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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 kid has constipation problem. She poops only once in 2 or 3 days. We have tried many home remedies, allopathy and homeopathy also. He bowel movement has not become proper yet. Please advise.
My grand son entered into 5th month, we wish to feed him with nestum or cerelac or parex diet supplement apart from mother milk, amulspray botle feeding as the milk feeding is not sufficient. If permitted, how to prepare the food supplement and how many times may we feed him with qty.
I have a small pimple like bump inside my penis It is under the outer skin inside on the right side What is it doctor.
Mera 45 days ka beta he uska low weight birth hua tha abhi uska weight 2 kg 700 gm he uski body bahot patli he khas karke hand n leg bahot patle he kya me usko sypon drop de sakta hu ya apke pass koi idea hoto aap please muje batao kh.
My baby is 3 month old still she is 4.5 weight inam nly feeding my milk wat can we give to increase her weight additionally and she is spitting saliva lot any reasons.
My grand son is hyper active. He is 5 years old. All the time he does some thing without caring for its consequences. Please advice what do we do to change him.
Hi, My one year baby boy is suffering from fever since last 12 days. He has diagnosed with urine infection. Doctor has started 14 days Amikacin injection daily one dose. 5 doses completed now and no fever from yesterday. please let me know if we can stop Amikacin dose or need to continue.
My son is 7 years old, for the last 3 years he is suffering from milk intolerance. Time and again his tummy gets upset. Sometimes pain, sometimes gas, sometimes loose motion. He is week and does not eat quantity. Eats but small meals. Please Advice
My 5-year-old daughter has asthma. What is the effect of using an asthma preventer long-term? I heard that using it for years might cause bone shrinkage. Is it true?I overeat at meals, but I can't help it. If I limit my portions, I'm hungry an hour later. How can I avoid overeating and have better control of my appetite? My stomach aches, thought it becomes fine in a day, but still it pains regularly, what to do?
I suffering from fever. My fever is sometime closed for many days and start. My stomach was too much pain. When I do toilet I feel pain in penis.
I am 30 years old. I have 15 months old baby. Hez on my feed too. Since last month there is a change in my monthly cycle. Last month it got a day before n now its 3 days before d due date. Is it normal? I was eating eggs regularly since a week.
I had suffered from anul fissure in the month of December. But I got it treated. Now today I again got that same pain. And breastfeeding my 4 month old. What medication should I take. Which will not affect my breastfeeding and my baby.
Sir, I have 4mnth baby, past 1 mnth he had a trouble in getting out his motion regularly, we visited a doctor, he prescribed a medicine, what' s the problem is if he a take a medicine he regularly getting out the motion if stopped it then he didn' t getting out motion even for 3 days
Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible.
Why to worry?
Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem.
When to worry?
Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys.
What causes growth failure?
Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy).
How can I improve my child's growth?
Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth.
What can be done if my child is very short?
Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease.
If you wish to discuss about any specific problem, you can consult a Endocrinologist.
I am mom of 5 months baby boy. I heard there is vaccination and syrup for baby brain development. Is there is any thing like that .please give info about this. Thank you.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.