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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 baby girl is 4 months old. From past 4 days she is having fever of 100 degree. Though she was urinating in every 1-2 hours but she was urinating very less. So we consulted a doctor and he prescribed medicines such as Pro wel, apex-p and ofloaxin since she was passing out green stools from past few days. We also undergo a urine test and it is found to be normal. What my concern is from past few days she is drinking very less breast milk. She sucks for only 30 secs to one minute and then she refuses to take it even after burping. She screams when she looks at my breast I tried feeding her through spoon and she is ok with it but not with sucking Can you please help since manual extraction of milk is a time consuming and difficult process.
Dear sir. My both daughters aged 7 and 5 yrs have skin or blood infection can't differentiate. They get black marks left after mosquito bite. Their legs are full of marks. It doesn't look nice. When consulted with doctors they prescribed cetrizine. What to do for blood purification.
Benefits of Endoscopic Surgery
I’m Dr. Aparna Jain, Senior Consultant Obstetrics and Gynaecologist.
We are going to discuss about Endoscopic surgery or Laparoscopic surgery in gynaecology. It is basically a pinhole surgery in which doctors don’t open the abdomen. We just put two or three small scar at the abdomen, pet par do ya teen chote scar lagate hain jiske through we can do surgeries.
Various surgeries can be performed laparoscopically or endoscopically like removal of uterus, removal of fibroids from the uterus, removal of ovarian cyst, or ovary me jo gaanth hai uske removal ke lie kar sakte hain, or removal of cyst, any type of cyst like familial cyst or atopic pregnancy i.e, pregnancy inside the fallopian tube. It is outside the uterus and it a is very life threatening condition in which we can do laparoscopic surgery and take out the embryo.
Another issue which can be solved through laparoscopy is the case of infertility. Suppose Somebody, Who is not able to conceive. If there is some problem in the fallopian tube which can be opened by Laparoscope. Endometriosis is another very important problem which leads to infertility which can be corrected laparoscopically.
These are the various conditions which can be dealt with laparoscopy without opening the abdomen. What is the advantage? Why is laparoscopic surgery better rather than opening abdomen?
It is very very important to know about it because logo ke dimag me yeh myth hota hai ki abdomen open karenge toh complete surgery hogi aur laparoscopically agar surgery karenge to wo complete nahi hoga but it is not like that. If we are doing laparoscopic surgery we are having ten times magnification in comparison to a normal eye so it will give better vision, better insight to the disease which we will be able to handle better and the scope of recovery in laparoscopic surgery is much faster than open surgery.
There is not a single large scar on the abdomen. There are multiple, two, three or sometime four scar which is 1 cm or 0.5 cm scar at the abdomen which heal so well that post of pain is very very little after laparoscopic surgery. One is very early, one can ambulate very fast after laparoscopic surgery in comparison to open surgeries and post of addition formation. Sometime, after doing a surgery one landed up in another surgery then, after open surgery there is lot of addition formation inside so second surgery become very difficult but in laparoscopic surgery addition formation is very little so the second surgery becomes easier if somebody has laparoscopic surgery initially. Cosmetically, it is also very good because scars are very less, very little. It is almost an invisible scar in comparison to open surgery.
If you want to consult further, want to know more about laparoscopic surgery or you have any problem, for that you want to consult, you can consult us on Lybrate website.
My daughter is 28 months have diarrhea with occasional stomach aches. Her diet mainly includes milk. She stays on milk the whole morning. Then she has her lunch (rice, vegetables,fish). In the evening she has either milk rawa (suji)/cornflakes with milk/ oats with milk/dalia khichdi and at night for dinner she has chapati with milk. But as of now milk intake have stopped due to her ill-health. What should I give her now apart from milk so that she gets the required nutrients till she gets back to her normal diet.
A sparkling set of shiny white teeth can make a smile more appealing and infectious. Yellow teeth can be extremely embarrassing and annoying. The important dental tissues that make up a tooth include the Enamel, Dentin, Cementum and the Pulp, of these four tissues, the enamel (the white and hard teeth surface) and the dentin (pale brown) are responsible for the tooth colour. Any damage to these two tissues bring about teeth discolouration and factors that contribute significantly towards yellowing of teeth include:
- Poor dental care and hygiene like improper and inadequate flossing and brushing techniques.
- Unhealthy lifestyle habits like chewing of tobacco and betel nuts, smoking, excessive consumption of alcohol, tea and coffee.
- Certain medical conditions and treatments (chemotherapy and radiation) can adversely affect the dentin and the enamel. Antihistamines are also known to stain the teeth. It is best to avoid mouth washes containing Cetylpyridinium Chloride.
- With age, the enamel tends to thin naturally exposing the dentin that lies underneath it.
- Fluoride intake in excess can stain and discolour the teeth.
- Yellow or discoloured teeth can also be genetic.
Yellow teeth, though frustrating, can be fully treated. The mode and success of the treatment is largely influenced by the extent of the teeth discolouration.
- Avoid smoking and chewing of tobacco as much as possible. Control the intake of drinks and foods that can stain and discolour your teeth.
- Practice healthy dental hygiene. Brush your teeth twice daily.
- Some whitening agents (over-the-counter) can be effectively used to treat yellow teeth.
- Dental veneers are a great way to deal with yellow teeth.
- For a healthy set of white teeth with pearly shine, consult a dentist every six months.
In addition, several natural and homemade remedies can also prove to be beneficial
- Nothing can treat yellow teeth more effectively than baking soda. Brushing your teeth with toothpaste mixed with baking soda (about a quarter teaspoon) can do the yellow teeth a world of good. Using a mixture of baking soda with vinegar (white), lemon juice and hydrogen peroxide is an effective natural remedy.
- A healthy practice to get rid of yellow teeth is to rub the teeth with orange peel every night.
- Rubbing the teeth with Strawberry paste will help to reduce the yellow stain greatly.
- The benefits of lemon are known to all. Brush your teeth with a mixture of lemon juice and salt. Wash it off after a few minutes and the yellow tinge will be a thing of the past.
- Charcoal, Apples and Basil leaves are powerful natural ingredients to treat yellow teeth.
Your smile is precious! Do not lose it to yellow teeth.
Health considerations when bottle-feeding
If you decide not to breastfeed, or are unable to breastfeed, commercial iron-fortified formulas can give your baby the nutrition he or she needs. Infant formulas have the right amounts of protein, calories, fat, vitamins, and minerals for growth. However, formula does not contain the immune factors that are in breastmilk. The immune factors in breastmilk help prevent infections and other health conditions throughout a baby's life.
Infants who take enough iron-fortified infant formula usually don’t need vitamin and mineral supplements. However, the American Academy of Pediatrics recommends vitamin D supplementation for all babies drinking formula until they are drinking at least 32 ounces a day. Fluoride supplements are recommended for babies whose primary water supply is not fluoridated. Check with your baby's healthcare provider about vitamin D and fluoride supplements.
Types of infant formula
Cow's milk-based formula. Most infants should be able to tolerate a standard cow's milk formula. Cow's milk formulas are modified to be closer to human milk. These formulas have lactose as the carbohydrate (sugar) source. They are available in ready-to-feed cans, liquid concentrate, and powder. Regular cow's milk is not an appropriate source of nutrition for a human baby.
Soy-based or lactose-free formulas. These formulas are used if an infant can’t tolerate lactose, which is rarely a significant problem in babies. They don’t contain lactose as the sugar source. As many as 50% of all infants who are allergic to cow's milk formula will also be allergic to soy-based formulas. Talk with your baby's healthcare provider before changing formulas. Vegetarian parents may prefer soy-based formulas. But they should be aware that breastfeeding is still the best option.
Specialized formulas. There are special formulas for babies who are premature or who have certain rare disorders or diseases. These formulas may have special directions for use. They are prescribed by the baby's healthcare provider.
Hydrolyzed formulas. Hydrolyzed formulas are easier to digest. They may be used in babies at risk for allergies. They are more expensive than regular formulas. Talk with your baby's healthcare provider before using these formulas.
Low iron formulas. These formulas are not recommended.
Helpful hints for feeding your baby
Breastmilk only is the ideal feeding for at least 6 months. This means no water, sugar water, or formula.
Wait until breastfeeding is well established before giving your baby breastmilk in a bottle.
Working mothers can use a breast pump on break time and refrigerate or freeze the milk for later use as a bottle-feeding. Refrigerated breastmilk should be used within 24 hours after pumping. Frozen breastmilk is good for several months in the freezer. Fathers and other family members can be involved in feeding time if breastmilk is offered from a bottle occasionally.
Offer cow's milk-based formula with iron as first choice of formula if not breastfeeding.
Keep your baby on breastmilk or baby formula until he or she is 1 year old. After this time, you may switch to whole milk. Children under 2 years old should not drink skim or low-fat milk.
It’s important to follow the formula preparation directions exactly as directed on the packaging. Using too much water can result in poor weight gain. It's also important to discuss your water supply with your child's healthcare provider. In some areas, water must be boiled first, or bottled water should be used.
Bottles should never be propped up.
Babies should never be put to sleep with a bottle. This can cause cavities to develop.
All babies, whether breast or bottle fed, should be offered a feeding whenever they show signs of hunger.