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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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Diet plan for DM and HTN
Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable.
As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats.
General instructions to be followed:
Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed.
Whole grain cereals are better, preferred for their fibre content and satiety value.
Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water.
When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it.
Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious.
Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided.
Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking.
Egg yolk has to be avoided by individuals with hyperlipidemia.
Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption.
Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.
Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition.
Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list.
Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc.
Use of coconut and its products must be minimized.
Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally.
It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged.
Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets.
Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases.
Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart.
Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account.
Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels.
Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed.
Include foods from all the different food groups and thus consume a balanced diet.
Regular exercise is most useful but physical strain after a meal should be avoided.
Free foods (can be included liberally)
Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc.
Foods to be used in moderation.
Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc.
Foods to be avoided by diabetics.
Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc.
Roots and tubers like potato, tapioca, yam etc
Butter, ghee, dalda and fried preparations.
Horlicks, bournvita, boost etc
Fruits like jackfruit, banana, mango, sapota etc.
Dry fruits and nuts
Barley water, rice water etc.
Cholesterol rich foods (to be avoided by cardiac patients)
Whole milk and milk products
Shellfishes like prawn, crab, lobster etc.
Organ meats like kidney, liver, brain etc.
Chicken, duck with skin.
Sweet like pastries, ice creams etc.
Butter, ghee, dalda, coconut oil, palmoil
Fried foods like vada, chips, pappads, samosa etc.
Alcoholic drinks, creams soups etc.
Fiber rich foods
Whole wheat, parboiled, sago, oats etc.
Fenugreek and sesame foods
Vegetables and fruits (with skin)
Fresh coconut etc.
Sodium rich foods (to be avoided by hypertensive patients)
Salt (avoid extra salt in food and table)
Baking powder, baking soda, ajinomoto etc
Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc.
Salted chips, nuts, popcorn etc
Pappads, pickles, dried fish etc
Canned and salt preserved foods
Sauces, soup cubes
Sausages, lobsters, meat and yeast extracts
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc
Nursing improperly often becomes a big reason for tooth decay and caries in babies. The way out is to get the baby tooth cared for from the very first day. This form of tooth decay is associated with nursing, when the baby sucks the pacifier, or takes other sugary juices or drinks, or formula milk from a nursing bottle.
The main causes of nursing bottle caries:
The babies are often fed in nursing bottles or feeding bottles, and the bottle nipple often stays in the mouth for long; sometimes overnight also if not taken care of. Again, the babies are pacified with pacifiers, which are often dipped in honey or a sugar solution, and this again brings in more reasons for dental caries. In any of the situations described, the baby's newly formed teeth which are susceptible to all forms of decay and damages while being gentle and new can get cavities. The sugary liquids and milk can form a coating on the teeth which brings in cavities.
How to prevent the nursing caries:
The best option to prevent is not to leave the baby with the bottle or pacifier for long. Again, the pacifier or the bottle should be always washed properly, sterilized and not left in the mouth of the baby uncared, especially during sleep time, when the baby sleeps while sucking onto them.
There are some steps to follow to prevent the early tooth decay and maintain baby dental hygiene. They are:
1. Even before the first tooth comes out, massage and clean the baby's gums with a clean washcloth or soft cotton everyday, and after every long feeding.
2. You don't need toothpaste to start brushing the first few new teeth that come out. Just brush without a toothpaste and use a very soft gentle brush to form the habit. In areas where no tooth has come up, brush and massage the gums only.
- When all the teeth have come up, start flossing everyday
- Try to take the baby for a dental checkup at least every year if not every six months.
- Try to cut down on the consumption of extra sweet beverages. Add some water to the fruit juice to dilute the concentration and sweetness.
All these steps mentioned are great to start healthy and good dental care and hygiene, and if you follow them well, then dental caries will be away.
My daughter aged of 12 suffering from stomach pain after passing the motions both stomach pain & the back part of tool I already don urine test motion test culture test but is positive there was urine infection treated for three days but still she says she has pain in the back kindly suggest.
My baby is nine and a half months old now. He is able to stand on his own by holding a chair, sofa or wall. When will he start to walk?
My new born baby has his feet turned inside by angle of 75what is proper method of treatment. Is plaster them only a solution or any other method of healing is there. Pls suggest me the right path. He is just a month old.
My son is 18 months old, He is premature baby of 27 week. First six months he was unable to listen. But after 8 months he started to listen, Now a days he reacts to all sounds but when we call his name he doesn't reacts. Although he speaks word like papa kaka Amma. What is exact problem?
On the occasion of World Asthma Day (3rd May, 2016), I would like to break a few myths related around Asthma which otherwise people generally believe to be true.
Myth #1 - Asthma is a communicable disease
Fact #1 - Asthma is an allergic disease and is neither contagious (infectious) or communicable (passed on from one person to another)
Myth #2 - Inhalers are addictive
Fact #2 - Absolutely wrong! Inhalers are not addictive but it is a good habit to keep control over asthma and use your inhalers as prescribed by your doctor. Also, contrary to popular belief that using inhalers on a regular basis reduces their effectiveness, inhalers continue to be equally effective on a regular basis.
Myth #3 - Inhalers are expensive
Fact #3 - Again, absolutely incorrect! Inhalers are in fact cheaper when compared to other drugs.
Myth #4 - Inhalers are given to patients who face Chronic Asthma
Fact #4 - Wrong! Inhalers should be used from a very early stage itself to prevent progression of the disease.
I hope this tip helped bust atleast a few notions that most people have about Asthma and that you are now better informed about this condition. In case you would like to ask me anything or discuss your or your loved one's case in detail, feel free to 'Consult' privately with me.
HELLO SIR, my child is 9 months old, he develops white spots on his cheeks, first on the right side now today I saw on his left side as well can you suggest me treatment or any remedy.
In 6th week of my baby, doctor gave her "Rota vac, easy five, pnemococal vaccines; IPV doesn't given. Can we take that vaccine in next month?
Hi I recently gave birth to a baby girl just 8 days old. My question and worry about is anesthesia given to me during Cesarean and side affects. That day as human mistake I unknowingly had a sip of water before anesthesia or antibiotics were given .so said the said to doctor they gave ondem injection and one gastric before anesthesia was given and later due to a bad or untrained nurse I was given an antibiotic on third day as usual on wrist which she injected forcefully into the nerve through a pipe. It pained like hell. I almost screamed to peaks. The antibiotic did not go into the nerve. It blocked and swelled the wrist. It took three days to reduce the swelling on its own. My right head side full sweating. Due to humidity. And it's cold entire face on right. And even on eight side neck. My legs started swelling .I don't think it's water that caused swelling. Can you say why these many changes in this Cesarean.
My sister's 5 months girl baby (weight: 6+kg) was having little fewer from 4-5 days and today the baby is much distracted and crying. They visited doctor doctor, he said it is usual in summer but I had doubt because the doctor did not even checked the baby even with stethoscope.
Hi Dr. I am from bangalore I am recently blessed with a baby girl a month ago. As of now my baby is in my in laws plc. I have 4 dogs at home a pug, a lab, a pomeranian and a Siberia husky. They all are left free at home. I wanted to know what precautions to be taken when my baby return home and how they should be left to mingle with each other.
3 years old son is coughing for last 2 days. Can feel the cough troubling in his throat. Since birth whenever he had caught cough.
My son is 9 months old. Main janna chahti hun k jaise bache sote hue neend mein smile kr te hain ya phr rote hain waise mera beta nhi hasta na rota h main bht rare dekga h k wo smile kr ra h 2 se 3 baar sirf jab wo 3 4 month ka tha to wo bht smile krta tha or rota b tha neend mein pr ab nhi krta. To kya ye koi problem h is se mere bete ko koi msla to nhi ho sakta.
About feeding child: can I feed my 4th month baby cow powdered milk .is it safe, if can pls tell me about dosage.
My baby girl is 1 year old and since 3 to 4 days she facing some Urine issue, as In a day she do a 2 to 3 times urine only and at night sometimes she do a Urine and sometime notes. Urine come yellow and she not face any issue while she do Urine. She also have some cold since 4 to 5 days. Please guide me on that.
A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.
In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.
Here are several reasons why it is important to fill up a missing tooth:
- Shifting of tooth: When a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
- TMJ Syndrome: After a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called TMJ syndrome.
- Decay of tooth and gum diseases: After the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
- Alteration in facial appearance: A missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.
A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.
Hello, my son is 18 months old (weight 10 kg) and he caught by cold and cough very often. There is always fever with cold and cough. Which food can I give him to boost his immunity. Thanks in advance.
Breastfeeding has shown to have an incredible impact on the growth and development of an infant on account of the nutrients which are provided to the baby. The mental development which occurs due to breastfeeding is said to show even years from the time that a person was an infant. When a person considers just how important breastfeeding truly is, she would not want to make a mistake, would she?
A lot of new mothers are concerned, if their babies seem to fall asleep while feeding a lot quicker than they should. As a matter of fact, they worry that the babies will not get enough breast milk and this can stunt the development of the young ones. While this is true, it can be said that a few steps taken can make sure of the fact that there would be nothing for the mothers to worry about.
- Inadequate consumption: It is natural for a baby to have a tendency to fall asleep, after all, that rapid rate of growth is likely to consume a lot of energy. In order to make sure the baby consumes enough milk prior to falling asleep, what should be done is that the mother should transfer the baby from one breast to the other one when she notices that the rate at which the baby is consuming is slowing down. The effect this has is to make sure that the rate of transfer is maximised; as the fastest rate, the milk transfers is when the baby begins suckling, for the first few minutes.
- Risk of Infection: Taking into due account what a sensitive and important process breastfeeding is, it can be said that an infection is something which can disrupt the process. One of the infections happens to be thrush. This is one which can spread from the mouth of the baby to the breasts of the mother. The effects of the infection include soreness and possibly even a rash. A doctor would probably provide the patient with some anti-fungal medication in order to fight the infection off.
- Latching problems: Another issue which is faced by new mothers is that there is a pain when the baby is to latch on to the nipple. In order to reduce this, what can be done is that the mother can try keeping the baby in a position to cover as much of the area under the nipple than over and adjust the baby to cover the nipple when he or she yawns.
These are just some of the common issues faced by new mothers. However, following a few simple measures can ensure that the experience of breastfeeding is most satisfying for both mother and child. If you wish to discuss about any specific problem, you can consult a Gynaecologist.