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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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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 boy is 2.6 years weight is 11.0 kg last 8 months fever coming blood test and xray normal t.b also tested no result hot water taken every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.
My 6 yrs daughter not taking regular food at lunch and dinner time. Always avoid and saying not hungry. Toilet also go on alternative day. Although Health wise good. Please suggest any checkup to be done or any medicine required to be given.
My daughter got fever when she was vaccinated at 6 weeks and 10 weeks , but at at 14 weeks , she doesn't got any fever. Is it normal or should I need to see a doctor ?
Many of us were taught how to properly brush our teeth when we were still young kids.
And, admit it or not, most of us are stuck with the same brushing method into adulthood.
Sadly, many of us also learned the improper way of brushing.
Indeed, even though we are taught the proper brushing technique, we may not often stick to it.
Did you know that brushing properly is tricky? We wish to get rid of plaque without damaging our gums and brushing too hard.
So, what are the correct ways to brush our teeth by Dr Ratnika Agarwal ?
The teeth and gums must be brushed gently as hard brushing may cause the gums to recede and get damaged. It is advised to hold the toothbrush the same manner you hold a pen. By doing so, a lighter stroke is encouraged.
Brush your teeth at least two times per day.
Brush in the morning and at night before you head to bed. In so doing, food particles are removed. Brushing in the morning will aid clear away the plaque that accumulated overnight. It is important to dry before you sleep because this is the period when the mouth becomes dry and it becomes easier for bacteria to attack the teeth.
Use an extra-soft or soft-bristled toothbrush.
By means of using these types of toothbrush, the teeth and gums won’t be harmed and abraded. It matters to change your toothbrush when necessary or on a regular basis. Shredded or worn out toothbrush are no longer effective in cleaning the teeth. Be smart in choosing a toothbrush and only purchase the one that is officially approved by the American Dental Association.
Brush your teeth for at least two minutes.
Two minutes is actually the required time to clean the teeth. This way, each tooth is thoroughly cleaned. You may consider using a timer if you are using a manual toothbrush.
Do not brush your teeth more than 3 times per day.
Brushing twice daily is already enough. Take note that brushing too frequently can damage or erode the teeth and gums.
Electric toothbrushes are good alternative to manual toothbrushes.
These are often recommended to people who do not often follow correct brushing techniques. In the same way, these are great options for individuals with physical limitations and find brushing a tough activity.
Have a standard routine for brushing
It is fundamental to brush the teeth in the same order on a daily basis. The reason behind this is that this can especially aid you cover each area of the mouth. This will easily become second nature once you’re able to perform it routinely.
For instance, you may brush the outer sides of the teeth from left to right across the top, afterwards, you may shift to the inside and then brush from right to left. After this, consider brushing the chewing surfaces from left to right. Do the same pattern for the teeth underneath.
As you can see, there are proper ways of brushing. So, do not just brush your teeth for the sake of brushing alone. Learn the proper techniques to keep the gums and teeth clean and in good condition.
Please Call our team on 8237802848 / 020-27041188 or visit Dr Ratnika Agarwal at Smile Up Dental Care & Implant Center, Pune Today and get your Dental Check-up today ! We provide all Dental & Cosmetic Treatments for all age groups.
My son is 5 months and 8 days old. He leave to take mother milk. And we started to give him cerelac. please advise is it right time to give him these things. And what we do to make him to take mother milk. Thanks.
My son is 3 years 5 months old. He hits himself and becomes aggressive and behaves violently he hits his head on the wall, he hits his throat stomach and so. So we consulted a pediatrician and through EEG we came to know that he is having abnormal epilepsy activity. He is taking EPTOIN, piracetam and VALPARIN syrup from july but it continues the same and it is becoming really worse please help me and suggest us what to do to stop this?
I am unable to feed my child due to less formation of milk. Can you guide me how milk. Production can increase.
Hello Doctors Team, My new born son with age of 3 Months 8 Days and we are giving him as a feed for Mothers Milk Similac Advance 1 and his weight gain is quite fine like around 5.5 Kg. So I need an opinion here like, Can we start any additional foods like CERELAC/RAGI MIX/FRUITS than the mentioned one? If not when will start these kind of food and suggest please the type of food. Thanks.
Diabetes often referred as diabetes mellitus is a metabolic diseases in which the person has high blood glucose (blood sugar) either because insulin production is inadequate or because the body's cells do not respond properly to insulin or both. There are three types of diabetes:
1. Type 1 diabetes: The body doesn't produce insulin. People usually develop type 1 before their 40 th year often in early adulthood or teenage years. It is nearly 10% of total diabetes
2. Type 2 diabetes: The body doesn't produce insulin for proper function, approximately 90% of all cases of diabetes of this typeType diabetes
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC