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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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We have a 7 days old daughter but my wife unable to produce her breast milk and my daughter is not able to feed her breast milk please suggest with remedy.
Is it safe to give pediasure to eleven month baby? her weight is seven kgs. She doesn't drink milk at all. I give cerelac as breakfast. Khichdi in lunch and dinner. I wanted to know when babies start having tears? I have never seen her eyes wet even when she cries for long time. Please notice me, her mother also suffering from severe dry eyes. Please help me.
Colicky babies frequently draw up their knees up to the stomach and cry out, as if in pain or bend their back in the shape of an arch, clenching wrists hard
Colic cry: Too much irritability, excessive crying which tends to peak towards the evening, painful cry that is difficult to console. They may wake up abruptly and start crying
Always BURP the baby after every feed for 5-10min. Put them on shoulder in such a way that tummy presses on your shoulder, with your help, give a massage in a circular motion on the baby’s back with intermittent pressure and pat from in an upwards fashion
Warm water against belly: Fill a bottle with lukewarm water and wrap it in a towel. Give a gentle massage with it on the belly
Gentle massage: During body massage at the time of bath, apply oil on the tummy, and give a clockwise massage 3 times around the abdomen. Once done, flex the hips and gently press against abdomen, to release any gas accumulated
Make them lie on tummy across your lap and gently apply pressure on their back. (Clockwise movements upwards and then pat upwards)
You could also make the baby lie on their tummy across your tummy, in such a way that the baby’s tummy presses on yours and gently massage on their back
Rocking soothes babies: Hug them close to your chest and your heartbeat. Try gently bouncing up and down in this position while hugging your baby close
Avoid cows milk: Cows milk can be given, once the baby completes 1 year
Offer pacifier or allow baby to suck on her finger by gently putting it in the baby’s mouth
Bottle fed baby has tendency to get colic: Initially dilute the feed and try to increase the amount slowly
Nursing mums should avoid over spicy food, coffee, alcohol etc. Also avoid irregular feed timings. Try to reduce egg and fish in the nursing mother’s diet. Check out your daily food and correlate with baby’s colic. Choose your diet accordingly
Six S’s to be thought off:
2) Shooshing loudly in baby’s ear (similar to sound of running water, working vacuum, etc.)
3) Side laying
4) Stomach across forearm or lap
5) Swinging or rocking baby
6) Sucking Pacifier
IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.
SCOPE OF HOMOEOPATHY
Homoeopathy prescribes on symptoms in each individual case rather than on a general basis
Homoeopathy has excellent remedies for colic babies, which also helps in curing conditions such as assimilation and indigestion
It helps to improve the immature digestive system.
Totally free of side-effects
IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.
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I am 36 yr old female. I delivered a baby 15 days back through normal delivery. On my 10 th day visit my gynaec found slight inflammation in the stitches near the vagina and prescribed rutoheel tablet to be taken twice a day for 5 days. My question- is the tablet safe when I am breastfeeding my baby? please help.
My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia . Her pediatrician suggested brain MRI as there may be problem with nerve and told that her legs are week. Please help us with your advice.
We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to plan for the baby? Also I do have slipped disc problem.
My child is in 4th standard. He is 10 years old. But his height and weight are poor. His diet is ok. But no increment in weight. His weight is 16 kg. Is there any treatment for weight and height gain?
I have no enough milk supply. Which milk I can give for feed to my daughter. please suggest. Take medicine for increase milk supply but no milk .my daughter feeling hungry after breast feed .what to do. Which milk I feed.
My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it serious for my baby frequent cough? Tell me as soon as possible.
I am 13 years old. I have mainly sneezed and slightly cough when I wokeup in the early morning for study between 4am to 6am and not in other times.
My age is 32 years, and I have a one child who is 2 year old. Last 10 days when I do the sex then I have a pain in my lower abdomen. please tell me its a normal or not.
My daughter is 2&half year old she was very active and walking and running well but from past 1 month she is Unable to walk, stand even Unable to talk we have done mri but of no use.
Which toothpaste is good for him he is 3 years old and mostly swallow the paste now we are using patanjali kids for him please suggest the safe one for him.
My son is 4 years old. Doc suggest me to do vaccination of JE vaccine nd flu Vaccine. I want to know that is this compulsory or optional. Also want to know that why should we do these vaccinationation?
My son (4 years) he is suffering with aplastic Anemia. Now platelet count is 23000 only. Is there any treatment for this with out BMT (transplantation). please send your response.
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.
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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.