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Adolescent Problems Treatment
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Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
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Treatment of Child and Adolescent Problems
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Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
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My baby was born premature at 32 weeks and had sepsis. She is now 1.y months old. The OAE screen has come refer twice however the baby responds to sounds of rattles and music when she cries and we use rate she goes quite. Please suggest if she has hearing issues.
Diet plan for DM and HTN
Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable.
As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats.
General instructions to be followed:
Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed.
Whole grain cereals are better, preferred for their fibre content and satiety value.
Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water.
When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it.
Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious.
Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided.
Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking.
Egg yolk has to be avoided by individuals with hyperlipidemia.
Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption.
Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.
Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition.
Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list.
Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc.
Use of coconut and its products must be minimized.
Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally.
It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged.
Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets.
Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases.
Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart.
Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account.
Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels.
Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed.
Include foods from all the different food groups and thus consume a balanced diet.
Regular exercise is most useful but physical strain after a meal should be avoided.
Free foods (can be included liberally)
Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc.
Foods to be used in moderation.
Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc.
Foods to be avoided by diabetics.
Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc.
Roots and tubers like potato, tapioca, yam etc
Butter, ghee, dalda and fried preparations.
Horlicks, bournvita, boost etc
Fruits like jackfruit, banana, mango, sapota etc.
Dry fruits and nuts
Barley water, rice water etc.
Cholesterol rich foods (to be avoided by cardiac patients)
Whole milk and milk products
Shellfishes like prawn, crab, lobster etc.
Organ meats like kidney, liver, brain etc.
Chicken, duck with skin.
Sweet like pastries, ice creams etc.
Butter, ghee, dalda, coconut oil, palmoil
Fried foods like vada, chips, pappads, samosa etc.
Alcoholic drinks, creams soups etc.
Fiber rich foods
Whole wheat, parboiled, sago, oats etc.
Fenugreek and sesame foods
Vegetables and fruits (with skin)
Fresh coconut etc.
Sodium rich foods (to be avoided by hypertensive patients)
Salt (avoid extra salt in food and table)
Baking powder, baking soda, ajinomoto etc
Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc.
Salted chips, nuts, popcorn etc
Pappads, pickles, dried fish etc
Canned and salt preserved foods
Sauces, soup cubes
Sausages, lobsters, meat and yeast extracts
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc
My daughter is nine months old. She doesn't take any food properly. She feels like vomiting n does vomit too. What should I do!
Hi Feeding interval to follow in order to feed my 1 month son. Currently we are feeding him 3 to 4 hours interval.
My two month old kid stool, urine and feeding all are normal. He mostly dry cough at night. Doctor prescribed me maxtra and ambrodil lx. I gave him saline drips also. Please advice.
SIR MY BABY BOY IS ABOUT 3 MONTH OLD ,HIS MONTH WISE VACINATION JUST GO FINE , HIS NEXT DUE DATE IS 4TH MARCH ,BUT I WANT TO GO IN 1ST MARCH DUE TO SOME WORK, IS IT RIGHT OR 4TH MARCH IS RIGHT FOR BABY,KINDLY SUGGEST
Hello their I want to know that is rota vaccination is must for infants. Can't we give the vaccination at a age of 5.
I am 26 year old mother with two month old daughter. I am breastfeeding my daughter. But it seems milk is not enough for my little one. So I am giving her lactogen 1 once in a day in spoon. As she is not taking bottle feeding. Whenever I try to feed in bottle, she vomits. Please tell me the reason for refusal of bottle nipple by my baby? And please suggest any other idea?
My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithral. But in morning on an empty stomach after drinking water he gets vomiting. Pls help.
Is it okay if I give cow milk to my daughter? She is 10 months old now. And wat all things I can add in her daily diet?
Hello my son is 2 years old and his weight is 8. 5kgs I am veg I don' t want to give him any non veg food not even eggs but many people around me suggest me to give eggs so could you tell me it is really help me or is there any equivalent food for high protein?
My child is 2.6 years old, but he is 10. 6 kg.And he does not like to eat anything. Can you please suggest how can I improve his appetite? Moreover he is always suffering from cough cold and constipation. Please guide.
I have a daughter of 4 months who has polystic kidney diseases, can you please tell me what is the permanent solution for this problem?
My one month old baby boy cries a lot throughout the day and sleeps well in nights. His weight gain is normal and looks active. Giving breast feed as well as formula. May I know why cries so much and how can I sooth him.
Seizure is a sudden change in behavior that is the consequence of brain dysfunction.
Approximately 0.5–1% of population has epilepsy.
ome seizures are provoked i.e. that occur in the metabolic derangement, drug or alcohol withdrawal and in situations like acute paralysis or acute encephalitis. Such patients are not considered to have epilepsy because these seizures would not recur in the absence of the provocation.
Less than 50% of epilepsy cases will have an identifiable cause such as head trauma, brain tumor, paralysis, infection, brain malformation etc.
Having one seizure does not always mean that the patient would always get a seizure.
One episode of seizure may not require treatment.
Hospitalization is required in the first seizure only if it is associated with prolonged post seizure altered level of consciousness.
Patients with unprovoked seizure may not be allowed to drive for some time.
In children, seizure can occur with high grade fever.
In adults, the first episode of seizure may be due to worms in the brain. In such a situation, it may be necessary to do an MRI test.
A patient with seizure can get married, live a normal life and produce children.
It is a misnomer that during a fit you need to make the person smell a shoe.
During epilepsy, never put the fingers inside the mouth of the patient as you could be bitten. Use a spoon instead to prevent tongue bite.
A patient with epilepsy fall will have stiffness in the body; on the contrary, patient with cardiac loss of consciousness will fall loose.
A seizure that lasts for more than 5–10 minutes requires specialized attention.
When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.
What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.
Causes: Though still not exactly established, some things that are believed to cause colic include:
- The baby's digestive system that is growing and goes through spasms
- Extreme sensitivity to noise and light in the surrounding environment
- Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
- Hormones that are supposedly affecting the baby's moods
Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.
- Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
- Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
- Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
- Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.
Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.