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Prevention of Gas/Flatulence (Adhyamaan)

Flatulence or Excessive Flatulence can be prevented by adhering to the following guidelines !

Avoid foods that cause flatulence. See the following list of foods that cause flatulence:- Beans - Brans and whole grain cereals - Eggs - Fatty foods - Fermented foods such as breads, dosas and cakes - Fried foods - Fruits like a les, gra es and bananas

- !eat with high fat content - !ilk and milk roducts - "otatoes - "runes such as #u#ube fruit - "ulses like black gram and Bengal gram - Sauces, chutneys and gravies. $hew the food ro erly before ingesting. Starchy foods are mostly digested during chewing itself. %f taken into the body un-chewed, then they will remain undigested and cause gas roblems. &o not slur on your hot drinks like tea and coffee. Slur ing takes air inside along with the drink. 'his e(tra air asses out as gas. Similarly, do not use straws for drinking. )ith straws, you have to build in suction ressure by sucking in air. Say a com lete no to all aerated drinks. Aerated drinks contain carbon dio(ide, which asses out as gas. %n fact some eo le use sodas as a remedy to eliminate gases after a heavy meal. After a heavy meal, take a brisk walk or indulge in some other form of e(ercise. 'his will burn the calories and aid in digestion. &o not eat ra idly. Eat with slow calculated bites so as to get the stomach wellac*uainted with the foods that you are utting inside it. !any medications, es ecially allo athic, cause flatulence. %f you have a roblem with flatulence, you should

tell this to your hysician before he or she rescribes an antibiotic for some ailment. +ee your stress levels down. ,verworking the brain reduces the blood su slows down digestion. %f you have dentures, check that they are ro erly fitting. 'his is to ensure that you can masticate -chew. your food ro erly before ingesting. ly to the digestive system and

"iet for Gas/Flatulence (Adhyamaan)

#he right diet in the right balance is the best way to reduce the problem of flatulence$ #he following steps are to be noted ! Avoid all foods that cause flatulence. /efer to the above list. 0owever, it is unhealthy to avoid all flatulence-causing foods at one go. Eliminate them one by one, so that you do get the nutrients of the other foods. &rinking a lot of water hel s. )ater can convert the gas to(ins in the form of li*uid to(ins. 'his hel s in the removal of the e(cess gas in the form of urination and ers iration rather than gas. "utting a dro of e ermint e(tract in the water you drink hel s to reduce the offensive odor of the flatus.

&o not eat to the e(tent of fullness. A full stomach will find it difficult to digest the foods. %f the roblem is very severe, then you must eat little amounts several times a day, to give your digestive

system ro er time for digestion.

Ayurvedic #reatment and %emedies for Gas/Flatulence (Adhyamaan)

%n Ayurveda, there is a three-fold treatment method for the roblem of adhyamaan. 'he three rinci les involved are:-

Deepana , i.e. treatment by the use of carminatives1 Paachana , i.e. treatment by the use of digestives and Vaatanulomana , i.e. treatment by the use of gas-e( ellers.

$arminatives are substances that have antis asmodic ro erties to treat cram s within the abdomen. 'his reduces the ain during flatulence. &igestives break down the com le( foodstuffs to sim ler molecules leading to better digestion. 2as-e( ellers hel in e( elling the gas ra idly and in voluminous amounts in one go, which normali3es the roblem of flatulence for some time. 'here are a large number of herbs ascribed in Ayurveda with curative ro erties for flatulence. Below is a list of such herbs with their action of the human body.

Ayurvedic &ame of the 'erb

(iological &ame )ommon of the 'erb English &ame of the 'erb

Action on the 'uman (ody

A#amoda

Apium graveolens

$elery

Ajamoda has a owerful carminative ro erty. 'he oil e(tracted from the seeds of the ajamoda reduces s asms in the digestive tract.

A#wain

Carum copticum

Bisho 4s )eed

Ajwain is a wonderful carminative. %t is one of the rime

remedies Ayurveda doctors rescribe for curing

flatulence.

Bahera

Terminalia bellerica

Belleric !yrobalan

Bahera is a digestive. %t hel s in the ro er movement of food within the stomach and the bowels.

&alchini

Cinnamomum verum

$innamon

$innamon is a carminative. A few seeds of cinnamon drunk along with water reduces the offensive odor of the flatus.

&hania

Coriandum sativum

$oriander

$oriander contains a chemical linoloom, which aids in gastric secretion. $oriander can be used as a gase( eller.

Elaichi

Elettaria cardamomum

$ardamom

)ater or menthol e(tract of cardamom reduces gastric discharges. %t also reduces the offensive odor of the flatus.

0aldi

Curcuma longa

'urmeric

'urmeric is used for its stomachic ro erties.

0arad

Terminalia chebula

$hebulic !yrobalan

Harad is a good carminative. %t also has la(ative and stomachic ro erties that aid digestion.

+ala #eera

Carum carvi

$araway

$araway gives an oil on steam distillation known as carvone. $arvone has good carminative ro erties.

5avanga

y!ygium aromaticum

$love

$love hel s in reducing the offensive odor of the flatus.

!ethi

Trigonella "oenum#graecum

Fenugreek

Fenugreek is an antis asmodic carminative. %t hel s in easy e( ulsion of the flatus.

/usmari

$osmarinus o""icinalis

/osemary

/osemary is a carminative and stomachic.

Saunf

%oeniculum vulgare

Fennel

Fennel is a stomachic. %t aids in digestion and also creates a cooling effect in the stomach. %ndians consume saun" traditionally after every meal. %t acts as a mouth freshener as well as aids in digestion.

Sowa

Anethum graveolens

%ndian &ill

%ndian dill is an e(cellent carminative. 'his action is due to the resence of carvone in its mericar .

Sunthi

&ingiber o""icinale 2inger

2inger is an anti-carminative. %t stimulates the gastrointestinal tract and facilitates digestion.

6acha

Acorus calamus

Sweet Flag, $alamus

$alamus is an e(cellent carminative. %t aids in better digestion and cures flatulence.

7afran or +esar

Crocus sativus

Saffron

Saffron is used as a stomachic es ecially in children as it is mild.

*ome Ayurvedic preparations that have been proven effective in treating the condition of flatulence are !

Agastya $asayana Pancha a'ara Choorna Abhayadi (oda'a

(adhu )ashtayadi Choorna

All these re arations need to be taken under e( ert rescri tion and su ervision.

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5eop&e#with#p&anta%#fasciitis#often#desc%ibe#the#pain#as#wo%se#when#the(#'et#$p#in#the# mo%nin'#o%#afte%#the(Mve#been#sittin'#fo%#&on'#pe%iods#of#time.#*fte%#a#few#min$tes#of# wa&kin'#the#pain#dec%eases1#beca$se#wa&kin'#st%etches#the#fascia.#Ao%#some#peop&e#the# pain#s$bsides#b$t#%et$%ns#afte%#spendin'#&on'#pe%iods#of#time#on#thei%#feet. =ia1.osis "o#a%%ive#at#a#dia'nosis1#the#foot#and#ank&e#s$%'eon#wi&&#obtain#(o$%#medica&#histo%(#and# e9amine#(o$%#foot.#"h%o$'ho$t#this#p%ocess#the#s$%'eon#%$&es#o$t#a&&#the#possib&e#ca$ses# fo%#(o$%#hee&#pain#othe%#than#p&anta%#fasciitis. ?n#addition1#dia'nostic#ima'in'#st$dies#s$ch#as#9F%a(s#o%#othe%#ima'in'#moda&ities#ma(#be# $sed#to#distin'$ish#the#diffe%ent#t(pes#of#hee&#pain.#/ometimes#hee&#sp$%s#a%e#fo$nd#in# patients#with#p&anta%#fasciitis1#b$t#these#a%e#%a%e&(#a#so$%ce#of#pain.#;hen#the(#a%e#p%esent1# the#condition#ma(#be#dia'nosed#as#p&anta%#fasciitis/hee&#sp$%#s(nd%ome. 'o.-7ur1i al Treatme.t "%eatment#of#p&anta%#fasciitis#be'ins#with#fi%stF&ine#st%ate'ies1#which#(o$#can#be'in#at# home:

Stretching e erci!e!" E(ercises that stretch out the calf muscles hel ease ain and assist with recovery. Av#id g#ing $%re&##t" )hen you walk without shoes, you ut undue strain and stress on your lantar fascia. Ice" "utting an ice ack on your heel for 89 minutes several times a day hel s reduce inflammation. "lace a thin towel between the ice and your heel1 do not a ly ice directly to the skin. 'i(it %ctivitie!" $ut down on e(tended hysical activities to give your heel a rest. Sh#e (#di&ic%ti#n!" )earing su ortive shoes that have good arch su ort and a slightly raised heel reduces stress on the lantar fascia. Medic%ti#n!" ,ral nonsteroidal anti-inflammatory drugs -:SA%&s., such as ibu rofen, may be recommended to reduce ain and inflammation.

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)%dding %nd !tr%**ing" "lacing ads in the shoe softens the im act of walking. Stra ing hel s su ort the foot and reduce strain on the fascia. +rth#tic device!" $ustom orthotic devices that fit into your shoe hel correct the underlying structural abnormalities causing the lantar fasciitis.

In,ecti#n ther%*y" %n some cases, corticosteroid in#ections are used to hel reduce the inflammation and relieve ain. Re(#v%$-e .%-/ing c%!t" A removable walking cast may be used to kee your foot immobile for a few weeks to allow it to rest and heal. Night !*-int" )earing a night s lint allows you to maintain an e(tended stretch of the lantar fascia while slee ing. 'his may hel reduce the morning ain e( erienced by some atients. )hy!ic%- ther%*y" E(ercises and other hysical thera y measures may be used to hel rovide relief.

@he. ?s 7ur1er: 'eeded? *&tho$'h#most#patients#with#p&anta%#fasciitis#%espond#to#nonFs$%'ica&#t%eatment1#a#sma&&# pe%centa'e#of#patients#ma(#%eU$i%e#s$%'e%(.#?f1#afte%#seve%a&#months#of#nonFs$%'ica&# t%eatment1#(o$#contin$e#to#have#hee&#pain1#s$%'e%(#wi&&#be#conside%ed.#Go$%#foot#and# ank&e#s$%'eon#wi&&#disc$ss#the#s$%'ica&#options#with#(o$#and#dete%mine#which#app%oach# wo$&d#be#most#beneficia&#fo%#(o$. /o.1-term >are >o#matte%#what#kind#of#t%eatment#(o$#$nde%'o#fo%#p&anta%#fasciitis1#the#$nde%&(in'#ca$ses# that#&ed#to#this#condition#ma(#%emain.#"he%efo%e1#(o$#wi&&#need#to#contin$e#with# p%eventive#meas$%es.#;ea%in'#s$ppo%tive#shoes1#st%etchin'1#and#$sin'#c$stom#o%thotic# devices#a%e#the#mainsta(#of#&on'Fte%m#t%eatment#fo%#p&anta%#fasciitis.

Eclipses "uring 3455 &uring 89;;, there will be four artial solar ecli ses and two total lunar ecli ses: 9< =anuary 89;;> "artial Solar Ecli se 9; =une 89;;> "artial Solar Ecli se ;? =une 89;; 'otal 5unar Ecli se 9; =uly 89;; "artial Solar Ecli se 8@ :ovember 89;; "artial Solar Ecli se ;9 &ecember 89;; 'otal 5unar Ecli se

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broccoli trees -steamed broccoli florets. carrot swords -cooked and thinly sliced. cheese building blocks egg canoes -hard- boiled egg wedges. little ,As -o-sha ed cereal.

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Plant a garden with your child$ 5et her hel care for the lants, harvest the ri e vegetables, and wash and re are them. She will robably be much more interested in eating what she has hel ed to grow. *lip grated or diced vegetables into favorite foods$ 'ry adding them to rice, cottage cheese, cream cheese, guacamole, or even macaroni and cheese. 7ucchini ancakes are a big hit at our house, as are carrot muffins. )amouflage vegetables with a favorite sauce$ 2se vegetables as finger foods and dip them in a favorite sauce or dip$ 2sing a small coo/ie cutter= cut the vegetables into interesting shapes$ *team your greens$ 'hey are much more flavorful and usually sweeter than when raw. 0a/e veggie art $ $reate colorful faces with olive- slice eyes, tomato ears, mushroom noses, bell- e er mustaches, and any other layful features you can think of. ,ur eighth child, 5auren, loved to ut olives on the ti of each finger. B,live fingersB would then nibble this nutritious and nutrient-dense food off her fingerti s. 7ucchini ancakes make a terrific face to which you can add ea eyes, a carrot nose, and cheese hair. )oncoct creative camouflages$ 'here are all kinds of ossible variations on the old standby Bcheese in the treesB -cheese melted on steamed broccoli florets.. ,r, you can all en#oy the leasure of veggies to ed with eanut- butter sauce, a s ecialty of Asian cuisines.

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Plant a garden with your child$ 5et her hel care for the lants, harvest the ri e vegetables, and wash and re are them. She will robably be much more interested in eating what she has hel ed to grow. *lip grated or diced vegetables into favorite foods$ 'ry adding them to rice, cottage cheese, cream cheese, guacamole, or even macaroni and cheese. 7ucchini ancakes are a big hit at our house, as are carrot muffins. )amouflage vegetables with a favorite sauce$ 2se vegetables as finger foods and dip them in a favorite sauce or dip$ 2sing a small coo/ie cutter= cut the vegetables into interesting shapes$ *team your greens$ 'hey are much more flavorful and usually sweeter than when raw. 0a/e veggie art $ $reate colorful faces with olive- slice eyes, tomato ears, mushroom noses, bell- e er mustaches, and any other layful features you can think of. ,ur eighth child, 5auren, loved to ut olives on the ti of each finger. B,live fingersB would then nibble this nutritious and nutrient-dense food off her fingerti s. 7ucchini ancakes make a terrific face to which you can add ea eyes, a carrot nose, and cheese hair. )oncoct creative camouflages$ 'here are all kinds of ossible variations on the old standby Bcheese in the treesB -cheese melted on steamed broccoli florets.. ,r, you can all en#oy the leasure of veggies to ed with eanut- butter sauce, a s ecialty of Asian cuisines.

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Asthama

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1s my child>s cough asthma?

$ough is the most common sym tom seen in children with asthma. %t is an attem t to remove mucus, irritating substances and infections from the res iratory tract. $oughing in children can be distressing and can have a ma#or im act on your child4s slee , school erformance and most im ortantly, it can interfere with the sim le #oys of childhood. !ost asthmatic children will have cough as a rominent sym tom followed by whee3ing rather than breathlessness. 0owever, asthma sym toms are not the same for every child. ,ne child may show several sym toms like whee3ing, chest tightness, and fatigue, whereas another may only cough and not have breathlessness. 1t is important to /now that if there is repetitive and persistent cough and whee9ing= it is a strong case for asthma$ 0owever, cough may be because of various other reasons also. !ost children suffer from brief and re eated e isodes of coughing -for a week or two. due to viral u er res iratory tract infections, such as the common cold. $hronic cough -which lasts for more than F G < weeks. should be a cause of concern as it may be an indicator of asthma. $ough related to asthma will usually have the following attern: H /ecurrent cough H "ersistent cough H $ough which is usually not accom anied by fever H $ough that increases in night and H $ough that increases with hysical activity

Infortunately, in most cases, coughs are treated with cough su ressants and antibiotics rather than searching for the underlying cause. %f asthma is not treated correctly and on time, it could cause irre arable lung damage in children. "lease see your doctor immediately and share your family history, since asthma could be hereditary. .our doctor will be able to diagnose whether the cough is because of asthma or some other reasons$ %f your child is over si( years, a "eak Flow !eter -breathe-o meter. will be recommended. "lease watch out for your child4s triggers.

@hat are the symptoms to loo/ out for in my child?

#he usual symptoms of asthma are

)oughing A cough that doesn4t go away and is often worse after e(ercise, laying and at night. @hee9ing A whistling sound that4s usually heard when breathing out. *hortness of breath Breathlessness, i.e a feeling that you can4t get enough air in or out of your lungs. Breathing out is es ecially tough. #ightness in chest A constricted feeling in the chest, like someone is s*uee3ing or sitting on it. 7ther symptoms &isturbed slee due to coughing at night. Breathlessness while e(ercising. )-e%!e n#te: Asthma symptoms vary "rom child to child* ome may have all the symptoms while others may have only coughing or whee!ing* (ost o"ten+ a cough is treated just as a cough+ but the under-ying re%!#n &#r % c#ugh th%t c#(e! %nd g#e! #&ten c#u-d $e %!th(%" Also+ asthma is mista'enly called as ,whee!ing bronchitis- or .- allergic bronchitis--* /" you "eel your child-s cough and symptoms are not getting better despite treatment+ discuss the possibility o" asthma with your doctor and share your child-s and your "amily history correctly with the doctor* This will help you get the correct treatment "or your child+ "aster*

'ow do 1 /now if my child has asthma?

Cour child may have asthma if he or she feels a tightness in the chest, has trouble breathing, coughs and whee3es. 'hese are called asthma sym toms. Cou may notice that these sym toms get worse when your child gets sick or e(ercises or comes in contact with a et or has food that does not agree with him or her. 'hese are called triggers. &o kee a watchful eye on your child4s sym toms so that you can e( lain them correctly to the doctor. Besides e(amining your child, the doctor may also suggest some medical tests for your child. 'he "eak Flow !eter -breathe-o meter. test is recommended for children of @ years and over.

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@hat is asthma?

Asthma is a chronic -long duration. disease that causes the airways - the tubes that carry air in and out of your lungs - to become swollen. $hildren have smaller airways than adults, which makes asthma es ecially serious for them. $hildren with asthma may e( erience tightness in chest, breathlessness, coughing and whee3ing, es ecially early in the morning or at night. )hee3ing is a whistling sound you hear when your child breathes in and out. $lick here to see what ha ens in asthma.

@hat are asthma triggers?

'riggers are the things that can start your child4s asthma attack or make it worse. 'riggers are everywhere. Cour home, the school, the layground can be full of triggers. *ome common asthma triggers for your child could be H &ust and smoke H "ollen from lants H $halk dust in school H $hange in weather H Strong emotions such as laughing and crying H 'he hair of furry animals and bird feathers H "hysical e(ertion and e(ercise Cour child may have #ust one trigger or you may find that several things act as triggers. ,nce you know what triggers your child4s asthma, it is im ortant to take ste s to control these triggers. @hen you remove triggers from your home or /eep your child away from triggers that are outdoor= you help your child stay healthy and have fewer asthma attacks. &o work with the doctor to identify your child4s asthma triggers. )-e%!e n#te: This is not an all inclusive list o" triggers* /" your child has asthma+ you have to watch your child-s trigger and tell your child to avoid contact with them* Always consult your doctor i" you have any doubts about your child-s triggers+ symptoms and treatment*

1s there any way to measure my child>s asthma?

Ces. %f your child is above @ years of age, your doctor may use a sim le instrument called a "eak Flow !eter -breathe-o meter. which measures how well your child can blow air out of the lungs. =ust as you have a B" instrument to check blood ressure and the 2lucometer for diabetics, the Pea/ Flow 0eter (breathe!o meter) is li/e a thermometer for asthma . Cour child will be asked to blow into the mouth iece of the device, and the reading is taken to check the lung ower. %f your child has asthma and there4s a dro in the reading of the "eak Flow !eter -breathe-o meter., it means that your child4s asthma is not well controlled and he or she is likely to get an attack in the near future or within days. 'his is like an early warning signal to increase the dosage or the number of times your child should take your $ontroller medication. )hen the "eak Flow !eter -breathe-o meter. reading is normal, it suggests that your child4s asthma is under control. 'his sim le test can be done in the clinic or at home without any ain or inconvenience to your child. %f your child is older or a young adult, your doctor may also ask for a S irometry 'est to be done. A S irometry 'est is a more sensitive and so histicated test which detects the signs of asthma early. 'he S irometer is used to measure how much air your child4s lungs can hold and how efficiently the air moves into and out of the lungs. %n other words, it gives you a good indication of your child4s lung ower and gives you accurate details about your child4s breathing ca acity. 'he lab or the doctor conducting the test will give you a rinted gra h of your reading, #ust as you get a gra h when you do your E$2 test.

@hat are the medicines the doctor will prescribe?

'here are two main ty es of asthma medication. 'hey are called $ontrollers and /elieversK/escuers and they work in different ways. A $ontroller rotects your child4s air tubes by making them less sensitive to asthma triggers which cause coughing and breathing difficulties. !ake sure that your child takes the $ontroller regularly #ust as you make sure he brushes his teeth daily. "lease remember - a $ontroller does not give immediate relief. 0owever, if used over rolonged eriods of time, it hel s control asthma better and revents further attacks, thus reducing the need for /eliever medicines. A /eliever will give your child instant relief. %t rela(es the muscles in your airways and hel s the air tubes o en wider so air can go in and out easily, and your child can breathe easily. Please remember A a %eliever should be used only when your child suffers from coughing and breathing difficulties$ %t usually acts for a ma(imum of <-@ hours. Always ensure your child carries the %eliever medicine to school, to the layground, and yes, es ecially on cam s and other outings. %t is best you ask your doctor which is the $ontroller and which is the /eliever medicine and mark it on the ack.

)an my childBs asthma be treated?

Ces, the good news is that your child4s asthma can be treated successfully with inhalation thera y. 'here are two main kinds of medicines. 'hey are called $ontrollers and /elievers and they work in different ways. A )ontroller is used to /eep your child from having an asthma attac/$ %t rotects your child4s air tubes and revents them from getting irritated and swollen. %t hel s make the air tubes less sensitive to asthma triggers which cause breathing difficulties. Cour child will have to take the $ontroller medicine every day. =ust as your child brushes his teeth daily to revent tooth decay, and washes his hands before eating to avoid germs, so also taking a $ontroller is a good habit which will kee your child4s asthma under control. A %eliever or a %escuer is used to stop an asthma attac/$ %t should be used only when your child suffers from coughing and breathing difficulties. 'his medicine relieves these roblems *uickly by o ening u the air tubes so air can go in and out more easily. !ake sure that your child always carries the /eliever medicine at all times, yes, even to school, the s orts field, when on a family outing or holiday too, #ust in case it is suddenly needed. Cour doctor is the best erson to guide you regarding your child4s medicine.

@hy should my child ta/e inhalers when there are tablets and syrups available?

%n most develo ed countries like the ISA and I+, inhalers have succeeded in re lacing tablets and syru s, because it is the most effective, safest and also the most cost efficient way to control asthma. !ost atients in %ndia still believe that taking a medicine orally -tablets and syru s. is the right and roven way to treat any disease. 0owever studies have shown that the best way to take asthma medication is by inhalation. 'ablets and syru s which have to be swallowed, take time to act as they have to ass from the stomach to the bloodstream and finally to the lungs. )hereas inhalation is *uicker because the drug is delivered directly to the lace where it is re*uired, i.e, the lungs. =ust as you would ut eye dro s in the eyes if your child has an eye infection, and ointment on

the skin if there is a cut, so also, inhalation is the short cut that reaches your child>s lungs directly and ta/es care of the problem$ Besides, in oral thera y, you need a larger dose in milligrams -almost <9 times more than in inhalation thera y. which means greater side effects. %n inhalation, the drug is in micrograms and since very little medicine is allowed to reach any other art of the body, your child will have lesser side effects$

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Are the medicines safe for my child? @hat about side effects?

Ces, inhaled medicines are safe for your child. All medicines carry a risk of side effects in some eo le. But there are enough scientific studies to rove that the main asthma medicines used today are very safe= and have no serious side effects . %n fact, they can be safely used in regnancy and when breast feeding too. !ost $ontroller treatments contain steroids and taking them by inhaler means that a much lower dose of the steroid is used. Also, because the inhaled medicine goes straight down to the airways where it is needed, very little is absorbed into the rest of the body. 'hus side effects are less. Cour child4s $ontroller will usually contain a corticosteroid, but it4s safe. $orticosteroids are a co y of the steroids that are roduced naturally in our bodies. 'hus it is a very safe and effective treatment for asthma. &on4t worry, these are not the same steroids that are misused by some athletes and body builders. :ot all inhalers contain steroid, some contain a *uick relief drug. %t is advised to use the inhaler before your child brushes his or her teeth and rinse the mouth afterwards. Ising a s acer device also hel s reduce the chances of side effects.

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@hat can 1 as a parent do for my child>s asthma?

%t is im ortant that you know your child4s trigger and make sure you do your best to avoid them. 'ere are some tips to help you control your child>s asthma H +ee the mattress and illow clean and dust-free. H )ash the blankets on the beds every two weeks in hot water. H 6acuum the car et every week or kee the floor bare. H 5imit the number of stuffed toys in the room and wash and dry them regularly. H Avoid kee ing furry and feathered ets in your main living areas. H !ake sure your child takes medication correctly and regularly as er doctor4s advice. H !ake sure you know which the $ontroller medication is and which the /eliever medication is.

;8

)an 1 prevent my child from having asthma?

As a arent, you can hel revent your child from having an asthma attack. 1n many cases= asthma is hereditary= but it is also caused by triggers$ %f you are aware of which allergen or trigger causes asthma sym toms in your child, you can avoid the attack coming on. For eg, kee ets away if your child is allergic to fur. &on4t dust the house when your child is at home if your child is allergic to dust mites. &on4t e( ose your child to stuffed toys since they tra dust. %f you must, then wash and dry them in the sun regularly. )atch out for dam areas in your home.

)atch out for food allergies. &on4t allow anyone who smokes to do so at home since the smoke gets tra ed in the car ets and curtains. As a arent, it is im ortant that you are sensitive to your child4s triggers.

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'ow did my child get asthma? @ill my other children get it?

Asthma is the most common chronic disease among children. %n many children, the tendency to develo asthma is there right from birth. Asthma runs in families but many eo le with asthma have no other family members affected. =ust because one child has asthma, it does not mean that the others will get it. Asthma is not infectious$ So your child did not catch asthma from anyone else and no one else at home or at school can get infected from it.

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@ill my child outgrow asthma?

As their airways e( and when they grow, some children may outgrow their asthma as they a roach their teens or even earlier. %n others, attacks could ersist or sto for a few years and then start again. But only your childAs doctor can decide when itAs okay to sto the medicine. %f you sto the medicine too soon, your child could have a serious attack which could damage your childAs lungs.

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)an my child exercise?

Ces, your child can do the things a normal child would do. !any arents sto their child from taking art in hysical activity and s orts thinking that it will hel their asthma. But that4s not the right thing to do. Cou should encourage your child to take art in normal s orts because it will hel your child4s overall health. 7nce your child is ta/ing the controller medicine regularly you don>t have to worry$ Some asthmatic children even benefit by taking their /elieverK /escue medicine before e(ercising. 'here are lots of famous s orts ersons who have not let asthma sto them. From cricketers and basket ball layers to swimmers and ,lym ic athletes. $onsult your doctor before your child takes art in hysical activities or takes u any s ort.

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"oes emotional stress play a part in my child>s asthma attac/?

Ces, e(citement, anger, frustration can aggravate an attack in an asthmatic child. Family roblems may also make your child4s condition worse. %f you as a arent have a ositive and confident attitude, there4s no reason why your child4s asthma cannot be ke t in check.

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*hould my child go on a special diet?

'here4s no need for your child to be on a s ecial diet. %t is a misconce tion that an asthmatic child

should not have chocolates and ice cream and do the things a normal child would do. 0owever, if you notice that certain ty es of foods like eggs, nuts, shell fish, artificial colouringNmake your child4s asthma worse, avoid them com letely. %n infants, breast feeding hel s to build u immunity to diseases.

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@hat should 1 do when my child starts going to school?

!ost im ortantly, you should teach your child not to anic. %t4s also im ortant that you do not hide your child4s asthma from the teacher. &iscuss the triggers, sym toms and treatment with the teacher. !ake sure that your child carries the necessary medicines to school daily. Always kee a s are /eliever handy. And don4t forget to give the school teacher written instructions about what to do in an Emergency.

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1s it safe for my child to go on school trips?

Ces, as long as the asthma is under control. .our child must carry the prescribed medicine including the %eliever/%escuer medicine for a severe attac/$ &o make the accom anying teacher aware about your child4s asthma and treatment. Always kee s ares, i.e. e(tra acks of /eliever medicine around. And most im ortantly, teach your child to take the $ontroller medication regularly.

89

@ill steroids stunt my child>s growth?

:o, steroids will not stunt your child4s growth. Studies show that children using inhaled corticosteroids will reach normal adult height, although it may cause some delays in their growth early on. %t is ossible that uncontrolled asthma could lead to growth retardation and other roblems. %t is im ortant to work with your child4s doctor to treat your child4s asthma in the best way. %n fact, if a child is given oral steroids i.e. tablets and syru s, the child could have a growth retardation roblem since the amount of drug inside is more and it is circulated all over the body through the blood stream. But when these steroids are inhaled, #ust the correct and recise amount of medication reaches the lungs directly. &on4t worry, the steroids in asthma inhalers are :,' the same as the anabolic steroids used by some athletes to build muscle.

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@ill smo/ing affect my child>s asthma?

Ces, smoking could be a trigger for your child and start off your child4s asthma or even aggravate it. Secondary smoke could be dangerous to your asthmatic child. *o for your child>s sa/e= and yours as well= please Cuit smo/ing. "lease re*uest family members to smoke outdoors, for otherwise the smoke could linger in car ets, curtains, sofas for a long time, and cause the child discomfort.

88

0y child doesn>t have asthma= but he suffocates heavily with cough after he returns from playground$ )ould it be asthma?

%t4s *uite ossible that your child is suffering from e(ercise-induced asthma. 0e needs to be e(amined by your doctor immediately.

8F

&o one in my family has asthma= yet my child has got it$ @hy?

)hile asthma is mostly hereditary, it is not necessary that one should have asthma in your family for your child to get asthma. %f your child is e( osed to triggers and has sensitive lungs, he could get an asthma attack. Some triggers are: dust mites, ets, ollen, e(ercise, cigarette smoke, ollution, stress. 'ow will 1 /now that my child is suffering from asthma and not any other disease?

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%f your child has sym toms like tightness in the chest, breathlessness, cough and whee3ing, which occurs mostly at night or early morning, or while laying or even when laughing or crying, and there is a family history of asthma, then your child could most robably be suffering from asthma. :ery often= a cough is treated as a cough= but the underlying reason for recurrent cough= could be asthma$ As a arent, do kee a watch on your child4s ersistent coughing and breathlessness, and the triggers that start it. 'ake your doctor4s advice.

8?

)an 1 breastfeed if 1 have asthma?

Ces, you can. Cou can breast feed your baby even if you are an asthmatic. Because asthma is not a transmitted disease it does not transfer through breastfeeding. So this is not going to have any effect on your child. Besides, the inhaled medication is so safe it can safely be used when regnant. Also, breast milk contains rotective factors that can reduce the risk of develo ing asthma. "regnant women and breastfeeding mothers all over the world use inhaled medication *uite safely.

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*hould pets not be allowed at home if my child has asthma?

:o ets lease. Since animal fur and dander are common risk factors and triggers for asthma, it is advisable not to kee ets or to allow them into the living areas and bedroom. Cou could e( lain this to your children and kee fish as ets instead.

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@hat should 1 do if my child has an asthma attac/?

%f your child has been regular with the $ontroller medicine and the triggers are avoided, then the chances of having an asthma attack will be low. 0owever, in case of asthma attack, make your child: H Sit u u right G do not lie down. 'ry to stay calm and rela(ed. 5oosen child4s clothing. H )ithout any delay, take the /eliever medicine in the dosage recommended by the doctor H 'hen wait for ? minutes. %f there is no im rovement, take additional doses of the /eliever medicine as advised by your doctor. H %f your child still does not get relief, call the doctor immediately. &o not e(ceed the dose of the /eliever medicine without consulting the doctor.

8L

@hat are the Emergency @arning *igns to loo/ out for?

'here are times when you need to take your child to the hos ital and give him urgent care right away. Some arents know their child is having a medical emergency with asthma if he or she: H %s breathing in a different way: faster, or slower, or more shallow than usual. H %s coughing or whee3ing and can4t sto . H 0as bluish fingernails or li s. Ask your child4s doctor what emergency signs to look for to hel you know when your child is having a medical emergency with asthma. %t is im ortant that you stay calm.

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@ill my child ever have a normal life at home and in school?

CesO )ith your doctor4s advice and right treatment and your own love and care, you can look forward to a normal life for your child in every way. H $oughing and breathlessness com letely under control H :o need to miss school or studies. H :o need for you to miss work attending to your child. H $an lay and e(ercise H Indisturbed slee H :o e( ensive and traumatic emergency visits to the hos ital H :ormal growth and develo ment

F9

)an asthma be cured?

$urrently there is no cure for asthma. 0owever, for most children, asthma can be controlled with the right management and treatment. )hile asthma is a chronic -of long duration. illness, your child can lead a normal, healthy, active life with ro er medication.

Migraine / Vascular / Hormonal Headaches: In contrast to other types of headaches, classic migraines45 or vascular headaches have the best potential for an actual cure, since they are always related to abnormal liver functions (i.e. abnormal iron and manganese levels or ratios), which when rectified, will permanently resolve the problem. I have many patients who have been completely migraine-free for over twenty years following corrective measures to normalize liver functions through nutritional remedies. Iron and manganese comprise an interdependent mineral pair which affects various liver functions (and vice versa), including hormonal balance, glycogen metabolism, red blood cell hemoglobin production, and others. In contrast to below-normal levels of iron or manganese, which can provo!e vascular headaches, elevated levels can trigger classic migraine symptoms, with the Iron / Manganese Ratio determining the left or rightsidedness of a headache. In the event of elevated iron, any iron antagonist such as zinc, magnesium, "itamin #$ or % - whichever is the most compatible, will effectively relieve the side-specific migraine headaches associated with iron. &onating blood is another option, which will also lower Blood Pressure in those where #' is related to high iron levels. (he opposite headache side responds to reducing manganese, whose level can be lowered through calcium, potassium, "itamin #) (with caution), or "itamin * - whichever ones match a patient. +owering manganese will also improve the liver,s ability to regulate estrogen, where a higher mean average is a common trigger for migraines that are associated with the menstrual cycle, including high estrogenictypes of '-.. -ost properly diagnosed migraine cases involve congestive liver disease of one or both large central liver lobes (implicating elevated iron and/or manganese), ma!ing the herb Milk Thistle an ideal addition to any other remedy chosen.

0igraine
'eadache ! migraine
5ast reviewed: :ovember 88, 89;9.

A migraine is a common ty e of headache that may occur with sym toms such as nausea, vomiting, or sensitivity to light. %n many eo le, a throbbing ain is felt only on one side of the head. Some eo le who get migraines have warning sym toms, called an aura, before the actual headache begins. An aura is a grou of sym toms, including vision disturbances, that are a warning sign that a bad headache is coming.

)auses= incidence= and ris/ factors

!igraine headaches tend to first a begin later in life. ear between the ages of ;9 and <?. Sometimes they may

!igraines occur more often in women than men, !igraines may run in families. Some women, but not all, may have fewer migraines when they are regnant.

A migraine is caused by abnormal brain activity, which is triggered by stress, certain foods, environmental factors, or something else. 0owever, the e(act chain of events remains unclear. 'oday, most medical e( erts believe the attack begins in the brain, and involves various nerve athways and chemicals. 'he changes affect blood flow in the brain and surrounding tissues. !igraine attacks may be triggered by: Alcohol Allergic reactions Bright lights $ertain odors or erfumes $hanges in hormone levels -which can occur during a womanAs menstrual cycle or with the use of birth control ills. $hanges in slee E(ercise 5oud noises !issed meals "hysical or emotional stress Smoking or e( osure to smoke atterns

$ertain foods and reservatives in foods may trigger migraines in some eo le. Food-related triggers may include: Any rocessed, fermented, ickled, or marinated foods Baked goods $hocolate &airy roducts Foods containing monosodium glutamate -!S2. Foods containing tyramine, which includes red wine, aged cheese, smoked fish, chicken livers, figs, and certain beans Fruits -avocado, banana, citrus fruit. !eats containing nitrates -bacon, hot dogs, salami, cured meats. :uts ,nions "eanut butter

'his list may not include all triggers. 'rue migraine headaches are not a result of a brain tumor or other serious medical roblem. 0owever, only an e( erienced health care rovider can determine whether your sym toms are due to a migraine or another condition.

*ymptoms
6ision disturbances, or aura, are considered a Bwarning signB that a migraine is coming. 'he aura occurs in both eyes and may involve any or all of the following: A tem orary blind s ot Blurred vision Eye ain Seeing stars or 3ig3ag lines 'unnel vision

:ot every erson with migraines has an aura. 'hose who do usually develo one about ;9 - ;? minutes before the headache. 0owever, it may occur #ust a few minutes to 8< hours beforehand. A headache may not always follow an aura.

!igraine headaches can be dull or severe. 'he ain may be felt behind the eye or in the back of the head and neck. For many atients, the headaches start on the same side each time. 'he headaches usually: Feel throbbing, ounding, or ulsating Are worse on one side of the head Start as a dull ache and get worse within minutes to hours 5ast @ to <L hours

,ther sym toms that may occur with the headache include: $hills %ncreased urination Fatigue 5oss of a etite

:ausea and vomiting :umbness, tingling, or weakness "roblems concentrating, trouble finding words Sensitivity to light or sound Sweating

Sym toms may linger even after the migraine has gone away. "atients with migraine sometimes call this a migraine Bhangover.B Sym toms can include: Feeling mentally dull, like your thinking is not clear or shar %ncreased need for slee :eck ain

*igns and tests

Cour doctor can diagnose this ty e of headache by asking *uestions about your sym toms and family history of migraines. A com lete hysical e(am will be done to determine if your headaches are due to muscle tension, sinus roblems, or a serious brain disorder. 'here is no s ecific test to rove that your headache is actually a migraine. 0owever, your doctor may order a brain !/% or $' scan if you have never had one before or if you have unusual sym toms with your migraine, including weakness, memory roblems, or loss of alertness.

An EE2 may be needed to rule out sei3ures. A lumbar uncture -s inal ta . might be done.

#reatment
'here is no s ecific cure for migraine headaches. 'he goal is to revent sym toms by avoiding or changing your triggers. A good way to identify triggers is to kee a headache diary. )rite down: )hen your headaches occur 0ow severe they are )hat youAve eaten 0ow much slee you had ,ther sym toms ,ther ossible factors -women should note where they are in their menstrual cycle.

For e(am le, the diary may reveal that your headaches tend to occur more often on days when you wake u earlier than usual. $hanging your slee schedule may result in fewer migraine attacks. )hen you do get migraine sym toms, try to treat them right away. 'he headache may be less severe. )hen migraine sym toms begin: &rink water to avoid dehydration, es ecially if you have vomited /est in a *uiet, darkened room "lace a cool cloth on your head

!any different medications are available for eo le with migraines. !edicines are used to: /educe the number of attacks Sto the migraine once early sym toms occur 'reat the ain and other sym toms

/E&I$%:2 A''A$+S %f you have fre*uent migraines, your doctor may rescribe medicine to reduce the number of attacks. Such medicine needs to be taken every day in order to be effective. Such medications may include: Antide ressants such as amitri tyline Blood ressure medicines such as beta blockers - ro anolol. or calcium channel blockers -vera amil.

Sei3ure medication such as val roic acid, gaba entin, and to iramate Selective nore ine hrine u take inhibitor -S:/%s. such as venlafa(ine

Botulinum to(in -Boto(. in#ections may also hel reduce migraine attacks. S',""%:2 A: A''A$+ ,ther medicines are taken at the first sign of a migraine attack. ,ver-the-counter ain medications such as acetamino hen, ibu rofen, or as irin are often hel ful, es ecially when your migraine is mild. %f these donAt hel , ask your doctor about rescri tion medications. -Be aware, however, that overuse or misuse of such ain medications may result in rebound headaches.$hronic rebound headaches ty ically occur in eo le who take ain medications more than F days a week on an ongoing basis.. Cour doctor can select from several different ty es of medications, including: 'ri tans -- the most fre*uently rescribed medicines for sto ing migraine attacks -such as almotri tan -A(ert., frovatri tan -Frova., ri3atri tan -!a(alt., sumatri tan -%mitre(., and 3olmitri tan -7omig. Ergots such as dihydroergotamine or ergotamine with caffeine -$afergot. %somethe tene -!idrin.

'hese medications come in different forms. "atients who have nausea and vomiting with their migraines may be rescribed a nasal s ray, su ository, or in#ection instead of ills. Some migraine medicines narrow your blood vessels and should not be used if you are at risk for heart attacks or have heart disease, unless otherwise instructed by your health care rovider. Ergots should not be taken if you are regnant or lanning to become regnant, because they can cause serious side effects to an unborn baby. '/EA'%:2 SC!"',!S ,ther medications are rimarily given to treat the sym toms of migraine. Ised alone or in combinations, these drugs can reduce your ain, nausea, or emotional distress. !edications in this grou include: :ausea medicines such as rochlor era3ine ,ver-the-counter ain relievers such as acetamino hen -'ylenol. Sedatives such as butalbital :arcotic ain relievers such as me eridine :onsteroidal anti-inflammatory drugs -:SA%&s. such as ibu rofen

%f you wish to consider an alternative, feverfew is a o ular herb for migraines. Several studies, but not all, su ort using feverfew for treating migraines. %f you are interested in trying feverfew, make sure your doctor a roves. Also, know that herbal remedies sold in drugstores and health food stores are not regulated. )ork with a trained herbalist when selecting herbs.