Mustafa Lokhandwala

The nose is an essential part of our body. It filters the air you breathe, removing dust, germs, and irritants. It warms and moistens the air to keep your lungs and tubes that lead to them from drying out. Your nose also contains the nerve cells that help your sense of smell. When there is a problem with your nose, your whole body can suffer. For example, the stuffy nose of the common cold can make it hard for you to breathe, sleep, or get comfortable. Let's be nosy and find out standard childhood nose related issues : Bacterial Nasal Infections - Minor infections at the opening of the nose, may result in pimples at the base of nasal hairs and sometimes crusts around the nostrils. The infection may result from nose picking or excessive nose blowing and causes annoying crusts and bleeding when the crusts slough off.Broken Nose - A broken nose, also called a nasal fracture, is a break or crack in a bone in your nose — often the bone over the bridge of your nose. Common causes of a broken nose include contact sports, physical fights, falls, and motor vehicle accidents that result in facial trauma. A broken nose can cause pain, along with swelling and bruising around your nose and under your eyes. Your nose may look crooked, and you may have trouble breathing. Treatment for a broken nose may include procedures that realign your nose. Surgery usually isn't necessary for a broken nose.Deviated Septum - The bone and cartilage that divides the inside of the nose in half is called the nasal septum. The most common symptom from a badly deviated septum is difficulty breathing through the nose, which is usually worse on one side. In some cases, it may cause sinus drainage or repeated sinus infections.Nosebleeds - A nosebleed is blood loss from the tissue that lines your nose. The most common causes of nosebleeds are dryness (often caused by indoor heat in the winter) and nose picking. These two things work together — nose-picking occurs more often when mucus in the nose is dry and crusty. Colds also can cause nosebleeds.Post-Nasal Drip - Post-nasal drip occurs when your nose and throat produce excess mucus, often causing you to feel it dripping down from your nose into your throat. Symptoms include Feeling of mucus drainage into the throat, Frequent swallowing, Throat clearing, Sore, irritated throat &amp; Feeling a lump in the throat.Rhinitis (Hay Fever) -&nbsp;Allergic rhinitis is the most common childhood ailment caused by allergies. Symptoms include a runny and itchy nose, sneezing, post-nasal drip and nasal congestion (blockage). A child with allergies may also have itchy, watery, red eyes and chronic ear problems.Runny Nose - A stuffy or congested nose occurs when the tissues lining the nose become swollen. The swelling is due to inflamed blood vessels. The problem may also include nasal discharge or "runny nose." If excess mucus runs down the back of your throat, it may cause a cough or sore throat. A runny nose may be annoying and uncomfortable, but it usually clears up on its own. Occasionally, it can be a sign of a more severe problem. A runny nose may be severe in infants. Prevention tipsAlthough it may not be possible to prevent all nosebleeds in children, a person can take steps to help reduce their occurrence. These include:·&nbsp;&nbsp;&nbsp;&nbsp;Treating allergies to prevent inflammation in the nose·&nbsp;&nbsp;&nbsp;&nbsp;Using saline (saltwater) nasal sprays to keep the child's nose moist·&nbsp;&nbsp;&nbsp;&nbsp;Running a humidifier or vaporizer in the child's bedroom to prevent the air from drying out·&nbsp;&nbsp;&nbsp;&nbsp;Keeping children's nails trimmed to prevent injuries due to nose picking·&nbsp;&nbsp;&nbsp;&nbsp;Encouraging children to wear appropriate protective equipment during sports or other activities where injury to the nose is possible RememberIf your child has symptoms of any of above nose related issues/infection, see your paediatrician. Your paediatrician can properly diagnose and treat the infection and recommend ways to help alleviate the discomfort from some of the symptoms.

The nose is an essential part of our body. When there is a problem with your nose, your whole body can suffer.

Nose related issues in kids

Juhi Mishra

You can homeschool your child via different approaches. To start with, there can be different approaches one may take. The way/approach majorly depends on the requirement and suitability of the parent and hence the planning may be done. Approach #1:<ul><li>Taking the child out of a regular school and start educating them at home without any affiliation with a School or Board. This way the children may learn in an independent manner and won’t have to follow a particular curriculum. The homeschooler family gets to explore all the resources, methods and content nationally and internationally.</li><li>Later, with the progress, the family may choose a Board which is suitable for the child(ren) to appear for their 10th examination and accordingly, they may be introduced to the curriculum.</li><li>This kind of set-up fit suits the children who are in elementary or middle school years. For children who are close to the 10th grade and have to sit for their board exam as well, one might want to look at other approaches since there is less time in hand.</li></ul>Approach #2:<ul><li>Some schools allow parents to enrol their children as a private student. In this approach, parents can choose to teach their children at home but have to follow the curriculum and examination process of the school.</li><li>In this approach, Parents have to personally approach the schools, that have affiliation with the Board they prefer (IB, SSC, IGCSE, NIOS etc.). In this case the homeschooler family will have to follow the standardised curriculum adopted by the school (they have enrolled into).</li></ul> Apart from the approaches, one may start with the following pointers:<ol><li>Understand the legalities involved</li><li>Locate homeschoolers nearby, in your city</li><li>Explore homeschooling methods/approaches</li><li>Design a plan suitable for your child</li><li>Attend book fairs, conferences and events</li><li>Spot your support network</li></ol>

The decision of homeschooling a child is a major one and needs to be taken in the light of researching all the pros and cons, legalities and challenges that come with the step.

Homeschooling your child

Palak Vyas

Generation gap between kids and their parents: We can’t expect a five-year-old to understand you so obviously it is you who has to understand and make changes to bridge the gap. <ul><li>Always listen to your child carefully. Make him/her feel heard. Unless you listen to them, how else would you understand them?</li><li>Take an interest in their daily activities.</li><li>Involve them in your life.</li><li>Respect them and their decisions.</li><li>Love them unconditionally.</li><li>Don’t be judgemental.</li><li>Do not label them.</li><li>Accept and respect the differences.</li><li>We all have been brought up in different backgrounds and cultures. Our belief systems have been conditioned as per our surroundings so to bring any change in it is a difficult task for anyone. It is not easy to accommodate people with different mindset and ideologies. So give time. And take time. The more you try and accept them, the easier it becomes to bridge the gap.</li></ul> Generation gap between kids and their grandparents: Most of the time this is not a big issue as grandparents always show love and pamper their grandchildren when they are young. But in some cases, when the grandparents are strict and opinionated, this situation may arise. In other cases, the child may feel that the grandparents are not approachable due to their age difference. What you can do is:<ul><li>Encourage communication between the younger and older generations.</li><li>Give grandchildren and grandparents opportunities to learn new skills and methods of doing things together like gardening or reciting prayers together. The child can teach mobile operations to their grandparents.</li><li>Encourage children to accept people of all ages.</li><li>Teach your children to respect their elders and their opinions.</li><li>Engage them in fun activities like storytelling and reading books.</li></ul>

Generation gap not only exists between parents and children but also between grandparents and grandchildren too.

Bridging the generation gap

Points to keep in mind while buying and using the stroller: <ol><li>Buy a stroller that is specifically designed for your child’s age, height and weight. Newborn babies should be able to lie down fully in the stroller.</li><li>Five-point harness: Shoulder straps, a strap between the legs and waist belts that connect together.</li><li>If the stroller has a hand-rest at the front of the seat, ensure that the opening between the hand-rest and the seat can be closed when the stroller is used in the reclined position. This means the hand-rest needs to be an adjustable one.</li><li>Check for strollers that have brakes which are easy to use and works as per required.</li><li>Ensure it doesn’t have any parts that pinch your child’s fingers or is some kind of a choking hazard.</li><li>A stroller should be stable. The wheelbase should be wide and the seat should be low in the frame.</li><li>It should not tip backwards while in resting position.</li><li>The leg openings should be appropriately designed so that the child’s legs don’t slip off.</li><li>The handlebars should be at your waist level or maybe lower than that.</li><li>Never leave a child unattended in a stroller.</li><li>Always use the safety harness while using the stroller.</li><li>Ensure to put on brakes when the stroller is not in use.</li></ol>

A stroller is a wheeled vehicle to transport children generally in a sitting up or semi-reclined position by a person pushing on a handle attached to the stroller

Selecting a stroller for your baby

Try the following to help your child boost his/her self-confidence: 1. Step back and let them choose.Let your child take risks, obviously stay around and stay watchful. Let them make their own choices, solve problems and stick with what they start. Do give children choices within a reasonable set of options pre-selected by you. This can make them feel empowered. 2. Don’t do everything for your child:Be patient and let him do his own thing. For a preschooler to dress is a challenge. Let them take this challenge. New challenges make them more competent and confident. For example, letting them wear their shoes, wearing their clothes, etc. 3. Assign age appropriate household chores:Let little difficulties and risks and problems come in their ways. For example, you can ask them to arrange their bags for school and fold their little clothes or helping you arrange dining table with glasses and plates.. Maybe you can help a little if required. When they accomplish, they will have a feeling that yes they can do it. That is what builds self confidence in them. 4. Let your child know it is okay to be imperfect:Show by example that it is fine if anything is not done perfectly. Give them understanding between perfection and excelling. Teach them that we can always excel and do better than before. 5. Don’t offer insincere praises:Children can easily distinguish between real and fake compliments. Like if they had made a not so good drawing, don’t say wow, that’s amazing. Instead focus on its details and tell him/her that (s) he has added beautiful details in the picture. 6. Appreciate individuality:Don't compare your child either with his friends or siblings. No one likes comparison .Appreciate your child’s uniqueness and teach them the same. 7. Make clear that your love is unconditional:Be always clear that you would love them no matter what. You may not like the habit and you may be a little harsh to them for a bad habit but that doesn’t mean you stop loving them.

Self esteem or self confidence plays a huge role in an individual's life. Encouraging a child's confidence at the right time can do wonders.

Promoting child’s self esteem

The simple techniques you can use to increase your child’s memory power:<ul><li>Enhancing understanding by asking questions: understanding is the foundation of memory. Explain your child the basic concepts and once you have done that, ask them maximum questions. Yes or No questions, “wh” type questions.</li><li>Make rhymes and songs: Ask your child to do it, you can help if they are stuck somewhere. When they make their own songs they remember it for a long time.</li><li>Make it exciting: You can always take them to places as per the topics they are studying. Going to libraries, museums, forts, temples, art galleries etc. This would be a lot more fun and child will be able to relate it with his studies and it gets easier to remember.</li><li>More discussions: Have more discussions about the topics, ask their opinions and views and tell them to explain.</li><li>Using visual aids: Use flashcards for definition, charts for tables and little story drawings to explain the environmental phenomenon.</li><li>Let them make his own example: when the child relates the topic with his/her personal experience, it is easy for them to relate and recall.</li><li>Reading it aloud: Yes! The age-old technique is still useful.</li><li>Breaking into smaller chunks: Whatever the topic is, break it into different points and then try and help them relate and memorise easily.</li><li>Draw mind maps; be creative.</li><li>The another thing you can include is practising mindfulness, that is a little 5 minutes meditation along with a little piece of music.</li><li>Dark chocolate with more than 70 % cocoa is also known to boost memory.</li></ul>

Memory power is a big part of academics. A few interesting activities will help your child in boosting his/her memory.

Boosting memory for academics

You can take the following points into consideration while handling and dealing with a child whose loved one has died in the family: <ul><li>Talk straight and clear but with care and compassion. For example, if you want to disclose that the child’s grandpa has died, tell them, “I have some bad news for you, your grandpa died yesterday night due to a heart attack”. Take a pause; let the child understand what it means.</li><li>On hearing such news, different kids may have different reactions. Some children go silent, some might ask questions and some might even start crying. Be sure to stay around and in case you can’t be around, hand over your child to someone who is close to him/her like. Give them warm hugs and cuddle with them if they feel like. Give them some time.</li><li>If your child is old enough to understand, you can explain to him/her the reason behind the death, for example, if grandpa died due to heart attack, explain that people can die of physical illness. When their heart stops working they can die.</li><li>Prepare your child beforehand about things that are about to happen. For example prepare them for funerals, burials, and people coming for prayers and condolences. Let them have some idea about what they can expect for a few days in the family and in the house.</li><li>Talk about rituals and what happens during that ritual. How are people going to greet or what they might say, “My condolences or I am sorry for your loss are a few polite words people may say. We should thank them for coming”.</li><li>Give them time to heal for the loss and during that time stay around and make them comfortable to express in whatever ways they want.</li><li>Help your child to feel better by remembering the dead loved one and their happy stories with the child.</li><li>Make your child realise that death is irreversible, people don’t come back once they die. But we can always cherish their memories.</li><li>To explain the concept of death, take some examples from nature’s cycle. Show them some dead butterfly on the porch or some dead plant and explain how this dead animal or plant can’t take any food or water. Likewise, tell them that dead people can’t breathe, can’t take food or water and they won’t be around us anymore.</li><li>Do not try to protect your child from pain. Tell them the truth. When you explain it clearly, with care and compassion, they learn to deal with it gradually.</li><li>If you feel that your child is not coping after your many efforts, you can take them to a counsellor, who can certainly help your child.</li></ul>

Such times can be very difficult with a little one around. It is important to take their feelings into consideration.

Handling a child when someone passes away in the family

Samiksha Choithani

Dr Heena Hasan

Swaddling is a part of caring for newborn babies since centuries. This makes the babies feel as if they are in the womb. It is one of the best techniques to calm a cranky baby and help them sleep for long. It can be particularly helpful for babies with neurological problems (problems associated with nerves, like migraine, stroke etc.) or colic (abdominal pain during infancy). It also can really help babies to fall and stay asleep on their backs. Consider these points when you are swaddling your baby:<ul><li>If your baby is happy without swaddling, don’t swaddle.</li><li>Always put your baby to sleep on his back if he is swaddled.</li><li>Make sure that whatever you are using to swaddle doesn’t become loose.</li><li>For the healthy development of the hips, babies’ legs need to be able to bend up and out at the hips. Swaddling for short periods of time is likely fine, but if your baby is going to spend a significant amount of the day and night swaddled, consider swaddling a little easy that lets the legs move.</li></ul>

Swaddling gives a very cosy feeling to a newborn baby. The baby feels as if it is still in the mother's womb.

The art of Swaddling a baby

Few things to keep in mind before you go on that much awaited trip with your baby:<ul><li>Before the trip- Check with your paediatrician for any immunisations or vaccination to eliminate any risk of dreadful diseases and to keep safe from unwanted sickness.</li><li>On the flight- If you are travelling by air, consider a rear facing seat, book a seat that has bassinet.</li><li>At the hotel- Check safety, example: railings and proper locks.</li><li>Keep them entertained.</li><li>Use mosquito repellents or sprays.</li><li>Be prepared with snacks and fluids.</li><li>Take extra clothing and stock of diaper.</li><li>Take your child’s favourite items which your child associates with sleep.</li><li>Take along their favourite toys.</li><li>Try not to take trips that are longer than 6 hours.</li><li>Keep first aid kit handy.</li><li>Try to plan stops along the way that are safe, not isolated and that allow you to walk around.</li><li>Consider scheduling trips around your child’s sleep time.</li></ul>

Travelling with a baby can be pretty tricky and tiring. The key here is to maintain patience all along.

mouthing parenting concerns

Parenting issues are a part of the everyday parenting journey. Following article(s) might help you with your concern(s).