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Treatment of Child and Adolescent Problems
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I have baby boy. I am planning to 3 years for next baby. So what are the ways I follow. What is the best way you are suggested.
My daughter aged 6 years .Since last 3 weeks she has sudden allergy on her body. Red rashes bumped up and itchy. But they vanish soon or sometimes in few hours and skin is back to normal. No rashes or spots after. Has been prescribed antihistamine. Prednisolone steroid. Cepfodixime antibiotics and rantac syrup. But the allergy has been reoccurring since. Some times it's too much and sometimes lesser. Other than these no other symptoms.
My one and half year old son always have digestion related problem whenever he eat something different he had fever, first his head become hot then he had fever, is balkadu like medicine ok for him or should I try something different medicine because of this problem he is not gaining weight, please help.
At what age of my infant shall I start feeding her top milk and other liquid. She is 1.5 month now only on breastfeed?
Hello doctor. My daughter is 7.5 months old. She is into teething. Can we give any calcium supplement at this stage. Kindly suggest?
Hello, my daughter is 5+ n she is having fever n boils r coming all over her body. I think she is going through chickepox. Please suggest me. To get rid of this.
A certain psychiatric condition, which causes a person to be functionally impaired in social and occupational settings is known as Impulse Control Disorder. Most of you are granted with the ability to think before you act but it isn't the case for people suffering with such a condition. People diagnosed with this condition are not able to withstand the urge to do something detrimental to themselves or other people.
This condition is similar to other disorders such as kleptomania, compulsive gambling and pyromania to name a few. Although people suffering from this disorder do not plan their acts, the acts they do perform generally fulfill their conscious wishes. Other disorders of such similar nature like Kleptomania and ADHD (Attention-deficit/hyperactivity disorder), which are associated with difficulty in controlling impulses but that is not their chief feature. Patients of impulse control disorder find it highly distressful and are hence often seen to lose control of their actions and consequently their lives.
What causes this disorder?
Some medical practitioners are of the opinion that this disorder is a subgroup of other conditions, such as stress, anxiety, OCD (Obsessive Compulsive Disorder) and etc. Scientists and researchers are not particularly sure what causes this condition but have determined that it can be caused due to a combination of physiological, emotional and psychological factors pertaining to cultural and societal aspects. Also, certain brain structures linked to emotions and memory functions in and around the frontal lobe are linked to planning functions and impulses.
Some studies show that certain hormones such as testosterone which are associated with aggression and violence may also play a role in forming such disorder. Aggressive and violent behaviors are apparent in people suffering from this disorder. Certain studies have shown a connection between certain forms of seizure disorders and aggressive impulsive behaviors.
People with such disorders are also more likely to contract addiction and mood disorders. Antidepressants are usually prescribed in treating such disorders. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Hi, my 2.6 years old girl has weight 8.3 kg only since one years last we have given therapy for t. B after Dr. Advice then otc drug albendazole I syrup one time dose have given for worms since I am pharmacist. Please guide.
My baby is 5-1/2 months old. Some sound is coming from his breathing. He has no phelgm in chest. We have consulted child specialist He says that his breathing tube will expand as he grows more . He has checked his chest also But says that everything is normal. But sound is coming I do not know what to do. Please give opinion.
My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.
Good afternoon! Doctor please suggest me as soon as possible. My 6 yr old son was crying last night and his groin area was swollen, exactly right side of penis. Doctor has advised me to get him operated as it's Hernia. Sir/Mam I have lot questions to worry-why so early at this age (had heard it comes 2 adult); and after surgery also hernia has all the risks to reoccur and doctor shall there be any issues in the future regarding his potency or sex issues. please clarify all the above asked questions as I am not able to ask doctor in person.
I am 29 years old male when I was child I had a stools problem and observed mucus in and I have gastric problem which doctors I consult and what is best treatment of my problem.
Respected doctors Can cerelac be given to 8month old baby? And what are the other diet that can be given? Please help:)
I am 26 year old. I want know about what is the validity of tetanus injection after vaccination. Actually I take vaccination before 24 days. After 24 day have injured by rust iron. Should I take again vaccination? I have 3 times takes vaccination in last 6 months.
Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev
Possetting. ( Vomiting as mothers complain )
Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.
Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.
Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:
Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.
Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.
However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev
Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
I have 50 days baby , before 20 day baby navel is swelling and increase size Is that a prob. Or normal sign.
Is your child refusing to grab anything other than chicken nuggets? When your child’s nutrition is an aching subject to deal with in your household, remember you are not the only one. Many parents are actually worried about the fussiness of their children over food. But your child’s food preferences would also mature with age. Until then, you can consider trying out these following tips to avoid any kind of mealtime hassles.
Respect your child's appetite or lack of one: Respect your child’s level of appetite and never force a meal, if your child is not hungry. Rather, serve small portions to give them an opportunity to ask for more, on their own.
Stick to the routine: Maintain a routine and serve snacks and meals at about the same time every day. Also, keep a check on the number of times you serve those mid meal snacks and try to stick to that count.
Be patient with new foods: Have patience with new food. Take time in introducing it to your child by talking about the food’s shape, color, aroma and texture, if not the taste.
Make it fun: Try out innovative ways of garnishing your food so as to make the whole eating experience a fun and a thrilling one for your child.
Recruit your child's help: At the grocery store, ask your child to help you select vegetables, fruits and other healthy foods. But keep off those foods which you would not want you child to eat.
Set an example: Set an example by yourself by eating all kinds of nutritious and healthy foods, in order to set that perfect example for your child.
Cut Distractions: Make sure to switch off from any sort of a distraction, such as the television or the washing machine and other electronic gadgets while feeding your child.
Don't offer dessert as a reward: Do not reward your child with desserts at the end of the meal as this sends them an indication that the dessert is the best dish among all.
Do not cook a separate meal: Do not cook a separate meal for your child after he/she has refused the original one as this might encourage picky eating even more.