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Top Health Tips on Living with Down Syndrome

Obesity and Metabolic Syndrome

Multi Speciality Clinic
Multi Speciality, Pune
Obesity and Metabolic Syndrome
'Metabolic' are the biochemical processes that are involved in the normal functioning of your body. Risk factors are common traits, habits or conditions that raise your risk of developing a disease. Metabolic syndrome is the term used for a group of factors that increase your risk of developing the cardiac diseases and other health issues, like stroke and diabetes. Metabolic syndrome is becoming a prevalent disorder due to a sharp rise in the rate of obesity among adults. Metabolic syndrome may soon overtake smoking as the dominant risk factor responsible for heart disorders.

The following are some of the dominant symptoms of metabolic syndrome:
1. Abdominal obesity
2. A high level of Triglyceride( 150 and higher)
3. A lowered level of HDL (good cholesterol)
4. Blood pressure of 130/85 and above
5. Increased level of blood sugar(fasting) of 110 or more

It is not impossible to prevent the onset of metabolic syndrome. Slight lifestyle alterations can help to delay the onset of the disorder. In order to control metabolic syndrome effectively, you need to require long term dedication towards your health.

The following are some tips that may help you to control your metabolic syndrome:
1. Lead an active life: Studies suggest that if you lead an active life, you run a lower risk of developing metabolic syndrome. If you exercise on a regular basis and participate in physical activities, it will help you to reduce your blood pressure level. Active lifestyle is also known to improve your insulin sensitivity, which will help you to control your metabolic syndrome effectively.

2. Healthy diet: A healthy and balanced diet that comprises of fresh leafy vegetables, seasonal fruits and whole grains carbohydrates is good for your overall health and helps to prevent or slow down the onset of metabolic syndrome.

3. Drink in moderation: A glass of wine on a daily basis is beneficial for your health. According to recent studies, moderate intake of wine may lower a person's risk of developing metabolic syndrome. It must be kept in mind that wine is only helpful when consumed in moderation. In fact, over indulgence in wine is actually injurious to health.

4. Maintain an ideal body weight: Obese people are more prone to suffer from high blood pressure and increased blood sugar level; all of which fuel the risk of developing metabolic syndrome. Reduce your excessive body fat to achieve an ideal body weight to lead a healthy life.
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How to Deal with Stress of Raising a Child with Special Needs?

MBBS
Sexologist, Jammu
How to Deal with Stress of Raising a Child with Special Needs?
Parenting in the recent past has become extremely stressful than what it used to be a couple of generations earlier. This stress has increased manifold if the child has special needs. Be it a physical or an emotional disability, the caretaker has a lot of additional responsibilities when raising a child with special needs. Also bringing up such a child is extremely rewarding in the long run, when you see them accomplish things in life, for which your contribution is far greater than in normal children.

Read on to for some guidance on how to manage a child with special need.

Understand the problem your child is facing: The problem may become evident prenatally, at birth, or sometimes it will reveal itself as the child grows up. Whatever the case, once identified, understand the various issues it brings along. This is true especially in case of syndromes like Down's or learning disabilities, which have more implications. Review the medical history thoroughly with the doctor to understand the child better and play your role better.
Supportive community: There are a lot of supportive communities, which will consist of similar people and so a lot of mutual support and help would be available. The emotional components of empathy and sympathy play an equally important role here.
Let s face it: Caring for such a child is an ongoing process. The sooner this fact is accepted, the easier the journey will be. The children need to be reassured that they are not alone, they are differently perfect, they need to forgive themselves, to not be hard on themselves, and not to lose heart. The parent and the caretakers also need to realize that it is like a never-ending marathon and bracing up for this long haul is very important. There might be times when mistakes happen, tough decisions are taken, and you have to be hard on the child and yourself. However, don t lose heart and encourage both the child and yourself. It is okay for these slips to happen, just accept them.
Live for today: On a daily basis, forgive small wrongs both for your child and yourself. Trust your instincts, celebrate the little wins, don t compare your child to anybody else, and protect him from getting bullied. The child needs to be told that you are unique and special and to set your own pace and compete against yourself. Work on your sense of humor and get professional help for both the child s needs and your additional responsibilities.
While the stress of caring for a child with special needs is quite high, these are very small and simple ways to deal with the stress of raising a child with special needs.
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Down Syndrome - How It Should Be Dealt With?

MBBS, MD-Pediatrics, DM - Medical Genetics
Geneticist, Gurgaon
Down Syndrome - How It Should Be Dealt With?
Down Syndrome is a genetic disorder resulting from chromosomal aberration. Usually, a person is born with 23 pairs of chromosomes (46 chromosomes in total). In the case of a Down Syndrome, there is a total of 47 chromosomes (an extra complete or partial chromosome appearing in the 21st pair). This extra chromosome is the main wrecker in chief that triggers the behavioral and developmental alterations characteristic of Down Syndrome.

Depending on the distribution of the chromosome during cell division, Down Syndrome may be triggered by three conditions

Trisomy 21: One of the most common causes of Down Syndrome, Trisomy 21 is characterized by the presence of an extra chromosome in chromosome 21.
Translocation Down syndrome: As the name suggests, here a part of the chromosome 21 translocates itself to some other chromosome. There will be no trisomy on chromosome 21. However, there will be extra genetic material resulting from the chromosome containing the translocated portion of chromosome 21.
Mosaic Down Syndrome: This is a rare condition where some cells will have 46 chromosomes (23 pairs) while few others will have 47 chromosomes (trisomy 21).
Symptoms characteristic of Down Syndrome
Some of the symptoms synonymous to Down Syndrome include

The face appears flattened with a short mouth and a protruding tongue.
The ears, neck, arms, and legs are shorter than usual.
Children and adults with Down Syndrome usually have a short stature.
The muscles also lack proper tone.
Children with Down Syndrome are often found to have impaired cognitive ability. The condition also affects the memory, both short, as well as long-term.
Managing a child with Down Syndrome
No parent would ever want their child to suffer from Down Syndrome. Along with the medications and therapies, as a parent, you should also be prepared to manage the situation well.

The situation is by no means easy for you, but if you get weak or panic, things will only go from bad to worse. Thus, you need to be strong.
Be in constant touch with the attending physician to know the progress of your child.
If your child is still very young, get them enrolled in the special enhancement programs. These programs play a significant role in improving the language, motor movements, as well as developing the various self-help skills in the Down Syndrome children.
Connect with families dealing with identical situations. Discussing your problems with them or learning about theirs can help in better management.
Your concern for the child is understood but do not snatch their independence. Give them the freedom they deserve. They might make mistakes, but it will help build their confidence.
If the situation demands, get your child admitted to schools which are specially designed for such children.
Do not keep your child confined within the four walls of the home. Take them outside. Let them interact with people. Indulge in family outings and get-togethers.
The situation may be difficult but not impossible. Have faith and do what is in your hands.
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What Conditions Can Be Treated With Pediatrics?

BPTh/BPT, MPT
Physiotherapist, Pune
What Conditions Can Be Treated With Pediatrics?
What conditions can be treated with pediatric PT?

Cerebral Palsy, Autism, Down Syndrome, Muscular Dystrophy and associated disorders, Spina Bifida, Juvenile Rheumatoid Arthritis, Arthrogyposis, Cardio-Pulmonary Disorders, Cystic Fibrosis, Cancer,and Traumatic Brain Injury. In addition, many children present with hypotonia and developmental coordination disorder without a formal diagnosis. Orthopedic conditions - scoliosis, back pain, sports injuries, fractures, and orthopedic surgeries.

What is the pediatric PT srole?

Pediatric physical therapist evaluates and provides treatment for delays in motor skills by developing the strength and range of motion that children need to move easily and effectively. In addition to assessment of flexibility, strength, posture, gait, sensory processing, balance,coordination and skill.Long-term goal - Gross motor skill development solid to age with good quality to both sides of the body.

Despite variations depending on the child, neuro motor development stages occur in a specific order in the first years of life.
The order of a normal motor development for an infant is:
At 3 months old baby should be able to:Raise the head while on the stomach
Open and close the hands Bring the hand to the mouth Catch and shake objects at hand reach
At 4 to 7 months -Baby learns to:Roll back on the belly on both sidesTo pull himself to sit down Keep sitting with the support of his hands forward
At 8 to 12 months she should be able to:Sit down still unaidedCrawlUse his hands when topples forward or sidewaysCrawlHold stand upMove from one position to anotherWalk aided by holding on to objects or when moving objectsOf course, depending on the child s abilities, these learning stages may vary by a few months, but it is important to stimulate -and yet not over-stimulate the baby- with the help of games, educational hugs and massages to guide your child towards a proper development.

If your baby does not have any neurological disorder but you have doubts about her/him progress, our specialist will do a complete assessment and give you all the appropriate advices to monitor and guide your baby s progression.
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