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Monday, 11 January 2021

Coughs and colds in children

                         Coughs and colds in children 



    Is your child sneezing, coughing, and complaining about a sore throat, so there's no parent in the world who hasn't been there? Find out how to keep those cold symptoms in check and prevent your kid from getting sick the next time. coughs and colds are usually caused by infection with a germ called a virus. They normally clear away on their own, and antibiotic medicines are usually in use. 

       More than 200 different viruses can cause this infection, but the rhinovirus is the most common culprit. Antibiotics, which fight bacteria, won't treat your child's cold because cold is a viral illness. Viral illness cannot be treated with antibiotics. Except in newborns or in immuno- compromised children, colds in healthy children aren't dangerous. They usually go away in 4 to 10 days without treatment.

    Most coughs and colds are caused by germs called viruses. Many different viruses can infect the nose and throat. They are passed on by coughing and sneezing the virus into the air. An average preschool and primary school child has 3-8 coughs or colds per year. Some children will have more than this.  Sometimes several coughs or colds occur one after the other. A child who lives with smokers has an increased risk of developing coughs and colds, and the colds they get may last longer. 


Symptoms

 When a child gets a cold, it starts when they have a general feeling of not being well, often followed by a sore throat runny nose, or cough. Beginning the sore throat is due to a buildup of mucus. Later, the child may get a postnasal drip, when the mucus runs down the back of their nose to the throat. 

 Child cold gets worse, they may wake up with symptoms like these: 

- watery eyes

- Watery mucus in the nose

- Sneezing 

- Feeling of tiredness

- Fever

- Sore throat

- Cough

    A cold virus can affect a child's sinuses, throat, bronchial tubes, and ears, they also have diarrhea and vomiting. The child may be irritable and complain of a headache and feeling stuffed up. After a while, the mucus coming out of their nose may turn darker and thicker.

Most coughs and colds get better without complications. Sometimes a more serious infection develops from an initial viral infection. For example an ear infection, chest infection, or pneumonia. Symptoms to look out for that may mean your child has more than just a cold include: 

- Breathing problems: Wheezing fast breathing, noisy breathing, or difficulty with breathing.  

- Being unable to swallow

- Drowsiness

- Unusual irritability or persistent crying, in a baby, or if the baby is not taking feeds.

- Chest pains

- A rash

- Persistent high temperatures, particularly if a baby aged less than 3 months has a raised temperature higher 

- Vey severe headache, sore throat, earache, or swollen glands

-      A cough that persists for longer than 3-4 weeks.

-    Symptoms getting worse rather than better after about five days of a cold.

 -       Symptoms (other than an irritating cough) lasting more than about ten days. This is particularly important if your child has mucus or phlegm (sputum) which is green, yellow, or brown, as it may indicate infection with other germs called bacteria.

 -    Any symptom that you cannot explain.


    See a doctor if any symptoms develop that you are concerned about. This is particularly important if your child has a long-term illness or medical condition - for example, chest/breathing/heart problems or neurological disease. Doctors are skilled at checking children over to rule out serious illness. They may not be able to prescribe anything more effective for a common cough or cold, but a check-over can be reassuring.





- Coughs and colds often do not need any treatment.

      Make sure your child has enough to drink. Low body fluid (dehydration) may develop if a child has a raised temperature (fever) and does not drink much.

Resting probably helps the body to fight off viruses more quickly.


Preventing colds in children:


 Wash hands often: Cold germs can liner on frequently touched surfaces: door handles, toys, and own hands. The biggest method of prevention is good hygiene. Proper hand-washing with soap creates enough friction to get rid of most related germs. 


Avoid others who are sick

 

 Mucous droplets expelled by sneezing or coughing can easily infect others in close range. The Mott poll found that 64 % of parents would ask a relative with a cold not to hug or kiss their child, 60 % would cancel a play date if attendees are ill. 


 Prevent cross-contamination


 Young kids, as many parents know, are likely to put hands and fingers in their nose and mouth. Offer a firm reminder that doing so could make them sick. Teach children not to share drinkware or utensils with each other. 


Clean the affected surfaces


  To help keep germs off nightstands and coffee tables, among other places, tell children to throw used tissues in the toilet or a trash can. Use bleach-based wipes to disinfect shared items, appliances, and other surfaces. 


Skip the supplements


 Just over half of respondents give their kids an over-the-counter vitamin or supplement, including vitamin C and multivitamins to ward off colds. But there's no proof these products work. A healthy diet and proper sleep can help a child's immune system perform at its best. 


 Homeopathy: 


   There are many various types of cough and especially during winter tickly coughs, productive coughs, croupy coughs. Homeopathic cough medicine for children helps in treating cough very effectively. Cough and cold may lead to stress and discomfort for the children, which also causes sore muscles, and lack of sleep.


  The correct and genuine homeopathic medicines for children can give fast relief. It can also eradicate the underlying cause of the cough and cold. This is one of the most general problems, especially among children. A viral infection that affects the respiratory system leads to a cold. 


   Homeopathic cough medicine for children usually goes well with other treatments. A homeopathic remedy is a huge benefit over modern medicine which has no authentic and right cure for the common cold. 


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Sunday, 3 January 2021

Frontal lobe disorder

                                     Frontal lobe disorder




        Frontal lobe disorder is an impairment of the frontal lobe that 

occur due to disease or head trauma. The frontal lobe of the brain 

plays a key role in higher mental functions such as motivation, 

planning, social behavior, and speech production. 


A frontal lobe syndrome can be caused by a range of conditions 

including head trauma, tumors, degenerative diseases, neurosurgery

 and cerebrovascular disease. Frontal lobe impairment can be

 detected by recognition of typical clinical signs, use of simple 

screening tests, and specialist neurological testing. 

Frontal lobe anatomy and function:

 The brain has two hemispheres, the left and the right, which are 

further divided into three sections, the forebrain, the midbrain. 

Differentiation if these separate parts occur during fetal 

development. Each has specific functions:

- The hindbrain controls respiration and heart rate. 

 The midbrain controls reflex actions such as eye movement

- The forebrain controls emotional perceptions and responses,

 involuntary movements, sleep patterns, memory, and organizational 

ability. 

  The forebrain eventually develops into the cerebrum, the outer layer

of which is called the cerebral cortex. The frontal lobe is one of the 

four lobes of the cerebral cortex, which also includes the temporal 

lobe, the parietal lobe, and the occipital lobe. Each of these regions 
carries out specific functions and damage to any of these lobes 
results in corresponding impairment. The frontal lobes are relatively 
large compared to other regions of the brain, and the extensive 
functions controlled by the frontal lobe is reflected in its proportional size.  

Frontal lobe anatomy and function:

 The brain has two hemispheres, the left, and the right, which are further divided into three sections, the forebrain the midbrain, and the hindbrain. Differentiation of these separate parts occurs during fetal development. Each has specific functions: 

- The hindbrain controls respiration and heart rate
- The midbrain controls reflex actions such as eye movement
- The forebrain controls emotional perceptions and responses, involuntary movements, sleep patterns, memory, and organizational ability.

The forebrain eventually develops into the cerebrum, the outer layer of which is called the cerebral cortex. The frontal is one of the four lobes of the cerebral cortex, which also includes the temporal lobe, the parietal lobe, and the occipital lobe. 

Each of these regions carries out specific functions and damage to any of these lobes results in corresponding impairment. 

The frontal lobes are relatively large compared to other regions of the brain, and the extensive functions controlled by the frontal lobe is reflected in its proportional size.  

Social and emotional skills
 The frontal lobe plays a substantial role in decision making, self-control, and emotional regulation, providing the ability to behave appropriately in interpersonal situations and to regular behavior in a socially acceptable manner. 

Cognitive skills:
 The frontal lobe also integrates thinking skills by maintaining attention, high-level thinking, and problem-solving. It is believed humans' large frontal lobes are responsible for advanced thinking and innovation, as well as the ability to imagine situations. 

Motor function
  There are some differences between the right and left frontal lobes. The back of the frontal lobe is a 

Motor Function:

 There are some differences between the right and left frontal lobes. The back of the frontal lobe is a region called the motor strip, which controls and directs the body's voluntary physical movements. The left motor strip controls movements of the right side of the body, while the right motor strip controls movements of the left side of the body.

Language and spatial abilities:

 There are also functions that are predominantly controlled by the frontal lobe or the right frontal lobe. Along with neighboring parietal 

Language and Spatial Abilities:

 There are also functions that are predominantly by the left frontal lobe or the right frontal lobe. Alonge with the neighboring parietal and temporal lobes, the dominant frontal lobe is involved in language, rational, quantitative, and logical thinking, and analytical reasoning.

Signs and Symptoms

 The signs and symptoms of frontal lobe disorder can be indicated by Dysexecutive syndrome which consists of a number of symptoms that tend to occur together. 
- Cognitive movement and speech, emotional or behavioral. Although many of these symptoms regularly co-occur, it is common to encounter patients who have several, but not all of these symptoms. This is one reason why some researchers are beginning to argue that dysexecutive syndrome is not the best term to describe these various symptoms. 

- The fact many of the dysexecutive syndromes can occur alone has led some researchers to suggest that the symptoms should not be labeled as a syndrome as such. Some of the latest imaging research on frontal cortex areas suggests that executive functions may be more discrete than was previously thought. 

Signs/ symptoms can be divided as follows:

Movement:
 - Tremor
- apraxia
- Dystonia 
- Gait disorder
- Clumsiness

Emotional:
- Difficulty in inhibiting emotions, anger, excitement
- Depression
- Difficulty in understanding other's points of view. 

Behavioral:
- Utilization behavior
- Perseveration behavior 
- social inhibition
- compulsive eating

Language signs:
- Aphasia
- Expressive aphasia

Causes:
 Damage to the frontal lobe is most commonly caused by degenerative disease or a stroke, and there are other, less common conditions that affect the frontal lobes as well. 

Dementia:
 The second-most common cause of dementia in people under 65 is frontotemporal dementia(FTD), a group of disorders affecting the frontal and temporal lobes of the brain
 As neurons in the frontal and temporal lobes become atrophied over time difficulty in thinking, controlling emotions, inability to organize, trouble communicating, and unusual behavior develop. 

Stroke: 
 Stroke and transient ischemic attacks can also impair the function of the frontal lobe. When blood flow through one or more of the blood vessels that provides blood to an area of the frontal lobe becomes interrupted or blood, the corresponding region of the brain suffers and cannot functions as it should. 

Other causes:
 Causes of damage or injury to the frontal lobe may include the following:

- Huntington's disease
- Cerebral palsy
- Brain tumors
- Infections
- Traumatic brain injury

Diagnosis: 
 Frontal lobe disorders may be recognized through a sudden and dramatic change in a person's personality, for example with loss of social awareness, disinhibition, emotional instability, irritability, or impulsiveness.

Examination

 On mental state examination, a person with frontal lobe damage may show speech problems, with reduced verbal fluency. Typically the person is lacking in insight and judgment but does not have marked cognitive abnormalities or money impairment, with more severe impairment there may be echolalia or mutism.

Further investigation:

 A range of neuropsychological tests is available for clarifying the nature and extent of the frontal lobe dysfunction. Concept formation and ability to shift mental sets can be measured with the Wisconsin card sorting test, planning can be assessed with the mazes subtest of the WISC. Individuals with pick's disease will show frontal cortical atrophy on MRI'S. Frontal impairment due to head injuries, tumors, or cerebrovascular disease will also appear on brain imaging. 







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Monday, 21 December 2020

Bipolar disorder

                                          Bipolar disorder


        A disorder associated with episodes of mood swings ranging from depressive lows to manic highs.

The exact cause of bipolar disorder isn’t known, but a combination of genetics, environment and altered brain structure and chemistry may play a role.

Manic episodes may include symptoms such as high energy, reduced need for sleep, and loss of touch with reality. Depressive episodes may include symptoms such as low energy, low motivation, and loss of interest in daily activities. Mood episodes last days to months at a time and may also be associated with suicidal thoughts.

Treatment is usually lifelong and often involves a combination of medications and psychotherapy.

Bipolar disorder is a mental illness marked by extreme shifts in mood. Symptoms can include an extremely elevated mood called mania. They can also include episodes of depression. Bipolar disorder is also known as bipolar disease or manic depression.

Bipolar disorder is a mental illness marked by extreme shifts in mood. Symptoms can include an extremely elevated mood called mania. They can also include episodes of depression. Bipolar disorder is also known as bipolar disease or manic depression.

People with bipolar disorder may have trouble managing everyday life tasks at school or work, or maintaining relationships. There’s no cure, but there are many treatment options available that can help to manage the symptoms.

Symptoms

      According to the International Bipolar Association, symptoms vary between individuals. For some people, an episode can last for several months or years. Others may experience “highs” and “lows” at the same time or in quick succession.

In “rapid cycling” bipolar disorder, the person will have four or more episodes within a year.

Mania or Hypomania

Hypomania and mania are elevated moods. Mania is more intense than hypomania.

Symptoms can include:

  • impaired judgment
  • feeling wired
  • sleeping little but not feeling tired
  • a sense of distraction or boredom
  • missing work or school
  • underperforming at work or school
  • feeling able to do anything
  • being sociable and forthcoming, sometimes aggressively so
  • engaging in risky behavior
  • increased libido
  • feeling exhilarated or euphoric
  • having high levels of self-confidence, self-esteem, and self-importance
  • talking a lot and rapidly
  • jumping from one topic to another in conversation
  • having “racing” thoughts that come and go quickly, and bizarre ideas that the person may act upon
  • denying or not realizing that anything is wrong

    Some people with bipolar disorder may spend a lot of money, use recreational drugs, consume alcohol, and participate in dangerous and inappropriate activities.

Depressive symptoms:

During an episode of bipolar depression a person may experience:

  • a feeling of gloom, despair, and hopelessness
  • extreme sadness
  •  Insomnia and sleeping problems
  • Anxiety about minor issues
  • pain or physical problems that do not respond to treatment
  • a sense of guilt, which may be misplaced
  • eating more or eating less
  • weight loss or weight gain
  • extreme tiredness, fatigue, and listlessness
  • an inability to enjoy activities or interests that usually give pleasure
  • difficulty focusing and remembering
  • irritability
  • sensitivity to noises, smells, and other things that others may not notice
  • an inability to face going to work or school, possibly leading to underperformance

   In severe cases, the individual may think about ending their life and they may act on those thoughts.

Psychosis:

        If a “high” or “low” episode is very intense, the person may experience Psychosis.  They may have trouble differentiating between fantasy and reality.

     According to the International Bipolar Foundation, psychosis symptoms during a high include hallucinations, which involve hearing or seeing things that are not there, and delusions, which are false but strongly felt beliefs. A person who experiences delusions may believe they are famous, have high-ranking social connections, or have special powers.

    During a depressive or “low” episode, they may believe they have committed a crime or are ruined and penniless.

   It is possible to manage all these symptoms with appropriate treatment.

Types of Bipolar Disorder: 

A person may receive a diagnosis of one of three broad types of bipolar disorder. According to NAMI  symptoms occur on a spectrum, and the distinction between the types is not always clear-cut.

Bipolar I disorder:

For a diagnosis of bipolar I disorder:

  • The individual must have experienced at least one manic episode.
  • The person may have had a previous major depressive episode.
  • The doctor must rule out other disorders, such as schizophrenia and delusional disorder.

Bipolar II disorder: 

  Bipolar II Disorder involves periods of hypomania, but depression is often the dominant state.

For a diagnosis of bipolar II disorder, a person must have had:

  • one or more episodes of depression
  • at least one hypomanic episode
  • no other diagnosis to explain the mood shifts

A person with hypomania may feel good and function well, but their mood will not be stable, and there is a risk that depression will follow.

People sometimes think of bipolar II disorder is a milder version. For many, however, it is simply different NAMI indicates, people with bipolar II disorder may experience more frequent episodes of depression than people with bipolar I disorder.

Bipolar disorders symptoms test:

 One test result doesn't make a bipolar disorder diagnosis. Instead, your doctors will use 

- Physical exam: a doctor will do a full physical exam. They may also order blood or urine test to rule out other possible causes of your symptoms. 

- Mental health evaluation: The doctor may refer you to mental health. Professional such as a psychologist or psychiatrist. These doctors diagnose and treat mental health conditions such as bipolar disorder. During the visit, they will evaluate your mental health and look for signs of bipolar disorder.

  • Mood journal. If your doctor suspects your behavior changes are the result of a mood disorder like bipolar, they may ask you to chart your moods. The easiest way to do this is to keep a journal of how you’re feeling and how long these feelings last. Your doctor may also suggest that you record your sleeping and eating patterns.
  • Diagnostic criteria. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is an outline of symptoms for various mental health disorders. Doctors can follow this list to confirm a bipolar diagnosis.

Bipolar disorder in children:

Diagnosing bipolar disorder in children is controversial. This is large because children don’t always display the same bipolar disorder symptoms as adults. Their moods and behaviors may also not follow the standards doctors use to diagnose the disorder in adults. Bipolar disorder symptoms that occur in children also overlap with symptoms from a range of other disorders that can occur in children, such as attention deficit hyperactivity disorder (ADHD). 

However, in the last few decades, doctors and mental health professionals have come to recognize the condition in children. A diagnosis can help children get treatment, but reaching a diagnosis may take many weeks or months. Your child may need to seek special care from a professional trained to treat children with mental health issues.

Like adults, children with bipolar disorder experience episodes of elevated mood. They can appear very happy and show signs of excitable behavior. These periods are then followed by depression. While all children experience mood changes, changes caused by bipolar disorder are very pronounced. They’re also usually more extreme than a child’s typical change in mood.

Manic symptoms in children:

Symptoms of a child’s manic episode caused by bipolar disorder can include:

  • acting very silly and feeling overly happy
  • talking fast and rapidly changing subjects
  • having trouble focusing or concentrating
  • doing risky things or experimenting with risky behaviors
  • having a very short temper that leads quickly to outbursts of anger
  • having trouble sleeping and not feeling tired after sleep loss

Depressive symptoms in children:

Symptoms of a Child's depressive episode  caused by bipolar disorder can include:

  • moping around or acting very sad
  • sleeping too much or too little
  • having little energy for normal activities or showing no signs of interest in anything
  • complaining about not feeling well, including having frequent headaches or stomachaches
  • experiencing feelings of worthlessness or guilt
  • eating too little or too much
  • thinking about death and possibly suicide.  

Other possible diagnoses:

Some of the behavior issues you may witness in your child could be the result of another condition. ADHD and other behavior disorders can occur in children with bipolar disorder. Work with your child’s doctor to document your child’s unusual behaviors, which will help lead to a diagnosis.

Finding the correct diagnosis can help your child’s doctor determine treatments that can help your child live a healthy life.

Bipolar disorder in teens:

Angst-filled behavior is nothing new to the average parent of a teenager. The shifts in hormones, plus the life changes that come with puberty, can make even the most well-behaved teen seem a little upset or overly emotional from time to time. However, some teenage changes in mood may be the result of a more serious condition, such as bipolar disorder.

A bipolar disorder diagnosis is most common during the late teens and early adult years. For teenagers, the more common symptoms of a manic episode include:

  • being very happy
  • “acting out” or misbehaving
  • taking part in risky behaviors
  • abusing substances
  • thinking about sex more than usual
  • becoming overly sexual or sexually active
  • having trouble sleeping but not showing signs of fatigue or being tired
  • having a very short temper
  • having trouble staying focused, or being easily distracted

For teenagers, the more common symptoms of a depressive episode include:

  • sleeping a lot or too little
  • eating too much or too little
  • feeling very sad and showing little excitability
  • withdrawing from activities and friends
  • thinking about death and suicide



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