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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 16 year old daughter has been complaining of headache and drowsiness for the last 2 weeks. The neuro physician prescribed sibelium at 8 PM daily and Naxdom as SOS. She could not attend school for 2 weeks. Yesterday, she attended school after a gap of 2 weeks. When she returned, she was not having headache, but after some time the headache returned. Even after taking 2 tablets of Naxdom yesterday and one tablet of Dolo today morning, the headache is not going. Her MRI, CT scan, skull xray done last year were normal. When she was around 2 years old, her head was hit by centre table while she was playing. In the skull x ray, this mark was visible. But she was completely fine all these days. Suddenly, headache has gripped her during last 2 weeks. Please help.
Hi actually I have to ask a question about my daughter she is of 2 years and 4 months she didn't any thing and if she ate than it is only a chapati without any vegetables or pulses I am really fed up of her I want some solution for her due to her weight and height would increase.
ADHD or Attention deficit hyperactivity disorder refers to those psychological disorders, which significantly alter a child's behavior and considerably affects his or her relationships with others. This condition is seldom preceded by perceptible symptoms and even when they do, they are difficult to decipher. However some of them are:
- Self-centered: Those children who suffer from the attention deficit hyperactivity syndrome tend to be encapsulated in their own subjectivity. Though this does seem harmless apparently, this tendency may lead them to be insensitive to other's needs and wants.
- Emotional outbursts: ADHD makes children extremely susceptible to frequent emotional outbursts and makes them erratic.
- Difficulty in concentration: Children who suffer from ADHD face extreme difficulty in concentrating or focusing on things. Many a times they fail to repeat what was told to them.
There might be several causes which can contribute to the development of this disorder. Some of them are:
- A drastic change in the child's lives: A sudden or a drastic change like the divorce of parents may severely affect the child and maim him emotionally. This may lead to the development of this disorder.
- Depression: Though always associated with adults, depression can be and is common among children as well. In such instances, a consequent development of ADHD is highly plausible.
- Bipolar disorder: Bipolar disorder refers to excessive and incomprehensible mood swings. Many children suffer from it in their early lives, making them susceptible to ADHD.
Notwithstanding the ambiguity and the erratic nature of the disorder, there might be preventive measures which parents might adopt to deter the outbreak of the disorder. Some of them are:
- Less use of preservatives: Parents must be careful about what their children eat. Those foods which contain a certain amount of preservatives tend to aggravate the disorder thereby causing more harm than good.
- Consider alternative forms of medications: Another way of dealing with this problem is by exploring other forms of medications and not sticking to one form. In this respect, practicing yoga may be very beneficial.
What You Need to Know About Clubfoot?
Clubfoot most often presents at birth.
Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.
Clubfoot is twice as common in boys.
Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.
Children with clubfoot should be able to take part in regular daily activities once the condition is treated.
What is clubfoot?
Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).
Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.
Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.
Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.
What are the signs and symptoms of clubfoot?
In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.
What are the risk factors of clubfoot?
Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.
The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.
Ponseti Serial Casting
The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.
Bracing for Clubfoot
While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.
Life after Treatment of Clubfoot
A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities.
"Keep things positive"
Kid’s don’t like to hear what they can’t do, tell them what they can do instead. Keep it fun and positive. Everyone likes to be praised for a job well done. Celebrate successes and help children and teens develop a good self-image.
Dr. Dilip Pawar
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