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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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Good afternoon! Doctor please suggest me as soon as possible. My 6 yr old son was crying last night and his groin area was swollen, exactly right side of penis. Doctor has advised me to get him operated as it's Hernia. Sir/Mam I have lot questions to worry-why so early at this age (had heard it comes 2 adult); and after surgery also hernia has all the risks to reoccur and doctor shall there be any issues in the future regarding his potency or sex issues. please clarify all the above asked questions as I am not able to ask doctor in person.
Sir i have a baby girl of 1 year. Is any vaccination required for 12 months baby. And if yes than which vaccine required?
My child, 3 years has got pediatric nephrotic syndrome. How to avoid relapse for this syndrome. I read in one article there is substantial reduction in relapse with usage of zinc supplement along with the steroid. Will that help?
My son 12 years old, his motion is not free, he goes to later en one in a 3 or 4 days, he omits bad gas every 10 mins. So please cure his problem permanently with food and medicine or physical exercise. His wt is 30 kgs.
My baby had gastritis last week. Now no vomiting but still he is not eating anything now. Rest things are normal like poop and all. I am worried his health. He is one year old. Please help. Me.
My 3 years old child is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Bronchitis occurs when the bronchial tubes become swollen due to an ailment or any kind of infection. These tubes are a part of the respiratory system and usually join the lungs. There are two types of bronchitis - acute bronchitis and chronic bronchitis. A virus or bacterium usually causes acute bronchitis. It shows up after a person has had a respiratory disease. The most common symptoms of this disease usually show up when a child has flu or cold. A blazing throat, a feeling of being sick and mucus draining from the sinuses usually describe the disease.
Homeopathy is a very effective treatment for bronchitis. In fact, it is the most effective treatment. Homeopathy has been successful in treating some exceptionally extreme cases of bronchitis. It functions admirably in both acute and chronic bronchitis. Here are a few treatments for acute bronchitis for kids that have proven to be beneficial over time:
Hepar Sulph is one of the best homeopathic medicines for bronchitis where a person experiences increased sensitivity to cold. Chilly air and exposure to the cold in any form is impossible to be tolerated by the patient. It energizes cough quickly. Hepar Sulph cures situations where even if a single part of the body is exposed to the cold like a hand or a foot, cough begins immediately.
Bryonia, on the other hand, is helpful in situations where a person feels extremely thirsty, yet may only have a few sips at a time. The mucous layers and the mouth become extremely dry. Even the cough is very dry in such cases. There is a pain in the abdomen and headache while coughing.
Pulsatilla is great in situations where the patient coughs up a lot of greenish or yellowish mucous. Cough is more irritable while resting and the person cannot rest or sleep because of the same. The patient is usually not at all thirsty in this situation.
Arsenic Album is one of the best homeopathic medicines for symptoms that include a feeling of weakness along with other signs of bronchitis. Extreme wheezing and cough increase after nighttime and makes it difficult for the person to sleep. Along with extreme weakness, restlessness may also occur. The patient feels parched and frequently drinks little quantities of water.
- Antim Tart is useful when there is a lot of mucous in the abdomen and chest. Despite the fact that there is a lot of mucous in the abdomen, little is disposed off. Cough in this situation is aggravated while a person eats. However, Antim Tart tends to find relief from the same. Patients usually find it very hard to bring out the mucous in this situation. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
I have 3 months baby. I m breastfeeding my baby. What I should eat to get more milk for my baby through breastfeeding?
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.
Since I was i-pill from 3 to 4 years often and now am pregnant from 7 month I want to know that will it affect my child complexion?
My daughter is 6.8 years old. Whenever she gets cold or fever, she starts to cough. After she coughs she starts to breath very fast and wheezing too. Her heartbeat becomes fast too. Other times she'll be normal. Only at the time of cough she starts breathing rapidly fast. 2 years back she was admitted to hospital because of pneumonia. Please tell me the reason of this problem and solution.
Can Hydrocephalus be treated without shunt surgery. For infants. Can it be treated only by medicine.
Breastfeeding mothers need to be conscious and aware of their diets. How the mother eats is how the child gets its nutrition. While they do not need any major changes from what they were eating during the pregnancy, a few adjustments are advised. A few basic adjustments in daily routine are enough. They are:
1. Eat very well - Eat a balanced diet to suit your health. Remember, first it is important to meet your nutritional needs. Only when you are eating well would the quality and quantity of your milk be ideal for your baby. Do not diet under any circumstance. We understand you wish to lose all the pregnancy weight soon, but remember, you child is your priority now. When you diet, your body will start drawing on its reserves. This will affect milk production. By dieting, you will also lack the amount of stamina you need to take care of your baby. Be aware that feeling extra hungry during breastfeeding is normal. Your body is working around the clock. Eat small meals at regular intervals to keep your hunger satisfied, your weight concern at bay and your body strong.
2. Don't count your calories - Not until you are breastfeeding. You need at least 500 calories more than you did when you were not breastfeeding. Don't let this shock you, your child will be feeding off you. There are other ways to regulate your weight and lose the extra pounds gained during pregnancy, do not compromise on food at all.
3. Do not rush to exercise - Consult your doctor and ask for suitable exercises for your body. You might have stitches which are yet to dry, so don't be hasty. Get your workout regime planned professionally and under guidance.
4. Do not avoid fats - Eat healthy foods and opt for good fats. Foods that are good for you and for milk production are a big yes. Foods which do not contribute in any positive way can be done without. They will only harm you in the long run.
5. Avoid alcohol - Stay away, and if you do want to indulge consult your doctor. An occasional drink is usually okay, still it is better you abstain altogether until you stop breastfeeding. And if you do have a drink, feed at least after two hours.
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I would like to thak Dr. Sajeev kumar my baby is 4 1/2 month old n his weight is 6.6 kg and I m still giving only breast milk
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.
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