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Hi My boy kid age of 4 years got badly decayed molar tooth. Please suggest me its must to go for pulp therapy or any other alternate is there and pulp therapy is safe for kids as well will it affect permanent tooth growth? Thanks.
The stress of a modern lifestyle have taken a toll on the mental health of the population all over the world. Earlier, it was adults who were mostly affected by the problems of depression, anxiety and stress. However, with the passage of time, even children are also suffering from major mental health problems, the roots of which again are anxiety, stress and depression.
Reasons behind it
Be it adults or children, the major cause of health issues is stress. Stress doesn’t only cause mental health problems, but serious physiological disorders as well such as hypertension, diabetes, heart diseases, sexual problems as well as other issues. If the anxiety or stress persists, it would then slowly develop into a pattern of the mind and then become conditioned, thus leading to depression. Nowadays, children are also being afflicted by depression. Similar to adults, depression in children is caused due to any combination of factors that are related to life events, physical health, family history, genetic vulnerability, environment and biochemical disturbance. It should be noted that depression is not just a passing phase. The symptoms are often left undiagnosed as well as untreated. This is because they are passed off as normal psychological and emotional changes that occur naturally during growth.
Some of the typical symptoms are:
1. Loss of interest in pleasurable activities such as hobbies or crafts which were pursued earlier eagerly
2. Loss of concentration
3. Sudden outbursts
4. Sleeping too much or sleeping too little, suddenly waking up early in the morning
5. Constant fatigue, decreased energy and being slower than usual at tasks
6. Excessively low appetite or increased appetite which would thus result in weight loss or binge eating resulting in weight gain
7. The development of physiological disorders which may stop responding to treatment. Many children develop headaches or digestion problems which aren’t resolved by medication.
8. Always sad or irritable or in a depressed mood
9. May find it difficult to sleep or concentrate on work and thus, studies and grades may suffer
10. Extreme and sudden mood changes accompanied by incessant crying
11. Suicidal thoughts
12. Loss of energy as well as lowered self esteem
With children, you have to be extra careful not to ill-diagnose the problems and if they persist for more than a few weeks, you should seek professional help. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My 14 months daughter have fever, vomiting with cough and cold last from 5 days. Medicines: Calpol + Clavam syrup + Tixylix. Please help me.
My son age is 2.4 years was not eating food daily instead eating biscuits lays etc. What should I do for him to eat food. suggest some ways.
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.
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:
- 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.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- 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
- 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:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- 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.
In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
- This is popularly known as juvenile onset diabetes.
- Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
- People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
- Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
- Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
- Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
- Sometimes, oral medication or insulin injections are also needed.
Symptoms of diabetes
- Extreme thirst and hunger
- Frequent urination
- Sores or bruises that heal slowly
- Dry, itchy skin
- Unexplained weight loss
- Unusual tiredness or drowsiness
- Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
- Morning at 6: teaspoon fenugreek (methi) powder + water.
- Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
- Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
- Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
- Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
- 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
- 6 pm: 1 cup soup
- 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
- 10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
- Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
- For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
- Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.