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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 son is 2 months. Now a days sometimes he goes to deep sleep and don't take feeding for more than 5 hours. Is it normal? What should we do to give him regular feeding like once in 3 hrs types.
Hii. My baby born on April 1. I am using lactogen for feeding. He is not feeding my milk. How my hours does the powder milk can keep and give powder milk to my son.
My 7 months son has running poop. He has making this poop when he wake up. Doctor prescribed reflora-r powder. His weight is 7. 8 kg he playing well and no fever symptoms. And poop frequency is 5 timea in a day. Doctor said if in 3 days he will not well he prescribe antibiotics course. So is it normal? please advice
Vaccine provided through municipality is it safe for baby and kindly suggest that what differences of vaccine given through private doctor and municipality?
My son age 5 yrs, Weight 14 kg, he have cough & cold every months, please suggest some homeopathy medicine. Thanks.
Hi, My 7 year old girl is so attached to us that she sleeps right in the middle of us and always puts us to sleep before she does. No matter what she doesn't want to sleep separately. And you know what. Also is this the right time to talk to her about sex and how much info should be given to her, considering some info could make kids curious and try to know more by experimenting and exploring that is way too unsafe. Please advise. Regards.
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.
Today my 6 week old child was administered pentaxim vaccine's first dose but I have read that this vaccine is banned by Indian govt and its efficacy reduces in few years. It's mentioned that better to administer quadravac along with polio but they are not painless. Kindly suggest.
The journey to parenthood begins long before the baby arrives, long before the expectant parents ever set eyes on the new life they have created. Being a parent is hard and exhausting, mentally, physically and emotionally. As a mother, one goes through a journey that encompasses huge changes to her body, her emotional state of mind, career, relationship with partner and her entire outlook on the world around her but, let's not forget the emotional impact on fathers too.
There is no, particular psychological pathway to parenthood as every couple's experience is shaped by a unique set of circumstances; their own childhood memories of their parents, observations of other parents and by the type of relationship they have with each other.
Being parents changes you: Becoming a parent changes two fundamental things: first, your perception about yourself, and secondly, it changes the nature of your relationship with your partner. You need to understand that you're no longer two independent adults but a team. You have to prioritize the needs of your child over and above your own needs. The sooner you realize and implement this in your life, the better you turn out as a parent.
Planning is essential: As an expectant couple, you need to plan and prepare, not to guarantee a result, but to open their minds to the vast enormities of the life changes that you are about to experience. This way you will be better prepared and equipped to cope with the challenges and situations that may come your way. You should try to imagine what your life will be like, after the baby arrives, realistically. The pregnancy period is an opportunity for both - the mother and the father, to run through a psychological rehearsal of "life after the birth of baby". Although it is, unrealistic and impractical for the expectant parents to think that, they can strategize for every conceivable scenario related to new parenthood, what so ever it may be, however, they can use the nine months of pregnancy to begin to reflect on how a baby will affect their relationship.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
Hi My son had viral fever 15 days back with no symptom. This fever last for seven days. Doctor gave flexon and augpen for possible infection like uti or throat. Now fevr came back after 15 day with block nose n cough. Does viral fever reoccur. What to do now. Should I visit his doctor or should I give him gladimol c n asthalin expectorant. Plzz suggest his age 4 years weight 14 kg.
My 3.3 Years Son remains constipated. He does not passes stool daily. Though we offer him dalia, papaya and fruits, less milk with high sugar. On daily basis but he resist to pass stool or even sit on his potty seat. He sits there plays and get down. Because of which he is low on appetite and remains full most of the time without eating. Please advise how to deal with this? We started giving him loose syrup also 5ml twice daily still it is difficult to make him sit and concentrate to discharge stool. Dnt want to put him on too much medicine for this. Can anyone help on this please or this is a normal stage for toddlers?
My 8 month old daughter is having very less hair on her head compared to kids of that age. Her eyebrows and everything is normal. I have tried oil massage and all that and have shaved her head twice also but still the hair is very less. Should I consult a skin specialist or would you suggest any medicine. We are getting worried thus request your advice and suggestion.
1. Avoid eating cold foods: According to Dr. Pradip shah, consultant physician, fortis hospital, mulund, a common cold and cough triggered by cold food items like ice-cream and cold drinks is a common complain of people visiting local health clinics. Although there is no scientific evidence as to how cold food items trigger and worsen coughs, patients are normally advised to avoid them altogether until they recover completely. One sensible explanation for this would be that cold beverages and foods cause a drying out of the respiratory lining making it susceptible to infections and triggering coughing due to irritation.
2. Avoid overeating at night: Having a heavy dinner at night or overeating can be a cough trigger for people suffering from gastroesophageal reflux disease (gerd). People with gerd may have poor coordination between contraction and relaxation of the sphincter muscle that prevents reflux of food to the esophagus. As a result, the stomach acid can flow back to the food pipe, causing irritation of the lining to trigger cough. So, it’s better to have an early dinner and maintain a gap of at least 2 hours between dinner and sleeping time.
3. Avoid sleeping flat on the back: Sleeping posture plays an important role in triggering coughing at night, especially if you have a productive cough. All the mucus and phlegm that gets collected throughout the day, flows up to irritate the throat when you lie down on your back. Instead, sleeping in an inclined posture, or sleeping on the sides will keep the phlegm settled and avoid bouts of coughing at night.
4. Avoid eating fried foods: Fried foods are oily in nature and oil is a well-known cough trigger. Deep-frying foods in hot oil generates a compound called acrolein, which acts as an allergen that aggravates coughing and causes throat itching. So, it’s best to avoid oily, fried foods while you have a cough.
5. Avoid smoking: Smoking is one of the causes of a cough due to bronchitis. Not only does it irritate the throat lining, but it also delays recovery and increases your risk of cancer. If you don't smoke, remember second-hand smoke is equally dangerous.
6. Avoid caffeinated beverages: Caffeine should be avoided by those who cough due to acidity and gerd. While it may provide temporary relief from a coughing bout, it actually causes the esophageal sphincter to become loose, allowing more acid to get flushed into the esophagus.
7. Avoid over-exertion: Nobody takes an off from work because of a cough, but that doesn’t mean you should exert yourself by overworking. Coughing is an indication that something is wrong with your body, so make it a point to get adequate rest to give your immune system enough time to recover.
Hi my daughter 5 month 25 days old birth weight 3.250 now 5.12 only now I will give breastfeeding only what will give to. My baby.please advice
My son, 22 Month old do not eat anything from birth. he never drink milk from the bottle and never eat any stuff like humans since his birth. he is under weight and we are feeding him milk through 20ml syringe and feed him liquid Dalia force fully by directly injecting it in his mouth. we have consulted several pediatrics the recent one is HOD Max hospital delhi but nothing worked out. As per doctors, baby is fine it just require discipline to improve his food habits. My question is, how can food habits be improved when a baby is not interested in taking any eatable stuff inside his mouth and if we forcefully give into his mouth, he never chew or swallow it. Can someone help us....we are facing a really bad luck with my baby..I will really appreciate your help. Thanks in advance.
Diabetes is a long term disease. Homeopaths resorts to different approaches towards diabetes. When the blood sugar level is very high, the priority is to control it. There are homeopathic remedies that could reduce the sugar. Another approach is to understand the patient’s profile through a patho- physiological profiling and resort to treatment of his illness. There is yet another approach to understand the patient in depth through a detailed case taking, crate a profile at his physical, mental, social and spiritual level (holistic approach) and then select a constitutional remedy. Each of these approach has its own scope and limitations. The physician has to take a decision as to what approach is needed on a patient depending on his general health, progress of disease, complications, the organs affected etc. Here’s discussing the four approaches:
1) Management of blood sugar
The commonly used remedies are uranium nitricum, phosphoric acid, syzygium jambolanum, cephalandra indica etc. These are classical homeopathic remedies. These are used in physiologically active doses such as mother tincture, 3x etc. Depending up on the level of the blood sugar and the requirement of the patient.
Several pharmaceutical companies have also brought in propriety medicines with a combination of the few homeopathic medicines. Biochemic remedies which is a part of homeopathy advocates biocombination no 7 as a specific for diabetes. Another biochemic medicine natrum phos 3x is widely used with a reasonable success in controlling the blood sugar. Scientific studies on the impact of homeopathic medicines in bringing down blood sugar are limited, but many of the above remedies have some positive effects either as a stand-alone remedy or as an adjunct along with other medications.
2) Holistic as well as individualistic approach in medicine through homeopathy
This is a unique concept in homeopathy. Even though it may sound strange, homeopathy does not treat pathological effect of the disease per se. A homoeopath treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is afflicted with pathological state. He considers diseases are a mere deviation in life force and make efforts to correct this aberration. Homeopathy regards health as a state of balancing the equilibrium of the life force and the physicians’ duty is to support the individual to maintain a harmony in health (promotive health), restore the sick to health through a rational medication (curative health) and prevent diseases whereever needed (preventive health). There is a defined philosophical approach in each of the above areas and therefore homeopathy in true sense is called holistic system of medicine. It is also known as experienced medicine because all the medicines that are used on the patients are subjected to human trial and assured of its safety even in infants. The medicines are being used for over two centuries and not even one instance of adverse drug reaction has ever been reported.
3) Constitutional treatment
Hahnemann who published his work on chronic diseases and its cure advises to give more importance to the patients past and family history to understand the genesis of illness and to prescribe constitutional medication. In the modern terminology this could be said as the genetic preponderance or modification due to the patient’s life style or circumstances or due to suppression of illness in the past. The homeopaths, therefore take long hours to understand the patient’s history to understand the constitution, temperament, history of suppression etc to arrive on a constitutional medication. This approach is unique to homeopathy and a little time consuming. It also require extreme skill, perseverance, knowledge and experience. Constitutional remedies acts deeper into the system and correct the inherent disorder of the individual. Thus the constitutional remedy not only cures the disease, but improves individual’s health in general. If patients with diabetes take his constitutional remedy, it will not only help to control his sugar metabolic process, but also the tissue to absorb and assimilate the sugar and try to make other organs function perfectly.
4) Promotive approach to diabetes.
Type 2 diabetes can be prevented by lifestyle modifications. Some of the easy tips are:
Eat small meals every 2-3 hours regularly instead of consuming large meals. Prefer to steam your vegetables rather than fry them. Reduce the consumption of sugar, alcohol and fatty foods in your diet
Eat fiber rich foods like whole grains, pulses and reduce your intake of oil. Avoid fried foods.
The lifestyle modifications that can be followed by everyone are regular exercise for at least half an hour. Prefer to climb stairs rather than using elevators or escalators unless there is any heart ailments. Avoid sitting in same position for longer duration at your workplaces. Take short breaks. Practice yoga at home in case it is not possible to go outdoors and indulge in household chores in order to keep yourself active and fit.
Even a patient who is suffering from type ii diabetes can follow life style medications and resort to regular medications under strict supervision of a qualified homeopath, will escape the serious complications of diabetes and keep his disease under control.