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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 son is entering middle school in the fall. What advice can I give him if he finds himself on the receiving end of cyberbullying?
Meri gudiya 2 sal ki hai aur bathroom hamesha kapdo Mai hi deti hai. She knows and tell us everything but in case of toilet she doesn't tell us.what can be done
My son is 4 years old and he sweats a lot on his head. How do I improve his vitd count naturally. Though he has a summer cut (hair cut) he sweats a lot only on his head. As you hv mentioned in your article that this is one of the symptoms of vitd deficiency, pl let me know how can I improve his vitd count in the body.
My grandson, aged 2 years and 3 months now is struggling to speak except for words like Papa, Bike, Car, Horse. He is not speaking words with'M' including Mama. What should we do?
Free tongue movement in pre-verbal infants influences their perception.says Canadian researchers.
The results showed a teether inserted into the mouth of an infant has an impact on the tongue tip and blade movement influencing speech perception.
Speech perception is available even before infants accrue experience producing speech sounds.
I am 25 year old first time mother. My newborn daughter is 2 months old. Her length at birth was 45 cm. Now her length is 55 cm. Her HC at birth was 32 cm. Now it is 36. 7 cm. Her weight was 3.003 kgs. Now it is 4.33 kg. I want to know. If she is small in her measurements? Also another concern that is making me insane is that she has almond shaped eyes, slightly slanted if we notice minutely. Epicanthal folds. We all have that fold in my family. Her nose is small. Hands and feet look very normal. Ears look normal. No palmar crease. She is an active child. Kicks a lot, can almost hold her head up. Smiles, responds to sounds, makes sounds. Nothing looks abnormal in her behaviour at all. Please reply. Please.
My son has lactose intolerance so we give him nusobee he is 3 years 3 months from past six months he get fever with in 40 days some time with in 15 days very often early he was diagnosed with urine infection but we given him medicine so I agai checked his urine routine and culture which was negative and ultra sound also done which was ok .i also give him medicine medicine for urine infection urine for 3 months so that he should not have this infection again .i give him tonoferon for iron I got tested his thelsymia when he was born because iron was very less report was negative. So please tell me reason why he get fever so often otherwise he is very active he plays runs in fever also .i just give ibugesic plus and antibiotic and he will be fine fever stays for 3 days only. So should I ger his blood test done and if yes which test I should do .
The appearance of the milk teeth is one of the most awaited landmarks in a child's life. The first teeth to erupt are usually the lower front teeth during 6 to 8 months of life, and the last milk tooth to fall off is at 12 to 14 years of age. The playful nature of teeth, difficulty to make them maintain good oral hygiene, and the food habits put the children at increased risk of dental disease.
Very often, because they are in place for a shorter duration, parents tend to ignore decay in the milk teeth. But whether it is decay or gum disease or broken teeth, it is important to immediately treat them.
Listed below are some functions that milk teeth play:
- Eating: They may be exerting slightly lesser force than the bigger permanent teeth, but they still play a significant role in chewing and digestion. Children with weak, missing, or decayed molars have poor nutrition and food habits due to their inability to chew food well.
- Esthetics: A child with a good set of teeth and an open smile is loved by all. This adds not just to the beauty of the child but also to his self-worth and self-esteem. These children feel more confident and are more social.
- Speech development: A good set of teeth are essential for the child's speech development. Improper spacing between teeth or lost tooth not replaced can lead to speech issues.
- Space Maintenance: In addition to the above functions, the milk teeth also help to preserve and "maintain" the space that is required for the permanent teeth. As the permanent tooth nears eruption, the milk tooth, gets resorbed, becomes mobile, and finally falls off. In cases where the primary tooth was lost and not replaced, the space may be reduced due to movement of the adjacent and opposing tooth into this space.
Given the above reasons, it is very important to take good care of the primary or milk or deciduous teeth. Some simple things to do would be:
- In the very early stages, before regular dental care can begin, the teeth can be wiped off with a gauze wrapped on the finger.
- By the first year of life, brushing should be introduced along with rinsing after each meal.
- A biannual visit to the dentist for oral prophylaxis with regular cleaning should be started by first year of life.
- If the dentist identifies the child to be prone to decay, fluoride application and/or pit and fissure sealants should be used.
These are sufficient reasons to take care of the primary teeth, which play a very important role. If you wish to discuss about any specific problem, you can consult a dentist.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.