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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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My son was born earlier before 48 days, now 5th month is going to be finished. Which food to start solids? Kindly advise. His head is not stand properly also not sit. I felt he is not take solid this time. My milk is not enough for him.
Doctor I blessed with baby girl ten days back. I got hiv positive when I am fifth month pregnant. I am using art. Now I had stop art. Art doctor said breastfeed can infect your baby also but he gave one syrup that is used to decrease infection percentage and other milk do not try to give it will infect your baby. I am giving breastfeed to my baby ten days onwards but I will not have enough milk baby is crying. If I will give buffallow milk now onwards will it effect the baby health? Or can I give buffallow milk?
My baby is following problem. Symptomatic lgs. Partial agencies of corpus callosum. L orbito frontal mcd. Autistic spectrum disorder. Please send any treatment or best doctors address in coimbatore or tamilnadu. Thanks.
Hi doctor. Mera baby 2.5 month ka hai. Vo rat Ko 11 bje tak so jata hai feed le ke. Or morning 5-6 bje uth kar feed leta hai. Suggest in between feed Deni chahiye ya nhi. And feed kitne hours ke Baad Deni chahiye.
My baby is 10 month old and suffering from fever from last 3 days how detect if it is viral fever or not?
Dr. My son is 5 year old. He has cough since Nov 2015. I had given antibiotics like amoxyclav and azithromycin and asthalin coriminic and cetrizine syp but no effect. All his blood test chest xray and afb test are normal. In chest xray he had mild cardiomegaly. Drs. Done echo whis is normal.In blood test his eosinophil are 11. Drs says he has allergy in blood and prescribe Montair 10 mg one tab in night for three months. Dr. My question is can I give 5 year old child Montelukast 10 mg or less dose like 5 mg montair. And can it is ok for three months.
Necrotizing enterocolitis is a disease that causes inflammation of the tissues present in the intestines and results in damaged tissues. It initially affects the inner lining which ultimately results in thickening of the intestine. It may also lead to a hole in the abdomen resulting in bacteria entering the intestine, thus resulting in infection.
The symptoms of Necrotizing enterocolitis are:
- You may experience symptoms of bloating in the abdomen
- The abdomen may be discolored
- You may experience diarrhea and vomiting
- You may not feel hungry
- There may be presence of blood in your stool
- You may have a fever and constantly feel lethargic
Causes: Lack of blood and oxygen in the intestine causes it to become weak and increases the chances of Necrotizing enterocolitis. It may result if oxygen levels drop during a difficult delivery. If the intestines are weak, then they are at a higher risk of getting infected by bacteria. If you have an excessive supply of blood cells in your body or other stomach condition, then it may lead to this disease.
Diagnosis: Usually the doctor conducts a physical exam to detect the symptoms of this disease. If babies are born with this condition, then they may suffer from weak immune system and problems in blood circulation. The doctor may also recommend x-rays to get detailed images of the intestine in order to probe for symptoms of inflammation and damage.
The treatment of the disease depends on few factors such as:
- The child's age
- How far has the disease progressed?
- Health of your child
It is recommended to stop breastfeeding. Feed the baby through intravenous methods. The doctor may also recommend antibiotics and oxygen support if the child has breathing problems. In severe cases, the child may require surgery to treat this disease.
If the treatment occurs early, then the child may recover. However, complications such as a narrow and damaged bowel may persist. This may cause problems in nutrient absorption in the intestine leading to other disorders.
Breast milk provides essential nutrients for infants and is a mix of nutrients, which include vitamins, proteins and fat that are necessary for a baby's growth. Apart from benefitting babies, breastfeeding benefits mothers too.
Here are 4 benefits of breastfeeding:
1) Provides nutrients and protection to the baby - The best food a mother can give to her baby is her breast milk. It helps your baby to grow and develop. Breast milk is custom-made by all mothers for their own babies and, thus, contains a perfect mix of essential nutrients. Breast milk contains a mixture of protein, carbohydrate, fat, vitamins and minerals, which are very important for the proper growth and development of the baby. It also contains many antibodies that reduce the chance of diseases and allergies. In fact, the milk's content changes as your baby grows to keep up with the infant's needs.
2) Convenience - The milk from breasts is always safe and fresh, and is precisely of the right temperature, which what makes it a convenient food for the baby. What's more, it doesn't require heating, boiling or sterilizing as such; and can be fed to the baby anywhere, anytime.
3) Benefits mothers - According to a research, breastfeeding, to an extent, provides protection against breast and ovarian cancer. It also serves as a measure of protection against weak bones in the later part of life. Calories are required in order to produce milk. So, breastfeeding helps to gradually lose weight after pregnancy as well. Moreover, breast feeding also defers the return of menstruation for a little while.
4) Continues the special relationship between mother and child - The bond between a mother and a child strengthens due to the intimacy and the closeness involved in breastfeeding. One of the remarkable facts about this is the more a baby breastfeeds, the more milk the mother produces. If you wish to discuss about any specific problem, you can consult a pediatrician.
I dint breast feed my baby for past ten days. Today I breast feed her. I dint have any pain or anything. But when I pressed milk came. So I fed her today. Is it okay? Reply fast please.
Epilepsy is an abnormal medical condition due to abnormal electrical discharge from the brain, which could be due to genetic defects, brain injury,brain infection,brain tumor etc.
Recent study shows, patients with awareness, knowledge and attitude towards the disease had better health related quality of life.
- Do take your medicines at the prescribed times.
- Do make it known to your family members, friends and people who work with you that you are seizure-prone. Tell them what should be done in case you get an attack in their presence. This is nothing to be ashamed of as epilepsy is a medical condition just like high blood pressure. If your child has epilepsy, do inform the teacher and the school authorities about it.
- Do tell your child's teacher what to do if your child has a seizure.
- Do keep an accurate record of your seizures and their frequency. Preferably, maintain a seizure diary.
- Do ask your doctor about medicines for other conditions before taking them.
- Do follow a balanced diet.
- Do exercise regularly but avoid over-exertion.
- Do have good lighting in the room where you watch TV. TV picture flashes can trigger seizures. Good lighting can prevent such attacks.
- Do tell someone if you are going for a swim; swim only if your seizures are under control. Moreover, whenever possible, go swimming with a friend.
- Do talk to your doctor about the pros and cons of using contraceptive pills (medicines used by women to avoid unwanted pregnancy) along with your epilepsy medicines.
- Do wear protective headgear when cycling.
- Do tell your doctor about any ill effects that you experience.
- Do get a good night's sleep daily.
- Do make sure you have enough medicine so that you don't run short, even when you are travelling.
- Do check-in with your doctor regularly.
- Don't stop your treatment unless your doctor tells you to.
- Don't consume caffeine or alcohol excessively.
- Don't take other medicines without checking with your doctor.
- Don't lock the bathroom/toilet door, if possible.
- Don't smoke.
- Don't give others your medicines and don't take anyone else's medicines.
Myths and facts about epilepsy
Is epilepsy a very rare disorder?
No. Epilepsy is not a very rare disorder. Epilepsy affects 50 million people worldwide. In India, epilepsy has been identified as a public health problem.
Epilepsy is a mental illness?
It is not a mental illness but disorder of the brain.
Are people with epilepsy violent or crazy?
No. The belief that people with epilepsy are violent is an unfortunate image that is both wrong and destructive. People with epilepsy have no greater tendency toward severe irritability and aggressive behaviours than other people. However, once the attack is over, they return to normalcy and usually display normal behaviour in between attacks.
Are children with epilepsy dull?
Except for children who are born with obvious mental handicaps, children with epilepsy have normal intelligence and should be encouraged by parents and teachers to attend school and complete their education.
Is epilepsy a curse or wrath of God?
No. Epilepsy has nothing to do with curses, possession or other supernatural processes, such as punishment for past sins.
Does epilepsy spread through touching or coughing?
No, epilepsy does not spread through touching or coughing.
Does the use of an onion, metal, etc., help in terminating an ongoing epileptic attack?
No. Some people think that an epileptic attack can be terminated by making the person smell onions or dirty shoes, or by placing a metal key in the person's hand. These are irrational beliefs.
Are epilepsy medications ineffective?
No. Epilepsy medicines are very essential for the control of epileptic attacks and should not be neglected.
Is marriage a cure for epilepsy?
No. Marriage is an important aspect of life but not a cure for epilepsy.
Epilepsy is hereditary hence unfit to get married?
Epilepsy is not a hereditary disorder, and the tendency of epilepsy being passed is only about 3 %, therefore no bar for marriage.
Women suffering from epilepsy cannot have children?
Epilepsy or anti-epileptic drugs cannot affect fertility, even during pregnancy, women can take their medicines under their doctor’s supervision.
Is life of a person with epilepsy miserable?
No. Life of a person with epilepsy can be very manageable and very similar to life of people without epilepsy provided you have a positive approach towards life.
Is epilepsy a hindrance in leading a happy and successful life?
No. People with epilepsy can live a happy and successful life. With the advent of newer medicines, availability of medical care and increased awareness of the condition, it has become possible for a person with epilepsy to lead a good life. There are many famous poets, writers and sportsmen with epilepsy who have excelled in their respective fields.
Special Precautions in Children with Epilepsy
Computerized and Lights:
Up to 5% of children with epilepsy have photosensitive epilepsy. Computers and TVs with a flat screen do not flicker and, so, are less likely to trigger seizures than screens that flicker. However, flashing lights/ flickering screen can act as trigger in photosensitive epilepsy patients.
Exams and Tests:
For Children who are likely to have seizures in stressful situations or at certain times of the day, this may affect how they perform in exams or tests. Tiredness, memory or concentration problems may also affect exams or tests. Tiredness, memory or concentration problems may also affect exams.
Physical Activities and Lessons:
Safety is important for all children, especially during physical activities and lessons, such as when studying science. Epilepsy does not need to stop a child from doing an activity as long as he or she is safe.
This must be allowed only in the presence of trusted lifeguards. It is essential that the swimming coach and the lifeguards fully understand a child’s epilepsy so they can quickly see if the child is having a seizure in the water.