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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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My niece who takes normal diet and is of 9 years of age is really very weak physically. Kindly suggest some solution for improving her health.
Now she is my twin girls were on October 5, is vomiting of the milk and weight lose so please help me.
I have a child his age is 13 years from birth he is affected from spastic some time now he has been taking medicine valparin 500 and oxetol 300 my question is there any side effect?
My baby is of 4 months he didn't did the potty from last two days wat is the reason what should I do? He is also not taking feed in good quantity.
Hi, I breastfed my baby till she was 9months old, now she is 2yr 2months old and has never asked for breastfeed. I have noticed milk coming out from nipples off and on. please tell me possible reasons for it.
My 1.5 Year child not eating properly. Only taking milk .is any food supplement for him.Please tell.
Any Formula milk powder for preterm baby which is easily digestible from 0-6 months baby and not harmful if given in case of emergency if baby is not stopping crying after a long feed also.
Hi Doctor, Now I have 6 month baby for twins, so I can introduce to my kids for extra virgin olive oil, for oil massage and foods, can you reply doctor as soon as possible.
Dear Sir/Madam, My son is 10 month old, His health is very good but teeth is still not yet come. So please tell me what shall I do for it or it is okay if teeth come late? Which food or fruits I give give him for teeth growth. Thanks you.
My daughter is 13yrs old now and studied on class eight in an english medium coed school. The main problem she is moody, if her mother telling something to do, nobody confirm that she will do or not. She have long hair, but donot wants to wash with shampoo twice in a week. Summer season her mother said to clean bath at least two times daily, but she avoid her mother. She is fatty and her body always wet, then getting a bad smell from her body. Her mother always kept her cloth and dresses clean. I feel her poolcar students not agreed to sit beside her. But she make style in hair, and make changes her cloths daily. Why she scared to take a simple bath with clean wash. She will do shampoo after 07 to 10 days.
Sir my baby is 10 month old and her weight is 10.30 kg. I want suggestions of starting iron and calcium syrup and how much it.
Diet plan for DM and HTN
Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable.
As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats.
General instructions to be followed:
Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed.
Whole grain cereals are better, preferred for their fibre content and satiety value.
Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water.
When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it.
Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious.
Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided.
Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking.
Egg yolk has to be avoided by individuals with hyperlipidemia.
Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption.
Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.
Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition.
Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list.
Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc.
Use of coconut and its products must be minimized.
Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally.
It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged.
Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets.
Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases.
Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart.
Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account.
Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels.
Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed.
Include foods from all the different food groups and thus consume a balanced diet.
Regular exercise is most useful but physical strain after a meal should be avoided.
Free foods (can be included liberally)
Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc.
Foods to be used in moderation.
Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc.
Foods to be avoided by diabetics.
Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc.
Roots and tubers like potato, tapioca, yam etc
Butter, ghee, dalda and fried preparations.
Horlicks, bournvita, boost etc
Fruits like jackfruit, banana, mango, sapota etc.
Dry fruits and nuts
Barley water, rice water etc.
Cholesterol rich foods (to be avoided by cardiac patients)
Whole milk and milk products
Shellfishes like prawn, crab, lobster etc.
Organ meats like kidney, liver, brain etc.
Chicken, duck with skin.
Sweet like pastries, ice creams etc.
Butter, ghee, dalda, coconut oil, palmoil
Fried foods like vada, chips, pappads, samosa etc.
Alcoholic drinks, creams soups etc.
Fiber rich foods
Whole wheat, parboiled, sago, oats etc.
Fenugreek and sesame foods
Vegetables and fruits (with skin)
Fresh coconut etc.
Sodium rich foods (to be avoided by hypertensive patients)
Salt (avoid extra salt in food and table)
Baking powder, baking soda, ajinomoto etc
Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc.
Salted chips, nuts, popcorn etc
Pappads, pickles, dried fish etc
Canned and salt preserved foods
Sauces, soup cubes
Sausages, lobsters, meat and yeast extracts
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc
My son two and half year old. Good weight and height. But in this age he have dark circle around eyes. I also have dark circle from my childhood. Let me y this coming and way to cure.
Hello sir, my daughter 4 year old she is suffering from hearing loss after typhoid .sir please suitable advice to her treatment.
I have 7 month baby. Suggest me proper food routine for him. What should I give him as an external food and what should be time gap between.
Me Dr Sanjeev Kumar hoon, in Faridabad. Aaj hum baat karenge care of a new born baby.
Ek navjaat shishu kya hota hai?
Ek navjaat shishu wo hota hai jo Pehle 28 dino ka baccha hota hai, use hum navjaat bolte hai.
Navjaat baccho ko hum special kyu kehte hai?
Wo baby ki tendency hoti hai bohot jaldi infection hone ki, bohot jaldi shareer thanda padne ki, aur bohot jaldi unki jaan ko khatra bhi hojata hai.
Jab baccha paida hota hai to sabse pehle bacche ko maa ka doodh pilana chaie. Jab maa apne bacche ko seene se lagati hai tab maa ko is baat ka idea hojata hai ki baccha doodh theek se pee raha hai ya nahi pee raha hai. Aur isi se andaaza lagaya ja sakta hai ki mera baccha theek hai ya nahi hai.
Agar baccha maa ka doodh acche se pee raha hai aur ek bar doodth peene ke baad 2-3 ghante sota hai, 6-7 baar susu karta hai, aur agar bacche ka wazan theek se badh raha hai to iska matlab baccha bilkul theek hai. Aur bacche ki awaaz buland hai jab wo rota hai, iska matlab baccha theek hai.
Lekin agar baccha lazy hai, chidchida pan hai, doodth kam pee raha hai, tatti me khoon araha hai, neela ya peela pad raha hai, safed pad raha hai, iske liye doctor ke paas jana zaruri hai.
Jab maa bacche ko doodh pilati hai, kahi baar maa ko lagta ki mera doodh he nahi aarha hai, ya mere bacche ka pet he nahi bhar raha hai. abse important hai ki agar baccha 6-7 baar aur baccha ek baar doodh peene ke baad 2-3 ghante soe aur uthne ke baad agar baccha buland awaaz me ro raha hai, iska matlab baccha theek hai. Aur agar maa ko lag raha hai ki baccha pet bhar ke doodh nahi pee pa raha hai, tab wo ek kaam kar sakti hai ki jab doodh pilaya aur doodh pilane ke baad agar baccha sota nahi hai, sika matlab hai ki bacche ka pet bhara nahi hai. Iske liye sabse important hai ki maa ko khush rehna hai. Isme husbands ka role bohot important hai, jo ghar ka environment hai wo ekdam theek rehna chaie. Aur maa jab apne bacche ko godd me leti hai to use bhagwan ko thank you bolna chaie ki," thank you bhagwan, tumne mujhe baby diya hai, mujhe doodh bhi dena". Jab maa aisa sochti hai, tab doodh badhta hai. Doodh maa ke stan se nahi brain se paida hota hai.
Agar maa acche se khae aur zada amount me paani peeye, to bacche ke liye doodh aram se ata rahega. Lekin agar fir bhi maa ko lagta hai ki doodh kam ban raha hai, to uske liye ek baar bacche ko doodh seene se laga ke pila de aur fir bhi doodh kam pade to chammach- katori se doodh pilade. Isse dheere dheere maa me doodh badhta jaega aur ooper ke doodh ki requirement bhi kam hojaegi. Bacche ka pet bharne lgega aur baccha fit bhi rahega.
Chote babies ke sath risk hota hai, thanda padne ka. Chote babies Kabhi-Kabhi 40 Degrees temperature me bhi thande pad jate hai. To iske liye sabse zada important hai ki bacche ko head se toe tak cover karke rakhna chaie. Topi zarur pehnani chaie.
Ek maa apne bacche ko touch karke he bata sakti hai ki bacche ko thand lag rahi hai ya nahi lag rahi hai. Agar maa ne bacche ko hath lagaya aur fir apne pet ko hath lagaya, agar dono garam hai, iska matlab baccha ekdam theek hai. Agar hath thanda hai, aur pet garam hai to matlab bacche ko thand lag rahi hai. Aur agar dono thande hai, to baccha serious hai.
Aaj kal sabke ghar me sari facilities hai, air conditioner hai, to aise me bacche ko garam rakhne ka sabse accha tareeka hai ki maa apne bacche ko seene se lgale aur baar baar doodh pilana. Maa ke doodh pilane se, maa ko bohot faede hote hai, jese ki maa ko cancer se bachaav hota hai, ovarian cancer, breast cancer, aur maa emotionally khush rehti hai.
Agar aap is vishay me kuch aur janna chahte hai to aap Lybrate ki website pe jaa kar, login in karke contact kar sakte hai.
Sir/madam, I have a daughter who is 11 years suffering from SLE disease, how to control/prevention and treatment? please tell me doctor. Grateful sir.
Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan. If you wish to discuss about any specific problem, you can consult a gynaecologist.