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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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Bedwetting, also known as Nocturnal Enuresis, can be referred to as the unintended and involuntary urination during sleep. Enuresis, being a medical term, stands for wetting, whether during the day in full clothing or at night in bed. For young children and infants, urination is certainly involuntary. It is worth note that children who wet their beds are not actually being disobedient or lazy.
Child Bedwetting can be classified into two types- Primary and Secondary
It has been continuing since the phase of early childhood without a halt; which means the child bed-wets every night.
The child is unable to hold urine over the length of the night.
The child cannot wake up in case his or her bladder is almost full..
The child has been taught poor toilet habits as he/she puts off urinating for hours during the day.
Secondary bedwetting can be an indication of a repressed medical or emotional condition.
People suffering from diabetes need to urinate frequently.
Any injury or abnormality of the nervous system can take a toll on the neurological balance that fundamentally controls urination
A peculiarity in the muscles or other organs that are involved in urination can be the reason behind bedwetting.
How to address the problem of bedwetting?
Motivational Therapy: This involves parents motivating their children to reinforce their sense of self-control over bed-wetting.
Moisture alarms that can detect wetness in the child’s trousers while sleeping and sound an alarm bell to wake the child up.
- Tricyclic anti-depressants that lower the amount of urine produced by the kidney.
My baby she was 10 months old has low muscles tone and not holding her head please help how to increase muscles tone and how she control hold her head although she do physiotherapy.
My child boy age is 7 years. Until now his testis weren't entered into the scrotum. In the sonography, it was found that they remained below the abdomen. What happens if they not enters in the scrotum? What should I do for my child? If to be operated. How much expenditure would be? Pls help me.
When should I start giving my baby solids (weaning? How much exercise should my child do? Are squash and pure fruit juice better for children than fizzy drinks?
Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
- Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
- Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
- anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
- oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
- conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
- sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
- autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
- epilepsy – a condition that affects the brain and causes repeated fits or seizures
- Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
- learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
- carelessness and lack of attention to detail
- continually starting new tasks before finishing old ones
- poor organisational skills
- inability to focus or prioritise
- continually losing or misplacing things
- restlessness and edginess
- difficulty keeping quiet and speaking out of turn
- blurting out responses and often interrupting others
- mood swings, irritability and a quick temper
- inability to deal with stress
- extreme impatience
- taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
- personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
- bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
- obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain.
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This is Dr. Manish Sahu.I'm a pulmonologist. I am a generalphysician practicing in Sector 104 Noida and Sector 61Noida.
Aaj mein kuch baat aapko is video ke madhyam se kehna chahta hu especially being a chestspecialist main kuch respiratorydisease ke baare me aapko batana chahta hu . Jaise ki aapne suna hoga asthma Jise hindi me dama kehte hai, ye bohot common misconception ki ye theek ho jata hai ya kabhi kabhi dawai leni padti hai. Mein aapko ye baat batana chahta hu ki jis tarah se diabetes andhypertension jisko sugar ki beemari or blood pressure ki beemari bolte hai isme aapko dawai puri jindgi leni padti hai aise hi asthama ka koi puri tarah se ilaz nahi hua.
Aapko iski dawai leni padti hai, aapko isko control me rakhna padta hai. Issi tarah tuberculosis ke baare me ek baat mein aapko batana chahta hu. Generally logo ko lagta hai ki tuberculosis sirf lower class ke logo me paaya jata hai ya gareeb logo me paaya jata hai but esa kuch nahi hai. India me tuberculosis bhot jyda matra me paaya jata hai or ye kisi ko bhi ho sakta hai mein aap kisi ko bhi. Aur asal me ye sirf ek lower socioeconomic status me paya jata hai. Ye higher socioeconomicstatus me bhi paya jaata hai lekin there is one thing ki hum Delhi NCR area me rhte hai.
Main aapko batana chahta hu ki aaj kal jo pollution levels hai yaha pe ye kafi dangerous hai or aapko pata bhi nahi hai ki ye aapke lungs ko kis tarah se effect karte hai. From past one and half year practicing in Noida and Delhi I can tell you about ki jin logo ki ye khasi ki beemari 5 din me theek ho jati thi ab ise theek hone me 10-15 din lagte hai. Theyneed more consultation, more money, moremedications and still they are nottotally relief. So these are the thingsthat is affecting our lungs, the pollution theparticular matters. So you have to takecare of that and you have to take some precautions.
And then there is onetopic called sleep apnea jo aaj kal bhot jyada chl raha hai. Sleep apnea kya hai jab ham sote time kharate lete hai bohot to hamari neend kabhi kabhi beech me udti hai isme neend ke jyada tutne se hamare heart pe bhot jyada pressure padta hai or isme diabetes hone ki chances jyada hoti hai. Diabetes heart pe stroke hone ke chances jyada hote hai, cardiac disease hone ke chance jyada hote hai to ham sleep studies karke aaj kal dekh lete hai ki kiski sleep kitni hai uski remedies kitni hai.
Agar apki koi bhi query hai, agar aap consultation chahte hai to mera clinic Sector 104 me bhi hai, Sector 61 me bhi hai.