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Dr. Rk Balaraj

Pediatrician, Hyderabad

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Dr. Rk Balaraj Pediatrician, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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Venkateswara Clinic

B Block,Srikrishna Nagar, Near Sai baba Temple, HyderabadHyderabad Get Directions
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Asthma in Children: Diagnosis and Treatment

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Asthma in Children: Diagnosis and Treatment

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

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My baby is 1 month and 8 days old. Recently he cries a lot and sleeps only in my lap. As soon as he is put to bed he wakes up and starts crying. Is this normal or he is facing some problem which is not understood by me.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My baby is 1 month and 8 days old. Recently he cries a lot and sleeps only in my lap. As soon as he is put to bed he ...
Usually children are like this, upto three months they will sleep during day and start troubling! mothers at night. This is the pain of motherhood. You can ask me privately for regular consultation child rearing. Happy parenting!
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Hi, My 7 years old baby just had 2 sittings of a root canal treatment. He has been given a temporary filling yesterday. But now the gum just below that same tooth is swollen and it is painful. What should I do for immediate relief?

MD - Homeopathy, BHMS
Homeopath, Vadodara
You may try applying Homoeopathic MT.. plantago.. Also tell him to massage the gums with turmeric and salt mixture. twice daily.. Give him Vit C... Also use homoeopathic toothpaste Heklalava by Wheezal..
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I am a mother of 5 and 1/2 month old baby girl. Her birth weight was 3.5 kg. Now she is only 6.5 kg. She did not doubled her birth weight. My breast milk supply is not enough s I used LACTARE tablet three times a day. Result is not good. So I started using solid food and lactogen twice a day. And at night she breastfed. Is this enough? She has no crying no other issues. What should I use to make her enough weight or doubled her birth weight? Please help me for that.

M.sc- Applied Nutrition, West Bengal State University, sports authority of India
Dietitian/Nutritionist, Kolkata
I am a mother of 5 and 1/2 month old baby girl. Her birth weight was 3.5 kg. Now she is only 6.5 kg. She did not doub...
Hi lybrate-user! Don't panic. If your baby has no other complications then you need not to worry about weight. Feed her/him as much as she/he wants. Don't overfeed. If you think the quantity of breast milk is not sufficient for her/him. Start using supplements. For details diet plan you may contact with pediatric dietician.
1 person found this helpful
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7 months baby is suffering from blocked nose and severe coughing. Does nebulising with saline water helps? Or steam is a better option. We have both the things at home. Does nebulising pose any long term dependence?

MBBS, MD - Paediatrics
Pediatrician, Pune
7 months baby is suffering from blocked nose and severe coughing. Does nebulising with saline water helps? Or steam i...
No nebulisation has no dependence...normal saline is alright...but if nebulisation apparatus is not kept clean and sterile then there is risk of transmission of organisms through aerosol therapy....so do not make it a habbit of nebulising frequently...you can use other options
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Migraine

BHMS, PG Diploma In Clinical Cosmetology (PGDCC) & PGDMT, FAM
Trichologist, Gurgaon

Migraine Clinical Picture

What Symptoms Occur During a Migraine Attack?

Migraineurs have recurrent, severe, and disabling attacks of headache, often unilateral and pulsating, along with symptoms of sensory disturbance, such as light, sound, and odor sensitivity. Nausea and neck stiffness are other common symptoms, and symptoms can be aggravated by movement.

• Some patients experience dizziness during attacks.

• About 20–30% of patients experience aura and neurological symptoms (e.g., visual disturbances), which usually precede the headache phase of an attack.

• Premonitory symptoms such as yawning, irritability, tiredness, cravings, and difficulty concentrating sometimes precede headache onset.

What Is Migraine Aura, and What Symptoms Can Occur?

• An aura is any neurological symptom that occurs shortly before the headache attack. Visual symptoms (e.g., flickering lights or zigzag phenomena), somatosensory symptoms (e.g., paresthesias), speech problems, and rarely, motor symptoms can occur during aura.

• Symptoms usually last >5 and <60 minutes.

• Before migraine can be diagnosed, other possible neurological deficits must first be excluded.

• Cortical spreading depression (see below) is thought to be the pathophysiological cause.

What Can Trigger a Migraine?

• Menstruation

• Shortness of sleep, irregular sleep, or too much sleep

Stress (or in some patients, relaxation from stress)

• Alcohol (e.g., red wine)

Caffeine (e.g., coffee, chocolate)

• Foods containing glutamate or aspartame

Dehydration

• Vasodilating drugs (e.g., nitrates) Epidemiology

How Many People Are Affected by Migraine?

• Women: about 13–18% of the population

• Men: about 5–10% of the population

• Numbers may be lower in Asian populations Chronic Migraine About 4% of the adult population experiences chronic headache, i.e., headache on 15 or more days a month. About half of this group has chronic migraine, and the other half has chronic tension-type headache  Disorders/Abnormalities That Can Be Comorbid with Migraine

Anxiety

• Depression

Fibromyalgia

Back pain

Hypertension

Stroke and cardiac disease

• Childhood vomiting

TREATMENT

ONLY HOMOEOPATHIC MEDICINES CAN CONTROL THIS

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My daughter weight is 7.1 kg she is 9 months old so it is ok for her age and please anyone Dr. please suggest the diet of 9 months baby.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter weight is 7.1 kg she is 9 months old so it is ok for her age and please anyone Dr. please suggest the die...
Your daughter is under wt. Her wt should be about 9 kg. Give her good nourishing home made protein rich diet, milk or its product of her taste, vegetables.
1 person found this helpful
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My son aged 10 years having his one testicles getting enlarged and another one is small since few days. What should we do? is it any serious problem.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics)
Pediatrician, Bangalore
Hi welcome to lybrate if the testes were normal till now and with no pain or discomfort, it can be a hydrocele, but can't be judged by just your one question and without seeing it. Please consult your pediatrician as early as possible.
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