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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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Hello doctor. My daughter is 2 month old. She is very crying. And not sleep well in night. What the reason? How to stop crying? Pls tell me.
I am having a baby boy six months 22 days old he is having a PDA size 3mm and having shrinkage in one of his bicuspid valve in heart. Is there possibility that PDA can be filled on its own. Kindly suggest what is required to be done.
My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic powder on it which contains (neomycin, bacitracin and sulphacetamide. And what is the procedure to apply?
Hlo sir I have one baby 1 year I am feed him BT now I am pregnant kya mai apne pehle bche ki feed continue rakh skti hu SB mana kr re hai I am confuse tell me.
My son is 2.5yr old and his growth is delayed as he was 1month 10 days premature. The worrisome thing is he is not interested in type of food. So his diet is very limited. Kindly suggest what should we do to improve his dieat.
Hi. My daughter is 7 years old and still doing thumb sucking and after trying so many things. She is so adamant and reacting very badly, when I insist her not to keep finger on the mouth. Seriously her teeth shape is too works now and im really worried about this. Please help me to proceed with this. Do I need to consult any paediatrician to discuss with this?
I hav 2 small kids 5 and 3 years of age and am a homemaker. I am having CTS in both hands for last 1.5 yrs. Medications couldn't help and Drs hav suggested for surgery. Is it open or endoscopic? R there any alternative like physiotherapy or home or ayurveda? How long does it take to recover in a surgery?
Hello Doctors, My son having age of 1 year 2 months and today morning while he tried to walking suddenly he fell down like back side position and back side of head hitting in the tiles. I am little worrying like will be any issue or not. He cried lot and I just rubbing his head through my hand. Kindly provide your suggestions. Thanks
Dear Sir, my nephew (10 years old) entire body has become small pimple eye swelling, doctor described it chickengunia due to blood infection, how it spread or is it chickengunia symptoms, what precautions should be taken and which test, medicines you prescribed please guide me.
Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.
Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.
Now what are fibroids?
Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.
Now what are the symptoms of fibroids?
The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.
Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.
Now, what are the treatments available for fibroid?
Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.
- If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
- If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
- Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.
So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.