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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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How to overcome bad odour in my 2 and half years old boy's poo though his bowel movements normol everyday.
My grandson is 7weeks old. He is getting rheum and tears frequently. Is this normal or do we have to take up any medications. Please advise.
Dear sir, My daughter is 6 weeks old. Here only OPV, Penta1 vaccines are available. PCV, Rota, IPV is not there. I asked to local hospital they are telling these vaccines are Optional you can skip this. I am bit worried. I want buy these vaccines from Online because in medical shops also these are not available. So I request you to please tell me vaccines name.
I have a 4.5 month old baby and my milk supply has dropped down as I feed him with formula milk. I want to breastfeed him again but he refuses to respond due to low milk supply. Please suggest how can I get more milk so that he breastfeeds again.
Hi doctor My baby girl is 3 months old She had lactose intolorence due to which she had stomach infection n acidic stills and advised to be given zerolac only at 2nd month for 2 weeks and after then she recovered have started bf & zerolac alternatively She is absolutely okie and above healthy have started vegetable soup since a week I want to give her nachni & dal ka paani My concern is can I give And if yes and then how to giv with wat mixture Thanks in advance
I have a girl baby 3yrs old. Recently I find out she is having abnormal heart beat like 120 times/minute. What should I do?
Hi my baby is 3 month and 20 days old. Birthwt was 2.6 kg now he is 5.4 kg. Suddenly he has developed a habit of thumb sucking and from pst week he does not want to feed and sucks on thumb. When I position him to nurse he starts crying and wants to put his thumb in his mouth. earlier he used to feed easily. He is totally on breastfeed so I am really worried about him. What shall I do? He drinks milk while asleep or while standing. please please help.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
What is the best age to start yoga for children? Will yoga help in controlling the Attention Deficit Syndrome in children? How to handle this tendency among children. Kly advice. Tx. Rao
Fluoride treatment is commonly given to children as their teeth are developing. If a child has a history of cavities or are at high risk of decay, he or she should use additional fluoride to promote remineralization. Often children get fluoride treatment done every six months for extra protection against cavities.
Dr Puja Bansal
Prudent international health clinic http://www.prudentdentalclinic.com
My baby is 3.5 month old after feeding after a burp still she remove milk or curdling y is happening also is it compulsory to give injectable polio bcos it is highly not available. And she also has gas issues.
My daughter is 12 months old. Frm last 3 days she is getting high fever and body ache. We have consulted our doctors and he prescribed IBUGESIC syrup. Fever gets low every 5 ml of intake but it arises after 5- 6 hours. This is happening since last 2 days. Please advise.
My son is 4 and half year old. He does not do potty on pot but does it while in standing position. We have been trying hard to get him potty trained like convincing him to sit on pot while running some of his favourite videos on you tube etc but after a while he says potty is not coming. We are worried. Can you please guide how we can get him potty trained PS: to make him comfortable while sitting on pot we put his feet on small stool.
No matter how much time you spend researching on how to take care of your newborn, once your child is delivered, the first few weeks will leave you frantic and overwhelmed. However, there are a few tips which new parents must keep in mind.
Handling a newborn:
- Since babies have a weak immune system and are susceptible to infections, it is of paramount importance that anyone who handles your child has clean and sanitized hands.
- You also need to be careful about always supporting and cradling your child's head and neck since the muscles in his or her neck are weak at birth, and babies only develop head control after six months.
- Never shake your newborn baby whether playfully or out of frustration. Shaking the baby can cause bleeding in the brain or in severe cases, death. Tickle your child's feet to wake him or her up.
- Not only is it important to make sure that your baby is fastened securely in the car seat, stroller or carrier, you must also restrain from activities which may be bouncy or rough.
Firstly, you must decide whether you want disposable or cloth diapers for your infant. Babies go through at least ten diapers a day (irrespective of whether they are cloth or disposable). While diapering, you must keep in mind to not leave your baby unattended on the changing tables. So get all the supplies such as clean diaper, diaper ointment (in case of rash), fasteners, diaper wipes and warm water, before changing his or her diaper.
Newborn babies need to be given a sponge bath with warm water and very little soap till the navel and/or the circumcision heals completely. This can take about one to four weeks. After being healed, the baby should be bathed twice or thrice a week since frequent bathing may damage the baby's skin.
Breastfeeding and Burping:
Doctors recommend feeding the baby on demand i.e. whenever your baby is hungry. Crying, putting fingers in the mouth, or making sucking noises convey that the baby is hungry. A newborn baby needs to be fed every couple of hours.
Burping is important so that the air consumed during the feedings can be let out since it makes the baby fussy. Patting or rubbing a baby's back usually helps them to burp or pass gas.
Related Tip: "Viral Fever In New Born Babies"
#1 Boosts Immunity
Oranges is an excellent source of vitamin c. A single medium-sized orange can fulfil about 72% of your daily requirement for vitamin c. Since vitamin c plays a crucial role as an antioxidant by protecting your body against the damage caused by free radicals generated in the body. It therefore reduces inflammation in immune related conditions like rheumatoid arthritis and osteoarthritis. Although debatable, researchers suggest that vitamin c also plays an important role in strengthening immune responses of the body, protecting against recurring cold and cough or any other common infections. Here are 11 ways to include oranges in your diet.
#2 Helps prevent ageing of skin
There's a reason why oranges are popularly used in the beauty industry. Several beauty products including face packs, masks and creams that are available contain orange extract as a key ingredient. That's because vitamin c present in oranges also helps prevent skin damage, by eliminating free radicals. Vitamin c, being involved in synthesis of collagen, an important component to maintain skin's overall appearance and texture, prevents premature aging and wrinkling of the skin. Apart from vitamin c, oranges are packed with vitamin a that help keep the skin membranes healthy. Here are 8 fruit packs you can make at home for beautiful skin.
#3 Protects the eyes
Vitamin a in oranges helps keep mucus membranes in the eyes healthy. Available in the form of carotenoid compounds like lutein, beta carotene and zeaxanthin, vitamin a is protective against age-related macular degeneration, a vision-related condition that causes blindness. Besides, it also plays an important role in allowing your eyes to absorb the light. You may also read tomatoes- natural remedy for good vision.
#4 Help prevents heart disease
This is yet another health benefit of oranges which is attributed to its vitamin c level. Free radicals generated during various reactions taking place in the cells can trigger oxidation of cholesterol, causing the oxidised molecules to aggregate and stick to the walls of the arteries. This leads to build up of plaques that eventually block the arteries, causing heart attack, coronary artery disease or even stroke. Vitamin c in oranges takes care of these free radicals and neutralises them, thus playing a role in preventing heart disease. Besides they also contain flavonoids like hesperidin that lowers cholesterol level and prevents the arteries from getting blocked.
#5 Helps brain development
Folate/folic acid or vitamin b9 present in oranges promote brain development and keep the vital organ in mint condition. In fact, these nutrients also make orange a healthy fruit for pregnant woman as it prevents the baby from having neurological disorders later. Oranges also contain phytonutrients called polyphenols that play a role in development of learning and memory functions of the brain.
#6 Helps prevent cancer
Oranges contain a compound called d – limonene that has been shown to play an important role in preventing various types of cancer like lung cancer, breast cancer, skin cancer, etc. Additionally, the antioxidants and vitamin c help promote the body’s immunity which helps in fighting cancer cells. Oranges are highly fibrous fruits, which contributes to its cancer-protecting effect. A study revealed that about 10 to 15 per cent of colon cancer cases are caused by mutations in the dna. These mutations can prevented by consuming vitamin c rich sources like oranges. Here are some other health benefits of vitamin c you should know
#7 Pevents constipation
Oranges are a very good source of soluble and insoluble fibre, which helps keep your stomach and intestines healthy by preventing problems like irritable bowel syndrome. The fibre content in them adds bulk to the digested food and reduces transit time of feces, preventing constipation and straining.
#8 Improves sperm quality
Death is inevitable, but our legacy may live on through our offspring. The antioxidants and vitamin c present in most fruits, including oranges improves the quality and motility of your sperm thus keeping you fertile. Another vitamin called folic acid also is an essential nutrient for maintaining healthy sperms that you can obtain from oranges. It also protects the sperm from genetic damage, which might lead to birth defects.
#9 Great for diabetics
The rich fibre content of oranges has the ability to keep a track of sugar levels in the body, preventing diabetes. It is also a good option for those who are diabetic. Also worth mentioning is that good oranges have a sweet taste, and since diabetics aren’t allowed to eat sweets or other sugary foods, they can eat oranges to tingle their taste buds.
#10 Prevents hair loss
Orange has high vitamin c content which is required for producing collagen which, in turn, is responsible for keeping the tissues in your hair together. Nobody likes bald patches on their head, and eating oranges can ensure that you do not have to part with your lovely hair as you grow older.