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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 baby age 11 months not slept in day time like other kids, he sleep 15 mins in evary sleep in day time twice. May I know the reason?
Dear, sir/ Madam My son age 4.10 months got fever ,diarrhea, n vomiting from yesterday evening 4.30 pm.n now his stools looking like watery green. He had a prescribed by Apollo ems ,Emeset susp, econorm susp, crocin ds susp.(Vomit 8 times, fever ups n downs, watery stools 15 times from yesterday) Kindly suggest me some medicines for quick relief. Thank u.
Hi. My baby 10 months old does not eat anything. at least not even a spoon of food she takes. She is bottle fed from birth. No health issues. But eating has become a big concern. When ever we try to feed she pushes the spoon or turn her face other side or closes her mouth tightly. Please suggest me.
Breast feeding should be started within the first 30-60 minutes of birth.
The thick yellow initial secretion (Colostrum) should not be discarded as it is rich proteins, vitamin A, prevents the development of allergies, and contains antibodies that protect the baby from infections.
The newborn should not be given honey, water or any other fluid other than the breast milkBaby should be breast fed on demand every 2-3 hours devoting 10-15 minutes to each breast.
Baby should be properly latched to the breast. Part of the areolar (the black area behind the nipple) should be in his mouth.The baby should be exclusively breast feed for at least 6 months.
Breast feeding helps in better mental development of the babyIt reduces risk of ear infections, chest infections, diabetes and skin rashesIt helps in strong bonding between mother and childIt leads to lesser pain and bleeding after delivery.
It helps the mother in losing weight fast.Breast feeding protects the mother against breast cancer and ovarian cancer.
It’s Breast Feeding week, so share these facts with your friends and family.
I am Using asthalin in nebulizer is safe for 10 months baby. If so what is dosage to be used. What quantity of saline too should be added.
My baby 10 month old is suffering from fever from last three days and become senseless 2 times for last 2 days and till now he is suffering from fever please suggest what to do?
I am 5.7 in height my weight is. 62 kg my breast size are very large I am breastfeeding my 2 nd some month old son .My breast are very loose also. Can I drink green tea other home remedies to reduce my breast size is it affect my breastfeeding.
Hi, I have four and half year old kid, he always had complained about cold and cough, two weeks past Nas the climate changed, he suffered with nasal blockage cold and cough. As usual we grated him with medicine, but my concern this time was we never he gets little cold he goes thru nasal blockage and is not able to breathe thru his nose. So we took out x-ray. And it showed enlarged adenoids. So physician, pediatrician, we're consulted they said it has to be removed by endoscopic surgery. And being a parent it's hard for me to decide to put my baby thru this surgery. My concern is can it be treated? Do I need to to repeat the x-ray or was it because he was severe cold the adenoids were showing enlarged. But still, and wen it comes to breathing he breathes most of thee time with his mouth. Can it be treated with homeopathy? If I don't opt for surgery? Advise needed.
My baby is 5 weeks old and vomits after feed since birth. She takes both the powder feeds and mother feeds. Since yesterday she is suffering from 99.5 fever measured from underarms. She has cold with a block nose and cough. She is refusing to feed frequently and is not as active as she normally is. Her birth weight was 3 kg and now her weight is 4.3 kg. We consulted multiple paediatricians and as per their advice we gave her 1 ml of DOMSTAL Baby drops three times a day for two days. However we noticed that she cried a lot and was really very fuzzy and was not sleeping at all so we stopped giving domstal. Right now she is suffering from fever, block nose and cough and vomiting after every feed so kindly suggest the best way possible to cure her health.
My sisters son is 15 months old. She started giving him solid foods after he turned 10-11 months old. Which included rice chapati daal vegetable fruits sweets tea (2-3 spoons) and some times biscuits, chocolates, cheese etc in very very less quantity. The baby is a little on a healthier side. The older generation in our house suggested to give him every thing in pureed form or semi solid form and in less quantities at least till he learns to walk. So, we seek an advise from a pediatrician whether to give him every thing in pureed form or continue to give him all sorts of food in solid form. Thank you.
I am from chattisgarh, ambikapur, my premature baby admitted in ekta hospital before 4 month (born 6 month 1 days, born weigh 750g) running 4 month weigh 2.7 kg, before problem septicemia, meningitis, recent problem hydrocephalus. Running medicine gardenal 2ml every night, and diamox 250mg (50mg) 3 times every day. please help me mujhe kya karma chahiye, kya is disease ka treatment medicinal ho sake hai?
I have 2 and half month baby. I gave breast feeding only 2 month. I gave not fully breast feed that means partially (formula and breast feed. Some personal issues I couldn't take proper intake so milk breeding is not enough for my baby. Now mine started mensuration. Can I give feeding to my baby? Can increase milk? If suppose I could not give breast milk .will my baby grow healthy? Please tell me.
My son is 13 years old and he weighs approx 70 kg what should I do to make his weight normal. His height is approximately 5.3 feet.
My son 7 years old he do not doing morning natural calls regularly. What should he do. And also he is very lean.
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.
My daughter is one year four month old. I am still confused as what food to give her so please suggest any healthy breakfast, lunch and dinner for her healthy and normal growth?
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.