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Adolescent Problems Treatment
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Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
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Treatment of Child and Adolescent Problems
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Management of Postnatal Care
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My baby is 3/2 years of old, and his weight is only near about 5 k. G. How can I try to gain his weight?
Hi Sir. my baby girl child is 3 years old, since her birth she has dandruff problem, so please sir give me proper advise for treatment.
I have a 4 month old baby, when should I start giving him fruit juices or start with cerelac as he is not gaining much weight.
Hello doctor.. My son is 7 years old. He is overweight. Heis not eating so much. But he didnot do any physical activity. He is suffering frm sizer. Taking eptoin syrup. I want he may loss. How?
Is it healthwise safe for a less than one month old infant to travel through train for approx 24 hour long journey?
Hi sir I have 2 kids but growth is not so good so 2-3 years kids what should I give in daily food for better growth.
My sisters sons aged 2 year & 3 year they were too naughty and they have some habits like split of saliva and beating others we feel quite difficult to control and change their behavior.
Hello Doctor, My 2 year old son does not speak properly and fluently. He just able to speak few general words clearly e.g. Papa, mummy, mama, bike, dog, ball, bus. But not able to speak two words jointly. Also not learn new word easily. He not repeat any word behind you. He speaks only when he wants (Only few words). Please suggest if there any problem and what should we do in his case.
Necrotizing enterocolitis is a disease that causes inflammation of the tissues present in the intestines and results in damaged tissues. It initially affects the inner lining which ultimately results in thickening of the intestine. It may also lead to a hole in the abdomen resulting in bacteria entering the intestine, thus resulting in infection.
The symptoms of Necrotizing enterocolitis are:
- You may experience symptoms of bloating in the abdomen
- The abdomen may be discolored
- You may experience diarrhea and vomiting
- You may not feel hungry
- There may be presence of blood in your stool
- You may have a fever and constantly feel lethargic
Causes: Lack of blood and oxygen in the intestine causes it to become weak and increases the chances of Necrotizing enterocolitis. It may result if oxygen levels drop during a difficult delivery. If the intestines are weak, then they are at a higher risk of getting infected by bacteria. If you have an excessive supply of blood cells in your body or other stomach condition, then it may lead to this disease.
Diagnosis: Usually the doctor conducts a physical exam to detect the symptoms of this disease. If babies are born with this condition, then they may suffer from weak immune system and problems in blood circulation. The doctor may also recommend x-rays to get detailed images of the intestine in order to probe for symptoms of inflammation and damage.
The treatment of the disease depends on few factors such as:
- The child's age
- How far has the disease progressed?
- Health of your child
It is recommended to stop breastfeeding. Feed the baby through intravenous methods. The doctor may also recommend antibiotics and oxygen support if the child has breathing problems. In severe cases, the child may require surgery to treat this disease.
If the treatment occurs early, then the child may recover. However, complications such as a narrow and damaged bowel may persist. This may cause problems in nutrient absorption in the intestine leading to other disorders.
My son is 7 year 11 months and am single parent. He was brought by my parents now am finding so diffcult to understand his needs and read his mind. He talks very rude, back answers, he carry's lot of pride good looking colour and sometimes he also faced the bullying at school. Kindly advice.
My 7 Year son hv hypertension prlm 170/100, 3 Years ago he hv left kidney renal artery stenosis so we operate and remove kidney its function is only 21% After operation hiis bp goes normal. 3 year he does not face any prlm before 3 Month ago we shifted from kolhapur to mumbai for job purpose and my son bp found become high. His all blood, scan. 2decho. Colordroper, right kidney function is 100% All reports are normal. We does not found hiis high bp cause. Doctor says its may be genetic. Can climate affected bp?
I got operated gall balder 2 year back, now I got stated with gastric problem, kindly suggest. I have visited gastrilogist in apple hospital too he has given one month medicine, in between it got stop again started. Kindly suggest.
How to prepare ubtan for babies and which oil should I use in summer for body massage of 8 month old baby.
My six month old baby had sore throat, fever from last four days, and from last night usne feed nh kara hai what can I do, I also gave her mox cv.
Hi My child is 9 months old recently he had developed some infection in the front end area of the penis, I am not sure if it is a external injury or internal infection. There is swelling on penis and during urination it's normal he don't cry but while external touch he is crying. Is that something I need to worry about please advise.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.