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Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
My one year son is having severe lose motion since three Days and even after consulting doctor no change. Doctor initially games medicine ONSTAL.
Hello, My son is five month old he is in his sixth month as temp is rising everyday what should I do to save him from dehydration as he is on breast feed only please help can I give him water? Or something else.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
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.
What is the correct age for babies to stop breastfeed? does weaning increase weight? best solid food for babies?
Dental anxiety or the fear of dentistry has been a buzz word for many to ignore and avoid trips to the dental chair unless there's a very strong pain related stimulus to do so.
While going to the dentist has never been perceived as a pleasant predicament to be in, the levels or degree to which they feel this unpleasantness, can vary widely from person to person.
There are those of us who just feel like procrastinating the appointment and then there are those of us who cannot sleep the previous night and pass out or throw up when we actually make it to the appointment.
Scientific basis underlying this is the degree of fear that you associate with the experience, so no matter whether you are just anxious or downright phobic here are a few things that'll help you keep your emotions and fear in check.
All talk no work -discussion based appointment.
If you're anxious or phobic it helps to ensure that you have all your concerns addressed before you jump on to the chair. (and so to speak the unknown)
Help your dentist identify the things that maybe difficult for you. People are usually scared of particular things like for some of maybe the sound of the drill, for others the water in their mouth so ensure you identify and communicate what's most unacceptable to you so that the dentist can be cautious and customize your treatment.
Timing is key
Fix your appointment before pain hits.
Communicate the degree of fear while making the appointment or request a tele consult to discuss your particular concerns.
Try and schedule a time when you can ensure the doctor is expecting you and won't keep you waiting so your anxiety doesn't grow.
Do your research
When choosing a practice ensure you know what their philosophy is in general and how do they manage dental pain, anxiety and phobias.
It would be advisable to ensure you are going to a practice trained and geared to manage your specific issues.
Besides being a great dental clinic with the right team and technology -the doctor needs to empathise with the reality of dental fear and should be trained to treat you in a different way then regular patients who can
Check in advance if the practice is painfree.
If you do end up doing the procedure,
Break your fear into bite sized chunks
Then ensure you choose to start with a smaller treatment and a shorter session like a cleaning or something that you don't attach fear to.
Once you have a rapport with the doctor you tend to build trust and get comfortable you can start coming in more regularly.
Do not do an internet search on your problem or talk to friends or relatives
The worst thing an anxious patient can do is tap the wrong resource for information. Please ensure that you are not self diagnosing and finding things that match your symptoms online. Things appear way more gory than they actually are on the internet! another mistake that people make often is discussing their dental problem with friends and family who further scare you with their bad experiences and your fear is compounded to a point where you now think all their cumulative dental mishaps are sure to happen to you.
Our advice is follow the above steps find the right doctor and then just sit back relax and enjoy your smile!
Hai my 3 month old baby some time crying in niht time and I do not have breast milk. Which is the best formula milk for him.
My Daughter's age is now 2 years 10 months. She has a small pimple in Belly. When she will crying it is appear. My Child specialist told its Called Hernia. Now it is preliminary stage. Doctor says when she will young automatically she is being cured from Hernia. Is it wright or wrong? Surgery is needed or not?
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
My son is 19 months old and last month his weight was 12kg, at his birth time he got jaundice. His motion is also very tight and very smelling, but when I give him Pixit and Iron medicine then he do sticky potty. From last 20 days, he is not taking milk or any other food. He is going weak day by day, sometimes he takes apple and cucumber but not regular. I have checked with doctors, they says he is ok. I have tried many other foods to give him, but he just denied and turned his face. His teeth is also coming up at lower and upper both side. I am worried about how to give him milk and a healthy diet. Please suggest.
My 7 Year son hv hypertension prlm 170/100, 3 Years ago he hv left kidney renal artery stenosis so we operate and remove kidney its function is only 21% After operation hiis bp goes normal. 3 year he does not face any prlm before 3 Month ago we shifted from kolhapur to mumbai for job purpose and my son bp found become high. His all blood, scan. 2decho. Colordroper, right kidney function is 100% All reports are normal. We does not found hiis high bp cause. Doctor says its may be genetic. Can climate affected bp?
My son is 8 years old. He is having high fever since Friday night. Given him antibiotics and Crocin. Fever is still not going down. What should I do?
What, we do for good health. And whats kind of food we have to use at this summer time. If pimples are come on face what the way to make a clear skin.
Hello doctors My 5.6 year old son since morning suffering with vomits and loose motions. Have given homeopathic medicine below IPECACUANHA 30 potency DIARRHOEA 8 no - 3 tablets since morning but still he is going for motion after half an hour. Pls suggest.
My son hardly 2 months cries continuously sometimes. We will not understand why he is crying. What will be the reason.
My daughter born on 02 August 2016, preterm, 36 w 6 days, 1.92 kg. We are bottle feeding her expressed milk since she wouldn't direct breastfeed. After 15 days, we gave her 1 feed of formula after which she threw up after 2-3 hrs. Since then she vomited 2-3 times continuously. And at 4th feed, she was hungry like anything but refused to take feed by bottle or spoon. She spit milk from her throat and does not swallow. Before this issue, she used to take expressed milk by bottle and had hiccups after feeds. She also seems to have some issue with her throat and has difficulty swallowing. We have given her formula feed one more time after that, and have observed that her reflux problem aggravates after feeding formula. But during her time in hospital she was only fed on formula for 3 days, and seemed to have no issues. After discharge from hospital, at home she was fed expressed milk and seemed to be fine till 15th day apart from minor gas issues. She has also become more finicky due to this ongoing issue and opens her mouth as if wants to vomit frequently. Also she takes less milk feed than usual when has more problem as if she has some issue in her throat and stomach. She also seems to have certain kind of irritation in her throat as her sound is becoming more harsh.
The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.
- Maternal care during pregnancy: The teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.
- Routine oral hygiene: For the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin. Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.
- Fluoride application: Fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.
- Pit and fissure sealants: The tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.
- Space maintainers: In the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.
- Orthodontic treatment: If there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.
By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time! If you wish to discuss about any specific problem, you can consult a dentist and ask a free question.