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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 doctor, my 22 months old daughter is not ready to eat food, like DAL-BHAT or ROTI SABJI, I am very much worried about it because of this problem, she only like to eat biscuits.
My son was 23 months old, he is suffering from heavy cold, since last night. Is there any home remedies. Please suggest me.
If mother milk is not enough for baby feeding then what amount of lactogen or nan pro milk should be given to baby?
My New born child is only 4 days old and he is always sleeping not even drinking milk from his mother and due to this his mother is experiencing problem. What to do.
My baby is sneezing and got a running nose, she's 5 months old. What are the homemade precautions we'll take to avoid different types of medicine?
Namasthe sir. My son is 11 months old. Can you suggest me some healthy food recipes for my son. Is cerelac or forex is suggestible to feed him.
My daughter is 4 months old. Last week gave vaccination to her. I checked the temperature today it's normal 98.4. But her head is hot why. Kindly advise. Pls.
My son is 3 days old. He was diagnosed with vsd with 9mm hole. The cardiologist said it will be closed as the child grows. If not, then there are medical procedures to help.
Hi, My son is 6 months old and from delay in milestone we got to know from the MRI that he has partial Agenesis of Corpus Callosum. Please can be there any help through Ayurvedic in this regards. Thanks.
Is watching porn and masturbating right for me?(I'm 16 years old. Does it cause any harm to my health or stamina and does it affect my concentration and cause distraction in studies? It wastes lot of my time and I feel a bit guilty after doing it. What should I do? Stop it completely (which is very hard for me) or continue it and do it once in 2-3 days?
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.
Hello sir, my ten months child was fallen from the bed and he is vomiting and he is suffering from hernia so please sir what to do sir Please help me sir, l very scared for this Thanks.
My son is 7 years old. He is having stomach ache, loose motions and vomiting. He had motions and vomiting twice since this morning. He was fine yesterday. He went on School trip day before. Please advise.
My son is 26 days old today and is having a central apnea issue in breathing. He is currently on bipap but drs are recommending that we go for tracheostomy which we are reluctant to. Please can we have some opinion please? Will babies be able to outgrow central apnea issue? Thank you.
Hello doctor mere ghar me 2 month old baby hai uske chest me cuff ho gaya hai usse thik karna hai give some solution.
My daughter age is 18 month And 05 days. When his age is 6 and half months than we find that she is suffering from Iron deficiency Anemia. That time hemoglobin level is 6.5% and that time required blood transfusion. After that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently we take some test. At present Hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. On dated 01/0/2016 HB% becomes down 10.20% RBC-4.18% and some times we give her nebulizer. Most of the time Runny nose itchy eye and regular cold and fever problem. Now I want to know the above report result mean. Can you tell me please? On the other hand last 4 months his weight is constant at 9 kg. How we can gain weight my baby. We are worry about that.
The stress of a modern lifestyle have taken a toll on the mental health of the population all over the world. Earlier, it was adults who were mostly affected by the problems of depression, anxiety and stress. However, with the passage of time, even children are also suffering from major mental health problems, the roots of which again are anxiety, stress and depression.
Reasons behind it
Be it adults or children, the major cause of health issues is stress. Stress doesn’t only cause mental health problems, but serious physiological disorders as well such as hypertension, diabetes, heart diseases, sexual problems as well as other issues. If the anxiety or stress persists, it would then slowly develop into a pattern of the mind and then become conditioned, thus leading to depression. Nowadays, children are also being afflicted by depression. Similar to adults, depression in children is caused due to any combination of factors that are related to life events, physical health, family history, genetic vulnerability, environment and biochemical disturbance. It should be noted that depression is not just a passing phase. The symptoms are often left undiagnosed as well as untreated. This is because they are passed off as normal psychological and emotional changes that occur naturally during growth.
Some of the typical symptoms are:
1. Loss of interest in pleasurable activities such as hobbies or crafts which were pursued earlier eagerly
2. Loss of concentration
3. Sudden outbursts
4. Sleeping too much or sleeping too little, suddenly waking up early in the morning
5. Constant fatigue, decreased energy and being slower than usual at tasks
6. Excessively low appetite or increased appetite which would thus result in weight loss or binge eating resulting in weight gain
7. The development of physiological disorders which may stop responding to treatment. Many children develop headaches or digestion problems which aren’t resolved by medication.
8. Always sad or irritable or in a depressed mood
9. May find it difficult to sleep or concentrate on work and thus, studies and grades may suffer
10. Extreme and sudden mood changes accompanied by incessant crying
11. Suicidal thoughts
12. Loss of energy as well as lowered self esteem
With children, you have to be extra careful not to ill-diagnose the problems and if they persist for more than a few weeks, you should seek professional help. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.
- Congenital GHD - This form of GHD appears from at the time of birth itself.
- Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
- Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.
GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).
- Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
- Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
- Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
- Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
- Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.
- Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
- Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
- Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.
Tests to determine GHD:
- Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
- Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
- MRI-MRI scan can determine the health of your brain and pituitary gland.
- Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.
- Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
- Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.