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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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Hi, I have 7 months old baby. Which brand is good for my child's skin, himalaya or johnson's baby? And please tell me the reason.
Sir please prescribe medicine of my daughter that suffers from vomiting and loose motion. She is nearly six yes old.
Hi doctor. I am on vacation & my 6.5 years is complaining of stomach pain and throwing up even water also she is going for frequent urination. Please suggest what to do.
My son is too active not sitting in one place. I wanted to identify whether he is a hyper active child his age is 2 years & 3 months old. How to identify whether he is a normal child or hyper active child.
I have a 23 days old baby girl but she didn't cry after birth. She was admitted in nursery NICU for 20 days. Now she is at the home. But she is not crying yet and have no normal activity like a healthy child. Feeding and medicine is giving by tube. She is suffered from birth asphyxia. AGA. RDS. HIE grade 2nd. Sepsis. Shock. ATN. please tell if she will get well there is no disability. I mean mentally or physically. Please give opinion.
6 to 8 leucocytes found in urine for a boy of 8 years. Please advise the medicine to be used. Is Novamax 250 ml, Mefta gesic DF and Citra Ulka are useful? If not kindly suggest medicines a small boy of 8 years.
Can I give both ostocalcium and orofer XT syrup to my son together, if yes then can it be given at same time or at different time interval.
My son has very dark colour near neck area. Underarms and near thighs. He is overweight and 13 years old. Give some remedies for this.
Can we take along 5 weeks old baby to nainitaal from delhi for three days by car? is it advisable considering the different wether condition of two cities?
Hi, I'm a 14 years old girl. I am a boyish type of girl, I don't really go out of the house don't have a boyfriend since birth, I'm very focused on my study, and I'm an achiever in our school as well, And when I go out my parents are always w/ me, I masturbate w/ my pants and panties on but just rubbing it not fingering. So I have this very strange feeling, & I don't even want to mention it cause it's very impossible. Because after I go biking on thursday my nipples hurt when they're slightly touched, is it because I only wear sando bras instead of bras? And also my pimples are coming out. I didn't get my period yet but there's also a problem in my period, Cause when I got it It's like a flood flowing and lasts until 1-2 months and skips form 3-4 months that's also the reason why we go to a ob gyn for a check up last summer, And then the ob gyn gave me some trust pills which has numbers of days in it and has yellow and brown color. But still my period skips 1 month now only and when I got it it only lasts 5 days. Then in the evening I only ate a little amount for dinner and just ate breakfast w/ one scoop of rice only in the 10/11am, I didn't ate lunch, But I take snacks SOMETIMES in the afternoon (That's the way I eat and been months since I do this) And I also often drink soft drinks. I drink them like water when I get thirsty. So later on in that evening. I slept at 11pm and just suddenly woke up at 1am w/ sort of nausea, A little Abdominal pain, I got cold, I urinate frequently but a just a little amount of urine, I farted a lot, My tummy is bloating, I cannot finish a yawn, I have a little blood in my rectal, I have hard and liquid stools, And I cannot go back to sleep so I stay awake until 6am. Then when I take my breakfast I like to vomit it but I forced myself to eat it but then I didn't vomit it but I had hard time chewing it. Pls help me. I'm very worried and confused now!
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.
My 4 year old son always angry very quickly. He is very aggressive and most of the time he is just out of control. His palm most of the time remain little bit hot.
My 8 years old son gets cough and cold often what is the correct medicine for him he has breathing problem to he has mild heart valve problem with. Doctor said not to worry he his not taking any medicine for it.
Ongoing monitoring is essential to maintain and establish the lowest step and dose of treatment to minimize cost and maximise safety.
Typically patient should be seen one to three months after initial assesment,and every three months thereafter.After an exacerbation.the patient should be assesed within two weeks to one month.
At every visit the patient inform the doctor following.
Use of short acting B2 agonist
Night awakening due to cough/breathlessness.
Interferance in day today activity by cough/breathless.
Any triger observed by patient.
Any concern regarding drug use.
On the basis of above information ,doctor can step up,step down or continue same treatment.
If asthma not controlled,then step treatment
If asthma partly controlled ,then consider stepping up treatment.
If asthma well controlled for three months ,then step down treatment is recommended. The goal is to maintain control with minimum treatment.
Monitoring is still reccomended even after control is achieved,as asthma is a variable disease,treatment has to be adjusted periodically.