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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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Hello Doctor,. My sister's recently gave birth to a baby girl 3 days ago. This evening, the baby underwent the bilirubin neonatal test just before the mom and the baby were to be discharged from the hospital. Although the report was ready, my sister could not consult to the doctor about it. Bilirubin total: 10.35 mg/dL. Biological reference interval: 0.00 - 1.00 Bilirubin Direct: 0.98 mg/dL. Biological reference interval: 0.00 - 0.25 Bilirubin Indirect: 9.37 mg/dL. Biological reference interval: 0.00 - 0.75 You can notice that the actual values are way out of the normal range, all on the higher side. At this time, none of the doctors is available for consultation. Can you guide me what are the implications of these readings? Is it normal with 2-3 days old babies? Is it a matter to worry about? Thanks in advance,
As young children learn language skills, it's normal for them to have some difficulty saying words correctly. That's part of the learning process. Their speech skills develop over time. They master certain sounds and words at each age. By age 8, most children have learned how to master all word sounds.
But some children have speech sound disorders. This means they have trouble saying certain sounds and words past the expected age. This can make it hard to understand what a child is trying to say. Speech sound disorders include articulation disorder and phonological process disorder. Articulation disorder is a problem with making certain sounds, such as" sh" phonological process disorder is a pattern of sound mistakes, such as not pronouncing certain letters.
About articulation disorder
- Articulation disorder is the inability to form the certain word sounds correctly past a certain age. Word sounds may be dropped, added, distorted, or swapped. Keep in mind that some sound changes may be part of an accent, and are not speech errors. Signs of an articulation disorder can include:
- Leaving off sounds from words (example: saying" coo" instead of" school")
- Adding sounds to words (example: saying" puhlay" instead of" play")
- Distorting sounds in words (example: saying" thith" instead of" this")
- Swapping sounds in words (example: saying" wadio" instead of" radio")
About phonological process disorder
- Phonological process disorder is a regular pattern of certain word speech mistakes. The mistakes may be common in young children learning speech skills, but when they persist past a certain age, it may be a disorder. Signs of a phonological process disorder can include:
- Saying only one syllable in a word (example" bay" instead of" baby")
- Simplifying a word by repeating two syllables (example" baba" instead of" bottle")
- Leaving out a consonant sound (example" at" or" ba" instead of" bat")
- Changing certain consonant sounds (example" tat" instead of" cat")
Causes of speech sound disorders
- Often, there is no known cause for a speech sound disorder. But some speech sound errors may be caused by:
- Injury to the brain
- Intellectual or developmental disability
- Problems with hearing or hearing loss, such as a history of ear infections
- Physical abnormalities that affect speech, including cleft palate or cleft lip
- Disorders affecting the nerves involved in speech
Diagnosing speech sound disorders
First, your child's hearing should be checked. This is to make sure that he or she isn't simply hearing words and sounds incorrectly.
If hearing loss is ruled out, you may want to contact a speech-language pathologist. This is a speech expert who evaluates and treats children who are having problems with speech-language and communication.
By watching and listening to a child speak, the speech-language pathologist can determine whether the issues are part of normal growth and development or are a speech sound disorder. The pathologist will evaluate your child's speech and language skills, keeping in mind accents and dialect. Speech-language pathologists can also assess if a physical problem in the mouth is affecting your child's ability to speak.
Treating speech sound disorder
- The pathologist can then recommend a therapy plan to help your child overcome his or her disorder. Speech-language pathologists work with children to help them:
- Recognize and correct sounds that they are making wrong
- Learn how to correctly form their problem sound
- Practice saying certain words and making certain sounds
- The pathologist can also give you activities and strategies to help your child practice at home.
- If your child has a physical defect in the mouth, the pathologist can also refer your child to an ear, nose, throat doctor or orthodontist if needed.
A positive outlook
Early recognition and diagnosis of speech sound disorders can help children overcome speech problems. They can learn how to communicate well and comfortably.
My 1nd a half years old son started hvng red patches/rashes on all over body. He nvr had bdis 4.wt is it due to. N wt shall I do. please help me.
My baby is in 2nd month. In 1st month, I fed her every 2 hrs. Should I continue that? or what should be the frequency of feeding?
Respected doctors Can cerelac be given to 8month old baby? And what are the other diet that can be given? Please help:)
I have a baby of 17 day, she is not drink brest milk because it is not coming quickly, but we will try to feed 2-3 times through manual extraction but now brest milk is not coming. Very less quantity is coming. How can the brest milk quantity increase and how can we feed our baby.(any aid for feeding) we have tried brest pump but it is not working.
My son is 3 years 4 months old he has been diagnosed aa thalassemia minor his hb level is 8.4 .what should I do to remove his hb level.
Millions of children over the world have one thing in common that is they all like to run and play. Usually, this affinity for physical pursuits make them inclined towards sports and other such activities early on in life. But as parents, many of us are worried about how they will support their young bodies and still developing bones and joints as they run, hop, skip, jump and do many other things. Sports injuries are common for children with many cases of fractures and other injuries being reported on a daily basis globally.
So how can we keep our children safe from such injuries? Here is a safety guide:
- Most Common Injuries: Before we get into the prevention mode, it is important to understand the most common injuries faced by children. From strain and sprains to muscle pulls and even fractures, children are susceptible to a host of problems on the sports field. Injuries borne due to repetitive motion, as well as growth plate injuries and heat related conditions are also quite common.
- Organised Sports: The first step that can help in avoiding undue harm and injury to your child is to ensure that the child is enrolled in an organised sports program at school or any other sports academy, so that the energy and skill is being channelled and moulded properly, as there is expert supervision to ensure that the child does not indulge in certain motions and movements which may cause an injury. These sports trainers usually help by observing how the child is doing a certain task on the field and then guide him or her properly, so that it may be done in the correct way to avoid injuries.
- Warm Ups and Cool Downs: For children as well as adults, many injuries happen when the individual has not warmed up or cooled down sufficiently. Cold muscles and joints are most susceptible to sudden falls, injuries and other conditions due to the impact of the sudden and intense movements. The same can be said for cooling down. So, it is important to sufficiently warm up and cool down so that the joints, muscles, ligaments and bones in general, get a chance to get back to normal or to gain momentum in a gradual manner, which is comfortable for the body. The warm ups must not be hurried and should be done without holding one's breath. Also, it is usually recommended that stretching exercises must follow the warm up session before the child begins to run and jump.
- Hydration: Ensure that the child has plenty of water so that he or she may remain properly hydrated during the sporting or training event. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2. Ensure the head is protected
3. Release any tight clothing
4. Move away from a dangerous position.
5. Use intranasal midazolam (insed or midsip nasal spray as advised by your doctor) as first-line treatment.