get adequate sleep as is required for their age are at higher risk of developing obesity. 

Limit Your Child s Screen Time

Experts suggest adolescents and children spend no more than two hours on Tablets and Smartphone.

  Encourage your children to get off the couch and engage in some sort of exercise/physical activity 

  Focus on providing them with healthy snacks and food that will keep them fuller for a long time. Fruits and vegetables, whole grains, low-fat milk, high-fibre foods should definitely be on the list. Make sure they do not skip breakfast and meals. 

  Ensure that they restrain from using gadgets at least two hours before going to bed. Read them a book instead of handing them Kindle. The ill effects of gadget use should not be overlooked. Childhood obesity can lead to several health complications in adulthood, which is why it is imperative that you take adequate measures to ensure that your child maintains healthy body weight. 

Children Obesity & Gadget Use!

While the decision to breastfeed or not to is a personal one, however, it is known to have a number of benefits for both the baby and the mother. Ideally, a newborn baby should be fed only mother s milk for the first six months of his or her life. This not only provides a nutritious diet for the infant, but it can also protect the baby from a number of diseases that could affect them now and in the years to come. 

Here are a few reasons a mother should breastfeed her baby

Well balanced nutrition: Mother s milk is better than any form of infant formula. This is because it contains the perfect mix of vitamins, proteins and fats essential for your baby s growth. Also, these nutrients are made available to the baby is easy to digest form which increases the amount of nutrition absorbed by the baby s body. By breastfeeding a baby, the chances of them being overweight in their later years is also reduced.
Immunity booster: Along with nutrients breast milk is also rich in antibodies that protect your baby against viral and bacterial infections. Breastfeeding a baby reduces their risk of suffering from asthma and other allergies in future and also reduces the frequency of ear infections, respiratory diseases and diarrhea.
Better bonding: When a baby is being breastfed it is held close to the mother s body and skin to skin contact is established. This benefits both the baby and the mother and helps build a strong bond between them. For the baby, this skin to skin contact builds a sense of security and for the mother, breastfeeding the baby can help deal with postpartum depression and make her feel connected to the baby.
Helps the mother recover: Breastfeeding helps the mother get her body back to its pre-pregnancy condition faster. This is because breastfeeding burns calories and hence helps the mother lose pregnancy weight faster. It also triggers the release of hormones such as oxytocin which reduce uterine bleeding after delivery and help the uterus get back to its original size.
When breastfeeding a baby it is important to recognize when the baby is hungry and feed him or her before they start crying. Typically an infant should feed on each breast for 10-20 minutes at a stretch. It is also important to be patient and comfortable while breastfeeding so as to allow milk to flow evenly and to prevent fatigue. 

Breastfeeding - Creating Awareness On Its Benefits!

The early childhood period is considered to be the most important developmental phase throughout the lifespan.  This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.
Physical Development
Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands.  The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes. 
Cognitive Development
Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:
Stage
Age Period Between
Milestones
Sensorimotor Stage
Birth to age 2
Respond to sensory stimuli by simple motor skills.
Preoperational Stage
Age 2 to 6
Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.
Concrete Operational Stage
Age 7 to 11
Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.
Formal Operational Stage
Age 12 to adulthood
Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.
 
Language Development
It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.

What Is Early Childhood Development?

Hearing loss is not something limited to elderly men or elderly women only. This is something that can affect any adult at any stage of life. The good news is that it can be managed. Today, there are a number of hearing aids that can help improve hearing ability. These aids allow an individual who has lost part of his or her hearing to live a normal life. For best results, hearing loss should be arrested in its early stages.

Here are a few signs you should look out for.

Muffled Speech: When you hear people talk, their speech should be clearly identifiable. If you hear muffled noises that you have to interpret as words, it could be a sign of hearing loss.
Difficulty understanding words: The human ear has the ability to separate conversational sounds from ambient noise. However, in some cases where the inner ear is damaged, a person might find it difficult to separate the two. In such cases, the person might not be able to understand words clearly as they get confused with background noise. This is a sign that must never be taken lightly.
Feeling the need to ask people to repeat themselves: Once in a while if you find yourself asking another person to repeat what he or she said, there is nothing to worry. However, if this becomes a regular occurrence and happens with many people, then the fault lies in your hearing. Thus, if you notice yourself needing to ask people to repeat themselves or talk slowly, consult a hearing specialist.
Increasing the volume of the radio or television: As children, we are taught that playing music or watching TV at a very high volume can damage the ears. The radio, television and other such appliances should be played at a volume where the information being relayed is clearly audible and people can have a conversation alongside without needing to shout. If you find yourself having to increase the volume constantly, it could be a sign of hearing loss.
Withdrawing from conversations: As hearing loss is aggravated, people begin to feel conscious of having to ask others around them to repeat themselves or talk slowly. This can make them withdraw from a conversation and other social situations. In many cases, the simple reason for avoiding a party could be the discomfort of not being able to hear the other person clearly in a conversation.
 All hearing problems can be better handled by proper investigation, different test, sign and symptoms of the patient, which are carried by a specialist of hearing, called as AUDIOLOGIST, who can look your hearing problems, plan out treatment plan, rehabilitation pre and post etc. Audiologist will definitely help you hear again. 

Common Signs Of Hearing Problems In Adults!

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?

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