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Treatment of Child and Adolescent Problems
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Thyroid Disorder Treatment
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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My 3 years old son has difficulty in speaking, he can babble but can’t speak and point his finger towards the desired objects. Instead he use to take us by holding our hand to the desired object example towards AC switch or Refrigerator door. He can’t even speak Mama, Papa and can’t point when asked about them. Had a poor eye contact. He is physically fit with all emotions, plays game on mobile. He has been doubted with ASD but the assessment is still pending. We have been advised to do BERA and EEG Tests which appears normal. His MRI report is has some deviation from normal which needs to be understood. Investigation: MRI Brain Plain Results: Multiplanar Mr. imaging of the brain was done. TIW, TSE-T2W and FLAIR images were obtained in three orthogonal planes. The study shows small hyperintensities on FLAIR involving peritrigonal region/occipital region on both the sides, possibly incomplete myelination Rest of the brain parenchyma appears normal. The basil cisterns and superficial subarachnoid CSF spaces are normal. Ventricles appear prominent. The mid brain, pons and medulla are normal. The cerebellar hemispheres are normal. Visualized parts of the sella, 5 th, 7 th and 8 th nerve complexes are grossly normal on routine brain imaging. Major flow voids are present. Advice: Clinical Correlation. Please help me to understand the report. Regards,
Bed Wetting is a phenomenon in which a child urinates, involuntarily, on bed when fast asleep at night.
A. The Secret Problem
A child gains bladder control at night, but it varies with age. After attaining the age of five, 15% of the children continue bed wetting and after the age of 10, only 5% are found to be still bed wetting. The incidences of bed wetting in boys are twice as compared to girls. Bed wetting can often lead to extreme embarrassment and social awkwardness for the parents. For parents to deal with such inevitable child problems, they must know the causes that lead to bed wetting.
B. The Bedwetting Gene
Your own DNA may be the chief contributor to your child’s bed wetting; research states that in 75 percent of the cases, this problem is found to be hereditary. However, parents should deal with this problem with sensibility and sensitivity, so as not to alienate their children in any way.
- Delayed Bladder Maturation: In such cases, the communication between the bladder and the brain is delayed.
- Lower Anti-Diuretic Hormone (ADH): Inadequate secretion of such hormones causes the kidneys to produce lesser urine during the day, thus increasing chances of bed wetting at night.
- Deep Sleeping: With deep sleeping, the brain fails to get the signal that the bladder may be full.
- Constipation: With constipation, the problem is that there may be uncontrolled contraction of bladder due to the bowels being full all the time.
When is it a concern?
There is nothing wrong with bedwetting during childhood, especially when the child is less than 2 years of age. However, it might be a concern if the child happens to gain bladder control at night but the condition relapses. Also, if psychological stress happens to be at the root of the child’s bedwetting, it could be considered to be a cause for concern.
Homeopathic treatment for bedwetting in children
Homeopathy is a very effective natural treatment for enuresis. The homeopathic remedies for bedwetting are perfectly safe. These natural homeopathic remedies do not have any side effects at all. Safety of the medicines is a major issue when you are to give any medicine to your child. Therefore it is of utmost importance that the medicines should be completely safe. Homeopathic remedies are known to be perfectly safe and have been tried by millions of patients all over the world over the last 2 centuries.
5 Best Homeopathic medicines for bedwetting in children
Homeopathy has been found to be very successful in treating bedwetting. The aim of Homeopathy is to strengthen the nervous system of the body. This allows the child to gain control over the urinary bladder. The same child who had been urinating in the bed for years is able to keep the bed dry within a matter of a couple of weeks. Homeopathy offers the best way of treating bedwetting. The embarrassment of the child as well as the parents vanishes quickly like magic. Here are the 5 best homeopathic medicines for bedwetting that help in working this magic-
- Acid Phos
It is important to mention here that the above mentioned 5 best homeopathic medicines for bedwetting are by no means the only medicines for bedwetting. There are many other medicines that are also used to cure enuresis. The exact selection of the right medicine depends upon the detailed symptoms of each individual patient. So, it always recommended to consult a specialized homeopath before going for any medication.
- Ensure that your child urinates right before hitting the bed.
- Limit your child’s fluid intake after having a thorough discussion with the doctor.
- Set an alarm for the child to wake up and go to the toilet in the middle of the night.
- Bladder stretching exercises increase the bladder’s capacity and thus the quantum of urine that can be held by the child’s bladder.
- Medications, as would be prescribed by a pediatrician.
- Use a plastic sheet over the bed.
- And finally, don’t panic. Usually, the problem resolves on its own.
Splenectomy is an operation conducted to remove the spleen. The spleen plays a vital role in building immunity against bacterial infections, located in the uppermost area of the left hand side of the abdomen, just below the diaphragm. There are some specific requirements with regard to the immunizations as well as blood work that might need to be completed before this surgery takes place.
Why is Splenectomy need to be performed?
There are a number of chronic illnesses like Hereditary Spherocytosis or Idiopathic Thrombocytopenic Purpura, which make it a necessity to get a child’s spleen removed. Though it is a rare case but still any kind of trauma to the spleen along with uncontrolled bleeding can create a very serious situation, wherein an emergency might arise to get the spleen removed immediately.
Immunization of child before the operation
Before the surgery of Splenectomy is conducted, immunizations are given to children as a preventive against some specific kinds of infections that are most common for patients to arise after having undergone the surgery of Splenectomy.
How is the surgery performed?
The paediatric surgeon, who performs the surgery, need not require making a large incision for going about the process of operation. In most of the instances, a splenectomy is performed in the following manner, which includes:
- A laparoscopic way through which a Paediatric Surgeon makes use of a small telescope along with some instruments of miniaturized nature, while placing them through small band-aid sized cuts on the abdomen.
- The operation gets completed within three hours
- At the time of hospitalization, a child would receive intravenous fluids, antibiotics as well medicines to get relieve from any kind of pain.
- As and when the child feels as if he or she is fit enough, he or she would be allowed to eat, drink and also take medicines by mouth.
Essentials after the Surgery
After the surgery has taken place and the child returns home after a couple of days, there are certain essentials that require to be kept in mind:
- Pain Management: Management of pain is the very first thing which should be kept in mind. The medicines prescribed by doctor for dealing with pain are not required after getting discharged from the hospital.
- Most of the children would only need Acetaminophen or Ibuprophen once they get back home.
- Care for Dressings: One may remove the gauze and clear plastic, which are placed over the small cuts, a couple of days after the surgery. The skin that surrounds the incision might have a reddish tinge and look bruised, which can last for few weeks.
- Restrictions related to Activities: There are no real restrictions with regard to the resumption o regular activities. A child can go back to school as and when he or she feels totally comfortable.
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