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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
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
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Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
My daughter is 6 years old having neck pain problem she is stremling problem voice is not clear please my problem solve it.
Hello sir My son Age 14 month. Weight 7 kg He can not sit. When I check him at orthopedic surgeon He says no treatment can do. Sir please tell me what I do M in so tense. Please suggest me.
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?
When she is born she was normal after completing ten months when she takes her first step she fall from walker. Her left part paralyzed in few hours but we don't understand what is actual problem. Dr. Also don't understand than we go to jaipur hospital sartorial Duralbji. Dr. jain (pediatrician) give her aspirin table for six months. Physiotherapy started and after three months hand and leg caliper we use for her. I regularly do her exercise. Now she is better but not perfectly fine. She not use her left hand properly and her leg knee also go back side. Please help me I want to see her in perfect condition.
My Son, 11 months old doing potty 4 times in a day since 3 days & losing weight. His current weight is 7.5 kg. Please advise how to overcome from this.
My 3 year old boy often falls sick. Suffers from runny nose following by fever. How to raise his immunity.
My daughter aged 4 years is having cold and cough since 3 weeks. No fever. I am giving her medicines like cough syrup but with no use. Some days she looks absolutely fine but the other day she starts coughing badly. Mostly while sleeping she starts coughing badly. I am giving her asthalin syrup. But there is no relief. How to manage her cold and cough ?
My baby boy is 3 month old and not responding to see object and sound. So Dr. suggested for EEG. Result showing generalized epileptiform abnormality with posterior emphasis (modified hypsarrthymia.).
My nephew aged 11 years, has seizure since last month. Doctors diagnosed it epilepsy. We started medicines but seizures occurs on every 2 & 3 days. Mostly during seizure his eyes goes upward and his body has vibrates as electric shocks. Once after seizure his body shocked many times. We asked him what is this. He said my nerves are jaults from inside. We want to know is it epilepsy or not. What should we do at the time of seizures. Eagerly waiting for your reply. At this time he is taking 2 medicines named valparin 200 & levecitram. Thanks.
Merit daughter ki age 8 year 8 month hai. Ye abhi bhi vista pe pesab kart hai. Weight 18.5 kg and height 121cm hai. Kya ye normal hai if not please suggest me. Thanks.
Migraine is a complex disorder characterized by recurrent episodes of a headache, most often unilateral and in some cases associated with visual or sensory symptoms collectively known as an aura that arise most often before the head pain but that may occur during or afterward . Migraine is most common in women and has a strong genetic component.
Signs and symptoms
Typical symptoms of migraine include the following:
1.Throbbing or a pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity
2.Unilateral and localized pain in the frontotemporal and ocular area but the pain may be felt anywhere around the head or neck
3.Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse
4.Headache lasts 4-72 hours
5.Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness
6.Sensitivity to light and sound
Features of migraine aura are as follows:
1.May precede or accompany the headache phase or may occur in isolation
2.Usually develops over 5-20 minutes and lasts less than 60 minutes
3.Most commonly visual but can be sensory, motor, or any combination of these
4.Visual symptoms may be positive or negative
5.The most common positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border
Physical findings during a migraine headache may include the following:
*Cranial/cervical muscle tenderness
*Horner syndrome (ie, relative miosis with 1-2 mm of ptosis on the same side as the headache)
*Tachycardia or bradycardia
*Hypertension or hypotension
*Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)
*Adie-type pupil (ie, poor light reactivity, with near dissociation from light)
Homoeopathic constitutional treatment cures this malady completely since it goes to the root of the disease and removes this tendency permanently.
Some of Homoeopathic remedies used for treating migraine are Belladonna,Spigelia,Sanguinaria,Glonoine,Natrum mur,Phosphorus, Tuberculinum, Iris versicolor,medicine should be strictly selected based on symptom similarity only to get permanent cure.
Doctor my 20 months old baby quit active her weight is 8.5 kg and height is 77 cmt but i'm worried about weight not gain so what to do ?
My baby is 2.5 months old. She is 70% on lactogen from past 1 month & 30% on mother milk. From past 1 month she has severe colic problem. Also she passes the stool after 3 days by use of suppository capsule. Does the lactogen difficult to digest? Can we give Nan pro? It is easy to digest than lactogen? Or Cows milk will be a good option? We have tried colimex & colicaid but no effect on colic problem.
I feed my baby for over 3 years as she didn't took other milk products. Now am 31 and my breasts were sagged please recommend any good remedy without side effects.
My 2 Months baby boy taking bottle feeding(Mother Milk not coming).He is taking NanPro1(Suggested by Doctor). Right now we are using only D3 drops. Some times he is feeling uneasy, is there any medicine for digestion. Please suggest me
Teaching children how to get their personal needs met and to help around the house is an important and integral part of growing up. It helps them to become independent and also help others. They learn to appreciate dignity of work and cooperation, responsibility contribution and collaboration with co workers and spouses as they become adults. These tasks are as much for boys as for girls. The chores suggested below are a rough guideline of age appropriate jobs for children. Keep in mind that kids are different both developmentally and physically. Some children may be able to do more than others. So here goes:
2-4 year olds: help make bed, put away toys, fetch diapers and plastic bottles, put dirty clothes in bucket, help feed the pets. All tasks would need adult supervision.
4-7 year olds: set the table, help with bed making, watering the plants, feeding pets, start putting on own clothes, bathing, clean up messes, put away toys, put away clothes, carry light bags. Adult supervision would be required as child is learning new skills.
8-10 year olds: water plants, make bed, clean up room, clear the table, do small dishes, do small dusting around the house, cooking basic food like eggs, maggi, milk, keep the garbage out, fold clothes, basic sweeping and swabbing of the floor. Please note that adult supervision would be needed for new tasks.
11 year olds and older children: clean bathroom, clean kitchen, cooking simple to complex dishes, wash dishes, wash clothes, dusting.
If you liked what you read, please share it with others and you can also have a private chat with me if you have any questions about your child.