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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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Hi Dr. My baby Boy is 3 month old. Now a days he has some problem in morning at 4 to 5 am. Like he has problem his stomach I think because whenever we touch his stomach he is crying. But after motion he is fine. So what can I do. Is this any problem? Pls suggest me?
My daughter was 2 years 7 months old. She having a constipation problem and also scissoring the leg. She was pre mature baby I got lot of doctors advice and give medicine but not cure. Please advice me.
I'm breastfeeding my 3.5 months old baby. I used to bleed now and then for a month in first month after delivery. Later I didn't experience any kind of bleeding or spotting. However, on June 9th I had unprotected sex and took unwanted 62 within 72 hours. I experienced bleeding on 7th day of taking the pill and bleeding lasted for 3-4 days. Afterwich I have not got my periods. It's been 2 months now. Are there any chance of me being pregnant still?
What is ADHD?
ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.
The symptoms of this disorder among children can be categorized under three headings.
1.Hyperactivity which includes -
- Fidgets often
- Inability to stay at one place runs around and tries to climb things
- Trouble playing quietly
- Excessive talking
2. Inattention, which can be divided into symptoms like
- Getting easily distracted
- Tendency to loose things
- Facing problems related to organizing things
- Not listening carefully
- Forgetting about daily activities, carelessness
- Interrupts others as they speak and talks out of turn
- Answers questions without listening to what has been asked
- Not being able to wait for their turn to come
10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.
The probable causes of ADHD among children are,
1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.
2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.
My baby has turned six months old now. I want to start baby cereals. Which cereal is better nutricia farex or nestle cerelac?
My daughter is 10 months old. Can we feee her coconut water? please let me know the benefits of giving coconut water to a toddler.
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.
My son is age of 11 months he was healthier suddenly become very thin and was not eating much as earlier. He is getting milktooth too. What to be done in order making him healthier? Thanks in advance.
My 4 years baby girl suffering with cough and cold monthly thrice. Once she'll intake tablets and syrup and back to normal. Then again she will suffer with same cause. My confusion is on #1 Why she as affected with cold n cough regularly. & Then my Age is 29 years. Given Normal delivery. But now weight is 97 kg. What are diet foods and what type of exercise need to take? No diabetes No sugar Had tried tablets for weight loss before last 11months but no big result just 1 to 2 kgs only. Now taking tablets Zerofat A. #2 What I have to do to weight lost.
My baby is born on 1 jan 2015. We got the pentavalent vaccination first dose done on 18th Feb. Can we have the second dose of this vaccine on 11th March or 1st April, or it has to be between 18th to 20th March only. Please advise as my wife is not in town in between.
Good Morning, My daughter is 6+ months old now. From yesterday she has the body temperature of 37. 8 deg. C (100. 2F) to 38. 5deg. C (101. 3F) when checked orally. Is this a sign of fever? If so then What do to as a preliminary action. She is still active, but crying often. One more question is whether it is advisable to take 6 months baby to cinema theater along with us. I fear the loud sound & light may put adverse effect on her. Please suggest.
Some babies learn to walk by the age of nine to ten months, and others may take longer, much longer to start walking properly. By the age of 15 months, people may start asking you if your little munchkin is able to walk yet. These constant questions can eventually irk you off, and keep you wondering if truly your baby is facing any sort of disability or not. In most cases, you will probably find your baby was too lazy to start walking all along, and he has mastered the art of “toddling” a couple of months later. Other times, when your baby has not started walking in over 17 months, you may want to give your paediatrician a visit.
When should you not worry?
If your baby is an active child and is playing around normally, you may not worry about him or her too much. If you find your child able to move around crawling or rapidly kicking his legs around, then your child is probably a late bloomer when it comes to walking. Other factors that will indicate that your baby is not going through any developmental issues are when he or she is able to communicate with sounds or broken speech. Other thing that you must keep in your mind is the relative age of your baby if it is born premature. If your toddler was born two months prematurely, then you must consider his developmental age by adding two months to his actual birth. Also notice if your child is able to move positions on his own, like if he is able to change positions when he is sitting down or lying down. As such, inability to walk is not really a solid indicative of a developmental disorder.
When is it of concern?
When you go to your paediatrician with your child regarding his inability to walk, your doctor will firstly take a note of the general movement of your baby. Thus the “quality” of movement is what matters the most. If your baby is showing signs of rigidity or flaccidity in his limbs, it may concern your doctor, as it is the primary symptom of cerebral palsy. Nothing can be concluded unless your get proper reports of scans like MRIs which your doctor will recommend you to get.
If your child is not walking, avoid carrying him around too much to allow him to make movements on his own. Who knows, you may find yourself chasing him around all over in no time! If you wish to discuss about any specific problem, you can consult a pediatrician.