Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 42 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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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Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.
Can I give junior horlics to my baby, who is one year old? What kinds of food he should have in this age?
Hello Doc, My daughter is 3 years old and weighing 12 kg and her height is 99 cms. She was born prematurely i.e, in 27th week of pregnancy and was born with weight 900 gms. I just wanna ask that is her growth is okk. What can we do to increase her weight as she is too thin/slim.
Hello doc, My daughter is 9 months old can I give it to cow milk Some one told me that cow milk is allergy to infant body like excess protein.
Hi doctor. Any suggestions or treatment for insect bites on 6 month old baby. It looks light reddish with slight swelling.
My baby is 9 month old and he is 69 cm tall. Is this height normal? And I am breast feeding only for one time ,is it ok? Or I need to increase number of times I feed him?
Ups and downs at school are part of life for many young people. A good relationship with your child’s school and teachers can help you head off problems. If school problems come up, it’s important that you quickly recognize and address them.
Problems at school can show up as poor academic performance, lack of motivation for school, loss of interest in school work, or poor relationships with peers or teachers.
School difficulties range from minor to severe, might be very short-lived or last for longer.
Common signs of school problems-
- Drop in marks in one or more subjects.
- Lack of engagement, connection or involvement with school – for example, your child might not be interested in extracurricular activities or have very few friends.
- Showing embarrassment or discomfort when talking about school.School difficulties range from minor to severe, might be very short-lived or last for longer.
Common signs of school problems-
- Refusing to talk with you about school, or rarely talking about school with family or friends.
- Never or rarely doing homework, or rarely talking about homework.
- Having low confidence or lacking self-esteem – your child might say she is ‘dumb’, ‘stupid’ or not as clever as her friends.
- Being kept back at lunch time or the end of the school day.
- Finding excuses not to go to school or skipping school without your knowledge.
- Being bored with school work or not feeling challenged enough – your child might say he’s not learning anything new.
- Having attention or behavior problems.
- Being bullied or bullying others.
Sometimes, problems at school will be easy to spot, and your child will willingly talk to you about them.
But some children hide problems from their parents, teachers and peers. They might copy homework, pretend to be sick during important tests, or not bring reports home. This can make it very difficult for you to pick up on a problem. Sometimes even teachers might not spot the clues – especially if your child is absent a lot.
Causes of school problems
- Behavioral or developmental difficulties.
- Poor communication skills.
- Poor social skills.
- Difficulty with listening, concentrating or sitting still.
- Disliking, or not feeling connected to, the school culture or environment.
- Disliking school subjects, not liking the choice of subjects, or not feeling challenged by the work
- Not getting along with teachers or other students at school.
- Parents who aren’t involved in their child’s education.
- Family problems such as relationship breakdowns.
- Competing demands on time, such as extracurricular activities.
- Skipping school because of any of the reasons listed above.