Development disabilities can be defined as chronic conditions which develop when the brain of a child is still forming. Developmental disabilities may occur during pregnancy or early childhood or they may occur anytime till a person attains the age of twenty two. They are birth defects which may hamper the proper functioning of a body part or a body system. Most of the developmental disabilities cannot be medically treated, however with therapy their symptoms can definitely be controlled.

Nervous System Disabilities:-

As the name suggests, nervous system disabilities affect the functioning of the nervous system, spinal cord as well as the brain. A child with nervous system disabilities is most likely to suffer from speech disorders, behavioral disorders, movement disorders and may experience convulsions. His learning, understanding and intelligence, might all be affected due to nervous system disabilities.

Attention Deficit Hyperactivity Disorder (ADHD):-

Attention Deficit Hyperactivity Disorder can be identified in children by their inability to concentrate, being forgetful and feeling hyperactive all the time. There are a number of ADHD causes such as changes or malfunctioning of certain brain structures, parents suffering from hypertension or a psychiatric disturbance, chemical poisoning, alcoholism, smoking or drug abuse by the woman when she is pregnant and lastly, exposure of the child to certain environmental toxins like lead, polychlorinated biphenyls, etc.

Autism:-

Another example of nervous system disabilities is autism. Various behavioral and speech disorders may be caused in a child due to autism. Although exact cause of autism is not known, still some researchers are of the opinion that it may be caused due to certain genetic, environmental and neural development factors. Differences in the brain chemicals, known as neurotransmitters are the main cause behind autism. Environmental factors such as exposure to certain chemicals, exposure to drugs, eating certain kind of foods can exacerbate this condition.

Cerebral Palsy:-

Most cases of cerebral palsy develop even before the child is born. Very rarely does it occur during childbirth, although if the baby is premature or is under weight and suffers from intraventricular hemorrhages, it can lead to development of this condition in him. But mostly this condition develops when the brain development of the unborn child is affected when the mother is alcoholic, smokes, takes drugs, is malnourished, is exposed to certain chemicals or suffers any mental of physical trauma when she is pregnant. Some other reasons for a child to develop cerebral palsy are any injury to the brain due to accident, asphyxia, bacterial infections such as encephalitis or exposure to certain chemicals and allergies.

Bipolar Disorder:-

The reason why this disorder develops in a person is not known, still studies have shown that it is hereditary and runs in families. A person suffering from bipolar disorder experiences four kinds of mood cycles - mania, hypomania, depression and a mixed episode. Typical symptoms range from a person feeling highly energetic to falling into deep depression, leading to development of suicidal thoughts.

Dyslexia:-

Dyslexia is a neurological disorder that makes a child incapable to understand language, differentiate between right and left, solve mathematical problems and lastly, organize and plan anything. This condition is caused when the brain is unable to transfer images it receives from the eyes and ears into comprehensible language.

Dyscalculia:-

This is another disability that is closely associated with dyslexia. In this condition, a child is unable to recognize numbers and thus can't solve mathematical problems. This condition is caused due to an injury to the brain or a deficit in the working memory. Inability to read maps and follow directions are some other consequences of dyscalculia. 

Dysgraphia:-

A child suffering from Dysgraphia is unable to write alphabets or sentences in order. Dysgraphia symptoms develop in a child when his motor development does not take place properly.

Fragile X Syndrome:-

Fragile X syndrome occurs when FMR-1 gene/protein is unable to participate as required for the healthy and normal development of the offspring, resulting in numerous changes in his emotional, mental, physical and behavioral features.

Down Syndrome:-

Down syndrome is a chromosomal disorder caused due to an extra 21st chromosome, resulting in mental retardation as well as malformation in a newly born child.

Metabolic Disorders:-

These birth defects affect the body's metabolism i.e. the processes involved in building up, breaking and assimilating the materials required by the body to function properly. Phenylketonuria and hypothyroidism are examples of a metabolic disorder which can cause intellectual and developmental disabilities.

Phenylketonuria:-

Phenylketonuria, a genetic disorder, occurs when the body is unable to process the phenylalanine (Phe) protein found in almost all kinds of foods. If the Phe level becomes very high, the brain of the child can get damaged and he may even suffer from mental retardation.

Hypothyroidism:-

Another example of metabolic disorders is a hormonal condition known as Hypothyroidism. In this condition, the thyroid gland is unable to produce some very important hormones. If this disorder is not treated in time, it can lead to obesity, infertility, joint pain and even heart disease.

Sensory-related Disabilities:-

Sensory-related disabilities, a major part of the development disabilities list, are those which can cause problems related to sight and hearing. Some examples of sensory related disabilities are Williams syndrome and congenital rubella syndrome.

Congenital Rubella Syndrome:-

Congenital rubella syndrome is caused when the rubella virus negatively affects the fetus, mostly during the first trimester of pregnancy. A child who has congenital rubella might be deaf and may even have cataracts in the eye.

Williams Syndrome:-

Williams syndrome is a condition which occurs when some of the genes might be missing in a newborn child. Some of the symptoms of this rare condition are learning disorders, sensitivity to loud music, attention deficit disorder, sunken chest and feeding problems such as vomiting or reflux.

Degenerative Disorders:-

Degenerative disorders usually develop at an older age and the newborns who suffer from such disorders may show no signs at all. Degenerative disorders are known to cause physical, sensory and mental defects in a person. An example of degenerative disorder is Rett syndrome.

Rett Syndrome:-

Mostly girls suffer from this disorder. In the initial stages, the sufferer displays normal growth patterns but later there will be slowing down of brain growth, inability to use hands properly, problems in walking, slow mental growth and the sufferer may experience seizures.

Developmental Disabilities In Children - What Should You Know?

The shoulder is a complex joint consisting of a number of bones, ball, socket, and cartilage. For people suffering from arthritis of the shoulder joint, a total replacement of the shoulder joint is often a successful procedure. It significantly improves pain and range of motion. However, in case the patient is suffering from a special type of arthritis of the joint known as  cuff tear arthropathy , a total shoulder replacement often does not produce the desired result. These people suffer from large rotator cuff tear as well as arthritis. For such patients, a reverse shoulder arthroplasty often show better results. 

Reverse Shoulder Arthroplasty 

In traditional total shoulder replacement, the device put into the joint consists of a plastic cup fitted into the glenoid bone, also known as the socket, and a metal ball attached to the top of the humerus, the upper arm bone. In a way, it mimics the configuration of the original shoulder joint. However, in case of reverse shoulder arthroplasty, the positions of the metal ball and the socket are interchanged. The plastic cup is attached to the humeral head whereas the metal ball is attached to the glenoid bone. 

Benefits of the Procedure 

A reverse shoulder arthroplasty works better for patients who have a large rotator cuff tear along with arthritis. There are a number of rotator cuff muscles in the shoulder and they help to hold the arm in position as well as provide power to the arm during extreme movements. In case of people with large rotator cuff tear and arthropathy, the upper arm has to rely on different muscles for movement because the rotator cuff muscles don t function. Hence, the arm has to depend on other muscles such as the deltoid muscles, to position and power the arm. This is why a reverse arthroplasty is carried out.

Who Can Undergo This Surgery?

Every patient with cuff tear arthropathy is not a candidate for reverse shoulder arthroplasty. Surgeons recommend this surgery when the patient is suffering from: 

  A total tear of the rotator cuff which cannot be repaired 

  A special type of shoulder arthritis known as cuff tear arthropathy 

  An unsuccessful shoulder replacement surgery 

  Extreme shoulder pain along with difficulty in lifting the arm over the head or away from the body 

  A complex type of fracture in shoulder joint 

  A chronic dislocation of the shoulder 

  A tumor in shoulder joint 

Doctors can also suggest this procedure if the patient had previously tried other remedial measures such as medications, rest, physical therapy, injections, etc., but was not successful in alleviating the pain and improving the range of motion of the shoulder. 

Conclusion 

There are some medications that you need to stop before the surgery since they may cause excessive bleeding after the surgery. Some of these medicines are blood-thinning medicines and Non-steroidal anti-inflammatory medicines.

Revision Replacement - What Should You Know?

Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

Head Injury is any trauma to head other than superficial injuries to face. It results in high morbidity & mortality. Head injuries are an important cause of loss of young people at their productive age.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Street fights

Fall from height

Child abuse

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of the possible symptoms of brain injuries:  

Nausea and vomiting, fatigue or sleepiness, severe headache, confusion, amnesia,  loss of consciousness, seizures, loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected, coma, dilation of the pupils and disturbance of vision, Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood, difficulty in breathing, low pulse rate, increase in blood pressure, difficulty in swallowing, loss of hearing, problems in cognitive functions.

Brain damage is a process, not an event. 80% are minor head injuries, 10% are moderate head injuries and 10% are major head injuries.

Management of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Glasgow Coma Scale

Pupillary reaction to light

Brain stem reflex tests

Head to toe examination

CT scan of head is the initial study of choice. MRI Brain is helpful in cases of non-haemorrhagic contusions, diffuse axonal injury and deep lesions.

Surgical Indications

Head injuries with intracranial hematomas causing significant mass effect

Massive cerebral edema

Hydrocephalus

Infection

Precautions for Head Injury

Use Helmets- both riders

Use Seat Belts

Keep vehicle speed under control

Follow traffic rules

Take adequate precautions during trekking, diving

Take Away-

No head injury is minor enough to be neglected nor severe enough to be given up.

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.



Head Injuries - All You Must Know!

Acidity - gastritis: understanding the symptoms and causes

Gastritis/acidity is a group of diseases or symptoms where there is excess secretion of acid by the gastric glands of the stomach.

If you have upper abdominal discomfort or pain, stomach fullness, heartburn, nausea, vomiting, indigestion, belching, waterbrash or irregular bowel movement, then you must be suffering from acidity or gastritis. It is a problem which becomes worse when an individual has poor eating habits and improper lifestyle.

Gastritis: swelling of stomach lining

Various factors like spicy food, medicines, tobacco, alcohol etc. Can cause increase in gastric acid production and disturb, weaken or damage the normal stomach lining. Gastritis occurs when there is an imbalance between the acid production and damage to the stomach lining, resulting in swelling of the stomach lining.

Gastritis a very common disorder of all age groups

Gastritis is of two types - acute gastritis (which occur suddenly) and chronic gastritis (develops over a period of time). In India gastritis is a very common disorder which occurs at any age but is more widespread in the adolescent age group (12-17 years). Adolescence is a change from childhood to adulthood, the period in which a lot of physical and psychological changes occur increasing the risk of gastritis. 

Multiple factors cause gastritis

Various factors like spicy food, medicines (pain killers), tobacco, alcohol, emotional disturbance, psychological stress, smoking, alcohol intake and bacterial infection lead to gastritis.

Besides these, the three most important factors include helicobacter pylori infection (bacterial infection), use of painkiller medicines and autoimmunity (body loses its own immunity and attacks itself). These factors in the long term may even cause an ulcer (permanent breakage of the stomach lining), acid reflux disorder (food coming back to mouth after swallowing) and stomach cancer.

What does Ayurveda suggest?

In Ayurveda, agni refers to fire like activity in alimentary canal responsible for digestion of food which is influenced by the status of doshas. When samana-vata associates with kapha in turn produces weak digestive power (agni-mandya). Consuming food against the code of dietetics i. E. Ahara-vidhi vidhana and ahara-vidhi-visheshayatana (method of taking food) lead to a number of diseases related with food. Eating food before the previous food is digested, untimely food, eating too much of spicy or oily food, eating when not hungry, drinking too much water during food and at a time unless required, very hot high fatty-fried food, stale food, heavy diet, excess consumption of horse gram, vitiate all the three body humours (tridosha) also contribute to the symptoms of gastritis.

Due to the sourness of consumed food the liquidity of pitta increases further decreasing the capacity for digestion (agnimandya). Hence, rasadi-dhatu is not formed in a proper manner. This, after a certain period, manifests as amlapitta (hyperacidity).

Symptoms of gastritis vary among individuals

Symptoms of gastritis vary among individuals, and in many people even there are no symptoms. It also depends on the duration of disease, whether it is of acute (coming on suddenly) or chronic (causing symptoms over a long period of time) type.

The most common symptoms of acute gastritis include:

Abdominal bloating or stomach fullness,

Belching (expelling air from the stomach through the mouth)

Waterbrashes (sour fluid or tasteless saliva into the mouth)

Upper abdominal pain or discomfort

Nausea/vomiting feeling

Irregular bowel movement

Recurrent indigestion,

Chest burn or gnawing feeling between meals (heartburn)

Hiccups etc.

In addition to this, symptoms of chronic gastritis may include weight loss, continuous flatulence, black stool, loss of appetite and even anemia.

How to diagnose gastritis?

To diagnose gastritis, performs a thorough physical evaluation, and may recommend a blood test for h. Pylori screening, stool test for blood in the stool. Abdominal x-rays or barium studies (upper or lower) may demonstrate the presence of thickened stomach lining and folds that are signs of inflammation in the stomach.

Sometimes, an endoscope, a thin tube containing a tiny camera, is inserted through the mouth and down into the stomach to look at the stomach lining (endoscopy). The doctor will check for inflammation and may perform a biopsy, in which a tiny sample of tissue is removed and sent for analysis of gastric lining.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 10 Things You Must Correct to Fight Acidity And Heartburn

What Causes Acidity?  Understanding its Symptoms and Causes

Interstitial Cystitis is also known as painful bladder syndrome. It is characterized by the inflammation of the bladder wall. It is the chronic inflammation of the bladder. The exact cause has not been identified yet, though some believe that it might be due to the defect in the bladder lining or an autoimmune disorder. Interstitial cystitis is believed to resemble a bacterial infection, but the short term antibiotics have been found to be of no or less use.
The symptoms of interstitial cystitis are:

Frequency of urination during the day and night
Urgency of urinating
Pain associated with urinating or pain in the abdomen, vaginal and urethral area
Ayurvedic Treatment for Interstitial Cystitis

Chanderprabha Vati: This is a blend of 23 natural ingredients. This herbal remedy is useful in patients who are suffering from excess urination problem. This formulation has properties, which are helpful in the urine retention and reduce the inflammation in the pelvic areas. Dosage of this is two tablets twice a day with lukewarm water.
Chandanadhi Vati: This consist natual ingredients like Shweta chandana (Santalum album), Maricha (Piper cubeba), Gandha biroja satva (Pinus longifolia sap), Kattha (Acacia catechu), Amalaki (Emblica officinalis), Rala (Vateria indica extract), Karpura (Cinnamomum camphora), Chandana taila (Sandal wood oil) and Daruharidra (Berberis aristata). The product helps to resolve interstitial cystitis by controlling urination, reduces inflammation and burning sensation. Two tablets twice a day with lukewarm water are taken.
Punarnava Mandur: This is a pack of the herbal remedies and has quite satisfactory results in the patients. This balances the vata and pitta, the major dosha and causes of interstitial cystitis. Two tablets twice a day with lukewarm water is the ideal dosage.
Varunadi Vati: This is a blend of natural products like Varun (Crataeva nurvala), Punarnava (Boerhavia diffusa), Gokshur (Tribulus terrestris) and Shuddha guggulu (Comniphera mukul). The ingredients have the property to treat the symptoms of interstitial cystitis. This is helpful in urine retention and reducing inflammation. Dosage of this is two tablets twice a day with lukewarm water.
Boswellia Curcumin: This is prepared by the extracts of Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). This herbal product has anti-inflammatory properties and provides relief from inflammation in the pelvic area and other symptoms associated of interstitial cystitis. The dosage of this herbal product is one capsule twice a day with plain water. Also, if had after meals then it is very effective.

Interstitial Cystitis - How Ayurveda Can Treat it? 

A STD is transmitted by means of physical intimate contact and intercourse. These diseases are caused by parasites, virus or bacteria. Usually STDs are preventable provided you make the right choices concerning your sexual health. Refraining from sex isn t a feasible idea at all. But fortunately there are alternatives too to curb the menace that STDs are:

Mutual monogamy: Two people who have sex only with one another don t have any opportunity to bring a new STD into the relationship. If you and your partner have been tested and are healthy, remaining faithful to each other is a very good way to reduce your chances of contracting an STD.
Get Vaccinated: One important prevention tool against STIs is vaccination. Currently, vaccines are available to protect against infection with HPV, hepatitis A and hepatitis B. Talk to your healthcare provider to see which vaccines might be recommended for you.
Protect Yourself: Condoms work really well in stopping most STIs from being passed from an infected partner to another when they are used consistently and correctly every time a person has oral, vaginal or anal sex. Consistently and correctly means that a person makes sure they use a condom every time they have oral, vaginal or anal sex and put it on and use it the right way.
Avoid alcohol and drug use: Avoiding alcohol and recreational drug use reduces the risk of contracting an STI, having an unwanted pregnancy, or being coerced to have sex. Alcohol and drug use can reduce our ability to make good decisions. It may also make us more likely to be talked into into participating in an activity without being able to give our full consent.
Consider male circumcision: There's evidence that male circumcision can help reduce a man's risk of acquiring HIV from an infected woman (heterosexual transmission) by as much as 60 percent. Male circumcision may also help prevent transmission of genital HPV and genital herpes.
Coping and Support

It's traumatic to find out you have an STI. You might be angry if you feel you've been betrayed or ashamed if there's a chance you infected others. At worst, an STI can cause chronic illness and death, even with the best care in the world. Between those extremes is a host of other potential losses is trust between partners, plans to have children and the joyful embrace of your sexuality and its expression.

Ways to Avoid STDs

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

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