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Book Clinic Appointment with Dr. K Lalatendu Kumar
Treatment of Child and Adolescent Problems
Bedwetting Treatment & Management
Treatment of Polio
Thyroid Problems Treatment
Treatment of Cerebral Palsy
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Sids
Treatment of Cough in Children
Treatment of Asthma in Children
Treatment of Childhood Infections
Treatment of Birth Defects
Child Nutrition Management
Treatment of Dihydrofolate Reductase Deficiency
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Hi doctor, My baby boy is 1.8 Yrs old and we always feed food forcefully as he does not take food by his own interest. Mostly he vomits the food we poured forcefully by holding his hands and legs. Do we have any medicine so baby can get hungry and I also don not like this activity .thanks in advance. Rajesh.
My 5 week old son have not pass the stool from last three days. What should I give him. He is on breast feed and nan1 milk twice a day. Should I give him glycerine suppository.
Basic information given above is of my baby girl. She is of one and half month age. My question is whether to provide water for my baby during this hot summer or not? Is it necessary to give gripe water?
Sir, I have 14 years old son, his body is very slim and chest also burning (Acidity ?)please suggest any solution I want healthy and body pick up , weight also .
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.
My baby is 15 months old and his weight is approx 8 kg. I had found worms (thin white) in stool. What medicine should I use and dosage?
Hi my wife is blessed by a beautiful daughter in 14 July 2016 and now she ear Piercing (kaan chedana) I just wanna to ask is she need tetanus injection.
Doctor, My son is 13 month old he is still eating cerelac dalia milk biscuit anything else I try he rejects he like roti koki paratha rice etc so what and how can I start this and what else should I give him He had 6 teeth in front when will he start eating all this things.
My 8 months kid (8 kg) is not eating anything. Cerelac, rice, fruits. Etc since last 4 days. She's closing her mouth and crying if we feed forcefully. She is hungry but healthy and not having other issues. Only eating mothers milk and I am worried that its not sufficient for 8 kg baby. Kindly advise and prescribe some medicines or any other ideas she will feel hungry and eat something.
Feeding a toddler is a very tricky situation. A toddler is very explorative and is continuously acquiring new developmental skills. He requires independence though a keen supervision is a must. He has learnt fine motor skills, pincer grasp to pick small things n better hand mouth coordination, so offer him finger foods, like pieces of fruit n vegetables, cutlets, egg etc which he can feed on self while on a playing spree.