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Hi. My daughter is 2 years months old. 15days back she was hit by table cornor on het right cheek. Immediately her right cheek bone became black. I gave her ice pack. For 2 days it was just like that black. Then my friend suggest to put betadine and neosporin ointment. When I put after 20 minutes half of the cheek became full red. Then I saw red veins. I took her to doctor and she prescribed as fluticasone creme ip. After 7 days I felt 1 lump under her skin on that chick bone which was not there in first instance. Now that lump area is black in colour. We can see broken veins around that lump till her mouth. Redness reduce but not going significantly. Kindly suggest some medicine.
Hlo doctor mera baby 15 din ka h or usli chest bhari hui h lmbe lmbe saans leta h or cold b ho rha h.uska weight birth weight se kam b ho gya h.or mera feed krne se wo din m 25-30 bar potty krta h patli pani jesi. Or jb m cow ka milk deti hu din m sirf 7-8 bar krta h ky m usko steam de du. Or uski potty k ly ky kru. Plzz koi solution btao.
My 5 month baby is having constipation. I am giving her elcarim syrup twice daily. Now I have started cerelac and apple juice. She is suffering a lot. Even aftr giving raisin water no use. Please help.
My daughter is 3 months old. We were giving Dexolac Premium to her and then she started spitting out. Our doctor suggested us to change the brand to Nan Pro1, however she is still spitting out lot of milk. Doctors says this is reflux. How long does the reflux stay as she has been spitting out at least 30 ml of 90 ml we give her? Is she lactose intolerant? How can we find out? Please help and suggest as we are concerned.
My daughter is 14 year old and studying in class 10th. She has a problem of bedwetting and she is unable to control this inspite of personal counselling, not drinking water before going to bed etc. What should we do to stop this. We feel embarrassed to go and stay with relatives places. Please advise course of medication to be followed. Thanks.
My wife is a cardiac patient. She is having cough for the one week. She has been treated with antibiotics and cough syrup but no relief. Please suggest.
My daughter is 4 years old and she does not eat any food. Is there something which could help in improving her hunger.
Sir, My son is 9 years old. His weight is 34 kg. He is suffering from fever since last 5 days. I am giving cefpodoxime 100 twice a day Since Sunday night but till 99 to 100 degree temperature comes at night. So now what will we do. Please reply.
My baby age 8months old , baby growth is not that much past, now baby weight is 4.5 kgs. When baby born time 1.8 kgs. Can you please help me on how i can handle my by growth?
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?
My girl child of 7 month is having fever from last 3 days. Her temperature is not coming down from 102. Please suggest what to do?
Hi, My son is completing 10 years today and I would like to know the list of vaccines he should be administered and from where I can get it done.
My 2.5 years daughter weighs only 10.5 kgs, but she is active. She eats very less, even 1 roti she takes 1 hour to complete. (max she have 1 roti and small portion of other things like biscuit, chips, apple etc) As prescribed by doctor we are giving her Pediasure from last 3 months, but no positive results till datePlease suggest, how to increase her weight given she eats very less.
Is it possible for a child of age 5 years and 4 months to have 'Fibrile Convulsion Plus' symptoms without running a high fever?
Hello Friends, I’m Dr.Vikas Deshmukh. I’m a neuro-psychiatrist and sexologist working in Navi Mumbai, Vashi area. So today, we are going to talk about ADHD.
So, what exactly is ADHD and why is it important to you?
ADHD means Attention Deficit Hyperactivity Disorder. So the name itself is self explanatory. So in ADHD there are three major components. One, is inattention. Other is hyperactivity and the last is, impulsivity. Early diagnosis and management of ADHD is very important or else it can ruin your child’s academic or career. So the first symptom of ADHD is inattention. Inattention is not noticeable until the child goes to school.
Most of the time inattention could be neglected at home. In inattention the child might be procrastinating the things, not completing the task, switching from one uncompleted task to another uncompleted task, unable to complete both the tasks. So symptoms can be disorganized, bahut messy rahega child, bilkul he cheezein yahan wahan padi hui hai, systematically kuch dhang se kaam nahi ho pa raha hai use. Then he is not able to focus on certain topic. Teacher padha rahi hai toh ye choti si awaz aayegi toh uska dhyaan wahan jayega, teacher jo padha rahi hai who likh nahi payega theek se, small small mistakes he’ll make, likhte hue bhi ek word gayab ho jayega, ek word mein kahin ek letter gayab ho jayega, kabhi kabhi cheexein bhool kar aane – bhoolna, forgetfulness is also a very common symptom. Pen bhoolke aayega, pencil bhool ke aayega, eraser bhool ke aayega, kabhi kabhi tiffin, kabhi water bottle bhool kar aayega. This is very common.
- Inattentiveness mein ek aur bhi chhez hai jaise ki aap usko bulaoge toh ek baar mein woh aapke taraf dhyaan nahi de payega. You have to call him multiple times. “Arre beta mein ne kitni baar bola, kitni baar mein aap ko yeh sab sunaya. Agar usko aap kuch kaam bolte ho, jaise teen se chaar cheezein ek saath bolte ho toh who saare teen chaar kaam ek saath dhyaan mein nahi rakh pata hai. Koi na koi cheez hundred percent bhoolega. Yeh inattention mein bahut common hai.
- Second one is hyperactivity. Hyperactivity mein child is very hyper, not able to sit in one place, constant fidgeting, squirming in their seat, fidgeting means kuch na kuch movement chalu rahega – haath ka, per ka, kuch na kuch – bina hile beth nahi sakta baccha. Isko bolte hai constant fidgeting and squirming in the seat. Kuch nahi rahega toh seat pe he idhar udhar apne aap mein hona. Yeh sab who baccha aapko karte hue dikhai dega. Hyperactivity mein aur ek cheez, you feel as if uss ke andar motor fix kiya hai, continuously on the move, unable to stop at all.
- The next thing we can see is trouble playing quiet games like Chess or pursuing quiet hobbies, he can not do that. Then, talks excessively, bahut zyada baat karna ki usko stop karna mushkil ho jata hai. And in adult and teenage, this hyperacticity can be seen in the form of inner restlessness. Who andar se restless feel hota hai unko. You may not see that hyperactivity physically but that inner restlessness is there.
- So the third part is impulsivity. Impulsivity is when the child is impatient. He cannot wait for his turn. Queue mein agar khara hai, toh “Arre mera number kyun nahi aa raha hai hai, kyun mein itne der se khara hoon.” If you ask him a question, before completion of the question he will blurt out the answer. “Teacher answer yeh hai, teacher yeh hai.” He can make multiple mistakes for that. Frequently interrupts others. Do bade baat kar rahe ho toh baat khatam hone tak rukega nahi, beech mein aa ke aap ko disturb karega. Aap ko lagega har baccha aisa karta hai but hamesha agar bacha karta rahe toh this is a sign of ADHD.
Kabhi kabhi agar kar raha hai toh it’s okay, jab usko urgency rahega, jab usko kahin jaa na rahega. Starting conversations at inappropriate times is also a sign of ADHD.
So ADHD manage karna kyun zaroori hai?
ADHD mainly do components ko bahut zyada affect karta hai. One is academic and other is socialization. Toh academics mein kaise ADHD kaise harm kar sakega? For example, if your kid has an IQ jisse use ninety percent marks aa sakte hai aaram se but if he is not able to pay attention aur woh studies mein focus nahi kar payega, attention nahi de payega teacher kya padha rahi hai, books mein kya likha hua hai, toh who padhke apne brain mein register nahi kar payega. So attention is first required for registration. Then, again, when he wants to recall it, tab bhi use dimaag shant rakh ke recall karna padta hai. Tab bhi use recall karne ke liye attention chahiye. Toh jo ninety percent ka baccha hai agar usko ADHD hai, according to the severity of ADHD, he can slip down to sixty percent, fifty percent, or forty percent. So aaj kal ki zindagi main ek ek marks ke liye bhi bahut tagra competition hai, you know that. Agar ye competition mein itna agar bacche ka performance kum ho gaya toh this is very dangerous for the career of your child. So time pe ilaaj hona zaroori hai. Doosra behviour mein, socialization mein farak dikhta hai. Agar mein kahin galti karta hoon ya mujhse koi galti hoti hai aur woh mere parents ko, mere teachers ko pasand nahi aayi toh I should be attentive ki mein uss cheez ko dhyaan mein rakhu. Dhyaan mein rakhne ke liye mujhe attention chahiye, “Arre haan mummy ne last time aise bola tha, mummy ko ye pasand nahi aaya tha, teacher ko who cheez pasand nahi aayi thi”. Yeh mere dimaag mein register hona chahiye, yeh register hone ke baad mein jab next time kaam karoonga, tab mujhe who samajh mein ayega ki “arre haan, nahi last time yeh galti kiya tha, mummy ko pasand nahi aaya tha, ab yeh nahi karna chahiye.” But yeh attention he mere paas nahi rahega toh wahi galtiyan mein roz karoonga. Kal bhi maine maar khaaya tha, aaj bhi mein maar khaaonga, aur parso bhi mein maar khaane wala hoon. So this is a part and parcel of life ho jaata hai, aur wahi wahi galtiyaan repeat hoti hai. Toh patient khud ke ilava kissi aur ke bare mein soch nahi pata. Toh woh socialization mein kaafi peeche pad jaata hai.
Is ke treatment part mein kya aata hai?
First is Occupational Therapy jiss mein child ka hyperactivity kaafi hadh tak kum hota hai. Second is parenting techniques ki baccho ko behavioural therapy mein daal kar ke kaise uska parenting kiya jaaye. And third one is medicines. Medicine is a very important part of therapy. Most of the parents ask us ki arre itne chote bache ko medicines chalu karenge, kuch side effects hoga toh, kuch problem hua toh? Minor side effects medicines ke rehte hai but those side effects can be managed with proper consultation. Aur yeh medicines baccho ke liye he banaya gaya hai toh baccho ko yahi dena padega. Baccho ko sardi khaasi ho gaya, baccho ko bukhar aa gaya tabh aap bolte ho ki baccho ko medicine nahi dena chahiye? Agar who baccho ke liye banaya gaya hai toh who baccho ko he dena padega. So hope this discussion is helpful for you and please be proactive and seek help.
Don’t let ADHD destroy your child’s future. For more information, you can contact me on www.lybrate.com.
Thank you very much!