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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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Asthma is controllable and not curable, as it is due to chronic inflammation of air tubes which lead to hyper responsiveness of airways to external factors. It may go into remission. Use of laba and ICS combination by inhalation with spacer in most cases is able to control symptoms of asthma that is wheeze, chest tightness, cough and breathlessness. Once the symptoms are under control, then patient can take maintenance dose of ICS by inhalation with spacer to keep the inflammation in the airways under control. Avoid tigers of asthma like extreme of temperature change, dust, smoke, pollution and allergens.
My nephew is suffering from hypoglycea? He had low sugar at birth time, now he is unable to see, sit, stand, walk. Can he be OK ever or not? If yes then how? Now he is 4 years old.
I have a 3 months old baby girl. What should be the supplement for breastfeeding whenever required. Does cow's milk is safe to give? If formula milk then specify the brand please. Thanks.
All children from time to time will cling, shout, throw, resist, complain, argue and do not listen to their parents or teachers. Though they are normal, they can be upsetting to everyone around. They become problematic when they increase in severity, intensity and duration that is typical for the age of the child.
Usually they starts at around 1.5 years age and stay till 4 years of age.
WHY DO THEY HAVE TEMPER TANTRUMS
1.They get angry if they do not get what they want.
2.They want to control their lives.
3.They have not learnt effective skills to get what they want.
4.They learned from parents who show temper outbursts.
HOW TO PREVENT TANTRUMS
1.Praise the child for his/her good behavior
Give extra attention whenever child behaves well. Give him a hug and praise him. For example - when a child has put his shoes in place, instead of ignoring it, acknowledge it and praise him saying “Wow, that’s like a good boy. You put your shoes in the correct place. Wonderful!”
2.Encourage the child to use words.
For example - If he wants something, tell him to use words like ‘i want food/ i want this toy’ instead of screaming.
3.Also see whether they are eating and sleeping well.
4.Identify triggers -
For example, Are they hungry or tired? sometimes even when the parent is busy, a child can throw temper tantrum to gain attention.
After a long day of work, instead of directly going to make dinner, the parent can go give the child a hug and spend some quality time.
5.Give signals before ending an activity
For example - say “You have 5 more minutes before I switch off the TV” instead of switching it off suddenly.
HOW TO HANDLE TEMPER TANTRUMS
1.Remain calm and do not argue with the child - Before managing your child’s behavior you must manage your behavior (sometimes children learn from parents who show anger outbursts and learn to shout and scream). Shouting at the child will worsen the child’s behavior.
2.Think before acting and count till 10 if you are frustrated - and then think about the source of child’s frustration.
3.Come down to the child’s eye level - and say ‘you are starting to become hyper, calm down’
4.Distract the child - by asking them to focus on something else. For example say “let’s read a book or let’s go for a walk”
5.Ignore the tantrum - if it is to draw your attention. After the child becomes calm, show him attention.
6.Hold the child who is out of control - and who can harm him/herself. Tell the child that you will let him or her go only when he or she calms down. Reassure the child that everything will be alright.
7.Hug your child who is crying - and say that you love them but the behavior should change. Reassurance and hugging will always be comforting to the child.
8.Talk to the child after the child has calmed down - Talk to the child about his or her frustration.
Try to teach the child how to interact with a friend or sibling or parent and ask for what he or she wants.
Tell them how to express his or her feelings with words and recognise the feelings of others also without hitting and shouting.
Tell them the better ways to get things that they want.
Tell them that we all have anger within and also tell them how to appropriately express it.
9.Never give in to a tantrum - If you give in once the child will get used to it and his tantrums will increase more.
10.Do not let the tantrum interfere with your relationship - with your child.
Consult a professional if the tantrums are increasing even after 3.5 years of age or if there is self injurious behavior, depression, injuring others, low self esteem etc.
My daughter is 2 years old and she is reporting for stomach pain even even she is affected with constipation. Pls suggest for remedy.
Chronic abdominal pain in children or recurrent abdominal pain is a multifactorial condition which may be the predominant clinical manifestation of a large number of NON ORGANIC DISORDERS, and rarely associated with ORGANIC DISEASE. The onset age is 4 to 6 years and ealy adolescence,with slight female predominance.
According to Rome Criteria.a symtom based diagnostic criteria,recurrent abdominal pain can be divided into 5. FUNCTIONAL GASTROINTESTINAL DISORDERS, FUNCTIONAL ABDOMINAL PAIN SYNDROME,IRRITABLE BOWEL SYNDROME,FUNCTINAL DYSPEPSIA and ABDOMINAL MIGRAINE.
A successful treatment of FUNTIONAL GASTROINTESTINAL DISORDERS may include modification of physical and psychological stress factors,medication and dietary manipulations.
DR MOOL CHAND GUPTA