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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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My child school teacher suggested for OT to him. His age is 10 years. He is very hyper active kid and not studying properly.What can i do?
My son put his finger in rectum when he goes to do poop. Is it safe or not. He always poop in standing position.
Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti fuliya ho gai he. Kya karu?
These overly aggressive children are not bullies; they often get into fights with people who are stronger than they are. They face problems not because they are aggressive, but because they become aggressive at times that are inappropriate and in ways that are self-defeating. They routinely argue with teachers and wind up in far more than their share of schoolyard scraps.
In some cases, this pattern of easily triggered aggression appears to be rooted in the children’s developing nervous systems. They appear to be physiologically unable to control their impulses as much as other children their age. For others, it is often a matter of needing to learn and practice social skills.
Aggression is one of the first responses to frustration that a baby learns. Grabbing, biting, hitting, and pushing are especially common before children develop the verbal skills that allow them to talk in a sophisticated way about what they want and how they feel.
Coping with a Very Aggressive Child
It’s difficult for adults not to attribute malicious motives to children who consistently appear to be trying to drive their parents and teachers to distraction. Often it’s equally difficult for parents not to assume that children are behaving this way because of something the parents have done wrong or have forgotten to do right. Such casting of blame, however, is not only inaccurate but usually useless as well.
The first step in helping an overly aggressive child is to look for patterns in what triggers the assaults, especially if the child is a toddler or preschooler. The aggression may happen only at home or only in public places. It may occur mostly in the afternoon or when the child is frustrated. Also, most of these children go through a predictable sequence of behaviors before they lose control. It’s a bit like watching a car going through a normal acceleration and then suddenly kicking into overdrive.
Once you can determine the most common triggers and can spot the escalating behavior, the simplest thing is to remove the child from that environment before he loses control. Take him away from the sandbox or the playgroup for a minute or two until he regains his composure. As the child develops, he will become less frustrated and, therefore, less aggressive because he has a wider variety of ways to respond to a challenging situation.
It’s also very useful to provide these aggressive and distractible children with a lot of structure and routine in their daily lives since predictability helps children remain calm and in control. Tempting as it may be at the time, spanking these children for being aggressive often does more harm than good. It is simply modeling the very thing you don’t want children to do. It teaches them that big people hit when they’re angry or upset, and that is precisely the aggressive child’s problem.
For older children and adolescents, teaching new and more appropriate ways of getting what they want can be very helpful. These children often have not learned the skills that their classmates picked up years earlier. As with bullies, formal assertiveness training can be particularly helpful to overly aggressive children since they have difficulty distinguishing between assertiveness and aggression.
It’s also useful to help these children look at life from a slightly different perspective. Psychologists have found that both aggressive children and their parents tend to focus on what’s wrong with a situation rather than what’s right with it. That makes their respective problems all the more frustrating for each of them, since neither pays any attention to the children’s improvement when it occurs.
Good mroning, I am Dr Ashok Rajput, a Pulmonologist, practising in Delhi. Today I will talk to you about very common disease, that is, Bronchial Asthma.
Asthma starts in early childhood and may persist in adult life. It is an episodic disease which is intermitted initially. Later, if left untreated, it become continuous and perennial. Whne one is exposed to dust, fumes, pollen and smoke then the inner lining of the airways swells and becomes inflammed and the lumen narrows. So it becomes difficult to breathe. So these patients get cough, wheezing, snoring and running nose.
The diagnosis of this condition is very easy. What you have to do?
You do Spirometry or a lung function study in which you blow into a computer and you get a graph. You repeat the test after giving bronchodilators, say 15-20 minutes. If you find an improvement in FEV1, one of the parameters, more than 12% you clinch a diagnosis of Asthma.
The treatment of Asthma is very simple these days. The main stay of treatment is inhaled corticosteroids which is given through the inhalers. There are many types of inhalers available with good drugs which act for 12 hours which you need to take only in morning or evening and your Asthma gets controlled. When I say controlled, that means you will no longer have cough, wheeze or sneeze. You can sleep undisturbed in the night and can perform all the activities. You can lead a normal life.What you require is small dose of this inhaler.
Thank you for listening to me.
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