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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. My baby's birth weight was 2.5 kgs. And now she is 10 months old and weighs 7.5 kgs only. Although she is very active but she is very weak. Kindly suggest what kind of food will help her in increasing weight.
I have pain in my tooth for 2 days. What I do for this so that I got rest from this pain. What I do for this it really pains badly. Suggest me some tips to remove my pain?
I am observing symptoms of pin-worm in my baby boy (age 20 months). Please suggest the preventive medicine. Two months before on observing the same, We gave him some medicine (unfortunately I forgot the name) in the form of syrup and the symptoms went away but from last three days he is again feeling itching in his anus before going to sleep.
Hello Dr. my son is 9 years old is suffering from bed wetting problems but only in night. I scolds him sometimes but he is not overcoming from this problem till now. What should I do please help and reply. Regards.
My daughter is 28 months have diarrhea with occasional stomach aches. Her diet mainly includes milk. She stays on milk the whole morning. Then she has her lunch (rice, vegetables,fish). In the evening she has either milk rawa (suji)/cornflakes with milk/ oats with milk/dalia khichdi and at night for dinner she has chapati with milk. But as of now milk intake have stopped due to her ill-health. What should I give her now apart from milk so that she gets the required nutrients till she gets back to her normal diet.
Respected Doctor. my 20 month old daughter is so much weak in body and had less growth. and having less weight of just 7.7 kg. So kindly suggest some medicine and this body weight is how much less? is it serious condition or not? kindly help. Thanking you.
Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.
Some of the risks involved during the process include:
1. Abnormal reactions to the medications
3. Problems in breathing
4. Need for more surgery
Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. If you wish to discuss about any specific problem, you can consult a specilized pediatrics and ask a free question.
What can I give to my 6 mnth child so dat he bcm healthy and also suggest timings. Bcs mne use bina timing gap ke kch na kch khilati rhi jiski wjh se usko loose motions ho gae ha .or wo healthy bhi nhi ho raha ha.
Now my baby is 5month old. I want to know the best contraceptive method which I can use for next 3yrs.
She has 16 month old now. But all physically developments late. I mean physically well. But they happened few day ya month later. Can you help me?
My daughter 3.3yrs old suffers from cough very often even her nose is blocked and nothing comes out she has that problem when she lies down therefore hinders in sound sleep
Hi doctor. My baby has lice on her head. Only two months baby. We r shocked. Please suggest how to remove from head. Am also having lice on my head. Please prefer medicine.
Hello doctor. I am 32 years old woman and have delivered a baby boy in the month of July. Now my son is 39 days old and I am on exclusive breastfeeding. In last few days I have noticed that milk production has decreased. Please prescribe me an oral medicine to increase the breast milk production.
My baby is 3 months old and sometimes makes sound while breathing. Especially after she cries or while taking top feed. Deep impressions between stomach and rib cage while breathing. Visited three paeditrition. All confirmed that it is normal. Can you please help.
My daughter is one year old. I want to know some home remedies for cold and fever for instant relief.
Symptoms and Treatment for Attention Deficit Hyperactivity Disorder (ADHD)
I’m Dr. Prashant Shah, a psychiatrist from Ghatkopar, Mumbai. Today I am going to speak about Attention Deficit Hyperactivity Disorder also known as ADHD. ADHD as the name suggests the full form is Attention Deficit Hyperactivity Disorder. This is a common disorder seen in children and adolescence and at times may extend also into adult life. The common features of this problem are diminished attention, hyperactivity, and impulsivity. As I said earlier, it is most commonly seen in children and adolescents, the usual complaints will be from the parents and teachers. The parents and teachers will complain that these children have difficulty sustaining attention, they are hyperactive and they are impulsive in their day to day activities.
Sustaining attention means that these children cannot sustain or carry out any particular task to the end. They get bored very easily, they will lose interest, they may want to start many activities; they will say that they want to join this activity, they want to do this thing but then halfway down the line they will get bored, and they will stop doing that activity. They would have difficulty in focusing which will result in making careless mistakes in their works, in their calculations, in their day to day works, in their homework. They will be making careless mistakes because they cannot just focus on what they are doing. They get distracted very easily. The teachers will complain that in the school when the teacher is teaching they are looking out of the window or they are speaking with other children. They will drop down their pencil, eraser, and maybe make mischief with other children. Many times there are younger children; they are always on the go. They cannot sit in one place. They are not in their seat; they are roaming around in the class; they talk excessively; they will blurt out answers; they are forgetful; they will not mention about homework or assignment which has been given to them or the project work which has been given. They will inform their parents just at the last minute and then everything will have to be rushed. They will forget or they will misplace their books. Their clothes will be in disarray at home if you visit their room. Everything will be like it is not in its place. They cannot wait for their turn. Now all these are problems which the children-parents pick up.
What is the effect of this on the children? Because of this kind of behavior they are labeled as mischievous. They are the ones who get pointed out whenever something goes wrong in the class. They will be the first ones to be signaled out and given punishment. And at times maybe it is not their fault also but because they show this kind of behavior they are labeled as mischievous and it is they who get the punishment. Everyone ridicules them for this kind of behavior. Even the parents punish them. This will lead to many times frustration, decreased confidence which in turn affects their school performance. Many times this results in deviantju8 behavior. In adolescence if we go on to see this may result in risk-taking behavior, seeking novelties and at times in drug-addiction also.
Now, what can be done about this?
As I said earlier it is a neuro-developmental disorder, we do not know as psychiatry illnesses, we don’t know what the causes are of this illness or why does this illness occur. It may range from genetic to neurological to psychopharmic or neuro-developmental problems in the brain. But what is good is that treatment options are available. So what treatment options are there for ADHD? They are both pharmacological and non-pharmacological treatments available. Usually for children less than five years initially we advise non-pharmacological treatment. This non-pharmacological treatment is occupation therapy and sensory integration where depending upon the severity of the problem, children are called for occupation therapy sessions, parents maybe also given some home programme which they can carry out at home and this results in improvement. The improvement is slow but carried out religiously, diligently by the parents for a period of 1 year to two years this definitely is going to show improvement.
In other children or if the problems are severe enough, we do start medicines. In children parents are hesitant to start medicines and that too from a psychiatrist. But believe me there are good medicines available for ADHD, they do show response, there are no major side effects. The groups of medicines that are available are stimulants or non-stimulants. Stimulants are the first choice of drugs, usually we start with a low dose, so that the child can tolerate the dose, there is no side effect and then we gradually build up the dose so that the improvement is seen. Even if there is some side effect there is minor side effect which can be always taken care of. It is not that there is only one drug available, the child is not responding, we can definitely shift to some other. But the thing to understand is that treatment is required. This ADHD can be controlled and if the signs and symptoms of ADHD are controlled then the child’s performance is definitely going to improve. It will not only reflect in the child’s studies but also overall development of the child. So it is for the parents and teachers working in this field to find out these kinds of children who maybe having this problem and refer them for treatment.
Thank you. For any further enquiries you can always get me to me through Lybrate