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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 is suffering from fever due to urinary track infections. He is having antibiotics and paracetamol but fever is not going away. What should I do?
My baby is of 6 months can I give him cerelac but I have heard that cerelac is banned so what can I give him instead of cerelac?
My son age is 10 years suffering from cough and close nose from two days any medicine for him? Please advise.
Mera babu 9 month ka ho chuka Hai uske khane me Kya Kya dena chahiye. Milk and serelake sirf pita Hai.
Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty.
LATE PUBERTY -
Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty.
CAUSES OF DELAYED PUBERTY -
- Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out.
- Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc.
- Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc.
- Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty.
CONSEQUENCES OF DELAYED PUBERTY -
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results.
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc.
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility.
Hi my baby is 7 nd half month old I am her born weight was 3nd half now present weight is only 6 she looks very slim at morning I am giving nestum afternoon m giving cerelac and at 7 pm m giving 2half boil egg is that ok is there any problem of giving half boil egg for baby please let me know and let me know how to gain weight for baby.
My child age 01 year and 09 months sex male got fever 100 F yesterday. The doctor gave him Augmentin Duo Syrup (Amoxicillin 200mg + Potassium Clavulate 34 mg) he has taken three doses of it. Today his fever has gone upto 104.5 F and not getting down even with Crocin Syrup 120 mg with dose of 5ml at 5 pm then at 10 pm. It lowered to 102F for half hour and again raised to 104. We are continuly doing sponging. Pl guide. We again consulted doctor in hospital and he advised oflox oz and brufin junior, feva go. We have administered one dose of brufin junior half hour ago but no benefit.
My baby is 19 months old she is getting her motion very hard and tight. Her poops pass like a little bit and some blood. What is this problem or disease?
My 16 months old son swallowed small pieces of plastic cover now he tried to vomit but vomit did not come what can I do for it.
My son has vomiting and cough from last 3 days and had a doctor checkup. He was getting better and all of a sudden he turned up with a fever with 102℉ and severe cough and cold. Could it be viral?
My son, 5, is falling ill every 7th or 10th day since last November. Shown doctors but still he is like that only. What should I do?
My son is aged 12 years but he is very slim and short in comparison to his age group friends. He also throw out a lot of saliva from mouth while sleeping. Suggest some homeopathic treatment.
My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its clear milk after feeding her. It happens when we try to give her burp. Is it normal. Please guide.
Stomach problems are one of the most common issues you face. Irrespective of what your age is, it is highly likely that you have an upset stomach once in while. A stomach upset has a distinguishable characteristic - that stomach linings as well as the small and large intestines tend to swell. This is called inflammation. The following are the most common causes of an upset stomach.
Viruses are the most common causes of an upset stomach. It is highly likely that your stomach upset is because of a virus since there are so many types of them.
2. Parasites or bacteria like Salmonella and Escherichia coli
This is also a very common cause of stomach upset. Salmonella infections are usually caused by eating raw eggs, meat and meat products whereas Escherichia coli infections come from raw vegetables as well as milk and dairy products.
3. Allergic reactions
These happen very specifically to people who have a reaction to a certain type of food.
4. Excess alcohol
Most people think that alcohol will only make you pass out or get liver cirrhosis. Many people do not know that alcohol can actually adversely affect your stomach as well.
5. Excess caffeine
Caffeine is also dangerous to your stomach as taking too much of it can cause a stomach upset.
6. Fatty foods
Fatty foods such as cheese, dark chocolates, whole eggs, fatty fish, etc. are dangerous because they are harder to digest than many other types of food. This means that eating even a small amount of fatty foods are enough to cause a stomach upset sometimes.
7. Eating too much
This is also a major cause of stomach upset simply because your stomach can only digest a certain amount of food.
You must also be able to distinguish when you have a stomach infection and when you have Chron's disease as it is basically a chronic stomach upset. Chron's disease causes the whole digestive tract to be inflamed.