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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 1.8 years old baby has suddenly stopped eating everything (dalia, sooji, khichdi chapatti, paratha, etc) which she used to eat earlier. It has almost been one month now. Also from past 3-4 days she is having fever which goes after giving pacimol. Also I am seeing her urine colour yellow from 3-4 days. Please help me what could be the possible reason for her not eating and her ongoing fever.
Hi My boy kid age of 4 years got badly decayed molar tooth. Please suggest me its must to go for pulp therapy or any other alternate is there and pulp therapy is safe for kids as well will it affect permanent tooth growth? Thanks.
I am looking for the cost of recommended vaccination after the age of 5 years of a child. I am looking for injection cost for MMR2, Varicella 2 etc.
My 3 year old is sick with a temperature of 100 degrees she cant keep anything down including liquids. What should I do?
My child's age is 3 years old and His weight is only 10 kg and I consulted Dr. for gain his weight but nothing happen. Kindly suggest me what to do for gain his weight.
Meri little daughter ka weight 9 kg h or age 19 months h birth time inka weight 3 kg the 2 month se weight gain nhi ho RAHA hai abhi tk 8 teeth nikle h 6 upar or 2 niche teeth jb nikalte h to kamjor lagti hai please help what I can do for her.
My son 9 YEARS old ,He got Urinary infection in the penny. The end of the skin is infected and slightly closed. From 21st Oct it was happen thrice. Again I have shown to Dr. He was informed to do small surgery in the penny? Is it required? Please confirm.
Respected sir/mam now my baby is 6 weeks old. Please tell me which vaccines are mandatory. And which are optional.
My baby is 3.5 mnth old he is having loose motions and little bit fever from 4-5 days. What could be the reason?
Bacho ko masquto net ghar mai use karsaktai hai per baher odomas lagana padhta hai creme lagane se skin damge hoti hai KyA doctor.
Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.