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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 baby is 4 weeks old. Doctor suggested to give him Nestlé nan pro 1.he is having it from past 1 week. Now he is doing motion in green color, even 1 to 2 times vomiting a day, even releasing gas too. please suggest me a good feed.
I have 6 months old baby boy. Past few weeks onwards I'm suffering for rashes sometimes on my shoulder sometimes on waist and other parts of my body it's itching after one day it's vanished and started new place like my legs. May I know why
I have 2 year old child suffering below average weight (9 kg) due to lacking of not taking food as tendency of vomiting. What step can I get?
What is the normal range of haemoglobin in 2 years baby boy? Pls answer. 10. 00Gms/dl is normal for 2 years baby boy. Is it healthy or not?
I have 8 month old baby. Usne 4 days se poty nai ki h. Is it normal or should I consult any doctor. Regards.
My baby boy has noisy breathing problem from the time of birth. He is 3.5 month old and still he has the problem. Other than that he is completely okay. We have consulted paediatrician too but we find no improvements What should we do for this? Is it a serious problem?
My baby is 1.6 years old and have one week of fever. Our local Dr. prescribed the medicines like calpol 120/5 mg and and anti biotic but the fever persist so moved to our pediatrics he prescribed to test the blood count and the result everything is normal and wbc is increased to 11600. And given medicine mefenamic acid for fever. I started the course today night. My question is what is my baby problem. How long it take to cure. Suppose the fever does not cure what will be the next thing that I have to do.
I have 12 Weeks Baby Girl. Her Vaccinations plan on 10 weeks but she was suffering cold so Vaccinations Can't be Possible in this Condition.& already passed 2 weeks for Delay Vaccinations. So in this condition what we should do? Vaccinations delay is it serious Problem?
My daughter is unable to suck milk from my breast as there is less milk please hlp me how I increase my breast milk.
My daughter is very thin actually wife's parent and all her relatives are thin, but I need my daughter to gain wait so please suggest me some vitamin or protein syrup. She 2.5 year old.
Dear sir, I'm a boy of age 16 years and 6 months and my height is 166 cm. I really want to increase my height and also have been doing exercises for long but now for a long period of tym my height hasn't increased. I weight 56 kg and I am a vegetarian. Kindly suggest what to do so as to increase my heht in these years. Thankyou.
Hi Doctor, My son is now 3 and half years. He had Cryptorchidism at birth and done keyhole surgery when he is 1 year old. Now he have Ferible seizure when temperature become 100f. 1. How Cryptorchidism occur in some children. How to prevent it when she is pregnant for 2nd baby. 2. Is Febrile seizure occurs because he had Cryptorchidism and he gone through keyhole surgery. Is there any connection. Please reply doctor.
Sir My daughter is of 5 and half year old, there is mouth ulcer inside her mouth near Jaws. Ple suggest me what should I do to reduce her pain as she is avoiding eating coz of that.
My daughter is 3 years old & I don't want another child at least for 2-3 yrs. Can you please suggest me any tablet which I can take on regular basis to avoid unwanted pregnancy.
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?
My 1 month old son passes stool 2-3 times a day. 2 days back I gave him mugli gutti. After that its been 2 days he have pass the stool. He is passing allot of gas. He is cranky some time. Please advice.
My 5 years old daughter is getting white marks on her neck and chest, earlier they were not that big but now they are growing, I consulted a local doctor he gave son antifungal medicine and vitamin tonic please suggest.
Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.
Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.
Does Eczema In Infants Go Away By Itself?
In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.
Here are some home treatment options for infant eczema:
You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.
A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.
You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.
Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.
You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.