Dr. Narasimha

Follow up with Paediatric neuro physician to know if intervention is needed. Probably you may not need anything as so far growth and development is normal. It (small size head) sometimes occurs in families with normal development.

It could be viral infection which may last for 2-3 days, continue giving paracetamol syrup every 4- 6 hrs for atleast 3 days and then on sos basis.

Gilti in head is usually because of some infection alongside so kindly note for it. And if boil present show to nearest pediatrician.

kid mean child under five.may be 2..3 yrs old.ADHD disease of 7 yrs and after.it seems bit more active have tantrum doesnot listen to you.it is age of exploring the things around him.so it may be normal for age.

Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.

When child is hungry, he shall definitely like to eat but of his own choice rather yours. It is just possible that you may be forcing your choice. Give him all edible well nutritious items prepared at home of his choice including milk and its products. Sucking of fingers must have started at his early age for the reason he may have not been given food of his choice and kept hungry. I hope this may help.

As she is having fall and vomiting she may have some internal brain injury. Take her to some paediatrician and admit her for observation as sometimes it can be brain trauma.

Ent specialist or pediatrician, both r equally competent to treat. U may consult any one. If any intervention is required, ent specialist can do it. For passing stool problem, give her fibrous food good quantity of water. Gud (गुड़) in stead of refined sugar may be helpful. Train her for toileting habit.

Your son is already taking medicines. Your doctor shall be doing all the best in his interest. Trust the doctor and follow his advice. There is not diet therapy for this ailment.

This type of food habit starts in late infancy, when parents or near & dear either out of love or for their convenience offer such items. Now you may gradually reduce these items and encourage him to eat nutritious home made items of his choice. I hope, he may starts eating regular food.