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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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My 6 year old son was in high fever and has also developed nausea symptom. He was diagnosed for Acute Tonsillitis by pediatrician and suggested for "clamp Kid forte Dry syrup (Amoxicillin (400 mg) Clavulanic acid (57 mg) )" and Imol (Paracetamol brufen tab). Antibiotic dose is 5 ml 2 times where as imol is as required. After taking 3 dose of antibiotic he started Diarrhoea which is mild in nature. Do we need to give him another medicine to control that.
It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.
In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.
If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum
One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.
One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.
To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.
During the first two or three days after delivery, thick and yellowish fluid is secreted from the mammary gland. This differs from the regular milk and is called colostrum. It is secreted in small quantity of about 10 to 40 ml.
- It is rich in protein.
- The total fat content of colostrum is less than mature milk.
- It has more amount of vitamin a and k.
- The concentration of lactose is also less.
- The levels of niacin, pantothenic acid, biotin and riboflavin are also low.
- Vitamin c is secreted at about the same level as in mature milk.
- Zinc content of colostrum is 20 mg/dl.
- Where as mature milk has 2.6 mg/dl.
The composition of colostrum is:
- Energy: 58 kcal
- Fat: 2.9 gm
- Calcium: 31 mg
- Phosphorus: 14 mg
- Iron: 0.09 mg
- Protein: 2.7 gm
- Lactose: 5.3 gm
- Carotene: 186 i. U.
- Vitamin: 296 a. I. U.
Good evening. My daughter 5 years old has a high temperature like 39,2-39,7 for 4 days already. Nurafen and Paracetamol help for a while and temperature drops after intake for 2-3 hours and then comes back. Also her nose blocked (she breaths with hew mouth open during her sleep) but not running. No other symptoms. What are possible diagnosis? For how long can I proceed with Nurafen and Paracetamol? What vital signs should I monitor and when I should run to the hospital?
When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.
What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.
Causes: Though still not exactly established, some things that are believed to cause colic include:
- The baby's digestive system that is growing and goes through spasms
- Extreme sensitivity to noise and light in the surrounding environment
- Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
- Hormones that are supposedly affecting the baby's moods
Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.
- Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
- Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
- Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
- Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.
Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.