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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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Hello doctor my baby has not passed the motion for past three days. He s taking semi solid food like rice kanchi nestum rice n dhalwater along wth mother milk. Is it normal or it constipation. He s four months old baby. Pleas advice me. I'm really worried.
Please suggest some solution which can used for cough n cold for 2 months infant. So that it can used in nebulizer .also suggest home remidy we can use it.
Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.
My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.
My baby is 5 months old abd exclusively breast fed. I have to join office in one month so have started giving him bottle but he does not suck it. I am giving him lactogen 1. How can I help him?
My daughter is now 13 month old and still weighs 9 kg only. her appetite is also very poor does not likes spoon feeding at all her birth weight was 3.28 kg. please tell me what do I do?
1. Limit your child's consumption of sugar sweetened beverages
2. Encourage the consumption of fruits and vegetables
3. Eat meals together as a family as often as possible
4. Limit eating out especially at fast food restaurants
5. Adjust portion sizes appropriately as per their age
6. Limit TV and computer time to less than two hours.
My nine year old boy weighs about 27kg and he looks very slim. Even after having balanced diet he is not gaining please help me specially any nutritionist or dietician. He is bit hyperactive and dont like resting. He is too active.
My daughter is 2 years old girl. She eats idli, 2eggs, apple juice, moosambi juice, vegetable soup, rice with any curry, 2 banana, 3 times pasteurized milk; and some biscuits and chocolates. But she is very thin. List what should included in her food items. She is very thin how to becom fat?
Rheumatic fever is a kind of autoimmune ailment that can occur as a result of group A streptococcal throat infection leading to inflammatory lesions in the connective tissues of the body. This disease specifically affects the joints, heart, blood vessels and various subcutaneous tissues located all over the body.
History of the effects of rheumatic fever:
The disease has been evaluated and depicted since the 1500s, though the connection between the rheumatic fever, and the throat infection was not found out until it was late 1880s. And the sore throat was also related to the rash, which is caused by streptococcal exotoxins, along with fever. Rheumatic fever was one of the leading causes of deaths in children as well as one of most common reasons behind the acquired heart diseases in adults before the invention and availability of penicillin.
Reasons behind the causes of rheumatic fever:
Even though adolescents and adults may be affected by the rheumatic fever, it mostly affects children aged between 5 to 15 years. It is a common disease in areas like South-Central Asia, sub-Saharan Africa and several parts of New Zealand and Australia. Group A streptococcus bacterium is the primary cause of this fever, and it also leads to scarlet fever in some people. It makes the body attack its own tissues once it has been attacked by the bacteria. This particular reaction leads to widespread inflammation throughout the body and forms the basis of all the common symptoms of the rheumatic fever.
You may have to take your child for the strep test if you notice any of the following symptoms:
- A sore throat and red rashes all across or in certain parts of the body.
- If your child has tender or swollen lymph nodes that are causing difficulty in swallowing.
- Tonsils that are filled with pus or red and swollen.
Harmful impacts of the rheumatic fever:
Developed mostly due to strep throat infection, it can affect the heart, skin, joints and nervous system of children. Though it may not affect all who have gone through a strep throat infection, it can lead to long-term diseases of the heart and its valves and is termed as a rheumatic heart disease. Since each attack of rheumatic fever may cause further damage to the heart, it is very crucial to make sure that your child doesn’t have one more attack of the fever, and it is therefore, important to have regular doses of penicillin injections and consult a specialist for receiving further advice on treatments and prevention.
My baby is 1 month old. Should I give her gripe water or mugli ghutti 555. Is these medicines are safe and useful for infants.
Loving our children in a real way:
- Loving my daughter/son comes so easily when
- She/he wins a competition,
- Gets high marks,
- Listens to me,
- Keeps her room clean,
- Finishes her food,
- Pays attention while studying,
- Sleeps on time,
- Never raises her voice and
- Practices dance/singing/drawing without me reminding her.
That's the easy way to love.
However when I look back at my childhood I realize that the moments I really wanted love badly were when
- I scored less marks,
- Failed in a competition,
- Couldn't fall asleep,
- Didn't feel like studying,
- Wanted to laze around,
- Didn't finish the tiffin,
- Didn't complete homework,
- Forgot an important assignment,
- Fought with a friend,
- Had a heartbreak,
- Committed a mistake,
- Felt guilty,
- Felt lonely.
These were the moments when I needed my parents the most, I needed their assurance that it is okay to be human, to fall, to get hurt and what I wanted to listen in those moments was" I know it hurts, but i'm here with you. Maybe we can't do anything about what happened, but i'm here with you. And I love you for what you are, always"
This is real and unconditional way to love!
Yes I wanted to hear" I love you" loud and clear. It was the only thing that could heal my heart. Love!
It's the moments when we lose control of ourselves that we want someone to hold us, isn't it? you don't need to be perfect. Just be real!
Do you chose love the easy way or the real, unconditional way?
Today no matter what your child does, choose love and see how it heals you as a parent.