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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
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Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.
Since last 15 days my 9 month old daughter was not able to digest anything. Whatever she is eating that is coming with mucus. Doctor told it is stomach infection. But now mucus is not coming but for the last 2 days one drop of blood is coming with stool. Kindly advice.
My baby girl had completed 5 month. Her birth weight is 3 kg now she is 5.5 kg. She is in breast feed only. She is doing green potty since last week. Doc said stop breastmilk and give her top feed isomil Bec she has stomach infection. He also prescribe antibiotics zifi100 but no relief yet. I am very upset. She is a active baby. One more query is her head is also not stable yet. please advise me.
I have 23 month old child he catch two much cold and running nose and he is lethargic. I want to carry on with Ayurvedic medicine pls help me out. The problem is he gets running cold every 15 days we give him regularly tulsi water but still problem come again and again.
Hi, my baby is 2 month 23 days old. His birth wt. Was 2.6 kg and currently he is 5 kgs. I have following queries 1. My kid has recently started eating his hand and sucking his thumb. Is it normal? Shall I stop him from doing so? 2.he is normally breast fed. But sometimes I need to go out. What formula can I give him and in how much quantity? 3. He feeds after 3 or 4 hours is it normal? Sometimes he sleeps for 6 hours at night. Alsohe does not burps during night feedings? Is it fine?
Hi my daughter is suffering from wheezing which is diagnosed today. My daughter is 9 years old and all the vaccines are completely given, she often has cold and cough. Is this wheezing permanently curable in ayurveda and Homeopathic. Please answer me and also suggest some home remedy for the same. Thank you.
My 2 years old daughter is born with single kidney and her Serum Creatinine level is 0.87 ml. Please confirm if it is normal.
My son is 5 yrs old.He is having adenoid problem and also taunsil. Doctor asked me to give AZIBACT LR (200mg) 5 ml once a week.She also gave L Months Kid tablet daily.Metaspray has been given for nose block.Can I continue this.Will there be any side effects because of these medicines.I took Homeo treatment for 1 yr.But no improvement. Ur suggestion pls.
While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).
Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.
To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.
" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.
For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.
They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.
Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.
" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"
The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.
" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"
My baby is 22 months old. Her diet is too less. She eats one time meal. Now she has viral fever and eating only one bite chocolate a day. That is it. She's losing weight drastically. Please suggest some med to increase her diet. Not only during fever but generally.
Hi Child girl 6 is breathing through mouth for last 6 months but since 15 days the same has aggravated. Finally she has enlarged adenoids which are not responding with antibiotics. Any effective nasal drop for relieving pressure in nose apart from otrivin or tab or else.
If Joe says “no” to this request, cheerfully tell your child, “That’s okay, Sarah! Let’s wave bye-bye to Joe and blow him a kiss.”
2. Help create empathy within your child by explaining how something they have done may have hurt someone. Use language like, “I know you wanted that toy, but when you hit Rohan, it hurt him and he felt very sad. And we don’t want Rohan to feel sad because we hurt him.”
Encourage your child to imagine how he or she might feel if Rohan had hit them, instead. This can be done with a loving tone and a big hug, so the child doesn’t feel ashamed or embarrassed.
3. Teach kids to help others who may be in trouble. Talk to kids about helping other children*, and alerting trusted grown-ups when others need help.
Ask your child to watch interactions and notice what is happening. Get them used to observing behavior and checking in on what they see.
Use the family pet as an example, “Oh, it looks like the cat's tail is stuck! We have to help her!!”
Praise your child for assisting others who need help, but remind them that if a grown-up needs help with anything, that it is a grown-up’s job to help. Praise your child for alerting you to people who are in distress, so that the appropriate help can be provided.
4. Teach your kids that “no” and “stop” are important words and should be honored. One way to explain this may be, “Smriti said ‘no’, and when we hear ‘no’ we always stop what we’re doing immediately. No matter what.”
Also teach your child that his or her “no’s” are to be honored. Explain that just like we always stop doing something when someone says “no”, that our friends need to always stop when we say “no”, too. If a friend doesn’t stop when we say “no,” then we need to think about whether or not we feel good, and safe, playing with them. If not, it’s okay to choose other friends.
If you feel you must intervene, do so. Be kind, and explain to the other child how important “no” is. Your child will internalize how important it is both for himself and others.
5. Encourage children to read facial expressions and other body language: Scared, happy, sad, frustrated, angry and more. Charade-style guessing games with expressions are a great way to teach children how to read body language.
6. Never force a child to hug, touch or kiss anybody, for any reason. If Grandma is demanding a kiss, and your child is resistant, offer alternatives by saying something like, “Would you rather give Grandma a high-five or blow her a kiss, maybe?”
You can always explain to Grandma, later, what you’re doing and why. But don’t make a big deal out of it in front of your kid. If it’s a problem for Grandma, so be it, your job now is doing what’s best for your child and giving them the tools to be safe and happy, and help others do the same.
7. Encourage children to wash their own genitals during bath time. Of course parents have to help sometimes, but explaining to little Joe that his penis is important and that he needs to take care of it is a great way to help encourage body pride and a sense of ownership of his or her own body.
Also, model consent by asking for permission to help wash your child’s body. Keep it upbeat and always honor the child’s request to not be touched.
“Can I wash your back now? How about your feet? How about your bottom?” If the child says “no” then hand them the washcloth and say, “Cool! Your booty needs a wash. Go for it.”
8. Give children the opportunity to say yes or no in everyday choices, too. Let them choose clothing and have a say in what they wear, what they play, or how they do their hair. Obviously, there are times when you have to step in (dead of winter when your child wants to wear a sundress would be one of those times!), but help them understand that you heard his or her voice and that it mattered to you, but that you want to keep them safe and healthy.
9. Allow children to talk about their body in any way they want, without shame. Teach them the correct words for their genitals, and make yourself a safe place for talking about bodies and sex.
Say, “I’m so glad you asked me that!” If you don’t know how to answer their questions the right way just then, say, “I’m glad you’re asking me about this, but I want to look into it. Can we talk about it after dinner?” and make sure you follow up with them when you say you will.
If your first instinct is to shush them or act ashamed, then practice it alone or with a partner. The more you practice, the easier it will be.
10. Talk about “gut feelings” or instincts. Sometimes things make us feel weird, or scared, or yucky and we don’t know why. Ask your child if that has ever happened with them and listen quietly as they explain.
Teach them that this “belly voice” is sometimes correct, and that if they ever have a gut feeling that is confusing, they can always come to you for help in sorting through their feelings and making decisions. And remind them that no one has the right to touch them if they don’t want it.
11. “Use your words.” Don’t answer and respond to temper tantrums. Ask your child to use words, even just simple words, to tell you what’s going on.
Hi Doctors. My baby girl is 6 month old now. And was suffering from viral from past 3 days we did a stool test for her and got following report. Can you please confirm what does it mean Ph. = 6.5 Reducing substance = positive Color = dirty brown Form and consistency = semi -digested Reaction = Acidic Charcot-Leyden crystals = nil Pus cell = 1-2 Rbc = nil Macrophages = nil protozoa parasites = nil Helminthic ova = nil Other observations = nil.
Sir, I have 4 1/2 month baby, his birth wt was 3kg. Last month his wt was 6. 1 kg. But now he weighs only abt 6. 5. I prefer only breast milk my doctor prescribe him to improve his wt by giving first foods wheat. Can I continue with I need a second opinion for it
Hello doc, pls suggest dashamoolarishta is good for 13 years old girl, as her puberty is not yet come, all tests normal but her weight is 68 kg and her height is 5" 3'So doctors said to reduce her weight by change lifestyle of healthy food. Now being fat her stamina is very low as she get faint at sports time. Always she feel tired. Even now under eye dark circles also visible on her face even she take a sleep of 8 hrs, stop watching t.v from one month .We have done all blood test, hormones test, neuro test also but all normal, daily she complaint headache and chakkar aana. Or dil ghabrana in school bus. Pls show me right path.
Given vaccine quadrovax and prevnar. After 30 min I gave her combiflam. She slept and after 2 hours she vomited twice. Is it because of vaccine or combiflam. What to do please suggest.
This is regarding our baby. It has been 2.5 months but our baby is not feeding from his mother. He cries like anything when she tries to feed her. Everybody says that it is something between the mother.
Hello, I am Dr Mangesh Chandewar. I have done post graduation diploma course in community medicines.
Today's topic is the importance of vaccination.
Vaccination is a biological molecule which is injected either through the injections, orally or through sprays. This helps us to create immunity against most of the infections.
Why vaccine is so important?
Even though we try to maintain good hygiene, cleanliness, sanitation, but still we can not prevent infection and the diseases caused by such infections. Right from the birth when delivery occurs, the baby comes in contact with the environment which is highly infected. This is like TB, Tuberculosis, which is more prevelent in India and we want to save our baby. Then right from the birth, the vaccines like BCG which is helpful in developing immunity against tuberculosis.
As per the National Immunization schedule and as per the WHO, we shoul give basic immunization, also called vaccination to the baby in order to develop immunity against the diseases.
What are the reasons to vaccinate the child?
If we do not give vaccination, it is not like the baby is going to infect but we can prevent most of the infections. If we do not give vaccination, the disease or infections can cause serious consequences rather than the vaccines. Vaccines are safer because they are being evaluated through the various phases during the clinical tria;. And also when it comes in the market.
Since they are very safe, they hardly have any side effect or consequences. and if any of the serious consequence occurs due to vaccination, that happens once in millions, so that they can immediately be taken care of. And teh action is taken according to the condition. My aim to get every baby vaccinated by birth, till the age of 5 years, all the vaccines should be appropriately given according to the proper age group. And the vaccines which are given after 5 years as and when required, once should get vaccinated.
In adults, when there is endemic or epidemic for any infections, say in 2010 swine flu was there, one should get treated as early as possible and should get vaccinated so that the disease should not be reoccured. The maximum number of people get vaccinated against infections. The community get the hard immunity. Accordingly we can prevent the disease throughout the community not only the individuals. This will help our country to fight against the diseases ans the infections.
This is all the basic immunisation and the vaccinations, I talked about. There are otther infection also, such as dog bite and other infections as well which can be vaccinated.
There are so many vaccines in the trials for so many life threatning diseases. As and when you get the chance, you can discuss it with the famly physician or any other doctor.
In order to know about the different vaccines. the appropriate age groups for the vaccines, or the side effects or any other vaccine related querry.you can contact me through Lybrate.