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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 5 years and 6 months. He is having congenital issue with renal fullness. We are ongoing his treatment in Cochin kerala. 6 months back we have go through reflux injection treatment. Today we have done the MCU test and it shows no improvement. Now we have to go ahead with key hole surgery. It is possible to have an expert advice from the best pediatric surgeon from india about the possible treatments avoiding the surgery and advice us if we are doing the correct treatment for our son.
My nephew is 8 months old and he is having high ESR. He is having cough and due to that not eating anything and vomiting after consuming little milk. P previously he had fever also but we gave him pcm & ofloxacin drops. So fever is gone now. But he is not consuming anything and became very weak. Not that much activity as he was before. All the times he is cranky and crying a lot. Please help.
My 16 days old baby is on breast milk but sometimes when he feels hungry I give him formula milk Farex with bottle. I wanna ask, is there any problem to give formula milk n breast milk both? And he is not passing poop from last four days Plzz need urgent help.
My 9 years old child is not toilet trained and soils the clothes. He can not tell or realize that he has to go to toilet to pass stool or for potty and ends up dirtying the clothes. Can he be cured? What may be the problem?
My daughter is of 4 years old andvher weight is 11kg and height is 93cms my problem is that the weight ang height of my child is not increasing although I give all proper diet to my daughter but its not gaining weight so pls suggest what to do and what is the reason of not increasing.
My daughter is not interesting to eat any food. I have applied all formulas for her. But she is not interested. Please sir, suggest me for my daughter. Thank u.
Can we give honitus syrup with adulsa syrup to my 3 years daughter As she is suffering badly cough I am giving her Himalaya tulsi syrup too. Please advice
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. If you wish to discuss about any specific problem, you can ask a free question.