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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, . I have a kid aged 8 months. She is not accepting any food other than her mother feed. Could any one suggest me how can I solve this ?
1) my baby sleeps fast while drinking milk, she is one month old, m not sure if I have enough milk or if she is tried sucking and than sleeps. I am giving her lactogen as top up 2) also I wanted to know if lactogen is good as top up or mum mum.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?
Hi. I am 28 years old and have a 5 months and 19 days old baby. I have a cavity in wisdom tooth and during my pregnancy doctor advised to extract that. Could you please advise when should I extract that. I am worried because I have 5 months old baby.
There are many schedules of immunisation followed and varies from country to country, In india, we widely follow the National Immunisation Schedule.mainly in government hospitals. Many private institutions follow their own schedules.Both are effective,though the private hospitals use costly vaccines whereas the government supply is free.Depending on your purchasing power you can choose either.By and large INDIAN ACADEMY OF PEDIATRICS the largest and most authoritative body in India . Their schedule is fair combination of both types of vaccines newer but costly and cheap ( but effective & safe ) selected appropriately.Apart from the main or essential vaccines there are some optional vaccines for diseases which are not as fatal or life threatening which are covered in national immunisation schedule. I shall explain all important schedule.
RECOMMENDED IMMUNIZATION SCHEDULE FOLLOWED IN INDIA
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Sl No. Age Disease Vaccination Remarks*
1 AT BIRTH HEPATITIS B HEP B VACCINE -I
2 AT BIRTH POLIO ORAL PV 0 DOSE
3 BIRTH TO
6 WK TUBERCULOSIS BCG
4) 4 -6 WEEKS HEPATITIS B HEP B VACCINE -II
5) 6 WEEKS } DIPHTHERIA ,PERTUSIS,
}TETANUS,POLIO DPT-I OPV -I
6) 10 WK DIPHTHERIA PERTUSIS
TETANUS POLIO HEPATITIS B DPT-II OPV-II HEP B VACCINE III*
*DELHI GOVT RECOMMENDATION
7) 14 WEEKS DIPHTHERIA PERTUSIS
TETANUS POLIO DPT-III OPV- III HEP B VACCINE IV*
*DELHI GOVT RECOMMENDATION
8) 24 WEEKS HEPATITIS B HEP B VACCINE III*
9) 9 -12MTHS }- POLIO MEASLES OPV-IV MEASLES
10) 15-18 MTHS MUMPS MEASELES RUBELLA (MMR*)
11) 18 MTHS } DIPHTHERIA PERTUSIS
} TETANUS POLIO DPT –BOOSTER I OPV –V
*RECOMMENDED BY DELHI GOVT & IAP ONLY
12) 24 MTHS TYPHOID TYPHOID*
13) 4-5 YR } DIPHTHERIA PERTUSIS
} TETANUS POLIO DPT BOOSTER – II OPV -VI
YOU ARE WELCOME TO CLEAR ANY DOUBTS IN PRIVATE CONSULTATION IN THIS SITE
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:
Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.
Finger-prick test. A typical blood sugar test includes the following:
A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.
To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:
Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:
Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.
Congenital Orthopedic disorders in Children
Hi. I have a 3 year old daughter. We are giving her Pediasure for past 1 year, ever since we started using this product we noticed she is getting cough very frequently. Can anyone suggest an alternative for Pediasure with equivalent nutritional values? My daughter initially suffered from digestive problem, lactose intolerant and under weight, as suggested by a nutritionist we gave her Pedia Gold Plus after she turned 2 years we switched to Pediasure as suggested by her Paediatrician.
She gave birth to the girl child on 8 September 2016. But still access milk in her breast. And pain in her breast due to node.
My sister is breast feeding. How long milk comes from breast .4 years. She is confused. And 3 years gap is fine for next baby.
I deliver baby boy on 1 nov by operation. So can you please suggest me that when we use stairs to go up and down.
My aunt is gifted with a newborn boy and my grandmother is so obsessive with collyrium. I js wanna noe if there are side effects of so called kaajal.
Hi my daughter is 5 1/2 years. She is very naughty. I am facing one issue currently. My daughter dosent feels when she wants to do potty. She avoids doing potty. And lands up doing in her pantly. I dont understand the reason. Please guide me.
My son (4 years) he has low platelet count how to increase count and how to improve neutrophil and decrease lymphocytes doctor said that ,he had Aplastic Anemia.
My baby is 20 days old after feeding her she do not burp what shall I do. I use to tap her bck also still she do not what shall I do becoz she feels vry uncmfrtbl.
She is not having milk in one of her breast. What will be the best supplement to increase milk for baby feeding.
What can we give as breakfast and lunch. Evening times what we can give. For 9 months baby. She is not eating. vomiting. Also tell me how to make my baby skin fair. She was very very good. So many of my relatives were telling like papa is very beautiful and last that made my papa health bad. How to overcome it. Tell me please.
His color is getting changed from white to dark when compared from 1st day of birth. Now he is one month.
Skin Care Tips for Eczema Patients
As the ailment is chronic and of relapsing nature, persistence with proper skin care is a must. The patient and his care-takers should be educated about the disease triggers and measures to avoid them.
•Bathe less frequently: Patient should opt to bathe just two or three times a week with lukewarm water (avoid hot water) maximum for 5-10 minutes.
•Gently pat skin dry with a towel after bathing. Apply moisturizer immediately after bathing or swimming while the skin is still damp so as to seal in the moisture especially during winter.
•Avoid using soap. Restrict use of soap to genitals, axillae, hands and feet.
•Use of mild cleanser or moisturizing soap is recommended. Mild soaps clean without excessively removing natural oils.
•To retain the moisture after application of moisturizer patient could cover the area with a wrap or if hands are involved he can use gloves. This is not advised when steroidal applications are used as it increases the potential for developing their side-effects.
•Soaking the lesion in sodium bicarbonate or colloidal oatmeal to bath helps in reduce itching.
•By wearing gloves in the winter patient can prevent skin from being exposed to cold air with little humidity which can dry the skin.
•Regularly clip nails to prevent abrasion of skin while scratching. This reduces the chances of developing secondary infection.
•Avoid contact with allergens or irritants to the skin e.G. Wool, perfumes, detergents, etc.
•Children should be encouraged to drink plenty of water. Fluids help add moisture to the skin.
•Food substances that provoke allergies (allergens) should be avoided, e.G: Tomatoes which can be acidic.
•Tight-fitting, rough or scratchy clothing can irritate the skin. Wool and some synthetics are especially likely to irritate the skin. Wearing cotton and cotton blends are better choices.
•Scratching the skin rash: Patients often find it difficult to control this urge hence they should cover the affected area with a dressing or wear gloves at night to reduce damage to the skin caused by scratching accidentally during sleep.
•Avoid strenuous exercise during a flare-up as sweating can irritate the rash.
•Try and reduce mental and physical stress. Stress can trigger flare-ups. Older children and adults can learn breathing techniques and meditation to reduce stress.