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Category: Pediatric Services

How do I know if my child has Pneumonia ?

How do I know if my child has pneumonia

Dr Paula Goel , Pediatrician & Adolescent Physician , Fayth Clinic up5

Pneumonia is an infection of the lungs in which the air sacs in the lungs (called alveoli) fill up with pus and other fluid. This makes it hard for oxygen to reach the bloodstream. This can occur at any age but is more frightening in children as it may progress rapidly to respiratory distress or failure if not diagnosed and treated in time.

Symptoms vary depending on the age and what caused the pneumonia, but can include:

  • very fast breathing (in some cases, this is the only symptom)
  • breathing with grunting or wheezing sounds
  • working hard to breathe; this can include flaring of the nostrils, belly breathing, or movement of the muscles between the ribs
  • fever with or without chills
  • cough
  • stuffy nose
  • vomiting
  • chest pain
  • belly pain (because a child is coughing and working hard to breathe)
  • decreased activity or lethargy
  • loss of appetite (in older kids) or poor feeding (in infants), which may lead to dehydration up7
  • in extreme cases, bluish or gray color of the lips and fingernails

 

Pneumonia is caused by viruses, bacteria, fungi, and parasites. Mostly caused by viruses. Pneumonia  may begin after an upper respiratory tract infection (an infection of the nose and throat), with symptoms starting after 2 or 3 days of a cold or sorethroat, after which it progresses to the  lungs. Fluid, white blood cells, and debris start to gather in the air spaces of the lungs and block the smooth flow of air to the lungs making it difficult to breathe .  If pneumonia is caused by bacteria  become sick rapidly starting with a sudden high fever and rapid breathing.

Kids with pneumonia caused by viruses probably will have symptoms that appear more gradually and are less severe, though wheezing can be more common.

Some symptoms give important clues about which germ is causing the pneumonia. For example:

  • In older kids and teens, pneumonia due to Mycoplasma causes a sore throat, headache, and rash in addition to the usual symptoms of pneumonia.
  • In babies, pneumonia due to Chlamydia may cause conjunctivitis (watering red eye)with only mild illness and no fever.
  • When pneumonia is due to whooping cough (pertussis), have long coughing spells, turn blue from lack of air, or make the classic “whoop” sound when trying to take a breath.

Diagnosis of pneumonia is made after medical  exam,  child’s appearance, breathing pattern, and vital signs, and listen to the lungs for abnormal sounds. Chest Xray and  blood testsmay be required .

Viral pneumonia does not require antibiotics for treatment . Pneumonia caused by bacteria is treated with antibiotics taken by mouth at home.

Children might need treatment in a hospital if the pneumonia causes a lasting high fever, breathing problems, or if they:

  • need oxygen therapy
  • have a lung infection that may have spread to the bloodstream
  • have a chronic illness that affects the immune system
  • are vomiting so much that they cannot take medicine by mouth
  • keep getting pneumonia
  • might have whooping cough

If your child has bacterial pneumonia and the doctor prescribed antibiotics, give the medicine on schedule for as long as directed. This will help your child recover faster and help prevent the infection from spreading to others in the family. For wheezing, the doctor might recommend using a nebulizer or an inhaler.

Child’s temperature must be taken  at least once each morning and each evening. Call the doctor if it goes above 102°F (38.9°C) in an older infant or child, or above 100.4°F (38°C) in a baby under 6 months old.

Check your child’s lips and fingernails to make sure they are rosy and pink. Call your doctor if they are bluish or gray, or the child is breathing very rapidly ,which is a sign that the lungs are not getting enough oxygen.

With treatment, most types of bacterial pneumonia are cured in 1–2 weeks. Viral pneumonia may take 4–6 weeks to go away completely.

Can Pneumonia Be Prevented?

Some types of pneumonia can be prevented by vaccines. Kids usually get routine immunizations against Haemophilus influenzae  ,  pneumococcus and whooping cough beginning at 2 months of age.

The flu vaccine is recommended for all healthy kids ages 6 months through 19 years, but especially for kids with chronic illnesses such as heart or lung disorders or asthma.

When Should I Call the Doctor?

You should contact your doctor right away if your child has any of the signs of pneumonia, but especially if he or she:

  • has trouble breathing or is breathing too fast
  • has a bluish or gray color to the fingernails or lips
  • has a fever of 102°F (38.9°C), or above 100.4°F (38°C) in babies younger than 6 months old

Fayth Clinic ( NABH accredited & ISO 9001:2015 certified ) diagnostic centre & medical clinic.  Our integrated diagnostic and medical services with experience of senior medical consultants  provide patient friendly healthcare services . We provide 3 years digitalized medical reports which is accessible worldwide . Our doctors  and paramedical staff are easily accessible and empathetic to the patients needs.

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Book your pediatric  consult at  8879443733/7738630144  or send us an enquiry at services@faythclinic.com .

Get back to life ….Your life matters !

 

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Is it necessary to get health checkup done ? What if I have to take medicines everyday?

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Dr Paula Goel , Fayth Clinic

Does the thought of taking medicine create irrational fear in your heart ?

If so, you may suffering  from a rare phobia called pharmacophobia which is  the irrational fear of taking medication. Patients who suffer from pharmacophobia experience palpitations, panic attacks, racing heart rates, trembling, nausea, and even weakness. These are all traditional anxiety symptoms that stem from an overactive “fight or flight” response in the body.

When these individuals have to go for medical assessment or even for routine annual health screening , they get very stressed out . The first thought which enters their head is “ What if something is wrong and I do need to take medicines”. This creates an anxiety situation leading to fight or flight response . Sometimes , so high is the fear , that they stop taking their medications leading to aggravation of the disease process and causing a great deal of harm to themselves.

So , is it possible to overcome this fear of pharmacophobia ? Here’s the good news: it is possible to overcome your pharmacophobia. Start with these strategies to build up your anxiety coping mechanism.

Find out how the pharmacophobia started 

Women sitting together in a circle in a support group.

Generally this develops after a particular negative experience in the past like side effects or aallergic effects which could have been life threatening or they could have seen a loved one suffering a serious illness which required taking very strong medications and associated with death. Even though the death may not have been as a result of the medications, the brain then draws the correlations between the two. This may cause patients to fear that they will have the same experience. Therapists often refer to this as “fearing the fear” itself.

If you can trace your fear back to when it may have started, you may also identify what caused it in the first place. Think back to negative experiences you or someone you know has had with medication. How did those experiences affect you? Remind yourself that someone else having a negative experience does not necessarily mean you will  too.

Try taking your first dose in front of your doctor

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If there is tremendous fear of taking medications by yourself , you could take the first dose in front of your doctor , so that you can be monitored and incase of any adverse effects , you can be treated immediately . Once you realize that there are no problems , you can overcome your phobia and start taking them at home in front of your family members .  Research tells is that people with pharmacophobia experience the most fear with the first dose. As they take their medication and witness the lack of side effects, the anxiety lessens – hopefully it lessens for you, too

 

 

Try Talk Therapy

 

Women sitting together in a circle in a support group.

If you still require help to deal with pharmacophobia , you could go for Talk therapy, including both Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), can both significantly help people who suffer from pharmacophobia. The first attempts to change how you perceive your fear, and thus, its outcome. The second approach teaches you to be mindful and stay in the moment. In phobias where regressions and triggers can potentially cause more harm than good if mishandled, hence finding the right therapist is vitally important

You could also try  DBTSelfHelp.com. This website contains a database of DBT-based exercises and information you can put to use right at home. Practical skills learned include distress tolerance, emotional regulation, and mindfulness

Try Exposure Therapy

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Exposure therapy may help to desensitize you. This form of therapy exposes you to your fear with a therapist by your side to help you work through the negative emotions you experience. By research and statistics, it shows the highest level of efficacy in resolving extreme phobias. Exposure therapy is often gradual, so a complete fix may not happen for months or even years. However, it is still a valuable long-term tool. Patients with phobias who undergo exposure therapy often come to resolve their fears completely and permanently

Change Your Dosing Method

The phobia itself may be related to a specific form of dosing rather than the medication itself. Patients may struggle with swallowing medicines , but do fine when given intramuscular injections. Others may be fine with pills, but struggle with topicals. Even the fear of choking on medication can be enough to dissuade some patients from sticking with treatment. Changing the approach to accommodate may be easier than eliminating it.

Compounding is especially useful for children with pharmacophobia, who may be more willing to take a medication that has better taste over a formula that’s bitter or sour. Pharmacists can add in flavoring to make the medication more palatable.

What’s most important is that you know pharmacophobia is nothing to be scared of . There are  plenty of patients who struggle with it, and most eventually overcome their fears and can get treated for their medical problems.  It is always best to diagnose & identify medical problems early in the course of the disease . You can, too!

Fayth Clinic ( NABH accredited & ISO 9001:2015 certified ) diagnostic centre & medical clinic has multiple packages for health checkup .  Our integrated diagnostic and medical services with experience of senior medical consultants  provide patient friendly healthcare services . We provide 3 years digitalized medical reports which is accessible worldwide . Our entire health  checkup process takes only 2 hours to complete . Our doctors  and paramedical staff are easily accessible and empathetic to the patients needs. The kind of customers who love our work are the one are busy to look after their healthcare needs &who require reminders , rapid service and effective  response from us.

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It is imperative to get your annual health evaluation done   Book your health checkup today at  8879443733/7738630144  or send us an enquiry at services@faythclinic.com .

Get back to life ….Your life matters !

 

 

 

 

 

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When should you worry about your child's fever ?

 

When should you worry about your child’s fever ?

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Dr Paula Goel , Pediatrician & Adolescent physician , Fayth Clinic

Fever occurs when your body is fighting an infection ,  inflammation, overdressing a child and also after immunization  . It’s a common occurrence and children get fever from time to time , however if the fever is very high and is associated with complications , then it is worrisome. Generally the body is set at temperature of around 98.6°F/37°C. Minor variations in body temperature may occur during the day and is absolutely normal

When Is a Fever a Sign of Something Serious?

In healthy kids, fever will subside unless there is associated problems . High fever may cause dehydration . When temperature is lower than 102°F (38.9°C) medicine may not be required unless the child is very uncomfortable .

When to visit  your doctor :

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  • an infant 3 months or younger with a rectal temperature of 100.4°F (38°C) or higher, it is essential to meet your doctor   Even a slight fever can be a sign of a potentially serious infection in very young babies.
  • If your child is between 3 months – 3 years old and has a fever of 102.2°F (39°C) or higherit is necessary to go to your doctor .
  • For older kids, take behavior and activity level should be taken into account. Watching how your child behaves will give you a pretty good idea of whether a minor illness is the cause or if your child should be seen by a doctor.

Sick little girl covered in blanket is lying on couch while her father is taking her temperature

Sick little girl covered in blanket is lying on couch while her father is taking her temperature

The illness is probably not serious if your child:

  • is still interested in playing
  • is eating and drinking well
  • is alert and smiling at you
  • has a normal skin color
  • looks well when his or her temperature comes down

 

Confirmation of fever is important by Using  a reliable digital thermometer . It’s a fever when a child’s temperature is at or above one of these levels:

  • measured orally(in the mouth): 100°F (37.8°C)
  • measured rectally(in the bottom): 100.4°F (38°C)
  • measured in an axillaryposition (under the arm): 99°F (37.2°C)

Fevers can rise and fall, a child might have chills as the body’s temperature begins to rise. The child may sweat to release extra heat as the temperature starts to drop.

Sometimes kids with a fever have rapid breathing  than usual and may have a faster heart rate.

When Should I worry about the fever ? The exact temperature that should trigger a call to the doctor depends on a child’s age, the illness, and whether there are other symptoms with the fever.

  • infant younger than 3 months old with a rectal temperature of 100.4°F (38°C) or higher
  • older child with a temperature of higher than 102.2°F (39°C)
  • If your child refuses fluids or seems too ill to drink adequately
  • has lasting diarrheaor repeated vomiting
  • has any signs of dehydration and is lethargic
  • has a specific complaint (like a sore throator earache)
  • still has a fever after 24 hours (in kids younger than 2 years old) or 72 hours (in kids 2 years or older)
  • has a chronic medical problem, such as heart disease, cancer
  • has a rash with fever
  • has pain while passing urine
  • Wont stop crying and is very irritable
  • sluggishness and trouble waking up
  • a rash or purple spots that look like bruises on the skin (that were not there before your child got sick)
  • blue lips, tongue, or nails
  • infant’s soft spot on the head seems to be bulging out or sunken in
  • stiff neck
  • severe headache
  • limpness or refusal to move
  • trouble breathing that doesn’t get better when the nose is cleared
  • leaning forward and drooling
  • convulsions
  • moderate to severe belly pain

All children with fever, comes back to normal within a few days. For older babies and kids, the way they act can be more important than the reading on your thermometer. Everyone gets a little cranky when they have a fever. This is normal and should be expected. However , if you are doubtful about what to do , it is  essential to call your doctor for advice .

Fayth Clinic ( NABH accredited & ISO 9001:2015 certified ) diagnostic centre & medical clinic.  Our integrated diagnostic and medical services with experience of senior medical consultants  provide patient friendly healthcare services . We provide 3 years digitalized medical reports which is accessible worldwide . Our doctors  and paramedical staff are easily accessible and empathetic to the patients needs.

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Book your pediatric  consult at  8879443733/7738630144  or send us an enquiry at services@faythclinic.com .

Get back to life ….Your life matters !

 

 

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5 Reasons Why You Avoid Health Checkup

5 reasons why you avoid  health checkup

Dr Paula Goel , Fayth Clinic 5

Over 1/3 of patients avoid health screenings or even avoid going to medical checkup due to belief systems related to health care . These belief systems could be related to previous unfavourable situations or evaluations perceived by them , their friends or relatives . This could be related to factors related to doctors , healthcare organizations and affective concerns.

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Here are 5 reasons why people avoid medical checkups :

1.There may be a low perceived need to seek medical care as individual feels that their illness or symptom may improve with time or improve on their own  . Hence , they are willing to wait and endure the illness. Many time , such patient seek healthcare services at the time when its too late . Many do not believe in going to the doctor because they did not have any health problems

2. Many people feel it is a waste of money to get their medical examinations and tests done and when they do reach the healthcare sector , they may find the cost high as they have ignored their health problems earlier. This reinforces their belief system that healthcare is expensive . And this is very true especially if there is no health insurance to cover the medical  admission costs .

3. Time constraints play an important role especially if they have to take the day off and undergo medical tests . Many are very busy to seek medical care for their own health because clinic hours are inconvenient .

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4. People may avoid going to the doctor if they feel that doctor is too far or transportation is difficult or they were too sick to travel

5.  Concerns about quality of medical care and interpersonal concerns of the doctor also plays an important role. Communication with doctors may pose a problem to the patient , especially if the doctor has a heavy OPD and patient perceives that doctor has devoted less time . Many times patients feel that doctors do not take patient concerns seriously or they have general mistrust  & lack of confidence in healthcare providers . Many patients have fear of needles , which makes it difficult for them to undergo blood tests , vaccinations or surgeries .Many patients are not comfortable disclosing their health concerns and habits  ( smoking , alcohol intake etc ) to the doctors . Some even have dislike for medical recommendations ( especially on weight loss , alcohol consumption , smoking and medications for high blood pressure ) and perception that recommendations would not be useful .

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Fayth Clinic ( NABH accredited & ISO 9001:2015 certified ) diagnostic centre & medical clinic has multiple packages for health checkup .  Our integrated diagnostic and medical services with experience of senior medical consultants  provide patient friendly healthcare services . We provide 3 years digitalized medical reports which is accessible worldwide . Our entire health  checkup process takes only 2 hours to complete . Our doctors  and paramedical staff are easily accessible and empathetic to the patients needs. The kind of customers who love our work are the one are busy to look after their healthcare needs &who require reminders , rapid service and effective  response from us.

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It is imperative to get your annual health evaluation done   Book your health checkup today at  8879443733/7738630144  or send us an enquiry at services@faythclinic.com .

Get back to life ….Your life matters !

 

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5 steps to identify if your teen is getting into bad company

5 steps to identify if your teen is getting into bad company

Dr Paula Goel , Pediatrician & adolescent physician , Fayth Clinic

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Has your sweet adorable child suddenly metamorphosed into an individual who is constantly at loggerheads with you ? Is having a regular normal conversation difficult on a day to day basis ? And do you find complete change in behavior ?

Many of these could be just normal for this age group  (10-19 yrs ) , however if the symptoms last for more than 2 weeks at a stretch and is associated with disturbance in the family structure , it is time to probe deeper . There might be a solid reason to feel concerned about your child and his/her changed behaviour. A parent’s instincts about their child is right in most cases.

So , what are the red flag signs which should alert you if your teen is getting into bad company which may get in the way of his/her studies or pose a threat to his/her safety, then you must address the issue ASAP!

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1. Fall in school or college grades is the first sign .On many occasions, the child will even hide the marks , so tracking whether examination has occurred and what are the grades is necessary . If the child has performed poorly , it is imperative not to blame the child but provide a nurturing and caring environment which will allow the child to feel safe and not victimized . It is necessary for parents to understand that if the child has fallen into bad company , the child will tend to gravitate more because he/she gets the comfort which is somehow lacking at home ( strict parents ). There have been repeated complaints from school or college authorities regarding grades aand behaviour issues.

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2.Teens between ages of 13 – 18 years, tend to develop an impulsive attitude and a reckless behaviour, which may lead them into doing certain things that are not desirable. Peer pressure, the desire to “fit in” with the so called “cool” kids of their age, may lead a teenager to take some decisions that may affect their  academics, health and life in general. Smoking, drinking, drug use, indulging in unprotected sex, etccan be indulged in , hence parent need to  crucial to recognise certain signs like generalized fatigue , chronic cough , red glazed eyes , repeated respiratory infections , abdominal pain , chronic headaches
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  1. Your child who was once quite obedient and nice has suddenly started to back answer and is extremely  rude and mannerless. They become tightlipped or fight back , when asked questions about their friends and activities. Most of the time , the door to their room is closed and in extreme situations , you even have to take their permission to enter the room . They will not take any phone calls or work on the computer in front of you . Any questions asked will be met with resistance to answer .They  refuse to bring friends home to meet you, when you ask for it. They do it because they know that the company they hang out with is not an ideal one and their parents would never approve of it.

    4. Your teenager spends a lot of time outside and returns home only after you call him/her multiple times and he/she refuses to tell you about his/her whereabouts. There are times when they have not come back home and returned home in the morning . While going out , their dress sense has become unconventional and music and lifestyle has also become unconventional . You may find them sporting expensive gadgets or clothes and when asked , there will be no answer or expensive gadgets and clothes may also be hidden and not shown to parents.5

    5. Your teen refuses to be a part of family outings, dinners, etc, and never bothers coming out of the room. He/ she has no connection or refuses to maintain with other family members .Your teen constantly lies to you about everything like school timings, their whereabouts, grades, etc. Large amounts of pocket money may be required and if not given , may be associated with either fights or stealing money from you . At a later stage , stealing may also progress to stealing and selling mothers jewellery , household items .

These are some of the red flag signs to alert and warn you . It is best to identify and deal with the issue early . It is also imperative for parents and caretakers to hve an empathetic attitude and refrain from finger pointing and punishing .Counseling for both teenager and caretaker is necessary to deal with the issues .

Fayth Clinic ( NABH accredited & ISO 9001:2015 certified ) diagnostic centre & medical clinic.  Our integrated diagnostic and medical services with experience of senior medical consultants  provide patient friendly healthcare services . We provide 3 years digitalized medical reports which is accessible worldwide . Our doctors  and paramedical staff are easily accessible and empathetic to the patients needs.

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Book your consultation at  8879443733/7738630144  or send us an enquiry at services@faythclinic.com .

Get back to life ….Your life matters !

 

 

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Does the needle scare you from getting vaccinated

 

 

Does the needle scare you from getting vaccinated

Dr Paula Goel, Pediatrician & adolescent Physician , Fayth Clinic

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‘A needle makes my blood run cold’ . Does the needle scare you , so that you avoid doing blood tests or taking any injections which are required including vaccinations .

 

 

 

Many are deathly afraid of a needle that could save their lives. So scary, in fact, that studies show the needle averse individuals  routinely skip medical procedures — vaccines, tooth removal, blood tests — that they know are good for them. 16 % of adults avoid the injections  because of it

Here are some  tips to distract you :

immunization for students going abroad

  1. Distract yourself while you’re waiting.Bring along a game, book, music, or movie — something you’ll get completely caught up in so you’re not sitting in the waiting room thinking about the shot..
  2. Concentrate on taking slow, deep breaths.Breathe all the way down into your belly. Deep breathing can help people relax — and concentrating on something other than the shot can take your mind off it.
  3. Focus intently on something in the room.Find a picture, poster, or a sign on the wall. Concentrate on the details. Whatever it takes, keep focusing on something other than the shot until it’s over.
  4. Research shows that coughing once before and once during the shot can help some people feel less pain.
  5. Relax your arm.If you’re tense, it can make a shot hurt more — especially if you tense up the area where you’re getting the shot
  6. Don’t shame or humiliate. Acknowledge the fear as genuine and help your child work through it, even if it requires seeing a therapist
  7. Counseling for needle anxiety, is like any other phobias, through cognitive behavioral therapy Instead of avoiding pictures of needles, psychologists steadily expose patients to more and more images of needles. They progress to using fake but realistic needles to simulate the process of receiving an injection, even using real alcohol wipes.
  8. Experts and vaccine advocates say there are other, short-term solutions, including using pain-blocking gels, intentionally tensing and relaxing muscles repeatedly to induce relaxation, mindfulness, and flat-out distraction.
  9. Another technique is to press the thumb firmly into the child’s arm, producing a temporary soreness than can mask the sensation of the flu shot.
  10. If your child is truly needle-phobic, talk to your doctor about whether anti-anxiety medication is needed.
  11. If your child is simply anxious, try distractions: play games, ask questions, tell stories, sing songs, blow bubbles, show a movie or a cellphone video. Pre-schoolers can be caressed in a parent’s arms and comforted gently.
  12. Don’t lie to your child that the doctor’s visit won’t involve a shot or that that the shot will be absolutely painless. Dishonesty and trickery could exacerbate your child’s fear and distrust
  13. Sometimes people feel lightheaded or faint after getting a shot. If you feel funny, sit or lie down and rest for 15 minutes.
  14. Don’t hesitate to tell the doctor or nurse that you’re nervous before getting the shot. Medical professionals are used to people who are afraid of shots and they’ll be able to help you relax.

So , we hope some of these pointers will help you to deal with your fear of the needle and hopefully help you to get through medical procedures with less stress.

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Parental guidelines for overweight & Obesity in children & eens

PARENTAL GUIDELINES FOR

OVERWEIGHT & OBESITY IN CHILDREN & TEENS

Dr Paula Goel, Pediatrician & Adolescent Physician, Director,

Fayth Clinic, Mumbai

 

Overweight and obesity are a significant public health concern even for children and teenagers.  The prevalence of obesity for children and adolescents aged 2-19 years is 18.5% and affects about 13.7 million children and adolescents in USA, whereas in India it is about 14%  and growing . With the COVID lockdown, the incidence has further increased.

Overweight is defined as increased weight for age, height and gender of child. Standard charts like IAP, WHO , NCHS, UNICEF ,CDC which have  weight and height for age and gender, are used to identify overweight and obesity in children and teenagers .  WHO has declared Obesity as a disease process in 1998, requiring treatment.

Overweight & obesity in children & teenagers is associated with multiple health problems.

 Physical health problems include early onset high blood pressure, pre diabetes high serum insulin levels , high lipids (total cholesterol and  triglycerides) , acne , hair loss , irregular menses , PCOS ,fungal infections , joint problems and respiratory infections.

Pre diabetes is increased, especially if family history is present.

 

Emotional health problems may arise as many children & teenagers are subjected to vicious attacks of peer pressure and bullying due to their weight. They may face isolation due to a lack of friends in the real world. As a result, loneliness creeps in and they spend long hours on media with more “cyber friends” than real friends, and may indulge in compensatory overeating as a “feel good factor”. Eventually they develop body image issues

All this would finally leads to low self esteem, lack of self confidence, anxiety, depression, lack of focus, aggression and/or passive aggressive behavior.

This can present with scholastic backwardness in form of poor academic achievement. Metabolic consequences of obesity and psychological impact are higher in girls.

 

Causes of overweight & obesity are multi-factorial, commonest being lack of physical activity, over eating (large portion size), eating high caloric diet, long hours spent on media (TV, Internet, social media, gaming), hormonal problems, medical problems like thyroid abnormalities, anemia and other genetic problems, and family history of obesity .

Whatever is the cause of overweight & obesity, it is essential that child be diagnosed, investigated and treated accordingly.

Parents must watch for certain physical signs and symptoms:

Lethargy , fatigue , joint pains , breathlessness , lack of interest and focus , easy crying ,  sudden bouts of anger and temper , prolonged periods of locking themselves up in room , asking meals to be served in room instead of having meals with family , self abuse in terms of over eating , physical hurt to self , wearing very loose clothes , not responding to spoken words .

 

Evaluation of overweight or obese child/teenager include :

  • Medical evaluation and diagnostic tests including blood evaluation , ECG , lung function tests , Ambulatory BP if required ( in teenager )
  • Nutritional assessment of eating habits in form of frequency of eating out , intake of calories , frequency and portion size of energy rich foods, intake of fruits and vegetables, number of meals /day and skipped meals if any .
  • Identify media addiction
  • Exercise protocols to be customized per child/teenager as per their requirement
  • Counseling including cognitive behavior counseling , dietary & lifestyle modification counseling , which will include child/teenager as well as parents ( entire family )

 

Parental Tips :

  • Spend adequate time with your child /teen . Be present for your child.
  • Communicate with your child
  • Meal times should be happy time with all family members.
  • Meals should not be eaten in front of TV or in bedroom.
  • Breakfast must be the most important meal of the day .
  • Small 5-6 meals / day should be taken which consists of 3 main meals and 2-3 small snacks which are balanced with right proportion of carbohydrates, proteins, fat and adequate amount of water .
  • Starchy food with high glycemic index should be reduced, increase intake of high fibred diet.
  • Force feeding should not be done. It is ok to leave some food on plate
  • Holiday times should be used for cleaning house or community activity which allows the child to have some form of activity instead of waking up late and sitting in front of TV
  • Child should accompany parents at times for food shopping and learn to read food labels before buying processed food
  • Dieting in children and adolescents is not healthy as this is the growth phase
  • Healthy eating behavioral practice should be encouraged for the whole family

 

Prevention forms the key and can be achieved by

  • Increase activity ,
  • Reduce time on TV, media .
  • Family activities like meal planning and physical activity together goes a long way to motivate children.
  • Parents should set an example and avoid junk food themselves.
  • Food should not be used as a motivator to motivate child to perform well on any activity
  • Parents should keep watch, as it does not take time for overweight children and teens to become obese .
  • Weight maintenance over a period of time (maybe 2 years) without weight gain, in the right zone for age will lead to balancing of weight for height and allow the body to grow without micronutrient deficiency.

 

 Pediatric & Adolescent Medicine Unit of Fayth Clinic  ensures that  Overweight & Obesity in Children and teenagers  are treated under the  National Guidelines laid down by the Indian Academy of Pediatrics which leads to healthy weight loss and prevents the complications of obesity.  This enables the child /teenager to adopt healthy lifestyle changes leading to healthy eating practices, coping skills, develop healthy body image and to deal with peer pressure in the most effective way.

Other Services include: vaccinations, Pediatric & adolescent OPD, treatment of PCOS, Acne, thyroid, short stature, poor academic performance, counseling etc

 

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All to know about Diabetes in Children

Diabetes in children is also known as insulin dependent diabetes or juvenile diabetes. Diabetes is a condition in which body is not able to produce important hormone insulin. When diabetes develops in children then it is very important to provide missing insulin to them. Children suffering from diabetes require consistent care and daily monitoring of the blood sugar and insulin delivery. The symptoms of diabetes in children are

·         Frequent urination and increased thirst

·         Extreme hunger

·         Weight loss

·         Behavior changes

·         Fatigue

·         Yeast infection in genitals

·         Blurred vision

The cause of diabetes in children is absence of insulin producing cells. The immune system of the body that generally destroys harmful viruses and bacteria mistakenly kills insulin producing calls present in the pancreas. Apart that, environmental and genetics factors also play a crucial role in developing diabetes. Diabetes in children also has some risks such as genetic susceptibility, family history, and race. Some environmental factors such as diet, viruses also develop some risk for developing diabetes.

macro photograph of a doctor vaccinating a child

 

Problems associated with diabetes are

·         Heart and blood vessel disease

·         Nerve damage

·         Eye damage

·         Kidney damage

·         Osteoporosis

·         Skin diseases

Diagnosis of diabetes in children is performed by some blood tests such as random blood sugar test, glycated hemoglobin (A1C) test, and fasting blood sugar test. Some other tests include test for antibodies and urine test to check the presence of ketones.

Treatment for diabetes is a lifelong work and includes insulin therapy, blood sugar monitoring, regular exercise and healthy eating. The treatment plan for kids changes time by time according to their age. It is recommended to consult with a pediatric to provide a safe a secure care to the child. Regular exercise and healthy diet has many benefits, such as

·         Improve level of glucose control

·         Reduce risk of developing diabetes

·         Increased sensitivity to insulin

·         Reduce hyperglycemia

·         Increased fibrinolysis

Fayth clinic, Mumbai provides best plans for healthy eating and regular exercise. The doctors at Fayth clinic help the children to gain their confidence and normalize their life with insulin therapy.  

 Treatment for obesity

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