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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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Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advise if we need to consult doctor urgently. She was born in 36th week.
Hi, I have 7 month pregnancy. My baby weight is too low. It's 1.7 kg only. What should I do to increase my baby's weight? Whatever I eat. Comes out through vomit.
My grandson is 3 years and 9 months old. While he utters few words he is yet to speak joining words together. He hears well understands active recognises colours items and very friendly. He toe walks. His delayed speech causes concern. Neurosurgeon says he would speak but late. BERA tests and others show he is normal. We put him in play school. He enjoyed. What can we possibly do to help him? We are in Bangalore.
My baby was 5 months old. During Night whn we to sleep she unable to breath air frm noise. Instead of noise she breathing of mouth that why unable to eat meal also. Pliz advice or some precaution.
Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible.
Why to worry?
Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem.
When to worry?
Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys.
What causes growth failure?
Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy).
How can I improve my child's growth?
Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth.
What can be done if my child is very short?
Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease.
Time is important- act now if your child is short.
Hello all Just wanted to know I have a friend 28 years who has 2 babies 4 years & 2 months old both are born by cesarian. Can you please let me know she is planning to have a child again till how many months she needs to wait (last baby boy she had in feb )?also please let us know how many babies she can have without any complications or any worries or any discharge if it happens .(normal or cesarian) as she is planning to have 4 childrens. Thank you in advance.
My baby 5 months old accidentally touched hot rice and burnt her hand. There two small blisters on her finger. Please suggest remedy.
Hi my son one year . Problem is he needs me all time. He wants to hold me all time not going to any one. He plays little time later he want me. Please help.
Hi. My son is now 2 year old in april. I have 2 son. Mera big son jab 1 year ka tha to main pregnant thi. During pregnancy v maine use apna feed karaya. Uske baad use heavy constipation ho gya h.potty karne m use bahut pareshani hoti h.avi 15 days usne. Normal potty kiya tha. Kuch dino se wo bahut chirchira sa ho gaya h.or baar bar wo apna tummy or naavi chukar batata h shayad use waha oain ho rha ho to isliye use Dr. K pass le gyi to Dr. Ne anti worm or kuch medicines suggest kiya. To maine usi raat use diya. Use aaj tak anti worm nhi diya tha use 20 march ko anti worm ka medicine diya. Phir se use potty nhi hone laga. Aaj uska kafi tight v lag rha h.kya use koi bimari ho gyi h.or kya during pregnancy jo doodh pilaya wo kharab tha. Kyu nhi pilana chahiye during pregancy .iske kya side effects h.mujhe kya karna chahiye kon sa test karwana chahiye? Uske body me blood v kam h. 10. 00gm/dl h.pls !answer soon .kaisa mera baby healthy hoga.
I have two daughters, one is 3 years and second is 8 months old. I didn't given polio drops this time. As I am giving vaccination at time. Is it really necessary to give polio drops even after correct vaccination?
Loving our children in a real way:
- Loving my daughter/son comes so easily when
- She/he wins a competition,
- Gets high marks,
- Listens to me,
- Keeps her room clean,
- Finishes her food,
- Pays attention while studying,
- Sleeps on time,
- Never raises her voice and
- Practices dance/singing/drawing without me reminding her.
That's the easy way to love.
However when I look back at my childhood I realize that the moments I really wanted love badly were when
- I scored less marks,
- Failed in a competition,
- Couldn't fall asleep,
- Didn't feel like studying,
- Wanted to laze around,
- Didn't finish the tiffin,
- Didn't complete homework,
- Forgot an important assignment,
- Fought with a friend,
- Had a heartbreak,
- Committed a mistake,
- Felt guilty,
- Felt lonely.
These were the moments when I needed my parents the most, I needed their assurance that it is okay to be human, to fall, to get hurt and what I wanted to listen in those moments was" I know it hurts, but i'm here with you. Maybe we can't do anything about what happened, but i'm here with you. And I love you for what you are, always"
This is real and unconditional way to love!
Yes I wanted to hear" I love you" loud and clear. It was the only thing that could heal my heart. Love!
It's the moments when we lose control of ourselves that we want someone to hold us, isn't it? you don't need to be perfect. Just be real!
Do you chose love the easy way or the real, unconditional way?
Today no matter what your child does, choose love and see how it heals you as a parent.
Hello sir or madam my daughter felt from standing active and her head has some swelling bur now she has no swelling she had vomiting after 3 hours no blood in ear and nose have asked the some question like school name class teacher name tution madam name is there any serious issues BUT NOW IS 24 hours HAS COMPLETE SHE IS EATING WELL PLAYING WELL NO VOMITING IS TILL THE NOW I HAS ASKED ONY YEAR QUESTION SHE GAVE ME RIGHT answer NO PAIN BUT WHEN I PRESSED SHE HAVE SWELLING ONLY little BIT swelling IS THAT GUD ANY serious issue IS THERE.
Dentistry is not expensive, neglect is! brushing is an activity that has been embedded in our systems since time immemorial. It's an exercise you start and end your day with, a routine that can sometimes pass by almost subconsciously, leading to bad habits and ultimately poor oral health and hygiene.
Here are a few mistakes people commonly make when brushing their teeth.
Not using the proper toothbrush
The biggest myth of our time is to buy a medium or hard tooth brush to clean more effectively that's what causes the maximum damage over the years by wearing off healthy natural teeth with overzealous care.
Using an anti-sensitivity/whitening toothpaste permanently
A common mistake is to use a medicated tooth paste meant to mask sensitivity over a prolonged period. Such a practice only masks the symptom does not treat the problem and also leaves you vulnerable to cavities, gum disease and bad breath since the predominant component in such a tooth paste is for treating sensitivity or lightening tooth color.
The type of toothpaste that you use doesn't matter very significantly as long as you use the right amount and twice a day.
Sensitive toothpastes are meant to be used for a prescribed period of time and whitening toothpastes must be used under supervision to prevent any potential damage to your teeth.
Toothpaste must protect your teeth and gums both so a combination of paste that contains fluoride that protects your teeth from decay -and the gel based part has the antibacterial properties to prevent gum disease and bad breath.
Brushing too quickly or too many times
Most of us hate going to the dentist and find brushing an easier alternative but you cant exactly brush off old cavities just prevent new ones.
See to it that you do not brush your teeth more than twice in a day. Excessive brushing can damage your gums and enamel. It will not take a lot of pressure to remove the plaque; hence most dental practitioners suggest brushing using a very balanced pressure.
Studies show that brushing two times a day and about 2-3 minutes every time is perfect to maintain good oral hygiene. Most people make the mistake of falling short of this duration every time they brush. You can ideally divide the mouth in four sections and approximately spend around 30-40 seconds on each section.
Incorrect brushing technique
The strokes while brushing your teeth must be vertical and not horizontal. Many people are habituated with performing long horizontal brushing strokes; this leads to irritation and damage.
Learn the right technique
Hold your brush at an angle of 45 degrees to your gums and brush your gums and teeth with an up and down motion and short strokes. Don't use side to side strokes. Also, start brushing on areas that you have been ignoring till now, reach the difficult to reach inner portion of your teeth. Implement it as a daily ritual and you will attain perfection in it.
Wrestling or brushing
Hard brushing damages the gums and is not good for you. Excessive brushing i. E. Brushing more than 3-4 times is also bad for you. You must always observe a balance in brushing which keeps your dental health healthy.
Since unlearning a bad brushing habit maybe harder the easier solution is to switch from a manual to an automatic brush. Going automatic by using a battery operated brush is recommended since it takes the guesswork out of brushing.
It may take a while to get adjusted to but like so many other things which are designed to make life easier automatic brushes make dental hygiene very easy and can even reduce the frequency of your dental visits.
Supplement your brushing
Of course, brushing your teeth is only a part of a complete dental care routine. Mouth wash twice a day. You should always rinse your mouth and keep it cleaned; otherwise, the germs from the teeth will stay on.
Clean between teeth daily with floss. Tooth decay-causing bacteria still linger between teeth where toothbrush bristles can't reach. This helps remove plaque and food particles from between the teeth and under the gum line. Eat a balanced diet and limit between-meal snacks. Visit your dentist regularly for professional cleanings and oral exams. Got some questions? ask us comment below; we will answer as soon as possible.