When we think of kidney disease, we often picture an older adult battling high blood pressure or diabetes. But what if the real danger is actually lurking in children? Have we misunderstood the signs? Are the kids issues undetected? Pediatric kidney disease are rarely talked about, yet they can have lifelong consequences. Unlike adults, who have clear signs, children often exhibit symptoms so subtle that even the most attentive parents and doctors could miss it.

Dr Narendra Shetty, Chief Wellness Officer at Kshemavana emphasizes, "Kidney diseases in children often go unnoticed because their symptoms mimic common childhood conditions. Early detection is key to preventing long-term complications."

The Silent Symptoms

A child who frequently wets the bed or seems tired throughout the day could very easily be dismissed by calling him "lazy" or saying that he is just "going through a phase". But what if that bedwetting is a sign of an underlying kidney disorder? What if their fatigue signals something far more serious than just a lack of sleep?

Adults show obvious symptoms like swelling, high blood pressure, or reduced urine output. However, for children, it may be easier to overlook. Poor appetite, developmental delays, and general fatigue are often attributed to other childhood conditions or simply brushed off as normal. And for infants and toddlers—who cannot verbally express their discomfort—signs like excessive crying, restlessness, or irritability are often misunderstood, delaying crucial diagnoses.

Dr. Shetty explains, "Children may not always communicate their discomfort effectively, making it crucial for parents and pediatricians to stay vigilant for subtle signs of kidney dysfunction."

The concern is that the symptoms kids go through, often falls under the same category of common childhood infections. A child suffering from frequent urinary tract infection (UTI), could actually be vesicoureteral reflux (VUR), a condition where urine flows backward from the bladder to the kidneys, potentially causing long-term damage. However, because UTIs are more common in children, the actual condition may go undetected.

Routine kidney function tests (RFTs) are rarely conducted in children unless there’s a specific reason. This lack of screening means many kidney issues remain hidden until the disease has progressed significantly, making treatment more complex and the impact more severe.

Why Pediatric Kidney Diseases Are Different?

In adults, kidney diseases are more often than note linked to lifestyle choices. However, in pediatric conditions, they are congenital or genetic. Some of the children are born with structural abnormalities that impair kidney function from the start. These conditions, if left undiagnosed can stunt physical growth. They could also delay developmental milestones and lead to long-term health complications.

Children’s kidney diseases also tend to progress differently. They may remain silent for years, only surfacing when the damage is irreversible. In contrast, adult kidney disease usually progresses slowly, with symptoms appearing over time due to factors like hypertension or diabetes.

Is Kidney Health Only About Drinking Water?

If you think like this, then you may need to think again. Maintaining a healthy kidney is more than just drinking water. It has a lot to do in what you eat and what don't you eat. A high-sodium diet can raise blood pressure, putting unnecessary stress on the kidneys. Processed foods loaded with sugar and preservatives are equally harmful. Encouraging home-cooked meals over packaged snacks can go a long way in protecting children’s kidney health.

Hydration plays a key role in maintaining kidney function. While dehydration can cause kidney stones and urinary tract infections, excessive fluid intake in children with conditions like nephrotic syndrome can lead to swelling and other complications.

But diet alone isn’t the only villain. Environmental factors—such as exposure to heavy metals in contaminated water, pesticide-laden foods, air pollution, and overuse of certain medications—can silently damage the kidneys over time. Long-term exposure to toxins like arsenic, lead, and mercury can cause severe renal impairments, yet many parents remain unaware of these hidden dangers.

Dr. Shetty warns, "Children are more vulnerable to environmental toxins than adults. Clean water, organic foods, and limiting unnecessary medications can go a long way in safeguarding their kidney health."

Chronic Kidney Disease

In children with chronic kidney disease or CKD, dialysis and kidney transplants have long been the option. However, science could do more. One breakthrough in pediatric kidney care is the recombinant growth hormone (rGH) therapy which helps improve growth in children with CKD who suffer from malnutrition and stunted development.

Emerging treatments such as stem cell therapy and regenerative medicine are also showing promise. Scientists are working on lab-grown kidney tissues that could one day replace damaged kidneys, offering new hope to children who would otherwise require transplants.

A more holistic approach is also gaining traction. Dietary changes, including a low-protein, alkaline-based diet supplemented with omega-3 fatty acids, can slow kidney disease progression. Alternative therapies such as acupuncture, herbal treatments, and even specific yoga poses are being explored to complement traditional medical treatments.

The NHS has released a warning for people who take levothyroxine to manage thyroid conditions. With an estimated 33 million prescriptions issued every year across the UK, levothyroxine is among the most frequently prescribed medicines provided by the NHS.

Levothyroxine is mainly used to treat an underactive thyroid, a condition medically known as hypothyroidism. Depending on a patient’s needs and a GP’s assessment, the medicine is usually prescribed either as a tablet or as a liquid taken by mouth.

What Is Levothyroxine?

The NHS website explains that while most adults and children can safely take levothyroxine, there are specific situations where it may not be recommended. These restrictions are based on a person’s medical history and current health conditions.

People Who May Not Be Able to Take Levothyroxine

According to NHS guidance, levothyroxine may not be suitable if any of the following apply:

1. You have a heart condition such as angina, heart disease, or heart failure
2. You have a condition that affects your adrenal glands
3. You have previously suffered a heart attack
4. You have an overactive thyroid that produces excess thyroid hormone, known as thyrotoxicosis
5. You have diabetes
6. You have had an allergic reaction to levothyroxine or another medicine in the past
7. You have high blood pressure
8. Patients are advised to inform their GP or specialist about any of these conditions before starting treatment.

Levothyroxine: Possible Side Effects to Be Aware Of

Levothyroxine can cause a range of side effects, some of which may require urgent medical attention. Common side effects associated with the medication include:

• Flushing or excessive sweating
• Feeling restless, anxious, or overly energetic
• Difficulty sleeping
• Nausea
• Headaches
• Vomiting
• Shaking or trembling
• Diarrhoea
• Muscle cramps

The NHS notes that this is not a complete list, and other side effects may occur. Patients are advised to read the information leaflet included with their medication for full details.

Levothyroxine: When to Seek Medical Help

Although these side effects can be unpleasant, they are usually mild and do not typically require a hospital visit. If symptoms persist or become troublesome, the NHS recommends speaking to a doctor or pharmacist for advice.

However, certain symptoms should not be ignored. If you notice a fast or irregular heartbeat while taking levothyroxine, you should contact a doctor or call NHS 111 as soon as possible.

More serious symptoms require immediate action. Anyone experiencing chest pain while on levothyroxine is advised to call 999 without delay, as this could signal a medical emergency.

Disclaimer: This article is for general information only and is not a substitute for medical advice. Levothyroxine should be taken only as prescribed by a qualified healthcare professional. Do not start, stop, or change your medication without consulting your doctor. If you experience severe symptoms or a medical emergency, seek immediate medical attention or call emergency services.

Delhi, on Wednesday morning, woke up to 'very poor' air. The visibility was low and, in fact, the India Meteorological Department (IMD) issued an orange alert for dense fog between 8.30am and 10am. Visibility remained low, and as per the 24-hour average Air Quality Index, Delhi stood at 384, as confirmed by the data from the Central Pollution Control Board (CPCB). In certain areas, including Anand Vihar, AQI remained under 'severe' level, at 452.

This has resulted in cancellation of t least 148 flights and over 150 flights were delayed at the Delhi airport.

However, there may be a silver lining, in an interview with TOI, Tarun Kumar Pithode, who took charge as the new full-time member secretary of the Commission for Air Quality Management (CAQM) said that Delhi can expect "more blue-sky days over next 3-4 years".

How Does The Commission for Air Quality Management Plan To Bring Delhi's Pollution Down?

Delhi’s fight against air pollution is set to intensify over the next few years, with the CAQM outlining a multi-pronged plan aimed at delivering “more blue-sky days” for the capital. Rather than relying on emergency measures alone, the strategy focuses on long-term, structural fixes across transport, industry, energy and regional coordination.

Cutting Emissions at the Source

One of CAQM’s core priorities is reducing pollution from vehicles, which remain a major contributor to Delhi’s poor air quality. The plan pushes for faster adoption of electric vehicles, tighter checks on polluting commercial vehicles, and a stronger public transport network. Scrapping old, high-emission vehicles and discouraging diesel use through stricter enforcement are seen as key steps to curb everyday emissions, not just during winter spikes.

Cleaning Up Industry and Power Generation

Industrial pollution is another major target. CAQM has stressed a shift away from coal and other dirty fuels toward cleaner energy sources. Industries operating in and around Delhi are being pushed to adopt cleaner fuels such as natural gas, along with better emission-control technologies. Power plants in the region are also under scrutiny, with stricter norms to ensure they do not become pollution hotspots during peak winter months.

Tackling Dust and Construction Pollution

Construction dust and road dust significantly worsen Delhi’s air quality, especially during dry months. CAQM’s plan includes stricter enforcement of dust-control norms at construction sites, better mechanised road sweeping, and regular water sprinkling on major roads. Authorities are also being asked to improve urban planning to reduce exposed soil and unpaved areas that contribute to dust pollution.

Managing Seasonal Pollution and Stubble Burning

A major part of Delhi’s pollution problem comes from outside the city, particularly crop residue burning in neighboring states. CAQM has emphasized regional coordination, working with states like Punjab, Haryana and Uttar Pradesh to reduce stubble burning. This includes promoting alternative methods for crop residue management, providing financial incentives, and ensuring accountability when violations occur.

Data-Driven and Year-Round Action

Unlike earlier approaches that focused largely on winter emergencies, CAQM’s plan relies on year-round monitoring and data-driven action. Expanded air-quality monitoring, better forecasting, and early interventions are expected to prevent pollution levels from spiralling out of control. The aim is to move from reactive crisis management to consistent prevention.

A Long Road Ahead

CAQM officials acknowledge that Delhi’s pollution problem will not disappear overnight. However, with coordinated action across sectors and states, they believe the capital can see steady improvement over the next three to four years. The promise of more blue-sky days hinges not just on policy, but on strict enforcement and sustained public cooperation.

"There is a big mistake you are making when you fly and no one talks about how to prevent it," writes Dr Rema Malik, a board-certified vascular surgeon, based in Houston, Texas. On her Instagram post she talks about how our body deals with much of a serious challenge once we enter the plane and the cabin doors shut. She points out that while most of us are busy settling into our seats, our veins enter a risky environment that could raise the chance of developing a blood clot. These risks include deep vein thrombosis or DVT. She points out that this risk is not just limited to older adults, but to people with known health issues too.

What Really Happens to Your Body Mid-Flight

Dr. Malik explains that air travel creates what she calls a “three-hit combo” that puts your circulation under stress.

First is prolonged sitting. When you stay seated for hours, your calf muscles, often called your second heart, stop doing their job. These muscles help push blood back up toward the heart. Without movement, blood begins to pool in the legs instead of flowing upward.

Second comes dehydration. Cabin air is extremely dry, far drier than most natural environments. This causes your body to lose moisture faster than you realize. As dehydration sets in, your blood becomes thicker and more sluggish, which makes clot formation easier.

The third factor is cabin pressure. Lower pressure at cruising altitude causes veins to dilate or expand. This stretching weakens the tiny valves inside your veins that normally prevent blood from flowing backward. Gravity then does the rest, encouraging blood to settle in the lower limbs.

This combination is not about discomfort. It is about safety.

Read: Not Boarded Any Flight And Still Monday Feels Like A Jetlag? You Are Not Alone

Why Age Is Not the Only Risk Factor

There is a common belief that blood clots only affect the elderly or people with chronic illnesses. Dr. Malik strongly disagrees. Whether you are 25 or 65, long flights place similar stress on your circulation. Sitting still, dehydration, and pressure changes affect everyone, regardless of how fit or young they feel.

That is why she recommends preparing your body for travel just as seriously as you prepare your suitcase.

Wear the Right Protection Before You Fly

Compression socks are not just for people with medical conditions. Dr. Malik calls them non-negotiable for air travel. A compression level of 15 to 20 mmHg helps mechanically push blood upward, prevents swelling, and supports healthy circulation.

The key is timing. Put them on before you leave home, not after you board the plane, so your veins are supported from the very start.

Hydration Is a Flight Essential

Her rule is simple. Drink eight ounces of water for every hour you are in the air. This helps keep your blood from becoming too thick.

Coffee, alcohol, and wine do not count. In fact, they make dehydration worse. If you are serious about flying safely, water needs to be your main beverage.

Keep Your Calf Muscles Active

Every 30 minutes, Dr. Malik recommends doing 30 ankle pumps. Lift your toes up and down as if you are pressing a gas pedal. This simple movement activates your calf muscles and helps clear stagnant blood from your legs, even if you cannot get up and walk.