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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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She was very attentive and did vaccination very smoothly normally my child cries a lot while visiting any doc but he was not that fussy.
My 4 years daughter licked thinner bottle today at 12 noon. I observed her behaviour but she is reacting very normally any precautions I should take r anything I should observe in her. And after how many hours reaction can b seen of thinner.
I am 25 year old first time mother. My newborn daughter is 2 months old. Her length at birth was 45 cm. Now her length is 55 cm. Her HC at birth was 32 cm. Now it is 36. 7 cm. Her weight was 3.003 kgs. Now it is 4.33 kg. I want to know. If she is small in her measurements? Also another concern that is making me insane is that she has almond shaped eyes, slightly slanted if we notice minutely. Epicanthal folds. We all have that fold in my family. Her nose is small. Hands and feet look very normal. Ears look normal. No palmar crease. She is an active child. Kicks a lot, can almost hold her head up. Smiles, responds to sounds, makes sounds. Nothing looks abnormal in her behaviour at all. Please reply. Please.
Hi Dr, Meri first baby gril jan 29-2017 ko howi but still now abi tak mujhe period nahi aya. Kya wajhe hai koi preshni ki bat hai kya? please gve me rply.
Hello, I have a male baby. He was a 16 month old .He drinks only caw milk. He not eat any food .So what I do doctor.?Please tell me. Thanks.
My 6 month old baby is detected with lactose intolerant. Doctor suggest lactose free milk isomil but she is not taking formula milk accept mothers milk. Please suggest.
One year old. He has undecendent testes. There is any medicine. Or I have to go for surgery. Is this surgery expensive. What will be the expected cost?
Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.