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Treatment of Child and Adolescent Problems
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I have a baby of 17 day, she is not drink brest milk because it is not coming quickly, but we will try to feed 2-3 times through manual extraction but now brest milk is not coming. Very less quantity is coming. How can the brest milk quantity increase and how can we feed our baby.(any aid for feeding) we have tried brest pump but it is not working.
Dear Dr. Mera beta 3 months ka hai abhi apni Maa ka dudh nhi peeta tu dibbai wala pilatai hain (lectodox 1No.) But abhi mere betai ko constipation ho rehi hai. So ko door krnai kai lia kiya karai. Second kiya fennel ko es kai water mai boil kr Pila saktai hain. Fennel sai aur constipation tu nhi hogi Dr. ji.
My son is suffering from TICS. Which Doctor should I consult - neurologist, psychiatrist or a homeopathy doctor?
My Child is of 3 years old He is having no hair at some portion of his head from the day he is born i.e. No hair growth from the scalp of the head What lotion or cream you suggest for it. Pls keep in mind that he is just 3 years Old.
Hello, Doctors. My baby is 1 year old. She is not holding the head and close the arms. She is not fold the hands. does She has neuro problem? Please guide me.
I have 45 days baby ,after feeding she vomit after 5 to 10 min and its contain. I want to know its a common problem or need to see doctor please advice.
My son is 8 years old he is too weak in health but his diet is good but don't know the problem, he is too weak.
Hi my son is 17 days old jab woh toilet karne ke samay bohat rota hai and pressure bhi deta hai aisa kyu ho raha hai.
Is asthalin syrup safe for my 7 months old baby girl? As she is having recurring cold but not suffering from asthma.
Sir their is difference between mature baby and pre mature baby please tell me the difference. Is any thing missing or incomplete thing in pre mature baby?
Hridya (aged 6 months) had fallen off the bed yesterday and is acting perfectly normal till now. Kindly advice what symptoms should be checked for any internal injuries/damages.
My baby girl is 1 year old and since 3 to 4 days she facing some Urine issue, as In a day she do a 2 to 3 times urine only and at night sometimes she do a Urine and sometime notes. Urine come yellow and she not face any issue while she do Urine. She also have some cold since 4 to 5 days. Please guide me on that.
My son 19 months old does not speak yet. He just says mam-mam and ish ishhh most of the time. Nothing more then that. I try to talk to him and show him things. But he does not speak anything else. Is there anything I must do for him?
I have a baby of 8 months and she got infection in her blood? what are the causes and remedy for that problem?
My girl is 1 years 9 months old. Still she can't stand herself. Can't talk. Though she response whenever we ask something or call her only by "hoon" Sometimes sings songs. She was admitted in NICU at the time of birth due to low glucose levels. Her pediatrician suggested an MRI of brain. Where should we go for treatment? Are we getting late and creating difficulties not doing MRI? Within what time MRI should be done?
Dear Doctor, Here I would like to give a short-brief of my son's problem of epilepsy in the following words. He got birth in a private clinic here in Delhi in the month of March 13, 2008. The delivery was normal and on the very next day of discharge from the hospital, he got a fits-like behavior and we immediately took him to the same clinic where he got birth and admitted there. As per the Doctor treating him it was said that his sugar got down and he was not needed properly during the night. After 3-4 days treatment, the doctor referred to another hospital i.e. St. Stephens Hospital herein Delhi and got admitted. After a week’s time the child got recovered. After this, about three years there was no problem with the child. However, after the age of 3, we could noticed that when child was walking he was complaining of some difficulty in walking on his right leg and immediately he asks to pick-up and also noticed a slight behavioural activity on his mouth. This is the starting point and we approached Dr. B.K. Gupta (Neurologist herein Delh). As per his presumption it was epilepsy and started treatment for epilepsy by giving the syrup Trioptal. By taking the above medicine continuously there was no problem for about three years. Unfortunately, after third year the child got fits again intermittently and we again approached the same Doctor and he advised to change the dose of the same medicine. But even though the duration of fits got extended but some time it happened intermittently. In the meantime we approached another Dr. (Prof.) Aldrin (Head of Neuro in IBHAS, Delhi). As per him we got the child’s MRI taken and after diagnosis he also advised to continue the same syrup Trioptal. In the meantime the syrup was not available in the market and the doctor advised to take Oxcarbazepine Tab (300 ml in the morning and 400 ml in the evening) plus Frisium 5 mg tab (one tab in the evening). Now for the last one and a half years there is no problem of fits however he has been complaining of tiredness intermittently, mostly after waking up in morning and also when he was about to leave for school and we presume this might be by taking the medicine continuously. Unfortunately, for the last 2-3 months we could notice another problem i.e. His right hand palm gets trembling (jerking) like feeling for a few second mostly every day and by rubbing and/or holding tight it gets normal and when it happens he is not able to move his fingers or hold anything, and also loose strength of his palm and it gets normal within a minute’s time. Earlier it was once in a week but now-a-days it happens almost daily sometime in the afternoon otherwise at school. Last week i.e. On 16/01/2017 we again visited Dr. Aldrin because of this above new problem. After check-up the doctor advised to get EEG report. However, as per the EEG report it was normal and the doctor advised to increase the dose of the existing medicine i.e. Oxcarbazepine 400 ml tab in the morning instead of 300 ml and continue the other medicine as usual. But even though the above medicine has been taking as per the prescription for the last two week the problem still persists. He has also the problem of Adenoid for the last 3-4 years and now-a-days treating by homeopathy medicine. At night when he sleeps he inhales/exhales through mouth and I am presuming that the above problem is due to this reason only. Kindly, for your advice.
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:
Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.
Finger-prick test. A typical blood sugar test includes the following:
A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.
To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:
Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:
Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.