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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
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Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
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Treatment of Thyroid Disease in Children
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My baby is 3 and half months old now and has slight hairfall. Is this normal? What can I do reduce hair fall in my baby?
Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
- Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
- What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
- Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
- Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child.
Why it's important that your child's diet is calcium-rich
Calcium is an inevitable part of your child's diet. You cannot afford to skip it if you wish to maintain a healthy lifestyle for your child. It is recommended that children between the ages of 9 and 18 should get approximately 1300 milligrams of calcium every day. Calcium-rich diet is important for your child for a number of reasons.
- Calcium helps in building strong bones and teeth for your child.
- It is important in order to ensure proper functioning of your child's muscles and nerves.
- Calcium plays a vital role in the release of such hormones and enzymes in your child's body that convert the food he eats into energy.
- It is also helpful in causing the blood to clot whenever your child gets bruised.
- Since your child is continuously growing, a calcium-rich diet ensures an adequate supply of resources that help him to develop new bones that are healthy and strong.
- A calcium-rich diet is also essential as far as other bodily functions like muscle contraction, blood vessel constriction and relaxation are concerned.
What does lack of a calcium do to your child's body?
- Lack of calcium can cause bone diseases like osteoporosis in your girl child, thus exposing her to a greater risk of weakened bones and possibility of fractures.
- If your child is a young kid and his diet lacks calcium or vitamin d, which absorbs calcium, he is exposed to the threats of the bone-softening disease called rickets. It can cause in him bowing of the legs, muscle pain and poor growth.
- Bones are living tissues that change constantly, old bones keep getting replaced by newer ones and a calcium-rich diet aids this procedure. Therefore without an adequate supply of calcium, this process would borrow minerals from existing bones, thus weakening them and exposing them to increased risks of fracture.
- Lack of calcium also increases risks of cardiovascular diseases, damaged gums, high blood pressure, ovarian and breast cancer and several other infirmities in your child in his later years.
The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.
What Does this Condition Impact Childhood?
Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.
How do you identify this condition?
Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.
They may display signs like:
- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping
Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.
Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.
On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.
If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma.
Related Tip: What Really Causes Personality Disorders?
My aunty run out from milk after gave the birth to a child. So please suggest how develop the milk again for feeding baby.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
My child is crying continuously and she had dry and painful stools and very little urination. What to do.
My 4 year old daughter has suffered with severe chronic constipation since birth. When she was born she was admitted in the neonatal for 9 days due to abdominal distention, feed intolerance, suspected sepsis, vomiting bright green bile and Meconium Ileus. She did not pass her meconium for 33 hours and it was passed due to a paediatrician giving her a suppository. It's now getting worse as she is getting older. She suffers with abdominal distention, leakages, agonising pain, passing a lot of gas and cannot walk sometimes due to the pain. She has been on 5 different laxatives (lactulose, movicol, docusate, sodium picosulfate and sennakot) now of them have worked and she has also had 2 enemas that did not work also. She has had a biopsy done for Hirschsprung's disease and it came back normal and all her bloods are normal as well. She is missing a lot of school due to this and her doctors don't seem to think it's serious but after all the medication she's had I think differently. She used to pass a stool and get some relief for a few weeks now it's just days till the pain starts all over again like she isn't getting any relief at all anymore. It can be 3 weeks before she passes a stool. I've done some research and seen that meconium ileus can be related to cystic fibrosis and I've seen that you can have it in the digestive system also. Could this be a possibility for her?
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.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My 2 years old starts coughing after drinking milk. It started around a few days ago that whenever he drinks milk he starts coughing. Is it just fine with little kids or is there anything to worry about?
As in the case of most infections, the occurrence of tonsillitis is more common in children due to relatively lower immunity and habits that invite infections. Let's take a look at the first line of defence when you have a cranky child with swollen tonsils.
1. Make your child gargle with salty warm water: This treatment is most helpful in any infection in the mouth. Add half teaspoonful of salt to a glass of warm water and make the child gargle with the mixture as many times in the day as possible (to a maximum of 5 times). Continue till the condition prevails.
Make sure the child spits out the water and not drinks it.
2. Antibiotics: Consult the ent specialist and have the antibiotics if it is a bacterial cause as per the doctor. Take the alternative treatment prescribed in case of other causes. The entire course of medication should be completed even if the kid gets better sooner to eliminate all traces of bacteria.
3. Painkiller/numbing lozenges: Painkillers that are prescribed by the doctor can be given to ease the pain. Same is the case with lozenges but care should be taken that he/she should not have too many of these.
4. Allow him/her to take rest: It does help in a betterment of the condition!
5. Give warm (not hot) soothing food: Soup, ginger honey mixture, ginger tea can help soothe the inflamed tonsils in most cases. The condition, more often than not, gets better within 7-10 days.