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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 baby is a 2 months old she is crying at night time only at morn she will active and sleep well also . At night time only she was crying continues and my family Dr. given pedicloryl syrup I've doubt sir that's syrup use daily it's give any side effects sir, we can use or not? I'm worry about it sir please reply my ans.
What should be given to 12 years old boy to make him strong internally. To boost his immunity. Is yokult good? how it works. My boy is allergic to dust. Please help.
Hi doctor, My son is almost 3 month old, There is irregular stool, he takes more then 10 days to get stool. Due to this there is some pain in is stomach and he avoids milk sometime due to uneasiness. When I talk to is doctor he says its alright to have this kind of irregularity regarding stool. What can I do to avoid this irregular stool. What shall I eat or feed to my baby to get stool daily.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
My baby is 4 month old and as he rolling due to pressure on stomach he is vomiting 8-10 times and his toilet is yellowish color proper but doing 3 to 4 times a day little little. Here he is drinking and then rolling and then vomiting. He is not vomiting milk but its like curd. I consult a Dr. he suggested perinorm 8 drops thrice a day is it safe to give him perinorm as I have read a lot of side effect of perinorm. If not perinorm than kindly suggest a substitute for the same.
Hello sir, I have a daughter having 5+ years of age, she has a problem that she is not speaking anything, some words she can speak like" amma" nanna" she spoke that words with lips only not with tongue and she could not direct contact with our eyes, she always faces her head down only, she can understand what ever we spoke but she could not answer, I think she has some neurological problem, some times she tights her hand, sir could you please tell me the problem, I would give you more information if required. Thanks in advance sir.
My new born baby has his feet turned inside by angle of 75what is proper method of treatment. Is plaster them only a solution or any other method of healing is there. Pls suggest me the right path. He is just a month old.
My son age 6, his platelets count is very low IE 10000 3 months back after treatment it will raise 85000 still he under treatment, 3 months after its again down below 10000 kindly suggest.
Dear doctor, My 7-year-old niece has been recommended an adenoidectomy. I would like to know the cost for the surgery. Also would like to know if there are any long term after effects of the same.
Childhood memories are always special, we often get nostalgic reminiscing about them. When we were kids there was a range of outdoor activities, games and creative things to do, something to look forward and run around. However, the definition of modern childhood has undergone a sea change.
If you have a child in your home, you will be acutely aware of the gadget addiction phenomenon. Be it a mobile, iPad, television or gaming console, children today are almost inseparable from their gadgets. From a 2-year-old baby to 12-year-old teenagers, all can be found glued to their favorite gadgets, due to which physical activity and outdoor games have ceased to exist in their lives.
Further, this addiction to modern day gadgets is triggering a negative impact on their health. A number of studies indicate that the incidence of obesity, depression, and even diabetes (juvenile diabetes) amongst children and teenagers is on a mercurial rise, because of such a lifestyle.
But who is to be blamed for this?
It is common knowledge today, that parents across that globe try to deliver the best of everything to their kids, but sometimes we forget that more than things and luxury, our kids need our time.
Here are some effective measures to curb the gadget menace
Communicate: As a modern working parent, life is extremely hectic. However, make sure you spend some quality time with your child daily. Talk to your child about different things and understand what is going in their daily life.
Understand your child: Communication paves the way for better understanding, but as a parent, you have to make an effort to understand your child, as each child is unique and so are their needs.
Educate yourself: Make sure you are fully aware of what is going on with your child and how he or she is doing throughout the day in different areas, be it school or other activities. Talk to the other parents, and know what your children's peer group are doing.
Engage them: Take them to parks, indulge in fun outdoor and physical activities. When your child refuses to eat or do a particular work, never bribe them with a mobile phone or a laptop. Instead, promise them a weekend picnic or a day out.
Reduce internet time: Make sure children below 8 years have either no access or reduced access to the Internet. In fact, children below 10 years should not be allowed to use mobile phones, but that is practically not possible in today’s time, so parents should make an effort to control that and make sure that their children are not spending unnecessary time on internet as not only it is wasting their precious time, but also affects their mental health too.
Lastly, do not let your child forget that there is more to life than video games and TV. Love them but don’t give in to your child’s unrealistic demands.