Book Clinic Appointment with Dr. Ramveer Goswami
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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One of the best doctors I've seen. Kids take medicine easily prescribed by him. I really apriciate him n his work.
u are best one sir.....keep it up.... its great to have a nice and good doctor as u......
Canker sores can be said to be quite annoying, to say the very least. However, it is a relief to know that most of these sores are not a cause of concern. That being said, when a person has the opportunity to stop the sores from staying on, why should he or she not take it? In order to get to know how to treat canker sores, it is first important to understand what they are and how they are caused.
These sores mainly appear in children. The areas where they appear are the mouth and the tongue, in particular. One of the interesting things about canker sores is the fact that doctors do not know what the exact cause of these sores is. The symptoms of having canker sores include a possible tingling in the area in the run-up to the canker sore appearing, as well as painful red sores. It is to be kept in mind that these sores can develop either on their own or in groups.
Possible reasons why a person may have canker sores can include a bad diet, an infection and also a deficiency in terms of the intake of certain nutrients. One of the key nutrients happens to be folic acid. Iron and the vitamin B12 are not to be forgotten, either.
When a person would like to make an effort to reduce the pain and the discomfort which is associated with a canker sore, he or she should follow a routine in which after a meal is eaten, he or she should take some baking soda and mix it with a little bit of water. After this is done to a sufficient point to make a paste, he or she should apply it on the canker sores in the mouth. If an alternative is required, what could be used is a mix of water along with some hydrogen peroxide. This is to be followed up soon with some milk of magnesia.
The last thing a person wants is for an infection to strike the canker sores he or she may have. Not only is this quite uncomfortable, to say the very least, but there is also a longer time taken to the point of full recovery. In order to combat this, mouthwashes which include tetracycline are welcome. Also rinsing the mouth with a mix of warm water and salt is a smart move. If you wish to discuss about any specific problem, you can consult a Pediatrician.
Babies are fragile and need special care. In case of babies that are born prematurely, the amount of attention needed increases many fold and parents need to be extra careful and attentive. A baby born before 37 weeks of pregnancy is said to be a premature baby. The earlier the baby is born, the higher the risk of complications.
Most premature babies spend the first few days after birth in a neonatal intensive care unit (NICU). This is because they may have trouble breathing and may need help maintaining body heat. Though you may feel helpless watching your baby, it is important to spend time with your baby while he or she is in the NICU. Talk to the baby and touch him or her. As soon as your doctor allows, carry your baby while allowing him or her to have maximum skin to skin contact.
It is important to breastfeed a premature baby. Breast milk is the richest source of nutrition for your baby and is easy to digest. It is also rich in antibodies that help boost a bay’s immunity and protect them against a number of infections. If you cannot feed your baby directly, pump your breast milk and store it in sterilised bottles to be given to the baby. Premature babies can get critically ill very fast. To prevent this from happening, it is important to build a good rapport with your baby’s doctors and keep a close eye on your baby. Maintaining a journal can help you recognise changes in your baby’s development. Watch out for subtle signs that your baby could be falling ill. Some of these signs are:
- A distended abdomen
- Dry the diapers frequently
- Frequent vomiting
- Blood in the stool
- Temperature instability
- Lethargy and unresponsiveness
- Change in breathing
In some cases, the mother may be discharged before the baby. This may seem very difficult, but does not need to limit your time with your baby. Caring for a premature baby is tough and hence use the time away to rest and recuperate. Remember that your baby is in safe hands and do not let yourself get too stressed.
Your baby will be ready to come home once he or she can breathe on their own and is able to maintain a steady body temperature. Your doctor may also wait until the baby can be breastfed and begins gaining weight before discharging him or her. Once the baby is home, do not attempt to be the sole caregiver but involve your family in building a team of caregivers. This will keep you from getting burnt out and will ensure that your baby is constantly monitored. If you wish to discuss about any specific problem, you can consult a pediatrician.
An infant is usually called a bundle of joy and with good reason. There are simple and carefree, and bring a smile to your face with their antics. However, the mood and health of an infant can be tarnished due to an issue which is known as galactosemia.
What is Galactosemia?
When a baby has galactosemia, he or she will have a problem when it comes to digesting galactose, which is something that is present not only in milk but in all milk products. Galactose is a sort of sugar, just like fructose and glucose is. As a matter of fact, lactose, which is what milk has, is, in fact, a combination of glucose and galactose. Also, when lactose is processed, it is broken down by the human body into its constituents.
The condition is something that is passed down through the genes of the parents of the baby. The condition would occur if the gene which causes a tendency for a baby to have galactosemia is present not only in one parent but both of them. A baby who has the condition will be lacking an enzyme which is known as the GALT enzyme. The enzyme could also not be functioning as it should be under normal circumstances.
When it comes to the problem, it is very important, to say the least, to detect it sooner rather than later as if there is a build-up of unprocessed galactose which is allowed to occur, it can affect the baby adversely and in some cases, it can also be threatening to the life of the baby!
How does it affect a baby?
The problems which can erupt due to galactosemia include issues which affect organs such as the brain, eyes, liver and kidneys. It is interesting to take note of the fact that these are all organs which either have something to do either processing the blood or are heavily dependent on it. While a baby is not in the position in which he or she can communicate the issues that are being faced, when keeping an eye out for galactosemia, the signs which are displayed include an irritability of the baby as well as lacking consumption of the milk of the mother.
Even though galactosemia may not be the case, a doctor should be consulted as the exacerbated issue can include seizures and jaundice. It is to be kept in mind that galactose is something that can be found not only in the milk of the cow but also human milk as well as the milk of other animals such as goats.
Constipation in children can be effectively dealt with by monitoring a well-balanced diet. Eating the following things and drinking nearly three liters of water each day can relieve your child from stool withholding.
- Eat these fruits raw: Apples, plums and pears should be eaten raw along with their skins. These fruits are known to contain an average of 4.4 to 3.3 grams of dietary fiber that will further stimulate bowel movements. Apples, pears and plums are rich in pectin and hence help in softening your stool.
- Add nuts to your daily diet: Nuts can help you if you are suffering from constipation. However, nuts should not be consumed in excess as they can make you gain calories. Having a fistful of nuts once in a day could work wonders for your digestive health.
- Have a high- fiber cereal for breakfast: High- fiber cereal for breakfast can give your day a good start. It prevents stool withholding. Cereals in present times no more taste bland. You may add some honey to your child's bowl of cereals; honey acts as a laxative and caters to a person's taste buds as well. If your cereal is not sufficiently fiber dense you may add some flaxseed to every single serving.
- Sweet berries can be of great help: Berries have nutrients that are known to cure symptoms of Irritable Bowel Syndrome. Blueberries, blackberries, strawberries and raspberries should be included in a child's diet. These fruits are rich in vitamin C and vitamin K. They are good for a child's fiber and copper requirements.
- Get a full night's sleep: A full night's sleep is extremely important for good digestion. Improper digestion could be the reason behind continual constipation. Children these days tend to keep awake till late. Children should at least get seven to eight hours of sleep regularly.
In spite of following a healthy lifestyle the problem of constipation may still persist. It is best to consult a professional doctor in such a case. Before seeing a doctor to remedy constipation it is important to jot down certain points regarding your child's health. A guardian must make a list of medications his or her child has been taking by far, a list of symptoms he or she has been facing simultaneously and must also carry a brief record of one's family history. Constipation, if left unchecked, can lead to anal fissures over time. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Anything in excess is bad for the body. The same goes with iron, which is believed to be essential for various functions.
Hereditary hemochromatosis (HHC) is a hereditary condition where the way the body absorbs and stores iron are affected, leading to excessive iron deposits in various internal organs and leading to multiple complications. Read on to know more about this condition.
Causes: HHC is caused by the mutation (alteration) of a gene that controls the amount of iron absorbed into the body. A hormone called hepcidin is secreted by the liver and controls iron absorption and storage. In HHC, the role of hepcidin is altered, leading to excess amounts of iron absorption and storage in various major organs, especially the liver. Over time, this excess iron can cause conditions like diabetes, cirrhosis, and heart failure.
Risk Factors: The condition runs in families, and if you have a family member with known HHC, the chances of having HHC are quite high. Though the disease develops right at birth, symptoms manifest only later in life, at about 50-plus years of age. Men who carry two copies of the mutated gene and hail from Northern Europeans are more prone to develop HHC.
Symptoms: There are no specific symptoms pointing to HHC in the early stages, and these include joint pains, abdominal pain, fatigue, and weakness. Over a period of time, these can lead to associated symptoms of conditions like cirrhosis, heart failure, impotence, diabetes, etc.
Diagnosis: Blood tests are done to diagnose the amount of iron in the system. Fasting transferrin saturation and serum ferritin are two important tests, and increased transferrin saturation is very indicative of HHC. In addition, liver function tests are done to check the extent of liver damage. MRI examination also will help identify the areas of iron overload and extent of liver damage (if any). Liver biopsy can help identify iron overload and liver damage. Gene mutation tests are also useful in confirming the condition.
Depending on the excessive amount of iron deposited, phlebotomy which requires removal of iron is advised. About 400 to 500 mL of blood can be removed once a week or in two weeks.
From a prevention point of view, hepatitis A and B vaccines should be given.
In very severe cases, liver transplantation could be considered.
Monitor for other symptoms like diabetes, cirrhosis and liver failure.
In addition, once the diagnosis is confirmed and phlebotomy initiated, iron levels should be monitored periodically to ensure it is not exceeding the desired levels. This can help in the prevention of complications, which are more causes for concern than the actual HHC condition per se. If you wish to discuss about any specific problem, you can consult a pediatrician.
A baby should be breastfeed for at least the first few months after birth. Breastfeeding has a number of benefits for both the mother and child. Apart from being the best source of nutrition for the baby, it also helps the mother and child bond.
Here are a few benefits of breastfeeding your baby.
- Nutrition: No formula can be compared to the nutrition provided by a mother’s milk. The first milk produced by a mother’s breasts is known as colostrum which is rich in antibodies and proteins. Breast milk is made up of the perfect mix of proteins, vitamins and essential fats. It is also easier to digest as compared to formula feeds.
- Immunity boost: A mother’s milk is rich in antibodies and helps strengthen the newborn child’s immunity. These antibodies also help lower the baby’s risk of developing asthma or allergies later in life. Babies that are breastfed are also said to have a lower risk of suffering from ear infections, respiratory problems and diarrhoea. It also plays an important role in lowering chances of sudden infant death syndrome. Breastfeeding is also said to protect babies from certain types of cancer in infancy and later stages,
- Bonding: While being breastfed, a baby is held close to the mother and has skin to skin contact. This makes the baby feel secure and helps him or her to bond with the mother. For the mother, this process can also help fight postpartum depression and help reconnect with the baby.
- Healthy weight: Babies who are breastfed are said to be less likely to develop obesity. This is because breast milk has lower levels of insulin as compared to formula and babies who are breastfed have higher level of appetite and fat regulating hormone called leptin. As they grow, these babies put on a healthy amount of weight, but refrain from overeating and have healthier eating patterns. This helps maintain a healthy BMI and prevents diseases like diabetes etc.
- Boosts intelligence: Studies show that babies who were breastfed for the first six months have a higher IQ than those who were not. Thus, breastfeeding is said to play a significant role in cognitive development. There are two main reasons for this. Firstly, breast milk is said to fatty acids that are not available in formulas, Secondly, the emotional bonding between mother and child is also said to contribute towards boosting IQ levels.