Ever since my childhood, I had no desire to be near children, let alone bear a child one day. Growing up, I was the youngest and never had to deal with any children in my own family, unless we had visitors who brought their children along. And then too, my interaction with them were punctuated with awkward pauses. [Read more…]

These days schools are doing a great job of teaching our children the importance of recycling and going green. Not surprisingly, children are often the policemen at home when it comes to giving their two bits about how mamma should recycle too! [Read more…]

The Indian culture is a very inclusive one. More so, when it comes to our grandparents. Grandparents nurture our lives in the most loving way possible. They don’t have the urgency of getting grandchildren disciplined, they bring in a whole world of traditional values to us and they are simply the most amazing human beings on earth.

And how can we repay them for all that they give us unconditionally? Simple, just follow the steps below religiously and watch how they beam with pride! [Read more…]

If your child has frequent bouts of allergies and colds, the culprit could be hiding right at home under the guise of mold, animal dander, dust mites and chemicals found in everyday products.

Here are 5 easy ways to reduce indoor pollution and lead a safe life.

Ventilate often: Ventilation is very important on today’s day and age where smog, airborne chemicals from perfumes and room fresheners can linger on irritating asthmatics. Closed doors and windows are also a free passage for mold and fungus to develop. Ventilation drives away humidity, in which molds and fungus thrive. Contrary to popular belief, cold air outside will actually do you good rather than staying in a stuffy room that doesn’t allow allergens and harmful chemicals to escape. If the day is hot, using an air conditioner is a wise idea.

Dust mite free life: Unfortunately, it is impossible to lead a dust mite free life unless you are living in a sterile environment. Dust mites are usually found in mattresses and pillows. To prevent them from making your bed their home, cover your mattress with a non permeable sheet. Usually, dusting is enough to get rid of 80% of dust mites, but it is not every day that we dust our mattresses. So an opaque cover on the mattresses works the best.

Keep humidity at bay: Humidity causes mold, fungus and attracts microorganisms to breed. Not only do these cause allergies but also serious infections that can go undetected and are difficult to diagnose once contracted. So make sure there is no mildew accumulating on your walls, bathrooms and cupboards. Ideally humidity should be maintained below 50%.

Pet dander peeves: Pet dander is omnipresent in a house with pets. But if your child is allergic to it, it is time to reconsider having a pet at all. If that isn’t an option, vacuum rugs, sofas, carpets and curtains regularly. Consider having a pet free room in the house where your child can have reprieve.

Gas stoves and asthma: Gas stoves or ovens emit NO2, Nitrogen Oxide that is dangerous to kids who already have asthma. Make sure your child isn’t spending too much time inside a kitchen, especially when there is little or no ventilation.

Household’s products and how they pollute

Household products come packed with disinfectants but do not guarantee against allergies.  Perfumes and chemicals present in them can also trigger allergies. Choose fragrance free products that are hypoallergenic.

Indoor plants
Avoid indoor plants like water bamboo that accumulate stagnant water. It attracts mosquitoes and flies that cause dengue and malaria. Some indoor plants are known to reduce indoor pollution too. If you must have indoor plants, choose the ones are known to help clear air pollutants.

 

During my residency days I was under the impression that the head of my department was a tyrant (I now believe that residents are supposed to feel that way) but as the years go by there are so many instances when I remember him with gratitude. My carelessness at certain tasks would not escape his observant gaze….from misspelling I’s and e’s in prescriptions to answers I gave from hearsay without actually reading my textbook. One busy day in the OPD he told me that I had prescribed multivitamins to twelve children and asked me for the reason.” Nothing major sir,” I said spiritlessly (by then I had learnt that honesty was my only defence) “their mothers were not happy with their appetite and nothing was really wrong with the children…”. “Dr Krishna,” he said sincerely, “you should know that you are accountable for everything you do…how many prescriptions would you actually have written if the parents concerned could not afford to buy the medicine?” I think the answer was two. Since then I have always thought twice before prescribing anything.

Vitamins are undoubtedly essential for synchronised body functioning (for enzymes to digest food, for blood to clot, for the strengthening of bones and cartilage, for nerves to transmit impulses, for hormones to be secreted, for wounds to heal, for immunity and for the eyes to see) and not just for growth. Since they cannot be manufactured in sufficient amounts by the body, and must be taken in from the environment. With the exception of vitamin D, which is manufactured by the body in response to sunlight exposure (wherein research says that 15 minutes a week of such exposure is all that is needed), all the others are naturally supplemented by a balanced diet. Vitamins occurring in their natural forms are the easiest for the body to use, and accompanied by important related compounds enabling their absorption and assimilation by the body. So are we over prescribing and overrating commercial nutritional supplements? Well, the answer is a tricky one.

Also Read: Do Teen Daughters Need Supplements?

Let me first list out the conditions when vitamin supplementation is mandatory.

Vitamins A, D, E, and K are called fat-soluble vitamins and are stored in the fatty tissues of the body and in the liver. They wait around in your body and when it’s time for them to be used, special carrier proteins take them to where they’re needed. So overloading on them can have toxic effects on the body. Water-soluble vitamins (vitamin C and the B complex as they are usually called) don’t get stored as much and travel through the bloodstream. Whatever is in excess is flushed out by the kidneys. So a child with a liver disease, a kidney disorder or a malabsorption syndrome (a condition where dietary nutrients do not enter the bloodstream) will need vitamins in doses above the RDA (Recommended Dietary Allowance, or the amount needed every day) for prolonged periods.

Babies get most of their nutrition a few weeks before birth and therefore those born preterm have insufficient reserves and they require vitamins and minerals to be supplemented.

Sometimes a long course of medication like medicines given for fits, prolonged fevers like typhoid, heart problems etc. require vitamin supplements in order to break down the drug and replace the reserves that get exhausted.

Breastfed babies require no vitamin supplements unless the mother is deficient. We prescribe vitamins usually after solids are introduced and formula is discontinued. Many paediatricians make an exception to this and suggest Vitamin D supplements throughout the first year. This is because research shows a prevalence of vitamin D deficiency of 50-90 % in our country (attributed to low dietary calcium, skin colour and limited outdoor activity).It is also because vitamin D is now quoted as a preventative miracle vitamin for everything from cancer and diabetes to heart disease and multiple sclerosis.

Also Read: Should we Worry about Vitamin D? 

I believe that several aspects of our lifestyle do not contribute to good nutrition. The tiny portions of fruit and veggies our children cut a deal to eat are not totally fresh and hygienic. Busy schedules have made processed snacks and energy drinks obligatory. Carbonated drinks leach vitamins and minerals from the body. A diet that includes milk and dairy products like cheese and yogurt, plenty of fresh fruits and leafy, green vegetables, protein like chicken, fish, meat, and eggs and whole grains oats and brown rice rules out vitamin deficiency (except for vitamin D).

For children who aren’t eating regular, well-balanced meals ( eating a lot of fast foods, convenience foods, and processed foods),finicky eaters, and those who play physically demanding sports, giving vitamins is akin to providing a safety blanket to avoid guilt. Vitamins cannot increase appetite if you are not deficient in them. Please look to activity levels, and emotional and hormonal imbalances when you notice a lack of appetite instead of self-prescribing your child vitamins.

Kids on a strict vegetarian diet need an iron supplement and those on dairy-free diet may need a calcium supplement and not just vitamins.

So coming back to the question, I will say that healthy kids do need vitamin supplements. Not always, but sometimes and for some time.

Re-published with permission from the blog of ParentEdge, a bi-monthly parenting magazine that aims to expose parents to global trends in learning and partner with them in the intellectual enrichment of their children. This blog has been written by Dr. Krishna Mahathi, she holds diplomas in Pediatrics and in the management of allergies and asthma. Years of working and interacting with children and parents have given her insight into developmental disabilities. She wishes that there was more awareness and acceptance of the issues that differently-abled children face and hopes that through this blog, she can enable thse children and their families to make sensible and informed choices.