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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
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My child is 2years n she does not eat properly. What should I give her to increase her appetite? She has stopped eating cerelac also.
I am 26 year old mother to 7 month old daughter. Please tell me the foods chart to feed my 7 month old daughter which will be safe for her.
• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
SIGN AND SYMPTOMS:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.
• Avoid bony injuries, to prevent factures.
• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.
• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.
Hi I am married and I am trying to having a baby but its not happening I don't know I have a problem or my wife dose have a problem?
HPV Vaccination quadrivalent (Gardasil) (whether Nonavalent now in India) in Kolkata, cost, availability, how to get same for my daughter 12 years (is there any side effects), how many does required, time interval, any other concern, prerequisites.
Hello doctor, My boy baby 50 days older, he is continuously crying and not drinking mother milk much. Right now he has bigger tummy and cold, cough. Doctor said his respiratory system is low and it will be develop after 9 months.
Hi, my baby is 3 months old. He is doing poti once in 3 days and it is in green colour smelling a lot. Is that any problem? Please suggest me the solution.
Hi. My baby girl is 6 months old. She is not going to anyone except me (mom) and her dad. Not even going with her grandparents or any of our close relatives. She cries immediately and crying very hard if someone held up her. I was not able to take care all the time, but she is not happy with another. Please advise if this baby behaviour will change or not?
My child perform well at home, but she does not perform well in school. What may be the possible reasons and how to tackle this issue?
Mouth breathing in children is very common and while a kid with open mouth might seem cute, it is not always the case. The parents need to be made aware that a child breathing through the mouth all the time is not normal and it is high time they find a way to manage it.
A little understanding of the effects of the mouth breathing habit on the child's health in general and oral health in particular can be an eye-opener for the parent. For an educated person, there are obvious symptoms, which indicate that the child is a mouth-breather.
These symptoms include:
- Dryness of the lips
- Crowding of the front teeth
- Sleeping with the mouth open
- Recurrent infections of the airways including sinusitis and middle ear infections
- Bad breath
Common causes include:
- Chronic nasal obstruction/congestion because of which the child is not able to get enough oxygen through the nose.
- Enlarged tonsils or adenoids
- Thumb or finger-sucking habit
- Recurrent respiratory infections
Effects of mouth breathing on oral health:
Mouth breathing may seem like a harmless habit, but has serious effects on the oral and dental health of the child. Some of them are discussed below.
- Dry mouth: A constantly open mouth can lead to drying up of the saliva. This in turn leads to reduced effects of saliva including the flushing effect on the bacteria and the food deposits. This leads to increased chances of tooth decay and gum diseases.
- Tooth decay: With reduced saliva, the pH remains acidic for a longer period of time, leading to increased chances of tooth decay.
- Gum diseases: Reduced amounts of saliva also leads to increased gum disease and periodontal disease as the bacteria are not removed and have a conducive environment to act upon.
- Facial development: A mouth breathing child maintains a different posture than a nose breather. This leads to a narrow and long face, flattened nose, smaller nostrils, reduced facial tone, thin upper lip, pouty upper lip, and a small lower jaw.
- Speech: An open mouth causes the tongue to thrust into the palate when talking. This leads to altered pronunciation of some sounds; especially and can cause lisping.
- Braces: Mouth breathing causes multiple challenges including prolonged treatment period, inability to close the gaps, reduced stability of the realigned teeth, and increased chances of relapse. The added complication of increased gum disease and tooth decay makes it worse. The habit needs to be corrected first before going in for braces.
If that sounds like a long list, they are not all inclusive. Early intervention in the habit can correct and negate all these effects. Talk to your dentist to know how to help your mouth breathing child.
Hi, my son is now 5 month old. He is on powder milk i. E. Nan pro 1 but after heard the news for nan pro -find live lerve in powder. We are worried. So suggest other good milk powder.
My wife delivered a healthy baby girl by caesarean method on 6th May 2017. She is indulge in exclusive breastfeeding and has left Calcium, Iron supplement before a fortnight. Lately, she is complaining of full body pain excluding waist. Please guide me the reason along with minimum duration for which iron and and Calcium has to be taken post delivery.
Raising a child with dyslexia can stir up a lot of emotions. You may look ahead and wonder if this learning issue will affect your child's future. But dyslexia is not a prediction of failure. Dyslexia is quite common, and many successful individuals have dyslexia.
Research has proven that there are different ways of teaching that can help people with dyslexia succeed. There's a lot you can do as a parent too.
What are the symptoms of dyslexia?
Because dyslexia affects some people more severely than others, your child's symptoms may look different from those in another child. Some kids with dyslexia have trouble with reading and spelling. Others may struggle to write or to tell left from right.
Dyslexia can also make it difficult for people to express themselves clearly. It can be hard for them to structure their thoughts during conversation. They may have trouble finding the right words to say.
Others struggle to understand what they're hearing. This is especially true when someone uses nonliteral language such as jokes and sarcasm.
The signs you see may also look different at various ages. Some of the warning signs for dyslexia, such as a speech delay, appear before a child reaches kindergarten. More often, though, dyslexia is identified in grade school. As schoolwork gets more demanding, trouble processing language becomes more apparent.
Here are some signs to look out for:
- Warning Signs in Preschool or Kindergarten
- Has trouble recognizing the letters of the alphabet
- Struggles to match letters to sounds, such as not knowing what sounds b or h make
- Has difficulty blending sounds into words, such as connecting C-H-A-T to the word chat
- Struggles to pronounce words correctly, such as saying 'mawn lower' instead of 'lawn mower'
- Has difficulty learning new words
- Has a smaller vocabulary than other kids the same age
- Has trouble learning to count or say the days of the week and other common word sequences
- Has trouble rhyming
Warning Signs in Grade School or Middle School
- Struggles with reading and spelling
- Confuses the order of letters, such as writing 'left' instead of 'felt'
- Has trouble remembering facts and numbers
- Has difficulty gripping a pencil
- Has difficulty using proper grammar
- Has trouble learning new skills and relies heavily on memorization
- Gets tripped up by word problems in math
- Has a tough time sounding out unfamiliar words
- Has trouble following a sequence of directions
Warning Signs in High School
- Struggles with reading out loud
- Doesn't read at the expected grade level
- Has trouble understanding jokes or idioms
- Has difficulty organizing and managing time
- Struggles to summarize a story
- Has difficulty learning a foreign language
Skills that are affected by Dyslexia
Dyslexia doesn't just affect reading and writing. Here are some everyday skills and activities your child may be struggling with because of this learning issue:
- Appears bright, highly intelligent, and articulate but unable to read, write, or spell at grade level.
- Labelled lazy, dumb, careless, immature, "not trying hard enough," or "behavior problem."
- Isn't "behind enough" or "bad enough" to be helped in the school setting.
- High in IQ, yet may not test well academically; tests well orally, but not written.
- Feels dumb; has poor self-esteem; hides or covers up weaknesses with ingenious compensatory strategies; easily frustrated and emotional about school reading or testing.
- Talented in art, drama, music, sports, mechanics, story-telling, sales, business, designing, building, or engineering.
- Seems to "Zone out" or daydream often; gets lost easily or loses track of time.
- Difficulty sustaining attention; seems "hyper" or "daydreamer."
- Learns best through hands-on experience, demonstrations, experimentation, observation, and visual aids.
Vision, Reading, and Spelling Skills:
- Complains of dizziness, headaches or stomach aches while reading.
- Confused by letters, numbers, words, sequences, or verbal explanations.
- Reading or writing shows repetitions, additions, transpositions, omissions, substitutions, and reversals in letters, numbers and/or words.
- Complains of feeling or seeing non-existent movement while reading, writing, or copying.
- Seems to have difficulty with vision, yet eye exams don't reveal a problem.
- Extremely keen sighted and observant, or lacks depth perception and peripheral vision.
Reads and rereads with little comprehension:
- Spells phonetically and inconsistently.
- Hearing and Speech Skills
- Has extended hearing; hears things not said or apparent to others; easily distracted by sounds.
- Difficulty putting thoughts into words; speaks in halting phrases; leaves sentences incomplete; stutters under stress; mispronounces long words, or transposes phrases, words, and syllables when speaking.
Writing and Motor Skills:
- Trouble with writing or copying; pencil grip is unusual; handwriting varies or is illegible.
- Clumsy, uncoordinated, poor at ball or team sports; difficulties with fine and/or gross motor skills and tasks; prone to motion-sickness.
- Can be ambidextrous, and often confuses left/right, over/under.
- Math and Time Management Skills
- Has difficulty telling time, managing time, learning sequenced information or tasks, or being on time.
- Computing math shows dependence on finger counting and other tricks; knows answers, but can't do it on paper.
- Can count, but has difficulty counting objects and dealing with money.
- Can do arithmetic, but fails word problems; cannot grasp algebra or higher math.
Memory and Cognition:
- Excellent long-term memory for experiences, locations, and faces.
- Poor memory for sequences, facts and information that has not been experienced.
- Thinks primarily with images and feeling, not sounds or words (little internal dialogue).
- Behavior, Health, Development and Personality
- Extremely disorderly or compulsively orderly.
- Can be class clown, trouble-maker, or too quiet.
- Had unusually early or late developmental stages (talking, crawling, walking, tying shoes).
- Prone to ear infections; sensitive to foods, additives, and chemical products.
- Can be an extra deep or light sleeper; bedwetting beyond appropriate age.
- Unusually high or low tolerance for pain.
- Strong sense of justice; emotionally sensitive; strives for perfection.
What can be done at home for dyslexia?
Helping your child with dyslexia can be a challenge, particularly if you're never been confident in your own reading and writing skills. But you don't have to be an expert to help work on certain skills or strengthen your child's self-esteem.
Keep in mind that kids (and families) are all different, so not all options will work for you. Don't panic if the first strategies you try aren't effective. You may need to try several approaches to find what works best for your child. Here are some things you can try at home:
- Read out loud every day
- Tap into your child's interests
- Use audiobooks
- Look for apps and other high-tech help
- Focus on effort, not outcome
- Make your home reader-friendly
- Boost confidence
What can make the journey easier?
Dyslexia can present challenges for your child and for you. But with the proper support, almost all people with dyslexia can become accurate readers. Your involvement will help tremendously.
Wherever you are in your journey, whether you're just starting out or are well on your way, this site can help you find more ways to support your child. Here are a few things that can help make the journey easier:
- Connect with other parents. Remember that you're not alone. Use our safe online community to find parents like you.
- Get behavior advice. Parenting Coach offers expert-approved strategies on a variety of issues that can affect children with dyslexia, including trouble with time management, anxiety and fear, frustration and low self-esteem.
- Build a support plan. Come up with a game plan and anticipate what lies ahead.
Understanding dyslexia and looking for ways to help your child is an important first step. There's a lot you can do just don't feel you have to do everything all at once. Pace yourself. If you try a bunch of strategies at the same time, it might be hard to figure out which ones are working. And do your best to stay positive. Your love and support can make a big difference in your child's life. If you wish to discuss about any specific problem, you can consult a neurologist and ask a free question.
Hi doctor. My son. He is 16 month old. He eats everything except milk. He avoids cow's milk completely. So what could be the alternate food for this. I'm worried that he may lag in calcium supplement as well as this may affect his growth. Kindly advice.
Bedwetting, also known as Nocturnal Enuresis, can be referred to as the unintended and involuntary urination during sleep. Enuresis, being a medical term, stands for wetting, whether during the day in full clothing or at night in bed. For young children and infants, urination is certainly involuntary. It is worth note that children who wet their beds are not actually being disobedient or lazy.
Child Bedwetting can be classified into two types- Primary and Secondary
It has been continuing since the phase of early childhood without a halt; which means the child bed-wets every night.
The child is unable to hold urine over the length of the night.
The child cannot wake up in case his or her bladder is almost full..
The child has been taught poor toilet habits as he/she puts off urinating for hours during the day.
Secondary bedwetting can be an indication of a repressed medical or emotional condition.
Infection of the urinary tract can cause irritation and pain along with a strong urge to urinate.
People suffering from diabetes need to urinate frequently.
Any injury or abnormality of the nervous system can take a toll on the neurological balance that fundamentally controls urination
A peculiarity in the muscles or other organs that are involved in urination can be the reason behind bedwetting.
How to address the problem of bedwetting?
Motivational Therapy: This involves parents motivating their children to reinforce their sense of self-control over bed-wetting.
Moisture alarms that can detect wetness in the child’s trousers while sleeping and sound an alarm bell to wake the child up.
- Tricyclic anti-depressants that lower the amount of urine produced by the kidney.