Ravina Sewani

Oral Allergy Syndrome (OAS) or Pollen-Fruit Syndrome (PFS) is a type of contact allergy resulting in a local reaction in the mouth or throat following ingestion of certain foods (raw veggies and fruits).This is commonly seen in children who are highly sensitive to pollen due to the cross-reactivity between the allergy-causing pollen proteins and proteins present in certain foods or vice versa. Symptoms:<ul><li>Symptoms of an OAS are common during the pollen season.</li><li>If a child allergic to pollen develops an allergic reaction in the pollen season against a specific fruit or vegetable, it is not a 'true food allergy' but cross-reactivity.</li><li>True Food Allergy is an allergy to the proteins present in the food and is diagnosed by healthcare professionals based on the symptoms, history, and tests if required.</li><li>OAS is diagnosed by evaluating clinical history, followed by a skin prick test containing extracts of pollen and the specific food if required.</li><li>Symptoms of an OAS are immediate within a few minutes, with a rapid onset of itching or swelling of mouth, throat, tongue or face. These symptoms usually disappear in a few minutes as well. The reactions of OAS are usually mild and can be treated by giving your child antihistamine medication prescribed by your doctor.</li></ul>

Oral Allergy Syndrome (OAS) is a local allergic reaction in mouth and throat.

Oral Allergy Syndrome

Palak Vyas

<ul><li>Generally there is a notion that a gluten free diet is healthy but it is not true for everyone. Gluten free diet is for those who have either 1) celiac disease (immune reaction against eating wheat) or 2) non celiac gluten sensitivity. Gluten present in wheat, barley, rye and other products can be troublesome for celiac patients and it can make gluten sensitive people sick.</li><li>So if the kid has any of the above conditions you can go gluten free otherwise it isn’t wise to keep your child’s diet gluten free.</li><li>Gluten free diet generally includes food like vegetables, high quality protein, healthy fats (nuts, seeds, avocado), fruits and grains that do not have gluten.</li></ul> Reasons why you should not have gluten free diet for your child:<ul><li>Whole Grains that contain gluten have lots of crucial nutrients including B vitamins, antioxidants, iron, selenium, magnesium etc. Excluding whole grains will lead to nutrition deficiency in children.</li><li>Whole grains have fibre too which is good for digestion.</li><li>Gluten free diet can be too low in calories for growing children. It is hard to get healthy calories from other sources.</li><li>Gluten free diet can be high in arsenic. Those who do not eat wheat prefer rice as a staple food. Now rice and rice products are rich in arsenic which is not good for the baby’s body.</li></ul>

It is very important to maintain a balanced diet for the proper growth and development of the baby. Going gluten free or not is an individual's choice. It is better to look into the pros and cons before taking the decision.

Gluten free diet for children or not

<ul><li>Dust mites are very small bugs which live in humid environments and feed on scales shed by human skin. Dust mites need around 80% humidity and so as soon as the humidity falls, they die.</li><li>A protein present in the wastes of dust mites is usually found in the beds, carpets, furniture and when your child inhales such air, an allergic reaction is triggered.</li><li>Dust mites are the most common culprits behind your child's asthma. So it is very important to clean the furniture in the house properly at regular intervals.</li><li>The growth of dust mites can be prevented by dust-proofing your house using vacuum cleaner and washing pillows and mattresses in hot water time to time.</li><li>The growth of dust mites and hence the allergic reactions can be reduced by installing dehumidifiers to reduce the percentage of humidity indoors. You can also use HEPA filters in the air purifiers of your house.</li><li>Avoid carpeting in your house if your child is allergic to dust mites.</li></ul> Symptoms:<ul><li>Itching</li><li>Rashes</li><li>Vomiting</li><li>Diarrhoea</li><li>Swelling of the lips or tongue or face</li><li>Throat constriction</li><li>Difficulty in breathing</li><li>Allergies may sometimes also cause a life-threatening reaction called anaphylaxis which constricts the airway passage and requires immediate medical attention.</li></ul> Diagnosis:<ul><li>Always get your child diagnosed by a healthcare expert and never on your own. Never self-assume that your child has peanut allergy. Commercial home test kits for self-diagnosis are not recommended as they may not be of the required standards.</li><li>Your child’s paediatrician may recommend that your child undertake tests like skin prick test, blood test or food/drug challenge. It is important that these tests are performed under medical supervision as these tests might trigger an allergic reaction. Along with these tests, your child’s paediatrician will also examine your child's medical/family history, existing conditions like asthma and eczema.</li></ul>

Allergy to dust mites is usually caused by the carpets used in the house. The best way to make your baby safe is to keep your surroundings clean.

Dust mites allergy

Dyslexia is a learning disorder that affects your ability to read, spell, write, and speak. Kids who have it are often smart and hardworking, but they have trouble connecting the letters they see to the sounds those letters make. Some people are diagnosed early in life. Others don't realize they have dyslexia until they get older. Kids with dyslexia are just as smart as their peers but they struggle more in school because it takes them longer to read. When children learn to read, they first figure out what sound each letter makes. For example, "B" makes a "buh" sound. "M" makes an "em" sound. Then, they learn how to put those sounds in order to form words. Finally, they have to figure out what words mean.For kids who have dyslexia, the brain has a hard time connecting letters to the sounds they make, and then blending those sounds into words. So to someone with dyslexia, the word "saw" might read as "was." Because of these mix-ups, reading can be a slow and difficult process.Dyslexia is different for everyone. Some people have a mild form and eventually learn how to manage. Others have a little more trouble overcoming it. Even if children cannot fully outgrow dyslexia, they can still go to college and succeed in life. Causes: Dyslexia is caused due to genetic reasons. Symptoms in Preschoolers:<ul><li>Hard to learn or remember the letters of the alphabet.</li><li>Mispronounce familiar words.</li><li>Mixing up letters. For example, mistaking "t" for "d."</li><li>Trouble identifying rhyming patterns.</li></ul> Symptoms in Grade Schoolers:<ul><li>Read more slowly than other kids their age</li><li>Can't tell the difference between certain letters or words</li><li>Don't connect letters with the sounds they make</li><li>Write letters or numbers backwards, such as "b" instead of "d"</li><li>Have trouble sounding out words when they read</li><li>Can't always understand what they've read</li><li>Write slowly</li><li>Misspell words - even easy words like "and" and "dog"</li><li>Say that words on the page appear to blur or jump around</li><li>Struggle to follow a series of instructions</li></ul> Middle and high school students with dyslexia:<ul><li>Have trouble writing clearly (make errors in spelling, grammar, and punctuation)</li><li>Take a long time to finish their homework or complete tests</li><li>Have messy handwriting</li><li>Speak slowly</li><li>Avoid reading aloud</li><li>Use the wrong words - like "furnish" instead of "finish" or "lotion" for "ocean"</li></ul> Common symptoms in children with dyslexia:<ul><li>Frustration</li><li>Anger</li><li>Disinterest in studies</li><li>Disobedience</li><li>Lower self-esteem</li></ul> Diagnosis:Dyslexia is usually diagnosed during elementary school. In some cases, it doesn't become apparent until a child is older and is expected to read and comprehend longer and more complex material. Dyslexia is formally diagnosed by a reading specialist or psychologist, through a comprehensive evaluation either at school or in the community. Managing Dyslexia:<ul><li>Once diagnosed, a child usually works with a specially trained teacher, tutor, or reading specialist to help children in learning how to read, spell, and write.</li><li>Once a child starts working with trained academic professionals, (s)he can overcome dyslexia and lead a normal life. Children with dyslexia should be offered the maximum support of their loved ones.</li></ul> Risk factors:<ul><li>A family history of dyslexia or other learning disabilities.</li><li>Premature birth or low birth weight.</li><li>Exposure during pregnancy to nicotine, drugs, alcohol or infection that may alter brain development in the fetus.</li><li>Individual differences in the parts of the brain that enable reading.</li></ul> Prevention: Dyslexia cannot be prevented. FAQs about Dyslexia:What is dyslexia?Dyslexia is now called Specific learning disorder. It is a neurodevelopmental disorder that influences the brain's ability to efficiently perceive or process verbal and nonverbal information.It is characterised by persistent difficulty in learning academic skills like reading, written expression, or mathematics. Dyslexia begins in early childhood and is inconsistent with the overall intellectual ability of a child. Children with specific learning disorder often find it difficult to keep up with their peers in certain academic subjects, whereas they may excel in other areas. How can I confirm that my child has dyslexia or not?You may suspect that your child has dyslexia when the IQ of your child is normal yet your child lags behind in some areas of academics or when (s)he does not score well even though (s)he learns very well.&nbsp;What is the treatment of Dyslexia?Treatment for Dyslexia depends on the area in which a child lags behind. Teaching specific learning skills through different behaviour therapies or software-based therapies are helpful. Is there any medicine for Dyslexia?NO. There is no medication for dyslexia; the treatment for this condition is through behaviour-based and software-based therapies. If the child has other co-morbid conditions like ADHD or other psychological problems then medicines can be given accordingly. Can a child with dyslexia study?Yes. A child with dyslexia can study normally if the area of problem is identified and interventions are done timely.

Here are Dyslexia Causes, Symptoms, Diagnosis, Management, Risk factors, Prevention, and FAQs.

All about Dyslexia

Immunotherapy is a form of desensitisation treatment for allergies performed under medical supervision and may be recommended.In this treatment, your child is given small doses of allergens as an injection, tablets or drops, to 'reduce symptoms' of severe, persistent allergy (allergic asthma, allergic rhinitis, eye allergy or stinging insect allergy). The allergens are present in very small amounts, enough to desensitise the immune system against the particular allergen. This treatment is used so that your child is able to build resistance to the allergen.Note: This treatment should only be performed by a healthcare expert under proper medical supervision. Never perform this treatment on your own. There are 2 phases in immunotherapy, given at regular intervals up to three years:i) Build-up phase – In this phase, the dosage of allergens in the shots is increased gradually and frequently till the allergen is tolerated well.ii) Maintenance phase, this phase begins after the effective dose is reached and then onwards, the frequency of shots is reduced significantly.Immunotherapy is commonly used for environment-induced allergies where the medications aren't helping, your child has side effects from the medications, and you would like to reduce the continued use of allergy medications.This treatment requires the medical supervision of an allergist or an immunologist, who will look out for local reactions if any, and treat symptomatically.

Immunotherapy is a type of long term treatment to combat allergy problems in children.

Immunotherapy

Following are the guidelines to be followed regarding the milk intake of a child: <ul><li>Ideally the child should be compulsorily breastfed till the age of 1 year.</li><li>In case if the mother’s milk is not enough or if she’s a working mother and is unable to feed the child, external milk can be given.</li><li>As external milk, give formula milk. You can give formula milk based on your budget and child’s nutrition requirements. Formula milk is rich in proteins and DHA which help in brain development. There are several formulas for milk available - STANDARD formula like Lactogen and Dexolac. PREMIUM formula is also available in market which is very similar to the mother’s milk with DHA and ARA like Enfamil and Nan Excella pro.</li></ul> <ul><li>In any case, DO NOT give animal milk to your child before one year. The proteins in animal milk and human milk are completely different which can lead to consequences. A child can be given animal (cow/goat/buffalo) milk after 1 year.</li><li>A child can be given semi-skimmed milk after 2 years of age. However, do not give complete skim milk to a child under 5 years.</li></ul> <ul><li>There is no age limit for breastfeeding. A child can be breastfed till one or two years or even more than that as long as both the mother and child are comfortable. But sometimes it so happens that even after one year, the child considers mother’s milk as the sole source of food and does not intake any external food.</li><li>REMEMBER that after one year, the child’s nutrition need should be fulfilled 70% by outer food and 30% by mother’s milk.</li><li>When the child feeds on mother’s milk for a while, his/her hunger is satisfied but the child does not get enough nutrition. Hence, such a child can stay malnourished and can lose weight. In such cases, doctors can advise the mother to wean off the child at least during the daytime so that the child starts eating properly and gets proper nutrition.</li></ul>

It is important to breastfeed a child till 1 year. It is not advisable to give formula milk before the age of 1 year.

Milk for babies - Mother's milk, Formula milk or Animal milk

Good dental health includes cleaning teeth regularly.<ul><li>For an infant, using a soft cotton cloth is a better option. Wrap the cloth around your finger and clean the teeth and mouth using your finger. Get started with a soft toothbrush when the child turns 2. Use only rice-sized fluoride toothpaste.</li><li>Brush your child’s teeth twice a day, in the morning and before going to bed. For the babies of 6-9 months offering water to drink between the feeding is considered to be a better choice to keep their mouth clean.</li><li>After the age of 3, start using pea-sized toothpaste to clean the teeth. This amount of fluoride toothpaste is considered safe for children and helps to prevent tooth decay.</li></ul> Brushing properly:<ul><li>Get a small, child-sized, soft-bristled toothbrush. Soak the brush in warm water for a few minutes before brushing to make the bristles softer.</li><li>Apply a rice sized paste on the brush and get started with proper brushing habit, gradually increase the amount of toothpaste.</li><li>Brush the teeth for 2 minutes; concentrate on space between the teeth and black portion on the tooth. This is an area where cavities often first develop.</li><li>Replace toothbrush after 3 to 4 months and never share it with others.</li></ul>&nbsp;If your child does not like to brush his/her teeth try this:<ol><li>Become a role model and start the practice in early years of childhood. If you want your child to develop good dental care routine start brushing your teeth in front of kids twice a day.</li><li>If toothpaste is the cause of concern, try to eliminate it for a few days. Let the child brush the teeth with a wet brush, this is just to develop the habit of brushing once they get used to it you can get started with a small amount of toothpaste.</li></ol> Never lose your patience, remember this will make things difficult for both you and your child. Narrate stories and try to make it a fun loving activity rather than a daily practice.

Brushing habits should start in early years of childhood.

When and How to get started with brushing?

If your child does not like milk or takes time to have a glass of milk every morning, do not get impatient. Threatening the child is not a solution.Calcium is important for bones and milk intake is important for a child’s health, so you can try these techniques or give alternate sources of Milk: <ul><li>Keep offering milk at each meal.</li><li>Make a smoothie with Banana or make almond milkshake.</li><li>You can pair milk with cornflakes or healthy cereals.</li><li>Give a handful of almonds and oranges as a substitute.</li><li>Sprinkle some sesame seeds in salads or add them when you knead a roti dough.</li><li>Give plenty of curd or yogurt/cheese/ghee - these are good substitutes of milk.</li><li>Don’t start with a full glass and insist on finishing it; try small quantities and gradually increase the intake.</li><li>You can even pair it with you child’s favourite biscuits or cookies.</li><li>Give them options of colourful glasses to choose from so as to make the milk consumption appealing.</li></ul> REMEMBER the goal is to fulfil the calcium need in a child's body. So if your child dislikes animal milk, you can try almond or coconut milk or given him/her alternative sources of calcium.

If your child does not like milk or takes time to have a glass of milk every morning, do not get impatient.

What to do if child does not drink milk?

Stomach aches are of two types: Pathological and Functional. Pathological stomach aches have medical reasons behind it whereas functional stomach aches are mostly due to stress. Pathological Stomach ache: In pathological stomach ache, the child will also have other symptoms like severe fever, huge swollen belly, vomiting, problems in urine and stool. Here child is actually sick. Here the doctor can ask to get some blood work or urine stool reports done.Ultra scan of abdomen&nbsp;may be required. Such severe cases are generally not very common.<ul><li>From the history of your child, the doctor will be able to identify whether the child is suffering from functional pain or not. This kind of pain has a long history like it occurs over 15 days, 2 months, or so. Normally these types of pain are not considered severe. There is no particular reason behind it. There will be no pathological sign or symptom apart from pain.</li></ul> <ul><li>Sometimes constipation also leads to stomach ache: Constipation is again one of the major reasons behind child’s stomach pain. Generally after half an hour of the first food in the morning the child can get nature’s call. Now, when the child gets up, the mum is ready with a cup of milk and hurries up to get him/her ready for school. In that situation the child feels the stress causing him pain. There is no time to attend nature’s call and (s)he has to leave for school. When the child reaches school either the toilets are dirty or the teacher doesn’t allow the child to go. So to avoid these, the child suppresses his/her natural urge to go to the toilet and hence develops constipation. When (s)he gets back home there is no natural urge and constipation increases. Here, the doctor needs to check for constipation as a reason of stomach ache.</li></ul> <ul><li>Stomach ache and stomach worms: Stomach worms could also be one of the reasons of stomach ache. Children above one year up to the age of 12 years need to be given stomach worm medication after every six months even if there is no pain.</li></ul> Functional Stomach aches: The child can experience functional stomach pain due to stress. When the child experiences stress, certain chemicals are released in the stomach which can lead to stomach pain. So remember, when a child is complaining about stomach ache, (s)he is not lying or making things up. Situations under which child can experience stress and can complain of stomach ache:<ul><li>When a child has just woken up and (s)he sees his mom with a glass of milk.</li><li>When the child is trying to finish school work and the school bus arrives.</li><li>When the teacher scolds him/her in the school.</li><li>When other kids bully him/her in the school.</li><li>Sometimes there is sibling rivalry when you compare two children in the same house which can also lead to some stress resulting.</li><li>Ultimately all the stress in the body gets out in the form of stomach pain. So the child feels like avoiding school and any such situation which are uncomfortable for him/her. When the child is rescued from such situation or distracted, this pain is also relieved.</li><li>One thing that is important here is that how a parent treats the child during situations of stress. If the parent starts giving special treatments or pampers the child by allowing them to stay home after stomach ache complaints or if they say it is okay not to work, the child would know for sure that anytime (s)he doesn’t want to work or don’t want to do a thing (s)he can use this excuse of stomach pain.</li><li>Parents can instead, talk to the child, understand the problem and find out the reason behind stress. You can help your child calm down and explain to them that you are there for them if anything goes wrong.</li><li>Give some time to your child to accept changes and you will be good to go.</li></ul> Causes:<ul><li>Stress</li><li>Food intolerance</li><li>Food alergy</li><li>Injury</li><li>Constipation</li><li>Diarrhoea</li><li>Appendictis</li><li>Gas</li><li>Colic</li></ul> Symptoms of Stomach ache:<ul><li>Acts fussy or grumpy</li><li>Doesn’t sleep or eat</li><li>Cries more than usual</li><li>Diarrhea</li><li>Vomiting</li><li>Trouble being still (squirming or tensing up muscles)</li><li>Makes faces that show pain (squeezing eyes shut, grimacing)</li></ul> Diagnosis: Your child's doctor will first examine your child, take his/her medical history, and maybe do some tests. Treatment:<ul><li>The child’s lifestyle has to be improved.</li><li>Parents should check that the child is stress free.</li><li>Give the child suitable and balanced diet.</li><li>Avoid giving outside food or junk food from hotels and restaurants.</li><li>Parents should keep house atmosphere pleasant.</li><li>Gentle behaviour from parents can improve this condition.</li><li>If the stomach ache is followed by vomiting or diarrhea, it is better to consult a paediatrician.</li><li>The doctor may suggest some medicine or might give special instructions on eating to help with the bellyache.</li><li>If stress is the reason of stomach problems, the doctor may recommend a specialist, such as a psychologist.</li><li>If your child's stomach ache turns out to be due to appendicitis, an operation called an appendectomy needs to be performed.</li></ul> Prevention:<ul><li>Avoid overeating.</li><li>Give fiber-rich foods, such as fruits and vegetables to your child, so that the bowel movements are regular.</li><li>Give lots of fluids, especially water to your child.</li><li>Wash hands before eating.</li><li>Avoid eating right before bedtime.</li><li>Lots of sleep.</li></ul>

Here are Stomach ache Types, Symptoms, Causes, Diagnosis, Treatment and Prevention.

insect sting allergy health concerns

Following article(s) will help solve your concern.