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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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A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.
Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.
These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.
- Repeated temper tantrums
- Anger bursts, swearing, using obscene language
- Extremely argumentative, especially with people in authority (teachers, parents, etc.)
- Annoying others and getting annoyed easily
- Noncompliance to rules and regulations at school and institutions
- Defending one’s mistakes and blaming others for it
- These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.
- Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
- Cognitive-behavioural therapy tries to mould the behaviour.
- If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
- The child also needs to be trained for appropriate behaviour under different circumstances.
- Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My 19 days baby gitl is use to bottle feeding but she is not drinking my breast milk and she is onl 2.7 kg what should I do.
Giving a child medication can be a challenging job and one that many parents dread! Wrong dosage can create a havoc and lead to unnecessary complications or the problem not getting treated at all. So make sure you give your child the proper dose.
Here is a small guide that will help you understand more about dosage and administration of medicine for children:
- Dosage: Usually, most pharmaceutical companies print the dosage as per the age or the weight range of the child. This is true mainly for paediatric drugs. Yet, there are other ways of calculating dosage as well. You can divide the age of the child (in months) by 150 and multiply the sum with the average adult dosage to compute the dose that the child should get.
- Frequency: Also, always speak with a paediatrician to find out how often a medicine must be administered. The label will usually have this information, but it is always best to mention the exact symptoms and ask for the frequency.
- Instruments: Child medicine usually comes in liquid form for easy ingestion. You can use a wide mouthed calibrated syringe for administering the medicine, or you could use a spoon, or even the measuring cup that comes with the medicine. The baby's bottle or a dropper can be used for infants as well. Take care to watch for signs of choking and administer the medicine in one dose broken up into smaller doses to avoid the same.
- Storage: Ask your doctor about storing the medicine at room temperature or in the refrigerator as this will affect the efficacy of the medicine.
- Administration: Remember to find out if the medicine is to be administered before or after the child has had a feed or a meal. Then, wash your hands and prepare the child by ensuring that he or she lies still without any squirming. Make the child comfortable about the idea of taking medication and keep the head propped up. Talk to distract the child and if need be, practice sucking it in so that the child avoids choking. You can mask the unpleasant taste of certain medicines by keeping a glass of juice or candy nearby.
- Missed Doses: If your child throws up a dose, or you miss one, do not give a double dose. Instead skip and give it later.
Take due precautions when you are administering, storing and measuring the medicine for your child as this could have an impact on how the child reacts and heals.
Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.
Risk factors for iron deficiency in children
Infants and children at highest risk of iron deficiency include:
- Babies who are born prematurely or have a low birth weight
- Babies who drink cow's milk before age 1
- Breast-fed babies who aren't given complementary foods containing iron after age 6 months
- Babies who drink formula that isn't fortified with iron
- Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
- Children suffering from, Malabsorption, Chronic diarrhoea, thyroid disorders and Celiac Disease.
- Children ages 1 to 5 who have been exposed to lead
- Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia
The signs and symptoms of iron deficiency anaemia in children may include:
- Pale skin
- Fatigue or weakness
- Slow cognitive and social development
- Difficulty maintaining body temperature
- Increased likelihood of infections
- Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children
Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:
- Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
- Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
- Deworming: The power to kill parasites. With such tablets, we can eliminate worms in children and stop parasites from absorbing the critical nutrients a child needs to develop.
- Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Don't take pallor lightly. Consult the doctor.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same. If you wish to discuss about any specific child related problem, you can consult a specialized pediatrician.
Health tip for babies.
Babies have variation in appetite so don't go on day to day appetite but follow weight trend over 2 to 3 months. If that is okay. Baby is doing well.
Esp in sickness babies lose appetite as we do.
So wait for few days n appetite will return.
Dr. Rajiv singh aradhya clinic indrapuram. Consultant max hospital vaishali.
Sir I have a child about three years I want give him good growth and good health From now itself. So how can I get the good solution from you.
My baby has completed her two months. Giving her Breast feeding she is passing bad smell gases n sometimes she cries n she. Is not passing stools everyday is it normal sometimes she throws torn milk also. Plzz tell.
Hii sir my baby is 15 days I want to my baby is became genous his mother does not produce adequate milk I give bottle feeding to my baby what should I be done.
My baby is 1 1/2 month, though after having milk, she gives burp, at times while having milk she vomits off all the milk she had before. Please help.
My 2 week baby hasn't pooped 3 days and on the fourth day she poop. Now she skip her poops two days again, Is this normal?
If child is between 10-12 years and does not take or avoid food what step or precaution to be taken for the same.
My daughter is 9 years her both palms are always release sweat. It become wet and difficult while writing, books become wet. It happens in all seasons. She use hanky always to wipe the sweat.
Hi, My baby age 1 year and weight 9.2 kg. When she eat good or have feed. She pass stool immediately after the feed. She pass stool 6 to 8 times in a day. But it happens immediately after having food or feed. But she never cry that time she never feel any pain in stomach. What should I do?
My grandson has club foot (left) from birth. His affected foot was kept in plaster for three months immediately after birth and some exercises later on. Now he is 12 years old and walk freely unless somebody observe carefully. He can't run freely, as foot is never flat on ground. Is there any treatment by Physiotherapy or other way out? I request for response with clarity for future course.
My grand son is two months old. He is suffering from frequent cold and vomits milk immediately after drinking. He is also having gas problem. What is the remedy.
Doctor meri baby 14mahine ki h.aur wo kuch v khana nhi chahti. Khana delhkr bhagti h.usko khana jabardasti khilana parta h.pehle wo thik. Kha leti. But avi pata nhi q khana nhi. Chahti kuch v.uska health v bht kamjor h.bht patli h.kya khilaye, kaise khlaye please ap suggests karo. I don't know how to managed? Usko koi vitamin ka dawa do ap jis se usko vhuk lage. Zincovit and mashyne drop pilati hu. Rice dal aur kuch v nhi khati. Kya khilau? Ap mjhe diet chat plan or time bata do kaise khilau? Koi vitamin supplements do jis se use vhuk. Lage?I m very tense. Please give me your suggestions? What should I do?
My daughter 2.8 years age often complaints about stomachache; more often before passing stool. What can be the reason and what is the remedy.
Congratulations, that your Urine pregnancy test is positive and white stork will be visiting you soon! So it's your fourth week and you are advised an ultrasound in the coming week. With all the questions coming in your mind on what to expect from the ultrasound in regards to a normal pregnancy, I am here to help you month-wise. (Know more about dietary facts in pregnancy)
In the First Month (Learn more about First Trimester)
On ultrasound you will see the pregnancy sac and the doctor would describe the same as the womb-pregnancy sac. This highlights that the pregnancy is not ectopic (pregnancy outside the womb).Cheers! You will be called again a week or two later to see the further developments of the baby.
In the Second Month
On ultrasound you can now see a fetal node and the doctor makes you hear a typical galloping horse like sound-that's the fetal heart beat- the heart beat of your baby. You can also see a small ring like structure in the pregnancy sac which is yolk sac. It takes care in terms of nutrition until the placenta is formed
In the Third Month
You are asked to give your Dual test- a blood test which tests for hormones like B hcg and PAPP-A which indirectly indicate whether the baby has chromosomal abnormalities or risk of growth restriction later on. You will be told to have an 11-13 weeks scan .In this scan ,markers for chromosomal abnormalities like Nasal bone, Nuchal; translucency(fluid behind the neck) ,blood flow through the liver(Ductus venosus) , Tricuspid regurgitation along with Length of the baby and heart rate will be studied .During the ultrasound you will be shown the structure of the baby from head to toe. At the end you will be counselled whether you are a low risk or high risk for getting a baby with chromosomal abnormalities(especially Down Syndrome).
And if all is well you are called for the next scan at 5th month.
In the Fifth Month
This is the anomaly scan or Level 2 scan. You will notice your baby has grown significantly since you last saw. The doctor will see the structure of the baby including the brain and heart .The location of your placenta will also be reported. It you have a quadruple test/ triple test ,the results will be interpreted and explained.
If its a thumbs up, you are advised to follow up with your obstetrician and come for an ultrasound at 8th month if everything continues to be as expected.
In the Eighth Month
This scan checks the growth of the baby and the fluid around it. The medical experts check the blood flow through the essential structures like the brain,liver and umbilcal cor (fetal Dopplers ). The same is done to reassure you or decide further management. In some cases , this scan may be pre-pond starting at 7th month.
If along with the expertise, there is a high end ultrasound machine , you get a chance to see your baby moving/dancing/thumb-sucking in 4 dimensions. You and your hubby will surely fight over the nosy -its alike yours or your hubby's! And the experience is awesome and ever cherishing.