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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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Hi it's about my 15 months daughter. Two months before doctor recommended lactose free milk because of lactose intolerance. During this period whenever I tried her it's regular formula milk she got loose stools again. She is completely on formula milk with less amount of solid food (6 times milk 150 ml around per day) Should I continue with lactose free milk for more couple of months.
Snoring and hence not able to sleep continuously even for an hour. The body weight is high and hence no peace of mind, not able to have focus on any work. Being a widower and a father of 5 years old, there is absolute lack of peace.
My 33 months old boy's head always seems to have temp than normal. I used to apply castor oil on hs sole to reduce the body heat. Imdtly he has running nose with sneeze. How can I help him to have normal temp. Is hs BMI nrml?
Mera baby medicine nhi khata kya mai use food me mix krk de skti hu ye syrup h Neogadine, winofit syrup, BB24 syrup.Please help sir .
My baby boy is 2.5 months old and he is not crying loudly is there any problems in future related voice?
My two year old daughter has lack of appetite. Her doctor gave EUPEP syrup two times a day before foof and for iron he gave IREX syrup once in a day. Is this syrups good for her? Do this syrups have side effects?
My child is 7 and 1/2 yrs and has been detected with celica desires how much r the chances of getting it cute and wht future to take care of? is it the wheat has to be completed stopped? or if consumed by mistakenly as she's a child how far it wil harm her?
My 19 months old baby girl feel much pain while passing stool for last one month. Is it normal or a series problem.
My 11 month baby has something black on his bottom teeth. Is this due to calcium deficiency? Kindly suggest.
My son 8 yrs old having type-1 diabetes, insulin 2 times a day, dose 9 units morning, 6 in evening. I tried best of nutrition but still his glucose levels variate from 60-70 at morning n 400+ in evening i. E. High fluctuations. Pls advise.
My son first incisor of upper jaw erupted disformed, small and discoloured compared to other incisor, he is now going to be 5yrs in august, kindly suggest needful.
The early childhood period is considered to be the most important developmental phase throughout the lifespan. This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.
Physical Development: Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands. The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes.
Cognitive Development: Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:
Age Period Between
Birth to age 2
Respond to sensory stimuli by simple motor skills.
Age 2 to 6
Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.
Concrete Operational Stage
Age 7 to 11
Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.
Formal Operational Stage
Age 12 to adulthood
Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.
Language Development: It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.
My 3 years and 6 month old son is not interested in any food at all. He loves to play, sing, dance, or just jump at all times, but we have to really try hard to gave him one time meal in a day. He likes lots of food items but after one or 2 bites he stops and says no to most of food item. Then there comes one day of the week or 2 weeks, when he will eat properly - all 3 meals, fruits, ice cream or chocolate to our surprise. Should we put him under some light medication? is it normal or related to some stomach problem?
I am feeling that I am somewhat special, if I go in front of mirror, I start to think who is she, my parents are not mine, every thing which is mine it's seeming that it's not mine actually. These type of feeling actually effecting me. what should i do ?
I have child of 2 month but I have not produce milk to much for fading of my child taking satavri with water and milk both. What can I eat to have more milk.
Sir my daughter is1& half year old. More than ten days she is affected urinary infection, she is very struggle to pass urine and it' s code' s very bad smell and few drops only coming. Please sir give me a suggestion.
My son is suffering with fever from past 5 days. Doctor told me to use Meftal/Crocin ds. But still he is getting fever. We underwent blood tests also, but reports are normal.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC