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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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My daughter has very high fever, above 102 degrees, more for more than 48 hrs. Have given her crocin syrup 4 times in a day, also done Patti on forehead, but fever is not coming down. What disease could it be. Also need to show someone in Sohna road Gurgaon - pls suggest.
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:
Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.
Finger-prick test. A typical blood sugar test includes the following:
A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.
To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:
Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:
Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.
Here are symptoms, reasons and management of ADD and ADHD.
Hello, I am 31 year old mother of 4 year old kid, l am doing high intensity exercise daily 1 hour regularly from last one year, and also having diet control but not able to reduce fat from tummy area, request you to please suggest some options.
Hi sir, My son is two and half year old. But usko bolne me dikkat aa rhi hai. Mera beta bolta to hai per proper nhi bol pa rha. Mummy, papa, dada, roti, pani jaise word to proper bolta hai per puri tarah nhi bol pa rha abhi. Kya muje uske liye koi tonic ya medicine leni chahiye. Please tell me.
My baby girl is 3 month old and she is green potty, I was test with SRL and having some infection it was at lest 1 month counseling with doctor is going on. Please suggest what should I do and will impact my baby.
Hi sir My child is 2 year old. He just fall down from stairs. And he got some rubbed in his forehead. Please suggest if I can use Quadriderm RF for relief now. Or Omni jel. Thanks. We.
I have again done the stool test of my child. My child is 1 month 22 days old. The stool test report is as under: Colour- Yellow with Reddish streak. Consistency: Semisolid, Odour: Offensive, Mucus (), Reaction: Ph 6.0, Occult Blood: Positive (ve), RBC: 6-8/Hpf, Pus Cells: 2-3/ Hpf, Bacteria flora: Normal, Veg Cells, Starch, Fat globules are Nil. We see some little drops of blood in his stool when he passes stool most of time. Dr. (Pediatrician) advised us to go surgeon for checking the cause of blood in stool. But our child is normal habitual, sleep well, no fever and only breastfeeding. So what is the cause of blood in his stool.
My son is 15 months old. He has got 3-4 teeth. and few are about to come. When is a good time to start with brushing? Also he still isn't standing or walking on his own. But he does stand up holding sofa, chair n also walks holding them. A few doc said its OK up to 18 months. So should we wait for few months or see a physio? As 3-4 docs v consulted said a strict NO for walker.
My baby is in 2nd month. In 1st month, I fed her every 2 hrs. Should I continue that? or what should be the frequency of feeding?
Which milk substitute to be started for baby of 6 months along wih mother milk. Is toned milk better or nan / lactogen etc?
Ongoing monitoring is essential to maintain and establish the lowest step and dose of treatment to minimize cost and maximise safety.
Typically patient should be seen one to three months after initial assesment,and every three months thereafter.After an exacerbation.the patient should be assesed within two weeks to one month.
At every visit the patient inform the doctor following.
Use of short acting B2 agonist
Night awakening due to cough/breathlessness.
Interferance in day today activity by cough/breathless.
Any triger observed by patient.
Any concern regarding drug use.
On the basis of above information ,doctor can step up,step down or continue same treatment.
If asthma not controlled,then step treatment
If asthma partly controlled ,then consider stepping up treatment.
If asthma well controlled for three months ,then step down treatment is recommended. The goal is to maintain control with minimum treatment.
Monitoring is still reccomended even after control is achieved,as asthma is a variable disease,treatment has to be adjusted periodically.
My 6 month baby is vomiting frequently and also have motion problem very loose. Is this normal at this age or should we take treatment. We feed only milk.
My girl child is five months old. She has converted nipple with lump behind the nipple on right side only is it normal.
Hi, My Kids age is 3.3 years/M and he speaks only few words and not forming sentences, as recommend by pediatrician we took MRI, EEG and every thing is normal. He speaks the few words what ever he is required. Is this any problem or will it be normal for boy babies. Some times while sleeping we found sweat on his fore head.
The following factors are most predictive of a healthy marriage.
A. Growing up in an intact, functional family
B. Parents were a good marital model
C. Both parents functioned well psychologically
D. Atleast 21 yrs at the time of marriage
E. Marry for positive reasons to share your life and not driven by thoughts such as fear of loneliness, parental or peer pressure or to rescue someone.
F. Know your partner for atleast six months
G. Commonalities in terms of sociology, economic class, race, religion, education, common interests
H. Physical attraction with potential to develop an intimate relationship.
I. Discuss important life organization issues like, work, money, children, to live with parents of your spouse or separately and life goals.
J. Support of family and friends is essential building blocks in a healthy marriage.
K. Consider your spouse as respectful and trusting friend
L. Sharing important information about self, taking each other's opinion for significant decisions.
M. Marital bond of respect, trust, and intimacy grows stronger in first three years of marriage.
N. Wait for atleast two to three years before birth of a planned child.
O. Maintain positive, realistic personal and marital expectations.
If atleast 50% of the above is also implemented it will give both the spouses a lot of contentment and motivation to build a strong bond and improve each day.
By Dr. Sharmila majumdar, senior consultant sexologist, psychoanalyst
Avis hospital, clinic of sexual health, mental health. Hyderabad