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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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Hi, My daughter is 3 years 4 months old we recently shifted to Bangalore. Here the climate is not getting suited for my daughter, regularly she getting cold & cough. From past 2 weeks she taking homeopathy medicine, still she has cough. How many days will it take to cure thru this treatment.
My baby now of 4 months she have very dry skin and because of that she gets bumps on her hangs legs and face its very itching she gets irritated with that wt shall I do.
My 3 year old is sick with a Temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.
My baby is 1 month old. Should I give her gripe water or mugli ghutti 555. Is these medicines are safe and useful for infants.
She is 9 months old and she is suffering from cold, cough, running nose and during sleep she can't breathe because of nose blocking. I have consulted the Dr. and he gave Allegra and Ascroli. After the week she is now again suffering from same issues. Could you please help me. And let me. Knw.what can I do to make. Her Well.
Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being ‘paedophilia’ or the sexual arousal involving prepubescent children.
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
My daughter weight at birth was 3.6 kg after that decreased to 2.7 within a week due to billurupin .now her weight was 8 kg only .she started walking after 1.8 months only. Is their any tonic to increase her height and weight.
My baby is 2 month old n she is hvng cloudiness on his eyes is it normal n she was born very week 2 kilo now her weight is 4 kilo so what should I do please help me out.
My younger daughter is 2 year and 3 months old. She is having tight stool problem. She cries in pain when she goes after the gap of 4-5 days. Please suggest.
Hi Sir/Madam, I have one child. My child is 2 Years and 6 month old. He does not eat proper food. He Only take milk or some time he take namkeen or potato chips. He do not show interest in any kind of food. Dr. Banga is a famous child specialist in gwalior. Dr. Banga told me that if you do not feed your child proper food your child get in to trouble and Dr. Banga also told me that your child have low quantity of blood. Sir please help me. How can I feed my child. He do not want to eat anything. He never listen to me. What should I do?
All diabetic patients who fast should be aware of certain facts if they fast during Ramzan, he further added.
All patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.
Type 2 diabetes will be controlled by diet and may require no special precautions.
Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after the predawn and/or sunset meal.
The exercise program for patients with diabetes on diet control should be modified to avoid lower blood sugar level. Exercise should be done 2 hours after the sunset meal.
Food restriction and dehydration may cause some cardiac risk in the elderly.
The choice of drugs in diabetes may require consultation with a doctor. Drugs that act by increasing the production of insulin are to be preferred. Some patients on metformin may fast safely with minimal complications. However, two-thirds of the total daily dose should be given just before the sunset meal and rest one-third before the predawn meal. Patients on pioglitazone may require no change in dose. Patients on sulfonylureas may require medical clearance before commencing fast.
Insulin dose also needs to be modified during the fast. Usually two doses of insulin, one before each meal, are sufficient.
If the blood sugar falls below 60, then the fast should be immediately broken.
Fast should also be broken if blood sugar rises to more than 300.
Patients should avoid fasting on sick days.
Is watching porn and masturbating right for me?(I'm 16 years old. Does it cause any harm to my health or stamina and does it affect my concentration and cause distraction in studies? It wastes lot of my time and I feel a bit guilty after doing it. What should I do? Stop it completely (which is very hard for me) or continue it and do it once in 2-3 days?
My son was born in eight months itself. But his weight was normal at the time of his birth. He was 2.5k. G. He did not have any problem so far. He rolled over at his fifth month. Started to sit around 7-8 months. Started walking with four legs from nine months and also started standing with the support of sofa and wall in his ninth month. At tenth month he started to move from one end to another with support and also without any support he stands for few seconds for past one week. Now he is going to step into his eleventh month. His weight is 8kg now. Is he normal? is there any problem because of prematurity? pls help me out.
Cleft lip and cleft palate are the two most common birth defects affecting children all over the world. What happens in the cleft lip is that the upper lip is incompletely formed and in cleft palate abnormalities, we see babies with an incompletely formed roof of the mouth. Both these can be found individually or can occur together. These conditions can be severe or mild and affect one or both sides of the face.
The fEtus undergoes the separation of the upper lip and the roof of the mouth pretty early. In certain cases, this separation does not happen or happens incompletely and certain parts of the upper lip and roof of the mouth fail to form properly leading to cleft lip and palate.
Repair through surgery
- Plastic surgery is the only way to repair a cleft lip and/or palate. Both of these impair vital functions like speaking, eating, breathing, and hearing properly.
- Surgery is done to restore function and to make the affected child look more normal.
- Most cleft lip and palate surgeries are done on very young children usually 3 months to a year old.
- Before the actual surgery, a team of specialist define a course of treatment, including repair of the cleft using surgery, which means plugging the hole in the lip or the palate; speech rehabilitation and dental restoration, as the child usually has no teeth in the affected parts of the upper palate.
The specialists required are:
- Plastic surgeon
- Pediatric dentist
- Ear, nose, and throat specialist
- Auditory or hearing specialist
What happens during surgery?
Usually, cleft lip surgery happens in children as young as 3-6 months old. It has to be carried out under general anaesthesia. If the condition is severe, and the cleft lip is wide, special procedures like lip adhesion or a moulding plate are used to bring the two parts of the lip closer and it is fully repaired.
Cleft palate repair surgery is done at the age of 9-12 months only.
What happens here is that plastic surgeons bring together the muscles of the upper soft palate and rearrange them to cover the gaping hole in the roof of the mouth. The surgery is usually done under general anaesthesia and requires a short hospital stay.
- Without a normal palate, the child can’t speak properly. So, surgery helps to improve and normalise speech.
- And that’s not all. The child may require more surgeries as he grows older to treat these two problems.
- This is because the child’s facial structure changes and he or she may require advanced surgeries like pharyngoplasty, which helps improve speech, or alveolar bone grafts to provide stability for permanent teeth.
- A bone graft is usually done when the child is 6-10 years old and it closes gaps in the bone or gums near the front teeth. If you wish to discuss about any specific problem, you can consult a pediatrician.