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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 grand daughter is 4 months old, she rejects breast feeding for last 10 days (nursing strike), kindly what can be the reason, what's the remedy?
My son 5 years old, dob 11/2010. He did action like dogs sexual contact. He did with his toy sponge dog. I got afraid. Will it be a problem. It was happened before 3 days then I hide the dog. Today he did the same action with poo sponge doll. Please suggest me what should I do?
Dear doctor, I have a 12 year old son. He does’t show any interest in studies. He always likes to play computer and mobile games or watch TV. He studies and writes very little, compared with the syllabus for exams. This is happening from class I on words. He is studying with state syllabus. He studied well up to UKG only. Even when I try to show interesting videos in internet related to studies, he does’t like. Even when we scold him, he doesn't care. He frequently bunks classes. Even brushing teeth and bathing does not do regularly, even when we - parents put a lot of pressure. But he loves us and plays with us well. He behaves well with friends and neighbors. He also likes to eat junk food daily, because of which he is getting frequent health problems. I like to know whether there is anyway to change his behavior and create interest in studies to him, avoid junk food.
My son has 8 months baby his urine result is occasional pus cells 10-15/hpf and he passes small amount of urine and also in short time he passes again small amount of urine. He vomit or vomit sensation daily. His skin color changes daily (blackish. This is what disease.
Hello Doc, My daughter is 3 years old and weighing 12 kg and her height is 99 cms. She was born prematurely i.e, in 27th week of pregnancy and was born with weight 900 gms. I just wanna ask that is her growth is okk. What can we do to increase her weight as she is too thin/slim.
Epilepsy is repeated episodes of seizures caused by abnormal signals in the nerve cells in the brain, which can result in strange sensations, convulsions, muscle spasms and loss of consciousness. It is frightening to watch your child have an episode of seizure, but the good news is that most children with epilepsy outgrow seizures. An episode usually last from a few seconds to a few minutes.
Types of Seizures
There are 2 types of seizures:
Generalized Seizures affect the whole brain
- Generalized tonic-clonic seizure: It is the most common type of seizures in children. In this condition, the child's body becomes stiff and falls, the child may also experience shaking of the limbs. The skin becomes bluish and teeth are clenched. The child may fall into a deep sleep afterward.
- Absence or Petit Mal Seizures: The child is unresponsive and may have eyelid blinking/ staring.
- Atonic and tonic seizures: The child collapses suddenly due to complete loss of muscle tone. This can result in head injuries.
- Myoclonic Seizures: The child may experience sudden, brief jerky movements of muscles of head, neck, and shoulders.
Partial Seizures affect a part of the brain
- Simple partial seizures are characterized by uncontrollable movement of a part of the body. The child is conscious and aware but can't control the movement.
- Complex partial seizures occur mostly during sleep the child may make odd movements, run, scream and even hallucinate. And if the child is awake, he doesn't recall the event.
Do's and Don'ts during an episode of seizure
- Keep a track of how long the episode lasts
- Turn the child to one side to prevent choking
- Put a pillow under the child's head
- Never try to put anything in the child's mouth as it may obstruct the breathing.
There can be many causes of episodes of seizures
- During high fever in the first 48 hours (febrile seizures)
- Head injury
- Bacterial and viral infections of brain like meningitis
- Lack of oxygen to brain
- Disorders in brain development
- Organic disorders of brain like cysts and tumors
- It is confirmed by a pediatric neurologist
- Various investigations are done to confirm the diagnosis including MRI and EEG.
- Blood and urine tests to diagnose infections
Treatment of epilepsy
The pediatric neurologist usually decides the treatment plan depending on the child's age, weight, and type of epilepsy.
- Antiepileptic medications are the first line of treatment. The drugs are usually required for two years and then if there is no episode for these two years, it is discontinued. These drugs may have some side effects like drowsiness, inability to concentrate and gingival enlargement. Discuss with your pediatrician on ways to manage them.
- Sometimes a ketogenic diet is also prescribed. The child is given a fat rich and carbohydrate low diet.
It is worrisome as a parent if your child is diagnosed with epilepsy, but about 65% children need medication for 2 years and then outgrow seizures. However, remember that the child should never miss their medication and get enough sleep.
In case you have a concern or query you can always consult an expert & get answers to your questions!