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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 child is having frequent motions since least 3 days Frequency is around 5, 6 per day Its mostly in paste form rarely liquid His food intake is normal He does not has any teeth yet He is not on any calcium, vitamins supplements We are on the withdrawal phase of breastfeeding He is hyperactive child and doesn't complain of any stomach pain and no fever or any other issue His stools has bad odour I request you to please suggest some diet aids remedy for his frequent motions Thanks.
My 1.9 year daughter don't have control on potty and susu. She never tells before. we have told in a nice way many times but of no use. Please Help.
Hello doctor. My baby is of 6 months . Can I give her mosambi juice now. In our area its raining. Whether it will cause cold?
Hi Sir, My son is five and half year old. He does not eat properly food. In a day he eat only one time. This problem is from January. His behavior is not good.
Meri daughter 3 year ki hai but wo ghar ka khana like roti chawal anything bilkul nhi khati or wo mitti bahut khati hai deewaron ki. So pls koi advise dijiye.
Sir, my son is 5 years old, he is suffering of paratotitis. What kind of treatment will be given to him ?
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.
Hello, Doctor my baby is 1year she not eat food, im giving her rice all types dall mixed cooking food. She will cry while eating when iam forcing her and I am holding her in leg togiving food. Food like liquid so when iam giving food substance going in nose n ears. So please tell how handle a baby what kid of food shall I made to her n give me advice for her hunger. And her weight is 6.5 kg she is active but her weight is not growing. Please tell me tips n medicine to gain her weight iam worried about her weight.
Hi. But she cries for to long till she brings out her food. She almost vomit coz she screams and cry. And lack of sleeps in nights.
Sir my son 6 years old has celiac (gluten allergy) last 3 year. Having watery motions since last night and severe stomach cramps. (Feeling that may be a cross contamination). What medicine can I give. please tell sir.
Can you suggest twin delivery mother caring tips. Looks milk is not producing enough. Can we use milk powder to babies. If yes. What are they?
Usually mothers often feel insecure about their milk production amount and they often feel that their babies aren't getting enough milk, which results in switching to formula feeds, which is not good for their babies in the long run.
This post will help the willing mothers to feed their babies and help as confidence building measure.
1. Milk production gets boosted when mother keep their babies close to body. It provide warmth, bonding, ease tension, etc
2. Proper positioning of baby while feeding is important. You can watch YouTube videos on breastfeeding positions, like CRADLE, CROSS CRADLE, FOOTBALL positions etc.
3. Breastfeeding is a painless procedure,if you are feeling pain,something is wrong.Getting sore nipple,crack nipple are findings of improper attachment.
4. Feed the baby for atleast 20min, it helps baby getting foremilk(watery part of milk) which quench thirst as well as hind milk(thick part of milk) which provides satiety.
5. If baby sleeps while feeding,wake her up by gentle stroking in feet, completely empty your breast otherwise the baby becomes cranky,pass frequent small quantity stools with improper weight gain
6. Passage of urine more than 8 times per day,good sleep in between feeds and proet weight gain are good sign of successful breast feeding.
7. Dont get biased based on advertisement of formula feed in media. They aren't superior to breastmilk in any ways.Breastmilk provide protection against asthma, allergies, blood pressure, heart diseases etc