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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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Ayurvedic Perspective of Migraine and its management
Migraine is one of the worst headaches a person can experience. It is described as a throbbing or pulsating pain that can be on one side of the head. It can begin in a specific area and then spread while it builds in intensity. A migraine is associated with nausea and vomiting. The person will also be sensitive to light, sounds and even certain smells. Sleeping can be difficult and many people become depressed. They can last for a couple of hours or for several days.
Therapies Generally Used.
External treatments along with the internal preparations are very effective in chronic conditions. Panchakarma helps to remove the accumulated toxins and help to strengthen the nerve system. Involvement of other systemic disorders is also taken into account before deciding the treatment protocols.
1. Thala pothichil : Various kinds of paste (grinded mixture of selected herbs in suitable liquid media ) over the forehead / entire head help for the sudden relief from the ache. The preparations help to normalize the hyper action of the nerve cells and regulates the blood circulation towards the brain
2. Thalam : Special herbal powders suitable to reduce the Dosha vitiation, are selected and mixed with suitable liquid media(oils/ghee) and this medicated herbal paste is applied lukewarm over the crown of head (Anatomically over the Bregma point on skull). (Dur 25-45min).
3. Shiro abhyanga : Head Massaging with Oils suitable for the Dosha vitiation, helps to increase the blood circulation towards brain and also helps to relax the spastic muscles on head. Special care is taken to massage the Marmas or the Vital points on head which have marvelous results.
4. Nasya : Nasya (application of herbal preparations through nostrils) is one of the treatments which directly acts on the nerves and removes the toxins accumulated in the sinuses. Mucus lining inside the nostrils are one of the areas where numerous nerve endings are exposed. The medicated oils applied through Nasya directly acts on these nerve endings and help to pacify Vata Dosha in disturbed nerves and control the abnormal impulses gernerated by these nerves. The special preparations used for Nasya drains the mucus deposited in the sinuses thereby the pressure in this area is relieved. The medicinal contents of the oils administered, stimulate the higher centers of brain which have actions on regulation of endocrine, nervous system and circulatory functions.
5. Shiro dhara : Shiro dhara with Takram (medicated butter milk) is also another important therapy which is used to control the vitiated vata kapha doshas localized head.(Dur 25-75min) Other Panchakarma treatments like Vasti (a course of medicated oil and decoction enemas), Virechana (purgation) also helps to put the toxins out from the body.
After the Panchakarma therapies, special preparations called Rasayana (immunoregulatory) is administered. Rasayana preparations improve the immune system further improving the perception of sense organs. Migraine due to other systemic involvement like psychological problems, digestive problems, blood pressure, ophthalmic problems, immune problem, improper menstruation, etc will be relieved when treated according to the specific treatment told for these diseases.
1. Average weight 2.5-3.5kg
2. Average length 50cm.
3. Heart rate 130-140 pm
4. Meconium, first black stool passed in 24 hrs.
5. First milk, colostrum, rich in materials helpful for newborn.
6. Yellowish colour of eyes and skin within first 24 hours, matter of concern. After 48 hours normal, subsides by 5th day.
Prolongation of jaundice warrants consultation.
7. Cord falls of by 10th day.
I had a daughter 1 year and wife deceased due to delivery complication, from that time my daughter was staying at my in-laws place, I want suggestion that should I leave my daughter at my in-laws place or get back to my home where my mother can see the baby.
My daughter is 5 months 22 days old. Need to start the diet for her thought of cerelac but there are so many variants available so I got confused. Please suggest which would be best for her and also suggest some good diet plan. Thank you.
My son has completed one month. He was bottle fed as my milk was insufficient. I took lactare tablets to breast feed but he was unable to latch. Please help me how to make my son to suck my nipple and breast feed.
My son (2 years 3 months) is not saying any sentences. He says 1-25, A-Z, knows and says animals, their sounds, colours, shapes, vegetables, body parts etc. He says milk, water, rice etc when needed. Says Hello, Goodnight, bye bye etc. But never says his own name and doesn't interact properly. What to do? Please help.
Hi Am 1 week delivered person but still I have only little breast milk. So I can not feed my daughter till her hunger last so please tell a remedy to increase breast milk fast.
How to prepare ubtan for babies and which oil should I use in summer for body massage of 8 month old baby.
I have a 4 months old baby girl. So I just wanted to know when she will crawl and when she will starts talking. please advice?
Hello, Good afternoon. I am Dr Shilpa Nayak. I am a paediatrician with special interest in Asthma and allergy related disorders.
asthma is a major cause of school absenteeism and hospital admission in children between the age of 5- 18 years of age. Over 6 million children over the world are suffering from Asthma. So, today I am going to talk about childhood Asthma.
Common symptoms of Asthma are a recurrent cough, recurrent cold, wheeze, restlessness, chest tightness, cold that straight go to a chest and night cough. So, if your child is suffering from any such symptoms, then you should visit your physician for Asthma evaluation.
What causes Asthma?
Asthma is caused due to the swelling of the air way response to inhalation of the indoor and outdoor allergens. For example, dust mites, pollen, molds, animal dander and insects like cockroaches.
In case of acute asthma attacks, the muscle surrounding the air way get tighten and less air is passed through the lungs.
A physician can help you by conducting different tests. For example, Spirometry or lung function test if your child is 5 years and above and is co operative.
An allergy test is done to find out the allergen that your child is allergic to. And later allergen avoidance help in reducing the frequency and severity of the Asthma symptoms. The doctor may advise for a blood test or X-Ray of the chest if indicated.
So asthma management includes Allergen avoidance, in which the allergen that has been diagnosed by allergic trick testing should be avoided completely.
Pharmacotherapy includes the preventer medicines and the rescue medicines.
Preventer medicines are given as the long term medicines for Asthma, whereas Rescue medicines are provided at the time of a severe attack. Besides this, your doctor will give you Asthma Action Plan and Peak flow meter to monitor the symptoms.
Reduction of stress and breathing exercises indirectly help in Asthma management.
So with the help, proper care and with the proper medication, your child can live a normal and healthy life.
For more information, you can contact me via lybrate.com
Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).
Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.
Fever in Children - Causes:
Causes of fever include:
- Bacterial infections
- Viral infections, like influenza (the "flu")
- Illicit drugs
- illnesses related to heat exposure
- Rarely, inflammatory diseases
When to seek medical care:
- The child is younger than 6 months of age (regardless of prematurity).
- One is unable to control the fever.
- One suspects a child may become dehydrated from vomiting, diarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
- The child has been to a doctor but is now getting worse or new symptoms or signs have developed.
Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.
Take a child to an emergency clinic when any of the following happen:
- One has serious concerns and is unable to contact the child's doctor.
- One suspects the child is dehydrated.
- A seizure occurs.
- The child has a purple or red rash.
- A change in consciousness occurs.
- The child's breathing is shallow, rapid, or difficult.
- The child is younger than 2 months of age.
- The child has a headache that will not go away.
- The child continues to vomit.
- The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)
Home Remedies for Fever in Children:
The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.
- The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
- To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
- Glass thermometers work well but may break, and they take several minutes to get a reading.
- Digital thermometers are inexpensive and obtain a reading in seconds.
- Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
- Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
- Acetaminophen and ibuprofen are used to reduce fever.
- Follow the dosage and frequency instructions printed on the label.
- Remember to continue to give the medication over at least 24 hours or the fever will usually return.
- Children should not be overdressed indoors, even in the winter.
- Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
- The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
- A sponge bath in warm water will help reduce a fever.
- Such a bath is usually not needed but may more quickly reduce the fever.
- Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
- The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
- Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.
- The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
- Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup, other rehydrating drinks available at the grocery or drugstore.
- A child should urinate light-colored urine at least every four hours if well hydrated.
- If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.
- The third goal is to monitor the child for signs of serious or life-threatening illness.
- A good strategy is to reduce the child's temperature below 102 F (39 C).
- Also, make sure the child is drinking enough clear fluids .
- If both these conditions are met and the child still appears ill, a more serious problem may exist.
- If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.