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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 nine year old boy weighs about 27kg and he looks very slim. Even after having balanced diet he is not gaining please help me specially any nutritionist or dietician. He is bit hyperactive and dont like resting. He is too active.
Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev
Possetting. ( Vomiting as mothers complain )
Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.
Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.
Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:
Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.
Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.
However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev
Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
I am facing less energy problem. Having 10 month baby. Too hectic schedule with less sleep. Please suggest how to energies with food, exercise etc.
My brother had an accident when he was 2.5 years old had some veins in brain damaged initially there was no hope of his survival but as time went his health improved just his development is some years behind and he can't speak properly. But still we were happy as he had improved a lot in the following years but since last 6 months or something he has symptoms of hyperactivity as per doctor but the medicine the doctor gave makes him dull and he sleep for almost half a day.
Why are Milk teeth important?
As milk teeth fall out, it is a common misconception that they do not matter.
The primary teeth have a number of important roles:
• Essential in the first step of digesting food: chewing, biting and grinding
• Allow good pronunciation and speech habits
• Encourage normal development of the jaw bones and muscles
• Ensure there is enough room for permanent teeth to erupt
• Help your child feel comfortable about the way he/she looks
• Guide the permanent teeth to erupt at the correct position in the dental arch since the permanent teeth grow under the milk teeth
• Also, your child's general health can be affected if diseased baby teeth aren't treated.
Remember, some milk molars are not replaced until age ten to fourteen, so they must last for years
What would happen if milk teeth are not taken care of?
Tooth decay and disease present in milk teeth can cause pain and discomfort and can easily pass on to permanent teeth as they erupt. Milk molars remain in the mouth until around 10 to 12 years of age with lots of opportunity to pass decay on to their new permanent neighbors. If it spreads to the root, an infection in a decayed milk tooth can damage the developing permanent tooth lying directly underneath. Consequently, the permanent tooth may erupt either in the wrong position or may not erupt at all i.e. it may remain embedded in the gums.
Why a Pediatric Dentist?
In the same way that paediatricians are trained to meet a child's medical needs, a paediatric dental specialist is uniquely qualified to protect your child's oral health. Paediatric dentists have an additional two to three years of training at university paediatric facilities in addition to four year of dental study. They know how to deal with the behavioural aspects of children, how to make them feel comfortable, and to make the experience pleasant. Also, they are trained and qualified to treat special needs patients. Paediatric dentists have a holistic approach of handling a child patient whereby the dental visit becomes a pleasant experience and not a nightmare. The very reason they are well versed with the psychology of the child which aids in execution of treatment effectively & efficiently simultaneously instilling a positive dental attitude in those little ones
This is regarding our baby. It has been 2.5 months but our baby is not feeding from his mother. He cries like anything when she tries to feed her. Everybody says that it is something between the mother.
I want to increase my toddler 3.6years immunity as every 2nd month he had cold and cough. He has Adenoid also due to which his ear has fluid in it which disturb hearing. Thanks.
My daughter is 1.6 years and she is having less blood. Her haemoglobin is 8.8. What I have to do for increase the blood?
I have not had chicken pox till date. Have a 2.5 month old baby. Can I take the vaccination now or should I wait till his vaccination due date?
My baby is 7.5 months old. When he was 4 months old, I started nursing (most of the time) from left side and has not pump from the other side. We both were more comfortable from one side and I have not realized that I should pump the other side. Now, from past two months I have been trying the other side but he is refusing .and one breast is lopsided now. I have taken lactare capsule also for 1 week (2 times in a day) and started pumping the left side but now very little milk is coming from right side. However,the other side is producing enough. Can I continue breastfeeding exclusively from one side? I am really worried that it should not have any health side effects. I have heard that this might cause breast cancer in future I have also visited one gain in my place for the same issue and she said that its ok to breastfeed with one side and I cannot produce milk from other side. Please guide. Your response will be highly appreciated.
My baby is 11 months old I am giving bf n also buffalo milk I want to add some protein powder which I shud give?
My 3 year old is sick with a Temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Few things in life take longer than habits to be inculcated and eventually to die out. Every parent tries in his or her way to teach the child certain healthy habits, those that they wish would be followed long enough to be internalized by them. Certain healthy habits that every child should follow are:
- Include a lot of vegetables in the diet: There is an array of vegetables available in the market, which is replete with rich nutritional values. Though children are generally averse to the idea of eating vegetables, it is your duty to inculcate in them the habit of eating vegetables and constantly remind them of their rich nutritional benefits.
- Never skip breakfast: Breakfast is the most important meal of the day and is often the most ignored. Most children have the propensity to skip breakfast if they are late and generally they are seldom reprimanded by their parents. As a parent, you must make it a point not to take this lightly and severely insist on a healthy breakfast every morning.
- Indulge in physical activities: With the advent and easy access of technology, going out to play in has become a distant reality, one that is never explored. However, it goes without saying that nothing can substitute the physical and mental benefits that a physical activity entails. It not only keeps the body of your child fit but also helps in keeping the mind fresh.
- Read daily: Few things in life can be as rewarding and fulfilling as reading a book. However the habit does not come easy and as a parent it is your responsibility to induce in them this. Try to make your child read a few pages everyday till they take it up themselves out of their volition.
- Drink water and skip the soda: The many flavored sodas, which are available serve as a more palatable alternative to the drab water for the children. Though the choice may seem convenient, it must be snipped off right from the beginning. Sodas are packed with harmful preservatives and should be duly avoided by children. Instead, they must choose the bottle of water to quench the thirst.