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Treatment of Child and Adolescent Problems
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My daughter born on 02 august 2016, preterm, 36 week 6 days, 1.92 kg. We are bottle feeding her expressed milk since she would not direct breastfeed. After 15 days, we gave her 1 feed of formula after which she threw up after 2-3 hrs. Since then she vomited 2-3 times continuously. And at 4th feed, she is hungry like anything but refuses to take feed by bottle or spoon. She spits milk from her throat and does not swallow. Before this issue, she used to take expressed milk by bottle by had only hiccups after feeds. Please help.
Dear All, you are requested to suggest me that my baby boy is one years old and he is 8.5 kg only. How can grow his weight and health please advice me it my kind request. My child is not drinking milk any drop. Regards
My daughter age 6 suffers frequently with allergic cough, doctor gives anti-allergic drugs like-montair, levo cetrigen, asthalin, please suggest.
She originally was diagnosed in childhood with a whole in heart, then itself vsd was got closed, now she is 11 years old and her weight is 27 kgs. Doing well. She is shuttle badminton player, she is strong enough but she is lien, which food can be given to her to become a little stout.
Q. Hi Dr. my daughter is 20 months old but speaks only a few words that too when she is in a mood. She follows every instruction and understands whatever we are saying. I tried everything from reading to rhyming. She points to the objects, fruits and animals in her book but doesn't speak. She also points body parts. She only says words like shoes, mamma, baba, toes, do, nose, eyes, kha etc. She is otherwise very active and doesn't want to sit for a moment. Do I need to worry or wait a little more?
I gave wheat rava today 1st time to 11 month boy baby. He is doing loose motion now at one time. Is not safe to give him. How?
We all got together to indulge into our favourite foods this holiday season, where platter overflowed with sweet, spicy and acidic foods. However, when it comes to teeth, sugar isn’t the only culprit that cause tooth decay. High levels of acid in everyday foods and drinks are equally harmful. Lemons to wine, high-acid foods and drinks erode your teeth, causing decay, sensitivity and discoloration. But that doesn’t mean you have to strike all acidic foods and drinks from your diet. The way you consume these items can lessen their damage on your teeth.
It is a type of tooth wear where, the protective surface of your teeth or the enamel wears away exposing the underlying material, called dentin. This leaves your tooth vulnerable to tartar, plaque and bacteria, which cause decay.
Causes of tooth erosion:
Calcium is a key ingredient in building strong teeth. Unfortunately, exposing your teeth to acid can leach calcium from your enamel, causing this protective surface to break down. Foods which have Ph. below 5.0 to 5.7 are acidic. This acid can come from many sources, including the following:
· Carbonated drinks. All soft drinks, including “diet” options, contain high levels of acid that can easily dissolve your enamel.
· Wine. Whether you choose red, white or rosé, drinking wine will soften your enamel.
· Pickles. Which are traditionally seen in an Indian platter
· Fruit juice. The most acidic options include lemon, cranberry, orange and apple.
· Citric fruits. Snacking or sucking on lemons, oranges and limes can wear down your teeth.
· Candy. No sugary sweets are good for your teeth, but you should pay extra attention to avoid sour gummies and candies.
· Sugar. Even though sugar itself does not contain high levels of acidity, it promotes the growth of acid-creating bacteria in your mouth, creating an acidic environment.
· Stomach acid. Vomiting and reflux also can cause serious tooth damage when stomach acid comes into contact with your teeth. If you suffer from an eating disorder, acid reflux or a related condition, seek professional help.
Signs of tooth erosion
Acid wear may lead to serious dental problems. It is important to notice the signs of tooth erosion in its early stages (sensitivity and discoloration) before more severe damage occur, such as cracks, pain and decay.
· Sensitivity. As your teeth’s protective enamel wears away, you may feel a twinge of pain when you consume hot, cold or sweet food and drink. As more enamel is worn away, teeth become increasingly sensitive.
· Discoloration. Teeth can become increasingly yellow as the thinning enamel layer exposes the underlying dentin.
· Rounded teeth. Your teeth may have a rounded or “sand-blasted” look.
· Sharp edges. You might notice thinning of teeth with sharp edges which might cut your tongue and cheeks.
· Transparency. Your front teeth may appear slightly translucent near the edges.
· Cracks. Small cracks and roughness may appear at the edges of teeth.
· Cupping. Small dents may appear on the chewing surface of the teeth, and fillings may appear to be rising up out of the tooth.
What you can do to prevent tooth erosion
Follow these tips to reduce the effects of acid on your teeth.
· Eating higher pH. Food alongside. This helps in lowering the acidity. Includes food like nuts, cheese, oatmeal, mangoes, melons, banana, apples, eggs, vegetables, brown rice and whole grains.
· Eat with meals. Instead of snacking throughout the day, save acidic foods for mealtimes. This will reduce their contact with your teeth and help neutralize the acid by eating it with other foods.
· Wash down with water. Sip water alongside or after the acidic food or drink to wash it out of your mouth.
· Use a straw. While having acidic beverages, reduce their contact with your teeth by using a straw and finishing the drink quickly, instead of sipping over a long period of time.
· Say no to bubbles. Swap out carbonated drinks with water, milk or tea.
· Wait before brushing. Acid softens your enamel, so brushing immediately after eating or drinking high-acid foods or drinks can actually cause damage. Wait at least half an hour and then start brushing. In the meantime, you can always rinse your mouth with tap water.
· Quit smoking. Studies have showed that smokers are more prone to acidity leading to acid reflux and teeth erosion
· Professional help. See your dentist twice a year for dental cleaning and oral screening.
· Sugar free gums. Chewing on sugar free gums increase the saliva flow which, neutralise the acid and help the teeth to stay strong.
My daughter is two and half year old. From around month I'm observing white patches on her face. She eats fruits and food properly. She has dandruff problem can that be the reason of white patches on skin & any other deficiency?? please guide.
You would have noticed that your child who was so eager to help out and please you earlier is no longer responding to you that way. They must be teenagers! Don't despair.Its natural and healthy for them to break away emotionally from their parents at this age. This will help them to become well adjusted adults. Here's how you can give them their space, yet gently guide them during this phase.
1. Give children some space: Giving them a chance to establish their own identity, giving them more freedom, is essential to help them establish their own place in the world. But it doesn't mean that if your child is moving around with a bad crowd or doing drugs you don't say anything. Let them explore and experiment with things that are not very risky. Eg. Catching a bus, auto. Going out with friends to a mall, going for tuitions on their own etc.
2. Choose your battles wisely: Don't lock your horns with them over cleaning up, sleeping late, coming back 1 hour late etc. Save your enquiry for more serious matters like permanent tattoo, going out late into the night and not keeping you informed, bad company etc.
3. Invite their friends over for a meal: It helps you to see who your child is meeting with and also to send a message that you are not rejecting them outright without any valid reason. Children see it as a mark of respect and fairness when you meet and talk to their friends. Also it helps them to see how their friends talk with you. Outright rejection of friends can bring on huge aggression and antagonism.
4. Decide rules and discipline in advance: If it's a 2 parent family, then it's important for the parents to have their own discussions first and come to a common consensus about what is acceptable and what is not. What will be the consequences of not following through with what was earlier negotiated. Remember that Consequences need to be discussed with your child too and should be fair for him/her.
5. Talk to your teens about the worst case scenario: whether it's taking drugs, pre marital sex, driving rashly or running away.The kid must know the worst that could happen. Let them see movies which showcase this as they get impacted by visuals more than dry conversations.
6. Tell them that you are available: When kids start experimenting and taking risks, they can land up in sticky situations like out of pocket money, a flat tyre, friends not showing up, not getting what they expected to happen. Let them know that you are available no matter what. Give them your confidence and trust. Teach them how to think of options if stuck in a bad spot. Tell them that you will come and pick them up if they can't come back on their own.
7. Keep the communication lines open: Don't instruct or interrogate them. Talk and share with them about your own life. Even a difficult day at work. This teaches them that's it's ok to talk to you even if something has gone wrong. Don't judge them. And if they are not ready to talk just then, then let them know that you can wait and you know how it's like to have a bad day.
8. Let them feel guilty: This is a hard one for some parents who come on too quickly to protect their children from feeling guilty when they have done something wrong. If your child has hurt someone or done something wrong, then it's important that they know how to deal with guilt. It's healthy to have some guilt rather than no remorse or guilt at all. This will help the children to stay within socially acceptable behaviours and norms.
9. Be a Role Model: Your actions are more noticed than your words! Your role will be important in helping them become morally, socially and ethically grounded person. If they have a healthy role model from early childhood, then it's less likely that they will take bad decisions as a rebellious teen.
If you find this useful and want to know more, then click on private chat. Happy Parenting.
Healthy eating gives kids the energy they need for their busy days.
Here are some great ways to make it easier.
Breakfast is important: it can be up to 12 hrs since their last meal, so kids need to refuel for the day ahead. Give him healthy choices like cereal and reduced fat milk, toast, fresh fruit, eggs on toast, juice and reduced fat yoghurt.
Water works: get kids into the habit of drinking water to keep them hydrated throughout the day.
Snack smart: encourage your kids to take an interest in their health early in life by planning their own healthy snacks-this will help them look for a healthy diet when they get older.
Get cooking: food is not just about good nutrition; it's one of life's great pleasures. Transform your kids into young cooks-even young children can help peel carrots, pod peas, great cheese, put together tacos or design their own healthy pizza toping. If they've helped make it, they'll be more likely to enjoy eating it.
Slow and steady: encourage them to eat slowly. This prevents overeating and helps them recognize when they're full.
Eat at the table: eating snacks and meals sitting down at the table or kitchen bench instead of in front of the tv is good habit for the whole family.
Get a balance: variety and balance are the keep to helping a child enjoy a healthy diet. Aim to eat a variety of foods each day (this depends on the age of the child) including fruit, vegetables breads and cereals, lean meat or fish and reduced fat dairy products.
Tasty exploration: encourage kids to try different food. Exposure to lots of different tastes and flavours adds excitement to meals.
9 years boy use to sleep heavily and also he is not so active. Suggest me what to do. His daddy is fits patient he also eat anything which ever sees even gulabjamun mix and also like roasted gram or cooking grams etc etc what is the remedy for this kindly suggest me.
Admitted and discharged with pneumonia,urine infection,fluid still swells the leg repeatedly with pain from ankle to weist,77yrs male,more platelet counts also which is getting monitored through med,since 2months,follow up with dr done,no proper result,pl suggest,no more insurence.
A little more about Weaning:-
Weaning can be defined as a process where there is a gradual transition from an infant's diet to a fully grown adults diet. Weaning is considered a period of complementary feeds, which helps an infant to establish a better connection with food. Weaning can also be considered as a process of developing infants taste buds. Weaning should always be introduced after 6 months of exclusive breastfeeding (from birth to 6 months).
Since the entire process of weaning takes a lot of patience and perseverance, mothers are expected to be creative to bring the best introductions in her child's menu. It is more of a trial method for the new mum, as it helps her govern a basic taste of her tiny tot.
Below are some points which can benefit both the new mum and the baby towards effective weaning.
Points to be kept in mind for a fruitful weaning:-
- Feed only supple or soft foods:- To avoid the potential risk of choking, which can be common with the foods like apple, grapes, nuts, popcorns, The rule here to follow is to make sure that the food fed, should be soft enough to get mashed between the finger and the thumb. It becomes very important to go choke free. One can conveniently start with blends.
- Offer purees and nutrient dense meals:- Weaning should be a gradual and relishing process and purees play a vital role in resetting the overall process since they are loaded with important nutrients and are also easy to digest, they can be an ideal meal to begin for the growing infant.
- Diversify the baby's prospect as a part of growing:- Babies like to see the world as a process of constant change and learning. Including wide varieties of mild herbs like basil, turmeric in his daily weaning diet, will help in developing a stronger immune response.
- Discourage the use of salt, sugar and honey all together:- Do not encourage the use of salt and sugar till the baby turns one. They can prove to be very heavy on the baby's tiny developing system, without contributing much on a nutritional front.
- Go slow and enjoy the overall process :-Considering this period as a time of bonding with your baby, by doing so you will be able to help your baby attain a healthy, positive and fun loving rapport with the new mum and the food, which will last with the baby for rest of his life. By any sort of force feeding involved, baby can get rebellious and might never want to have food at all.
- Encourage self-feeding:- By encouraging it, the baby will eventually learn the process of self-feeding. Self-feeding will help the baby to have a better grip over fine motor grip and also help him be more independent. Self-feeding should be monitored under vigilance and allow baby learn self-feeding by himself, in spite of some futile attempts.
Weaning should be a gradual, happy and a positive process, which should be initially done at a turtle pace. It should evolve as a learning process for both mother and the baby since that will help them to establish a better understanding and connection with the food habits. Weaning can sum up to the benefit of new mum by attaining a better understanding towards baby's food preferences.