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Adolescent Problems Treatment
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Treatment of Thyroid Disease in Children
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Treatment of Child and Adolescent Problems
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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
My child of 4 yrs have repeated c/o headache. At the age of 1 & 1/2 yrs, he suffered from a 3 inch wound due to hitting of a swing. No symptoms of vomitting like thenafter, but nowa days he recurrantly c/o headache. Please guide me for that.
My baby is 3 months old and bothe and my baby have cough and cold. Which medicine is preferable to us so that no harm is caused to my baby?
Hello doctor My son now 14 month old He can not sit. Can not support his neck His birth on 7 month of pregnancy. And 1 month keep in nursery. His weight is 7 kg Please suggest me doctor.
Hlo doctor mera baby 15 din ka h or usli chest bhari hui h lmbe lmbe saans leta h or cold b ho rha h.uska weight birth weight se kam b ho gya h.or mera feed krne se wo din m 25-30 bar potty krta h patli pani jesi. Or jb m cow ka milk deti hu din m sirf 7-8 bar krta h ky m usko steam de du. Or uski potty k ly ky kru. Plzz koi solution btao.
My child is 6 months old and he is suffering from cold and cough since 1 week I consult with doctor they gave medicines but medicines did not work please tell me what can I do.
Hi Sir, I have a dog (Labrador) around 3 years of age on this march 2016 I was out of town and my dog was having some infection in the scrotum, while cleaning his pus from scrotum he bit my wife in hand and blood came out too, and my didn't took it serious too and when I came back after 2 days we went to the vet doctor for the treatment of my dog and when I ask the vet doctor that it has been more than 3 days he bit my wife so do I need to get a rabies vaccination so he said "no , you should have done it within 24 hrs for the vaccination" but few days before I was going through the google and came to know about the conscious of rabies infection so I am too much worried as when my dog was only once vaccinated when an another dog bite him a in aug 2015 and then after that neither me and my wife nor my dog got any vaccine till now but yes my dog never gets down from my home and never had an interaction with other animals except once which I had already mentioned for which once he was vaccinated, and now its aug 2016 my wife is not having any illness so I had just 2 question that still I can treat her with rabies vaccination course and second is that do I need to worry. Please help me out with the solution sir. Regards Mukund verma.
Try variety of foods as by this age increasing the variety the appetite/palatability improves.Add ghee generously if tolerated to increase the calorie value of diet.In compare to protein and carbohydrate calorie value of fat is thrice.
Give at least one katori serving at a time of- mashed roti/bread/biscuit mixed in sweetened undiluted milk or mashed roti/rice/bread/dosa mixed with thick dal with added ghee/oil or khichadi with added ghee.Add cooked vegetables in the servings.You can also give dalia/suji ka halwa/kheer prepared in milk or any cereal porridge cooked in milk.You can give mashed boiled potato also.
Give banana,papaya,cheeko,mango to meet the vitamin's requirement.
Give these servings 3 times per day. Feed the baby in your lap with your hands.Don't force.If needed give small amount and increase the frequency of feeds.
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