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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
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Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
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Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
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Our child was underweight and had breathing problem during birth. He remained in incubator for 4 days. What can we do to keep him healthy? After how many months can we feed food to our child?
Hello doctor .what is the difference between normal vaccination vs painless vaccination for babies? .how could a vaccination be painless?
A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.
Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.
These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.
- Repeated temper tantrums
- Anger bursts, swearing, using obscene language
- Extremely argumentative, especially with people in authority (teachers, parents, etc.)
- Annoying others and getting annoyed easily
- Noncompliance to rules and regulations at school and institutions
- Defending one’s mistakes and blaming others for it
- These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.
- Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
- Cognitive-behavioural therapy tries to mould the behaviour.
- If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
- The child also needs to be trained for appropriate behaviour under different circumstances.
- Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Good after noon sir Bacche ko 20 din pehle vometing aur pechis hua tha fiver bhi tha Daba lene ke baad kafi aram ho gaya tha abhi 5din se pechis aur fiver fhir agaya hai fiver ja nahin raha hai bahut kamjor ho gaya hu vajan 1 kg kam ho gaya hai kya karu sir kuch samajh me nahin araha hai age 8 months.
I have a baby 7 month old . Baby is suffering from fever since last two days and cough is more loud again and again. So please help me what should I do in this case?
We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to plan for the baby? Also I do have slipped disc problem.
Dear Sir, Greetings of the day. My son who is 5 years is given Cypon syrup. His intake has increased. Earlier we used to give him Neopeptine since last 4 -5 years. Now after someone suggested we give him Cypon syrup along with neopeptine. My question is whether it is safe to continue and is there any side effect in longterm how much time we should continue this. Is it ayurvedic/Allopathic? Kindly guide me. Thanks,
My grand son is one year and 4 months old. He has not started uttering words although he blabbers some times. He hears and responds well . He had problem in sucking milk from the beginning. Does it have any relevance? When do children start uttering meaningful words normally. Please advice. Thanks.
Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is not eating anything. We consulted doctor for this and he said there is no medicine to make him hungry. Need to try giving him food. What should I do to make him hungry and eat food. Please suggest im much worried.
My son is having liquid potty since past 4 hours. He is 15 months old has just had some kadhi rice for dinner. Prior he had 250 ml milk. Please revert ASAP.
If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.
ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.
The most common symptoms, which are almost diagnostic of ADHD are:
- Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
- These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.
While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.
This will help identify areas that need support from an Occupational Therapy, which are the following:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- Teaching strategies to participate in various social and academic activities
So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.
Complementary feeding / weaning should be started after 150 days of life.
Its better to start home prepared semi solids first. If you are not confident in preparing food initially you can give cerelac rice / cerelac wheat/ nestum rice etc.
Add a new food item only after trial of 3 days. I mean don't give new food everyday. Wait for any intolerance to a particular food.
Fruit juices orange, apple can be prepared at home and can be given from 7 months.
Mashed potato can be given by 7-8 months.
Egg can be give by 8-9 months. Give egg yolk initially and the egg white later.
My child is suffering from epilepsy since last 2 years and now he is 8 years old. But still In spit talking medicine sezuires are not controlled. So please so advice me.
Hi my baby girl is 2 weeks old, daily maximum time I feed breastfeeding only but daily 2 to 3 times I gave powder milk only, now I gave lactogen 1, I want to know which milk powder is good and healthy and increase my baby's weight.
Most children stop sucking on thumbs, pacifiers or other objects on their own between 2 and 4 years of age. No harm is done to their teeth or jaws until permanent teeth start to erupt. The only time it might cause concern is if it goes on beyond 6 to 8 years of age. At this time, it may affect the shape of the oral cavity or dentition.
Thumbsucking leads to Open bite, a high arched palate because of the pressure created in the mouth . This habit can also cause the maxillary central incisors to tip labially and the mandibilar incisors to tip lingually as the thumb rests on them during the course of sucking. Aside from the damaging physical aspects of thumb sucking, there are also additional risks, which unfortunately, are present at all ages. These include increased risk of infection from communicable diseases, due to the simple fact that non-sterile thumbs are covered with infectious agents, as well as many social implications. Some children experience social difficulties, as often children are taunted by their peers for engaging in what they can consider to be an “immature” habit. This taunting often results the child being rejected by the group or being subjected to ridicule by their peers, which can cause understandable psychological stress.
To prevent their children from sucking their thumbs some parents use bitterants or piquant substances on their child's hands.Parents could get a series of sharp prongs known as "hay-rakes" cemented to a child's teeth to discourage sucking
Praise children for not sucking, instead of scolding them when they do.
If a child is sucking its thumb when feeling insecure or needing comfort, focus instead on correcting the cause of the anxiety and provide comfort to your child.
If a child is sucking on its thumb because of boredom, try getting the child's attention with a fun activity.
Involve older children in the selection of a means to cease thumb sucking.
The pediatric dentist can offer encouragement to a child and explain what could happen to its teeth if it does not stop sucking.
Only if these tips are ineffective, remind the child of its habit by bandaging the thumb or putting a sock/glove on the hand at night.