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?

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?

There is always a sense of anxiety, whenever we tend to start off with something new, as people are resistant to change. It is more so in the case of young children. School refusal refers to the refusal of children to attend school as a result of emotional distress. This school refusal can wreak a kind of havoc on families.

Elaborate on symptoms a little more and causes

Symptoms

There are certain symptoms related to the refusal of children to attend schools. They include:

Often it comes in the form of tantrums
Frequent complaints of stomachaches, vomiting, nausea, exhaustion, headaches or diarrhea
There could be loud meltdowns in an overwhelming manner, which include their refusal to leave the house, running down the street to avoid getting inside the car or on the school bus
Children might even become aggressive and lash out at their parents with physical blows
Child feeling fearful of being alone in a room or dark


Causes

Some of the primary causes include:

It arises out of students having a feeling of separation from their parents and homely atmosphere, hence, leading to anxiety
It comes out of an emotional attachment which children tend to have with their parents, especially mothers
Children tend to feel scared with the thought of getting into an unknown atmosphere all of a sudden.
Consistent fear of criticism, ridiculing, confrontation or punishment by the teacher or any other person in the school
Having learning difficulties
Being afraid of qualifying the tests
Not feeling comfortable with school activities like singing, playing or attending school assembly
Fear of being ridiculed due to appearance, clothes, weight, etc.
Fear of being bullied by a class or schoolmate
How Can Children be Helped to Get Rid of this Problem?

The ideal treatment to help all those children struggling with school refusal includes a team approach. It will be beneficial to have a strong team which includes the class teacher, family and if possible, a mental health professionals. The steps include:

1. Assess: The very first step is to complete medical and psychological examination. Given the fact that school refusal is usually linked to an underlying anxiety or depressive disorder, it is necessary to get to the root of the problem and begin there. This would include both family and teacher questionnaires for interviews.

2. Cognitive Behavioral Therapy: This is a very structured form of therapy, which helps children to identify their maladaptive patterns of thought and also learn replacement behaviours. It would help children to confront and work through their anxiety.

3. Desensitization in a Systematic Manner: Those children who struggle with school refusal, need a graded approach to return to school. They can return for a some increased amount of time and then gradually build upon it.

4. Training for Relaxation: This is extremely essential for all those children who struggle with anxiety. Some of the relaxation strategies include deep breathing, guided imagery and mindfulness, which kids practice at home and also utilize in school.

5. Plan for Re-entry: The treatment team even creates a plan to help children re-enter the classroom. The plan includes contingencies to help the student during anxious moments throughout the day.

6. Routine and Structure: Children who are anxious can even benefit from routines at home that are predictable. Establishing healthy sleeping habits and a regular sleep cycle during holidays and on weekends can yield positive results.

School Refusal - Symptoms, Causes & Treatments Of It!

The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them. 

Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:

Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child s needs better, both physical and psychological. 
Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child. 
Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning. 
Focus on your child s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child s diet. 
Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones.

Tips for Parents to Deal with Autistic Children 

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

Sudden Infant Death Syndrome (SID) refers to the unexplained and sudden death of a seemingly hale and hearty baby. This condition tends to occur when the baby is asleep and that's why it's also known as crib death. Although the reason for the condition is still not known, many experts have attributed the cause of the condition to abnormal development in the parts of the baby's brain that oversees breathing and awakening from sleep. Nonetheless, there are ways that can prevent the problem from occurring and which are:

Always place your baby on the back to sleep

Sleeping on the back is the safest position that your baby should be in, whenever he or she sleeps. You shouldn't let your child sleep on the sides as he or she can roll onto the stomach, and may hamper the breathing process. You can place your baby on the stomach when he or she is awake.

Place your baby on a firm surface to sleep sans of any objects

It's best to place your baby on a firm mattress to sleep while avoiding thick and feather padding like a thick comforter. At the same time, objects like toys, stuffed animals or pillows should be removed from the crib as they may get in the way of your child's breathing by pressing on his or her face.

Make sure your baby doesn't become very hot

For keeping your baby warm during sleep, it's best to opt for sleep clothing or blanket made of light material so that it doesn't make him or her feel very hot. If using a blanket, it should be placed loosely over the baby and one should also remember to not cover the baby's head during sleep.

Use a pacifier

Research suggests that the use of the pacifier can reduce a baby's chance of dying from SIDS. This is because the pacifier helps in preventing the baby from rolling over onto his or her stomach during sleep. At the same time, it's also believed that the instrument helps in keeping the baby's tongue positioned in a manner that keeps his or her airways open.

Breastfeed your baby

Breastfeeding your baby for a minimum of 6 months can help in preventing the occurrence of SIDS. Several studies have revealed this beneficial aspect of breastfeeding.



5 Ways to prevent Sudden Infant Death Syndrome (SID)

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