Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 29 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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These overly aggressive children are not bullies; they often get into fights with people who are stronger than they are. They face problems not because they are aggressive, but because they become aggressive at times that are inappropriate and in ways that are self-defeating. They routinely argue with teachers and wind up in far more than their share of schoolyard scraps.
In some cases, this pattern of easily triggered aggression appears to be rooted in the children’s developing nervous systems. They appear to be physiologically unable to control their impulses as much as other children their age. For others, it is often a matter of needing to learn and practice social skills.
Aggression is one of the first responses to frustration that a baby learns. Grabbing, biting, hitting, and pushing are especially common before children develop the verbal skills that allow them to talk in a sophisticated way about what they want and how they feel.
Coping with a Very Aggressive Child
It’s difficult for adults not to attribute malicious motives to children who consistently appear to be trying to drive their parents and teachers to distraction. Often it’s equally difficult for parents not to assume that children are behaving this way because of something the parents have done wrong or have forgotten to do right. Such casting of blame, however, is not only inaccurate but usually useless as well.
The first step in helping an overly aggressive child is to look for patterns in what triggers the assaults, especially if the child is a toddler or preschooler. The aggression may happen only at home or only in public places. It may occur mostly in the afternoon or when the child is frustrated. Also, most of these children go through a predictable sequence of behaviors before they lose control. It’s a bit like watching a car going through a normal acceleration and then suddenly kicking into overdrive.
Once you can determine the most common triggers and can spot the escalating behavior, the simplest thing is to remove the child from that environment before he loses control. Take him away from the sandbox or the playgroup for a minute or two until he regains his composure. As the child develops, he will become less frustrated and, therefore, less aggressive because he has a wider variety of ways to respond to a challenging situation.
It’s also very useful to provide these aggressive and distractible children with a lot of structure and routine in their daily lives since predictability helps children remain calm and in control. Tempting as it may be at the time, spanking these children for being aggressive often does more harm than good. It is simply modeling the very thing you don’t want children to do. It teaches them that big people hit when they’re angry or upset, and that is precisely the aggressive child’s problem.
For older children and adolescents, teaching new and more appropriate ways of getting what they want can be very helpful. These children often have not learned the skills that their classmates picked up years earlier. As with bullies, formal assertiveness training can be particularly helpful to overly aggressive children since they have difficulty distinguishing between assertiveness and aggression.
It’s also useful to help these children look at life from a slightly different perspective. Psychologists have found that both aggressive children and their parents tend to focus on what’s wrong with a situation rather than what’s right with it. That makes their respective problems all the more frustrating for each of them, since neither pays any attention to the children’s improvement when it occurs.
Asthma is a condition that severely affects the lungs. The airways become narrow and the lungs become inflamed. Its characteristic features include bronchospasm, reversible airflow obstruction and variable and recurring symptoms such as coughing, wheezing, shortness of breath and chest tightness. This might be caused up to 2 to 3 times a day.
- Daily use of Paracetamol
- Daily use of antibiotics
- Caesarean sections
- Asthma in family
Asthma is usually triggered by:
- Tobacco Smoke
- Polluted or Poor air
- Cold Air
- Emotional Stress
Homeopathic Treatment: Asthma should be preferably treated using homeopathy. It is safe for most age groups. Asthma is a chronic problem that is best treated by a qualified homeopath. While few cures are found in numerous home use packs since they can treat a number of problems, the effective treatment of asthma usually needs potencies and changes of cures more than the extent of a prescriber and a home kit. For best results, the monitoring of a qualified homeopath should be sought. The homeopathic cures required for asthma change according to the signs of the sufferer. Some of them are listed below:
- Arsenicum Album (Ars.): Symptoms requiring the use of this medication include wheezing with dry cough and Asthma caused due to cold air. Upon application, the person will be anxious and restless and the condition worsens after midnight. Sometimes, it might result in exhaustion. There is a chilling sensation and they will crave for warmth. Patients required Ars. will be critical, anxious and afraid of being alone.
- Kali Bichromicum (Kali-bi.): Symptoms that require Kali-bi include asthma with stringy and sticky mucus. The patients feel chilly and after a while they get sick. The respiratory tract often is infected with mucous membrane infections. Ulcers are an additional infection.
- AntimoniumTartaricum (Ant-t.): Uncomfortable breathing and wet cough with mucus require this medication. It solves many issues that accompany difficult breathing. In severe cases, heart failure is possible.
- Grindelia (Grin.): Key symptoms are dry cough and possibility of wheezing. It may be accompanied by Rattling respiration, chronic bronchitis and suffocation during sleep.
- Phosphorus (Phos.): Upper respiratory tract infections cause asthma that ends in the chest. This causes coughing and wheezing.
Other homeopathic medicines for treating asthma are Nux Vomica (Nux-v.) and Pulsatilla Pratensis (Puls.).
My son is 1 and 1/2 months old. He is suffering from cold and cough. Doctor has told there is no cough in chest and provided with nasoclear one drop in each nostril. He is very irritated and coughing as if vomiting. Also whatever I breastfeed he vomit out. Later doctor given ambrodil drips 3 drops twice a day along with moxclav drops 3 drops twice a day. Is this safe . Can I give it to 6 week baby. Please suggest.
This means the child should be provided only breast milk for hunger and thirst till that age.
The only exception is medicines and supplements prescribed by child specialist.
If the mother feels child's requirement is not fulfilled, the opinion of doctors should be taken immediately.
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.