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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
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Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
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Sir my daughter 1 year 3 month old. Went for vaccine. But mistakely I forget my immunisation record of card at my home. The doctor given the vaccine to my doctor of chickenpox. But when I returned home. As per card my vaccine was mmr1. Is chicken pox and mmr are same. Or I have to go for mmr1 vaccine again. Please confirm me. I m in doubt.
Health considerations when bottle-feeding
If you decide not to breastfeed, or are unable to breastfeed, commercial iron-fortified formulas can give your baby the nutrition he or she needs. Infant formulas have the right amounts of protein, calories, fat, vitamins, and minerals for growth. However, formula does not contain the immune factors that are in breastmilk. The immune factors in breastmilk help prevent infections and other health conditions throughout a baby's life.
Infants who take enough iron-fortified infant formula usually don’t need vitamin and mineral supplements. However, the American Academy of Pediatrics recommends vitamin D supplementation for all babies drinking formula until they are drinking at least 32 ounces a day. Fluoride supplements are recommended for babies whose primary water supply is not fluoridated. Check with your baby's healthcare provider about vitamin D and fluoride supplements.
Types of infant formula
Cow's milk-based formula. Most infants should be able to tolerate a standard cow's milk formula. Cow's milk formulas are modified to be closer to human milk. These formulas have lactose as the carbohydrate (sugar) source. They are available in ready-to-feed cans, liquid concentrate, and powder. Regular cow's milk is not an appropriate source of nutrition for a human baby.
Soy-based or lactose-free formulas. These formulas are used if an infant can’t tolerate lactose, which is rarely a significant problem in babies. They don’t contain lactose as the sugar source. As many as 50% of all infants who are allergic to cow's milk formula will also be allergic to soy-based formulas. Talk with your baby's healthcare provider before changing formulas. Vegetarian parents may prefer soy-based formulas. But they should be aware that breastfeeding is still the best option.
Specialized formulas. There are special formulas for babies who are premature or who have certain rare disorders or diseases. These formulas may have special directions for use. They are prescribed by the baby's healthcare provider.
Hydrolyzed formulas. Hydrolyzed formulas are easier to digest. They may be used in babies at risk for allergies. They are more expensive than regular formulas. Talk with your baby's healthcare provider before using these formulas.
Low iron formulas. These formulas are not recommended.
Helpful hints for feeding your baby
Breastmilk only is the ideal feeding for at least 6 months. This means no water, sugar water, or formula.
Wait until breastfeeding is well established before giving your baby breastmilk in a bottle.
Working mothers can use a breast pump on break time and refrigerate or freeze the milk for later use as a bottle-feeding. Refrigerated breastmilk should be used within 24 hours after pumping. Frozen breastmilk is good for several months in the freezer. Fathers and other family members can be involved in feeding time if breastmilk is offered from a bottle occasionally.
Offer cow's milk-based formula with iron as first choice of formula if not breastfeeding.
Keep your baby on breastmilk or baby formula until he or she is 1 year old. After this time, you may switch to whole milk. Children under 2 years old should not drink skim or low-fat milk.
It’s important to follow the formula preparation directions exactly as directed on the packaging. Using too much water can result in poor weight gain. It's also important to discuss your water supply with your child's healthcare provider. In some areas, water must be boiled first, or bottled water should be used.
Bottles should never be propped up.
Babies should never be put to sleep with a bottle. This can cause cavities to develop.
All babies, whether breast or bottle fed, should be offered a feeding whenever they show signs of hunger.
2 weeks back my baby was doing watery stools 10 - 15 times. We have shown her to pediatrician She has given her walamycin, enterogermina, gastric, zinc drops but still she is doing 6 -7 soft stools not watery per day. Pediatrician recommended to stop breastfeeding completely because according to her baby has milk indigestion and she recommended lactose free milk isomil but baby is not taking formula milk accept mothers milk. So please suggest.
My brother has married 4 years before and still he has not blessed with baby. After doing d complete medical check up he found that he has very less sperm count and high uric acid. Does these uric acid and sperm count are interrelated. Please provide him the proper diet to overcome these two problems.
Hi, my son is 15 months old, all of sudden now (in the night), his body is so hot. And this is the first time it happened. I dont have thermometer also in my home, what can I do now as a first aid. Because its 3 in the morning, till morning what best I can do from my home.
Child Aphasia is complex disorder that is caused by damage to parts of the brain that controls language and speech. This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depends on the extent of the damage as well as the location of the damage. Since this is not a birth disorder, therefore, you should be much more careful as so you notice that your kid is facing language disorder. A speech pathologist can diagnose language disorders and teach your child strategies to help.
What are the leading symptoms of aphasia in kids?
- Not understanding speech is one of the most common symptoms. Most patients cannot understand spoken or written language. Typically in these cases, the patient suffers from fluent Aphasia, which is caused by damage to the left temporal lobe of the brain. The patient's speech might seem meaningless and incoherent with lots of unnecessary words being used. The child usually becomes upset when people don't understand what he is saying.
- Patients suffering from this disorder also have trouble expressing their thoughts and understanding language and they often take more time to communicate. Only short sentences are used by these patients with words often left out, making the sentence sound incomplete. Such children suffer from non-fluent Aphasia where they understand what others are saying, but cannot communicate or speak well themselves. Their speech is almost similar to that of telegraphic languages that are usually followed by those toddlers who are just learning how to speak.
- Some children suffering from Aphasia might have trouble repeating words even though they don't have problem understanding what others are saying. These children suffer from conduction Aphasia and will be able to reproduce only parts of a sentence, if asked to repeat.
- Children affected with this disorder may see to be not listening to you or ignore you.
- Such kids might also have behavioral problems and may not be able to keep up with their friends and classmates. They will also suffer from forgetfulness.
Causes of Aphasia: The leading cause of Aphasia is brain injury, brain infection, brain tumour or abscess or bleeding in the brain.
Diagnosis of the disease: The disorder is diagnosed by a speech therapist who assesses the condition with a variety of tools to figure out the extent of damage. Its best to take your child to a paediatric speech pathologist who is an expert in treating children with brain injuries. The child will then be assessed on auditory comprehension, verbal expression, reading and writing ability and functional communication.
Treatment: There are many people who think that the speech trouble cannot be treated, but they are completely wrong. There are various ways to treat Aphasia. The younger the patient the better the chances of recovery since the brain is not that developed to handle specific functions in kids as in adults. The treatment will depend on the severity of the condition and the goal that is to be achieved. Factors behind this trouble need to be determined first otherwise the perfect treatment cannot be decided. Some of the most prominent factors are aphasia type, brain-injury cause, age, brain-lesion size and positioning and others.
Some of the leading tips that can be applied as per Association of National Stroke are as follows:
- Using props can be helpful in getting across messages.
- Speaking slowly and staying calm while speaking.
- Drawing pictures or words on paper for communication.
My Daughter (Age 10 month) has been suffering from fever (101-102, by underarm) from last 3 days. First day her nose was running a lot. But next day onward her nose was ok. On third day there was no fever for almost 18 hrs but again at mid night she got fever. I am giving her Maxtra-P (60ml) according to doctor. Should I go for antibiotic? Is it viral fever or common cold.
My 6 month old baby is passing soft yellow stools 6-7 per day. Her pediatrician said she has milk indigestion as baby is on breastfeeding she recommended to stop completely and suggested lactose free milk isomil but baby is not taking any milk accept mothers milk. So please suggest.
My niece is getting fever frequently and then fever goes out within every 20 seconds approx. Suddenly her body goes up and then does down immediately. She is 5 months old. Please suggest
One of my friends is blessed with a baby and she has been advised to take vibact DS along with other medicines post c-section. By mistake she is been taking 3 capsules of vibact DS instead of one suggested at night. The kid is urinating a lot but she is all okay. What can she do to reverse the action of excess dosage?
My daughter is 3.5 years old and is on feeding. My wife also wants to leave but my daughter doesn't leave pls help me to leave her feeding as all night she keeps on feeding and doesn't eat anything in evening. Pls help on the same at urgent basis.
My son having high grade fever of 102 103 frm past 1 day he is given advent forte 3.5 ml. For tonsil inflammation and his urine culture is awaited. From past sometime he is taking antibiotics every alternate month. Is it safe to give him given the antibiotics abuse notion circulating around. We have tried so many things to increase hia immunity but all go in vein.
Some babies learn to walk by the age of nine to ten months, and others may take longer, much longer to start walking properly. By the age of 15 months, people may start asking you if your little munchkin is able to walk yet. These constant questions can eventually irk you off, and keep you wondering if truly your baby is facing any sort of disability or not. In most cases, you will probably find your baby was too lazy to start walking all along, and he has mastered the art of “toddling” a couple of months later. Other times, when your baby has not started walking in over 17 months, you may want to give your paediatrician a visit.
When should you not worry?
If your baby is an active child and is playing around normally, you may not worry about him or her too much. If you find your child able to move around crawling or rapidly kicking his legs around, then your child is probably a late bloomer when it comes to walking. Other factors that will indicate that your baby is not going through any developmental issues are when he or she is able to communicate with sounds or broken speech. Other thing that you must keep in your mind is the relative age of your baby if it is born premature. If your toddler was born two months prematurely, then you must consider his developmental age by adding two months to his actual birth. Also notice if your child is able to move positions on his own, like if he is able to change positions when he is sitting down or lying down. As such, inability to walk is not really a solid indicative of a developmental disorder.
When is it of concern?
When you go to your paediatrician with your child regarding his inability to walk, your doctor will firstly take a note of the general movement of your baby. Thus the “quality” of movement is what matters the most. If your baby is showing signs of rigidity or flaccidity in his limbs, it may concern your doctor, as it is the primary symptom of cerebral palsy. Nothing can be concluded unless your get proper reports of scans like MRIs which your doctor will recommend you to get.
If your child is not walking, avoid carrying him around too much to allow him to make movements on his own. Who knows, you may find yourself chasing him around all over in no time!
Hello doctor, My child 11 month girl baby. Not be increase weight height only increased. Please give me food method for my child.
My Son Is 19 Months Old. His Weight Is 9kgs And Look Like Weak. He Is Not Getting His Personality. But He Is Very Active. He will not Eat Healthy Food, Juices, Soups.
My son is 2 years old. He has constipation problem. We are giving him Muout. He has swollen belly & not passed stool from 2 days. Can we give him Junior Lanzol 15 mg?
A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.
Here are few very simple ways you can prevent your child from getting it:
1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.
2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.
3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day. If you wish to discuss about any specific problem, you can consult a pediatrician.