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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 3 year old daughter is sick with a temperature of 100 degrees she Can not keep anything down including liquids. What should I Do?
Dear Doctor, My Baby is 4 month and both kidney are jointed to physically but not any issue but your opinion in future life in my baby any issue?
Hi, my 2 1/2 year old daughter has severe cough from past 10 days. Tried many syrups but didn't work. Not sure whether its due to reflux or infection in lungs. Looking for a best pediatrician who doesn't do experiments on children. Please do the needful. Thanks in advance.
Last month only I had a c-section delivery can I continue having green tea while feeding baby it won't be problem for baby!
When 2 month baby have duodenal abstraction is this natural or cause of any effect of medicine. Mother have infected hbsag positive.
Hi my son completed 11 month but he is still crawling only but he will stand by holding things all and if I put him in walker he will walk fast all over. I am giving practice to him to walk by holding my hand but he walk only 10 steps later he sits. When will he walk. Any things I want to do.
My daughter is 3 years n 9 months old. She is suffering from ear pain since morning 6 am. And telling that she has pain under jaw. May be tonsils. No fever. Can I give crocin ds for her pain relief or can you suggest any other medicine?
Let us imagine a scenario: It is 4 in the morning. You are fast asleep and suddenly you hear the discomforting cries of your child. You sense that something is wrong and you immediately rush to the other room. As soon as you touch him, you realize that the child's body is burning up like a furnace? You immediately rush to get your thermometer and the figures on it do not make for a good reading - 102 degrees F. Panic dulls your response rate. Your first reaction is to call the doctor. It might be the right thing to do in some rare cases, but in most cases experts advise differently.
Stay Calm - The most important thing is for you to stay calm and relax and realize that it is still well within your hand to take care of the child. First things first, fever is not your enemy. Rather, it is body's way of telling you that your immune system is fighting alien elements in your body. Children of the age group 0 to 3 almost always face high temperatures at some point in their nascent lives.
The Need of the Hour - How you should go about it depends on your child's age and thermometer's readings. If your child is a newborn or is less than 3 months old and reading is above 100.4 degrees, then you must call the doctor at once.
Between 3 to 6 months, temperature threshold is 101 degrees F, while 103 degrees F is usually the limit for children older than 6 months. But, if the child is showing alarming symptoms such as body ache, fatigue, and diarrhoea, along with the high temperature of 101 degrees F or 102 degrees F, then you should consider calling the doctor on a priority basis.
Take the Hints - Be Wary of the Symptoms
Keeping an eye out on the symptoms is extremely important. If your child has a running nose and low-grade fever (99-100 degrees F), then he might be suffering from a bout of common cold. Vomiting and diarrhoea usually indicate stomach virus. For children with weak immune system or at higher risk than others, it is advisable to consult a doctor.
A 24 hours rest is generally advised in flu, till the patient is fever free without taking any antibiotics. Ailments like an earache, sore throat or discomfort in peeing should be brought to the notice of doctor as it might indicate soar throat, UTI or ear infection, all of which require antibiotic treatments. Certain signs warrant an immediate medical attention. Discomfort in breathing along with constant crying, difficulty in walking, unusual rashes and purple looking spots demand that he be taken to the E.R. right away.
The most important thing is to complete the treatment course diligently and let the fever run its course as it may actually aid the body in building immunity against the fever causing germs and fight them. One must remember that being calm and relaxed at taxing times go a long way in helping you take right decisions and treating fever in children is all about patience and right decisions.
Hi, My son is 4 years old. Around 6 days back he had an attack of cold / flu, which is prevalent nowadays. We consulted doctor and he prescribed typical medication except antibiotic. From yesterday his cough has gone from bad to worse, esp at night, when he is coughing for hours. We again consulted the doctor who now gave antibiotic (which if given earlier might not led to the severe coughing!). We changed doctor also to cross check and be sure, where we came to know that there might be a case of bronchitis that is causing excessive coughing at night. Medication is going on and the doc has suggested it will take few days to get cured. Since medication is going on, we are concerned about the coughing at night. Is there some home solutions to keep coughing at night in check. Please suggest.
Delivered baby on 1st. Flat nipples. Baby not latching on. Using nipple shield. Is it ok to use nipple. Shield.
My son is 3 years old. His hb is 7. 7. Last 6 months ago there was d same problem. and most important thing is that whatever we eat means green veg. and pulses. We give him. We don' t take fast food. What should I do
My son is 1.3 years old. He is having a bad habit of eating food while watching tv or providing any tool to play with. Beside this its quite tough to make him eat. Also he found difficulty and cry during potty. What should we do?
Hi doctor. My 3.5 months old daughter catches fever every 25-30 days. And she has got little cough too. I give her P125 drops (8 drops 3 times a day) and for cough sinarest (10 drops 3 times a day and keflor (half spoon 3 times). What should I do? I am worried since she is too small.
What Causes Eczema? Ways to Prevent Eczema Outbreaks
A skin inflammation, eczema, also known as atopic eczema, refers to the changes that occur in the upper skin layer. These skin changes can be thickened and cracked skin, skin redness, crusting of the affected area and swollen raw skin, among others. The exact cause of this skin condition is not yet known but a mix of factors have been found to be behind this health problem.
The factors that play a role in causing eczema are:
- Dry skin brings down your skin's ability to fend off irritants as well as allergy causing substances from entering your skin, resulting in an inflammatory condition.
- Genetics is also one of the factors that may affect the proper functioning of your skin as a barrier against harmful substances. Therefore, if either one of the parent or both suffers from the condition, it is very likely that their children too will suffer from it.
- Abnormal functioning of your body's immune system can also lead to this skin condition. This is because it's your body's immune system that fights off infections as well as harmful intruders.
- The presence of the bacteria called Staphylococcus aureus, which brings about sweat buildup, inflames the skin considerably, leading to this condition.
- Even environmental factors like pollen, cigarette smoke lead to the flaring of eczema.
How can you prevent an eczema outbreak?
It is very common for this skin condition to flare-up from time to time. But you can avoid such outbreaks or reduce their severity by following these very simple ways:
- Keep your skin well-moisturized so that it doesn't dry out causing further irritation.
- Sudden changes in temperature can cause the skin condition to break out. So, when the weather is hot, keep yourself cool but during cold weather, use a humidifier to prevent the skin from drying out.
- Keep sweating in check as it can cause an outbreak very easily
- Avoid the use of harsh detergents and soaps, woolen materials as well as the consumption of foods that may lead to flare-ups
High fever is common in kids and a common worry for parents as well. If you are a parent, you need to know when the fever is serious, and when you should worry about it. Fever is a defence mechanism of the body. Body temperature rises if any foreign body (or antigen) attacks your body. As a defence, body temperature rises making it an unfavourable condition for the antigen. Fever means 100.4 degree Fahrenheit. Normally for kids, thermometer is placed under the armpit to record the temperature. You need to add an extra degree for accuracy. Paediatricians recommend treatment for fever if it's more than 101 degree F.
When to Call a Doctor
If the kid is less than 4 months old and has a fever of 100.4 degree F with other mentioned symptoms as highlighted, one must see the doctor as an emergency situation.
If a kid has 104 degree F fever, rush to the doctor. Such a high fever in children could lead to seizers.
You must call a doctor if the kid has a fever along with the following symptoms:
- Looks very dizzy
- Has a deteriorated immune system or even any other medical condition
- Has a seizure
- Has symptoms such as rashes, painful throat, annoyance, rigid neck or ear pain
Medication Side Effects:
At times, if you treat your children with some medication that does not suit them, it may lead to high fever. In case fever in a kid aged less than 2 years lasts for more than one day, it's time to see a doctor. And lastly, remember that normal body temperature is 98.6 degree F.
My baby is 20 days old. Previously after birth Doctors advised for GB paint, a blue coloured medicine which was beneficial for emblical cord. Now a days Doctors adviced for Betadine lotion. My query is, after 20 days emblical cord of my baby has not cured with betadine lotion and pus is coming out. Please suggest me what to do?
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.