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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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Potato chips and French fries turn out to be two of the most obesity promoting foods among children and adolescents in a Study by researchers from the Duke National University of Singapore
On the other hand whole Grains and high fibre cereals were associated with Weight loss as were potatoes cooked without oil and dressing have low energy density are highly satiating and do not cause weight gain.potatoes are also rich in potassium vitamins and other essential nutrients
I have adopted a new born child which is of 21 days today due to winter season the baby is suffering from colds problem what should be done to get relief from cold? I am using three medicine for that Nazodrop, Flucold AF, Althrocin drops.
Hi, I have my daughter age 2 years. She get fever every month almost from last six months. We always visit to the same Dr. In hospital. He always check and found infection in his throat. Thats why she get fever. 4-5 days back she again had throat infection and thats why she again got fever. Its type of viral every time, when we give medicines fever comes down but after 5-7 hrs fever comes again. This used to happen for 3-4 days. But this time fever not going. Today we are again visiting to the Dr. She do not even eat and used to cry when she had fever. We want if the fever nd throat problem goes permanently. Medicines we used to take: Throat infection - AUGMENTIN SYRUP Fever - maxtra P Suspension or FLEXON Please advice how we can get rid of this problem.
I have a 6 year old son and day by day he is so aggressive and he don't do his study with patience what should I do?
I am suffering from polycystic since few months. And this is causing severe pain in my lower abdominal part, weight gain, irregular periods, hairs on upper lips and weakness.
My 6 year daughter has around 6 teeth which came out but only 3 have come back, and it's been quite some time. What should we do?
My daughter is 13 years old, she is using Nivea Cream but want to use sunscreen now, she is playing basket ball also. Please answer the best sunscreen for her sensitive skin for daily use.
I am 12 years girl have eczema in my foot from last 7/8 months Initially it was small spot give pain spots are in damage condition some skins brost below my foot.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Hi. What is better n most effective. Painless or pain vaccination for children. My kid us one month old and soon her vaccination ll start. I spoke to couple of doctors and have missed reviews. Pls help.
2 years old baby last one he had stomach pain, we consulted Doctor, they tell to take scan, after seen scan report they said "left renal pelvis mildly dilated AP-17 mm. Left renal cortical thickness-13 mm" Impression: 1) LEFT HYDRONEPHROSIS, 2) CYSTITIS, and they said to take cultural test. So please suggest and give what the problem is and which Dr. to consult.
Most mothers complain this.Whereas the real condition in majority of cases is not a disease "vomiting" READ ON. YOur baby is possetting.
What is possetting?
Possetting is normal in small babies. It's when small amounts of milk are brought back up. It's often why parents have a cloth with them after a feed to catch the posset which often bubbles through baby's lips after a feed
What causes possetting?
Often when your baby's stomach is full, milk can come back up. Babies often posset a little when burping, bringing up the milk often with swallowed air or wind.
In a baby the muscular valve at the end of their food pipe, which acts to keep food in the stomach, hasn't developed properly yet.
What are the symptoms of possetting?
Bringing up about a few teaspoons worth of milk after a feed.
It's non-forceful and tends to dribble out.
How is possetting treated?
If it is just possetting your GP or health visitor will give you reassurance that is it quite normal.
They can also help establish if it is the more serious conditions of reflux or gastroesophageal reflux disease known as GERD.
What is reflux?
Reflux is more serious than possetting. It's when the stomach contents are regurgitated.
When acid from the baby's stomach comes up as well as the milk, this can be painful. About half of babies will experience some form of reflux during their first year. As the muscular valve gets stronger, your baby is better at keeping food down.
How to tell the difference?
If your baby shows discomfort when feeding, such as arching away, refusing to feed and crying, it can be a sign of reflux. She may also frequently vomit or spit up more than normal possetting, and cough a lot, including at night, with no other sign of a cold.
If your baby displays any of the above symptoms check with your GP. Reflux is quite common. It tends to peak between one and four months and normally ends by 12-18 months.
How to alleviate reflux?
It can often be successfully controlled by simple remedies: For example:
More small feeds to prevent your baby's stomach getting too full.
Keeping him upright during and for at least half an hour after a feed.
Avoid tight clothing, particularly around your baby's stomach.
Ask your doctor or health visitor for advice.
Gastro-oesophageal reflux disease (GERD)
If reflux is very severe there can be complications like damage to the oesophagus ( oesophagus), or long-term problems and this is diagnosed as gastro-oesophageal reflux disease ( GERD).
Symptoms may include: vomiting, failure to put on weight, coughing and breathing problems.
If your baby vomits bile which is green, has repeated projectile vomiting or vomits blood seek medical advice straight away. Symptoms like bloody stools (poo), abdominal distention, excessive crying or if baby keeps refusing feeds may also be signs of GERD, and again should be checked by a medical professional promptly.
It is rare for infants to suffer from GERD but bringing milk up is very common for most babies, who tend to grow out of possetting or reflux by 12-18 months.