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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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Hello dr, my 7 months old son. Me usko koi bhi drops nahi deti, calcium, vitamins ke. Lekin sub muje kehte ki calcium ke or vitamins ke drops to dene padte he. Kya ye jaruri hai. Or kone drops me usko du. Or mere son ko abhi tak teeth nahi aaya hai.
Need a diet list for 15 year old boy. The list should be of north indian food and it should be routine Monday -friday.
Hello dear doc. My13 year old daughter (not pubic now, her ultrasound is ok) faint twice at school while playing in hot day. We haven't seen any symptoms of fits but as she awake after half an hour our doctor suggested test of vitamin d, EEG,MRI. After test vitamin d level show 25 in report MRI normal, EEG abnormal so neurologist suggest medicine. But before started it ,we again did EEG from other famous diagnostic centre but dis time EEG report is normal. It's really surprising in 5 days. One report shows abnormal other shows normal. Now being a mother I am really confuse. Wat to do or. Not to do.
Hi Sir/mam, last 2 days my 3 month baby refused milk. Usually she drunk 3 oz but now She drinks 2 oz that also she refused .I will give force to give her that 2oz. Is it OK? Or any health problems? please tell me. She takes only formula milk.
I am feeling that I am somewhat special, if I go in front of mirror, I start to think who is she, my parents are not mine, every thing which is mine it's seeming that it's not mine actually. These type of feeling actually effecting me. what should i do ?
Baby is 1 month old now and Need remedy for rashes at bottom part .cries to much whenever pass gas and stool .not able to sleep properly from past two week.
Which milk substitute to be started for baby of 6 months along wih mother milk. Is toned milk better or nan / lactogen etc?
The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.
How Does this Condition Impact Childhood?
Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.
How do you identify this condition?
Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.
They may display signs like:
- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping
Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.
Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.
On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.
If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma. If you wish to discuss about any specific problem, you can consult a psychologist.
Meri 2 saal ki beti h. Ye abi b feeding krti h bahut kosis kr li chhudane ki. Dudh b nhi aata ab to lekin ye chhodti hi nhi h.or waisa dudh ye piti nhi. Pllz koi trika btaye.
My baby's dob-09. 04. 15. After born his eyes are looking yellowish, so dctr treat him in light. But after that his eyes are yellow now, so what so to do ?
My child age is 49 days. We had forgotten to give the first dose of immunization vaccine at the time of birth because he was premature baby. Later it was given at the day of 35. Now, when will we give the second dose of immunization?
How to reduce a fever in babies
A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.
Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.
The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.
When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.
Baby fever guidelines as per the American academy of pediatrics (aap):
Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.
In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.
Here are the top 10 ways to reduce a fever in babies.
1. Cold compresses
As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.
Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.
Note: never use very cold or ice water, as it may cause the internal body temperature to increase.
2. Lukewarm bath
A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.
For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.
Note: never use very hot or cold water, as it may cause the internal body temperature to rise.
3. Breast milk
For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.
Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.
Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.
4. Give more fluids
For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.
Dehydration may lead to various other complications and delay recovery.
Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.
Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.
5. Keep your baby in a cool place
When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).
If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.
6. Dress your infant comfortably
Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.
Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.
Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.
Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.
7. Foot massage
Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.
Foot massage also helps regulate body temperature.
Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.
8. Apple cider vinegar
For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.
Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.
For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.
Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.
10. Monitor body temperature
Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.
Instead, you can try several ways to take your baby's temperature:
Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.
Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.
I want to increase my toddler 3.6years immunity as every 2nd month he had cold and cough. He has Adenoid also due to which his ear has fluid in it which disturb hearing. Thanks.
Hi sir My kid s 4 years old baby girl. She s having sleeplessness. By birth she s like that. It s very difficult maintain my kid to sleep. Bt she's very active. We also facing like sleeping problem by her. Cani get any ayurvedic medicine for my child.
My 5 y old daughter pratistha is having bilateral hearing loss at 60DB and above which was confirmed in BERA test and she has enlarged adenoids n tonsils as well. But clinically she is well and breathes thr mouth but has sore throat once in a month.
If Joe says “no” to this request, cheerfully tell your child, “That’s okay, Sarah! Let’s wave bye-bye to Joe and blow him a kiss.”
2. Help create empathy within your child by explaining how something they have done may have hurt someone. Use language like, “I know you wanted that toy, but when you hit Rohan, it hurt him and he felt very sad. And we don’t want Rohan to feel sad because we hurt him.”
Encourage your child to imagine how he or she might feel if Rohan had hit them, instead. This can be done with a loving tone and a big hug, so the child doesn’t feel ashamed or embarrassed.
3. Teach kids to help others who may be in trouble. Talk to kids about helping other children*, and alerting trusted grown-ups when others need help.
Ask your child to watch interactions and notice what is happening. Get them used to observing behavior and checking in on what they see.
Use the family pet as an example, “Oh, it looks like the cat's tail is stuck! We have to help her!!”
Praise your child for assisting others who need help, but remind them that if a grown-up needs help with anything, that it is a grown-up’s job to help. Praise your child for alerting you to people who are in distress, so that the appropriate help can be provided.
4. Teach your kids that “no” and “stop” are important words and should be honored. One way to explain this may be, “Smriti said ‘no’, and when we hear ‘no’ we always stop what we’re doing immediately. No matter what.”
Also teach your child that his or her “no’s” are to be honored. Explain that just like we always stop doing something when someone says “no”, that our friends need to always stop when we say “no”, too. If a friend doesn’t stop when we say “no,” then we need to think about whether or not we feel good, and safe, playing with them. If not, it’s okay to choose other friends.
If you feel you must intervene, do so. Be kind, and explain to the other child how important “no” is. Your child will internalize how important it is both for himself and others.
5. Encourage children to read facial expressions and other body language: Scared, happy, sad, frustrated, angry and more. Charade-style guessing games with expressions are a great way to teach children how to read body language.
6. Never force a child to hug, touch or kiss anybody, for any reason. If Grandma is demanding a kiss, and your child is resistant, offer alternatives by saying something like, “Would you rather give Grandma a high-five or blow her a kiss, maybe?”
You can always explain to Grandma, later, what you’re doing and why. But don’t make a big deal out of it in front of your kid. If it’s a problem for Grandma, so be it, your job now is doing what’s best for your child and giving them the tools to be safe and happy, and help others do the same.
7. Encourage children to wash their own genitals during bath time. Of course parents have to help sometimes, but explaining to little Joe that his penis is important and that he needs to take care of it is a great way to help encourage body pride and a sense of ownership of his or her own body.
Also, model consent by asking for permission to help wash your child’s body. Keep it upbeat and always honor the child’s request to not be touched.
“Can I wash your back now? How about your feet? How about your bottom?” If the child says “no” then hand them the washcloth and say, “Cool! Your booty needs a wash. Go for it.”
8. Give children the opportunity to say yes or no in everyday choices, too. Let them choose clothing and have a say in what they wear, what they play, or how they do their hair. Obviously, there are times when you have to step in (dead of winter when your child wants to wear a sundress would be one of those times!), but help them understand that you heard his or her voice and that it mattered to you, but that you want to keep them safe and healthy.
9. Allow children to talk about their body in any way they want, without shame. Teach them the correct words for their genitals, and make yourself a safe place for talking about bodies and sex.
Say, “I’m so glad you asked me that!” If you don’t know how to answer their questions the right way just then, say, “I’m glad you’re asking me about this, but I want to look into it. Can we talk about it after dinner?” and make sure you follow up with them when you say you will.
If your first instinct is to shush them or act ashamed, then practice it alone or with a partner. The more you practice, the easier it will be.
10. Talk about “gut feelings” or instincts. Sometimes things make us feel weird, or scared, or yucky and we don’t know why. Ask your child if that has ever happened with them and listen quietly as they explain.
Teach them that this “belly voice” is sometimes correct, and that if they ever have a gut feeling that is confusing, they can always come to you for help in sorting through their feelings and making decisions. And remind them that no one has the right to touch them if they don’t want it.
11. “Use your words.” Don’t answer and respond to temper tantrums. Ask your child to use words, even just simple words, to tell you what’s going on.