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?

Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

Symptoms
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:
1. Social withdrawal
2. Irritability
3. Feeling of worthlessness
4. Difficulty in concentrating
5. Reduced ability to function during events
6. Continuous feelings of sadness
7. Physical complaints

Causes
1. Depression in children can be caused due to the combination of a multitude of reasons.
2. Children from a family history of depression are more likely to be suffering from depression.
3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

Treatment
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.

In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:
1. Changes in eating, sleeping or activities
2. Isolating oneself even from family
3. Talking of suicide, feeling helpless or hopeless
4. Increased risk taking behavior
5. Substance abuse
6. Giving away possessions

Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.

All About Depression in Children

The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

Maternal care during pregnancy: the teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.

Routine oral hygiene: for the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin.

Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.

Fluoride application: fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.

Pit and fissure sealants: the tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.

Space maintainers: in the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.

Orthodontic treatment: if there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time!

Benefits of Preventive Dental Treatments in Children

What is ADHD?

ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.

ADHD Symptoms

The symptoms of this disorder among children can be categorized under three headings.

1.Hyperactivity which includes

- Fidgets often
- Restlessness
- Inability to stay at one place runs around and tries to climb things
- Trouble playing quietly
- Excessive talking

2. Inattention, which can be divided into symptoms like

- Getting easily distracted
- Tendency to loose things
- Daydreaming
- Facing problems related to organizing things
- Not listening carefully
- Forgetting about daily activities, carelessness

3. Impulsiveness

- Interrupts others as they speak and talks out of turn
- Answers questions without listening to what has been asked
- Not being able to wait for their turn to come

Prevalence :

10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.

ADHD Causes

The probable causes of ADHD among children are,

1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.

2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.



What are the Causes and Symptoms of ADHD?

Homeopathy and its role in treating ADHD

A brain disorder, attention deficit hyperactivity disorder (ADHD) is characterized by a continuous pattern of hyperactivity and inattention, resulting in interference with normal development and functioning. The term is applied to both adults and children who exhibit these two characteristics over a long period of time. The condition is usually discovered during a child's early school years, between the third and sixth year (during which he or she may display problems associated with attention) and can go on into adulthood. Although medications are available under western medical science for treating this condition, they aren't free from any side effects.

Which remedies are generally used for treating ADHD?

Homeopathic remedies can help in easing some of the symptoms of this condition, making it easy for children to take part in normal school and social activities. A homeopath prescribes the relevant remedies after having a clear understanding of your characteristics. Some of the medicines that are used for treating the condition are Cina, Hyoscyamus Niger and Stramonium. While Cina is prescribed for alleviating aggressive behavior, Stramonium is recommended for treating fears or PTSD and Hyoscyamus Niger for sexualized or manic symptoms. But the one remedy that is most preferred for treating the varied symptoms of ADHD is Tarentula Hispana.

How is homeopathy different from conventional medicine?

When it comes to the homeopathic treatment approach for ADHD, it differs from conventional western medicine in two very different ways. Firstly, the treatment is personalized to suit your needs and health condition. For this reason, the remedy that is suggested to you differs from the one that is suggested to another individual. Such an approach allows a homeopath to better help you by addressing your specific symptoms compared to the conventional treatment of ADHD. Secondly, it treats the condition using smaller doses of the remedies and not higher doses so as to not aggravate the symptoms of ADHD.

In addition to being safe and non-toxic, when these homeopathic remedies are taken along with dietary modifications and lifestyle changes, they can bring about vital improvements in your health.

If you would like to consult with me privately, please click on 'Consult'.

How Hyperactivity of ADHD can be Controlled by Homeopathy

The mother and the father, both clearly play defined roles in the development of a child s personality. While the mother teaches the child things like kindness and love, the father reinforces messages like hard work and dedication. Due to various reasons, there are a number of children who end up growing up with single parents. Both the child and the parent have to deal with a lot of hardships. 

The patterns observed also differ based on whether the single parent is the mother or the father. There are various negative effects to this, and few of them have been listed below.

Social disconnect: Most children growing up with a single parent do not feel normal. There is a constant feeling of confused identity. In some cases, the children may not be able to cope with these hardships leading to depression and decreased self-confidence. In the long run, the child may be less compassionate and supportive and more aggressive and confused. There could be a sense of resentment towards the parents for forcing him to live with a single parent. The kid may also despise other children who grow up with both parents. They may also have very less friends and social connect than kids with both parents
Odd combination: If a single mother is raising a son, her contribution to his growth is very limited from a psychological point of view. They would always look for a father figure whom they can reach out to. Same is the case with a girl growing up with a single father. She misses the mother with whom alone she would be able to share some things. The overall personality in both these cases is significantly altered from boys and girls who grow up with both parents.
Performance levels: The stress of living with single parents puts pressure on the child constantly, and there could be performance dip in academics, sports, and co-curricular activities. These children also tend to become uncooperative; therefore getting them to follow the school curriculum becomes difficult. The chances of them dropping out of education and getting expelled from school are quite high.
Social menaces: The incidence of smoking, alcohol abuse, and substance abuse is quite high and also happens much earlier in these kids. Because of the constant stress they are in, these become outlets for them to be themselves.
Sexual abuse: With single parent children, the chances of sexual abuse (by them and of them) are also quite high.
These are some of the psychological problems that children growing up with single parent face. Although this may not be the case with all the children as every child has a different thinking and reaction. However unpleasant it may be, this continuous battle on raising a child alone and addressing these issues has to be fought every single day.

Single Parent - Problems Your Child Might Face!

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