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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 niece vomits every time when she coughs. She is 4 year old and this problem is for more than a month. Kindly advice
My son is 5/half year old , every day he is having a gas problem every time he is feel vomiting so he doesn't want to have his food please help me. Since last 2 year.
My child 15 months old he has latrine problem not going Daily please suggest me a ayurvedic medicine.
Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.
How not to carry a baby for 6 months? (Like carrying from the armpits; swaying a baby which might be risky because of the brain fluids, etc.)
My two year old daughter has lack of appetite. Her doctor gave EUPEP syrup two times a day before foof and for iron he gave IREX syrup once in a day. Is this syrups good for her? Do this syrups have side effects?
My son is 11 month old. He is not standing on his own support. He holds sofa or bed and walk from 1 month. My neighbourhood son is also 11 month old. He is nicely walking. Is there any food to strengthen his legs. What to give. Is there any syrup? He is 10 kg.
Hello, can you please suggest me which is the best milk for my 3years old child? Cow Milk or Buffalo Milk?
Ayurvedic Perspective of Migraine and its management
Migraine is one of the worst headaches a person can experience. It is described as a throbbing or pulsating pain that can be on one side of the head. It can begin in a specific area and then spread while it builds in intensity. A migraine is associated with nausea and vomiting. The person will also be sensitive to light, sounds and even certain smells. Sleeping can be difficult and many people become depressed. They can last for a couple of hours or for several days.
Therapies Generally Used.
External treatments along with the internal preparations are very effective in chronic conditions. Panchakarma helps to remove the accumulated toxins and help to strengthen the nerve system. Involvement of other systemic disorders is also taken into account before deciding the treatment protocols.
1. Thala pothichil : Various kinds of paste (grinded mixture of selected herbs in suitable liquid media ) over the forehead / entire head help for the sudden relief from the ache. The preparations help to normalize the hyper action of the nerve cells and regulates the blood circulation towards the brain
2. Thalam : Special herbal powders suitable to reduce the Dosha vitiation, are selected and mixed with suitable liquid media(oils/ghee) and this medicated herbal paste is applied lukewarm over the crown of head (Anatomically over the Bregma point on skull). (Dur 25-45min).
3. Shiro abhyanga : Head Massaging with Oils suitable for the Dosha vitiation, helps to increase the blood circulation towards brain and also helps to relax the spastic muscles on head. Special care is taken to massage the Marmas or the Vital points on head which have marvelous results.
4. Nasya : Nasya (application of herbal preparations through nostrils) is one of the treatments which directly acts on the nerves and removes the toxins accumulated in the sinuses. Mucus lining inside the nostrils are one of the areas where numerous nerve endings are exposed. The medicated oils applied through Nasya directly acts on these nerve endings and help to pacify Vata Dosha in disturbed nerves and control the abnormal impulses gernerated by these nerves. The special preparations used for Nasya drains the mucus deposited in the sinuses thereby the pressure in this area is relieved. The medicinal contents of the oils administered, stimulate the higher centers of brain which have actions on regulation of endocrine, nervous system and circulatory functions.
5. Shiro dhara : Shiro dhara with Takram (medicated butter milk) is also another important therapy which is used to control the vitiated vata kapha doshas localized head.(Dur 25-75min) Other Panchakarma treatments like Vasti (a course of medicated oil and decoction enemas), Virechana (purgation) also helps to put the toxins out from the body.
After the Panchakarma therapies, special preparations called Rasayana (immunoregulatory) is administered. Rasayana preparations improve the immune system further improving the perception of sense organs. Migraine due to other systemic involvement like psychological problems, digestive problems, blood pressure, ophthalmic problems, immune problem, improper menstruation, etc will be relieved when treated according to the specific treatment told for these diseases.
I have baby of 19 months. One month ago, I stop breast feeding but there is milk. Its less but no stop. What I can do?
These overly aggressive children are not bullies; they often get into fights with people who are stronger than they are. They face problems not because they are aggressive, but because they become aggressive at times that are inappropriate and in ways that are self-defeating. They routinely argue with teachers and wind up in far more than their share of schoolyard scraps.
In some cases, this pattern of easily triggered aggression appears to be rooted in the children’s developing nervous systems. They appear to be physiologically unable to control their impulses as much as other children their age. For others, it is often a matter of needing to learn and practice social skills.
Aggression is one of the first responses to frustration that a baby learns. Grabbing, biting, hitting, and pushing are especially common before children develop the verbal skills that allow them to talk in a sophisticated way about what they want and how they feel.
Coping with a Very Aggressive Child
It’s difficult for adults not to attribute malicious motives to children who consistently appear to be trying to drive their parents and teachers to distraction. Often it’s equally difficult for parents not to assume that children are behaving this way because of something the parents have done wrong or have forgotten to do right. Such casting of blame, however, is not only inaccurate but usually useless as well.
The first step in helping an overly aggressive child is to look for patterns in what triggers the assaults, especially if the child is a toddler or preschooler. The aggression may happen only at home or only in public places. It may occur mostly in the afternoon or when the child is frustrated. Also, most of these children go through a predictable sequence of behaviors before they lose control. It’s a bit like watching a car going through a normal acceleration and then suddenly kicking into overdrive.
Once you can determine the most common triggers and can spot the escalating behavior, the simplest thing is to remove the child from that environment before he loses control. Take him away from the sandbox or the playgroup for a minute or two until he regains his composure. As the child develops, he will become less frustrated and, therefore, less aggressive because he has a wider variety of ways to respond to a challenging situation.
It’s also very useful to provide these aggressive and distractible children with a lot of structure and routine in their daily lives since predictability helps children remain calm and in control. Tempting as it may be at the time, spanking these children for being aggressive often does more harm than good. It is simply modeling the very thing you don’t want children to do. It teaches them that big people hit when they’re angry or upset, and that is precisely the aggressive child’s problem.
For older children and adolescents, teaching new and more appropriate ways of getting what they want can be very helpful. These children often have not learned the skills that their classmates picked up years earlier. As with bullies, formal assertiveness training can be particularly helpful to overly aggressive children since they have difficulty distinguishing between assertiveness and aggression.
It’s also useful to help these children look at life from a slightly different perspective. Psychologists have found that both aggressive children and their parents tend to focus on what’s wrong with a situation rather than what’s right with it. That makes their respective problems all the more frustrating for each of them, since neither pays any attention to the children’s improvement when it occurs.
My 1 year infant has redness in the right eye. I guess it was bcos of shampoo usage. Can you please give me any suggestions about what is to be done! thank you.
Sir, my son who is 4.5 year weighing 20 is having chronic tonsillitis for last 2 years, when I consulted ENT surgeon, suggested for operation, kindly advice.
Hi, my baby is 2 month 23 days old. His birth wt. Was 2.6 kg and currently he is 5 kgs. I have following queries 1. My kid has recently started eating his hand and sucking his thumb. Is it normal? Shall I stop him from doing so? 2.he is normally breast fed. But sometimes I need to go out. What formula can I give him and in how much quantity? 3. He feeds after 3 or 4 hours is it normal? Sometimes he sleeps for 6 hours at night. Alsohe does not burps during night feedings? Is it fine?
A study suggests that two cups of milk a day is ideal for toddlers. Consuming more than that can reduce iron stores raising the risk of anaemia
Also says children from age one to till eight needs two cup of milk and from nine to 18 need three cups of milk or its equivalent each day