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Dr. Prashant Bachina

Pediatrician, Hyderabad

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Dr. Prashant Bachina Pediatrician, Hyderabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Cleft Palate - How To Treat It Surgically?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Cleft Palate - How To Treat It Surgically?

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery includingplastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3.Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. If you wish to discuss about any specific problem, you can consult a General Surgeon.

1996 people found this helpful

Hello sir. My baby not eating food. She is only depend on milk. But she likes banana .makhani (lotus seeds. But she is suffering from constipation. makhani is constipated food.

BHMS
Homeopath, Hooghly
Hello sir. My baby not eating food. She is only depend on milk. But she likes banana .makhani (lotus seeds. But she i...
Well u have to give ur baby little amount of food,, gradually,,u can give banana,,have to give high protein like chicken,fish,,egg,,fruits,,with this she needs proper homoeopathic treatment which will improve the situation
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I have 4 months baby, she is suffering from cold n severe cough since 3 days. Dr. Advised nasal drops, am using those medicine but no result till now please Dr. suggest me some medication.

MD - Homeopathy
Pediatrician, Mumbai
I have 4 months baby, she is suffering from cold n severe cough since 3 days. Dr. Advised nasal drops, am using those...
You can start Alex drops 4 drops 3 times a day for 3 days. If doesn't help then please visit your doctor's clinic.
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Hi. My baby is 1 month old. After 2 hour of the feeding he was expels some milk from nose as well as from mouth. After each feeding always I was keep him upward position on shoulder for burping. But also he is suffering from this problem. Is it create any compliance and why it is happening?

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
Hi. My baby is 1 month old. After 2 hour of the feeding he was expels some milk from nose as well as from mouth. Afte...
It can be because of inadequate burping increase the time on your shoulder and can have other things too so consult a doc.
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My 2 month old child passes lot of gas in a day. He doesn't seem to be uncomfortable with this. Someday as he pass gas 1 drop of stool also comes with it. He is 5 kg now. He takes breastfeed only. My doctor told to give him xymex drops for 2 3 months. 5 drops thrice a day. He is very active he plays and sleeps well. Only this time he passed stool after 3 days.

MBBS, MRCPCH
Pediatrician, Bangalore
My 2 month old child passes lot of gas in a day. He doesn't seem to be uncomfortable with this. Someday as he pass ga...
His weight seems appropriate for his age. Babies pass gas when the milk they have digested produces gas depending on the food consumed by mother, so if you are consuming more gas forming foods, the baby will pass more gas. Since baby itself is fine, I do not think theres any major worry.
1 person found this helpful
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My three years old daughter don't want to eat anything. Her stool comes very tight. Kindly Suggest some medicine. Thank you.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
My three years old daughter don't want to eat anything. Her stool comes very tight. Kindly Suggest some medicine.
Tha...
Along with fiber and getting regular exercise, drinking enough water is the most important factor in relieving constipation. H2O is critical to help stool move easily through the colon. "The colon's main job is to reabsorb water. If you're a bit dehydrated, your stool will be harder and more difficult to pass. Soluble pectin rich foods like papaya, pineapple, banana, ripe guava, and berries like strawberry, flaxseeds, chia seeds, not only aid in proper digestion and bowel movement but also aid in improving appetite.
1 person found this helpful
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Hi doctor, is it safe to give ibugesic plus for my 5 months old baby for hand foot throat disease & what is the dosage?

DCH, MBBS
Pediatrician, Pune
Hi doctor, is it safe to give ibugesic plus for my 5 months old baby for hand foot throat disease & what is the dosage?
Hello Sir, Yes, it will be safe. You can give at the dose of 5-10 mg per kg per dose. If no relief please consult with nearby Pediatrician. Regards.
1 person found this helpful
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Sir/madam, my daughter is 2years 7 months old she have albumin ++ problem, pls suggest me the right treatment?

Diploma in Child Health (DCH), MBBS
Pediatrician, Anand
Sir/madam, my daughter is 2years 7 months old she have albumin ++ problem, pls suggest me the right treatment?
I believe you are talking about albumin ++ in urine - condition known as proteinuria or more scientifically, albuminuria. This can be a manifestation of kidney disease. You may consult a paediatrician or a nephrologist for the same.
1 person found this helpful
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My son aged 13 years suffering from dry cough (whooping) from last 10 days. I was visited ENT doctor but till date not much benefited. Please help Regards.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Bangalore
Visit a pediatrician and get a opinion after he/she examines his chest. He may need a x ray. You can give him honey 5-10ml twice a day for dry cough. And ask him to do salt water gargles twice a day.
9 people found this helpful
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I'm a nursing mother my son is 2 and a half years old and my? Is oral glutathione tablets safe to take while nursing.

BHMS
Homeopath, Secunderabad
I'm a nursing mother my son is 2 and a half years old and my? Is oral glutathione tablets safe to take while nursing.
It's better to be safe. So avoid breast feeding. Even otherwise you need to stop breast feeding as your child needs more nutrition to grow. Consult your doctor and follow the instructions. Keep reviewing your health as well as the growth (milestones) of your child. You can come back with more details (health reports) about your health so that it becomes easy to know the case.
2 people found this helpful
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