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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 8 year old daughter has suddenly started burping a lot in the past few months. It started happening over past 8 to 9 months. She is also having gastric problems. Please advise. Thanks.
My 2.5 months old daughter has started gaining bumps on her face. Doctor recommended to apply mometasone cream on her face twice a day. But little bit confused as some say they should be applied on skin of kids older than 2 years. Any help will be appreciated.
Doctor prescribed Cefixime syrup dose of 2.5 ml per day for 5 days to my daughter, however, mistakenly I bought Cefixime Drop and I was giving 2.5 ml of that drop since last two days. As only 2 more doses of medicine were left in the drop, I bought Cefixime Syrup now. To my surprise I noticed that concentration of Cefixime is different for drop and syrup i.e. 1 ml of drop has 25 mg cefixime and 5 ml of syrup has 50 mg Cefixime. Please advise whether that higher dose of Cefixime can harm my baby. If so then what should I do now.
My son have constant problem regarding the stomach worms we have used the available medicines in market but after some time the same problem persist please give me some suggestions.
My baby is 4 month old, he is suffering to do laterine. Doing 2days once. Request you to suggest wht needs to be done. I am feeding so do I need to change in food.
My daughter is 13yrs old now and studied on class eight in an english medium coed school. The main problem she is moody, if her mother telling something to do, nobody confirm that she will do or not. She have long hair, but donot wants to wash with shampoo twice in a week. Summer season her mother said to clean bath at least two times daily, but she avoid her mother. She is fatty and her body always wet, then getting a bad smell from her body. Her mother always kept her cloth and dresses clean. I feel her poolcar students not agreed to sit beside her. But she make style in hair, and make changes her cloths daily. Why she scared to take a simple bath with clean wash. She will do shampoo after 07 to 10 days.
Hi. Doctor my son is 3 month old. since he was my wife does not have enough milk to feed him so I use to feed him lactogen no. 1.but now he don't want to have /feed the lactogen no. 1.any more .I can't force him to have to feed so what should I do now should I go to hospital or let it go .I need your help.
Hi, My son is 18 month old and had chicken pot vaccination today after few hours of vaccination in his right hip his right hand also not moving well. Is the same a relevant after vaccination impact?
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.