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Adolescent Problems Treatment
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Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
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Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
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Management of Postnatal Care
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My sisters son has shivering in the time of eating. Also he don't like to talk, even to his father, also he is crying very fast, even when an biscuit lost. Also all the time he is biting his nail. He has asthma also. Please send a good solution for it.
My baby is 4 months old, her stool is of green colour for the last ten days, she is having mothers milk and some powder milk also in her feed. Is this serious?
My baby girl of 9 months is having gas and find it difficult to pass stools. Sometimes wake up from sleep due to pain in stomach.
We have 4 month baby boy. And my wife is feeding to baby. After delivery my wife twice in periods but last one and half months she didn't. When pregnancy test she done 3 times the result is negative. We do sex 2 times without protection. Is she pregnant? Please guide me. Thank you. My wife's age is 25 year old and her delivery is normal.
My son age 10 year is very good is other activities like games, playing towards car etc. But not towards studies almost all the subject he is very weak cannot Remember he studies along with me for 2 hours daily, studies well along with me but forget while writing the answer, kindly suggest how to increase is writing come reading, now he will be going to 7 standard.
My 2 months old daughter sleeps a lot in night or 12am to 5am then she wakes up for feed again frm 5: 30 am to 8 am she sleeps continuously without feed. Please tell me what should i do?
My sister's 5 months girl baby (weight: 6+kg) was having little fewer from 4-5 days and today the baby is much distracted and crying. They visited doctor doctor, he said it is usual in summer but I had doubt because the doctor did not even checked the baby even with stethoscope.
Doctor I blessed with baby girl ten days back. I got hiv positive when I am fifth month pregnant. I am using art. Now I had stop art. Art doctor said breastfeed can infect your baby also but he gave one syrup that is used to decrease infection percentage and other milk do not try to give it will infect your baby. I am giving breastfeed to my baby ten days onwards but I will not have enough milk baby is crying. If I will give buffallow milk now onwards will it effect the baby health? Or can I give buffallow milk?
My son 6 years old is not taking interest in food. Please recommend any kind of tonic and supplements.
My Wife is 7months pregnant, the reason is blood is not going (flowing) to the baby through ampliclecod what will be the problem as well as we are relatives we have same blood group but baby is fine please tell about this.
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.