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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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My child's age is 11 years he has fever, vomiting, stomach and body pain from 4 days and we have showed on 15/07/2015 to Dr., she has prescribed ibugesic plus and given injection, but nothing has cured, next morning we have visited to colombia asia hospital, after every tests, doctor has confirmed about dengue fever and his plate cells are 141000 and doctors has injected one small bottle injection and one big bottle on 16/07/2015 at 11: 30 am in casualty ward, we have requested regarding admission because we don't want to take any risk regarding our child's life, they explain us (in seven days dengue fever plate cells will increasing and digress, if lower level has touches counts of the plate cells then only we suggest for admission nothing to worry, just make daily blood test twice for counts of plate cells and take daily medicines which we have prescribed) doctor has sent with injected needle in wrist and from same day 07: 00 pm to 09: 45 pm had loose motion 7 times, again I have contact to hospital and explain to duty doctor, he suggested nothing to worry, it's a part of the curing we have given the injections that is coming out and if any infection in the stomach it will cure properly my request to all doctors please suggest, we have to do running treatment is enough or we have to proceed for other treatment.
My breast milk in 6 months. Now my baby s 10 month old still he is not sitting properly. Just falling down within 30 secs. What to do?
I am asking about 3 years old children's diet plan ? Morning ,afternoon, evening ,night food contains? Please advise.
My son is 3 years old, he doesn't eat anything, we use hungry syrup, but no change, we are worrying about him, please give me a best suggestion for him, and one more thing he is always crying, what is the reason for crying?
My son (age 14 months) is showing crankiness all day and don't like to be alone. If left alone even for a minute, he starts crying inconsolably. Also to mention that for last 3 days he used to do potty (semi liquid type) of light yellowish color and 2-3 times a day. It is observed that his teething is on and upper lower molar teeth are protruding and 2 teeth in front are also coming. Should I give one spoon of honey everyday to smoothen his teething experience and why is he cranky all the time? Please suggest?
Hello doctor My baby is one and a half month old, her weight was 2.8kg at the birth time. Now its 3.2kg. My pedi. Has prescribed 1al syrup and pureMCT powder for her growth. I give her mostly breast feeding and occasionally cow milk. Please suggest the usage of those medicines and is there issue with her growth? She does all the activities normally.
Hi my son is 3.7 years old. For the past 4 days he is saying that he have pain in his stomach. He will have that pain for 3-4 time a day. But he don't have any other problems. Everything is normal. What could be the reason for his ache?
My baby is sensitive both milk vow and amul full cream doesn't work pls tell me what should I do for the baby milk.
I am suffering apydydamic cyst in my right testis, can you tell me is this cure with out any operation and with medication Please suggest.
The ear is made up of three parts that is outer, middle and the inner part. Infections, disorders and ailments in the ear can occur across all age groups and in any part of the ear. Ear ailments are more common in children than in adults as the Eustachian tubes (tubes which drain out ear fluid) are smaller in children.
Here are a few common ailments which occur in children:
- Acute otitis media: AOM is the most common ear infection in children. Some parts of the middle ear are infected, resulting in swelling and blockage of fluid behind the eardrum. This condition is characterised by earache in children and in graver conditions, can also cause fever.
- Otitis media with effusion: This condition usually occurs due to the infestation of an infection when the fluid gets restricted behind the ear drum. This condition doesn’t exhibit too many symptoms except mild earache. You should consult an ENT specialist who can diagnose this condition by checking the concentration of fluid behind the eardrum using special instruments.
- Chronic otitis media with effusion: This condition occurs in children when the fluid remains trapped behind the eardrum for a long period of time. It can lead to serious infection and can cause hearing problem in children.
- Barotrauma: Barotrauma occurs due to changes in atmospheric pressure changes. It can cause problems in the Eustachian tube and causes trapping of air in the middle ear. Middle ear problems can become severe if left untreated and result in a burst in the eardrum, causing excessive bleeding.
- Meniere's disease: This is a disorder, which comes in bouts and is characterised by vertigo and fluctuating hearing loss. This condition usually affects one ear. It can result in tinnitus (ringing in the ear) or permanent loss of hearing if left untreated.
- Swimmer’s ear: Swimmer’s ear, also known as otitis externa, is a common condition which is caused in the outer area of the ear. This condition is caused due to remnants of chlorine water in the ear or because of inserting swabs too deep inside the canal. This condition is characterised by earache, discomfort and itching of the ear.
Am 28 years female, I have 6 month old baby I need how to care my self. Now am looking not good and I have leg pain then foot crack sO pls give some suggestion to me.
Ive been feeding my baby for a month now but he is not drinking my milk since 4-5 days, I consulted a doctor nearby she is asking me to pump my milk up n throw it away as my chest became heavy as he did not drink my milk, but now again my chest is fine but she asked me to pump n throw it Away, also I do not want to continue feeding as he is not drinking but I read it somewhere as much as il pump milk will produce on its own, how to stop it from producing?
my son is 5 and half month old. his weight is 8.5kg. whether its a normal weight or overweight? at the time of born his weight is 3.3kgs
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.
My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see food she is 2 years old she is active very much but when ever climates changes occurs she will get ill can you suggest me how to protect my baby.
My baby is 35 days old. Today circumcision was done. Nurse told me to give water for him. Till now I only breast feed. Is it necessary to feed water?
My son is 8 yrs old. He is very active while playing. But when he is asked to sit or stand somewhere he wont sit or stand straight he leans on others nearby or anything near and tell that he is tired. Also inspite of eating all healthy foods he looks very slimhow to get rid of his tiredness and make his body fit?
My son is around 8 months old and since last one month is suffering from running nose and indigestion (severe smell of stool and frequent passing of gas. He had severe pain in ear recently, treated with ibugesic injection and ear drops. Moreover he is always crying mostly in night. We tried enterogermina and Zifi for few days. And then clamp suspension. But cold is not reducing and still smell is high and frequent gases. He is on Farex 2 and cerelac (no mother feed since beginning). Please advise. Rgds for few days. And then clamp suspension. But cold is not reducing and still smell is high and frequent gases. He is on Farex 2 and cerelac (no mother feed since beginning). Please advise.
Ongoing monitoring is essential to maintain and establish the lowest step and dose of treatment to minimize cost and maximise safety.
Typically patient should be seen one to three months after initial assesment,and every three months thereafter.After an exacerbation.the patient should be assesed within two weeks to one month.
At every visit the patient inform the doctor following.
Use of short acting B2 agonist
Night awakening due to cough/breathlessness.
Interferance in day today activity by cough/breathless.
Any triger observed by patient.
Any concern regarding drug use.
On the basis of above information ,doctor can step up,step down or continue same treatment.
If asthma not controlled,then step treatment
If asthma partly controlled ,then consider stepping up treatment.
If asthma well controlled for three months ,then step down treatment is recommended. The goal is to maintain control with minimum treatment.
Monitoring is still reccomended even after control is achieved,as asthma is a variable disease,treatment has to be adjusted periodically.