AboutKidsHealth for Teens

 

 

Tattoos and piercings after a transplantTTattoos and piercings after a transplantTattoos and piercings after a transplantEnglishTransplant;NephrologyTeen (13-18 years)KidneysRenal system/Urinary systemProcedures;Conditions and diseasesTeen (13-18 years)NA2017-11-30T05:00:00Z000Flat ContentHealth A-Z

 

 

 

 

Tattoos and piercings after a transplant2760.00000000000Tattoos and piercings after a transplantTattoos and piercings after a transplantTEnglishTransplant;NephrologyTeen (13-18 years)KidneysRenal system/Urinary systemProcedures;Conditions and diseasesTeen (13-18 years)NA2017-11-30T05:00:00Z000Flat ContentHealth A-Z<figure><img src="https://assets.aboutkidshealth.ca/akhassets/TTC_Trans_S3_4-5b_PBR.jpg" alt="Teen girl with 'believe' tattooed on her foot" /> </figure> <p>Some people might wonder if it is ok to get a tattoo or a piercing after a transplant.</p><p>Tattoos and piercings require a break in the skin and a tattoo introduces a foreign material into your body. Because of this, both carry a risk of infection. You will want to avoid this because the anti-rejection medications you take after your transplant already make your immune system weaker and less able to fight infections. This is why your transplant team might be a bit nervous about you getting a tattoo or piercing!</p><p>Different families have different rules about piercing and tattoos. Talk to your parents before you make any decision.<br></p><p>If you are determined to get one, here are some ways you can keep yourself as safe as possible.<br></p><ul><li>Make a plan in advance. Drunken tattoos are so not a good idea! Neither is having your best friend do a tattoo or piercing for you.</li><li>Check out different places that do tattoos or piercings. Ask about how each one controls infections and don’t take “we keep everything really clean” for an answer. A safe and reputable tattoo or piercing studio uses: disposable, sterile needles that are wrapped individually for single use; tattoo dye in single use bottles – not left-over dye from larger bottles; piercing guns instead of needles and ​a special machine, called an autoclave, to sterilize equipment.</li><li>If you have one studio in mind, ask around to make sure it has a good reputation. If you hear a lot of young people telling you about a place where you can get a tattoo while underage and without your parents’ consent, stay away – the studio is probably breaking lots of other rules too!</li><li>Certain parts of your body should not be pierced either because it is too easy for an infection to make its way to your brain or because those parts often have more germs.</li><ul><li>Eyebrows are a bad place, for example – lots of bacteria can hang out there and your brows are close to the nerve and blood vessel pathways linking your eyes to your brain.</li><li>Mouth piercings – on your tongue or in your cheek – should also be avoided. These put jewellery into contact with your teeth or gums, which could damage them or cause infections.</li><li>​Bottom line: other than your earlobes, we recommend against facial piercings or tattoos.</li></ul><li>Don’t get a tattoo or piercing while you are on high levels of anti-rejection medications, for example in the first six months after your transplant or after a rejection episode.</li><li>If you tend to get bored with things quickly, stay away from tattoos, as they are difficult and expensive to remove (and removing them doesn’t always work). Piercings heal up more quickly.</li><li>Always follow after-care instructions! If you are someone who tends to forget your medications or other treatments, then only consider a tattoo or piercing that doesn’t take a long time to heal. Earlobes heal faster than belly buttons, for instance.</li><li>Clean any jewellery with alcohol before you use it in a fairly new piercing.</li><li>If you see a sign of infection, contact your transplant team.<br></li></ul>

 

 

How to become more resilientHow to become more resilientHow to become more resilientHEnglishAdolescent;Psychiatry;PreventionTeen (13-18 years)NANAHealthy living and preventionTeen (13-18 years)NA2019-03-22T04:00:00Z7.7000000000000066.5000000000000631.000000000000Flat ContentHealth A-Z<p>Find out what mindfulness is, how it can help you to build resilience and lower your stress levels, and different methods to practise mindfulness everyday.</p><h2>Learn about mindfulness</h2><p>Mindfulness involves paying attention, on purpose, with kindness. Think about it as the opposite of multi-tasking. Instead of switching between lots of things, you’re paying full attention to and being completely aware of what you’re doing from one moment to the next. Mindfulness can be seen as a way of life.<br></p><p>Mindfulness, including both formal and informal meditation, is linked to lower stress levels, more even moods, better memory and concentration and a stronger immune system. </p><div class="call-out"><div class="asset-video"> <iframe src="https://www.youtube.com/embed/QTsUEOUaWpY?rel=0" frameborder="0"></iframe><span class="vid-title"><strong>Everyday mindfulness</strong></span></div><p> <strong>How to use:</strong> This video explains what everyday mindfulness is, and how being aware of what is going on around you and inside of you can help make life more enjoyable and less stressful.</p></div><h2>Formal mindfulness</h2><p>This involves choosing something to pay attention to, for example your breath. Then, when you get distracted, you may notice where your attention went and bring it back to your breath (or whatever you had been focusing on before). </p><p>Distractions will happen; everybody gets distracted. The distractions might be thoughts, emotions or physical sensations in your body. </p><p>But noticing when you are distracted can be a good thing. It means you were paying attention! Gently and with kindness, you can then bring your attention back to your breath. </p><p>It is important not to be too hard on yourself. Mindfulness may sound simple but that doesn’t mean it is easy. Being kind to yourself is just as important as practising focusing your attention. </p><div class="call-out"><div class="asset-video vid-small"> <iframe src="https://www.youtube.com/embed/xcO8IIeV12M?rel=0" frameborder="0"></iframe><span class="vid-title">Mindfulness of </span><span class="vid-title"></span> <span class="vid-title"></span><span class="vid-title"></span><span class="vid-title"></span><span class="vid-title">thoughts</span><span class="vid-type">audio</span><span class="vid-type"></span><span class="vid-type"></span><span class="vid-type"></span><span class="vid-type"></span><span class="vid-type"></span></div><p> <strong>How to use:</strong> This audio meditation helps you slow down the thoughts in your mind and meditate on them. Use this practice when you are feeling distracted with too many thoughts in your mind. You may stand, sit or lie down to follow along. Try to find a comfortable position that will not require you to move around.</p></div><h2>Informal mindfulness</h2><p>This involves paying total attention to activities you do in your everyday life, like eating or brushing your teeth. </p><p>Consider informal mindfulness an open awareness of the thoughts, feelings, memories or physical sensations that come up while you’re doing everyday things. It is important to do this with kindness and allow yourself to notice whatever surfaces without criticizing yourself.</p><p>Everybody has judgments throughout the day, but try to notice them and be kind to yourself when they are there. Remember, having various thoughts, feelings or sensations doesn’t mean you have to act on them.</p><h2>Take care of yourself</h2><p>Create a list of things that help you feel relaxed and be sure to do them regularly. These can be things like meditating, taking a bath, taking deep breaths, listening to relaxing music or getting a massage. It doesn’t matter what you do as long as it is something that you enjoy and that makes you feel calm.</p><h2>Remember how you have coped in the past</h2><p>When the going gets tough, remember the hurdles you have overcome or accomplishments you have already made. How did you do it? What skills and strategies helped you? Thinking back on how you have succeeded in the past can help you use the same skills in the future.</p><div class="call-out"><div class="asset-video"> <iframe src="https://www.youtube.com/embed/0QXmmP4psbA?rel=0" frameborder="0"></iframe><span class="vid-title"><strong>You are not your thoughts</strong></span></div><p> <strong>How to use:</strong> This video explains some of the things you can try when you feel overwhelmed by your thoughts. After the video, take a few moments to observe your thoughts with curiosity, paying attention to how each one makes you feel. Paying attention to your thoughts and sorting through them takes practice and patience.</p></div><div id="ymhp-animation" class="asset-animation asset-cv-animation"> <iframe src="https://teens.aboutkidshealth.ca/Style%20Library/AKH/animations/YMHP-UnhelpfulThoughts/MentalHealth-UnhelpfulThoughts.html"></iframe>  <br></div><h2>Practise daily gratitude</h2><p>When people are feeling stressed out or struggling with physical, emotional or social issues, it can be hard to be thankful.</p><p>But try to pick a time of day and think of three things that you have been thankful or grateful for from the previous 24 hours. Be as detailed and specific as you can. You can pick something seemingly small, like finding money in an old coat pocket, catching the bus just in time or having someone hold a door for you.<br></p><h2>Stay in touch with friends and take time to thank others</h2><p>If you haven’t spoken to someone in a while, contact them. Take the time to think of someone who has been helpful to you every day and let them know. This can be in an email, a text or a chat in person. Staying connected with friends and showing them gratitude can do a lot to support your own resilience.</p><p>Remember that resilience is a way of life. Practising these skills and strategies is something you do every day, not just when you are feeling stressed or having a hard time. When you practise them on neutral or good days, you will find it easier to use them on the hard days.</p><div class="call-out"><div class="asset-video"> <iframe src="https://www.youtube.com/embed/cFCiUlFKuO4?rel=0" frameborder="0"></iframe><span class="vid-title"><strong>Two wings to fly</strong></span></div><p> <strong>How to use:</strong> This video explains the value of balancing mindfulness and compassion. Use it to help you respond to change and other unwanted experiences. Mindfulness helps you find opportunities to understand your situation more clearly. Compassion helps you respond with kindness and less judgment. After you watch the video, think about how you can practise mindfulness and show compassion towards yourself and others.</p></div><p>For more information on mindfulness, check out the <a href="http://www.sickkids.ca/patient-family-resources/child-family-centred-care/spiritual-care/the-mindfulness-project/index.html">SickKids Mindfulness Project</a> website.<br></p><h3>Kids Help Phone – <a href="https://kidshelpphone.ca/">kidshelpphone.ca</a></h3><p>Kids Help Phone is a 24/7 e-mental health service offering free, confidential support to young people.</p><p> <a href="https://kidshelpphone.ca/get-info/12-instant-stress-busters/">12 instant stress busters</a></p><p> <a href="https://kidshelpphone.ca/get-info/kids-help-phones-wheel-of-well-being/">Kids Help Phone’s Wheel of Well-Being</a></p><p> <a href="https://kidshelpphone.ca/get-info/what-is-mindfulness-and-how-can-i-practise-it/">What is mindfulness, and how can I practise it?</a></p><p> <a href="https://kidshelpphone.ca/get-info/how-can-i-cope-with-my-feelings-about-the-future/">How can I cope with my feelings about the future?</a></p><p> <a href="https://kidshelpphone.ca/get-info/8-ways-foster-hope-your-daily-life/">8 ways to foster hope in your daily life</a></p>https://assets.aboutkidshealth.ca/AKHAssets/how_to_become_more_resilient.jpgTeens
Nutrition and mental health: The basics of a healthy dietNutrition and mental health: The basics of a healthy dietNutrition and mental health: The basics of a healthy dietNEnglishNutrition;Psychiatry;AdolescentTeen (13-18 years)BodyNAHealthy living and preventionTeen (13-18 years)NA2019-03-22T04:00:00Z9.2000000000000060.5000000000000555.000000000000Flat ContentHealth A-Z<p>For your mood and general wellbeing, eat a balance of macronutrients (complex carbohydrates, protein and healthy fats) and micronutrients (vitamins and minerals).</p><h2>Carbohydrates</h2><p>Carbohydrates are your body’s main source of energy and your brain’s only source of energy. This energy keeps you thinking clearly and ready to take on your daily routine.</p><p>To keep your mood and energy levels stable, try to choose complex carbohydrates such as vegetables, legumes (such as chickpeas or lentils), whole grain products, and some fruits, with their skins on if possible. These foods are also an important source of fibre, which helps you feel full for longer and helps food move through your digestive system regularly. </p><p>Candy, juices and other sugary food and drinks are all forms of simple carbohydrates. You can eat them occasionally, but don’t rely on them to give you energy. They can cause your blood sugar to “spike” and then suddenly drop off, leading to energy slumps during the day. </p><h2>Protein</h2><p>As a building block for your body, protein helps to build and repair your muscles, organs and bones and helps to maintain a healthy immune system to keep you feeling well. Protein is made up of amino acids that your body needs to function as well as possible. Overall, protein also helps you feel full for longer, which in turn helps you function better. </p><p>You can get protein from chicken, beef, fish and other meats as well as from eggs, milk, cheese and yogurt. Plant-based sources of protein include beans, lentils, nuts, seeds, tofu and tempeh. </p><h2>Fats</h2><p>Fats play a key role in body and brain development. They also help your body absorb essential micronutrients such as vitamins A, D, E and K.</p><p>You might have heard or read that all fat is bad, but there are healthier and less healthy fats. Oily fish, nuts, seeds, avocados and vegetable oils contain unsaturated fats. When eaten in moderation, these fats help prevent many chronic (long-term) conditions such as high cholesterol, heart disease and type 2 diabetes. Less healthy fats, also known as saturated and trans fats, are found in animal products such as high-fat meats and dairy products, including butter. You can still include these foods a balanced diet, but choose leaner options when you can.</p><h2>Vitamins and minerals</h2><p>It is important to get a range of vitamins and minerals every day for your general health.</p><p>Your brain and mental wellbeing benefit from eating regularly throughout the day, roughly every three hours. Rather than zone in on any trendy ‘super foods’ or supplements, simply try to eat a colourful mix of vegetables and fruits daily. These foods contain lots of vitamins and minerals (also known as micronutrients) and phytochemicals, which may play an important role in brain health.</p><p>Iron plays a key role in regulating fatigue. Every day, aim to eat foods rich in iron, such as dark leafy greens, beans, nuts, legumes (such as chickpeas or lentils) and lean meats. Whole grains, low-fat dairy, eggs, nuts, lean meats and legumes are rich in B vitamins. These help your brain and body transform food into energy.</p><p>Remember that different foods provide different micronutrients. “Eating the rainbow” (foods of different colours) makes sure you are consuming all the vitamins and minerals your body needs.</p><p> <a href="https://www.health.harvard.edu/staying-healthy/listing_of_vitamins">Harvard Health Publishing - Listing of vitamins</a></p><p> <a href="https://www.mind.org.uk/information-support/tips-for-everyday-living/food-and-mood/#.XJU1eBNKiWZ">Mind (UK) - Food and mood</a></p><p> <a href="https://meant2preventkitchen.ca/">Meant2Prevent: Kitchen</a></p><h3>Centre for Addiction and Mental Health (CAMH) – <a href="http://www.camh.ca/">camh.ca</a></h3><p>CAMH is a mental health and addiction teaching and research hospital that provides a wide range of clinical care services for patients of all ages and families.</p><p> <a href="https://youtu.be/qMnQFTy3t30">Mood Matters: How Food, Movement & Sleep Can Have an Impact on You</a></p>healthydiethttps://assets.aboutkidshealth.ca/AKHAssets/basics_of_health_diet.jpgThe basics of a healthy diet Learn about macronutrients and micronutrients and how eating a balance of these can help support your mood and general wellbeing.Teens
The right to safe spacesThe right to safe spacesThe right to safe spacesTEnglishAdolescentTeen (13-18 years)NANASupport, services and resourcesTeen (13-18 years)NA2021-08-16T04:00:00Z11.100000000000048.00000000000001284.00000000000Flat ContentHealth A-Z<p>Everyone has the right to receive care and services in a safe and welcoming environment. Learn more about your rights to safe spaces at school, work and in health-care environments.</p><h2>Your right to safe spaces</h2><p>You have the right to certain levels of respect, service and care in the community, whether you are a student, an employee, a patient, or a client of any other institution or business. Here is information about what you should expect of school, work and health-care environments if those institutions are fostering safe spaces.</p><h2>Key points</h2><ul><li>A safe space is a place or environment where anyone can express themselves and feel confident that they will not be exposed to discrimination.</li><li>An institution should never share your personal information with others without your consent.</li><li>If you have legally changed your name and/or gender, your official records at an institution should reflect those changes.</li><li>You have the right to be addressed by a name that feels comfortable to you and a pronoun that corresponds with your gender identity.</li><li>An institution that fosters a safe space will have staff that are trained to recognize and take disciplinary action against people who discriminate, harass or bully others.</li><li>You have a right to safe restroom facilities and to use a washroom that best corresponds to your gender identity.</li><li>If you go to school and/or work for an employer that enforces a dress code, the dress code should be flexible and gender neutral.</li><li>If your school offers gender-segregated activities like physical education classes or sports programs, you have the right to participate in the activities that correspond with your gender identity.</li><li>A safe place will ensure that it is promoting a welcoming and comforting environment.</li></ul><h2>What is a safe space?</h2><p>A safe space is a place or environment where anyone can express themselves and feel confident that they will not be exposed to discrimination, harassment, or any other emotional or physical harm based on their biological sex, race/ethnicity, sexual orientation, gender identity or expression, cultural background, age, or physical or mental ability. A safe space can be a dedicated physical space, or it can be the overarching principals that guide an organization.</p><h2>How should I expect to be treated in a safe space?</h2><p>Many institutions and businesses work hard to create inclusive safe spaces for their students, employees, patients and clients. It may seem like common sense to treat people kindly and with respect, but it can be helpful to have those acts of respect and dignity put into written policies.</p><p>You will know that you are in a safe space if you are provided the following:</p><h3>Privacy</h3><p>You have a right to privacy when it comes to your <a href="https://teens.aboutkidshealth.ca/Article?contentid=3976&language=English">personal information</a>. You may want to share certain personal information with your school, employer or health-care provider so that they may better serve your needs, but you are not required to tell them everything. This means that you can keep things like your medical history, your sexual orientation and your gender status to yourself unless there is a specific “need to know” reason to disclose them (e.g., to fulfill a specific accommodation request, to provide appropriate medical care). An institution should never share this information with others without your consent. In some cases, sharing certain information (e.g., medical information) is illegal without your consent.</p><h3>Up-to-date record keeping</h3><p>If you have legally changed your name and/or gender, your official records at an institution should reflect those changes. You may need to provide official documentation to your school, place of work and/or health-care provider so that they may make the appropriate changes in their files. This will help them prevent any mistakes in your care, how they serve you and how they address you.</p><h3>Use of your preferred name and pronouns</h3><p>No matter how you identify, it is important that the words you use to describe yourself are respected. How you are addressed can make a big difference in making you feel welcome. You have the right to be addressed by a name that feels comfortable to you and a pronoun that corresponds with your gender identity. An organization that uses <a href="https://teens.aboutkidshealth.ca/Article?contentid=3963&language=English">gender-inclusive language</a> in general also makes everyone feel heard and avoids mistakes made when making assumptions.</p><h3>Protection from harassment and discrimination</h3> You may be worried about telling your teachers, employer or health-care provider about your sexual orientation, your gender or your medical history. <p>You may worry that you will face discrimination, which means experiencing unjust or unfair treatment based on your personal characteristics. Discrimination violates your rights as a person and is illegal.</p><p>An institution that fosters a safe space will have staff that are trained to recognize and take disciplinary action against people who discriminate, harass or bully others.</p><p>If you feel you are facing discrimination, harassment or bullying, consider the following:</p><ul><li>Write down what happened, when and where it happened, and who was involved.</li><li>Talk to a friend, parent or guardian so that people who support you are aware of the situation.</li><li>Talk about the situation with someone in a position of authority like your teacher, principal, employer, doctor, or a human resources department (if there is one) and ask about accommodations.</li><li>Ask a legal expert to see whether the law would consider your experience to be discrimination. If it is, you can explore the possibility of taking legal action.</li><li>Look for support from a community support group. You may be able to learn from the experience of others in a similar situation.</li></ul><h3>Washroom access</h3><p>You have a right to safe restroom facilities and to use a washroom that best corresponds to your gender identity. Many institutions provide accessible all-gender single-stall washrooms for anyone who requires increased privacy, regardless of the reason. You may use one of these facilities if you are not comfortable choosing between gendered washroom facilities.</p><h3>Flexible dress codes</h3><p>Many schools and workplaces have a dress code. If you go to school and/or work for an employer that enforces a dress code, the dress code should be flexible and gender neutral. You should not have to choose between ‘male’ or ‘female’ clothing. A good dress code policy will apply to all clothing for all bodies.</p><h3>Access to gender segregated activities</h3><p>If your school offers gender-segregated activities like physical education classes or sports programs, you have the right to participate in the activities that correspond with your gender identity.</p><h3>Inclusive messaging</h3><p>A safe space will ensure that it is promoting a welcoming and comforting environment.</p><ul><li>At school this might include teaching inclusivity and diversity through the school curriculum, encouraging the start of clubs for LGBTQ2S+ students and providing a dedicated physical safe space on campus for these groups to meet.</li><li>At work this might include diversity trainings, being transparent about salaries at all levels of the organization, and taking effective steps to address and rectify incidents of harassment.</li><li>In a health-care setting this might include ensuring that the physical office space carries signs and pamphlets that are welcoming to all people (e.g., gender-neutral washroom signs), offering an interpreter to patients whose first language is not English, and providing forms that include more than two genders.</li></ul><h2>AboutKidsHealth</h2><p> <strong><a href="https://www.aboutkidshealth.ca/Article?contentid=3980&language=English">The right to safe spaces</a></strong><br> Share this article with your parents or guardian so they can learn more about your rights to safe spaces at school, work and in health-care environments.</p><p>TDSB Guidelines for the Accommodation of Transgender and Gender Non-Conforming Students and Staff. <em>Toronto District School Board</em>. Retrieved from <a href="https://www.tdsb.on.ca/Portals/0/docs/tdsb%20transgender%20accommodation%20FINAL_1_.pdf">https://www.tdsb.on.ca/Portals/0/docs/tdsb%20transgender%20accommodation%20FINAL_1_.pdf</a>.</p><p>Trans Youth at School: Y-GAP Community Bulletin. <em>Central Toronto Youth Services</em>. Retrieved from <a href="https://ctys.org/wp-content/uploads/YGAP_Health.pdf">https://ctys.org/wp-content/uploads/YGAP_Health.pdf</a>.</p><p>Trans Youth at Work: Y-GAP Community Bulletin. <em>Central Toronto Youth Services</em>. Retrieved from <a href="https://ctys.org/wp-content/uploads/YGAP_Work.pdf">https://ctys.org/wp-content/uploads/YGAP_Work.pdf</a>.</p><p>Trans Youth Accessing Health and Social Services: Y-GAP Community Bulletin. <em>Central Toronto Youth Services</em>. Retrieved from <a href="https://ctys.org/wp-content/uploads/YGAP_Health.pdf">https://ctys.org/wp-content/uploads/YGAP_Health.pdf</a>.</p>safespaceshttps://assets.aboutkidshealth.ca/AKHAssets/The_right_to_safe_spaces.jpg Learn about your right to receive care and services in a safe and welcoming environment, including at school, work and in health-care environments.Teens
What to expect during a pelvic examWhat to expect during a pelvic examWhat to expect during a pelvic examWEnglishAdolescent;DevelopmentalTeen (13-18 years)Pelvis;BodyReproductive systemHealthy living and preventionTeen (13-18 years)NA2021-10-19T04:00:00Z9.6000000000000057.4000000000000719.000000000000Flat ContentHealth A-Z<p>To make sure that your reproductive organs are healthy, you should have a pelvic exam every 3 years, starting at age 25, or sooner if you are sexually active or have specific concerns. Find out what you can expect during your first pelvic exam.</p><h2>What is a pelvic exam?</h2><p>A pelvic exam (or internal exam) is a test done by a health-care provider to examine your vulva, vagina and cervix for any abnormalities. Sometimes it also involves taking a sample from the vagina or cervix to test for sexually transmitted infections (STIs) or for changes that can lead to cervical cancer.</p><h2>Key points</h2><ul><li>A pelvic exam is a test done to examine the vulva, vagina and cervix for abnormalities and to test for STIs and changes that can cause cervical cancer.</li><li>A pelvic exam should be done once you turn 25 and then every 3 years after that if you are sexually active; however, you may have a pelvic exam before you turn 25 if you are sexually active or if you have any specific concerns.</li><li>A pelvic exam includes external and internal visual exams to check for any abnormalities. In some cases, you may also need a physical exam to check the size, shape and position of your internal reproductive organs.</li></ul><h2>Why do I need a pelvic exam?</h2><p>There are several reasons you may need a pelvic exam. Pelvic exams are done to:</p><ul><li>Check that your internal reproductive organs are healthy and inspect your vulva and vagina for any abnormalities</li><li>Test for STIs – this is suggested every year and every new partner</li><li>Take a Pap test to check for early signs of cervical cancer – Paps should start at age 25 and only if you are sexually active</li><li>Diagnose a medical condition if you’re experiencing pelvic pain, or unusual bleeding or discharge</li></ul><p>You should have a pelvic exam once you turn 25, and then every 3 years after that if you are sexually active. You may have a pelvic exam before you turn 25 if you are sexually active or if you have any specific concerns. </p><h2>What happens during a pelvic exam?</h2><p>First, your health-care provider will ask you questions about your health and sexual activity.</p><p>A pelvic exam only takes a few minutes. It’s normal to feel nervous or shy, especially before your first pelvic exam. Remember, if you feel unsafe or uncomfortable, tell your health-care provider to stop. You may also choose to wait to do a pelvic exam at a future visit if you are feeling nervous or uncomfortable.</p><p>You will be asked to undress from the waist down and will be given a sheet to place over your lap for privacy. Then, you will lie down on your back on an exam table, with your knees bent and your feet placed in footrests. You will need to slide your body toward the end of the table and have your knees fall open to the sides.</p><p>This may feel uncomfortable, especially the first time. It’s important to listen to your provider’s instructions on how to position yourself in order to make the exam more comfortable. Don’t be afraid to ask your health-care provider about any questions or concerns you have!</p><h3>External visual exam</h3><p>The health-care provider will look at your vulva and surrounding area to check for redness, irritation, sores and any other abnormalities.</p><h3>Internal visual exam</h3><p>The health-care provider will then gently insert a metal or plastic tool called a speculum into your vagina. This is done to open the vaginal walls so they can see your vagina and cervix. </p><h3>Pap test and STI testing</h3><p>If your physical exam includes a Pap test (Pap smear), the health-care provider will swab your cervix with a small broom to collect cells. These cells are then tested for signs of cervical cancer. Swabs of the vagina or cervix may also be performed to test for STIs such as gonorrhea and chlamydia. </p> <a href="https://assets.aboutkidshealth.ca/AKHAssets/Pelvic_exam.jpg" target="_blank"> <figure class="asset-small"> <img alt="Click to see pelvic exam image" src="https://assets.aboutkidshealth.ca/AKHAssets/Pelvic%20exam%20click.jpg" /> </figure> </a> <h3>Bimanual or physical exam</h3><p>Your health-care provider may need to do a bimanual exam to check the size, shape and position of your internal reproductive organs including the ovaries, fallopian tubes and uterus. They will insert two gloved fingers into your vagina and press on the outside of your lower abdomen (belly) with the other hand. They will check for any tenderness or abnormal growths. To see an illustration of what this exam looks like, click the image on the right.</p>https://assets.aboutkidshealth.ca/AKHAssets/iStock-863348696.jpg A pelvic exam should be done once you turn 25 or sooner and then every 3 years after that. Learn what to expect during your first pelvic exam.Teens
The cancer care team: Occupational therapistThe cancer care team: Occupational therapistThe cancer care team: Occupational therapistTEnglishOncologyPre-teen (9-12 years);Teen (13-15 years);Late Teen (16-18 years)NANAHealth care professionalsPre-teen (9-12 years) Teen (13-15 years) Late Teen (16-18 years)NA2019-09-03T04:00:00Z12.000000000000040.8000000000000425.000000000000Flat ContentHealth A-Z<p>An occupational therapist can help you with everyday tasks at home and at school. Find out why occupational therapy is imporant and why you might need it as part of your recovery.</p><h2>What is an occupational therapist?</h2><p>Occupational therapy is treatment to help you do everyday tasks, whether at home, at school or at work. An occupational therapist assesses, educates and offers recommendations for people with cancer and other medical conditions. They can help you to improve your ability to perform everyday tasks and help you find ways to continue to do the things you enjoy. </p><p>Occupational therapists are trained to evaluate performance and help you function as well as possible in everyday tasks by considering your motor skills (such as your co-ordination), sensory functions, and thinking skills. For example, they may recommend assistive devices—special aids that make it easier to do certain tasks like walking or hearing. </p><p>An occupational therapist may be part of the health-care team that you see frequently. Often, occupational therapists work together with physiotherapists and speech therapists as a rehabilitation team. </p><h2>Key points</h2><ul><li>Occupational therapists help you improve your ability to perform everyday tasks such as eating, climbing stairs and self-care activities.</li><li>Occupational therapists will assess your abilities and make recommendations to help you with your daily tasks, including activity recommendations and assistive devices.</li></ul><h2>How can an occupational therapist help me?</h2><p>Sometimes, cancer or treatment can make it hard for you to do the simple things you used to do before, such as getting dressed, climbing stairs, or eating. An occupational therapist can help you adapt to changes in your abilities and be more independent.</p><p>The occupational therapist will discuss your goals so that they can provide therapy focused on the things that matter to you. The therapy may include working on challenges related to your body, activities, or the environment. </p><p>Some of the different things an occupational therapist can help with include:</p><ul><li>self-care activities such as dressing and grooming</li><li>school or work skills such as writing, typing, organizing, or memorizing things</li><li>leisure activities such as reading or playing computer games</li><li>home safety evaluations, to see if any changes are needed in your home to make it safer for you </li><li>assistive devices such as walking aids or special tools to open jars or cans</li><li>equipment such as wheelchairs </li><li>splinting (supporting or bracing) your joints to help you maintain movement</li><li>energy conservation (saving your energy) to make sure you don’t tire yourself out too easily </li><li>swallowing difficulties and feeding skills (with the help of a <a href="/Article?contentid=3497&language=English">speech-language pathologist</a>)</li></ul><p>Occupational therapists may work with you in the hospital, at a rehabilitation centre, at home or at school. If you are working with an occupational therapist in the hospital they will help to organize follow-up therapy if you need it. The occupational therapist will assess your abilities and needs regularly while you are working with them.</p><p>If you feel that an occupational therapist can help you, you or your family can ask your health-care team to recommend one.<br></p>https://assets.aboutkidshealth.ca/AKHAssets/Occupational_therapist_TTC_Cancer.jpg ​An occupational therapist can help you with everyday tasks. Find out why you might need occupational therapy as part of your recovery. Teens
Dating with celiac diseaseDating with celiac diseaseDating with celiac diseaseDEnglishGastrointestinalTeen (13-18 years)NADigestive systemHealthy living and preventionTeen (13-18 years)NA2023-09-26T04:00:00Z8.8000000000000064.1000000000000993.000000000000Flat ContentHealth A-Z<p>You may have a range of emotions and concerns about dating with celiac disease. Learn how assessing your comfort level, clearly communicating your needs and planning ahead can help make the experience more enjoyable.</p><p>Dating is a way to learn more about someone you like and to let them know about you. For example, you might share details about having celiac disease to help your date know you better and understand your need for gluten-free foods and activities. You might also choose not to share your celiac disease diagnosis. Here are some tips for navigating dating as someone living with celiac disease.</p><h2>Key points</h2><ul><li>Navigating the dating scene can be difficult when you have celiac disease. </li><li>Before you start dating, think about your comfort level with sharing your diagnosis and explaining your need to follow a strict gluten-free diet.</li><li>Clear communication and planning can help make a date more enjoyable. </li><li>Remember that celiac disease does not define you! Your value does not change because of your diagnosis.</li></ul><h2>Assess your comfort level</h2><p>Before you start dating, you may want to think about when to tell your date about your diagnosis of celiac disease and the need to follow a strict gluten-free diet. </p><p>If you feel comfortable sharing with your date that you have celiac disease, be open about what this means for you and explain your gluten-free diet. If you want to plan a date that involves going out to eat, you may also want to suggest places that you are comfortable navigating or have been to before and know can safely provide gluten-free meals. </p><p>If you aren’t comfortable sharing right away that you have celiac disease, you may want to plan a date that doesn’t revolve around food. </p><p>Depending on who you date or how long you have been dating, your comfort level may change. This is normal! </p><h2>Communication is key</h2><p>Communication is an important part of building a healthy relationship. Once when you are ready and comfortable, you may decide that you want to tell your date about your diagnosis of celiac disease and need for a gluten-free diet. Sometimes, it can be hard to know exactly what to say. Here are some examples of how to communicate your diagnosis for the first time: </p><ul><li>“I would love to hang out again and get to know you more, but before we do that, I think it’s important for you to know that I have celiac disease, which means I need to follow a strict gluten-free diet. There are a few restaurant spots that I know of that have gluten-free options. Would you be interested in going to any of these restaurants for our next date? [List two to three restaurants you know can safely accommodate your gluten-free diet.]”</li><li>“Just so you know, I have been diagnosed with celiac disease, which means I have to follow a gluten-free diet. I am still learning how to follow this diet and build up my comfort level with dining out. Would it be okay if we plan our next date at [suggest a non-food-related activity or spot] or hang out at my house?” </li><li>“I have to eat gluten-free for celiac disease, so I’ll have to talk to the server about my meal to make sure it’s gluten-free and prepared safely.”</li></ul><p>There are other important things to tell your date about managing celiac disease. For example, exposure to gluten, even in the smallest amount (this might come from sharing foods, from surfaces or a kiss), can make you feel very sick. Encourage your date to wash their hands after eating and offer a new travel toothbrush for them to brush their teeth and rinse their mouth to minimize gluten exposure. </p><p>Non-food products like lip products and hand lotions can also contain gluten. Ask your date if they are wearing any of these products and suggest they look into the ingredients for gluten before seeing you next. If they are not sure, ask them to send you a picture of the ingredients for you both to review together. </p><h2>Plan ahead</h2><p>If you will be going out to eat, suggest restaurants that you know are safe for you or call ahead to make sure the restaurant you plan to go to can provide safe gluten-free options. </p><p>There are many date options that do not involve food. If you prefer not to go to a restaurant or you are not comfortable with having to navigate dining out with your date, consider these non-food related date activities:</p><ul><li>Try something athletic like bowling, mini golf or going to a batting cage. </li><li>Visit a museum or an art gallery. </li><li>Enjoy the outdoors with a bike ride, hike or a walk around the neighborhood. </li><li>Attend a class like a paint night or a yoga, pottery, spin or dance class. </li><li>Embrace Canadian winters by going ice skating, skiing or building a snowman or fort. </li><li>Organize a board game or trivia night with friends. </li><li>Take your puzzle and riddle skills to the next level by attempting an escape room. </li><li>Do something festive. In the fall or winter, you might carve pumpkins, watch holiday movies, go apple picking or make holiday cards or decorations.</li></ul><h2>Navigating your significant other's family and friends</h2><p>If you choose to pursue a relationship, you will likely be invited to family and/or friend gatherings. This may mean you will have to share your diagnosis and details about the strict gluten-free diet with others. You may want to have a conversation with your significant other about your expectations around support in these settings. Although there are things you can do to make sure you follow your gluten-free diet and feel safe, having a supportive partner in your corner can make things much easier. </p><p>Whether or not the date goes well, or you decide to pursue a relationship, remember that having celiac disease does not define you. There are many things that make you who you are beyond living with celiac disease.</p>https://assets.aboutkidshealth.ca/AKHAssets/Dating_with_celiac_disease-Teen.jpg ​Learn how assessing your comfort level, clearly communicating your needs and planning ahead can help make dating with celiac disease more enjoyable. Teens
Self-care tips for teens living with celiac diseaseSelf-care tips for teens living with celiac diseaseSelf-care tips for teens living with celiac diseaseSEnglishAdolescent;GastrointestinalTeen (13-18 years)NADigestive systemHealthy living and preventionTeen (13-18 years)NA2023-10-11T04:00:00Z9.3000000000000054.3000000000000769.000000000000Flat ContentHealth A-Z<p>Being diagnosed with celiac disease and navigating the strict gluten-free diet can be tough. Learn how incorporating self-care activities into your routine can help you reduce stress, manage symptoms and build resilience.</p><h2>What is self-care?</h2><p>Self-care means taking action to protect or improve your physical, mental and emotional health and wellness. Many resources focus on individual self-care strategies, but it's important to remember that wellness is a shared responsibility. This page includes ways to care for yourself as an individual, as well as ways for your family and friends to help and support you.</p><h2>Key points</h2><ul><li>Self-care is taking action to protect and improve your physical, mental and emotional health and wellness.</li><li>Self-care can look different for everyone. For someone with celiac disease, self-care involves doing things for your general well-being and to help prevent gluten exposure.</li><li>Self-care is not selfish! Wellness is a shared responsibility.</li></ul><h2>Celiac disease and self-care</h2><p>Self-care can look different for everyone. For a person with celiac disease, self-care involves:</p><ul><li>doing things for your general well-being</li><li>developing habits to help prevent gluten exposure</li><li>having a plan for how you will recover after an exposure to gluten</li></ul><p>Following a strict gluten-free diet can be difficult and sometimes feel lonely, frustrating and exhausting. Incorporating routine self-care activities can help you reduce stress, manage symptoms and <a href="https://teens.aboutkidshealth.ca/article?contentid=3778&language=english">build resilience</a> (the ability to adapt to and navigate something difficult or stressful).</p><p>Here are ten self-care practices you may want to try:</p><ol><li> <strong>Include movement in your day.</strong> Getting at least 30 minutes of physical activity can help you boost your mood and improve your health. This can be any kind of movement. For example, you might join your school's sports team, go for a walk with your family or dance to your favourite music in your bedroom.</li><li> <strong>Eat well-balanced, regular meals and snacks.</strong> Having meals and snacks that incorporate fruits and vegetables, a protein source and a gluten-free whole grain can improve your energy levels and nourish your body.</li><li> <strong>Prepare gluten-free meals and snacks in advance</strong> so that you have safe gluten-free options available when you need them. This can help you focus on having fun at events or hangouts instead of worrying about whether you will have safe food options.</li><li> <strong>Get a good night's sleep!</strong> Sleep is important for brain health and development and for keeping up your energy levels. Stick to a regular bedtime and create a relaxing nighttime routine that involves removing devices (tablets, phones, etc.) at least one hour before bed.</li><li> <strong>Advocate for yourself.</strong> <a href="https://teens.aboutkidshealth.ca/article?contentid=4161&language=english&hub=celiacdisease">Self-advocacy</a> means speaking up for yourself, supporting yourself and making decisions that are in your best interest. Try using the <a href="https://teens.aboutkidshealth.ca/article?contentid=3581&language=english">MyHealth 3 Sentence Summary</a> to practise summarizing and communicating your health needs or important information to others, including your health-care team, teachers and peers.</li><li> <strong>Be mindful.</strong> Mindfulness is paying attention to what's happening in the present moment in the mind, body and external environment with curiosity and kindness. It can help you steady your emotions and find out what you need. Mindfulness can also help build self-compassion, gratitude and resilience. See <a href="https://teens.aboutkidshealth.ca/article?contentid=3941&language=english&hub=celiacdisease">Mindfulness meditations for celiac disease</a> for guided meditations that can help you relax, focus on your thoughts and cope with pain and stress related to managing celiac disease.</li><li> <strong>Practise gratitude.</strong> Practising gratitude is another way to be mindful. Remind yourself of the daily things that you are grateful for and write them down at night or get into a routine of saying them out loud before bed.</li><li> <strong>Stay connected.</strong> Surround yourself with friends and family who understand you and your celiac disease needs and who will help advocate for you. Reach out to them when you need to talk.</li><li> <strong>Give yourself permission to say no.</strong> Sometimes self-care involves saying no to activities or events that do not serve you well.</li><li> <strong>Create a self-care plan for when you are accidentally exposed to gluten.</strong> Note the symptoms you experience when exposed to gluten and brainstorm ways to help you feel better. This might be wearing comfy clothes, taking a bubble bath or using a heating pad. You may also want to work with your parents or caregivers to make sure you have easy-to-digest gluten-free foods (e.g., gluten-free plain crackers or bread, white rice, potatoes, bananas) and fluids (e.g., water, broths, peppermint tea) on hand. Communicate your self-care plan to your family or friends so they know how to best support you when you are accidentally exposed to gluten.</li></ol><p>Remember, self-care is not selfish! Incorporating routine self-care activities can help protect and maintain your health and well-being.</p>https://assets.aboutkidshealth.ca/AKHAssets/Self-care_tips_for_teens_living_with_celiac_disease.jpgSelf-care tips for teens with celiac disease Learn how incorporating self-care activities into your routine can help you reduce stress, manage symptoms and build resilience.Teens