When it comes to speech, every child has a different pace of learning. In the first year, they should be able to recognize and respond to their own names and simple directions like  come , etc. By a child s second birthday, he or she should be able to use a single word or two-word phrases and understand simple questions. If a child s speech development seems atypical for his or her age, you may need to consult a speech therapist. Some of the things you should look out for are:

Mispronouncing vowels: Many children have problems with pronunciation. Pronouncing  bath  as  baf  or  animal  as  amal  is normal. However, if they cannot pronounce vowels correctly, they may be having problems with articulation. For example, your child might say  coo  instead of  cow .
Using only single words: Part of a speech therapist s job is to teach a child to join words together to create phrases and sentences. If even after your child s second birthday, they still prefer using single words instead of phrases, you should consult a speech therapist. For example, they may just say  water  instead of  i want water .
Stuttering: Many children are shy and hesitant of speaking especially in front of strangers. However, stuttering is a more serious problem. This could be in the form of repeating syllables or prolonging words. For example,  s-s-s-s-s-stop  or  mmmmmm me . If this is not nipped in the bud, it could continue into the child s adult life as well.
Answering a question by repeating part of it: By the age of three years, a child should be able to understand and answer simple questions. If the child answers a question by repeating part of it, such as answering  do you want food  with  you want food , it could be a sign of a bigger problem. This is known as echolalia and might be an early symptom of autism.
Limited vocabulary: Each child s vocabulary grows at a different rate but it is important to be able to notice an increase in the child s vocabulary from month to month. If the child uses only a finite set of words and does not catch on to new words, you may need a speech therapist. They can help the child expand their vocabulary and become more receptive to new words.
Other factors you should watch out for include difficulty with pronouns, not being able to follow instructions and understand prepositions and confusion with gender.

When Does My Child Need Speech Therapy?

The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney diseases. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.

Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet. 
Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.
As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.


Hypertension: 7 Best Ways to Control it

Loss and grief are two unfortunate partners where the latter follows the former. While the type of grief or the nature of the loss may differ from person to person, there are five distinct stages of loss and grieloss and grief are two unfortunate partners where the latter follows the former. While the type of grief or the nature of the loss may differ from person to person, there are five distinct stages of loss and grief that all people universally go through, when faced with such a situation. Here are the five stages of this process and the different ways in which one can cope with each stage.

Denial and isolation:

In this phase, the patient usually ends up blocking out the words as well as the thoughts and reactions that surround this sad event, which can lead to a numbing action of the brain. While we all do this in some measure during such situations, some people take it especially hard by acting as if nothing has happened at all. If this phase does not come to pass within a short frame of time, then psychological and medical intervention may be required.

Anger:

When a person begins to acknowledge the loss, there is a sense of unfairness which can lead to frustration and anger that is basically the way the person may be dealing with the re-emergence of the pain and the fact that it is here to stay. Therapy and sedation may be required if this frustration and repeated spells of tantrums carries on for a prolonged period. Do not hesitate to talk things out rather than flaring up at this point, as the unchangeable has already happened.

Bargaining:

In this phase, desperation enters the mind of the patient where a lot of'what ifs' come up. The patient begins to question what if things had been done differently and other such aspects. If not dealt with in an engaging manner and with empathy, this phase can lead back to anger and frustration.

Depression:

Private mourning of the loss and regret to do with the practical aspects like loneliness and the cost of the loss can strike at this stage. Here, the patient must be made aware of rights as well as the people around him or her who can help out to prevent this depression from becoming a full-fledged condition.

Acceptance:

In this final stage, the patient becomes more accepting of this new reality. Yet, even this must be taken up cautiously as a grief stricken heart may lead to a variety of mental ailments in the long run.

The way to deal with these stages is with therapy and proper guidance where the patient is allowed to channel all the thoughts and anger before accepting the situation. Do not hesitate to ask for counselling and embrace the changes in your life without regret, guilt and depression. F that all people universally go through, when faced with such a situation. Here are the five stages of this process and the different ways in which one can cope with each stage.

Denial and isolation: 

In this phase, the patient usually ends up blocking out the words as well as the thoughts and reactions that surround this sad event, which can lead to a numbing action of the brain. While we all do this in some measure during such situations, some people take it especially hard by acting as if nothing has happened at all. If this phase does not come to pass within a short frame of time, then psychological and medical intervention may be required.

Anger:

When a person begins to acknowledge the loss, there is a sense of unfairness which can lead to frustration and anger that is basically the way the person may be dealing with the re-emergence of the pain and the fact that it is here to stay. Therapy and sedation may be required if this frustration and repeated spells of tantrums carries on for a prolonged period. Do not hesitate to talk things out rather than flaring up at this point, as the unchangeable has already happened.

Bargaining:

In this phase, desperation enters the mind of the patient where a lot of'what ifs' come up. The patient begins to question what if things had been done differently and other such aspects. If not dealt with in an engaging manner and with empathy, this phase can lead back to anger and frustration.

Depression: 

Private mourning of the loss and regret to do with the practical aspects like loneliness and the cost of the loss can strike at this stage. Here, the patient must be made aware of rights as well as the people around him or her who can help out to prevent this depression from becoming a full-fledged condition.

Acceptance:

In this final stage, the patient becomes more accepting of this new reality. Yet, even this must be taken up cautiously as a grief stricken heart may lead to a variety of mental ailments in the long run.

The way to deal with these stages is with therapy and proper guidance where the patient is allowed to channel all the thoughts and anger before accepting the situation. Do not hesitate to ask for counselling and embrace the changes in your life without regret, guilt and depression.

Coping with Grief and Loss: The Five Stages

While some people see tears as a sign of weakness, for others crying is a crucial way of dealing with grief. Though as children we re told not to cry and to  keep a hold  of our emotions, letting go of a few tears can help alleviate grief and emotional distress. 

Here are a few reasons crying could be a good idea when dealing with loss.

Crying can stimulate the release of endorphins: Crying cleanses the mind of negative emotions and allows you to express your emotions. Crying can be described as a reaction to pain and in order to control pain, the body releases endorphins. Endorphins are also known as happy hormones as they block the transmission of pain signals and create a sense of contentment. These chemicals can take a little time to have an effect and hence in most cases, you will notice an improvement in your mood after a good cry.
Crying elevates the mood: Crying can help reduce your body s manganese levels. A higher than normal manganese level can heighten anxiety, irritability, tiredness and emotional disturbances. By lowering manganese levels, the brain is left with enough space for happier emotions and hence crying can help elevate a person s mood.
Crying stimulates the body s parasympathetic nervous system: The parasympathetic nervous system controls a number of functions including heart rate. Crying can stimulate this system and trigger a state of relaxation. For this reason, you may feel sleepy after crying. This gives your body time to relax and deal with the problem at hand with a calmer mind.
Crying helps deal with stress: A stressful experience or emotional situation can cause a build-up of stress hormones known as cortisol. As the levels of cortisol increase in the body, it goes into flight or fight mode as an automatic response to stress. Crying reduces the cortisol levels and helps relieve tension and stress almost immediately.
Crying is cathartic: Every day we are exposed to conflicts and stressful situations that can build up into resentments and leave a person feeling anxious and depressed. Sometimes, giving vent to emotions and crying can help release these pent-up feeling and heap cleanse the mind of these negative emotions. Crying also allows us to open ourselves up to the people around and can improve the levels of intimacy between them. In this way, it can help a person become part of a community.

Crying - Can it Help You Overcome Sadness?

Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.

The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.

The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.

What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.

It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.

It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit.

Health Consequences of Smoking 3 Cigarettes A Day

Voice results from the air that comes out of the lungs and passes through the vocal cords. The latter is also known as the voice box. Speech results from the vibration of the chords. Voice disorder might occur for various reasons such as tone, pitch, and volume of the if the voice. The roots of all problems boil down to the malfunctioning of the cords.

Voice disorder examples:

Laryngitis: Laryngitis results from the swelling of the vocal cords. It can lead to a temporary halt of voice or a voice with hoarseness. It often occurs due to a viral attack in the respiratory tract. It can last from a few days to a few weeks. The treatment suggested for cases like these include resting the voice and intake of a lot of fluids. Some common causes that are responsible for laryngitis are GERD, chronic cough, and asthma.
Vocal cord paralysis: Paralysis of the vocal cord can be temporary or permanent. The possible cause of this scenario can be from viral infection, cancer, surgical injury to the nerve etc. In the case of a paralysis of the vocal cord, a person might find difficulty in breathing, can result in weak voice etc. While this condition improves for many people with voice therapy and surgery, for some they permanently lose their ability to speak.
Spasmodic dysphonia: The vocal cord spasm due to a problem with the nerve. This condition can lead to a quivery, hoarse, groaning or jerky voice. In this condition, a person might find it easy to speak at times and have difficulty in speaking later. Botulinum toxin and speech therapy help to improve this condition.
Possible causes of voice disorders:

Growth: Extra tissue formation on the vocal cords might stop the vocal cords to work properly leading to voice disorders. The growth can be treated with injection, medicine or surgery.
Swelling and inflammation: Exposure to chemicals, vocal and alcohol abuse, surgery-related complications can lead to inflammation or swelling of the vocal cords resulting in voice-related problems.
Hormone: Disorder of the male, female and thyroid hormone can lead to voice related disorders affecting speech.
Symptoms of voice disorders:

The harshness of the voice
Voice is breathy, weak and whispery
The voice sounds like choppy or strained
A quivering sound while speaking
The voice sounds harsh or rough while speaking
Diagnosis of Voice related disorders:
Voice related disorders can be detected through a process known as Laryngoscopy. This helps a doctor to view the throat region and find out the possible culprit that may be causing the problem. Some other popular methods are stroboscopy, EMG and imaging tests such as MRI and X-Ray of the throat.

Voice Disorders - Signs You Are Suffering From It!

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