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?

Diabetes or diabetes mellitus is referred to as a group of disorders that are characterized by a high blood sugar level. Diabetes mellitus occurs when the secretion of insulin (a pancreatic hormone responsible for converting the sugar from consumed foods into energy) is insufficient or the body cells do not properly respond to insulin. Insufficient secretion of insulin causes glucose formation in the bloodstream and mixes with the urine.

The psychological factors responsible for Diabetes Mellitus. In majority (not all), this disease originates with some recent stress in life. This disease is an epidemic in late thirties till fifties. In this age, a person is productive in his profession and most of the time there are job or financial issues that play a very vital role in generating stress and hence Diabetes.

Mostly, in my practice patients reported, before developing Diabetes, a recent financial loss or strain, love disappointment, a betrayal, or fear of loosing a job etc., sedentary habits, diet and genetic factors are secondary. Homeopathy keep such things in account before prescribing and in many cases Diabetes is irreversible. Thers is a vast field of diabetic complications where Homeopathy has a lot to offer. One of them is diabetic neuropathy. For example pain in soles, nerves, lack of energy, sexual dysfunction, mood disorders, diabetic ulcer etc.

Homeopathy For Diabetes

In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopathic treatment can help improve the general health of a person with diabetes:

If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.  Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor. The homeopathic preparations useful for diabetes are as follows:

    Phosphoric acid: Useful remedy for diabetes with the symptoms of recurrent physical or mental exhaustion, loss of memory and numbness in the feet.

    Abroma Augusta: This homeopathic preparation is useful for diabetics who show the symptoms of polyuria, an increased sensation of hunger and weakness in the muscles.

    Syzygium Jambolanum: Useful in reducing the blood sugar level quickly and effectively. This homeopathic preparation is also useful to cure diabetics with the symptoms of polyuria, increased sensation of thirst and long-term ulcers.

    Gymnema Sylvestre: This Homeopathic preparation acts as a useful remedy for diabetics who are experiencing the symptoms of weight loss with a severe lack in energy levels.

    Uranium Nitricum: This homeopathic preparation is a useful cure for diabetes with the symptoms of depression, nausea, irregular urination, severe pain in the back, delayed menstrual periods in women, significant pain in the head and dry skin.

Role of Homeopathy In Diabetes

Puberty is a time when a girl's body begins to define itself in more womanly terms. This is the start of a process that will usher in decades of sexual activeness and child bearing years. The changes that a girl goes through during this period can be quite challenging with a play of hormones as well as physical changes, such as growth of hair in private parts and the development of breasts, among various other changes. When these changes come at an early age, it can be all the more challenging to cope and comprehend the process. The onset of early puberty is something that is becoming more and more common with girls between the age bracket of 12 &amp; 13. How can you help deal with early puberty? Here's a list of tips!

1. Self-Image: One of the most important side effects of early puberty remains one's image of the self, as this phase in life is characterised by the most dramatic physical changes that can leave a lifelong effect on the girl's mind. The reinforcement of positive self-image to help the girl grow more comfortable in her skin despite the wide array of feedback she may be getting from sources outside the home, will help in creating a positive impact on a lifelong basis.

2. Doubts: This is a time when the child goes through a number of doubts regarding looks and appearance as well as how well she may be able to cope with the onset of the new process. As parents, the best thing to do is to let the child explore this terrain even as you remain firmly in the background for hand holding when the child asks for it. This will help the girl become even more confident to take life's decision more efficiently and seriously.

3. Talking About It: The best thing to do is to talk things out. Once you start seeing the changes in the girl's appearance by way of hair growth and sudden sprouting of breasts and height, it is important to understand that puberty may be close by. So have a talk about menstrual cycles and the changes that the child will be seeing soon. This will help in mentally preparing the child and giving her the leeway to ask questions that you can answer over a period of time.

4. Opposite Sex: It would also be beneficial to discuss the changes in the behaviour of boys towards her, as this will help her blossom into a more confident lady in the years to come.

Remember to love and support your child through this important milestone of her life, as the way you reach can have a lasting impact on her.

How to Deal with Early Puberty

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?

Thumb or finger sucking is common in infants through the first year of their lives. A child usually turns to his thumb when he is tired, upset or bored.

A child younger than five years should not be pressured to stop thumb sucking. While majority of children give up such habits on their own before they enter school, about 15 percent of children continue thumb sucking past their fifth birthday. This is an age when teasing often starts, causing difficulties for children.

Apart from this, thumb sucking can also lead to dental problems. A child who is still sucking his thumb by age five, when permanent teeth start coming in, may develop an abnormal bite. In addition, prolonged thumb sucking can cause minor physical problems, such as chapped lips or cracked skin, calluses, or fingernail infections.

The effects of thumb sucking are usually reversible until the age of seven because children still have their deciduous (baby) teeth. If thumb sucking continues beyond that age, when the second teeth are erupting, permanent dental problems can occur.

There are various things you can do to help your child stop thumb sucking:

1. Reward your child and offer encouragement - for example, with a hug or praise to reinforce their decision to stop the habit.

2. Limit nagging - if children feel they are being nagged they will become defensive.

3. Mark their progress on a calendar - for example, place a star or a tick for each period (such as a day or week) that the child does not suck thumb or finger. Provide a special outing or a toy if the child gets through the period successfully.

4. Encourage bonding - for example, with a special toy.

5. Reminders - give the child a mitten to wear as a reminder not to suck, or place unpleasant tasting nail paint (available from chemists) on the fingers or thumb. Placing a band aid over the thumb at bedtime is another reminder.

6. Offer distractions - while a child is watching tv, have toys available for children to play with. Sit with the child during this time and give a cuddle to help them not to suck. In the car, have toys available to keep children occupied.

7. Talk to your pediatrician and your child's dentist, who may recommend appropriate treatment that prevents thumb sucking.

Preventing Thumb Sucking in Children

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:
1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
2. Increased restlessness: The child would be extremely restless and gets distracted easily.
3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:
1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
2. Sleep disorders
3. Difficulty in following directions
4. Poor executive functioning skills
5. Disorganization, which can lead to poor motor coordination and impaired movements
6. ADHD kids tend to forget things very easily and need help with coordinating movements
7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly. This will help identify areas that need support from an Occupational Therapy, which are the following:

1. Support with gross and/or fine motor skills
2. Support with improving handwriting
3. Support with engaging in playing sports and games
4. Support in engaging in social activities
5. Improving sensory processing difficulties
6. Improving visual perception
7. Support in adapting to the environment
8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

Symptoms of ADHD

Don't wait any longer, manage your Pediatrician online with a Lybrate doctor today

Consult for Pediatrician - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES