ADHD: Do You Really Understand It? Help People Close to You By Knowing More About Its Causes, Facts & Symptoms!

Understanding ADHD

What is it?

ADHD (Attention deficit hyperactivity disorder) is a complicated disorder of the brain affecting children and adults throughout the world. In this condition, the brain’ s executive functionalities are impaired. Executive functions refer to the collection of cognitive process, which is the ability of a human being to acquire and process the knowledge from experience, senses and vision. People suffering from ADHD have difficulty focusing, controlling their impulses and systemization.

There are numerous misunderstandings related to ADHD among people as they consider it as a mental illness. This assumption is absolutely incorrect.Through brain imaging, clinical research and neuroscience, it is proved that it is neither a disorder of behaviour nor a mental illness. You might be intrigued to know that it is not a particular disability of learning also. It is basically a developmental impairment of the brain’s system of self-management.

Facts

Below are mentioned a few facts related to ADHD that might clarify the myths among people:

  • According to the National Institute of Mental Health, males are three times more prone to be diagnosed with ADHD than females.
  • The most secure age in identifying the ADHD condition in a child is of 7 years.
  • Eating too much sugar does not causes ADHD.
  • The cause of ADHD is not due to bad parenting, too much TV, bad teachers, family issues, moral failure, bad schools, or food allergies. Research unveiled the fact that it caused due to highly genetic or brain-based disorder. At times both factors can cause it.
  • The onset of ADHD symptoms generally can be observed from 3 to 6 years of age.
  • ADHD is not a phase that can affect children, but it also increases with age to your adulthood.
  • It can also cause hyperfocus. It means a person with this condition if given a task will focus on it and ignore the rest of the world.
  • Having ADHD does not increase your chances of attracting other diseases or conditions. However, few children suffer from an array of disabilities.
  • Symptoms in cases of women and girls are different from those in men & boys at many times. You can overlook them easily.
  • Adult ADHD in adults might result in a flow of creativity that will enable to think distinctly than most people perceive the same thing or concept.
  • A study conducted by researchers at the Barcelona Institute for Global Health (ISGlobal) shows that a rich diet of omega 6 & omega 3 during pregnancy can increase the chances of your child to have ADHD
  • People suffering from ADHD have higher chances to have Parkinson’s disease
  • Women with ADHD condition suffer from anxiety issues

Causes Of ADHD

There is no apparent reason as to why in ADHD brain differs. The most definite proof is that it is obtained genetically in most cases. Majorly children get it either from their parents or relatives. Below are the causes of ADHD:

  • Hereditary: In case any relative or their parents have ADHD, increases the chances of the baby to have ADHD. Sometimes, this condition runs in the family, and the child inherits this condition.
  • Pregnancy: Few types of research on ADHD has been proved that diet taken during the pregnancy effects this condition. The food intake during pregnancy should not have omega 3 & omega 6, it can increase the chances of a child to have ADHD.
  • Brain Damage: Either the child or an adult has suffered a head injury causing ADHD. The child can also incur the head injury while in womb increasing his chances of having ADHD.
  • Brain structure & functionality: It is found in brain scans that there is a difference in the size of a few areas of the brain structure of people affected with ADHD and a few areas larger in comparison to a brain scan of other people.One more reason might be that the neurotransmitters are not working as it should or there is an imbalance.
  • Epilepsy: People having epilepsy also have higher chances of ADHD.

Symptoms

Symptoms In Children

Below are mentioned a few symptoms that you might find in children suffering from ADHD:

  • Trouble understanding the needs of others
  • Get easily distracted
  • Unable to follow any rules or leave projects unfinished
  • Remain self-involved, ignoring people around them
  • Unable to follow a schedule
  • Trouble managing daily assignments
  • Intrude in conversations without letting others finish or unable to wait for their turn to speak up
  • Might have temper tantrums as they won’t be able to manage their emotions and have frequent outbursts
  • They will not be able to sit still as they have a habit of fidgeting
  • Children will tend to daydream and completely shun the world around them
  • Often lose their belongings
  • Lack of focus in an activity for long
  • They might make simple mistakes; however, it doesn’t imply that they are not intelligent or that they are lazy

Hyperactivity: In an ADHD child

  • They will fidget, squirm or bounce while sitting
  • Unable to sit in one place for a long time
  • Difficulty to play quietly
  • Remain restless by constantly moving, climbing on something or running.
  • Can be excessively talkative
  • Remain continuously active or busy throughout the day without a minute’s rest

Impulsivity: In an ADHD child

  • Have difficulty in waiting for their turn
  • They abruptly start talking or cannot wait to answer
  • Hinder others in the midst when others are speaking

Symptoms In Adults

Adults symptoms of ADHD are mentioned below:

  • They suffer from anxiety
  • They are persistently late or have long-term forgetfulness
  • They have low self-esteem
  • Face constant issues at work front
  • Face problems managing their anger
  • They give reactions impulsively without thinking ahead of the consequences
  • In a few cases, they abuse substances or are addicted to them
  • They are disorganised
  • They linger on making a decision or doing a task
  • They tend to get frustrated very easily
  • They also tend to get very bored very soon
  • Face problems focussing while reading
  • Have mood swings
  • Feel severe self-doubt, become gloomy and suffer through depression
  • Have relationship issues

Symptoms In Women

Things for women become difficult with ADHD due to the set expectation in our society or their role they generally take up in a family. They are seen as a primary caretaker, organizing everything, keeping affairs of the house in order, remembering birthdays etc. Often women with ADHD feel that their lives are out of control or in chaos, and daily tasks may seem difficult to manage. She may have difficulty in managing these tasks as she is having trouble managing her own life, so it becomes impossible for her. Such expectation takes a toll on women as it increases the feeling of being inadequate.

There are a few similarities in symptoms of women and men as they both feel overwhelmed, exhausted, low self-esteem, psychological distress, and severe stress. Women often feel that their life is getting out of their control, and everything seems chaotic and everyday responsibilities seems to unmanageable.

Below are a few instances that might help you understand how they manifest in Women suffering from ADHD:

  • For instance, the clothes and other things in your home are unmanaged. No matter how much you try, still, are unable to tidy your house for more than one or two days.
  • When working in an office, you are bothered by the noises around you and prefer to work after the office hours as it is quieter.
  • You try to look normal all the time so that nobody can understand the real you.
  • You feel being overwhelmed or unable to cope up with situations around you. It seems you are in a bad place and things are slipping out of your hand.
  • You feel overwhelmed and reserved, so you avoid going to parties and other social gatherings
  • You are only interested in talking when you are speaking or about the things or topic of your interest other than that your mind strays
  • You feel that you are unable to manage your friendship due to complex social rules.
  • You are more talkative than anyone else.
  • You were known as a tomboy during your childhood years and were more energetic
  • You feel that you are unable to manage money and cannot pay bills on time
  • You tend to overspend when you in emotional turmoil or facing issues. For instance, you feeling inadequate in a relationship and you buy yourself lipsticks or clothes to make you feel good about yourself.
  • While shopping you feel happy or it lifts your spirit, however, you feel concerned after overspending
  • You try to more organized and to do so you invest a lot of times, money and analysis on the product but end up not using them.
  • When people visit your home, you feel embarrassed as your house is not in order
  • You hope that you become a better life partner, friend, or mother. You might also feel to do things as other people are doing, such as others can keep your house in order, always able to make new dishes and be punctual.
  • People might perceive that you do not bother when you are unable to do things that women are expected in our society to do.
  • You take a longer time than other people to decide what to purchase in a grocery store.
  • You feel that your life is standing still only trying to dodging failure and countering the situations. You are unable to move forward with your goals.
  • You have an overwhelming inbuilt frustration and that you have not achieved success as your potential.
  • Even the littlest things can set you off, making you very emotional.
  • You are unable to unwind and decompress due to continuing fixation on something.

Numerous women are comforted when they came to know that the struggle with their behaviour is due to ADHD.

Conclusion

ADHD is a complex developmental impairment which causes the children, men & women to behave in the manner they do. By understanding the reason affecting their behaviour will prepare you how to work as a support system for that person. Understanding is a bridge that will make you feel closer to them and not resenting their behaviour. It is a lot work for the family handling people suffering with ADHD and might also need support. Always look out for help when needed and do not get crushed by the increasing responsibility. It is the emotional & mental support that will help the person suffering from ADHD overcome their obstacles.

Severe Road Accident Injury in Liver Operated with Laparoscopic Left Lateral Hepatectomy @ Chandan

Accidental injuries can occur at home or outside that too at times it is so grave that you need to go through a series of procedures and medication to reach normalcy. The term “accidental injuries” is itself indicates that it is all kinds of injuries that occur due to an abrupt, unexpected and ill-fated incident. It can be burns, bites, falls, road accidents, drowning, falls and stings etc. For instance, you can fall from stairs injuring your back or slipped and hit a sturdy object causing internal or external bleeding. Such incidents are traumatic and fatal to some. At times incidents such as an accident while enjoying an adventurous activity of sports or drunk driving are also a few examples when accidents occur.

Accidents are an unforeseen incident that can occur at any time and is one of the frightening causes of demise. Any person, who suffers grave physical harm or damage inflicted due to an accident causing an overwhelming outcome affecting his/her life in numerous contexts such as physical pain, emotional trauma and financial crisis.

Road accidents result in slight injuries to gruesome injuries to life-threatening cases are observed. Mostly such accidental cases with injuries are rushed to a closest possible emergency available. Emergency departments in hospitals are equipped to deal with such incidents at hand. Such a case of road accident was rushed to Chandan Hospital Emergency (ER) of a young boy, Sunny a B. Pharma student of Babu Banarsi Das, who was in a state of shock when admitted. He was seriously injured in the road accident, which caused him a blunt trauma in the abdominal region & liver laceration.

His case was transferred to Dr Alankar, Department of Gastro-Liver & Biliary Sciences. Dr Alankar accessed the condition of the boy and advised him to go through “laparoscopic left lateral hepatectomy”.

Laparoscopic surgeries are also known as MIS (minimally invasive surgery) or keyhole surgery. This kind of surgery enables the surgeon to reach inside the abdominal wall without a requirement of a larger incision. An instrument smaller in size used during a laparoscopic procedure is called laparoscope. It is a small tube with a camera and a source of light providing the surgeon images of the inside on a television monitor. It is one of the most opted surgery as through this swift recovery is possible. Hepatectomy is a surgical procedure to remove whole or partial parts of the liver, which is termed as resection.

Dr Alankar performed the laparoscopic left lateral hepatectomy, which was performed under general anaesthesia. The patient was asleep during the entire procedure and did not feel even the slightest pain. Very minute incisions are made in the abdomen wall through which Dr Alankar gained access through laparotomy to the organ. The procedure was successful and the patient was admitted for ten more days to be observed. During his stay in the hospital, his condition recovered and was discharged in a healthy condition, with advice to be on bed rest for at least ten more days. The patient is currently back to his home town Delhi with his parents.

Patient Testimonial:

I met with an accident on Faizabad road and was rushed to the nearby emergency of Chandan Hospital. The accident happened suddenly and I can only recollect the exact incident in bits. It was a horrifying moment as soon as I was hit, I could only remember the bleeding and intense pain in the abdominal region. I passed out due to the intense pain and when I gained consciousness I was under primary care in the ER. As my wounds were very serious, I was transferred to Dr Alankar for consultation and assessment. As my liver was hurt, he suggested for laparoscopic left lateral hepatectomy. I went under the procedure and recovered swiftly. The staff at Chandan hospital was caring and I am grateful to Dr Alankar.

Doctors Assessment:

The patient was in intense trauma and seriously injured when he reached the Emergency at Chandan Hospital Lucknow. I was called to assess the patient’s condition as he had blunt abdominal trauma & liver laceration. To heal him from the internal injury in the liver, I recommended laparoscopic left lateral hepatectomy. It was a minimally invasive surgery and the patient swiftly recovered within the ten days of hospital stay to be observed.