Chewing may start around 6-9 months. By 10 months, your baby should be given textured food and opportunity to chew. Babies can do light chewing till 1.5 years as they still lack molar teeth. There can be several reasons behind a child not chewing its food properly:<ul><li>Late introduction of food</li><li>Delayed development of motor skills (jaw, tongue, swallowing)</li><li>Disinterest in food because of test, texture, or flavour</li><li>Boredom of same food</li><li>Allergy</li><li>Consumption of milk three times</li><li>Big portions</li><li>Distraction</li></ul> Please refrain from the following behaviour:<ul><li>Generally, parents put on child's favourite cartoon or TV programme and feed their child. For parents, the only concern is to make the child eat sufficient amount of food so as soon as this is done, they think that their part of duty to feed the child is over.</li><li>This is where children get into the bad habit of eating while watching T.V. When a child eats in front of the screen, (s)he does not know what (s)he is eating. The child will also not chew the food properly.</li><li>If a child observes that his/her parent is taking a sandwich in their hand while going to office and eats moving around the house or watches television while eating, the child will learn the same. The child models their parents’ behaviour and thus (s)he doesn’t chew properly. Either they eat too slow or just gulp without chewing.</li></ul> For improvement, take the following steps:<ul><li>When a child eats food on their own, proper chewing habit develops easily. This way the child becomes independent and learns to do his/her own thing. So encourage them to eat their food on their own.</li><li>Make it a point to have a family meal time where everyone eats together.</li><li>Vary the type of food, food's texture to keep the food interesting for your child.</li><li>Instead of a screen, tell them stories or talk to them while feeding them.</li><li>Make sure there is sufficient gap between meals. When the child is not hungry, (s)he does not chew the food properly. Take this as a sign that your child is not hungry.</li><li>You can constantly keep telling them about the importance of chewing process and help them develop this habit by following it yourself.</li><li>Eat with them, but in a different plate. When a child watches you eating calmly and properly, (s)he learns the same.</li></ul>

Kids tend to skip chewing and try to swallow the food directly. Do not get angry, try to be patient and address the problem.

Helping child to chew food properly

Ravina Sewani

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

Palak Vyas

Drooling is saliva coming out of baby’s mouth. Generally drooling in the early developmental stages of the child is completely normal. It is a part of physical development. It is common for baby to drool till 2 years. But if the child is drooling even after 4 years, it is not normal. Main causes of drooling:<ul><li>Teething: Drooling is common in babies during their teething periods.</li><li>Open mouth posture: Drooling happens when the baby does not have enough muscle control to contain the saliva that the body produces. The baby still has poor mouth and tongue control resulting in drooling.</li><li>Nasal congestion: When the child breathes through his/her mouth due to nasal congestion, (s)he starts drooling during sleep.</li></ul> Treatment:<ul><li>Usually the baby stops drooling by the time (s)he is 2 years.</li><li>Parents can work on improving child’s posture.</li><li>Try reducing nose blockage.</li><li>Medication can be given to help reduce the amount of saliva produced in case of excessive drooling.</li><li>Doctor can recommend injections or surgery depending upon the severity of the case.</li></ul>

Saliva drooling is very common among children and usually resolves by the age of 2 years.

Saliva drooling in children

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.

All about Autism

Tearing is a normal function of the eye. But when tear ducts get blocked due to infection and inflammation, tears well up in the eye and fall excessively; this is called "eye watering". In newborns, the condition usually resolves itself within a few weeks. Common causes of watery eyes:<ul><li>Allergies</li><li>Blocked tear duct</li><li>Common cold</li><li>Dry eyes</li><li>Ingrown hair lashes</li><li>Pink eye (Conjunctivitis)</li><li>Stye (a red, painful lump near the edge of the child’s eyelid)</li><li>Tear duct infection</li><li>Eye injury</li><li>Chemical splash in the eye</li></ul> Symptoms associated with watery eyes:<ul><li>Eye pain</li><li>Eye infection</li><li>Runny nose</li><li>Vision impairment</li><li>Sneezing</li><li>Swelling in the eyes</li><li>Redness in the eyes</li></ul> Treating eye watering:<ul><li>Sometimes a sticky liquid may form around the baby's eye or eyes. You can use a piece of cotton wool that has been soaked in sterile water to clean the eyes. Make sure to boil the water to make it sterile and then cool enough before dabbing it on the child’s eyes with cotton wool.</li><li>Sometimes tears can be relieved by gently massaging the tear ducts. Apply light pressure with the finger and thumb to the outside of the nose.</li><li>If the situation persists for more than a day, consult a doctor.</li></ul>

The problem of constant tears usually resolves within a few weeks in a newborn. If eye watering is accompanied with other problems, you might want to consult a eye specialist for your child.

Treating eye watering

Chicken pox is a communicable disease but is also self limiting, which means, the virus gradually leaves the body in few days naturally. Chicken pox is caused by Varicella-zoster virus. Most cases occur through contact with an infected person. The virus can spread through:<ul><li>saliva</li><li>coughing</li><li>sneezing</li><li>contact with fluid from the blisters</li></ul> Symptoms:<ul><li>The obvious sign of chickenpox is a super-itchy skin rash with red blisters. Over the course of several days, the blisters pop and start to leak transparent watery fluid. Then they dry out before finally healing. The first sign is usually a general feeling of being unwell.</li><li>Body aches</li><li>Fever</li><li>Feeling extremely tired (fatigue)</li><li>Feeling irritable</li><li>Loss of appetite</li><li>Headache</li></ul> Most cases of chickenpox are mild and go away on their own. But see your doctor right away if your child develops any of the following symptoms:<ul><li>The rash spreads to one or both eyes.</li><li>The rash gets very red, warm, or tender.</li><li>Dizziness</li><li>Shortness of breath</li><li>Vomiting</li><li>Stiff neck</li><li>Fever over 102 F</li></ul> Spreading: You can get the virus by breathing in particles that come from chickenpox blisters or by touching something on which the particles landed. Diagnosis: Your doctor will be able to diagnose chickenpox based on a physical exam of blisters on your child’s body. Treatment:Chickenpox generally resolves within a week or two without treatment. There is no cure, but a vaccine can prevent it. Your child's doctor may prescribe medication or advise on how to reduce the symptoms of itchiness and discomfort.<ol><li>Pain or fever: Your child's doctor will prescribe a medicine that will help with symptoms of high temperature and pain.</li><li>Avoiding dehydration: It is important that your child drinks plenty of fluids, preferably water, to prevent dehydration. Some doctors recommend sugar-free popsicles for children who are not drinking enough.</li><li>Mouth soreness: Sugar-free popsicles help ease symptoms of soreness if there are spots in the mouth. Salty or spicy foods should be avoided. If chewing is painful, soup might be a good option, but it should not be too hot.</li><li>Itchiness: ltchiness can become severe, but it is important to minimize scratching to reduce the risk of scarring. The following may help prevent scratching:</li></ol><ul><li>keeping fingernails clean and as short as possible</li><li>placing mittens or over a child’s hands when they go to sleep</li><li>applying skincare lotion prescribed by the doctor</li><li>wearing loose clothing</li></ul> Precaution:<ul><li>Do not send your child to school so that other children are safe.</li><li>Keep other kids in the house away from the infected child.</li><li>Calamine lotion is usually used to soothe the spots.</li><li>Make children wear light cotton clothes.</li><li>Make them drink plenty of fluids.</li><li>Don’t let your child scratch his/her itchy skin. This could lead to bacterial infection and leave scars.</li></ul> Prevention:Your child should get 2 dose of Chicken pox Vaccine. One at 15th month and second at 18th month to prevent the disease. Vaccine is painless, Very safe and 95% effective if both the doses are given on time.

Here are Chicken pox Symptoms, Causes, Spreading, Prevention, Precaution, Diagnosis, and Treatment.

All about Chicken pox

Wool is a clothing material containing natural oil called lanolin, which is the cause of many children's wool allergies. Children who are allergic to lanolin will show allergic reactions to other products containing lanolin. Symptoms:<ul><li>Skin Irritation - rashes and hives</li><li>Eye irritation - redness, itching and puffiness of the eyes</li><li>Nasal Problems - runny nose, sneezing, nasal congestion</li><li>Narrowed airways</li><li>Trouble in breathing</li><li>Drop in blood pressure</li><li>Asthma</li><li>Ear and lung infections</li><li>Anaphylaxis (in more severe cases)</li></ul> Diagnosis:<ul><li>Wool allergies are sometimes misunderstood with wool sensitivity. To know whether your child is allergic to wool or just sensitive, you can try to make him/her wear a layer of clothing between their skin and the wool clothing. If your child does not experience any allergic symptoms, it's clear that your child is only sensitive towards wool. Your child can use wool products as long as they don’t come into contact with their skin.</li><li>Wool allergy is confirmed when your child develops an allergic reaction even if the wool didn't come in direct contact with your child’s skin. To confirm the allergy, you need to take your child to a doctor who will ask for your child’s medical and health history, your family’s medical history, and perform either a skin-prick or blood test.</li></ul> Wool Allergy Sources:<ul><li>Wool clothing - sweaters, scarves, bonnets, socks and gloves</li><li>Wool wax</li><li>Cosmetic products and personal products with lanolin</li></ul> Treatment:There's no permanent cure for wool allergy. Your child can, however, be given antihistamines and allergy shots to subdue the symptoms of the allergy. Guidelines to soothe your child’s skin after an allergic reaction:<ul><li>Keep the skin clean and moisturised with a gentle, fragrance-free lotion</li><li>Let the skin be exposed to air as much as possible</li><li>Avoid hot baths or showers, which may further irritate the skin</li><li>Try to stop scratching, which can make the rash worse</li><li>As a precautionary measure, avoid using woollen clothes or products containing lanolin for your baby.</li></ul>

Wool allergies are quite common but are often confused with wool sensitivity hence it is important to get a proper diagnosis done by an allergist.

Wool allergies

Many people use the word depressed very casually. Never assume that your child is depressed if you haven’t got your child assessed by a clinical psychologist or a psychiatrist. If your child is functioning fine but remains upset or irritated, this might be some stress. You can talk to your child and understand the reason behind it. If your child, along with being sad or irritated, does not eat and sleep well, (s)he needs evaluation done by a clinical psychologist or a psychiatrist. Depression in children is different from their developing emotions. Sadness does not equal depression. If your child’s sadness becomes constant and interferes with his/her daily tasks and routine, family life, schoolwork, or friendship, it may indicate that your child needs professional help. Symptoms:<ul><li>Irritability or anger</li><li>Continuous feelings of sadness and hopelessness</li><li>Social withdrawal</li><li>Increased sensitivity to rejection</li><li>Changes in appetite – increased or decreased</li><li>Changes in sleep – reduced or excessive</li><li>Vocal outbursts or crying</li><li>Difficulty concentrating</li><li>Fatigue and low energy</li><li>Physical complaints (such as stomach aches, headaches) that don't respond to treatment</li><li>Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests</li><li>Feelings of worthlessness or guilt</li><li>Thoughts of death or suicide</li></ul>Not every child has the same symptoms. Most children display different symptoms at different times and in different settings. Risk factors:Children with a family history of violence, alcohol abuse, or physical or sexual abuse are at greater risk of experiencing depression. Causes:<ul><li>Physical health issues</li><li>Life events</li><li>Family history of depression</li><li>Family conflicts</li><li>Genetic vulnerability</li><li>Substance abuse</li></ul> Diagnosis:<ul><li>A doctor’s visit needs to be scheduled for your child if the symptoms of depression have lasted for at least two weeks. Remember that a visit to a mental healthcare professional – either a psychiatrist or a psychologist – is needed to have a plan of action for your child properly.</li><li>A mental health evaluation usually includes interviews with you (the parent or primary caregiver) and your child. Information from teachers, friends and classmates can help show that these symptoms are consistent during your child's various activities and are different from previous behaviour.</li><li>There are no specific tests that can clearly show depression. Still, tools such as questionnaires (for both the child and parents) combined with personal information can be very useful in helping diagnose depression in children.</li></ul> Treatment:<ul><li>Treatment includes psychotherapy (counselling) and medication. Your child's doctor may suggest psychotherapy first and consider antidepressant medicine an additional option if there is no significant improvement.</li><li>It is difficult for parents to accept the fact that their child might be depressed. Some parents tend to deny this fact and avoid taking help from a mental healthcare professional. Parents need to understand depression and realise the importance of treatment to grow physically and emotionally in a healthy way.</li></ul> Prevention:Most of the time, it is difficult for parents to prevent depression in children, mainly because depression is a type of mental illness and is invisible. Hence most parents don't see it coming. Many have a great deal in accepting that their child might be depressed. But you can always choose an emotionally healthy lifestyle to reduce your child's chances of going under depression. ﻿Following are a few things to keep in mind:Establish a routine in your child's life. Avoid unnecessary moving of houses and schools. Stick to a schedule.Encourage open and honest communication.Keep a check on your behaviour. Do not constantly nag your child or always telling them what not to do. Opt for constructive feedback and try and understand their perspective towards things.Keep arguments among family and arguments between husband and wife away from children.Support your child's self-esteem.

Here are Depression Symptoms, Causes, Risk factors, Diagnosis, Treatment, and Prevention for children.

All about Childhood Depression

If your child develops a swelling or a rash or any other allergic symptom due to medications, then it could possibly be an allergic reaction to the drug.A “true drug allergy” and “drug side effects” are both different. Side effects are usually mentioned on the packaging or on the label of the drug.A drug allergy is an immune response to a drug induced by its components which the body perceives as a threat and triggers an allergic reaction. Mild drug allergy symptoms are:<ul><li>Hives</li><li>Rash</li><li>Itchy skin</li></ul> Severe drug allergy warning signs can include:<ul><li>Swollen face</li><li>Throat tightness</li><li>Trouble breathing</li><li>Light-headed</li><li>Blisters</li><li>Reddened skin</li><li>Whole-body shock with life-threatening low blood pressure</li></ul> Side effects of drug are usually:<ul><li>Nausea</li><li>Lack of energy</li><li>Muscle aches</li><li>Hard to sleep</li><li>Coughing</li><li>Headache</li><li>Stuffy nose</li><li>Stomach cramps</li><li>Diarrhoea</li><li>Constipation</li><li>Ringing in the ears</li><li>Easy bruising</li></ul> <ul><li>Your child can develop a drug allergy even without a history of any other allergy.</li><li>It is also possible that your child may develop an allergy to a drug to which (s)he was not allergic before.</li><li>Your child’s paediatrician will diagnose your child's allergy to a drug through clinical diagnosis and allergy tests like SPT (for penicillin) or a Drug Challenge (similar to an Oral Food Challenge) under medical supervision.</li><li>For mild reactions to drug(s), your child may be given an antihistamine or a topical cream prescribed by your child’s paediatrician.</li><li>Severe reactions to a drug could be life-threatening. If you suspect a drug allergy in your child, discontinue it until further advice and seek immediate medical attention.</li><li>Make a note of the drugs your child may be allergic to and keep it handy each time you visit a doctor in the future.</li><li>If the drug your child is allergic to is essential for the child, then your child’s paediatrician may perform a rapid 'drug desensitisation' under medical supervision.</li><li>Vaccine-related drug allergy is rare and largely due to certain components in the vaccine. Alternatives will be recommended by your child’s paediatrician if your child is allergic to a component.</li></ul>

meningitis health concerns

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