Sunday 31 July 2016

The Health Benefits of Water





We all need water to survive, but how exactly does it help?

Did you know that your body weight is approximately 60 percent water? 
Your body uses water in all its cells, organs, and tissues to help regulate its temperature and maintain other bodily functions. Because your body loses water through breathing, sweating, and digestion, it's important to rehydrate by drinking fluids and eating foods that contain water. The amount of water you need depends on a variety of factors, including the climate you live in, how physically active you are, and whether you're experiencing an illness or have any other health problems.


Water Protects Your Tissues, Spinal Cord, and Joints

Water does more than just quench your thirst and regulate your body's temperature; it also keeps the tissues in your body moist. You know how it feels when your eyes, nose, or mouth gets dry? Keeping your body hydrated helps it retain optimum levels of moisture in these sensitive areas, as well as in the blood, bones, and the brain. In addition, water helps protect the spinal cord, and it acts as a lubricant and cushion for your joints.


Water Helps Your Body Remove Waste

Adequate water intake enables your body to excrete waste through perspiration, urination, and defecation. The kidneys and liver use it to help flush out waste, as do your intestines. Water can also keep you from getting constipated by softening your stools and helping move the food you've eaten through your intestinal tract. However, it should be noted that there is no evidence to prove that increasing your fluid intake will cure constipation.


Water Aids in Digestion

Digestion starts with saliva, the basis of which is water. Digestion relies on enzymes that are found in saliva to help break down food and liquid and to dissolve minerals and other nutrients. Proper digestion makes minerals and nutrients more accessible to the body. Water is also necessary to help you digest soluble fiber. With the help of water, this fiber dissolves easily and benefits your bowel health by making well-formed, soft stools that are easy to pass.


Water Prevents You From Becoming Dehydrated

Your body loses fluids when you engage in vigorous exercise, sweat in high heat, or come down with a fever or contract an illness that causes vomiting or diarrhea. If you're losing fluids for any of these reasons, it's important to increase your fluid intake so that you can restore your body's natural hydration levels. Your doctor may also recommend that you drink more fluids to help treat other health conditions, like bladder infections and urinary tract stones. If you're pregnant or nursing, you may want to consult with your physician about your fluid intake because your body will be using more fluids than usual, especially if you're breastfeeding.


How Much Water Do You Need?

There's no hard and fast rule, and many individuals meet their daily hydration needs by simply drinking water when they're thirsty, according to a report on nutrient recommendations from the Institute of Medicine of the National Academies. In fact, most people who are in good physical health get enough fluids by drinking water and other beverages when they're thirsty, and also by drinking a beverage with each of their meals, according to the Centers for Disease Control and Prevention. If you're not sure about your hydration level, look at your urine. If it's clear, you're in good shape. If it's dark, you're probably dehydrated.

Fast Facts
The body loses water through breathing, sweating, and digestion, which is why it's important to rehydrate by drinking fluids and eating foods that contain water.

Most people who are in good physical health get enough fluids by drinking water and other beverages when they're thirsty, and also by drinking a beverage at mealtime.

Women who are pregnant or nursing may want to consult with their physician about increasing fluid intake.


Always contact with your Family Physician in case of any health issues.


                                                                                                                 Dr Mohit Bansal

Temper Tantrums

WHAT  ARE  TANTRUMS  ???

  •     Screaming
  •     Crying
  •     Kicking
  •     Pleading
  •     Pointing fingers
  •     Pouting




  • Duration can be seconds to minutes typically

  • Most common for ages 2 to 4 but can occur at any age (80% of children)


Why do kids throw tantrums?
  •      Frustrated with a task
  •      Trying to develop independence skills, do   things on their own
  •    To get what they want
  •    To get parents attention
  •    To get out of what they don’t want to do


I  CAN'T  HEAR  YOU, SO I DON'T  HAVE TO  DO  IT !!



PAY  ATTENTION  TO ME !!



I  WANT,  I WANT,  I WANT !!


CAN  OCCUR  AT  ANY TIME  OR  ANYPLACE




HOW  DO  PARENTS  FEEL  AFTER  TANTRUMS??



WHEN  TO  BE  CONCERNED ??
  •     Lasts for long periods of time
  •     Involves aggression
  •     Occurs frequently
  •     Causes distress to family
  •     Interferes with daily living


If  Not  Managed, Can  Result  In  Serious  Behavior  Problems. So proper management and consultation with your Family Doctor is a MUST...


HOW  TO  MANAGE ??
 
To Manage Temper Tantrums, Parents Have the Main
Role

1. Encourage/increase appropriate behavior
  •     Differential Attention i.e. To Attend to average behavior & To Praise exceptional behavior

  •      Child’s Game i.e. A relationship-building activity that makes children want to earn your POSITIVE attention.
  •      Sticker Charts/Grab Bag Prizes i.e. For Bedtime routine, morning routine and Daily prizes for overall behavior  etc.
  • 2. Decrease inappropriate behavior  by Time out
  •      Time out is the removal of attention, tangibles, or anything interesting to the child for a brief amount of time.

Common mistakes parents make
  •      Talking to child in time out
  •      Having time out be too long
  •      Not having child do what is expected following the time out
  •      Not expecting extinction burst

“Tantrums are not bad behavior. Tantrums are an expression of emotion that became too much for the child to bear. No punishment is required. What your child needs is compassion and safe, loving arms to unload in.” 

                                                       
                                                              Dr Mohit Bansal

Saturday 30 July 2016

Eating Disorder In Children








                                  PICA
  •     Pica is an eating disorder.
  •     It causes a person to develop an uncontrollable desire to      eat substances that have little or no nutritive value in        large amounts.
  •     Conditions for these actions to be considered pica:
              a)They must persist for more than one month at an age                where eating such objects is considered                                    developmentally inappropriate (some children eat
                  non edible substances because of curiosity, but not                  craving).
              b)Not part of a cultural practice and severe enough to
                 cause clinical attention.

CAUSES  OF  PICA
  •     A deficiency in iron, zinc, or another nutrient may lead to pica. The body will try to replace the low levels of nutrients through “food”.
  •     Mental health conditions, such as obsessive-compulsive disorder (OCD) and schizophrenia can develop pica to cope.
  •     People with eating disorders such as Anorexia Nervosa may attempt to ease hunger by eating nonfood substances to get a feeling of fullness.
  •     Cultural factors — in families, religions, or groups in which eating nonfood substances is a learned practice
  •     Parental neglect, lack of supervision, or food deprivation — often seen in children living in poverty.
  •     Developmental problems, such as mental retardation, autism, other developmental disabilities, or brain abnormalities
  •     Pregnancy due to the increase in iron demand by the developing baby.

WHAT  DO  THEY  EAT ?
Some of the most common examples of items consumed items
are:
  •     Starch (both laundry starch and corn starch)
  •     Ice
  •     Dirt and wall paint
  •     Clay or soil
  •     Paper and wood
  •     Wool or hair


NEGATIVE  EFFECTS  OF  PICA
  Pica is a serious eating disorder that can result in severe
  health problems such as:
  •     Lead poisoning
  •     Serious mental/brain problems
  •     Intestinal blockages
  •     Parasitic infections
  •     Choking
  •     Malnutrition/Starvation
  •     Infection
  •     Death-if left untreated

TREATMENT
ALWAYS  CONSULT  TO  YOUR DOCTOR... &
  •     This may include Iron supplementation for Anemia
  •     Mental Health Counseling
  •     Medication to help with OCD or psychological disorders
  •     Removal of items from the surroundings

OUTCOMES
Prognosis success varies. In many cases, the disorder lasts
several months, then disappears on its own. In some cases,
 it may continue into the teen years or adulthood,
especially when it occurs with developmental disorders.

   "We worry about what a child will become
tomorrow, yet we forget that he is someone
 today." 

                                                                   Dr Mohit Bansal





Family Doctors In India




 Concept of Family Physician or Family Doctor is based on health care system of Western and European countries.
Since several years, they are following this system of health care and it has been proved that this concept of health care is more effective, be it for a person or family or society, as it takes care of all three altogether.
Based on good outcomes, India also adopted the concept of Family Physician, few years back.
As expected, this concept is being appreciated and on rise.

Let's know what Family Medicine/Physician is?



                What is Family Medicine?
Family medicine is the medical specialty that provides continuing and comprehensive health care for the individual and the family.
Family medicine encompasses all ages, both sexes, each organ system, and every disease entity.
All problems be it biologic, psychological, or social problem

           Qualities of a Family Physician
Primary care physician
Skilled clinician
Personal care from cradle to grave
Accessible, knows the family
Provides care in the undifferentiated stage of disease
Provides cost effective care and continuity of care

Person-centered care
It is much more important to know what sort of “person” has the disease than what sort of disease a patient has. 

       Comprehensive care
  All organs
  All ages
  Both sexes
  Nine levels of care
                Nine levels of care
              1.Prevention
              2.Pre-symptomatic detection of disease
              3.Early diagnosis
              4.Diagnosis of established disease
              5.Management of disease
              6.Management of disease complications
              7.Rehabilitation
              8.Terminal care  and
              9.Counseling

Continuity of care of the person in a family from cradle to grave.

Accessible & Available care whenever needed like in case of emergencies or at night.

Patient-centered care for his/her
IDEAS    CONCERNS    EXPECTATIONS    FEELINGS

Coordinates care between specialists  for example if some person is coming for heart problem and also having problem with some other body system like kidneys, then family physician can help the person in consultation with concered speciality.

Wide Knowledge base  of all the medical specialities.

Cost-effective that is economically affordable care options.


A  family physician links with
       •An individual
              A  community
                 •Other family physicians
                            Specialists…...
 … to provide quality care.



So…what is the difference between family medicine and general medicine?
General medicine
Well differentiate
Episodic care
Disease depth
Cannot handle uncertainty
Age and organ limited
Biological problem

Family medicine
Undifferentiated
Continuity of care
Patient depth
Accepts uncertainty
No age or organ limitation
Bio-psycho-social


To be a effective family physician, one must have…
Clear concepts
Good clinical skills
    -  listen to your patients !
    - understand the background…
    - work with the concept
      of ‘alarm signs’ 
Cost effectiveness 
Compassion

                                                        
                                                             Dr Mohit Bansal