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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 daughter having fever. Went to daughter Doctor gave dolo 250 mg. Have given ok now. Please suggest how to improve the immunity system for the 6 year old child.
Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.
- Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.
- Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.
- Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.
- Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.
My baby is 45 days old, I want to ask after how much minimum time I start giving her other things like cerelac dal water etc, so that I will stop feeding her bcoz I hv to do job.
Have you heard of a health condition in which there are insufficient red blood cells in your body for carrying sufficient oxygen to all parts of the body? This condition is called sickle cell anemia and it is an inherited form of anemia. Usually, the red blood cells in your body are round and flexible and move through the blood vessels easily. In case of sickle cell anemia, the red blood cells become sticky and rigid. They are shaped like crescent moon or sickle. Because of the irregular shape, these can get stuck in the blood vessels, which slows down the blood flow.
The only potential cure of sickle cell anemia is a bone marrow transplant. Other treatment measures focus on easing the symptoms and preventing further complications. The various treatment modes are as follows:
- Antibiotics: Children with sickle cell anemia can start taking antibiotic penicillin by the age of two months. This prevents infections like pneumonia. Even in the case of adults with sickle cell anemia, antibiotics help in fighting certain infections.
- Pain-relieving medications: Several over-the-counter pain relief medications may be prescribed by a doctor for reducing pain during a sickle cell crisis. Hydroxyurea is another type of medicine, which helps in reducing the frequency of pain.
- Vaccinations: Childhood vaccinations should be given for preventing the disease in children. These vaccinations are more important for children already affected with sickle cell anemia as they are more prone to infections. Vaccines such as the annual flu shot and the pneumococcal vaccine are important for adults suffering from sickle cell anemia.
- Blood transfusions: In case of a red blood transfusion, red blood cells are removed from a supply of blood that is donated. The donated cells are intravenously given to a sickle cell anemia patient. Blood transfusion increases the number of normal red blood cell count in circulation, giving relief to anemia. Regular blood transfusions are important for children with sickle cell anemia, who are highly prone to stroke.
- Stem cell transplant: A stem cell transplant or a bone marrow transplant involves the replacement of the bone marrow affected by sickle cell anemia with a healthy bone marrow given by a donor. This is a risky procedure and is only recommended for patients with sickle cell anemia at a chronic stage.
It is recommended for you to consult a doctor on experiencing any symptom of sickle cell anemia. This is a dangerous health condition and requires proper diagnosis and treatment before it gets out of your hands.
Hi sir or madam, My three and half months baby refuse to drink milk and cry when I bring breast nipple near mouth give solution to my problem (she is not suffering for any medical problems) How time as to be feed per day and per how many hours as to feed And what is normal weight of three and half baby girl.
I hav 2 small kids 5 and 3 years of age and am a homemaker. I am having CTS in both hands for last 1.5 yrs. Medications couldn't help and Drs hav suggested for surgery. Is it open or endoscopic? R there any alternative like physiotherapy or home or ayurveda? How long does it take to recover in a surgery?
Hi my second son he as 3.5 years old he is very naty guy while he as playing or eating he as bad habit is putting things to ears. I consulate to Doctor he cleaning ears by sirenj almost 3 to 4 times In a week its problem doing these kind of precaution.
Hi I want to know that my daughter is 5.5 month old she has trouble in stomach from last 5 days. What should I do. Which medicine I should give to her.
My son is 8 years old. He looks slim and small. What are the foods to be given to him to increase his height and weight.
A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.
Here are few very simple ways you can prevent your child from getting it:
1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.
2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.
3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day.
Hi My 17 days Baby boy crying continues since yesterday. Yesterday he had cough and cold but today he is good. I am unable to understand he's crying reason he only wants breastfeeding. please help me understand.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
As a new mother, you will be always in a constant state of worry whether you are doing things right. And of those many, many things you worry about, your baby’s bowel movements are one of them.
A baby’s poop is a sign of his/her health. Thus, you do need to know what is normal and what needs medical attention. Read on to know more about your baby’s poop.
The kind of poop depends on how you are feeding your child. If you breastfeed the baby, his/her poop will be:
Small in size—no bigger than a coin
Light in colour, usually a greenish-brown or bright yellow
Sloppy in texture
The first few weeks of breastfeeding will produce waste daily, after each feed. The frequency will diminish later, but that is not a concern, as long as the waste is easily passed and is soft.
If you are feeding your child formula, the poop will be different. You will notice that the poop is:
Yellow-ish brown or pale yellow in colour
The next worry you have is when you change your baby’s feeding routine. When you switch from breastmilk to formula, you will notice:
The poop is darker in colour.
The texture becomes thicker.
The smell also becomes stronger.
The other dramatic change you will see is when your baby starts eating solids.
What isn't Normal?
There are mostly two things you need to be concerned about: diarrhoea and constipation. Both of these conditions mostly affect babies who are formula-fed.
If your baby has diarrhoea, you will notice:
The poop is runny
Frequency and amount of poop is increased
And if you suspect constipation, be aware of the following signs:
Your baby finds it difficult to poop
The poop is dry and small
The tummy is hard when you touch it
There might be blood in the poop
If you're breastfeeding, green poo can be a sign that your baby is taking in too much lactose (the natural sugar found in milk). This can happen if she feeds often, but doesn't get the rich milk at the end of the feed to fill her up. Make sure your baby finishes feeding from one breast before you offer her your other one.
If you are feeding your baby formula milk, the brand you are using could be turning your baby's poo dark green. It may be worth switching to a different formula to see if that has any effect.
If the symptoms last longer than 24 hours, visit your health visitor or GP. The cause may be:
a food sensitivity
side-effects of medication
your baby's feeding routine
a stomach bug
Very pale poo:
Very pale poo can be a sign of jaundice, which is common in newborns. Jaundice causes your newborn's skin and the whites of her eyes to look yellow, and usually clears up within a couple of weeks of birth. Tell your midwife or doctor if your baby has jaundice, even if it looks like it's going away.
Also tell your midwife or doctor if your baby is passing very pale, chalky white, poos. This can be a sign of liver problems, especially where jaundice lasts beyond two weeks.