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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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Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain weight. Note:we are frequent telling from Chennai to Bangalore is that also a reason for her poor growth?
Sir/mam, what in homeopathy can I give to my son as nutritional supplements on daily or weekly basis to develop my child s healthy both physically and mentally.
Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible.
Why to worry?
Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem.
When to worry?
Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys.
What causes growth failure?
Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy).
How can I improve my child's growth?
Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth.
What can be done if my child is very short?
Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease.
If you wish to discuss about any specific problem, you can consult a Endocrinologist.
My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes in left lobe of thyroid. Features suggesting colloid nodule.
My 3 year old is sick with a temperature of 100 Degrees she can not keep anything down including Liquids. What should I do?
How to handling my child in health and food and all kind of life and tell me how to take care my wife health after born baby.
Hi my 17 months old son fell on floor and his head struck on edge of chair. Immediately I noticed a bump on his forehead and also there was a vertical blue line in the middle of bump. He cried for few minutes. After that he was busy with his toys. He did’t vomited or anything. Now after 4 days there is still swelling on that area but lesser than before and that area is soft. He did’t feel any pain on touching it. Is this swelling normal or I should go to doctor.
I had 6 month baby & from last two -three days he is having watery stools. We are giving him cefixime & vizylac drops. Kindly suggest what to do.
She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she know that she is getting better. She had period of 5 days last month. please tell me the all symptoms of getting better.
Not eating well, and always drinking soft drink everyday causes eating disorder right? Then eating disorder leads to hormonal balance. Which causes breast tenderness, nausea, abdominal pain, dizziness (sometimes) hungry or craving, unable to breath properly, irritated, depression, urinating frequently w/ small amounts, skips menstrual period, bloated tummy, cannot sleep well, always farted gas out and suddenly just feel cold? Right? Plsss help. Just type in YES OR NO and a explanation! pls.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
Bed Wetting is a phenomenon in which a child urinates, involuntarily, on bed when fast asleep at night.
A. The Secret Problem
A child gains bladder control at night, but it varies with age. After attaining the age of five, 15% of the children continue bed wetting and after the age of 10, only 5% are found to be still bed wetting. The incidences of bed wetting in boys are twice as compared to girls. Bed wetting can often lead to extreme embarrassment and social awkwardness for the parents. For parents to deal with such inevitable child problems, they must know the causes that lead to bed wetting.
B. The Bedwetting Gene
Your own DNA may be the chief contributor to your child’s bed wetting; research states that in 75 percent of the cases, this problem is found to be hereditary. However, parents should deal with this problem with sensibility and sensitivity, so as not to alienate their children in any way.
- Delayed Bladder Maturation: In such cases, the communication between the bladder and the brain is delayed.
- Lower Anti-Diuretic Hormone (ADH): Inadequate secretion of such hormones causes the kidneys to produce lesser urine during the day, thus increasing chances of bed wetting at night.
- Deep Sleeping: With deep sleeping, the brain fails to get the signal that the bladder may be full.
- Constipation: With constipation, the problem is that there may be uncontrolled contraction of bladder due to the bowels being full all the time.
When is it a concern?
There is nothing wrong with bedwetting during childhood, especially when the child is less than 2 years of age. However, it might be a concern if the child happens to gain bladder control at night but the condition relapses. Also, if psychological stress happens to be at the root of the child’s bedwetting, it could be considered to be a cause for concern.
Homeopathic treatment for bedwetting in children
Homeopathy is a very effective natural treatment for enuresis. The homeopathic remedies for bedwetting are perfectly safe. These natural homeopathic remedies do not have any side effects at all. Safety of the medicines is a major issue when you are to give any medicine to your child. Therefore it is of utmost importance that the medicines should be completely safe. Homeopathic remedies are known to be perfectly safe and have been tried by millions of patients all over the world over the last 2 centuries.
5 Best Homeopathic medicines for bedwetting in children
Homeopathy has been found to be very successful in treating bedwetting. The aim of Homeopathy is to strengthen the nervous system of the body. This allows the child to gain control over the urinary bladder. The same child who had been urinating in the bed for years is able to keep the bed dry within a matter of a couple of weeks. Homeopathy offers the best way of treating bedwetting. The embarrassment of the child as well as the parents vanishes quickly like magic. Here are the 5 best homeopathic medicines for bedwetting that help in working this magic-
- Acid Phos
It is important to mention here that the above mentioned 5 best homeopathic medicines for bedwetting are by no means the only medicines for bedwetting. There are many other medicines that are also used to cure enuresis. The exact selection of the right medicine depends upon the detailed symptoms of each individual patient. So, it always recommended to consult a specialized homeopath before going for any medication.
- Ensure that your child urinates right before hitting the bed.
- Limit your child’s fluid intake after having a thorough discussion with the doctor.
- Set an alarm for the child to wake up and go to the toilet in the middle of the night.
- Bladder stretching exercises increase the bladder’s capacity and thus the quantum of urine that can be held by the child’s bladder.
- Medications, as would be prescribed by a pediatrician.
- Use a plastic sheet over the bed.
- And finally, don’t panic. Usually, the problem resolves on its own.
Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.
Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.
Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.
Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.
Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.
Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..
Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.