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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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Sir my baby is 2 year old and she will not take food as to be taken like she take 2 -3 bit in the whole day and take milk in the night of 200 ml her weight is 9.48 kg right now and she is very slim. Please suggest your advise.
My daughter is 5. 5 months old her weight is just 5.5 please help me I am really worried birth weight 3.3.
6 days ago
Best way to keep small babies warm is to keep them curduled with mother.Small babies do not produce heat to keep warm,they get heat from outside.By keeping them with mother,they get heat from her.
All children from time to time will cling, shout, throw, resist, complain, argue and do not listen to their parents or teachers. Though they are normal, they can be upsetting to everyone around. They become problematic when they increase in severity, intensity and duration that is typical for the age of the child.
Usually they starts at around 1.5 years age and stay till 4 years of age.
WHY DO THEY HAVE TEMPER TANTRUMS
1.They get angry if they do not get what they want.
2.They want to control their lives.
3.They have not learnt effective skills to get what they want.
4.They learned from parents who show temper outbursts.
HOW TO PREVENT TANTRUMS
1.Praise the child for his/her good behavior
Give extra attention whenever child behaves well. Give him a hug and praise him. For example - when a child has put his shoes in place, instead of ignoring it, acknowledge it and praise him saying “Wow, that’s like a good boy. You put your shoes in the correct place. Wonderful!”
2.Encourage the child to use words.
For example - If he wants something, tell him to use words like ‘i want food/ i want this toy’ instead of screaming.
3.Also see whether they are eating and sleeping well.
4.Identify triggers -
For example, Are they hungry or tired? sometimes even when the parent is busy, a child can throw temper tantrum to gain attention.
After a long day of work, instead of directly going to make dinner, the parent can go give the child a hug and spend some quality time.
5.Give signals before ending an activity
For example - say “You have 5 more minutes before I switch off the TV” instead of switching it off suddenly.
HOW TO HANDLE TEMPER TANTRUMS
1.Remain calm and do not argue with the child - Before managing your child’s behavior you must manage your behavior (sometimes children learn from parents who show anger outbursts and learn to shout and scream). Shouting at the child will worsen the child’s behavior.
2.Think before acting and count till 10 if you are frustrated - and then think about the source of child’s frustration.
3.Come down to the child’s eye level - and say ‘you are starting to become hyper, calm down’
4.Distract the child - by asking them to focus on something else. For example say “let’s read a book or let’s go for a walk”
5.Ignore the tantrum - if it is to draw your attention. After the child becomes calm, show him attention.
6.Hold the child who is out of control - and who can harm him/herself. Tell the child that you will let him or her go only when he or she calms down. Reassure the child that everything will be alright.
7.Hug your child who is crying - and say that you love them but the behavior should change. Reassurance and hugging will always be comforting to the child.
8.Talk to the child after the child has calmed down - Talk to the child about his or her frustration.
Try to teach the child how to interact with a friend or sibling or parent and ask for what he or she wants.
Tell them how to express his or her feelings with words and recognise the feelings of others also without hitting and shouting.
Tell them the better ways to get things that they want.
Tell them that we all have anger within and also tell them how to appropriately express it.
9.Never give in to a tantrum - If you give in once the child will get used to it and his tantrums will increase more.
10.Do not let the tantrum interfere with your relationship - with your child.
Consult a professional if the tantrums are increasing even after 3.5 years of age or if there is self injurious behavior, depression, injuring others, low self esteem etc.
Kirunal - 240 SoftGels (500 mg), the ratio is 4: 1 EPA to DHA. My daughter is five and half years old, she is very hyperactive. She can't stand and walk Can I give her Kirunal - 240 SoftGels (500 mg) Capsules.?If yes. Please suggest the daily dosage. Thanks,
Meri daughter 3 year ki hai but wo ghar ka khana like roti chawal anything bilkul nhi khati or wo mitti bahut khati hai deewaron ki. So pls koi advise dijiye.
I have 4 months child and she is suffering gas problem she cry please help me to solve this problem.
Hello doc, my friend's daughter 17 month old getting boil on his body in palms legs hands. When appling oinment it goes away. After some day coming back past whole month it going on.
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.