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If there is improvement 2.5 mg femara with amex, then try challenging the children with one pure food every 4 days cheap femara 2.5mg visa, to see if any can be added back in cheap femara 2.5 mg free shipping. Benefits: Removing allergic foods can result in a wide range of improvements in some children, especially improvements in behavior and attention. Immune response to dietary proteins, gliadin and cerebellar peptides in children with autism. A study by Lucarelli et al found that an 8-week diet which avoided allergic foods resulted in benefits in an open study of 36 children. A study by Kushak and Buie found that children with autism may have low levels and/or underactive digestive enzymes for complex sugars, which reduces the ability to fully digest starches and sugars. Several studies by Horvath, Wakefield, Buie, and others have demonstrated that gut inflammation is common in autism. This may result in a “leaky gut” that may allow partly-digested food to pass into the blood, potentially causing an allergic response.. Horvath K et al, Gastrointestinal abnormalities in children with autistic disorder,” J. Humans are the only animal who drink milk as adults, and the only animal to drink the milk of another animal. Cows milk is a perfect food for baby cows, but not for humans, especially past age of nursing. Gluten (in wheat, rye, barley, and possibly oats) and casein (in all dairy products) can cause two problems: 1. They are common food allergens (see previous section), especially in children and adults with autism. Certain peptides from gluten and casein can bind to opioid-receptors in the brain, and can have a potent effect on behavior (like heroin or morphine), causing problems including sleepiness, inattention/”zoning out”, and aggressive and self-abusive behavior. Like opioids, they can be highly addictive, and a lack of them can cause severe behaviors. These problems appear to be due to: 1) A failure of the digestive tract to fully digest the gluten and casein peptides into single amino acids 2) Inflammation of the gut, allowing the gluten and casein peptides to enter the bloodstream and reach opioid receptors in the brain. Explanation of Treatment: • Total, 100% avoidance of all gluten products and all dairy products. Even small amounts, like a bite of a cookie, can cause allergic and/or opioid problems. Many foods have trace contamination with gluten, such as dusting French fries and raisins with wheat powder to keep them from sticking, so it can be very difficult to avoid all foods and contaminated foods. Benefits: Children who most crave dairy and/or wheat, and who eat a lot of it, are most likely to benefit. Casein-free diets usually produce benefits within a month, and sometimes within a week. In some children there is a worsening of symptoms for a few days (similar to a drug withdrawal) followed by improvement. Safety Note: It is important that a calcium supplement be taken while on a dairy-free diet unless a child has an exceptionally nutritious diet rich in calcium. However, a negative allergy test does not mean that dairy and wheat are ok, as they can also cause problems due to opioid action. Cade’s large study of 150 children with autism found that 87% had IgG antibodies (allergy) to gluten, vs. Large improvements were observed in social isolation, eye contact, mutism, learning skills, hyperactivity, stereotypic activity, and panic attacks. Elder et al, The gluten-free, casein-free diet in autism: results of a preliminary double blind clinical trial. For example, many women lack enough calcium and iron, leading to osteoporosis and anemia, respectively. Explanation of Treatment: Vitamins and minerals are available in vegetables, fruits, meat, and other sources.

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Also when food is boiled in water iron is leached and is lost if the water is discarded order femara 2.5 mg without a prescription. The hormones have profound influence on energy metabolism cheap femara 2.5 mg with mastercard, protein synthesis cheap femara 2.5mg mastercard, growth and development. They also play part in the conversion of carotene to Vitamin A and synthesis of cholesterol. This, in turn, affects brain development, physical growth and functioning of muscles, heart, liver and kidneys. Goitre is an enlarged thyroid gland – a result of thyroid over-activity as it strives to capture sufficient iodine from the blood. The iodine is retained in the body tissues for a long period of time (three to five years), maintaining the thyroid hormones at normal levels  Iodinated oil capsules: 400 mg iodine administered orally, repeated after one to two years  Lugol’s solution: 3 drop (21 mg) once a month, up to one year 4. It plays important roles in the body, including role in vision, maintenance of epithelial tissue, synthesis of mucous secretion, growth, reproduction and immunity. It, contributes to body’s supply of niacin (another B vitamin) by facilitating in the conversion of tryptophan (an amino acid) to niacin. Deficiency is commonly caused by consumption of highly polished cereals or foods containing thiaminase (anti-thiamine factor). Signs and symptoms of deficiency  Characterized by enlargement of nerves, weight loss (due to loss of appetite), oedema and disturbance in heart function  Lack of energy  Lesions in nervous tissues. Also it plays part in synthesis of corticosteroids and production of red blood cells. Signs and symptoms of deficiency  It characterized by sore throat, pharyngeal and oral mucous membrane hyperaemia, angular stomatitis, cheilosis, glossitis and anemia  Riboflavin deficiency almost invariably occurs in combination with other vitamin deficiencies. Dietary measures  Animal products (milk, meat liver, fish, eggs, cheese)  Vegetable products (green leafy vegetables)  Cereal grains and pulses Drug treatment C: Vitamin B-complex 1 tablet 8 hourly for 1 month. In Tanzania deficiency occurs in communities whose main staple food is maize or sorghum and particularly during rainy season when food diversification is at its lowest. Signs and symptoms of deficiency It is a disease characterized by a triad, referred to as three Ds: o Dermatitis (darkened scaly skin on the parts exposed to the sun) o Diarrhea o Dementia (memory loss)  Some patients may present also with glossitis 372 | P a g e Dietary measures  Animal products (especially liver), pork, poultry  Groundnuts, beans, peas, other pulses, yeast  Cereal grains (but not maize or sorghum) Note  Treatment of maize with alkalis such as limewater makes the niacin much more available  Protein is good source as the amino acid tryptophan can be converted to niacin in the gut. Drug treatment C: Nicotinamide: Adult gives 100 mg every 6 hours for 7 days followed by multivitamin preparation containing 50 to 60 mg of nicotinamide daily for 1 month. Children: 10 to 25 mg every 8 hours for 7 days, followed by multivitamin preparation as above. It plays part in the metabolism of fatty acids, hence in the formation of myelin (the sheathing around the axons of nerve cells). The vitamin is involved also in the carbohydrate metabolism (stabilizes glutathione – a component of enzymes needed in carbohydrate metabolism). Signs and symptoms of deficiency  Macrocytic megaloblastic anaemia  Decreased white blood cells  Angular stomatitis, glossitis  Delusions, nerve problems, unsteady gait. Dietary measures Main source is animal foods – meat, liver, seafood, eggs, milk, and cheese. Note  Animals or plants do not synthesize the vitamin – it is synthesized by bacteria in animals. Intramuscular injection: Initially 1mg, repeated 10 times at intervals of 2 – 3 days. Signs and symptoms of deficiency  Macrocytic megaloblastic anaemia  Stomatitis, glossitis  Diarrhea  Neural tube defects (spina bifida, anencephaly, encephalocele) 374 | P a g e Dietary measures  Green leafy vegetables  Legumes  Liver, meat, fish, poultry Drug treatment Adults and children over one year A: Folic acid 5 mg (O) daily for 4 months, then maintenance dose of 5 mg every 1-7 days depending on underlying disease. Signs and symptoms of deficiency  Scurvy (bleeding gums, dry skin, dry mouth, impaired wound healing). Note: Substantial vitamin C can be lost during food processing, preservation and preparation. Signs and symptoms of deficiency  Rickets – a disease of bones in infants and children  Osteomalacia in adults 375 | P a g e Prevention  Exposure of the skin to sunshine (vitamin D is produced by the action of the sun on the skin)  Vitamin D rich foods: wheat germ, fish, liver, egg yolk, organ meats, cheese, milk (breast milk other milks), butter, margarine, mayonnaise. It plays role in reproductive health (enhances fertility) and also in haemoglobin synthesis. Signs and symptoms of deficiency  Leg cramps,  Muscle weakness,  Nerve problems and  Hearing problems. Dietary measures  Consumption of vegetable oils  Whole grain cereals Drug treatment Adult C: Alpha tocopherol acetate 50 - 100mg daily until recovery Below 1 yr: 50mg until recovery 14.

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Also phytates found in whole grain products and vegetables reduces the bioavailability of zinc discount femara 2.5 mg online. Treatment A: Zinc tablets 50mg 2 to 3 times daily until recovery Zinc supplementation- Refer to National Guideline Micronutrient supplementation 16 order femara 2.5mg with mastercard. Kwashiorkor children have shown improved weight gain with selenium supplementation cheap femara 2.5 mg line. In China selenium deficiency has led to “Kesharis disease” – a serious condition affecting heart muscle. Meats, seafoods, egg yolk and milk are good sources of selenium  In cereals, selenium content depends on the concentration of the mineral in the soil  Mushrooms and asparagus are rich sources. But highest concentrations are in the liver, brain, heart, kidneys and in the blood. Copper in the form of ceruloplesmin (a copper-protein complex in the blood plasma) is involved in various stages of iron nutrition. Copper enhances iron absorption and stimulates mobilization of iron from stores (in the liver and other tissues). Plays part in the conversion of ferrous iron to ferric (important during various stages of iron metabolism). Copper deficiency has been linked to anaemia in premature infants and in people with severe protein- energy malnutrition. Menke’s disease (a rare congenital condition) is caused by failure of copper absorption. Dietary measures  Foods richest in copper are nuts, shellfish, liver, kidney, raisins and legumes. Many of the physiological functions of Mg are based on the mineral’s ability to interact with calcium, phosphate and carbonate salts. Magnesium catalyses many essential enzymatic reactions (glucose, fatty acid, amino acid metabolism), takes part in bone metabolism and protein synthesis. Signs and symptoms of deficiency  Muscle spasms, cramps  Tremors, seizures, coma Dietary measures  Most foods contain adequate amounts of magnesium  Animal foods: good source is dairy products, meats and poultry  Vegetables: green vegetables (okra, broccoli), cucumber skin  Fruits: especially avocado  Cereals (whole grain)  Legumes  Seafood Drug treatment D: Magnesium sulphate 0. Fluorine enhances iron absorption (protects against anaemia) and enhances wound healing. Chronic ingestion of high concentrations (from natural high content in the area or environmental pollution) can lead to bone and tooth malformations. Drug treatment: In areas where drinking water is fluoridated and the floride content is above 0. S: Fluorine tabs: Under 6 yrs 250 micrograms daily Over 6 years : 500 micrograms to 1mg daily 22. Deficiencies occur across all population groups but women and children are highly vulnerable because of rapid growth and inadequate dietary practices. Interventions to address micronutrient deficiencies include food based approaches whereby production and consumption of micronutrients rich foods are promoted. Micronutrient supplementation programs target most vulnerable groups such as pregnant and lactating women, and children aged below 5 years. Food fortification with micronutrients is another approach aimed to deliver micronutrients to the general population, most vulnerable groups included. Food fortification includes iodization of edible salt and fortification of staple foods such as cereal flours and cooking oil. Other interventions target children aged 6 to 23 months with a single dose of packets containing multiple vitamins and minerals in powder form that can be sprinkled onto any semi solid complementary food at the point of use. Diagnosis This is made from relevant history elicited from patient, relatives or friends, from clinical examination, and the results of investigations, where appropriate. Attempt to identify the exact agent involved requesting to see the container, where relevant. Corrosives can cause oesophageal burns which may not be immediately apparent and petroleum products, if aspirated, can cause pulmonary oedema which may take some hours to develop. General Principles of Management  Observe person and patient safety  Remove patient from source of poison  Support vital function o Establish and maintain a clear airway o Ensure adequate ventilation and oxygenation o Monitor blood pressure, heart rate, temperature, respiratory rate, pupil size and responsiveness 2. Contraindications to gastric lavage are: o An unprotected airway in an unconscious patient o Ingestion of corrosives or petroleum products e.

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