Palak Vyas

<ul><li>Yes! There is a difference in potty training boys and girls. Most parents start potty training their child when they are between 2-3 years old. Usually, a girl child is ready to start potty training when she is 18 months old or it can vary up to 4 years in some cases.</li><li>Girls tend to get started with potty training about 3 months earlier than boys. Boys take more time to get ready; at around 2 years they start and can be fully potty trained between 4 to 6 years of age. So they start later and take longer to train.</li><li>Boys have to learn two different ways and they easily accept this. To start with, teach them to use the potty while sitting and gradually they learn to use the toilet in standing position for peeing and in sitting position for potty.</li><li>Girls mature faster both physiologically and intellectually. They are quick with the concepts of language and understand better so their potty training is faster. They learn how to dress and undress and they have better control than boys.</li><li>Every child is unique. Regardless of gender, potty training will be different for everyone. Each child will be potty trained in his/her own time and in his/her own way.</li><li>It is important to reward your child for achieving this milestone of being potty trained.</li></ul>

You might have to adapt different approaches to potty train your girl child and boy child.

Difference in potty training for boys and girls

Ravina Sewani

In mastitis, your breasts might become tender, warm to touch, breast may get swollen, get a breast lump, skin redness, experience burning sensation continuously or while breast-feeding. Mastitis is an inflammation of the breast due to ineffective draining of milk. Mastitis is known to happen in only one breast but sometimes it can happen in both your breasts. Mastitis requires medical advice right away. When you are breastfeeding, milk production is a continuous process and if you do not empty your breasts, the pressure around the breasts increases and the milk builds up in the surrounding breasts tissues. This build up of milk causes redness and swelling. If the milk enters into the blood stream, your immune system might respond with fever or with chills and heat alternatively. Mastitis sometimes is also caused by bacteria entering your body through your cracked nipples or milk ducts. The risk of mastitis increases there is poor draining of milk, sore or cracked nipples, inefficient nursing, or if you wear a tight-fitting dress restricting your milk flow, if you smoke or have a poor nutrition compromising your immunity. If left untreated, mastitis could lead to abscess. Mastitis can be prevented by ensuring drainage of the milk from your breasts while breast-feeding. This can be done by allowing your baby to fully feed from one breast before offering the other.The usual treatment for mastitis includes prescription of antibiotics. Mastitis can recur if you do not treat the cause. You need to drain your breast totally during every feed. Continue to breastfeed through your bout of mastitis as this may help you. If you do not do this, you run the risk of another infection.

Mastitis is an inflammation of the breast due to ineffective draining of milk.

Mastitis in mothers

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?

Headache is the pain or discomfort in the head. Just like stomach aches, headaches can also be of 2 types: pathological and functional.Headaches can be functional or pathological in nature. Pathological pain can be due to tumour or any other complexities, but this is rare in small children. Children usually do not get headaches. But if they do, these can be the basic reasons behind headaches in children:<ul><li>Inadequate hydration</li><li>Skipping a meal or breakfast</li><li>Not getting enough sleep. Sound sleep for a minimum of 10-12 hours is needed.</li><li>Stress due to studies pressure or any emotional conflict can also cause headaches.</li><li>Vision problems like nearsightedness or farsightedness</li><li>Constant use of screens</li><li>Family history</li></ul> Symptoms: fussiness, crankiness, problem in sleeping Types of headaches: <ul><li>Tension headaches: These are due to emotional stress or tiredness. This is the least serious of all. It can be due to family conflicts or problems in the school</li><li>Congestion headaches: These are due to cold or flu and usually stop when the illness is over.</li><li>Headaches after an injury: Headaches are followed by head injury for a while. With the doctor’s help, it can be cured. If your child has had an injury in the past, headaches might occur even after many years.</li><li>Migraine headaches: It is a more serious kind of headache and requires medication prescribed by a doctor. A child is susceptible to develop migraine headaches if they run in the family. Visit your child’s paediatrician for the same.</li></ul> Diagnosis: Your child’s doctor will look into your child’s headache history; carry out a physical exam and in some cases neurological exam. In very rare cases, your child’s doctor might suggest for a MRI or CT scan.&nbsp; Treatment: For children, doctors usually do not prescribe medications unless the situation is serious. Usually following remedies work for children quite well:<ul><li>Lay your child down on a bed with his/her head slightly raised, in a cool, calm, quiet and darkroom. Put on the curtains.</li><li>Apply a cold compress (a cold wet washcloth or ice wrapped in a washcloth) on the head or nape (backside of the neck). Or ask your child to take a cold-water bath.</li><li>Apply heat. Apply warm (not hot) wet washcloth on the head or nape or ask your child to take a warm-water bath.</li></ul>Note: See what works the best for your child – cold compress or heat.<ul><li>Place a cool, moist cloth across your child’s forehead and eyes. Ask your child to relax and take easy and deep breaths.</li><li>Make sure your child follows a regular sleeping and waking time daily.</li><li>Make sure that your eats on time. Low blood sugar may sometimes cause a headache.</li><li>Make your child drink sufficient water.</li><li>If your child is old enough, you can give over the counter medication after consulting the doctor.</li><li>For pain management without medication, you can ensure your child is stress-free. Make your child do exercises that help him/her relax.&nbsp;</li><li>Avoid any trigger that can cause headaches like extreme heat, insufficient sleep, hunger etc.</li></ul> When to visit the doctor:<ul><li>Daily headaches interfering with a child’s life</li><li>Headaches when coughing, sneezing, running or during a bowel movement.</li><li>Sudden headache for the first time with numbness and vomiting.</li><li>Headaches with a stiff neck and fever</li><li>Headaches after a head injury that keep coming back.</li><li>Headache accompanied by fits, fever or tiredness.</li><li>If the child is drops things from hands</li><li>Sudden deterioration of performance in school</li><li>Headaches along with pain in eyes and ears.</li><li>Headaches similar to any of the family members.</li></ul> Prevention:<ul><li>Make sure your child gets plenty of rest.</li><li>Fixed eating schedule</li><li>Make sure your child hydrated at all times.</li><li>Encourage your child to openly talk to keep stress at bay.</li><li>Observe if your child is allergic to certain foods. If so, visit the paediatrician or you can give those foods at a minimum.</li></ul>

Here are Headache Symptoms, Causes, Types, Treatment, Prevention, Diagnosis, and Remedies.

All about headaches

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

Itching can result due to various reasons:<ul><li>Skin allergies</li><li>Food allergies</li><li>Dandruff</li><li>Skin disorder</li></ul> <ul><li>It is advisable to consult your paediatrician or doctor for itching before you apply any skin products to your child.</li></ul> Remedies for itching:<ul><li>Avoid scented soaps, lotions, and bubble baths.</li><li>Change out of wet or damp clothing immediately after exercising or swimming.</li><li>Moisturising the skin with a good moisturiser.</li><li>See a doctor when the itching persists for more than 2 weeks, when there is inflammation and when itching affects the entire body.</li></ul>

Itching, if not treated at the right time can intensify and irritate a child. It is better to consult your paediatrician at the right time.

Itching problem in children

Prachi Shah

Food in the first 6 months:A baby receives all the nourishment during the first six months from either breast-milk or infant formula milk. Health experts recommend that babies should take solid foods after six months in addition to breast-milk (or the baby’s usual formula milk) to allow them to grow and develop. Foods to avoid in first 9 months: <ol><li>Salt: Do not add any salt in babies' food as their kidneys are not fully developed.</li><li>Sugar: Do not add sugar to foods or drinks you give to your baby. Sugar encourages a sweet tooth in children and leads to tooth decay.</li><li>Honey: Do not give honey to a child under the age of one year, as it may contain a kind of bacteria which can produce toxins in the baby’s intestines and can cause a very serious illness (infant botulism).</li><li>Nuts: It is recommended that nuts and products containing them should not provided to children. This is to protect children who may be at risk of nut allergy. Whole nuts should never be given to children under the age of five because of the risk of choking.</li><li>Foods which contain gluten, e.g. wheat flour, bread, breakfast cereals made from wheat, rusks, spaghetti or other pastas</li><li>Citrus fruits, including citrus fruit juices, e.g. orange juice</li></ol> Food from the 7th month:<ul><li>All family foods can be offered at this stage – remember not to add salt while cooking or at the table.</li><li>Mash food with a fork. This will encourage the baby to learn how to chew.</li><li>By this age the baby should be having three meals a day and eating more at each spoon feed.</li><li>The amount of milk can be gradually reduced as the baby eats more solid food.</li></ul> Food from the 9th month:<ul><li>During this stage babies will move on from mashed to chopped foods.</li><li>Continue to offer all family foods at this stage.</li><li>Continue to give three meals a day plus 1–2 snacks.</li><li>At this stage babies will continue to receive 3–4 breastfeeds each day</li><li>Encourage babies to eat a wide variety of foods</li><li>By this time introduce cups to your baby.</li></ul> By the age of 12 months, the baby should be introduced to all kinds of vegetables and fruits. Dried fruits should be introduced after one year.

Gradual introduction of different foods leads to proper development in children.

Diet for babies from 0 to 12 months

<ul><li>Most chemical head lice treatments aren't suitable for babies under two years old. So the best way to get rid of your little one's head lice is by wet-combing.</li></ul> 1. Make your child comfortable: Comb or brush any knots out of your child’s hair with an ordinary comb. Wet your child’s hair completely with plenty of water to straighten it so that the comb moves smoothly.2. Comb hair still using an ordinary comb.3. Change to a comb with fine teeth: Use a head lice comb and comb sections of your child's hair. Comb from the roots to the ends of the hair. Be careful while using lice comb so that it doesn’t hurt your child.4. After each comb, wipe the conditioner on to a paper towel or tissue. Check the tissue or paper towel for lice and eggs (a magnifying glass may help you to see them more easily).5. Repeat the combing for every part of the head, section by section. Comb each section at least 4 or 5 times before moving on to the next section.6. After you have combed the whole head, rinse out the conditioner.7. If you find lice or eggs, repeat these steps every day if you can manage it, but at least every 2 to 3 days. You can stop when you find no lice or eggs for 3 days in a row.8. Check the hair of everyone in the house twice a week for the next 2 weeks to make sure everyone stays clear. <ul><li>You can also use lice controlling medicated shampoos after concerning your paediatrician.</li></ul>

Children below 3 years usually do not suffer from hair lice. If they do, proper shampooing of their hair and an oil massage is helpful for them.

Treating hair lice

<ul><li>Allergic Rhinitis is a type of inflammation in the nose following an exposure to the pollen or inhalation of indoor allergens like mould, pet dander, dust mites, dried skin flakes, or smoke.</li><li>As a preventive measure, you may reduce your child's exposure to the outdoor allergens and provide a clean environment free from indoor allergens.</li><li>The symptoms of allergic rhinitis are similar to common cold like runny nose, sneezing, nasal congestion, nose/eye itching, and teary eyes.</li><li>Allergic Rhinitis can develop in children as early as 18 months.</li><li>In the case of Allergic Rhinitis, your child’s doctor can prescribe either antihistamines or decongestants.</li></ul>

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