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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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My son is 8 years 9 months old. Last three days back i. E. On Monday he had a fever of 101.6 and it continued until yesterday i. E. Wednesday night. The fever ranged between 101 to 99. On tuesday along with the fever, rashes started, i. E. Pinpricked rash all over the body with slight itchiness, today he has no fever but rash is still present. Please help me with any medication. Thanking you.
Hi my daughter is 3 year old she is shivering has cough and fever I served her mefkind, tercoff and closure for 2 days right now she is shivering pls prescribe me medicines for her.
My son have 1 and Half yrs. I still feeding breast milk. He is eager to drink only breast milk. Don't like to eat foods and all. How to solve this problem.
My newly born kid has ASD flow. ASD of 0.4 cm. Will he be ok after sometime. He has ostium secundum.please help
Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.
Risk factors for iron deficiency in children
Infants and children at highest risk of iron deficiency include:
- Babies who are born prematurely or have a low birth weight
- Babies who drink cow's milk before age 1
- Breast-fed babies who aren't given complementary foods containing iron after age 6 months
- Babies who drink formula that isn't fortified with iron
- Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
- Children suffering from, Malabsorption, Chronic diarrhoea, thyroid disorders and Celiac Disease.
- Children ages 1 to 5 who have been exposed to lead
- Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia
The signs and symptoms of iron deficiency anaemia in children may include:
- Pale skin
- Fatigue or weakness
- Slow cognitive and social development
- Difficulty maintaining body temperature
- Increased likelihood of infections
- Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children
Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:
- Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
- Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
- Deworming: The power to kill parasites. With such tablets, we can eliminate worms in children and stop parasites from absorbing the critical nutrients a child needs to develop.
- Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Don't take pallor lightly. Consult the doctor.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same. If you wish to discuss about any specific child related problem, you can consult a specialized pediatrician.
Hello, my son is 3 years old and he catches cold frequently which results in wheezing. I also have the same problem but no asthma. Kindly help. Chest X-Ray has been done.
My daughter -in-law 14 months baby was suffering from motions. She was crying too much while motioning. What to do sir/medium. Thank you.
She has white discharge problem for many years. She has taken a lot of treatment. But she did not get well. She has a child of 7 years old. Now she wants one more child. Is there any problem in getting pregnant. If so please suggest me the right treatment.
My 2 and half years son have perfect height 3.2 ft but weight is low is 11 kg and they didn't have any interest to eat take milk too also stool tight. He is seen like weak boy.
3 months old baby with fever since morning fever is slight not very high His 5 year old brother is recovering from viral fever. Probably he has contacted the same. Please suggest medicine.
My daughter is 18 years, she is little less than wheatish complexion, her face skin has got little lighter colored patches which will appear for several weeks or months and it will disappear, a suggested by one of the doctors she use take wormin tables once in 6 months. And she is using, Jhonson Baby soap, kojiglo at night time, photostable sunscreen lotion when she goes in sunlight, What has to be done.....it looks odd on her face..Expecting a positive suggestion... thanks
1. It is important to gargle with warm water immediately after nebulization. This measure is intended to wash out the deposits of drugs that if allowed to stay within the oral cavity, will lead to hoarseness of voice and oral ulcers.
2. Following the gargle, drink 2 cups of warm water. This measure will wash out the drugs that is deposited during nebulization on the walls of the esophagus. Thus avoid esophageal irritation caused due to the drug deposited on the inner walls of the esophagus.
3. It will definately help to have a air purifier at home to monitor the particulate matter content in the ambience. This will also reduce the frequency of attacks and enable relatively clean air for the affected, creating comfortable indoors.
4. Take time out to teach children on how to apply the inhaler effectively so as to be able to self-help during acute asthmatic attacks. If available, adrenaline shots of 0.5 to 1 mg may be carried on them, so that in event of severe asthmatic attack, a subcutaneous shot of adrenaline is life saving.
5. Be aware of early signs of an attack, point out these early signs to asthmatic children so that they may stop their activity and take self-help measures.
6. Do not wait for ambulances to arrive in case anybody is in acute asthmatic attack, sit the person in upright position, give them multiple shots through pocket inhaler or start nebulisation with duolin +/- budecort, if the affected person is carrying a adrenaline shot - 1mg subcutaneous should be given on the deltoid of either upper limb of the person.
I am expecting a baby very soon since we have crossed more than 5 years of marriage life. I do have hormonal imbalance issue. Is it curable?
My baby is one and a half months old, and feeds on my milk only. I want to know how can I confirm whether I can produce sufficient milk for my baby or not.
Actually right now im suffering from problem of dry scalp leading to dandruff and hair loss. It would very kind of you to consult me some counter measures to overcome these problems. I don't do any types of addiction like drugs, alcohol, cigarettes etc. But it had become my habit to masturbate daily.
What is ADHD?
ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).
The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.
What are the different types of ADHD?
Three major types of ADHD include the following:
ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.
ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.
ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.
What causes attention-deficit/hyperactivity disorder?
ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.
Who is affected by attention-deficit/hyperactivity disorder?
Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.
Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.
What are the symptoms of attention-deficit/hyperactivity disorder?
The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:
Short attention span for age (difficulty sustaining attention)
Difficulty listening to others
Difficulty attending to details
Poor organizational skills for age
Poor study skills for age
Often interrupts others
Has difficulty waiting for his or her turn in school and/or social games
Tends to blurt out answers instead of waiting to be called upon
Takes frequent risks, and often without thinking before acting
Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion
Has difficulty remaining in his/her seat even when it is expected
Fidgets with hands or squirms when in his or her seat; fidgeting excessively
Has difficulty engaging in quiet activities
Loses or forgets things repeatedly and often
Inability to stay on task; shifts from one task to another without bringing any to completion
The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.
How is attention-deficit/hyperactivity disorder diagnosed?
ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.
Treatment for attention-deficit/hyperactivity disorder
Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:
Your child's age, overall health, and medical history
Extent of your child's symptoms
Your child's tolerance for specific medications or therapies
Expectations for the course of the condition
Your opinion or preference
Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.
Treatment may include:
Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
Medications that are commonly used to treat ADHD include the following:
Methylphenidate (Ritalin, Metadate, Concerta, Methylin)
Dextroamphetamine (Dexedrine, Dextrostat)
A mixture of amphetamine salts (Adderall)
Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms.
Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:
Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)
Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.
Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.
Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:
Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)
Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.
Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.
Prevention of attention-deficit/hyperactivity disorder
Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.