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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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Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.
- Congenital GHD - This form of GHD appears from at the time of birth itself.
- Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
- Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.
GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).
- Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
- Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
- Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
- Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
- Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.
- Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
- Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
- Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.
Tests to determine GHD:
- Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
- Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
- MRI-MRI scan can determine the health of your brain and pituitary gland.
- Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.
- Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
- Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
My Daughter having loose motion since today morning, She is 8 years old, looks no other symptoms except the loose motion, she went 3-4 times washroom since morning (5 pm).
My son 12 years he is studying in class 5. His height is not increasing. He looks like class 2 student and he always suck his left thump. How can we improve his growth normally looks his actual age.
My son is of 14 years old he has allergy problem I nebulize him two times in this harvesting season is it safe or not to nebulize everyday ?
Dear Doctor's My daughter is 18 months old but still her teeth are not growing. Is it a problem? Her weight is only 8.5 kg. Is she underweight? If yes what should we do? One local medical practitioner has suggested us to give her calcium. Should we buy calcium tablets? By the way she is spontaneous but does not like to eat anything. Please suggest.
I'm giving birth to my baby yesterday and now my baby on breast feeding what diet is necessary for me. Can I take non veg diet?
Dear dr, my son 10 years old was diagnosed with adhd at 3. He is under counseling of a homeopathic psychiatrist since then. Along with counseling he has also done art and play therapy with him. I was separated from my husband. Wen he was 5. There was a lot of aggression frustration loneliness in him. Which is overcome to some extent. But his impulsivity, exploring wrong things and adult words, heard bad words, fearlessness, hyperactivity is a matter of concern. Lot of issues with school children. Also complaints. Kindly help.
My son is 2.5 months old baby his naval will swollen (hallow like) sometimes when breathing strongly and suddenly comes to normal stage after few seconds. He uses to urinate frequently means 15-20 times per day is this is normal please suggest.
My baby girl is 7.5 months old and her weight is 6.5 kg. At the time of birth her weight was 3.1 kg. I have exclusively breast feed my baby till now. My doctor suggested me to give her formula milk (Similac formula stage 2) to increase her weight. Is it good to give her FM and breast milk (combination feeding) or else I will go with the only breast feeding.
My son age is 3 year, 01 week se use bukhar and khaasi hai humne usko doctor ko dikhaya tha but ab usko bukar nahi hai but kaasi hai and usko nind (sleeping) aa rahi hai guide kare. Urgent. Thanking you.
My baby is 3 n half months old. I have started weaning him with biscuits. Can anyone please tell me What I can give other than that. N how 2 give it.
My 1.5 Year child not eating properly. Only taking milk .is any food supplement for him.Please tell.
Hi my son who is 1 year old. After his vitamin D test it shows only 19.60. Which is low kindly advise how to increase as he is growing. I hope it's not worrisome. Thanks.
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.
My son is six years old. Very active in sports but bit scared of competition especially losing. I have to tried to building his confidence. But yet not successful. We are maharashtra but his hindi is awesome. May be courtesy cartoon channels. He is good at studies but get scared or unconfined on English. I am little scared about his future. And feels he is lagging behind due to this. I know it's too Early to decide any thing. But still pls suggest me to improve the situation. Plsss.
When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.
What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.
Causes: Though still not exactly established, some things that are believed to cause colic include:
- The baby's digestive system that is growing and goes through spasms
- Extreme sensitivity to noise and light in the surrounding environment
- Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
- Hormones that are supposedly affecting the baby's moods
Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.
- Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
- Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
- Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
- Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.
Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.