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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 girl is 9 month and 25 days old. She's 6.450 kg. Doctor said she is under weighted. Use bhukh nhi lagti h. Mai use khane me khichdi, daliya, sabudana kheer, suji ka kheer sab kuch de k dekh chuki lekin uska weight nhi badh rha. Give me a healthy baby food chart. Kitne time k antar pr kitne baar aur kya kya khilana hai. Please help me.?
My baby is three months old. Recently she has got shaved and I found her head full of dandruff. Is it possible for such small baby to have dandruff. And does she needs to be treated?
I have two and half month baby, he is sleeping in a day but daily not sleeping for whole night please give me any solution for changing his sleeping cycle?
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
A 3 days old baby. S chin is shivering. Is it any problem? She does not get enough breast milk. Is it symptom of jaundice?
To all parents and even grandparents, as well as teachers, here are some unbelievably simple parenting ideas that work.
1. Children need a minimum of eight touches during a day to feel connected to a parent.
If they are going through a particularly challenging time, it as a minimum of 12 a day. This doesn't have to be a big deal; it could be the straightening of a collar, a pat on the shoulder or a simple hug.
2. Each day, children need one meaningful eye-to-eye conversation with a parent.
It is especially important for babies to have that eye contact, but children of all ages need us to slow down and look them in the eyes.
3. There are nine minutes during the day that have the greatest impact on a child:
The first three minutes right after they wake up
The three minutes after they come home from school
The last three minutes of the day before they go to bed
We need to make those moments special and help our children feel loved.
These are simple, right? nothing really earth-shattering here.
1 whenever you feel like scolding or beating your child, take a deep breath, or count 1-10 and then act.
2 let's ask them to study their favorite subject on their own.
3 send them to one exam without studying at all.
4 remember what our kids are learning in 5th std is taught to 7th std abroad.
5 let's keep our kids out of the unwanted competition.
6 80% of what kids are learning, won't be useful to them in future.
7 our kids can really afford to do whatever they want to do in future.
8 higher degrees don't guaranty success and happiness.
9 not all the highly educated people do well professionally.
And not all who do well professionally are the happiest ones.
10 kids are always in a party mood. Don't spoil their childhood. Support and let them be what they want to be.
Pass this on to as many teachers and parents as you can.
And change the way we look at our kids and their future.
My baby is 6 months old. Till now I was giving her powdered milk (Farex). From now. please suggest me which type of milk is best for my baby. 1. Powdered milk 2. Cow milk 3. Toned milk of packet (for eg. Mother dairy) And why!
My daughter is 15 month old.I think she is havin conjective virus.Her eyes are little bit red n water flowing continuously n little white is getting dischared from eyes.So can i give kitmox eye drop.Composition is Moxifloxacin hydrochloride i.P equivalent to moxifloxacin aqueoous buffered vehicle.
My daughter is 9 years now, but her development neither in weight nor in height is proper. Please advice ,taking milk 300 ml daily and other food normally.
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Hello my wife has 7 month baby now and now she has a problem of milk so what should she take for that problem?
Hello Doctor! I am 17 year old girl. I sometimes urinate on bed unconsciously even on periods. After getting wet, I realise I have drenched. I daily use to urinate till I was in 5th class. I have observed I mostly urinate when its cold. I am going to my relatives. I am afraid of drenching their bed. Please help.
Necrotizing enterocolitis is a disease that causes inflammation of the tissues present in the intestines and results in damaged tissues. It initially affects the inner lining which ultimately results in thickening of the intestine. It may also lead to a hole in the abdomen resulting in bacteria entering the intestine, thus resulting in infection.
The symptoms of Necrotizing enterocolitis are:
- You may experience symptoms of bloating in the abdomen
- The abdomen may be discolored
- You may experience diarrhea and vomiting
- You may not feel hungry
- There may be presence of blood in your stool
- You may have a fever and constantly feel lethargic
Causes: Lack of blood and oxygen in the intestine causes it to become weak and increases the chances of Necrotizing enterocolitis. It may result if oxygen levels drop during a difficult delivery. If the intestines are weak, then they are at a higher risk of getting infected by bacteria. If you have an excessive supply of blood cells in your body or other stomach condition, then it may lead to this disease.
Diagnosis: Usually the doctor conducts a physical exam to detect the symptoms of this disease. If babies are born with this condition, then they may suffer from weak immune system and problems in blood circulation. The doctor may also recommend x-rays to get detailed images of the intestine in order to probe for symptoms of inflammation and damage.
The treatment of the disease depends on few factors such as:
- The child's age
- How far has the disease progressed?
- Health of your child
It is recommended to stop breastfeeding. Feed the baby through intravenous methods. The doctor may also recommend antibiotics and oxygen support if the child has breathing problems. In severe cases, the child may require surgery to treat this disease.
If the treatment occurs early, then the child may recover. However, complications such as a narrow and damaged bowel may persist. This may cause problems in nutrient absorption in the intestine leading to other disorders.