Dr. Raktima Chakrabarti

Your daughter is now 9 years, so please wait till secondary growth is completed. Malalainment of teeth can be done anytime after that, you need not worry at all now.

As you're saying your milk supply is good ,give her exclusively only Brest milk upto 4 1/2 months. Start giving her 5op feed after that.

Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.

Hello lybrate-user, from what you said, I think your fear is unwanted, here the tech was removing the plastic hub of the needle so that the blood would flow freely. In this there is no risk of hep b, c or hiv as you think.

Please give your baby khichdi , rice kheer,banana, rice & curd. Cerelac can be also given. It is important to give him frequent small feeds till his his appetite returns to normal. A probiotic can be given daily.

Do not worry these is not the topic of worry. See I would like to suggest you something if you will follow them then definately weight of your baby will increase. But you have to follow the advise. Do not force her to eat if she will feel hungry then she will eat and let her eat how much she wants to eat do not force her. If she eat half banana aur something let it be dnt force her. If you want to see the results of the medicine check her weight now and check after 15 days. I am prescribeing some medicines giver her and do not force her to eat continuously. I have treated these kind of patients and parents get happy so follow what I have said. 1. Hingvashtakachurna + pippalimula 10 gm each mix bohat ane give her 1/4 tsp twice a day half hr before meal. 2. Krumikuthar ras 1/4 tablet crush it and give twice a day 3. Arvindaasava 1/4 tsp twice a day.

Normal house hold diet full of carb. Proteins, carb, routine fat (deshi ghee1to2) spoon, vegetables, fruits, milk at least 1litter in a day. Almond. Etc along with tab calcium 500mgmorning, evening. Cap iron 1cap per day and protein powder 2tsf morning and 2tsf in evening. Avoid laddu. These put on weight only. Eat healthy diet. No more oily not spicy diet.

Hello, Lybrate user, your baby boy is delicate with soft covering of penis can be reverted back by practicing to open it over glance ,gently applying mustered oil on prepuce being the old traditional method as Dadi ma used to practice in olden days to prevent phimosis. You need to practice this method for number of days, patiently. Give him under lying homoeopathic medicine for stimulating appetite:@ cheledonium 30-2 pills, thrice. Intake of water be enhanced. Give her colorful meal as per his choice. Report, wkly.

Take a second opinion from a pediatric neurologist the dose may have to be increased or addition of newer anti-epileptics.

YOu have to give breast milk and form 4 month all home made foods ,Vomiting is due to bottle feeding and feed with a spoon