Wednesday, May 18, 2022

What is Pediatric Sleep Apnea? What is the Main Cause

 


Chronic running nose, mouth breathing, dry Mouth frequent infections especially of the lungs, poor appetite, halitosis, nasal congestion, and ADHD like symptoms mainly aggression, poor concentration, and irritability rather than to act or complain of feeling “sleepy.”

Since OSA results from relative narrowing of upper airway rather than the absolute size of the tonsils and adenoids, tonsillar size Adenotonsillectomy is an effective first-line treatment for pediatric OSA.

Failure to thrive because of pediatric OSA is also corrected with Adenotonsillectomy and shown to increase the height and weight of children

MISDIAGNOSING SLEEP APNEA AS ADHD

Attention deficit hyperactivity disorder, also known as ADHD, is a common condition diagnosed due to symptoms indicating hyperactivity, inattentiveness, and impulsivity. Attention-deficit/hyperactivity disorder is among the neurobehavioral sequelae associated with OSA in nearly 75 percent of children. 

OSAS in children is a similar condition to the form in adults in children.

· If left untreated, OSAS is associated with adverse effects on growth and development, and can cause metabolic, cardiovascular and neurocognitive disease and behavioural changes in children.

· Daytime hyperactivity.

· Cognitive deficits.

· Cardiovascular problems - eg, hypertension, left ventricular hypertrophy, raised pulmonary artery pressure.

· Failure to thrive.

· Association with insulin resistance.

· Some studies have shown that children with OSAS have greater impulsivity when crossing streets which increases their risk of injury.

· School-aged children are at risk of developing future obesity if they have OSAS.

 


Saturday, April 02, 2022

Sudden Deafness to Normal Hearing - Timing is the Essence, when to meet the Specialist

Its sad that most patients do not realize or think that their decreased hearing is because of some Ear wax and make their problem worse.

Timing is of utmost importance in treating sudden deafness, the most unfortunate part is many come after a month after trying all home remedies!. 

Even more sad part is the presentation of the condition, it majority of the times presents just like Ear blockage or as ringing noise, if you have these symptoms and even after 3-4 days if it persists meet your specialist





Wednesday, March 23, 2022

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Monday, February 21, 2022

Coping With Stress

 What are the possible signs and symptoms of stress?

Stress affects the mind, body, and behavior in many ways and has the potential to harm your health, emotional well-being, and relationships with others. 

 

        How stress can affect your mind

       How stress can make you feel

·                Memory problems.

·                Difficulty making decisions.

·                Inability to concentrate.

·                Seeing only the negative.

·                Repetitive or racing thoughts. 

·                Poor judgment.

·                Moody and hypersensitive.

·                Restlessness and anxiety.

·                Depression.

·                Anger and irritability

·                Sense of being overwhelmed.

·                Lack of confidence.

        How stress can affect your body

     How stress can affect your behavior

·                Headaches.

·                Digestive problems.

·                Muscle tension and pain.

·                Sleep disturbances.

·                Fatigue.

·                Chest pain.

·                High blood pressure.

·                Weight gain or loss.

·                Asthma or shortness of breath.

·                Skin problems.

·                Eating more or less.

·                Sleeping too much or too little.

·                Neglecting your responsibilities.

·                Increasing alcohol and drug use.

·                Nervous habits (e.g. nail biting, pacing).

·                Teeth grinding or jaw clenching.

·                Overdoing activities such as shopping.

·                Losing your temper.

·                Overreacting to unexpected problems.

 

                               Health Problems Linked to Stress

·                Heart attack

·                Hypertension

·                Stroke

·                Diabetes

·                Depression

·                Obesity

·                Eating disorders

·                Substance abuse

·                Ulcers

·                Irritable bowel syndrome

·                Memory loss

·                Insomnia

·                Thyroid problems

·                Infertility

 

How can I change my lifestyle habits to manage stress better?

§  Get enough sleep.

§  Connect with others and share your feelings.

§  Exercise regularly. Nothing beats aerobic exercise to dissipate the excess energy. Physical activity plays a key role in reducing and preventing the effects of stress.

§  Eat a balanced, nutritious diet. Take time to eat breakfast in the morning, it will help keep you going throughout the day.

§  Reduce caffeine and sugar. You’ll feel more relaxed, less jittery or nervous, and you’ll sleep better.

§  Don’t self-medicate with alcohol or drugs. These lessen stress only temporary. Don’t mask the issue at hand; deal with it head on and with a clear mind.

§  Do something for yourself everyday. Too much work is actually inefficient and can lead to burnout. Recognize when you are most stressed and allow yourself some reasonable breaks. Most importantly do things that make you happy.

 

How can I handle stress better?

§  Have realistic expectations: Know your limits. Whether personally or professionally, be realistic about how much you can do. Set limits for yourself and learn to say “no” to more work and commitments.

§  Reframe problems: See problems as opportunities. As a result of positive thinking, you will be able to handle whatever is causing your stress. Refute negative thoughts and try to see the glass as half full. Your thoughts can become like a pair of dark glasses, allowing little light or joy into your life.

§  Maintain your sense of humor: This includes the ability to laugh at yourself. The act of laughing helps your body fight stress in a number of ways.

§  Express your feelings instead of bottling them up: In order to live a less stressful life, learn to calm your emotions.

§  Don’t try to control events or other people: Many circumstances in life are beyond your control, particularly the behavior of others. Consider that we live in an imperfect world. Learn to accept what is, for now, until the time comes when perhaps you can change things.

§  Ask yourself “Is this my problem?” If it isn't, leave it alone. If it is, can you resolve it now? Once the problem is settled, leave it alone. Don't agonize over the decision, and try to accept situations you cannot change. 

 

 

 

 

 

 

 

 

Sunday, December 12, 2021

Saturday, December 04, 2021

ADHD or just Adenoidal Swelling?

Many a times I see parents who have a hyperactive child and worse they would have put the child in a special school or even taken the child to a child psychologist. What majority forget is that Adenoidal swelling mimics Attention Deficit Disorder.
One of the thing every parent should note is how their child breathes at night.
If in doubt take the child to a specialist who also specializes in paediatric ENT and paediatric sleep apnea disorders, its much easier to rule out Adenoid as the cause but the negative impact on the child once branded ADHD is too huge a price to pay.


Thursday, June 24, 2021

My Typical Thyroid Incision - Nationally & Internationally - Irrespective of the Size

Its not easy to do small incision #thyroids especially in Middle East. These are technically very challenging and the space is extremely limited and one needs to be very sure about the Anatomy of the region. One mistake and you can either cut the nerve or you can injure an important blood vessel. I have been doing it for the last 15 years both in India and in International locations. The advantage is not just the non noticable scar but also early recovery since these do not need drains and patient can be discharged on the same day or utmost the next day.

Friday, November 23, 2018

Ear Bud Damage - Perichondritis

Dont know when people will realise that #earbuds whatever brand they may will cause harm
This patient used ear buds and his ears are gone and the shape is lost.
This condition is called Perichondritis

Saturday, July 21, 2018

Coping With Stress - Part 1


What is stress?
Stress is defined as any demand (force, pressure and strain) placed on the body and the body’s reaction to it. Stress is experienced by everyone who is living, working, and breathing at this very moment. It is a fact of life you cannot avoid. All stress is not bad. In small doses, stress can be a good thing. It can give you the push you need, motivating you to do your best and to stay focused and alert. Stress is what keeps you on your toes during a presentation at work or drives you to study for your midterm when you'd rather be watching TV. But when the going gets too tough and life's demands exceed your ability to cope, stress becomes a threat to both your physical and emotional well-being and makes you feel anxious, afraid, worried and uptight.

 

What causes stress and its symptoms?

The potential causes of stress are numerous. There are many major events that occur in our lives: moving, leaving school, changing jobs, and experiencing losses. We also face many "daily hassles". These are events that occur routinely. Daily hassles include events such as being stuck in traffic, deadlines and conflicts with family members, and dealing with bust city life. The causes of stress are highly individual. What you consider stressful depends on many factors, including your personality, general outlook on life, problem-solving abilities, and social support system. Something that's stressful to you may be neutral or even enjoyable to someone else. For example, your morning commute may make you anxious and tense because you worry that traffic will make you late. Others, however, may find the trip relaxing because they allow more than enough time and enjoy playing music or listening to books while they drive. Whether or not the source of stress causes significant emotional and physical symptoms depends in part on the nature of the stressor itself.

What are the possible signs and symptoms of stress?

Stress affects the mind, body, and behavior in many ways and has the potential to harm your health, emotional well-being, and relationships with others. 

        How stress can affect your mind
       How stress can make you feel
  • Memory problems.
  • Difficulty making decisions.
  • Inability to concentrate.
  • Seeing only the negative.
  • Repetitive or racing thoughts. 
  • Poor judgment.

  • Moody and hypersensitive.
  • Restlessness and anxiety.
  • Depression.
  • Anger and irritability
  • Sense of being overwhelmed.
  • Lack of confidence.

        How stress can affect your body
     How stress can affect your behavior
  • Headaches.
  • Digestive problems.
  • Muscle tension and pain.
  • Sleep disturbances.
  • Fatigue.
  • Chest pain.
  • High blood pressure.
  • Weight gain or loss.
  • Asthma or shortness of breath.
  • Skin problems.

  • Eating more or less.
  • Sleeping too much or too little.
  • Neglecting your responsibilities.
  • Increasing alcohol and drug use.
  • Nervous habits (e.g. nail biting, pacing).
  • Teeth grinding or jaw clenching.
  • Overdoing activities such as shopping.
  • Losing your temper.
  • Overreacting to unexpected problems.
Keep in mind that the signs and symptoms of stress can be caused by other problems, so it’s important that you consult a doctor to evaluate physical symptoms.

 

Can stress hurt my health?
The stress response of the body is meant to protect and support us. When faced with a threat, the body's defenses kick into high gear. Our heart rate and blood flow to the large muscles increase, the blood vessels under the skin constrict to prevent blood loss in case of injury, the pupils dilate so we can see better, and our blood sugar ramps up, giving us an energy boost.
In the modern world, most stressors are psychological, rather than physical. Unfortunately, our bodies don't make this distinction. The problem with the stress response is that the more it is activated, the harder it is to shut off. Instead of leveling off once the crisis has passed, the stress hormones, heart rate, and blood pressure remain elevated. Extended or repeated activation of the stress response takes a heavy toll on the body. The physical wear and tear it causes includes damage to the cardiovascular system and immune system suppression. Stress compromises the ability to fight off disease and infection, makes it difficult to conceive a baby, and stunts growth in children. In an attempt to cope with stress, some people drink too much alcohol, abuse drugs, blame others (e.g. spouse or parent), and may become physically violent, most often with family members.
                               Health Problems Linked to Stress
  • Heart attack
  • Hypertension
  • Stroke
  • Diabetes
  • Depression
  • Obesity
  • Eating disorders
  • Substance abuse
  • Ulcers
  • Irritable bowel syndrome
  • Memory loss
  • Insomnia
  • Thyroid problems
  • Infertility