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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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My daughter is 12 years old. She is an achondroplasia child having ARRESTED hydrocephalus from almost 5 years. She is suffering from stomach ache and vomiting from last 20 days and severe head reeling from last 7 days. On admitting at the nursing home on 8th jan, she was given with antibiotics, anti vomiting, antacid and mannitol. The doctors there were expecting it to be increased pressure ICT and asked for VP shunt or consulting neurosurgeon. On consulting to a senior neurosurgeon, he examined the eye movement, hand movement, touching nose, leg touching movements and rejected vp shunt procedure as it is an attested case of hydrocarbons as per comparison of 4 CT scan reports over last 5 years. Presently she is having severe and continued head reeling and occasional vomiting. Need proper guidance as shunt or etv is not a permanent solution.
My Daughter has cough and running nose and her first molar teeth coming out. She is cranking very often and drooling. Please suggest some medicine for cough and cold too. She is 14 month old.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder medications? If so, what are they and what medications are implicated for the attention deficit hyperactivity disorder?
I am not getting proper nutrition or what that my weight is not increasing I eat so much but after that also please solve this problem.
My child who is 6 year low. He is still dispose his urine on bed. Please suggest how can we stop it.
Hi my daughter is 22 months old she left mothers milk just. 1 week before but now she is not eating or drinking anything. We struggle a lot for many hours to feed very very little 2 or 3 swallow food. Please advise as we are very worried.
HI, My baby is 3 months old, we have appointed 1 lady person for her daily males (exercise) of body, please confirm for how many months I have continue for goods development of her body.
My son is 8 years old. He is having a habit of peeing in night on bed. Please suggest how to get rid of this habit?
My 1 year child last 10 hours can notice khasi. So what. Can I do. I give all medicine but can't stop khasi. please help me for baby.
Hi doc, my baby is 7 months old. He is hesitating foods even milk. 2 days before he got fever now he is alright. . But not taking anything. What could be the problem. I am really worried. Please advise.
My baby boy is 6 months old and he is vomiting since 1 day what should I give him his weight is 6.2 kg?And he is active we are feeding him with similac1 feed. No breast feed.
My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes in left lobe of thyroid. Features suggesting colloid nodule.
My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is increasing. He removes my hand when I try with johnson bud during sleeping. please suggest what should I try to solve this issue.
A patient came to me with the complaint of chronic unproductive cough I advised him CECT chest his report depicts upper right lung modulation what should I do? Please suggest.
Dear Doctor, We are in a happy mood and blessed a baby Girl and she is running 5th Month now. But now the problem is My wife is not able to provide the Breast feed she had consulted doctor many times regarding the same, she is using GALAKOL tablet but unfortunately it is not happening at all. Now we want relaxation as well. Can you please provide the best medicines and the Diet to get a Breast feed to my child.
My 6 month baby sometime is head and feet is two hot for few hours after that is normal. Sometimes is hot sometimes is normal. From 12 days .we are giving .axbex .zifi 100. Pyridolo m.of or_100. We had blood test. Is coming infection and homoglen increased. So Dr. said it's ok report is ok it's viral .after 4 days it will and ok. Suggest me should I try another Dr. Or what should I do.
My baby girl is 10 months old but doesn't have food properly. She does not consume any solid food apart from mothers milk. Please advise.
We are going to pierce ears for our daughter. And I need a pediatric Dr. recommended numb ointment to use for her. My daughter is 7 months old.
Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
epilepsy – a condition that affects the brain and causes repeated fits or seizures
Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
carelessness and lack of attention to detail
continually starting new tasks before finishing old ones
poor organisational skills
inability to focus or prioritise
continually losing or misplacing things
restlessness and edginess
difficulty keeping quiet and speaking out of turn
blurting out responses and often interrupting others
mood swings, irritability and a quick temper
inability to deal with stress
taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.