Samiksha Choithani

One way to make sure that your child is latching properly during feeding is by observing the following pattern in your baby’s stool during the first week after birth: <ul><li>1 day after birth – 1 wet diaper, greenish-black stool colour, stool smears</li><li>2 days after birth – 2 wet diapers, greenish-black stool colour, 1-2 stools</li><li>3 days after birth – 3 wet diapers, yellow and soft stool, 2-4 stools</li><li>4 days after birth – 4 wet diapers, yellow and soft stool, 3-5 stools</li><li>5 days after birth – 5 wet diapers, yellow and soft stool, 3-5 stools</li></ul> If you observe a similar pattern is similar, there is no need to worry. If that is not the case, there are ways to improve latching and efficiently feed your baby.

Improper latching leads to an underweight child. Hence it is important to make sure that your child is latched well.

Proper latching during breastfeeding

Ravina Sewani

Children are prone to taking in passive smoke if someone in the family has a habit of smoking. Smoke from the cigarette can cause mild to severe allergies in children and pose the risk of asthma in their later lives. Symptoms:<ul><li>difficulty breathing</li><li>wheezing</li><li>hoarseness</li><li>headache</li><li>watery eyes</li><li>runny nose</li><li>congestion</li><li>sneezing</li><li>itchiness</li><li>nausea</li></ul> DiagnosisYour child's doctor will apply small drops of different allergens to parts of your child's forearm skin and wait to see which allergens of tobacco produce a reaction. Prevention:Here are a few tips to minimise your child's exposure to tobacco products that may cause an allergic reaction:<ul><li>Don't smoke when you are around/with your child(ren).</li><li>Avoid taking your child to areas where they will be exposed to secondhand smoke.</li><li>If someone smokes and then wants to play/take care of a child, ask them to wash their hands and clean their mouth before they handle your baby.</li><li>Do not smoke during pregnancy. Apart from your child developing cigarette smoke allergy, the chances of stillbirths are high in smoking mothers than in non-smoking ones.</li><li>Segregation between smokers and non-smokers in an indoor environment will reduce the risk of secondhand smoke exposure but does not completely eliminated it.</li></ul> Treatment:If your child gets diagnosed with cigarette smoke allergy, it is better to get medicine prescribed for them. It is not advisable to give them over-the-counter remedies for tobacco allergies.

Children are exposed to secondhand smoke unknowingly and this can cause problems in later stages of their lives.

Cigarette smoke allergy

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?

Dr Ajab Primuswala

<ul><li>The first question is whether the child has been diagnosed with dyslexia or not. So without diagnosis, it could be just a lazy lethargic child who doesn’t want to read or write or is “not interested in writing or reading”.</li><li>“Not interested in reading or writing” means the child does not want to read or write at all. On the other hand, dyslexia is a disorder in which the child wants to read or write but does not have the capability of doing so in a perfect manner. If the diagnosis is done, then there are specific measures which have to be taken care of.</li><li>To bring it to your notice, dyslexia is not the only type which is a reading or writing difficulty. There are dyscalculia, dysgraphia and many more.</li><li>In dyslexia, the child cannot comprehend the red blue coordination of linings which becomes difficult for them to keep up with upper case and lower case letters of the English alphabet.</li><li>Here, you can use a broad red blue line notebook to train them to have them follow the concept from red to blue, blue to red and for middle case only blue lines. This can be a great help which any parent can do irrespective of whether you are trained in it or not.</li><li>You can also look through multiple resources available for dyslexia training and practice it yourself and help your child to read and write in that particular manner.</li><li>Dyslexia is not something that comes alone; it comes with a combination of other learning difficulties. The child will have to go to a special educator who is specifically trained in dealing with reading and writing difficulties in children with dyslexia. Trained educators usually design different programs for different children as every child has a different learning methodology. You can work on the special program which your child’s educator has designed.</li><li>You can also ask for support from your child’s school. Whichever material is going to be provided by the school, the child can get it prior and practice it at home. So when they are in school, it can be easier for them to cope.</li><li>As parents, you have to be more open. Being observant is what you can do for your child. You also need to be patient with your child as not get irritated for their slow pace of learning.</li></ul>

Children with dyslexia can be trained with professional help to cope with their reading and writing difficulties.

Caring for children with dyslexia

Child's disinterest in healthy home cooked food starts from an early age of 6-7 months. There are several reasons behind a picky eater child: <ol><li>Medical Challenge - Allergy, Reflex, Constipation</li><li>Oral-motor Challenge - Chewing, Breathing, Swallowing</li><li>Sensory Challenge - Recognises only few flavours or smell</li><li>Temperament and mood - Easily frustrated so feels and express the internal emotion.</li><li>Early exposure to junk food - This is the most common</li></ol> What can be done to make your child eat all kinds of food:<ul><li>When during the initial months of introducing food to child, do not introduce sugary chocolates, junk food like packed food items, extremely spicy or salty food or else the child will develop the taste for those kind of things. If you introduce foods which are higher on the taste spectrum, the child will throw tantrums when you give him/her healthy food. In this case you can always start slow by making their food interesting, example - using ingredients they like and garnish their food with smileys. Using decorative plates and cups also helps.</li><li>Be patient: If your child throws tantrums on seeing healthy home cooked food, do not melt and give the junk food just because your child is crying. Be strong because developing a new habit will take time.</li><li>A child who has eaten chocolates will not adjust to khichdi. Khichdi does not have the same taste as chocolate. A child is driven by taste and not by nutrition.</li><li>Make sure that everyone in the family eats the same dish. Special dishes should not be prepared for everyone. If the child watches that special dishes are being prepared for someone in the family, the child also learns to demand the same.</li><li>Do not keep any distractible food on the table - like sugary or spicy foods.</li><li>Make it a point that everyone eats together in their own plates. This way the child learns to eat everything and also on their own.</li><li>Keep a fixed meal time.</li></ul>

It is not right to completely put the blame on kids for their disinterest in healthy food. As parents, we need to reflect on ourselves and take necessary measures for the same.

Child being choosy about food

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

Palak Vyas

Congestion occurs when extra fluids (mucus) accumulate in the nose and airways. Congestion may give your baby a blocked nose, noisy breathing or mild trouble in feeding. Mild congestion is common and is not much of a concern. But if your child breathes 60 breaths per minute, (s)he is struggling to catch breath. In this case, take them to a paediatrician immediately. Symptoms of congestion:<ul><li>Coughing</li><li>Wheezing</li><li>Grunting</li><li>Thick nasal mucus</li><li>Discoloured nasal mucus</li><li>Noisy breathing</li><li>Sniffing</li><li>Trouble eating</li></ul> Causes of congestion:<ul><li>Allergies</li><li>Cold/flu</li><li>Asthma</li><li>Premature birth</li><li>Pneumonia</li></ul> Treatment of congestion:<ul><li>Give your baby a warm bath but try to keep it short for 5-10 minutes and once you are done quickly wipe the baby's body, apply moisturiser and dress your baby as soon as possible.</li><li>Keep feeding your baby regularly and monitor for wet diapers.</li><li>Add one or two drops of saline to their nostrils.</li><li>Use a humidifier in the baby’s room by the bedside to keep away the dryness in weather. It will add moisture in the air of the room and will help clear congestion.</li><li>Gently massage their nasal bridge, forehead, temples, and cheekbones.</li><li>Remove potential allergens or pollutants from the home's air by vacuuming up pet hair, not burning candles or incense sticks and not smoking.</li><li>Wipe away excess mucus with a soft, dry tissue or cloth.</li></ul>

Congestion can make a child uneasy and cause difficulty in breathing.

Dealing with the problem of congestion.

The feeling of blocked or clogged ears is either due to water or sir getting stuck in the ears. Water in the ears:When water enters in an ear due to any reason, the ear feels clogged/blocked. If there's too much water in the ears, surrounding sounds also get muffled. It is important to remove the water from ears because otherwise it can cause infections. You can get the water out of your child's ear, these are a few steps to follow:<ul><li>First dry out your child's ear using a soft towel. Do not push the towel deep into the ear canal.</li><li>Ask your child to tilt their head on the side of the ear which has water stuck in it and let gravity to do the work. Slightly pull their earlobes; this will straighten the ear canal helping in draining the water.</li><li>If the clogging of the ear persists, you can get ear drops prescribed by your child's doctor.</li><li>Do not use cotton swabs as they will push the dirt deep into the ear. Warn your children to not stick their finger in their ear.</li></ul> Air in the ears:The ears tend to feel full and clogged when a person is sick, or when altitudes change. To relieve from this feeling, one needs to pop their ears. Here is how you can help your child:<ul><li>Yawn: Instruct your child to yawn as many times as possible as yawning helps in opening up the ear canal hence helping the ears to pop.</li><li>Swallow: Give water to your child or a candy to suck on as swallowing activates the muscles that open up the ear canal.</li><li>Valsalva maneuver: Take a deep breath and pinch your nose shut. Keep your mouth closed and gently exhale through the nose. If your child is too young, this technique to pop the ears is not advised as it carries a minute risk of rupturing the eardrum.</li><li>Toynbee maneuver: Pinch the nose shut and with your mouth closed, try swallowing. If your child has difficulty doing this, a mouthful of water will help in swallowing.</li><li>If nothing works, consult your child's doctor.</li></ul>

The feeling of blocked or clogged ears is either due to water or sir getting stuck in the ears.

Blocked ears

<ul><li>The first thing to keep in mind is that you need to identify at which level of Autism Spectrum Disorder (ASD) your child is.</li><li>The second thing is whether it is has been diagnosed and whether you are working on it or not.</li><li>On certain level of ASD scale, media can positively help children with ASD in expressing their feelings, their thoughts and their uneasiness. There are specific apps and specific websites which can help ASD children in their development.</li><li>Children with ASD usually cannot make direct eye contact hence, a few expert recommended applications can help an ASD child with expressing their feelings better.</li><li>At the same time, it is important to keep an eye on which kind of media an ASD child is using. If the child is randomly using phones or TVs from which (s)he is not learning anything positive, such media use needs to be avoided.</li><li>The media which an ASD child consumes should lead to progressive development in their condition. The media should not suppress their already delayed development.</li><li>Consult with a child psychiatrist or child psychologist to know whether the ASD scale of your child needs media usage or not.</li><li>Age of the child also needs to be considered before letting them consume content from media.</li></ul>

Media can be helpful to some children with autism while it might suppress a child's growth as well. It is better to consult an expert (psychologist or psychiatrist) before exposing your child to media.

teeth cleaning health concerns

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