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Book Clinic Appointment with Dr. Malvika Bhattacharya
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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Symptoms and Treatment for Attention Deficit Hyperactivity Disorder (ADHD)
I’m Dr. Prashant Shah, a psychiatrist from Ghatkopar, Mumbai. Today I am going to speak about Attention Deficit Hyperactivity Disorder also known as ADHD. ADHD as the name suggests the full form is Attention Deficit Hyperactivity Disorder. This is a common disorder seen in children and adolescence and at times may extend also into adult life. The common features of this problem are diminished attention, hyperactivity, and impulsivity. As I said earlier, it is most commonly seen in children and adolescents, the usual complaints will be from the parents and teachers. The parents and teachers will complain that these children have difficulty sustaining attention, they are hyperactive and they are impulsive in their day to day activities.
Sustaining attention means that these children cannot sustain or carry out any particular task to the end. They get bored very easily, they will lose interest, they may want to start many activities; they will say that they want to join this activity, they want to do this thing but then halfway down the line they will get bored, and they will stop doing that activity. They would have difficulty in focusing which will result in making careless mistakes in their works, in their calculations, in their day to day works, in their homework. They will be making careless mistakes because they cannot just focus on what they are doing. They get distracted very easily. The teachers will complain that in the school when the teacher is teaching they are looking out of the window or they are speaking with other children. They will drop down their pencil, eraser, and maybe make mischief with other children. Many times there are younger children; they are always on the go. They cannot sit in one place. They are not in their seat; they are roaming around in the class; they talk excessively; they will blurt out answers; they are forgetful; they will not mention about homework or assignment which has been given to them or the project work which has been given. They will inform their parents just at the last minute and then everything will have to be rushed. They will forget or they will misplace their books. Their clothes will be in disarray at home if you visit their room. Everything will be like it is not in its place. They cannot wait for their turn. Now all these are problems which the children-parents pick up.
What is the effect of this on the children? Because of this kind of behavior they are labeled as mischievous. They are the ones who get pointed out whenever something goes wrong in the class. They will be the first ones to be signaled out and given punishment. And at times maybe it is not their fault also but because they show this kind of behavior they are labeled as mischievous and it is they who get the punishment. Everyone ridicules them for this kind of behavior. Even the parents punish them. This will lead to many times frustration, decreased confidence which in turn affects their school performance. Many times this results in deviantju8 behavior. In adolescence if we go on to see this may result in risk-taking behavior, seeking novelties and at times in drug-addiction also.
Now, what can be done about this?
As I said earlier it is a neuro-developmental disorder, we do not know as psychiatry illnesses, we don’t know what the causes are of this illness or why does this illness occur. It may range from genetic to neurological to psychopharmic or neuro-developmental problems in the brain. But what is good is that treatment options are available. So what treatment options are there for ADHD? They are both pharmacological and non-pharmacological treatments available. Usually for children less than five years initially we advise non-pharmacological treatment. This non-pharmacological treatment is occupation therapy and sensory integration where depending upon the severity of the problem, children are called for occupation therapy sessions, parents maybe also given some home programme which they can carry out at home and this results in improvement. The improvement is slow but carried out religiously, diligently by the parents for a period of 1 year to two years this definitely is going to show improvement.
In other children or if the problems are severe enough, we do start medicines. In children parents are hesitant to start medicines and that too from a psychiatrist. But believe me there are good medicines available for ADHD, they do show response, there are no major side effects. The groups of medicines that are available are stimulants or non-stimulants. Stimulants are the first choice of drugs, usually we start with a low dose, so that the child can tolerate the dose, there is no side effect and then we gradually build up the dose so that the improvement is seen. Even if there is some side effect there is minor side effect which can be always taken care of. It is not that there is only one drug available, the child is not responding, we can definitely shift to some other. But the thing to understand is that treatment is required. This ADHD can be controlled and if the signs and symptoms of ADHD are controlled then the child’s performance is definitely going to improve. It will not only reflect in the child’s studies but also overall development of the child. So it is for the parents and teachers working in this field to find out these kinds of children who maybe having this problem and refer them for treatment.
Thank you. For any further enquiries you can always get me to me through Lybrate
My 1 year old baby is suffering from cold from last 2 days I have give her wikoryl syrup4 ml. Is this medicine and dosage is right?
I have 1.5 months old baby, he didn't poop for two days and his sleeping time also reduced by this two days, he s not crying no fever he goes pee as usual, taking feeding well, am so worried please help.
Hello sir. My baby is 1 month and 15 days old. She didn't cry after birth. She cried after 23 days and now she is crying very much. But feed is given by tube not from mouth. please tell what is the chance of mental disability. Is it sure she have a mental disability. please suggest.
My son is 10.5 year old and his weight is 23 kg. Blood sugar, hb, thyroid is normal, how can improve about his health?
I am not sure about giving my 9 months old vegetables at night. She eats fruits in the morning. During day she eats khichdi but in the evening or night time I give her vegetable soup. Is that ok? Will she catch cold by consuming root vegetables. Please help.
My son is quarter to four years old and is suffering from cold and cough. Someone suggested me SHARBAT BANAFSHA . Can I give it to him and how much?
Drug addiction is a major problem in today's world. The major part of these drug abuse victims are teenagers. There are several reasons may drive your teen kid to hard drugs which include peer pressure, neglect, curiosity or just for the sake of being cool. This could be a major concern for the parents whose children get addicted to drugs but an important thing to keep in mind is that the only person who can help your kid overcome addiction are the parents.
Here are a few measures that can help your kid overcome drug addiction:
- In order to put your kids on the right path, the most important thing is to show them love. You should keep aside your anger, fear and grief and approach them. Tell them why you are scared or angry. Proper love and affection is required to bring your kids back to the normal track.
- Try to find their strengths and weakness. Your child should be complemented for any good thing he or she does. You should observe them properly and try to perceive their current nature and mental state.
- You should try to keep your calm and talk to them instead of scolding, shouting or threatening them. You must also listen to them carefully and try not to react in any way. Talk to them about your concerns and see whether they are cooperating with you.
- Getting your kids involved in some activity, which will let them mix with a different group of peers will be a positive remedy. You have to make them feel good about themselves. Try to find ways so that your kids will get into some positive, productive activity.
- Fixing an appointment with a psychiatrist who deals with drug abuse situations can also help you deal with the issue. You must explain to your kids that there is an obvious reason behind their addiction, and it must be solved for their own good.
- You should also connect with the counselors at schools and colleges. They have seen many cases like your child’s and know about the situation well. You can enroll your kids in a substance abuse program which is connected with his school.
- You must tell your kids that what they are doing is risky and illegal and as parents, you have the right to help them overcome this in order to maintain good health, and that you do not want them to go to prison.
- Find an expert therapist specializing in teen substance abuse and make your kids have weekly appointments with him. A good therapist knows the best ways to guide your kids to the right path.
Drug addiction in kids is a common syndrome these days. If your kid is into hard drugs, you need to do your best to save him and help him overcome the addiction. If you wish to discuss about any specific problem, you can consult a psychologist.
Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.
Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.
Does Eczema In Infants Go Away By Itself?
In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.
Here are some home treatment options for infant eczema:
You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.
A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.
You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.
Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.
You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.