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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Sir my baby boy is about 5.5 months he didn't take his mothers milk. Which milk product I should give him ?
My kid he is just 3 years old what type of food I can give him to get normal weight. He is just 7kgs.
My 6 months old daughter is pooping 7 times a day. Little by little. I'm giving her cerelac rice, nan pro 2, apple juice. Wat should I do?
My son is 6 months old now. My milk is not enough for him. What can I give him now. Many of them say not to give nestum and cerelac since they are nestle products. Please suggest some milk powders that is best.
I have given medicine to my two year old kid for worms but again after two months I am noticing some worms in her motion. Why this will happen? She I to eat non veg food Is this makes worms?
Yesterday I came to know my 7 month old baby is suffering from asthma.in that case please help me what precautions shud I take for him. Shud I give him oil massage and bath.in food any precaution shud I take. He is still on breast feeding too.
Hi doctor. My 8 month old daughter has a running nose and due to that she can't breath properly during night time and hence she cries a lot. We give nose drops but it doesn't help much. Please advice what to do. Thank u.
My baby is 5-1/2 months old. Some sound is coming from his breathing. He has no phelgm in chest. We have consulted child specialist He says that his breathing tube will expand as he grows more . He has checked his chest also But says that everything is normal. But sound is coming I do not know what to do. Please give opinion.
Mam mera first baby h 6 week 4 days ka abhi heartbeat nahi aai h or aaj mujhe thodi c blood spotting aai to mam kya mera baby safe h ya nahi please tell me m bhot pareshan hu.
I have a 3 months old baby girl. What should be the supplement for breastfeeding whenever required. Does cow's milk is safe to give? If formula milk then specify the brand please. Thanks.
I have a 3 months old baby. She keep biting her bib, sweater sleeves. Is there something with her gums. She also doesn't sleep till 2 am at night. What should I do?
I am mother of 33 days baby. Her weight at birth is 1.9 n now 2.7. She is formula fed using Similac n daily just once r twice I am giving bf. From past few days she is having severe constipation and gas problem while passing motion she is crying vigorously n also while urinating. I am using neopeptine drops for digestion. Still she is passing motion 7-9 times sply at night. please suggest. Very much worried.
My son is 1.5 months old. His belly button is swollen and popping out in relax mode also since last 10 days. When he is crying or straining then it is growing large. It is painless. It seems that it is umbilical hernia but it looks odd. Can it be cured? Should we worry about this? Please guide.
My baby boy is 8 month old and he is having fever, cold and cough l. I have consulted pediatrician and he gave cefpodoxime, maxtra paracetamol and ascoril ls. But still he is not fine. Fever is under control now but cough and cold is much. He is unable to breath. Please help.
My baby s premature one 10 months old he fallen down hit his head left side it became has bump it feels so soft like tomato when I called my doctor he recommended plain crocin 5ml three times a day should I need to check day one he felt pain now he doesn't feel pain please suggest. Me.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.