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Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
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I have a baby girl.At the time of birth her weight was 3 kg. But after that she was not able to digest mother milk. .So doctor sai to stop feeding for some days. I hv stop feeding for 20 days. Then started feeding. But my baby's weight not gaining properly. Now she is of 13 months old and weight is 7.8 kg. Shebis not eating properly. And some days if she eat properly then vomiting due to access food. I think she is not able to digest food. My doctor gas given medicine SP LYCIN for weight gain.Should I continue that drops for long time? I also want to know How much weight should be for a baby girl at 13 months age? What should I give her to eat every day for calories gain? What kind of problem will be there if weight is less?
I am male 34 years , got married five years ago. But I do not have kids yet, consulted many doctors , got many treatments both of us, wife and husband, but no results, some says she got problem and some says my sperm count is low, we are confused.
My baby boy is going to be 6 months this 29 he' s on bf plus morning & night nan pro 1 please advice a schedule to start semi solids in how much quantity and gap if days or should I continue nan pro 2 or start packet milk
I forgot to give my baby IPV vaccine. Now he is 9 months shall I start IPV vaccine now is it ok and safe.
My son age 5 month 15 days, weight:- 5. 3kg, he had suffered the whole of heart (size-6mm). So what I can do?
I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N 2 iui cycle not succeed. Doctor advise me for laparoscopic surgery for seeing is there any infection in tubes. Pls suggest me other alternative except ivf n laparoscopy.
Hi I have a 3 year old child, he is in play school. Before going early morning school he takes only a glass of milk and some biscuits or cakes in his tiffen box for break time, is it good for him. I am really confused about his healthy food schedule. Please suggest me, what kind of food I should give him during his schooling and after?
Basic information given above is of my baby girl. She is of one and half month age. My question is whether to provide water for my baby during this hot summer or not? Is it necessary to give gripe water?
My son who is 14 months old. He still didn't wave bye and some time did not respond his name did not clap he can sit, cowl but very weak do I visit doctor or is it normal I fear is he showing symptoms of hypotonia please Guide me.
My son is 8 yrs old. He is very active while playing. But when he is asked to sit or stand somewhere he wont sit or stand straight he leans on others nearby or anything near and tell that he is tired. Also inspite of eating all healthy foods he looks very slimhow to get rid of his tiredness and make his body fit?
Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.
- Congenital GHD - This form of GHD appears from at the time of birth itself.
- Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
- Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.
GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).
- Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
- Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
- Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
- Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
- Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.
- Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
- Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
- Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.
Tests to determine GHD:
- Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
- Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
- MRI-MRI scan can determine the health of your brain and pituitary gland.
- Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.
- Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
- Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
Hi, I have a 19 month old daughter. She is always throwing tantrums and gets upset over small things. She cries a lot when we don't give her whatever she desires and eventually has her way. I don't want to spoil her and need help to understand her psychology and control her behavior.
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.