Dr. S.I. Ali

ASTHMA --- WHO SHOULD SEEK IMMEDIATE CARE
The attack of asthma is severe if

The patient is breathless at rest, is hunched forwards,talks in words rather than in sentences(infants stop feeding),is agitated,drowsy,or confused,has bradycardia or has a respiratory rate of more than 30/mt.

Wheeze is loud or absent.
Pulse is more than 120/mt( greater than 160/mt in infants)
PEF is less than 60% of predicted or personal best,even after initial tratment.
The patient is exhausted.

The response to initial treatment is no prompt and sustained for at least 3 hours.

There is no improment within 2-6 hours after oral glucocorticoid tratment is started.

There is further deterioration.
Mild attacks ,defined by a reduction in peal flow of less than 20%,nocturnal awakning and increased use of B2- agonist, can usually be treated at home if the patient is prepared and has a pesonal asthma management plan.
Moderate attack may require and severe attack usually require care in hospital /nursing home.

Soak 5 almonds over night and in the morning eat with milk. Eat fruits, green leafy vegitables and milk and eggs/soya protien.

Give him high fat diet cooked at home like alu paratha.that will give her extraa calories.he must be extra energetic.no hormones or drugs for appetite and growth.

Your son is smiling and so should be you. Believe in son's smile and play, no child with illness will play and smile. Enjoy every moment of blissful life with happy and playful child before he grows older. Nothing in life is going to be perfect and as per our wish. We need to cope up with fears anxiety and what not, with the help of professionals, when over all life is okay. In my opinion smiling, playful, exclusively breastfed child who is growing well does not need any treatment just because he passes motion frequently.

Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.

Dear lybrate user if you r having sensorineural type of hearing loss no medicines will help to restore the hearing loss. Only in sudden hearing loss steroids help to some extent. So in your case the option left for you is digital programmable hearing aids. Most probably you have used analog one, go for digital programmable hearing aids. It will help for sure. Consult with me for further details.

Hello, Pleasedo not do anything to a his chest.He is biologically a boy and is born with male hormones.It is just a myth and the process is very painful for such a small kid.Ignore such advices.

By symptoms I feel she is suffering from pharyngitis. She needs to gargle throat & oral cavity daily twice with lukewarm water added with salt.

Gynaecomastia can be physiological. Your child needs help with diet and exercise to correct his obesity.

Mother feed is the best feed. It prevents constipation. If constipation persists, visit your pediatrician.

Hello, you need to feed your child every 2 hrly and please meet a pediatrician for evaluation. Ensure proper latching while suckling.

Please dont give any medicines to the baby. Just continue breast feeding 8-10 times a day. Do night feeding also. Baby is just 2m old. She will gain weight with breast feeds itself.

Hello lybrate-user ji, gone through your queries, would like to suggest you to be calm and keep feeding the baby atleast 12 times a day average. It can be once in half an hour, if he is awake and once in 4-5 hours if the child is sleeping, you need not wake up the child for feeding as they tend to wake up and cry once they feel they are hungry, so need not bother if they sleep for long hours, all babies have some sought of jaundice during the first week and tends to settle down in another 1 -2 weeks, so need to worry about the jaundice as your child has crossed 2 weeks unless he is not feeding well or not passing urine well. Babies should pass urine minimum 6-7 times a day, that is a good indicator of good feeding. No need to do any blood test unless the child appears yellow or eyes are bright yellow.

It is nice that you strongly wish to breastfeed him. For first 7 days or so the milk produced is known as colostrum which is yellow coloured ,small in quantity &high in antibody content. But it is sufficient to meet the needs of baby. Pl give powdered milk as per directions written on the can if at all it has to be given. Pl give cup or katori ¬ bottle. GOVT OF INDIA guidelines recommend exclusive breastfeeding for first 6 months of life. The best stimulus for milk production is frequent sucking day &night. Have balanced diet & be confident. Have loving thoughts for your baby. Keep him in direct skin to skin contact. Regards&best wishes.

Head normal temp can not be defined. It may be warm on touch which is normal so sweating for some babies. If you suspect fever by touching head, measure temp by thermometer which is right way to assess fever.

Some kids get control over their bladder late in childhood and mostly most of kids outgrown this problem. However, to rule out a few things, you need to meet a paediatrician for a proper guidance and treatment.

He is having post tussive cough. Need to assess all details with vague info you have given, a medically scientific answer cannot be given. What medicines are given. What time of day is cough more? possibly he has hyper reactive airway disease/allergic cough. I can help. Ask me privately.

Not taking mothers milk means the baby is getting other milk. You have to express the milk and give it with the help of sterile spoon. Do this every 2 hrs. Once the baby like the taste of your milk, he or she will go back to sucking at the nipple which will I turn increase milk secretion.

By your history it seems years child is suffering from adenoids hypertrophy. For her proper growth and development she requires adenoidectomy and tonsillectomy. There is no homemade remedy.