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Book Clinic Appointment with Dr. Rose Celene Thomas
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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ADHD i.e. Attention deficit hyperactivity disorder is a mental disorder that is commonly characterised by attention problems, excessive activity or difficulty in controlling one’s inappropriate behaviour, given his/her age. If ADHD occurs in an adult, the person might face significant issues in maintaining a job, managing time or being in a relationship.
In spite of being the most regularly studied and analysed mental issue in kids and teenagers, the cause, in most of the cases, remains unknown. The symptoms of ADHD might develop as one gets old. Apart from the common symptoms, the person might show signs typical to ADHD such as hyperactivity, inattention, impulsivity and disruptive behaviour as well as relationships and academic difficulties. The symptoms of ADHD need to last for about six months to be diagnosed as a disorder.
The typical management methods of ADHD include counselling or medicines, either used separately or in combination.
- Behavioural Therapies: Some of the psychological therapies used are:
- Cognitive Behavioural Therapy (CBT): Focuses on changing the thinking patterns of a person that ultimately alters the way he/she generally feels
- Interpersonal Psychotherapy: IPT is a focused form of psychotherapy that involves symptomatic recovery and resolving interpersonal problems.
- Social Skills Training
- Family Therapy: Focuses on providing therapy to the individual as well as the family
- School-Based Interventions
- Parent Management Training
- Medication: Stimulant medications are the more preferred forms of medications for ADHD. They have short-term effects on the symptoms of ADHD. One such example is that of Methylphenidate. Non stimulant medicines are administered for people who indulge in compulsive or recreational stimulant use. Examples include atomoxetine, guanfacine, bupropion and clonidine. Although these medications are usually safe, over dosage can cause side-effects and contraindications.
- Diet: Modification in diet can prove beneficial for children suffering from ADHD. The benefits are usually confined to children having food sensitivities or those who are being medicated using ADHD medicines simultaneously.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am Dr I.P.S Kochar, pediatrics, endocrinologist and diabetologist. Today I will be talkingt to you about Child Obesity which is becoming prevealant and epidermic in India and other countries also. So, it is increasing day by day. More than 65 million of the people are facing Child Obesity under the age of 5 years.
So, if you have any child or infant who is obese. The child will have to suffer from many problems in future.
What do you mean by Obesity?
Obesity means there is an abnormal or excessive fat accumulation in the body. So, over weight and Obesity, both are same. Obesity can cause number of problems. There are many types of complications, those are;
- In future, a child can have heart disease. THese are all metabolic problems.
- There are more chances of getting obesity in adulthood.
- Child get more prone to HYpertension.
- Girls get more prone to Polycystic Ovarian Syndrome.
- Reproductive problems
These are some of the metabolics which can occur. Besides this, the children can have non-metabolic problems like joint pains at early stage, difficulty in walking, sleep apnea problems and there can be other psychological problems. Children may have low confidence level, low self esteem. So these are the problems which are commonly found in such patients.
What should be done to get rid of this Child Obesity?
One of the major factor is lifestyle. People are becoming technically dependent. People are using AC Cars, Children are going to AC schools and buses. The play time in the schools has decreased greatly. This is all aggrevated to cause Obesity.
The food intake has also become different. Children are consuming more of junk food. high fatty food, high salty food which is one of a major cause of Obesity.
Not only people from urban area are becoming obese but also the people from rural area. This problem is required to be solved.
The main thing is that we have to change our lifestyle. People have to change their food habits, they have to indulge in the routine exercise. So, there is a simple formula called 5-3-2-1, where,
- 5 means taking 5 portions of veggies or fruits everyday.
- 4 means taking 4 glasses of water per day.
- 3 means 3 times mil in a day.
If you don't remember this, atleast remember 5-2-1, where,
- 2 means that do not use gadgets for more than 2 hours in a day.
- 1 hour of physical activity in a day.
So, this formula is very helpful if children follow it. So, try to take low carbohydrates, low fat, more protein in the diet. One should try to change their lifestyle because the obesity is causing all these major problems.
Now, we are getting more children of 5 years, 8 years , 10 yeras with non-communicable disease like Obesity, hypertension, diabtes. Diabtes type-2 has also started coming in the children and the adolescence population only because of the lifestyle.
Now you see many girls whop are obese at the age of 12 -18 years. THey suffering problems like impaired glucose tolerance, they are getting black areas in the neck and also they are getting reproductive problems, hair on the face, so all these problems are increasing the complications.
I would recommend to only change the lifestyle, make changes in the food habits and try to indulge in the routine exercises.
If you want to contact me, you can do so via Lybrate or you can visit my clinic which is in Noida. But pelase do follow the above mentioned tips.
My 1 years old baby is bored with his routine food. I feed him bread soaked in milk with cheese (3 times a day) now he's bored. He can't digest other foods. He doesn't like home foods prepared for him or us. What to give him?
Sleep is an essential part of a child's growth and development journey. Sleep helps the child develop both physically and mentally. Thus, it is important for every child to develop good sleeping habits. The amount of sleep a child requires varies from child to child and according to their age. Here's a broad guideline for how much sleep your child should be getting depending on their age.
Less than a year
The confusion between day and night ends when the baby is about 4 months old. This is when you will notice regular sleep patterns emerging. By the time they are 6 months old, most infants have a regular sleep and wake cycle. At this age, your baby needs at least 15 hours of sleep a day. The goal here is to establish healthy sleeping habits.
1-3 year old
After their first birthday, toddlers tend to reduce their number of day-time naps. But they still require 11-14 hours of sleep a day. Let your child take a 1-3 hour afternoon nap and put them to bed early, so that they can get a full night's sleep.
3-6 year old
Naps gradually become shorter as the child grows up. These pre-schoolers need 10-13 hours of sleep a day. At this age, it is a good idea to encourage your child to fall asleep on their own. They should no longer need an adult to put them to sleep. They should also learn to fall back asleep on their own, if they wake up in the middle of the night.
7-12 year old
A pre-teen needs 10-11 hours of sleep a day but the average sleep they get is about 9 hours. The challenge at this age is to not allow bedtime to get very late. Once they start going to school, children have a fixed time to wake up. Thus, a late bedtime will give them inadequate sleep.
12-18 year old
Teenagers require 8-9 hours of sleep a day. In no way should they get less than 7 hours of sleep. It is a good idea to keep the television and computer out of their bedroom. Also, avoid letting them have caffeinated drinks before sleeping.
Poor or inadequate sleep can lead to a number of health complications as well as mental disorders such as ADHD and cognitive problems. Thus, it is important for your child to not only follow a regular sleep schedule, but also to have restful sleep. If you wish to discuss about any specific problem, you can consult a Pediatrician.
Dear Doctor, Four days back we have started giving my 25 days old baby girl bath with Sunni pindi. After that she developed red color blisters on face and in hair. So we stopped it. How to prevent and cure those blisters? I'm really worried. Also her nose is blocked since last night. It's May be becoz of cold. Please suggest some medicine for blocked nose and cold.
My 4 year old son has accumulated wax in both ears. I consulted two doctors and both advised ear drops and said the wax will come out by itself. I wanted to know if extracting wax through vacuum or water spray is not recommended for small kids? What should I do. Please suggest.
Hello madam, my son is 11 months. He is very crying at night suddenly. And he is repeated every alternate 30 mins. So please give me proper advice and medicine for his better sleep and health.
CAN A CHILDREN AGE OF 2 YEAR 5 MONTHS GO FOR pneumococcal vaccine. IF YES WHAT WILL BE SCHEDULE. THIS WILL BE FIRST PVC VACCINE IF HE TAKES IT. HE MISSED PVC VACCINE. AND NOW WANT TO VACCINATE. THANKS.
My child is 2 y 1 m age. Female.still she continues mother milk. How long the baby can continue mother milk. If so is there will be any other effects like decrease in i.q or intelligence levels. Pl answer my qs. Thanking you.
Preparing for Penis Enlargement Exercises - 4 Ways to Warm Up Your Manhood
When preparing for penis enlargement exercises, one of the things you have to pay close attention to would the warm up of your penis. Warming up the penis happens to be very important when preparing for penis enlargement exercises and stretches in order to avoid unwanted injuries. Plus, if you do things right, you will get to reap even more benefits than usual once you get to the actual exercises afterwards.
When preparing for penis enlargement exercises, look at it as the same thing as the stretches that you do before working out at the gym. They will also enhance your gains in the same way and help you prevent injuries at the same time.
Preparing for penis enlargement exercises basically entails applying some heat onto your penis through your method of choice. You can either use a heating pad, an infrared lamp, a rice sock or a washcloth for this. Here are some of the different methods for preparing for penis enlargement exercises in more detail:
The Heating Pad Method
The heating pad is one of the most popular penile warm up methods to date since they are cost-effective and easy to find. To use one, just refer to the instructions found with the product itself.
The Infrared Lamp Method
The infrared lamp is most popular in the world of medicine and is used to get inside the skin to heat up the necessary tissues in the penis to warm it up. It may not be advisable to use this method at home, though, since you will need to make it a point to keep your testicles away from too much heat; otherwise, you could burn them without meaning to.
The Rice Sock Method
The rice sock is cost-effective, too. Plus, it is easy to make one. Just look for a sock, buy some rice and make sure you have a microwave handy. Then, fill up your sock with enough rice that will ensure that your penis will still fit into the sock later on. Then, tie the sock shut and place it into your microwave to heat it up.
Most of the time, this will take up to an hour to get the temperature needed to warm up the penis, but this will depend on your microwave, as well. If you have an especially powerful microwave, you can expect the sock to heat up much faster than if you have a less powerful microwave. Your microwave's speed of heating up the sock may depend on the amount of rice that you fill the sock up with, too.
Of course, it would be important to feel the sock before placing your penis in it, as well. If it feels too hot, make sure you let it cool down first to avoid unnecessary burns. On the other hand, if it feels too cool, heat it up in the microwave a little bit longer until you get the desired heat for the warm up.
The Washcloth Method
The washcloth method is by far the easiest method to use when preparing for penis enlargement exercises. Although it might not be the most convenient method since washcloths cannot exactly retain heat for long periods of time, it can save you a lot of money in the long run. You just need to have some patience and dedication when it comes down to it.
Naturally, there are other warm up methods that you can try out, as well, such as warm baths, warm showers and saunas - all of which can help you gain more benefits from your penis enlargement exercises in the end. All you have to do is choose the method that would work best for you.