If you notice that your baby is not gaining weight according to standard figures or peeing quite often, it could be&nbsp;that the child is not getting enough breast milk. The good news is that most women produce one-third more breast milk than their babies will drink, so there’s nothing to worry about it. In case your milk supply is running low. There are ways to increase your milk supply:<ul><li class="ql-align-justify">Use a breast pump regularly.</li><li class="ql-align-justify">Breastfeed often</li><li class="ql-align-justify">Make sure the child is latching on properly.</li><li class="ql-align-justify">Feed from both breasts (one by one after completing from one side)</li><li class="ql-align-justify">Don't skip feeding times</li></ul>

The beginning is always tough, but it does get easier with time. Find out more in the full article.

How can I improve my lactation?

Samiksha Choithani

Some babies find it difficult to latch in the initial phase of breastfeeding. This may be due to the shape of the nipple, or if the nipple is not completely engorged. Premature babies or the ones who had a difficult birth may also find it difficult to latch.Nipple shield is a silicon shield that gives a definite shape to the nipple making it easy for the baby to latch. If you are using nipple shields, do clean them with warm water (sterilise them) after every feed. Advantages:<ul><li>Nipple shield should be the last option but use it to get started rather than avoiding breastfeeding completely.</li><li>Helps mothers to stick on breastfeeding and avoid bottles too early.</li><li>Heals and protects the nipples when they are sore.</li></ul> Disadvantages:<ul><li>Avoid long term use of nipple shield as it gets tiring and difficult to clean after every feed. There is nothing more hygienic and convenient than a bare breast.</li><li>A baby may get less milk if the shield is used incorrectly.</li><li>Once the habit of a nipple shield is developed, it gets difficult to wean it.</li></ul>

Nipple shields are useful for babies for whom latching is difficult.

Using Nipple shields or not?

Ravina Sewani

Wheat allergy is an allergic reaction to foods containing wheat. Allergic reactions can be caused by eating wheat and also, in some cases, by inhaling wheat flour. Wheat is found in many foods, including some you might not suspect, such as soy sauce, ice cream and hot dogs. Wheat allergy sometimes is confused with celiac disease, but these conditions differ. Wheat allergy occurs when your body produces antibodies to proteins found in wheat. In celiac disease, a specific protein in wheat — gluten — causes a different kind of abnormal immune system reaction. Symptoms of wheat allergy:<ul><li>Swelling, itching or irritation of the mouth or throat</li><li>Hives, itchy rash or swelling of the skin</li><li>Nasal congestion</li><li>Headache</li><li>Difficulty breathing</li><li>Cramps, nausea or vomiting</li><li>Diarrhoea</li><li>Anaphylaxis</li></ul> Causes:Exposure to a wheat protein triggers the body's immune system for an allergic reaction. Your child can develop an allergy to any of the four classes of wheat proteins — albumin, globulin, gliadin and gluten. Sources of wheat proteins:<ul><li>Breads and bread crumbs</li><li>Cakes, muffins and cookies</li><li>Breakfast cereals</li><li>Pasta</li><li>Semolina</li><li>Soy sauce</li><li>Meat products, such as hot dogs</li><li>Dairy products, such as ice cream</li><li>Natural flavourings</li><li>Modified food starch</li><li>Vegetable gum</li><li>Cosmetics</li></ul> Risk factors:<ul><li>Family history: The chances of your child being allergic to wheat are higher if there is someone in the family who is allergic to wheat.</li><li>Age: Wheat allergy is most common in babies and toddlers, who have immature immune and digestive systems.</li></ul> Difference between Wheat Allergy and Celiac Disease:Wheat allergy involves an allergic response to any of the four proteins in wheat. Whereas, celiac disease is caused by gluten (a type of wheat protein). Celiac disease does not cause an immune response but rather causes a problem with the absorption of food in the intestines. Diagnosis:Symptoms of wheat allergy and celiac disease are overlapping hence an allergist can determine whether an allergy is present or not. You will be required to give your child's medical history, family's medical history combined with a skin-prick or a blood test. Prevention:<ul><li>Develop a habit of reading the food labels for ingredients and allergy information.</li><li>Teach your child to mention about the allergy whenever (s)he goes to visit someone.</li><li>Inform your child’s school about your child’s allergy. You can also give the medicines prescribed by your child’s doctor to the school which they can use in case of sudden allergic reactions.</li><li>Be careful about the possibility of cross-contact; especially when visiting a restaurant.</li><li>Always keep the allergy medication handy for your child.</li></ul> Treatment:<ul><li>The best way to prevent allergies of any sort in children is to avoid the source of the allergen.</li><li>In allergies, paediatricians usually prescribe antihistamine medicines for mild allergic reactions. Whereas for severe allergic reactions like anaphylaxis, your child’s paediatrician will prescribe an adrenaline auto-injector (AAI).</li></ul>

Some children can develop allergic reactions towards wheat and need to be fed on a different cereal.

Wheat allergy

If your baby has green, foamy or frothy, explosive stools and pain, it might be a case of lactose overload. Lactose overload can happen when your baby gulps a very large quantity of breastmilk either due to a long gap between the feedings or due to an oversupply of milk. Healthy babies are able to break down the lactose in normal volumes of milk. The presence of fat in the milk ensures the slow movement of milk through the gut. But if your baby consumes a lot of milk that is relatively low in fat, it can rush through the digestive system without being digested. This can cause the problem of gas causing pain and frothy stools. If you suspect lactose overload, try to check your baby's latch. Try different positions to feed your baby if you have a problem of oversupply of milk. Try frequent feeds as your baby to avoid build up of watery low fat milk. If the problem persists, you know what to do, head straight to your doctor.

Lactose overload happens when the milk is not digested properly.

Lactose Overload

In asthma, a person’s airways become inflamed, narrow and swell and produce extra mucus, which makes it difficult to breathe. If your child has asthma, their lungs and airways can easily get inflamed when they have a cold or are around things like pollen. Causes:<ul><li>Allergens: mould, pollen, animals</li><li>Irritants - cigarette smoke, air pollution, chemicals, odours</li><li>Weather: cold air, changes in weather</li><li>Stress: It can make your child short of breath and worsen their symptoms.</li><li>Airway Infections: This includes colds, pneumonia, and sinus infections.</li><li>Exercise</li></ul> Symptoms:<ul><li>A cough that doesn’t go away (this might be the only symptom sometimes)</li><li>Frequent coughing spells, especially during play or exercise, at night, in cold air, or while laughing or crying</li><li>A cough that gets worse after a viral infection</li><li>Less energy</li><li>Avoiding sports or social activities</li><li>Trouble sleeping because of coughing or breathing problems</li><li>Rapid breathing</li><li>Chest tightness or pain</li><li>Wheezing, a whistling sound when breathing in or out</li><li>Shortness of breath</li><li>Trouble eating, or grunting while eating (in infants)</li></ul> A severe asthma attack needs medical care right away. During severe asthma attack, watch for these signs:<ul><li>Stopping in the middle of a sentence to catch a breath</li><li>Using stomach muscles to breathe</li><li>Widened nostrils</li><li>Fast heartbeat</li><li>Sweating more than usual</li><li>Chest pain</li></ul>&nbsp;Risk Factors:<ul><li>Things that can make a child more likely to have asthma include:</li><li>Nasal allergies or eczema</li><li>A family history of asthma or allergies</li><li>Respiratory infections</li><li>Low birth weight</li><li>Exposure to second-hand tobacco smoke before or after birth.</li></ul> Diagnosis:<ul><li>Your child’s doctor will ask you a series of questions about medical history, symptoms, about any breathing problems your child may have had, family history of asthma, allergies, eczema, or other lung disease.</li><li>Physical exam: Your doctor will listen to your child's heart and lungs and look in their nose or eyes for signs of allergies.</li><li>Tests: Chest X-ray, allergy skin testing, blood tests</li></ul> Complications:<ul><li>Asthma can cause problems like:</li><li>Severe attacks, sometimes leading to ER visits or stays in the hospital</li><li>Fatigue</li><li>Stress, anxiety, and depression</li><li>Delays in growth or puberty</li><li>Damaged airways and lung infections</li><li>Death</li></ul> Treatment:<ul><li>There are two main types of asthma medications:</li><li>Quick-relief medication that help with sudden symptoms. Your child’s doctor will prescribe these for fast help during an asthma attack.</li><li>Long-acting medication that prevent airway inflammation and keep asthma under control. Your child’s doctor will probably ask your child to take these every day.</li><li>Children under 4 may be prescribed to take their medications through an asthma nebuliser. This device changes the medicine from a liquid to a mist that your child can breathe into their lungs. The doctor will tell you how often to give these breathing treatments. To use the nebuliser:</li></ul>Wash your hands.Put the medicine in the nebuliser.Connect the tubes from the compressor to the base.Attach the mouthpiece or mask.Turn the compressor on and watch for a light mist to come from the nebuliser.Put the mask on your child’s face, or put the mouthpiece in their mouth and have them close their lips around it.Have them breathe in and out until their treatment time is up.Turn the nebuliser off when the medicine is gone.Have your child cough to clear out any mucus. Prevention:<ul><li>To prevent asthma attacks or to keep them from getting worse, focus on known triggers with steps like these:</li><li>Don’t let anyone smoke near your child.</li><li>Clean bedding and carpets often to fight dust mites.</li><li>Keep pets out of your child’s bedroom.</li><li>Fix leaks and use dehumidifiers to prevent mould.</li><li>Don’t use scented cleaning products or candles.</li><li>Check daily air quality reports in your area.</li><li>Help your child stay at a healthy weight.</li><li>If exercise is a trigger, your child’s doctor might give them medicine to help keep their airways open during activity.</li><li>Make sure they get a flu shot every year.</li></ul>

Here are Asthma Symptoms, Causes, Diagnosis, Risk factors, Treatment, Prevention, and Complications.

All about Asthma

Perfume allergy or alternatively known as fragrance allergy is the body's allergic reaction towards fragrances used in perfumes, deodorants, detergents, cosmetic products, soaps, shampoos, and cleaning products. The allergy is towards the ingredient of the fragrance rather than the fragrance itself. Because fragrance is found everywhere, it is quite difficult to keep your child away and protected from fragrance at all times. Fragrance allergy is one of the main causes of allergic contact dermatitis (ACD). Allergic contact dermatitis causes eczema and blistered skin at the contact points. After the acute phase, the skin turns scaly and takes some weeks to be repaired. Some children are sensitive to fragrances while some are allergic to them. Both are different from each other. Fragrance/Perfume Sensitivity:Perfume sensitivity, is a reaction to something that irritates your body. Sensitivity doesn’t necessarily trigger an immune system response. There might be a rash on your baby's skin which goes away after a few hours. The body usually gets rid of the irritant via sneezing so your child might sneeze a bit. A few mild symptoms of a perfume sensitivity can include:<ul><li>sneezing if the perfume is sprayed near the face and airways (nose, mouth, and throat)</li><li>itching, running, or stuffiness of nose</li><li>nasal mucus dripping down the back of the throat</li><li>persistent cough</li><li>headaches</li><li>nausea</li></ul> Fragrance/Perfume Allergy:An allergy towards a fragrance/perfume means that your body identifies the ingredient in the perfume as a foreign substance. The body then releases an inflammatory reaction to help fight off the substance as if it’s a bacterial or viral invader. This immune system response develops itchiness or a rash. Symptoms of Fragrance Allergy:<ul><li>mild to severe headache</li><li>burning sensation on skin</li><li>skin irritation, itching, and rashes</li><li>sneezing, coughing and runny nose</li><li>breathing difficulties, dizziness, and fatigue</li><li>muscle aches</li><li>watery, red, and itchy eyes</li><li>wheezing</li><li>inability to concentrate</li><li>swelling</li><li>nausea and vomiting</li></ul> Fragrance allergy also triggers migraine attacks in children suffering from migraines. Here are some severe, emergency symptoms to watch out for:Swelling in mouth, lips, or tongueAnaphylaxis Prevention:<ul><li>Try your best to keep your child away from the sources of fragrance.</li><li>Use fragrance less products for your kids.</li></ul> Diagnosis:A patch test is the best way to confirm an allergic reaction towards fragrance, and it is commonly performed in a dermatologist’s office. Patch testing helps to identify which substances may be causing an allergic reaction in a patient. Treatment:<ul><li>Medications</li><li>Topical creams</li><li>Light therapy: Blue or red light can help eliminate any bacteria irritating your child's skin or to reduce the immune system response.</li><li>Moisturising lotion or cream</li></ul>

Allergic reactions to fragrance/perfume are common than we know. Proper precautions will make your child's life easier.

Perfume allergy

<ul><li>When a grownup child of 4 or 5 years does not eat food on their own, it is a matter of concern. Actually, the training of a child eating on their own should begin in early years. When a child in of 6th or 7th month, (s)he tries to put everything in the mouth and that is the age when the child is eager to eat on his/her own.</li><li>At this time, the parent doesn’t allow thinking that the child is too young to eat on his/her own and will create mess like making their clothes dirty or floor and because the child will take longer time. So the child is being spoon fed and later when they get habituated to be fed by the parent, the parent starts complaining.</li><li>So the whole approach towards feeding needs to be changed. Child should be allowed to eat on his/her own even when (s)he creates mess or takes time.</li><li>Finger food which can be put on their fingers like fryums, cucumber or toast sticks, fruits are the kinds of food children like to eat on their own. Make food interesting for them and gradually they will develop the habit.</li><li>Of course developing a new habit is going to take time and you will need to be patient with your child.</li></ul>

When a child is ready to eat food on its own, (s)he will give you signals. Look for the signals and you will know how to help your baby.

Helping Children eat food on their own

Low blood sugar is medically called hypoglycemia and this can be resolved in most of the cases, with proper care.Sugar or glucose gives energy and most of this energy is used by the brain. When a child suffers from low blood glucose, it may – in some cases – lead to neurological damage, developmental delay, recurrent seizures and even cardiovascular issues. Symptoms that may indicate hypoglycemia in children:<ul><li>Blush or blue coloured or pale skin</li><li>Breathing problems like pauses between breathing, grunting or rapid breathing</li><li>Floppy muscles</li><li>Problems keeping your newborn warm</li><li>In some cases, there may be no symptoms at all.</li></ul> Causes:When your baby is inside your womb the glucose need is fulfilled by the placenta. Glucose level drops within 1-2 hours of birth and starts rising within the next 12 hours. After birth, your baby receives glucose from breastmilk and the baby's liver also starts making it. In some cases, your baby's liver might not be producing sufficient glucose or baby might use up more glucose than the amount received through breastmilk and produced through liver. Another reason could be that if you are a diabetic mother, your baby’s pancreas would release more insulin when inside the womb to maintain normal glucose level and after birth too, the pancreas continue with the insulin secretion at the same rate. Unfortunately, the liver cannot match this with adequate glucose production resulting in low levels in the blood. What can you do?<ul><li>Breastmilk is best way to regulate blood glucose level in your baby. The colostrum has enzymes that help the liver to release the glucose. Doctors will usually give a feeding plan to maintain the levels.</li><li>Keep your baby in skin to skin contact with you as this will keep your baby warm. Cold is known to worsen glucose levels. Generally, with proper care, the glucose levels in blood will stabilise within 3 days of birth. If the problem persists, the doctor will take the next necessary steps.</li></ul>

Low blood sugar is medically called hypoglycemia.

Low sugar in breastfeeding babies

Autism is a neurodevelopmental disorder which affects children. It mainly affects a child’s social communication which includes language as well as an emotional response to any situation. Children with autism also show some repetitive and restrictive behaviour. One-third of all children who have autism, suffer from intellectual disability, meaning they have a low IQ or mental retardation. Autism is not a life-threatening problem. Its severity ranges from mild to severe and early diagnosis and intervention can help in a better way.Children with autism have a trouble understanding what others think and feel. They cannot express themselves properly either with words, facial expressions, or gestures. Children with autism develop uneven skills. They might have a problem in communicating but they might be good at maths, art, or music. Symptoms:<ol><li>Lack of eye contact</li><li>Repetitive behaviour, example repeating phrases or rocking back and forth</li><li>Higher sensitivity to sounds, sights, smells, touch which might seem ordinary to others</li><li>Not looking at things when someone points at something</li><li>Not paying attention to what the other person is saying</li><li>Trouble adapting to changes</li><li>Some might also get seizures</li></ol> The symptoms usually appear before the child turns 3 or sometimes are evident from birth. Causes: Though the exact causes are not clear, here are a few factors which increase the chances of autism:<ul><li>Genetics of the child</li><li>Older parents</li><li>Pregnant woman exposed to drugs</li><li>Maternal metabolic conditions - like diabetes and obesity</li><li>Autism runs in the family</li></ul> Risk Factors: Children of all races can get autism but certain factors increase the risk. They are:<ul><li>Child's sex: Boys are about four times more likely to develop autism than girls.</li><li>Family history</li><li>Other disorders</li><li>Preterm birth</li><li>Parents' ages: More research is required but children born to older age parents are more likely to develop autism.</li></ul> Diagnosis: 2 step diagnosis for children Step 1: Developmental screening - The doctor will examine whether your child's basic skills like leaning, speaking, behaviour, and movement are on track or not. These developments should be routinely checked at the age of 9 months, 18 months, 24 months, and 30 months. Step 2: If your child shows signs of a problem on step 1 screenings, (s)he might have to undergo a hearing, vision, and genetic testing. By now, you will be advised to work with a child psychologist. Prevention: There is no way to prevent autism development in children. But mothers can live a healthy lifestyle, avoid drugs and alcohol during pregnancy. These will reduce the chances of autism development. Treatment:The treatment patterns which work for one child might not necessarily work for others. Your child's doctor will specially design a treatment plan for your child.&nbsp;Autism cannot be cured but the following treatments are helpful: Main treatment is Psycho-social intervention. It includes different types of behaviour therapy, cognitive therapy, speech therapy, social skill therapy and special school arrangements. Medicines can help to counter different symptoms like irritability, hyperactivity, depression or some of the repetitive behaviours. Behaviour therapy: Behaviour therapy is a collective term for several types of therapies used to treat mental health disorders. The treatment focuses on unhealthy behaviours and aims to change them. Behavioural therapy can be used to treat depression, anxiety, panic disorders, anger issues, autism, ADHD, etc. The several types of behavioural therapies are – cognitive behavioural therapy, cognitive behavioural play therapy, aversion therapy, system desensitisation.&nbsp;Cognitive therapy: It is based on the concept that the way we think about things affects us emotionally. It is based on present thinking rather than past experiences. Speech therapy: Speech-language therapy addresses challenges with language and communication. It can help people with autism improve their verbal, nonverbal, and social communication. The overall goal is to help the person communicate in more useful and functional ways.Goals of speech therapy include improving the spoken language, learning nonverbal skills such as signs or gestures, or learning to communicate using an alternative method (such as pictures or technology). Examples of the skills that speech therapy may work on include:<ul><li>Making clearer speech sounds</li><li>Matching emotions with the correct facial expression</li><li>Responding to questions</li><li>Matching a picture with its meaning</li><li>Modulating tone of voice</li><li>Alternative Augmentative Communication (AAC) - for some children with autism, it's easier to communicate through pictures or technology rather than speaking.</li></ul> Social Skills Therapy: Social skills therapy work on improving communication with friends, family members, at school, and more. Your child's psychologist might arrange group therapy for this particular skill development. Depending upon your child's autism intensity, your child's psychologist will layout the treatment plan for your child. Moreover, your child's doctor might also suggest parent training for you and your spouse. Safety precautions: Secure your house, irrespective of the child's age. Keep sharp objects away, keep harmful objects out of reach. You can use monitoring technology to stay assured about your child's safety. FAQs regarding ADHD: Can autism be cured?Autism is a lifelong disorder. The improvement depends on many factors like severity of the problem, time of diagnosis, IQ of the child and the interventions done. Children with normal IQ and mild to moderate autism can live a normal life with timely intervention. Any food can help with autism?There is no evidence that any particular food can help better autism. Do all children with autism have a low IQ?No, only one-third of all autistic children have low IQ. Many children with autism have some extra skills and more than average IQ. To whom should I consult for autism?If you see any symptoms of autism in your child, it is best to consult a psychiatrist. For an initial consultation, you can visit your child’s paediatrician as well. Can a child with autism live a normal life?Yes, many autistic children can live a normal life provided their IQ is normal and the intervention for social communications is done properly. Is autism a genetic problem?Yes, there are pieces of evidence that genetic factors are involved in aetiology (causes) of autism but it is not the only factor. There are others like immunological, neurological and developmental factors also involved. Can a child with autism go to a normal school?If the IQ of a child is normal, (s)he can definitely go to a normal school.

Here are Autism Symptoms, Causes, Treatment, Precautions, Risk factors, Prevention, Diagnosis, and FAQs.

common causes of post nasal drip

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