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Treatment of Child and Adolescent Problems
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अगर बच्चे और जवान शुरूआत से घूमना walking चालू कर दे तो उसे बाद में diabetes डायबिटीज होने का खतरा 50% तक कम हो जाता है,
So keep walking everyday.
Exams are here again. As always we tend to neglect our food in the process of concentrating on studies. But we forget that to concentrate on studies we have to concentrate on taking a healthy diet.
Here are a few diet tips that will help you balance your study as well as diet.
1. Eat small and nourishing meals every three hours, instead of just 2-3 heavy meals. The brain needs a constant supply of energy and a heavy meal will divert the blood supply to digest the heavy meal.
2. Your daily diet must include 2-3 fresh, seasonal fruits. Start your day with a boost of fruit energy. Have a banana with a tablespoon of honey as the first meal of the day. Fruits provide you not only with fiber, vitamins and minerals but also simple and complex carbohydrates for short and long duration of energy supply when studying. The fiber will also help to keep the bowel movement clear.
3. A good breakfast is a must for anyone. The breakfast must contain foods with complex carbohydrates like flakes, oats, rawa (semolina), daliya (wheat cracks), poha (rice flakes) or pav with vegetables and a protein source such as eggs, milk, pulse, sprouts or paneer.
4. Nuts and dry fruits like almonds, walnuts, and dates provide nutrients which enhance brain power and concentration and also provide an extended source of energy supply.
5. Include potassium-rich coconut water, citrus fruits/ juices and soups in your diet.
6. Green leafy vegetables, pulses, and nuts will also provide vitamins and minerals to help avoid anemia. (Anemia is a common problem causing difficulty in concentration.)
7. Including milk as a bedtime meal and curd/lassi/buttermilk after lunch or as a mid-meal assures a supply of Vitamin B12 too.
8. Drink plenty of water to keep your body hydrated. Always keep a glass of water beside you to remember to take sips of water every 15 minutes.
9. Basic exercise like stretching, walking or yoga with meditation will help to reduce negative stress and also help you to get good sleep.
10. Avoid junk foods as they will provide you no nutrition.
11. Avoid stimulants like tea, coffee or colas as they may seem to perk you up but the energy does not sustain for long. Too much may even cause bloating or acidity.
12. Avoid aerated drinks as they are full of sugar and may cause a rapid rise in blood sugar levels causing a sudden rise and drop in sugar levels.
13. Chocolates may seem to may you feel good but the sudden rise and fall of sugar it causes in the blood can lead to trembling nervousness and panic.
14. Have your dinner if possible a little earlier than 9-10pm.
15. Keep about 2 hours between dinner and your bedtime.
16. Have a sound sleep for at least 7-8 hours daily.
Remember your body and mind need the fuel to help you perform the best. So, nourish it and take care of it and it will do the same for you.
My daughter's age is five and half years but she still lisps some words like speak k to t what should I do. Please suggest me. Thanks.
Hi, my son is 24 months old. His head remains hotter than rest of his body. Except this, he is absolutely fine and healthy. Is there anything to worry?
My 3 year old is sick with a temperature of 100 Degrees she can not keep anything down including Liquids. What should I do?
Hi doctor. . My daughter is 3 years old. A 32 week gestation preterm baby. Later operated with reflux problem. Now a days she does not eat anything. . She takes only about half a litre milk the whole day. Already she is under weight. . What should I do. I am in a big worry.
Hi, My daughter is 4 months old and she doesn't take the mother's milk. We give Lactogen powder, however she doesn't digest properly and time to time it comes out from mouth, not too much. We also keep her for 2 mints with shoulder after having the milk. Suggest me what we should do?
My girl ten years old she is having tooth. Decay and sever pain in tooth give me some advice to me what should I do ?
My almost 2 year old does not sleep through out the night. He is cranky between 2 to 5 in the morning. I give him milk twice in between sleeps yet he is cranky or crying what would be the reason.
My daughter is 1.5 years old but she is not gaining weight up to the optimum of the child having 1.5 years old. Please suggest any treatment for that?
My two months old son used to do potty once in a day as per routine, in morning only. But now after his vaccination I am observing he does potty 3-4 times a day. And his diet and feed demands has also increased. Is it a positive sign in his growth or some problem is there, as elders used to say that as the baby grows he does lesser potty, usually once in a day or in two days? Kindly help.
I have an 8 month old baby. I am still breastfeeding him but also started mashed solid like biscuits, roti, dal, rice, fruits etc. I give him almost everything we eat but in well Cooked mashed form. I want to wean him off feeding now. My query is can I give him buffalo milk mixed in 50% boiled water? Or is it necessary to give him cow milk only?
Meri beti 3 year ki he. Wo 6 months ki thi tab use meningitis hua tha. An vo normal he. Per uska weight bd nahi raha. Pichle bd 9 kg tha. Is bd pe 10 he. Please tell me ye koi badi problems he kya?
मेरा बेटा 9 साल का है । काफी समय से उसके मुंह से बदबू की समस्या चली आ रही है । सबसे पहले कोई 3 साल पहले हमने इस बारे में गौर किया था। कई डॉक्टरों को भी दिखाया । लेकिन कोई फर्क नहीं है। वो सुबह-शाम दोनों समय ब्रश करता है। कृप्या मार्गदर्शन करें।
After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.
I have a daughter of 2 years, she always use to eat mud, small particle of rocks etc. Pls give some solution for that?
Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
epilepsy – a condition that affects the brain and causes repeated fits or seizures
Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
carelessness and lack of attention to detail
continually starting new tasks before finishing old ones
poor organisational skills
inability to focus or prioritise
continually losing or misplacing things
restlessness and edginess
difficulty keeping quiet and speaking out of turn
blurting out responses and often interrupting others
mood swings, irritability and a quick temper
inability to deal with stress
taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.