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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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Hi doctor. My 8 month old daughter has a running nose and due to that she can't breath properly during night time and hence she cries a lot. We give nose drops but it doesn't help much. Please advice what to do. Thank u.
I became d mother f a baby gal before a month (c-section). I want to knw wat kinda f diet shud I take so dat I cud feed d baby also n my weight gain will also remain in control. sometimes I feel weakness in my lower body. Its my second baby.
Is it safe to give pedicloryl syrup to 4 months old baby? if yes then in what quantity? the baby is all the time cranky and is not having proper sleep. Only sleep for an hour max and thn wakes up and cry. Please suggest what to do?
Respected Sir, My son is 5 years old his height is ok but weight is only 11 k.g, Why weight do not increase? Sir help me because his total report is normal. And wrote some medicine properly.
Sir, my baby born in 8th month and she is suffering for jaundice her level is 22 and I kept the baby for 48 hrs after this the jaundice level did not decrease what I will do. They are telling keep the baby another 2 days.
My daughter born on 4th sept 2014 was admitted for acute dehydration when she was 4 mo. We had switched to cows milk when she was 3 mo. After hospitalisation she was on formula feed. We restarted cows milk last week, she is 6 mo now, and she started frequent motion again. Switched back to formula. Could she be lactose intolerant or are we making her switch to cows milk earlier?
My baby is 22 days old. She has difficultly in passing urine and toilet. I had consulted 2 child specialist they said nothing to worry. It's normal. But still is there any remedy? Today she keep on releasing gas frequently and cries while releasing gas.
Sir Pls tell me any home remedy or medicine to cure adenoids and tonsils in 6 y old girl child she is breathing open mouth in night no fever no pain, Snoring sound in night.
My son is 3 yrs 8 months old is having prolonged coughing. Shown to pediatrician and Homeopathic doctors but complete cure is not done so far. Sometimes he coughs for a minute or so and very frequent (specially during his sleeps at night or early day time). Doctor said throat infection which is cured but he is not completely relieved. Please advise.
My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic powder on it which contains (neomycin, bacitracin and sulphacetamide. And what is the procedure to apply?
Hello doctor my baby girl is 5 months old she don't drink milk every time she was only playing what can I do? Which food items I can feed to her?
My kid is 2 years old, last 2 days there has been redness in his eyes and yellowish things coming from eyes. He also had running nose. Our doctor has advised to give Tobacin and Maxtra. Things seems to be better now. Please tell if above medicine is good for kids and has no side effects. Also as summer is coming, can this be eye infection or due to cool air hitting the eyes? What can we do to boost his immunity?
Q1. What exactly is Laparoscopy?
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.