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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 Dr. My baby is 15 days old. I had c section because of which I started breastfeeding the baby 7 days before. Wen I feed him it takes me 2 hours but then too he is hungry. And then I hav to give him lactogen. What should I do so that he should be full because I don't want to give him top feed please suggest.
Hi, my Sister went for an anomaly scan and the doctor said that the baby has "unossified nasal bone" We are really concerned and would like to know what are the chances of the baby having a down syndrome?
My nephew and he is 7 years old. He is in 2nd class. He is not eating properly on time and he is not focusing on study. He wants to watch TV only. He is short tempered. So please suggest what do we do to take him on the right way.
Hi My 17 days Baby boy crying continues since yesterday. Yesterday he had cough and cold but today he is good. I am unable to understand he's crying reason he only wants breastfeeding. please help me understand.
Hi Mam, I have a 4 year old son which was born delayed, and admitted 13 days in hospital due to blood clot in the back side of skull. Now he is looking normal but some time he has become more hi-per and throwing the things which is he has in his hand. Also he still not speaking properly. Is there any problem? Or where I have to go for his check-uyp.
Hi doctors, I have 7 months baby with average weight 5.7 kg. My baby swallow 5 ml machine oil accidentally and after 16 hours she vomiting milk. Is it harmful to her? Please suggest.
I believe that my 7 month old son has some teething problem due to which he seems to have been defecating numerous time (loose motion types). Is there some medicine which can reduce the loose motion?
My baby is of 3 months. Small white spots is seen on his face and hands. Earlier there were 1 or 2 but it increased to 5-6. Kindly suggest what could be the reason for these spots and how can it be cured.
My newborn baby girl 25 days. From tonight she is continuously crying. Whenever we lay her on bed for sleep. But keep silent and sleep when placed in mother lap. Is she is suffering from any problem. We are in tense condition due to such behaviour of her. Please advise.
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.
I am from noida. I want to tell you about my daughter. Sir I have a daughter her age is 1.9 yrs. She does not eat properly. She do not like milk and food but sometimes she drink only fruity sir please tell me the treatment of this type of like. Please tell me the medicine which will be helpful for my daughter for hunger. Thanks
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?
My baby boy is of 43 days and I am having very low supply of milk. My milk supply is of 5 ml where as baby required 60 ml at a time due to which I have to give him formula milk so Request you to suggest so that I can increase my milk supply as let baby requirement.
This s experience of mine. My baby born pretermly n his first consultation held at the weekend. The same weekend my sis in law's daughter 1st b'day. Bt traditionally her 1st b'day hap n fr that my hubby is imp n he went. Wen I asked to come fr our baby's consultation he told he go fr birthday function n went. Nw my ques is which one of the commitment is imp fr my hubby? Preterm baby consultation or b'day party? Any psychologist clear my doubt pls.
My child has vomiting and loose motion. Age 13 yrs. Male. He had eat outside food in his school picnic. Seems it is due to food.
Uterine cysts are a type of cysts or tumours, which grow in the uterus. This is prevalent in women when they are near their childbearing years. Uterine cysts have some typical symptoms, which would let you know when to consult a medical practitioner for further help. It would cause excessive bleeding for a long duration of time. There is bleeding from the uterus in between your menstrual cycles. At times, it becomes very difficult to empty your bladder and irritation and discomfort are caused. It also leads to constipation. These are frequent symptoms, which accompany uterine cysts. These types of cysts are almost always non-cancerous, but it is beneficial to take an expert advice on that matter. Homeopathy is a great option to treat such cysts.
Homeopathy is becoming increasingly popular throughout the entire world. Now it is time to prove to the world what homeopathy can offer in surgical diseases. Homeopathic medicines cannot take the place of surgery but can be of great help to the patients who do not want to go for surgery or cannot be operated upon due to various medical reasons. There are specific medications to treat cysts through homeopathy.
Some of them are:
Calcarea Carbonica: This medicine is suitable for those who bleed profusely during their menstrual cycle. Such excessive bleeding causes shivers and shrills in them, making them more prone to anaemia. In fact, excessive bleeding also influences their fertility cycles. This medicine is administered on overweight women who suffer from uterine cysts.
Thlaspi Bursa Pastoris: This is prescribed to women who experience frequent menstrual cycles within short intervals. In fact, one does not even recover from the shock of the previous cycle and the new one starts. It is usually accompanied by excessive pain in the uterus. This medicine not only treats the cysts, but also the frequent period cycles and pain in the uterus.
Trillium Pendulum: At times, due to excessive bleeding from the uterus, the patient suffers from fainting spells. Such cysts are also characterised by bright red blood flow during the menstrual cycle. These are the two main symptoms to administer this medicine on the individual.
Fraxinus Americana: Apart from irregular periods with pain in the uterus, it is also followed by breaking down spells. One experiences cramps in the feet during this type of cyst. In such conditions, the best natural homeopathic therapy that can be administered is Fraxinus Americana.
Calcarea Fluorica: This is a common medicine which is given to those patients who have extremely large tumours. These tumours are also characterised by their unique hardness.
Uterine cysts are a common problem in women and can be treated effectively. One needs to be alert about the symptoms and must immediately report to a specialized homeopathic practitioner for an effective administration of medicines, which may lead to a successful cure.
Everyone wants their babies to healthy and grow up to be a healthy-wealthy person. However, little they focus on this issue or are capable of giving their infants the best of medical standards. Problems show up in children early and if overlooked, may hamper their future life a lot. Constant check-ups are necessary to be it pre-birth or post the birth of a baby, and for this, a parent should always be in contact of a pediatrician.
Pediatrics is the medicinal branch that involves the health care of babies, children, and adolescents. It is recommended that people should be under pediatric care up to age 21. Pediatricians are involved with important tests that are standardized by World Health Organisation Child Growth Standards.
Stunted Growth Of Infants and Children
Also known as nutritional stunting, it is a distinctive reduced growth rate in human body development. Stunted growth is the primary manifestation of undernutrition (or malnutrition) and recurrent infections after birth and early childhood. Another main reason is the malnutrition during fetal development brought by a malnourished mother. The accurate definition of stunting according to WHO stands for the “height for age” value to be lower than two standard deviations of World Health Organisation Child Growth Standards.
In 2012, an estimated 25 percent of children under 5 years of age i.e. ~162 million children were stunted. More of this count nearing 90 percent lies only in two continents, Africa and Asia. The affected children may never regain their loss of height, and most of them will never gain the equal weight.
Apart from shorter stature, the adolescent may get hit by the greater risk of illness, delayed mental development, lowered cognitive capacity and women with stunted growth have a higher risk of complications during delivery due to the smaller pelvis, and the child could have low birth weight during birth.
Causes of Stunted growth
Apart from malnutrition and some rare genetic disorders, South Asia and most developing nations are having a higher number of stunted children due to poor maternal nutrition, poor feeding practices, and poor sanitation.
Poor breastfeeding during pregnancy and maternal nutrition could be a leading cause for the stunted growth of the child. Also, women who are suffering from anemia or are underweight during pregnancy are more likely to perpetuate the intergenerational transmitting of stunting.
Ingestion of a high number of fecal bacteria through the soiled finger in a poorly sanitized area leads to intestinal infections. This affects the nutritional status of his/her by diminishing appetite, reducing nutrition absorption and increasing nutrient loss.
Inadequate feeding, lack of vital nutrients, poor calorie intake can lead to stunted growth. Minimum requirements should be met in the diet in proper frequency to avoid malnutrition.
A Note for feeding mothers
Lactating mothers should get themselves proper nutrition, and if they are in doubt of their health should postpone the decision of having a child.
Chronic diarrhoea, Celiac disease, thyroid disorders and growth hormone deficiency also contribute, significantly, to short stature. Regular measurement of height & weight on a growth chart by a trained Pediatrician helps to pick up the lags in these vital growth and development parameters.