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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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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.
What You Need to Know About Clubfoot?
Clubfoot most often presents at birth.
Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.
Clubfoot is twice as common in boys.
Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.
Children with clubfoot should be able to take part in regular daily activities once the condition is treated.
What is clubfoot?
Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).
Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.
Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.
Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.
What are the signs and symptoms of clubfoot?
In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.
What are the risk factors of clubfoot?
Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.
The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.
Ponseti Serial Casting
The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.
Bracing for Clubfoot
While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.
Life after Treatment of Clubfoot
A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities.
My baby is 2.5 years old. Still she weighs 10 kgs only. We have tried all methods from giving all kind of buttery foods, protein powder, fruits, milk everything but she is growing very slowly. On weight chart she comes below all parameters. Her height is 85 cm. Please advice.
2 years ka mera baby boy h.wo bahut weak ho gya h. Uski blood test v karwaya. To uska result me haemoglobin 68% or result 10. 0Gms/dl aaya. Kya ye thk h ya phir mere baby ko blood ki kami h.ya phir normally kitna haemoglobin hona chahiye body me .agar kam h to easily blood k liye kya khilana chahiye. Pls healthy diet supplement chart suggest kare.
Doctor baby aged 10 days. Baby is suffering from jaundice. How many days it takes to cure. Is photothreapy required for the baby? If photothreapy not done what will happen to the baby. Baby is normal. It drinks milk, passes urine and motion regularly. And how to know the jaundice becoming low. Please guide me.
Sir my daughter age is 12 year, she taking food & fruits normally qty, that to be we are forcing. We are using tonics for her hungry but food taking normally please give suggests me.
My baby now 3 month old she having cough and sneezing. She sneeze that time sputum coming out what I do it is any problem.
MY 12 year daughter does not go toilet for 4-5 day when she go toilet then she suffering so paining to pass the stool she eat everything but don't go toilet every day what I do.
My Brother has got premature baby born at 26 weeks pregnant, now he is 47 days age, he has go brain bleeding problem after 10 days of birth, they have used lot of antibiotics during the treatment for the lung infection, now he has not yet put any weight, same the weight of 850 gm, he is active and movements are okay. Starting he was on ventilator, but now he is taking his own breath, the heart beat rate is 96, In brain CT scan it showing that everything normal except gross hydrocephalus with thinned brain parenchyma, doctor said its not the position to do any operation on him, so paediatrician it self pulling out water by injection method with the guidance of Neurologist in video call. So please provide us if there are any other options and suggestions for us.
ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.
The symptoms of this disorder among children can be categorized under three headings.
- Hyperactivity which includes
- Inability to stay at one place runs around and tries to climb things
- Trouble playing quietly
- Excessive talking
- Inattention, which can be divided into symptoms like
- Getting easily distracted
- Tendency to loose things
- Facing problems related to organizing things
- Not listening carefully
- Forgetting about daily activities, carelessness
- Interrupts others as they speak and talks out of turn
- Answers questions without listening to what has been asked
- Not being able to wait for their turn to come
10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.
The probable causes of ADHD among children are,
- Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.
- Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.