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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 daughter suffering from loose motion and 102fever from last 15days. She is just 10months old. What should I do?
Hi doctor now my baby is 15 months. After I'm become pregnant till these time there is no sex in between us. So my doubt is that he is now uninterested or have any other problems. Baby always sleep with us. So due to these reason. Can't understand. Give proper solutions.
My 11 months old baby is suffering from cold badly. She face difficulty to breathe while sleep and taking feed. What to do?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My baby is 20 days old she is 2.5 kg now. When can I use diaper for her. She is wetting full body in night times and she becomes cold.
my son is 5 and half month old. his weight is 8.5kg. whether its a normal weight or overweight? at the time of born his weight is 3.3kgs
Hi mera baby teeth nikal ra hai kya kru. Wo teeth ko kafi beechta hai. Cut bhi karta hai cheezo ko. Help me please . Kya dawa du.
My child has 4 years old now but his height is very short & weight is only 11 kg please give me some suggestion or best specialist doctor.
Give some good goodtonic name so that my 10 year old kid gains weight he is 10 years old and 23 kg height is 4.4.
My son having loose motion since 17 days (7 to 8 times. Doctor prescribed vibact dry syrup and said its viral diarrhea (milk allergy_mothers milk) but there is no sign of recovery. And baby is healthy and normal. Please give alternate syrup and how to overcome from this.
My 1.5 year son awake after every hour at night. He started crying alot and when he cry he holds his legs. M not understanding the reason. In day time he sleeps soundly. Please tell me wat can be the reason.
Our baby is 3.5 months old and she feeds very less. Also her feet stay cold and head is warm. Is she normal ? In Ayurveda I have heard this is not good.
My 4 months 12 days old daughter is suffering from severe cold from today afternoon. Only Solvin nasal drop (2 drops each hourly) have been given to her. Please give me suggestions.
Hi. My baby is 47 days old. Morning time she never sleeps. She sleeps only in night for 5-6 hours. But if I wake her in between for feeding she is not sleeping after that. But if I don't not wake her she sleeps continuously for 6 hours also. Please advise if can I leave her to sleep continuously for 5-6 hours?
Sir, how much is the recovery chance of AML (acute myeloid leukemia). The patient is 7 years old girl.
My baby is following problem. Symptomatic lgs. Partial agencies of corpus callosum. L orbito frontal mcd. Autistic spectrum disorder. Please send any treatment or best doctors address in coimbatore or tamilnadu. Thanks.
My baby girl is 2.5 month old and she is in formula feed but not taking enough feed and doing vomit once in a day. What should I do. Her birth weight was 2.75 and now she is 4.5. Her weight is enough or not?
Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:
- Social withdrawal
- Feeling of worthlessness
- Difficulty in concentrating
- Reduced ability to function during events
- Continuous feelings of sadness
- Physical complaints
- Depression in children can be caused due to the combination of a multitude of reasons.
- Children from a family history of depression are more likely to be suffering from depression.
- Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
- Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
- Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.
In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:
- Changes in eating, sleeping or activities
- Isolating oneself even from family
- Talking of suicide, feeling helpless or hopeless
- Increased risk taking behavior
- Substance abuse
- Giving away possessions
Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.