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Treatment of Child and Adolescent Problems
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My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supplement). What r the ways to make them breastfeed again?
My cousin aged 5 years has got c reactive protein level up to 21.3mg/dl. He was attacked by typhoid fever a month ago. Is it a serious condition?
Sir I have six months baby. She oftenly getting cold and cough. Now also she has same problem. But along with loose motion what medicine can give.
A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.
Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.
These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.
- Repeated temper tantrums
- Anger bursts, swearing, using obscene language
- Extremely argumentative, especially with people in authority (teachers, parents, etc.)
- Annoying others and getting annoyed easily
- Noncompliance to rules and regulations at school and institutions
- Defending one’s mistakes and blaming others for it
- These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.
- Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
- Cognitive-behavioural therapy tries to mould the behaviour.
- If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
- The child also needs to be trained for appropriate behaviour under different circumstances.
- Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Mari beti 2 saal ki h usnaiii abiii peanut bht saari khaliii rhiii usko br br poty AAA rhiii h.khdaa khadaaa usko poty nikal rhi h kyaaa kru smj nhi aaaa rhaaa.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
Hello Doctor, My son completed 5 months and entered into 6 th month 1st week. He always keeps his head towards left side and holds bit crossed towards left. Is that normal or do we need to do get him checked? If so. Should we consultant paediatrician or orthopaedic? Please suggest?
After my delivery iam getting very fat. Now my baby is nine month old. How can I get weight loss it's possible (iam feeding the baby)
My wife is unable to produce milk for my baby. Kindly suggest with other options between cow milk and Lactogen.
I was scratched by a dog 1 month ago. But, I didn't took any immediate treatment. After 1 week I went to a doctor and the vaccine course has started. Though the dog was ill but it was alive for 25 days after the incident. 4 days ago it has died. Is there anything to worry about for me as I didn't took any immediate treatment? I found on a website that" The quarantine is set at 10 days because a rabies-infected animal can only transmit the disease after clinical signs have developed AND once these signs have developed, the animal will die within 10 days. So, am I completely safe from rabies as the dog was alive for 25 days?
When you hold your new born in your arms for the first time, you will count him or her as the greatest blessing of your life. This is also the time when you are burdened with the responsibilities of another human. The sleep patterns in new-borns are erratic and you will never see them follow any pattern as such. They sleep off just about any time of the day and you will not see any pattern until about your angel is about 6 to 7 weeks old. After that age, they get quite adaptable and you will be able to get him or her adapted to certain patterns. This will make things very easy for you and your partner.
So why won’t your baby sleep?
1. Your baby is too excited to fall asleep
Babies are a powerhouse of energy. Activities like tossing him in the air or giving him an exciting bath full of fun and frolic will probably do the opposite of winding him down. It will make him more excited and he will not want to go to bed thinking he would miss out on the other fun activities that are in store for him.
Solution: Replace the fun tickles with other activities like comforting massages or story time and lullabies. Dim the lights, cosy up the room. Make it a routine and you will find your baby easing into a deep slumber in no time.
2. Your baby is too sensitive to the external or internal environment
Every baby is not a sound sleeper. Some babies may jolt awake with just a simple nod, others may dose off amidst noise and screams as well. If your baby is of the first kind, then you may face a bunch of troubles to keep your baby calm and cosy. You may bother your baby’s sleep if your phone starts to ring around her or by the constant honking of cars outside.
Solution: Keep her surroundings as warm and comfortable as possible. Keep her in a room that is away from the bustling noise of the cars, if possible or sound proof her room. Start by dimming the lights and getting her comfortable clothes that will keep her free when she is sleeping. Keep her sheets and pillows clean and ensure they do not remain wet.
3. Your baby snacks in the middle of the night
As it was mentioned before, babies have erratic schedules. They can get hungry or cranky just about any time of the day. Mid-night snacking is probably numero uno reason as to why your baby will not fall asleep at night. If you feed your baby to sleep every time, he or she might associate it with nursing.
Solution: It is okay to train your baby to comfort itself in the middle of the night. Whenever it may think it is hungry, he or she will cry and expect you to nurse him to sleep. Put him in the nursery when he is relatively sleepy to allow him to fall asleep all by himself. You may stand by till he does, but do not swaddle him. If you wish to discuss about any specific problem, you can consult a Pediatrician.
Is there any treatment for vitiligo skin? My daughter (10 years old) suffering from vitiligo skin the appearance to her face. Is there a cure can remove the effect of vitiligoly's spots phenomenon?
My grand child 2 months old shows sort of tremors in all limbs for just a fraction of a second 4 to 5 times a day.Is it a cause of concern needing medical attention?
My daughter is 11 months old. From her birth, she has been on formula feed lactogen, as her mother was unable to breast feed. We started Cerelac and ragi pudding when she was 6 months old. Over the last week or so, she has completely avoided the spoon which is why we can not give her cerelac anymore. Also, she drinks very little lactogen, like 60-90 ml every 4 hours or so. We have tried boiled rice, mashed apple and banana etc but she takes in very very less of everything. She is active but we do not see any weight gain whatsoever. In fact we feel her weight has actually reduced. She was 3.6 kgs at birth and now around 8.5 kgs. Please suggest. Again I am not complaining about the weight, but why is it she has stopped both milk and solids? We are giving esomac 10 granules morning and carmicide afternoon and evening to rule out griping or colic pain.
My 2 year old son frequent cough n cold. But is active.What are the signs to Chek allergies or asthma ?
Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.
Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Pain in the stomach
Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:
- Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
- pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
- Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
- Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.
In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding
Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.