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Adolescent Problems Treatment
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Hi. My baby is 4yrs old. Present wgt15kgs. Birth wgt: 3. 5kgs. Hb 12gms% baby[10days old]was admitted in icu for phototherapy as tcb was 24. 06mg/dl. After discharge baby was normal. During winter cold n stuffynose were issues. Now taking iron[tonoferon] n multivitamin[glutanase] and osto-polibian syrups. I observed often foul smelling stool, color vary from green, dark green n sometimes dull black clay balls noncticky and sometimes sticky stool with normal brown color. I am worried. She doesn't eat food properly. Nor drink milk. Usually poops twice a day. One immediately after lunch. Stool test is done and report shows: color-brown: consistency-well formed: reaction-acidic(6. 5): mucous-absent: blood-absent: pus cells-1-2/hpf: epithelial cells-1-2/hpf: rbc-absent: ova, systs, trophozoites-not found: starch granuels-present(+): vegetable cells-present(++): fat-absent: sometimes I feel some popping sound in her knees when I touch them. Can you please suggest in this regard also.
Hi doctor. Is lactogen safe for new born babies. My baby weight was 4.25 kg while delivery. Now it's 4 kg. My feeding is not sufficient for him it seems. So if it cries in hungry, we give lactogen often. Is it safe or it has side effects?
Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.
Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Pain in the stomach
Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:
- Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
- pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
- Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
- Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.
In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding
Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.
My daughter 8 months old is teething has 2 teeth' s now but is not gaining weight. She was 3. 3 kg at birth and now she is 6kg. Is this normal. What should I do? she is not eating anything lately
Hi, my son is three years old. He is having cough in night only. Day time he is very much ok, but night only he is having cough. What medicine we have to give?
Hello doctors, My baby girl is 5 months old. She is getting cold often. And due that she gets itchy nose and eyes. She is getting irritated because of that. Her weight was 5.5 kgs last month on 5th august. Another concern is that she is getting lots of sweating on her forehead and head when she is drinking milk. Whether it is mothers milk or topfeed. Kindly advice on this.
Study Smarter and Not Harder!
There are few things I hear over and over again from students -
- How they are studying for so many in a day
- How they do not have even time for anything else in their life due to study pressure
- How they are sleep deprived
- How much they are stressed
- And finally, after all the sacrifices and hard work, their exam performance is not what they expect.
Here are few tips to study smart, improve your grades and yet have a life!
We all know that 2 hours of focused study will be much more productive than 4 hours of distracted study.
And the good news is that concentration is a mental skill that you can develop and improve.
There are two ways to improve your concentration:
First, work on raising your brain's natural ability to concentrate or in other words, learn to increase your attention span.
Second, adjust the environment around you to make concentrating easier.
Improving your concentration takes a little time and effort, but it is worth it. In my personal experience with students, I have seen noticeable improvement in relatively short time.
Ideas for daily concentration-boosting habits include:
- Mindfulness meditation - many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Mindfulness meditation, where one focuses on one's breathing, is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. To begin with you may try a guided meditation. One can easily find audios for guided meditation online.
- Proper sleep - I am sorry to say this. Pulling all nighters will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be to study as well as answer questions in exams.
- Food for your Brain - The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not just keep scoring higher in the game! Try Lumocity and use only free version this will help you restrict your daily play time to 20 minutes and have maximum benefit.
- Eat healthier - your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Instead you could keep some nuts such as walnuts, almond or peanuts as in between munches. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white flour in your diet as much as you could.
- Exercise - is helpful in both reducing stress and increasing energy and focus. At least 20 minutes a day would go a long way. Going for a short jog of 20 minutes will make next 4-5 hours of study very efficient.
Optimize your mental state and environment:
In addition to building the habits described above into your daily routine; also adjust your environment and your current mental state to improve your concentration when studying.
Create a study space - Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed.
Remove distractions - Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration.
Reduce background noises - If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking.
Use timer - Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time.
Stay motivated - If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing 2-3 hours of intense studying.
That way, even if the material is dry, you have the reward to look forward to.
Take breaks - Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind.
Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also.
How can I help?
If you want to get individualized expert opinion about how you are studying currently and what ways you can improve; book an audio consultation with me. Once I know what your current study methods are, I will be able to give you specific tips to improve upon. Most likely once you incorporate my tips you will be spending less time studying and your grades will improve. That's what is studying smarter and not harder means!!
We have six months old baby. Currently he is at my in-laws' place with my wife. I am planning to bring my family to Bangalore. We have a question regarding buffalo milk feeding. As we get the milk from a dairy here, is it ok to feed him this milk. My wife's milk production is not much, please advise on what things to take care regarding feeding our baby. Thanks in advance.
Hi doc, my baby is 4 months old, can I give semi solid foods for her. I am worried that milk is not filling her up. As soon as she passes her loo she needs to be fed. Kindly help.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?
Hi 3.6 years daughter having cramp in stomach and thread like appearance in stool. Pls suggest what to do.
Can I give banana , chiccoo, pear, mango , dates fruits to my six month old baby . Is there any fruit among these which should be avoided?
Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.
Here's what you should look for:
Breasts that are their usual size, shape, and color
Breasts that are evenly shaped without visible distortion or swelling
If you see any of the following changes, bring them to your doctor's attention:
Dimpling, puckering, or bulging of the skin
A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)
Redness, soreness, rash, or swelling
Step 2: now, raise your arms and look for the same changes.
Step 3: while you're at the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).
Step 4: next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.
Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage.
Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. This up-and-down approach seems to work best for most women. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you've reached the deep tissue, you should be able to feel down to your ribcage.
Step 5: finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step 4.