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Tics in Children - Causes, Signs, and Treatment
Facial grimacing, frequent blinking of an eye, uncontrolled vocalization, sudden headbanging are some tic symptoms that might disturb a parent noticing it. The parent might get shocked to witness such unexpected sounds or movements by their child. Also, the child facing such uncontrollable things might be going through a lot.
In such a scenario, you as a parent start taking unnecessary tension. Tics aren’t that serious most of the time. They have become quite common and, in many children, it comes and vanishes forever within a year.
Do not start panicking very soon. If it is bothering you a lot, talk to some expert. Do not spoil your mental health as well. Remember, a calm parent will solve these things in a much better way! To help you out, we have curated this write-up so that you know the causes, diagnosis, treatment, and how to turn your lifestyle around for a child with tics.
What Are Tics?
Tics are defined as brief, involuntary, stereotyped vocalizations or muscle movements. It produces sudden and difficult to control abrupt body movements. These are repetitive and last for a specific duration. These are common in childhood and usually appear at about 5 years of age. Rarely, it might trigger in adulthood.
The severity of this disease varies from child to child. Tics are generally not very serious, and the severity normalizes over time. It is found that the severity of tics is at a peak at 11-12 years of age and decrease during adolescence. Generally, it disappears after that, but in a few cases, it might re-appear in adulthood. Children who suffer from tics do suffer from some comorbidities as well.
Maybe tics are not that serious, but when it hinders your day-to-day activities, it might frustrate you. Let us now learn about this disease in depth!
Types of Tics
Tics are generally classified as either motor or phonic and simple or complex. These types can be explained as:
Motor Tics: The tics that affect your body movement are called motor tics.
Phonic Or Vocal Tics: Involuntary sound produced by mouth, nose, or throat. They are also called vocal or verbal tics.
Simple Motor Tics: They are brief, meaningless, involuntary movements that involve only a single group of muscles like head jerking, eye blinking, or shoulder shrugging.
Simple Phonic Tics: These can be any noise or sound, with usual vocal tics like sniffing, throat clearing, or grunting.
Complex Motor Tics: These remain for a longer duration and have a purposeful appearance. They have movement clusters and appear coordinated.
Complex Phonic Tics: Some examples of this are ‘repetition of words just spoken by someone else’ and ‘repeating things already told by self.’ In more severe cases, the breathing pattern alters, leading to a breathing tics child.
Some Examples of Tics Are:
Banging or jerking of the head
Wrinkling, blinking the nose or grimacing
Touching people or their things
Clicking the fingers
Sniffing, grunting, or coughing
Repetition of a phrase or sound
What Causes Tics in Children
There is no particular cause of tics in children. Multiple factors contribute to tics. According to researchers, a combination of biological and environmental factors can create tic in a child. Following are some known factors that might contribute to tic:
Environmental factors like coming in contact with chemicals, especially those found in cleaning products, allergens, etc., might cause a tic. A violent scene in a video game or movie can also trigger a tic.
Some researchers also believe that tics can be genetic.
Some researchers also say it can trigger brain or neurotransmitters abnormalities and cause nervous tics in children.
Certain comorbidities can also cause tics. These are body toxins, stroke, surgery, head trauma, or infection.
Certain neurodegenerative conditions like neuroacanthocytosis, Huntington’s disease, and Creutzfeldt-Jakob can also lead to the development of tics in children.
Some Other Factors That Cause Tic Syndrome Are:
Complications during birth
Low birth weight
Smoking or consumption of alcohol during pregnancy by the mother
The child had suffered from group A ß-hemolytic strep (streptococcal) infection
Signs and Symptoms of Tics in Children
Tics are sounds or movements that cannot be controlled by the child.
The Symptoms of Motor Tics Are:
Frowning
Blinking
Biting lip
Shrugging of shoulders
Some Vocal Tics Are:
Humming
Sniffing
Throat clearing
Snorting
Squealing
Few children experience discomfort before a tic. This is termed as ‘premonitory urge’ and gets relieved just after the tic gets over.
Diagnosis of Tics in Children
Diagnosing tics can be difficult. It is because a few of its symptoms, like throat clearing or nose twitching, look normal. Or else such symptoms can also occur due to an allergic reaction. So, for tics, there should be a comprehensive physical and neurological diagnosis. After that, the doctor should study the child’s complete medical history to determine the cause behind tics.
The Diagnosis Involves the Following Steps:
Determination of tics symptoms manifestation. Ideally, the child’s age for tics onset should be less than 18.
Severity of tics
Duration for tics take place
Type of tics
Here is how the type is diagnosed and explained. If the child has short-lived motor or vocal tics for a month but less than a year, it is termed transient tic syndrome. If your motor or vocal tics last long and you have been experiencing them for more than a year, the tic is called chronic tic disorder.
Tourette Syndrome is a nervous system disorder that involves tics. It is the persistence of both vocal and motor tics for more than a year.
Treatment for Tics
Generally, tics do not require treatment until it starts to affect the child’s daily activities. Also, if tics become severe, they require treatment. The treatment options include:
1. Treating Underlying Medical Condition
If in the diagnosis, it appears that an underlying medical condition is responsible for tics. Then treatment of that condition will lead to the elimination of tics. Few homeopathic remedies work on tics. But it will be great if the trigger is identified and is removed or at least minimized.
2. Cognitive Behavioral Therapy
This is the aptest way to treat a confirmed tic case. First, the doctor finds out the emotion that triggers a tic. Once the triggering emotion is identified, the doctor trains the child’s brain to learn a lesser evident motor reaction. It is called habit reversal training.
For example, if the child experiences facial tics like grimacing or eye blinking, the doctor will make him unlearn it. And replace it with asking the child to take deep breathing or close the eyes for a few seconds. These techniques will, in turn, calm down the child. Possibly it might reduce tics in children.
3. Medication
Sometimes the ultimate resort to treat tics is medication. Depending on the cause of tics, the doctor might prescribe you medicines like:
Antipsychotics or neuroleptics like risperidone, pimozide, and aripiprazole are the prime medication used for treating tics in children. These medicines alter the chemicals that control muscular movement. However, these medicines have serious side effects like weight gain, blurred vision, dry mouth, and constipation.
Botulinum toxin relaxes particular muscles and leads to tics prevention. But its effect remains for three months.
Another medicine that alters chemical production in the brain and reduces the frequency and severity of tics is Clonazepam.
Clonidine also reduces the symptoms of tics.
Note: All these medications have side effects. Always consult a doctor before use.
Home Remedies to Treat Tics in a Child
Often, sudden onset of tics in children can be managed without treatment or medication. Always remember the child will not pretend a tic. Tics are involuntary muscular movements or vocalizations. If, as a parent, you start taking it normally, the problem minimizes in itself. The child also gets some confidence to fight it out. In case if you start over-reacting or getting angry over it, the situation might get worse.
Here Are Some Tips That Help In Dealing With Tics At Home:
The most common triggers to tics are anxiety and stress. You can try and keep the child in a stress-free environment.
Ten hours of sleep is recommended for children with tics. Make them rest well at night.
Sometimes tics trigger due to a food allergy. In such a case, get your child tested for food allergies. Talk to the doctor about it. Avoid food with artificial flavors, colors, or preservatives. Avoid dairy products, corn syrups, and processed foods. Switch to a gluten-free diet and look for the difference.
If the tics aren’t very serious, please ignore them. Do not unnecessarily take the stress and give it to the child as well.
Tics are embarrassing for the child. Keep counseling your child for mental well-being.
There is a certain link between tic syndrome and ADHD. A study suggests that most ADHD patients suffer from magnesium deficiency. Hence, give your child magnesium-rich food. You can also try giving some magnesium supplements to the child.
How Are Tics Related to Tourette Syndrome?
In a few cases, Tourette Syndrome is mistaken to be a chronic tic. But it is more severe than the chronic tic. It is because children with Tourette Syndrome experience both vocal and motor tics.
A child suffering from this syndrome sometimes has multiple tics happening at a time. These tics might run throughout the day. The only good thing here is, if the person is completely focused on work or is relaxing, the tic might not happen at all. Also, the severity of this syndrome generally changes over time. Tic frequency might reduce, but the severity might increase. It is observed in many people that the patient’s condition improves as they grow older.
Tourette Syndrome is often related to other conditions like OCD, ADHD, or trouble learning. It usually starts in children between the age group of 5 to 18 years.
When to See a Doctor?
The most frequently asked question by parents whose children suffer from tics is:
when to worry about childhood tics? With a child being at home, pediatrician visits are quite frequent. It might be a normal flu or a routine vaccination, but you do visit a pediatrician very often. SO, if you predict some tics in your child, there is no harm in discussing with your doc!
Remember, tics aren’t very serious, though. If tics are mild and do not cause any harm, you need not bother about those. Sometimes, the tics might disappear completely.
A Doctor’s Consultation Is Required When the Tics:
Cause social or emotional issues, like bullying, embarrassment, or social isolation
Become a regular affair and very severe
Cause some physical changes. It is because a bad mental state starts giving physical signs like stomach aches, headaches, and sleepiness.
Start to cause behavioral and personality changes in your child. Supposedly your child was a social animal before and now has become reserved suddenly.
Interfere with day-to-day activities
Cause discomfort or pain like accidentally hurting themselves
Come with excessive depression, anger, or self-harm
Tics are usually mild and can be easily treated at home. Remember, if it is not bothering your child, it should not bother you as well. Kids with tics desire to be treated like normal kids. Try doing that. Be normal in front of them. Do not over-react. These kids are completely normal and can-do normal things just like any other child of their age. Tics don’t make them less intelligent. A positive environment, good lifestyle, and healthy diet can keep the child relaxed and healthy and minimize treatment requirements. Keep noting the patterns when tics occur. This might help the doctor diagnose things only if the need arises!
Also Read:
Mental Disorders in Kids
Causes of Dyslexia in Children
Absence Seizures in Kids Read more
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Assisted Delivery (Forceps and Ventouse)
Failing to push out the baby in a spontaneous manner once the pushing stage of labour has begun, is the most common reason to opt for assisted delivery. Generally, the gynaecologist will monitor up to two hours of pushing, but at times, after an hour or so, it becomes obvious that the baby will need external support to come out. This is when the doctor decides on carrying out an assisted delivery.
What is an Assisted Birth?
When the doctor decides to help the birth process by making use of instruments like forceps or ventouse (suction cup) and deliver the baby, an assisted delivery is said to be carried out. Assisted birth is also known as instrumental birth and is used only as a last resort. During delivery, an epidural is administered which reduces the pain but may also reduce the ability to push the baby out. It is in such circumstances that the woman will require assistance in delivering the baby.
Assisted birth, also known as operative vaginal birth, aims to replicate spontaneous delivery by extracting the fetus from the vagina without the help of maternal pushing. If the doctor has any concerns about the baby’s heart rate or its position, he/she will use this method to avoid any complications in the delivery.
What Are Forceps and Ventouse?
Ventouse
A ventouse is a vacuum extractor which is attached to the baby’s head by suction during assisted delivery. It consists of a rubber, plastic or metal cup that connects to a suction device through a tube. The cup is designed to fit snugly on the baby’s head without causing any injury or damage. Supported by the woman’s pushing and the contractions, the doctor pulls in a gentle manner to help her in delivering the baby. When the ventouse is used, the suction leaves a temporary mark, known as a ‘chignon’, on the baby’s head. If you are at less than 34 weeks of pregnancy, the ventouse is not used as the baby’s head is soft.
Forceps
These are metal instruments that resemble tongs or large spoons and are designed to fit around the baby’s head . During assisted delivery, these forceps are placed carefully around the baby’s head, and the handles are pulled together to grip the head properly. During contractions, the doctor gently pulls the baby outwards and delivers it safely. There are specific forceps available to help the baby turn to the ideal position for delivery. Though the forceps can leave a slight mark on the baby’s head or forehead, these are temporary and will disappear after some time.
Why you Could Need an Assisted Birth
You will need assisted delivery in case of following conditions:
If you have been pushing for long and this has caused extreme exhaustion.
If the baby is distressed during labour.
If you suffer from a medical condition like heart disease.
If your baby isn’t moving properly through your pelvis.
If the baby’s head is required to be turned so that he/she faces the right direction during delivery.
If during a breech position, the head is unable to come out
Can Assisted Childbirth be avoided?
Although avoiding assisted delivery may not always be possible, the risk of having one can be reduced through the following factors:
Try and avoid an epidural.
If an epidural is unavoidable, wait for an hour before you push so that you are completely dilated, and there is a natural urge to push.
If your doctor allows it, try moving into a sitting position repeatedly during labour.
Get help and support from your labour partner or the doctor while in labour.
What Normally happens before an Assisted Delivery?
While deciding upon conducting an assisted delivery, your doctor will check the position of the baby. If the baby’s position is right, he/she will then make a choice of the instrument to be used. Of course, you may not be in a position to discuss this with the doctor. Depending on your condition, you could be shifted to the operating room in case a C-section operation needs to be carried out. After putting your legs in supports on both sides of the bed, you will be shaved, and a catheter will be used to drain off your bladder. You could also be administered a localised pain relief injection.
What happens during a Forcep Induced birth?
During an assisted birth using forceps, you will be given a local anesthetic in the vagina as the first step. The doctor will make a cut so that the opening is widened and there is enough space to put the forceps around the baby’s head. After the forceps are delicately clamped around the baby’s head, the doctor will time his/her pull with your contraction so that the baby’s travel along the birth canal is facilitated. If the baby does not move satisfactorily enough after three pulls, the doctor will quickly move on to conducting a cesarean section and deliver your baby.
What happens during a Ventouse birth?
A ventouse is generally preferred by doctors for assisted delivery as they are less painful as compared to forceps. Since the suction cup sits firmly on a small area of the baby’s head, there are fewer chances of it causing perineal tearing to the mother. The doctor uses a foot-controlled pump to remove air from the cup so it is firmly fixed. The doctor will then pull the ventouse outwards during your contraction and will guide the baby out. If this doesn’t work, the doctor will opt for a C-section operation to avoid any risks.
Which is better- Forceps or Ventouse?
Your doctor may opt for either of the instruments depending on your condition as each has its own benefits and risks. A ventouse can lead to temporary swelling around the baby’s head and cause retinal hemorrhage to the baby but does little damage to your vaginal and surrounding areas. Forceps are more likely to do the job of helping the baby out as compared to the ventouse but can cause some bruising to the baby’s face. Its use during delivery can lead to external and internal damage to the vagina. It is your doctor’s choice to decide about the instrument to be used according to the prevailing circumstances.
What happens after an Instrumental Delivery?
Right after the delivery takes place, you will want to know the reasons why you had an assisted delivery. Your obstetrician is the best person to speak as he can give you the facts quite competently. You can ask and clarify all your doubts post the assisted delivery and how it will affect normal life for you and the baby. You may want to know the time taken to recover from the delivery. If there are any marks on the baby due to the instrumental delivery, be assured they will disappear within a few weeks. The doctor may prescribe the external application of ointments if the blisters are severe.
Risks associated with Forceps and Vacuum Delivery
Both vacuum-assisted and forceps-assisted delivery can cause a small amount of tear or injury to the tissues around the vagina, anus and perineum. Both these methods are also known to cause fecal or urinary incontinence because of the tiny injuries caused. Your doctor will give you a fair idea of these issues and prescribe the necessary medications to help you to tide over it.
Risk to your Baby
Although the use of forceps and ventouse is made to assist in facilitating a normal delivery, there are a few risks you should be aware of as a mother-to-be:
1. External Scalp Injuries
Assisted delivery using forceps or ventouse can cause external wounds to the baby’s head and forehead and a tiny bit of swelling too. While the swelling will subside in a few days, the injuries may need medical attention. There could be small cuts or abrasions, but these will be superficial and are not known to leave any permanent marks.
2. Hematoma
The formation of blood under the baby’s skin, known as hematoma is a common occurrence when vacuum-assisted deliveries are carried out. There are two types of hematoma which are cephalohematoma and sub-galeal hematoma. While cephalohematoma does not lead to any major complications, sub-galeal hematoma is rare but can be life-threatening in certain situations.
3. Intracranial Haemorrhage
The suction that is applied to the baby’s skull can cause internal bleeding due to damage to the veins. It is a rare condition but can lead to serious consequences like memory loss, speech impairment or loss of movement to the connected area. However, with modern equipment and better vacuum cup material, such a condition is quite rare.
4. Retinal Haemorrhage
Bleeding at the rear portion of the eyes is known as retinal hemorrhage and is a common occurrence in newborn babies. The baby’s head is subjected to a lot of pressure when it passes through the cervix and when the external pressure in the form of ventouse or forceps is applied, it can lead to retinal hemorrhage.
Assisted Delivery with the help of external devices like forceps and ventouse (vacuum pumps) is used by doctors when they anticipate issues with normal deliveries. Your doctor will know how and when to use them and will deliver your baby using them as support devices to create a safe passage.
Also Read:
Natural Childbirth
Lamaze Method of Childbirth
Vaginal Birth after Caesarean Delivery Read more
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How to Cope with Empty Nest Syndrome
These days, single parent families are on the rise. While raising a child on your own can be quite overwhelming, dealing with the loneliness once the child leaves home is all the more difficult. You don't know what to do with all that time in your hands. You feel cut off from your child's life. You feel you are no longer needed. But relax! You will always hold a special place in your child's life. Read this article to know more about coping with empty nest syndrome.
Nothing is more complex and satisfying than parenting. Your child is the source of your joy and pride, but when she flies into the sky in search of her identity, an unbearable anguish fills your heart. Weren’t you always meant to be each other’s constants?
If you are a parent who has been singly caring for your child all along, your feeling would be more mind numbing and intense. Suddenly everything loses meaning. Emptiness fills every pore of your being. The house looks bleak and hostile without those special feet scampering through them.
Tips for Single Parents to Manage Empty Nest Syndrome
The relationship between a single parent and the child is a special one. Both of you always nurtured and nourished each other. Both of you were more like best buddies, partners-in crime, protecting each other and sharing confidences.
So how would you cope with this new found space in your life? Yes, incredible as it sounds, the moment your child leaves home, you have more time at disposal. You can start doing things you always dreamed of. You can climb mountains, lounge in the morning sunshine sipping wine or listen to music. Here are some other things you can do:
Talk with other single parents. Make new friends. Talk about your feelings and your loneliness. It will help you come out of your loneliness.
Go out for long walks, exercise. Develop new interests like hiking, crocheting or even origami to help you bring back the zest in your life.
Join an online or offline forum for single parents. This will help you connect with other single parents and you will realize that you are not the only one being overwhelmed by a feeling of loneliness.
Volunteer to spend some time at the local orphanage or an old age home. It will help you feel grounded and bring you deep satisfaction.
Talk with your child on a regular basis. Show off your pictures from the recent hiking trip. Assure him/her that you are happy on your own. This is very important as children of single parents tend to feel guilty about leaving their parents alone.
Allow yourself the freedom of being happy once again - start dating another single parent like yourself or someone interesting who makes you feel comfortable and makes you laugh more than usual.
Finally, remember, you would never cease being a parent - no one can take that away from you, neither you nor your child! Hence, enjoy this new phase of your life with renewed vigour and take pride in your achievements. You deserve every bit of it. After all, didn’t you raise a wonderful child all on your own? Read more
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Of Course you Can Do Crunches!
If gaining core strength, toning your muscles, and flaunting a flat belly give you a kick and a jolt, then crunches are your best friends! They are also an integral part of your fitness challenge. Why not discover the best way to do crunches? You'll never look back once you get into the groove!
Whether you’re a fitness freak or are trying to get back in shape after a hiatus, there are many advantages to doing crunches. They’re basically exercises that work on toning, defining, and strengthening your abdominal muscles. They’re like sit-ups, except that you lift only the upper half of your torso off the ground.
How to Do Crunches The Right Way?
A great place to begin is to know your body and where you stand in terms of fitness and stamina. It’ll help you decide the starting point of your workout regimen. There are different types of crunches for abs that can get rid of belly fat and give you a flat, toned piece-of-art to show off with pride!
1. Regular Crunches
These are the simplest and most basic of the lot, and help to get rid of upper belly fat.
Step 1 Lie down on the ground with your hands at the back of your head.
Step 2 Sit up while putting pressure on your stomach muscles.
Step 3 Go back to step 1 for reps.
2. Reverse Crunches
Reverse crunches target the lower abs. They’re also less stressful on the neck and back muscles than regular crunches.
Step 1 Start by lying flat on your back with your knees bent.
Step 2 Lift your feet toward the sky as you curl your hips off the ground.
Step 3 Slowly lie back down and repeat the cycle.
3. Twist Crunches
This exercise is just what the name suggests. You move to your side instead of rising straight. It helps slim the sides of the waist.
Step 1 Begin the twist crunch by lying on your back with your hands behind your head.
Step 2 Lift your upper torso and bring your left elbow toward your right knee.
Step 3 Go back to step 1 and reverse your position, bringing your right elbow to your left knee.
You can increase the intensity of floor crunches by trying out full body crunches where you bring your knees up while crunching, and using an exercise ball to lie upon. Remember to go slow and make gradual, controlled movements. Jerky motions may injure you. Also, make sure that the crunching action comes from your abdominal muscles and not your neck.
A smart tip for doing crunches for women is to remember that muscle endurance builds up slowly once you start working out. The best way to do crunches also involves taking due care of your posture to avoid unnecessary pain and sprains. Go slow and let each muscle experience the complete cycle of isolation (or 'crunch') to maximise the benefits of crunches.
*This article has been certified by Gold's Gym experts. Read more
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A pandemic summer - battling from indoors this year: parents ‘summer’ mare.
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Summer = holiday= fun for most Indian kids.
With the times spent outdoors, everything is forgotten from food & hygiene.Hence parents are put in charge themselves battling the scorching sun. Summer care is not just keeping the
body cool: it is indeed a lot more which we take it for granted: there is the skin care, infections to avoid and care, endless injuries &the ensuing cosmetic scars and lastly the menace of the pet animal love bites.
Thanks to the pandemic, this summer is a whole lot different as the children are home bound posing a treat to the Work at home mommies and work from home daddies!!!
The difficulty meter is definitely overrated!!!
With more and more young ones getting affected it is essential to keep them away from other cohorts for their safety as well as the seniors at home. Blessed are those parents who have Their parents and grandparents residing long side as they
are the saviours now!!!
So here, a few suggestions to beat this pandemic summer!!!
1.This pandemic the only thing which kids do correctly and enthusiastically is washing their hands credits to the love of water play. Anything and everything, they wash which we can’t say no in the recent times. Though it is prasieworthy, it comes with
a setback in the form of dryness and eczema. It might exacerbate atopic dermatitis or at times provoke it too. Drying hands with a soft towel and the use of moisturizers May serve the need. Also the substitution of hand wash liquids with the mild
soaps of the little ones might do The trick. Restricting the use of alcohol rubs is also essential.
2.Amongst all the forms- a mother takes, this summer it is DIY version… coz diy activities keep them engaged off screen. Do it yourself activities need not be those colourful craft works, but anything new everyday. Water colours are a real
Saviour in being mommy & veedu friendly. Schooling kids may be allowed to handle paper and scissors(under supervision) as it amuses them to be in charge.
3. Running amok hither & thither! Hitting and sustaining injuries , bleeding or not common reasons to raise the mommies heart beat. Chattels May be moved aside to make more room. Keeping a first aid box comprising of antiseptic cream,
gauzes, cartoony bandaids much to the relief of ma & pa . Under 10 kids do not need a TT shot unless it is a dirty wound which rarely happens indoor. Keep Teleconsultation option with your paediatrician open for emergency consults which
can prevent unwanted hospital visits.
4. Animalove cant be underrated this summer coz pets are the only permitted friends without masks. Even this comes with a price. As a Tamil proverb goes too much off affection is neither good when friends get together there are scratches bites &
wounds. Even though your pets may be vaccinated it is essential to teleconsult with your doctor and pay a visit if she suggests to get a vaccine.
5. Now to the crucial one…Mental health cannot be taken for granted.
Not only depression and bipolars, there is a myriad of trifle complaints which can denote waning sanity. So much is being spoken about wellness of the child’s mind in the 21st century coz it seems to be a significant performance risk.
Prolonged screen indulgence (digital friend) has sinister effects on the physical health too. Poor eating, frequent tantrums,disobedience,not sleeping properly, inattentivenss,headaches,vision issues and ensuing problems are seldom taken seriously.
Talk to your kids about the happenings of the outside. Do not shun them with focus on your work kinda statements.; They do have so much unanswered questions about COIVD and how it
has impacted their lives. We are not an epidemiologist hence we too may not know much, still it is worthwhile to them about the risks and safety to alleviate their fears.
When are ward has some weirdness lately, take it to the notice of your paediatrician before it is too late. Do not ignore minor complaints fearing stigma.
Mommies, hope the summer isn’t as hot inside as it is outside. With the surging second wave, spend more time with the kids not only helps them but also the much needed stress buster for us too for nothing beats their smily & cheerful face.
Happy pandemic summer mommies & daddies!!
S.M.S
Pic courtesy:visaprint.in
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Dr Sameer awadhiya has added a new answer
Guardian of 0 children
30 mins ago
Q. Hello Doctor,
can vaccination be delayed for 2 months old baby ? if yes, how long can we delay ? please advise
Dr Sameer awadhiya
Paediatrician
29 mins ago
A. yes further you can contact with your doctor and you can get the the solution for this by discussing with him he will guide you for more details ighf required .
Its always better to take the guidance by the concerned person with the geniune advice ...
Dr Ghouse has added a new answer
Expecting Mom due in 2 months
29 mins ago
Q. 31 weeks pregnant doctor suggested gestakind two times, refka tablets 1 time at night, iron capsule 2 times, and calcium tablet 1 time after lunch
is this okay? and how to take all this medicine??
Dr Ghouse
Paediatrician
19 mins ago
A. okay follow as per the doctors advice. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Expecting Mom due this month
25 mins ago
Q. when can i start massage after c section delivery and which body part massage is not suggested
Rashmi
Mom of a 9 yr 7 m old girl
24 mins ago
A. Just on the tummy area where you have stitches rest you can start with it not a problem but just make sure tell your muscles to keep a very light hand and also keep it away from your stitch area rest you can go ahead with getting a massage done there is no problem
Dr Ghouse has added a new answer
Expecting Mom due in 2 months
15 mins ago
Q. #asktheexpert.
which formula milk is best for newly born baby if the mother is not able to feed?
Dr Ghouse
Paediatrician
12 mins ago
A. no problem can use any brand as doctors advise. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Mohammad amin has added a new answer
Guardian of 0 children
13 mins ago
Q. Hi doctor,
Please recommend me the feeding bottle & breast pump for post delivery.
Mohammad amin
Guardian of a 2 yr 11 m old boy
1 min ago
A. Philips are good brand
Dr Ghouse has added a new answer
Guardian of 0 children
10 mins ago
Q. #asktheexpert
I lost my baby after delivery due to a weak heart and heart cells issue. Everything is good in the TIFFA scan but finally we lost our baby.
Will you please tell us the correct reason and after the TIFFA scan doctor knows this issue or not. Till the 5th month ending I consulted one doctor afterwards to the delivery time and consulted another doctor.
Read moreDr Ghouse
Paediatrician
9 mins ago
A. different reasons not possible to pin point. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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