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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 son is 1 years old and his weight is 8.2 kgs. His birth weight was 3.1. He is too much underweight. I am give all solid foods and also high calorie food but still his weight gain is very poor. Though he os very active and also started walking but pls help me as he look like he is 8 month baby due underweight.
Hi my daughter is of 6 years old. And has problem of bedwetting. Eventhough she goes to bathroom before bed. And she drinks water after 10 PM. We have given lots of medicine and consult to the doctor. Pls. Suggest the solution.
I have an 8 month old baby. I am still breastfeeding him but also started mashed solid like biscuits, roti, dal, rice, fruits etc. I give him almost everything we eat but in well Cooked mashed form. I want to wean him off feeding now. My query is can I give him buffalo milk mixed in 50% boiled water? Or is it necessary to give him cow milk only?
She gave birth to the girl child on 8 September 2016. But still access milk in her breast. And pain in her breast due to node.
Can we give popcorn for 1 year old babies. Can I have best snack ideas for 12 months old boys. What should be the healthy weight for 12 months old boys.
My 11 months boy baby is doing excess vomiting and loose motion watery type from last 2 days. But now he is doing better, what may be reason and suggest some prescription.
I have a 4 months old baby girl she sleeps too less during day she hardly sleeps 15-30 mins and during night she sleeps 1 hr and wakes up then sleeps again for around 30 min and wakeup again and then sleeps again after 15-20 mins and continues same thing till morning. She gets proper feed. What can be the reason and solution for this so she can get proper sleep?
Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.