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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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Hello, i am 30 years Old my baby girl is 14 months old she is having every food bt still she is not gaining her weight she is 8 kg frm last 2 months I hv consult wd our Dr. bt he told me to gv more food she is very active bt she has only one prob which is weight gaining I'm very worried kindly let me know.
Hi, I am 30 years old and have a baby girls three years back through c-section. So after that I put on 15 kg weight, my current weight is 70 kg and I want to reduce it. I am a working women and my shift timings are 1 pm to 11 pm.in this shift I am not able to do any exercise and all. So please help me here.
From 14th Aug, she developed fever. We consulted local paediatrician nad he prescribed calpol syrup along with antibiotic. But the fever kept coming back after the effect of the dose subsided. Next day she complained of stomach pain. Doctor advice blood tests which was done. Reports were ok with no trace of malaria and dengue. Till today there is a tinge of fever at all times. Of late she has sometimes stomach pains and has to clear her stomach multiple times to get relief. Please suggest if its normal and will subside or we need to consult elsewhere?
My nephew age 50 days is having problem that his navel is outer side. He has no pain, no redness. Is it normal.
My son is 21 months old. In the day time he usually had a temperature of 99 - 99.3. Is this temperature normal for him. At what temperature we say which is a fever. My pediatrician told above 99.5 is the fever temperature. I am always confused because he got a fits followed with high temperature at 10 months old. I am always alert on him.
WHAT IS THE PROPER TREATMENT FOR TUBERCULOSIS IN STOMACH ? WHETHER IT IS FULLY CURABLE ? HOW MUCH TIME IT TAKES TO CURE ? IS THERE IN MEDICINE IN AYURVEDA / HOMEOPATH FOR THE SAME ?
My daughter is 1.5 years old weight 7.8 Kg & birth weight 2.2 kg as she is weaker Twin. Doctor prescribed Rifa i. 6 kids for 6 months. She saw the chest X-ray and blood report before prescribing. I am worried about the side effects of the drug as after giving it for 4 months I came to know that this is given to TB patient. Kindly suggest me what to do now as she is fussy eater and also refuses to take supplements.
My son is 6 years old he repeat the things again & again if I purchased fruits for him he ask me again & again mom I can eat but it will finish & if he found qty less than do not eat when we purchase again than he will eat and dont want to eat anybody. Every time intrested to go my old house and dont want to go any other city. He is studying class 1st getting good marks 80% but some times forget same thing again & again he is like singing music. Many time ask same thing again & again so pls suggest what should I do for his better future.
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.