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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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Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
epilepsy – a condition that affects the brain and causes repeated fits or seizures
Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
carelessness and lack of attention to detail
continually starting new tasks before finishing old ones
poor organisational skills
inability to focus or prioritise
continually losing or misplacing things
restlessness and edginess
difficulty keeping quiet and speaking out of turn
blurting out responses and often interrupting others
mood swings, irritability and a quick temper
inability to deal with stress
taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.
5 practical ways to boost your child's immunity
Children are as vulnerable as they are adorable. Their immune system is not as strong as that of adults, so they are easy victims to environment borne diseases like cold, cough, influenzas and other infections. Here are 5 practical and easy ways in which you can boost your child's immunity and make sure that your role as a parent is sufficiently fulfilled.
1. Decide judiciously what he is supposed to eat and drink
Your child's daily diet must contain a lot of fruits, vegetables, juices, organic foods and proteins. Healthy fats like butter, pastured eggs, coconut etc. Are also essential as they help in absorbing important vitamins like vitamins a, d, e, k and others. Even your child's water intake should be at an optimal level. Processed food and excessive sugar intake should be avoided as they add to your child's calorie count.
2. Get your child to exercise
Regular exercise is a must. It may include running, swimming, jumping or simply strolling. Screen time should be limited as much as possible as those video games and i-pads are robbing your child of his immunity. Make sure your child spends a few hours outside in the sun so as to absorb vitamin d that is obtained from sunlight, for his immunity.
3. Ensure a clean and hygienic environment for your child
You must make sure that that your child learns to keep himself clean. Teach him to wash his hands whenever necessary and tell him not to sneeze and cough in a way that spreads germs. Maintain a clean and healthy environment in and around your home but make sure that you don't shoo away the good bacteria that prevent diseases.
4. Cut down the stress levels of your child
It is very important for you to recognise and eliminate stress from your child's life to ensure immunity for him. Do not force your will upon your child and let him follow his heart. Help him relax if he is stressed and talk to him patiently about things that are worrying him. Maintain a healthy and loving environment in your family to help your child grow.
5. Ensure you child gets adequate rest
Make sure that your child gets adequate amount of comfortable sleep. It is important for you to make your child understand the benefits of sleeping early. This not only increases his/her immunity but also helps him/her to stay attentive and focussed.
My baby in 1.5 months old n from tonight he is crying very badly. Yesterday was he having gas but now okay. Still we r not getting wat issue. We have given pedicalm also. And other gastric medicine too him. Yest.morning we had given him painless vaccinations.
My 10.5 month baby isn't gaining weight. I give her two snacks and three meals a day which includes veggies and fruits. Her weight is 7 kgs which is really concerning. I wish there should be an article on babies weight like other articles by doctors.
My 10th month old baby is taking the food if I grind and give him like puree what can I do is this the good way of giving the food to the baby and what all fruits can I give to my baby.
A majority of us would rather undergo any form of torture than go to a dentist. There is some great news for the ones who are silently enduring their dental pains. Read on as we reveal how to get rid of your teething troubles and that too painlessly!
#1- NO MORE INJECTIONS
If the fear of a needle is what’s keeping you away from the dental office, then think again as we can now numb you with as little as just a paste, spray or solution that doesn’t require an injection for its delivery. This revolutionary new technology takes away the prick of the needle and the pressure of the liquid expanding your lips and gums, instead, the solution enters by a digitally controlled dispenser going in drop by drop making it virtually undetectable.
#2- NO MORE DRILLING
The sound of the drill can be one of the most known triggers for creating fear and anxiety in the patient's mind. When coupled with its vibrations, heat and pressure the experience it creates oscillates from unpleasant to downright unbearable. If the drill were replaced by a beam of light that can clean up decay, even the most reluctant people would open up to the experience. Once patients experience the difference they not only get the most urgent and necessary treatments done but also opt for preventive treatments.
#3- BLADE FREE SURGERIES
If you had to undergo a dental surgery earlier you may have had to worry about blood loss, pain, swelling, stitches not to mention the countless gory images that come to mind - but fortunately not anymore ! A surgery can be completely pain-free with little or no bleeding, Immediate recovery,no stitches and no swellings having you back at work or play almost instantly.
#4- QUICK & EASY ROOT CANALS
Root canal treatment as a procedure is probably more dreaded than even extraction or removal of a tooth. The pain and fear associated with this treatment are due to the primitive way that it used to be done in earlier. Automated technologies make root canals completely painless, precise, quick and smooth in as little as just one session.
#5- RELAXING MEDICATION
If these reasons do not sound convincing enough then pain relieving and controlling drugs before or during your appointment may be the solution for you.
Great strides have been made in the field of pharmacology with medication that can block or control pain centres in the brain.
We now choose from a variety of medication ranging from oral drugs to breathing gases through a mask, that can relieve your anxiety during the procedure to a point that you no longer perceive or detect pain.
The only thing left to fear now remains a nagging toothache in the back of your mouth that you have been ignoring.
As hard as it may seem to believe, truth is, that with the best technology, great ambience, and a host of distraction techniques - a dental appointment may actually turn out to be pleasant and save you a world of pain in the future!
My baby 9 months, she is weighing 7.5kg but height is 60cm only. How to increase her height and what we feed her?
My baby 3.5 years old looks very thin he is on mother's milk from 4 months 6 kg I am so worried I always cry is my milk bad.
3 crucial things a newborn needs the most
Newborns primarily need your love, care, and attention. If you aren't sure whether you're on the right track with your little one, read on to find out the 3 most important things that your newborn needs:
1. Skin-to-skin contact: one of the best ways to speed up the bonding process with your newborn is by having as much as possible skin-to-skin contact with your child. This is important as the newborn connects through smell and touch during this time. The senses of your baby are naturally tuned to react to the feel of your bare skin and your distinctive smell.
Many studies also suggest that close physical contact can help in reducing stress in your newborn so as to allow its biological drive to come through and easily latch onto your breast to feed itself. In other words, it ensures a higher chance of getting the newborn started on breast milk in case your child is not taking to your breasts easily.
2. To be breastfed: the best food for your baby is milk that is produced by you. Breast milk offers a host of benefits that go beyond basic nourishment. According to research conducted by the national institute of environmental health sciences, a child faces 20% lower chances of dying between the ages of 28 days and 1 year if he or she is breastfed.
Protecting your child from illnesses such as childhood cancers or type 1 and type 2 diabetes, allergies, and obesity are some of the very important benefits that mother's milk can provide.
3. Swaddling your baby right: wrapping a blanket snugly around the body of your newborn can help calm your little one and promote sleep. Several studies reveal that this technique of swaddling (which is done to resemble the mother's womb) if done correctly can bring about longer and better sleep for your child as well as reduce instances of crying. It also ensures your baby stays warm and comfortable.