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Treatment of Child and Adolescent Problems
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My only son is cerebral palsy he is now taking valparin syrup thrice a day and zapiz. 25 mg twice daily for his past seizure history bt after 2002 he has not any seizures. He is now near about 20 years of age. My question is whether he should continue this medications life long? If we discontinue it may seizure will occur again?
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
My son of 11 days baby, born on 1st june 2017. Since today morning he is having motions around ten times in liquid and yellow color, Sir, shall we give electrolyte drops to the baby or what to do sir, kindly guide us.
He is 8 years old. As for as features known of dyslexia. Those features he has. Difficulty in writing, does not have the patience in reading, writing, not respects elders. Though his behavior was tolerated by us. He will continue his rude behaviour until we beat him. Is it necessary to get him counselling by a psychiatrist. If at all, please refer one fine psychiatrist in bangalore.
Hello doctor, My four year old son found a piece of used chewing gum outside house and chewed it for some time. Is there any chance of hiv infection from chewed used chewing gum?
All children from time to time will cling, shout, throw, resist, complain, argue and do not listen to their parents or teachers. Though they are normal, they can be upsetting to everyone around. They become problematic when they increase in severity, intensity and duration that is typical for the age of the child.
Usually they starts at around 1.5 years age and stay till 4 years of age.
WHY DO THEY HAVE TEMPER TANTRUMS
1.They get angry if they do not get what they want.
2.They want to control their lives.
3.They have not learnt effective skills to get what they want.
4.They learned from parents who show temper outbursts.
HOW TO PREVENT TANTRUMS
1.Praise the child for his/her good behavior
Give extra attention whenever child behaves well. Give him a hug and praise him. For example - when a child has put his shoes in place, instead of ignoring it, acknowledge it and praise him saying “Wow, that’s like a good boy. You put your shoes in the correct place. Wonderful!”
2.Encourage the child to use words.
For example - If he wants something, tell him to use words like ‘i want food/ i want this toy’ instead of screaming.
3.Also see whether they are eating and sleeping well.
4.Identify triggers -
For example, Are they hungry or tired? sometimes even when the parent is busy, a child can throw temper tantrum to gain attention.
After a long day of work, instead of directly going to make dinner, the parent can go give the child a hug and spend some quality time.
5.Give signals before ending an activity
For example - say “You have 5 more minutes before I switch off the TV” instead of switching it off suddenly.
HOW TO HANDLE TEMPER TANTRUMS
1.Remain calm and do not argue with the child - Before managing your child’s behavior you must manage your behavior (sometimes children learn from parents who show anger outbursts and learn to shout and scream). Shouting at the child will worsen the child’s behavior.
2.Think before acting and count till 10 if you are frustrated - and then think about the source of child’s frustration.
3.Come down to the child’s eye level - and say ‘you are starting to become hyper, calm down’
4.Distract the child - by asking them to focus on something else. For example say “let’s read a book or let’s go for a walk”
5.Ignore the tantrum - if it is to draw your attention. After the child becomes calm, show him attention.
6.Hold the child who is out of control - and who can harm him/herself. Tell the child that you will let him or her go only when he or she calms down. Reassure the child that everything will be alright.
7.Hug your child who is crying - and say that you love them but the behavior should change. Reassurance and hugging will always be comforting to the child.
8.Talk to the child after the child has calmed down - Talk to the child about his or her frustration.
Try to teach the child how to interact with a friend or sibling or parent and ask for what he or she wants.
Tell them how to express his or her feelings with words and recognise the feelings of others also without hitting and shouting.
Tell them the better ways to get things that they want.
Tell them that we all have anger within and also tell them how to appropriately express it.
9.Never give in to a tantrum - If you give in once the child will get used to it and his tantrums will increase more.
10.Do not let the tantrum interfere with your relationship - with your child.
Consult a professional if the tantrums are increasing even after 3.5 years of age or if there is self injurious behavior, depression, injuring others, low self esteem etc.
Sir my daughter was 3 months old. Due to some infection in the lungs. She was not take breathing properly. She is in hospital from born. And on the oxygen. doctor said from bhopal that there was no solution for this. Only oxygen is the solution. Pls help me sir. I am very for you.
My baby is just one month. Can I take any oil, soap, shampoo for her use? If it possible please prescribe me which oil, shampoo can be used?
Dear dr, my son 10 years old was diagnosed with adhd at 3. He is under counseling of a homeopathic psychiatrist since then. Along with counseling he has also done art and play therapy with him. I was separated from my husband. Wen he was 5. There was a lot of aggression frustration loneliness in him. Which is overcome to some extent. But his impulsivity, exploring wrong things and adult words, heard bad words, fearlessness, hyperactivity is a matter of concern. Lot of issues with school children. Also complaints. Kindly help.
Sir, I have twins (Girl & Boy) born on 02.05. 2015. They are going to 6 month old. Now, they are taking breast Milk & Pro Nan 1. What change of food to them on 6 month old? What quantity & what type of food for them to start?
My baby eat some cerelac. After he was fall from bed. Then he vomiting 1 time. His behaviour is normal. Is there anything to fear?
My son is born with down syndrome. He is suffer from full copy of trisomy. Full extra chromosome. What is the best way to handle the situation. And how to understand the child situation.
My baby is of 28 day I feed her with similac advance baby milk powder. Initially at her birth doctor advised me to feed her 30 mL after two hours and now she is not getting satisfied by 30 mL .What should be her dose now for milk. And she even not take mother's milk as whenever she is tried to feed with baby milk she starts crying. What should we do?
Hi doctor. I want to know my 3 year old baby girl why she is suffering from cold many times. Please suggest me what can I do for her good health.
HI, My baby is 3 months old, we have appointed 1 lady person for her daily males (exercise) of body, please confirm for how many months I have continue for goods development of her body.
The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.
Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.
Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
- Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
- Fever, nausea, and vomiting
- Abdominal fullness or bloating
- Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.
Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:
If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.
Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.