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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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Very good doctor.My baby was born on 26.09.2018 and admitted under her treatment. Within 24 hours my baby condition become best.
My baby's genital area turned red and paediatrician said it was diaper rash. He prescribed Mintonia syrup 2.5 ml daily and Candiderma + cream to be applied after each urine. He is 7 months old. Is it safe to take these medicines?
We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advise if we need to consult doctor urgently. She was born in 36th week.
Hi, My newborn baby for hours if I let him. Only rarely is he relaxed or sleepy afterwards. However, when he given formula, he will sleep for four hours. He is currently 25 days old and take 4 ml formula from the bottle. What should I do? I am worried as he not satisfied with my feed. Whats wrong I do't know Please suggest.
My son is only 1.2 years old, abd he is suffering from cold issue. Can any doctor suggest me for best remedy? And please help me what kind of medicine I have to stock for emergency for kids?
My baby is 8 months old he is suffering with loos motions. Can I use sporlac powder and how can I use?
My son is 4 months old and he has developed cold and running nose since 1 month. I went to a doctor thrice. For first two times he told that your son' s chest is clear then prescribed saline drops but it doesn' t work. For the third time I changed the doctor and he prescribed koforist and its also not worked still my baby has running nose, cough and feels like he has bulgum in his tract. Please help me
Diagnosis & Management of Behavioural Disorders in Children
Disruptive behavioural disorders are complicated and may include many different factors working in combination. For example, a child who exhibits the delinquent behaviours of Conduct Disorder may also have ADHD, Anxiety, Depression, and a difficult home life.
Diagnosis methods may include:
- Diagnosis by a specialist: Paediatrician, Psychologist or Child Psychiatrist.
- In-depth Interviews with the parents, child and teachers.
- Behaviour check lists or standardised Questionnaires.
- A diagnosis is made if the child’s behaviour meets the criteria for disruptive behaviour disorders in the Diagnostic and Statistical Manual of Mental Disorders from the American Psychiatric Association.
It is important to rule out acute stressors that might be disrupting the child’s behaviour. For example, a sick parent or victimising by other children might be responsible for sudden changes in a child’s typical behaviour and these factors have to be considered initially.
How can habit disorders affect behaviour?
Most children develop certain repetitive behaviours at an early age, but it is the frequency, persistence or its effects on the overall well-being of the child which could qualify it as a ‘Disorder’. These habits include
- Repetitive sucking of the thumb
- Biting of the nails
- Hitting his own self
- Pulling at his own hair
- Holding on to his breath just for the sake of it
This refers to the behavioural issues of your child which cause the child to misbehave more often; this can be due to a variety of reasons such as Improper Parenting, Persistent Family problems, Child Abuse or Neglect, or any other incident that has traumatised the child in the past, both Psychological problems or Medical illnesses etc.
- Respect Others Space - Your child may be very excited to tell you about some special event or happening in school, but teach him not to interrupt you when you are at work. He must learn to respect other people’s space and have patience while dealing with people. Otherwise, he would not be able to take rejections and thus be inconsiderate in his attitude.
- Adjustment with Peers - Monitor how he behaves with his playmates. Stop him when he happens to fight with his playmates or fights with them aggressively and teach him how exactly to behave with people.
- Firm Discipline - You should deal with stubbornness with a bit of high-handedness. Look at your child right into the eye and tell him what is expected of him. Be tough, but not rude.
- Balance Independence - Monitor his use of PCs, laptops and mobiles. Well, that doesn’t mean you need to loom over everything he does on his gadget, but do try to watch over the content whether it is inappropriate or not. But remember to never really pry and barge into his privacy. Respect that and you can still humour him.
Treatment of behavioural disorders in children
Untreated children with behavioural disorders may grow up to be dysfunctional adults. Generally, the earlier the intervention, the better the outcome is likely to be. Treatment is usually multifaceted and depends on the particular disorder and various factors contributing to it, which may include:
- Parental education – For example, teaching parents how to communicate with and manage their children.
- Family therapy – The entire family is helped to improve communication and problem-solving skills.
- Cognitive behavioural therapy – To help the child to control their thoughts and behaviour.
- Social training – The child is taught important social skills, such as how to have a conversation or play cooperatively with others.
- Anger management – The child is taught how to recognise the signs of their growing frustration and given a range of coping skills designed to defuse their anger and aggressive behaviour. Relaxation techniques and stress management skills are also taught.
- Support for associated problems – For example, a child with a learning difficulty will benefit from professional support.
- Use of Reinforcement – Many children with behavioural disorders experience repeated failures at school and in their interactions with others. Encouraging the child to excel in their particular talents (such as sport) can help to build self-esteem using positive reinforcements both verbal and non-verbal.
- Medication – To help control impulsive behaviours if required so.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.