Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 years of experience on Lybrate.com. You can find Pediatricians online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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 son is 2 yrs old & frequently suffers from cough, cold & fever. What care should I take? how do I improve his immunity? he generally eats dal-rice, roti, fruits, snax, chocolates & lots of water. What changes are required in his diet?
I have given painless pentaxim vaccine once to my 2 month baby boy after that I have given him painful pentavac vaccine. Will there be any reaction by changing the vaccines? Is it safe?
I am suffering from cough Singh last night. I also have chest pain due to cough. What should be done?
The Association of Teachers and Lecturers warn that rising numbers of children are unable to perform simple tasks such as using building blocks because of overexposure to iPod and smart phones
Rising numbers of infants lack the motor skills needed to play with building blocks because of an “addiction” to tablet computers and smartphones, according to teachers.
Many children aged just three or four can “swipe a screen” but have little or no dexterity in their fingers after spending hours glued to iPads, it was claimed.
Members of the Association of Teachers and Lecturers also warned how some older children were unable to complete traditional pen and paper exams because their memory had been eroded by overexposure to screen-based technology.
They called on parents to crackdown on tablet computer use and even turn off wi-fi at night to address the problem.
Can you please suggest an Indian diet for a 17th month old baby boy diagnosed with nephrotic syndrome. Thanks.
Dear Doctor, We are in a happy mood and blessed a baby Girl and she is running 5th Month now. But now the problem is My wife is not able to provide the Breast feed she had consulted doctor many times regarding the same, she is using GALAKOL tablet but unfortunately it is not happening at all. Now we want relaxation as well. Can you please provide the best medicines and the Diet to get a Breast feed to my child.
My daughter has acute DNS. One of her nostril is completely closed due to trauma at the age of 2. She is 10. Her breast buds have started coming. Acc to her early outburst of puberty can I get her surgery done at 15- or 16 year of age. Her nose is also quite big can I get the surgery for shaping her nose also at the same time?
I am 25 years old and suffering from respiration problem from last six years I went to many doctors and now I am using inhaler which I have to take daily for two times. I want to get rid of inhaler. please tell me the solution.
My son is just 38 days old. He cries often due to hunger. I am on breastfeeding. Some of ma relatives are telling he is not getting enough milk. Also he s looking so lean. I am feeling guilty that I can't produce enough milk. My nipples are too sore. I am using breast shield to feed him. He latches well on the shield. Please suggest what should be done for increasing the milk flow.
My 6 years old son is highly active. And don't concentrate. All time lost in his own imagination. Please suggest?
There is problem regarding food, he don't like any time of spicy food, even if it little spicy because of this I was worried. So give solution of this.
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.