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Treatment of Child and Adolescent Problems
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Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.
My son was born in eight months itself. But his weight was normal. He was 2.5kg. There was no respiration problem also. Everything was normal for him. But his legs will shiver sometime. When I consulted with my doctor, she said as he was premature he may have less strength in his legs and he'll be fine after six months. As she said after six months there was no shivering. In his fifth month he rolled over. Eighth month he started to crawl. Ninth month started to stand with the support of sofa and chair. From tenth month he started to stand on his own for just 5 secs. Now he is eleven and a half months old. Now he can stand alone for more than a minute and also be walks with the support of chair or wall from tenth month itself. When will he start to walk on his own? Will there be any problem for walking because of the shivering?
Hi m having 2mnth baby. Since my breastfeeding is not much so I have to giv my baby dexolac. Can I giv him cow milk? Will it be ok? Else with wat should I feed him to improve his health? please help.
My baby girl is 8 months old and she is weighing 7.3 kg. Please let me know if her weight is correct.
My baby is 8 month old and I slowly started introducing solid food to him, I was exclusively breastfeeding him for first 6 months and now once a day I am breastfeeding him .how many times can I feed breastfeed in a day. Baby is also not more interested in feeding.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. I gave her less than an ounce of water and she threw it up within a matter of seconds! I have tried infant tylenol crackers and water please help.
I have pain in my tooth for 2 days. What I do for this so that I got rest from this pain. What I do for this it really pains badly. Suggest me some tips to remove my pain?
Hi! My baby is 6 months old. I am trying to give her cerelac but she don't eat. Tried giving her biscuit, oats home made rice and carrot purée but she don't eat. Only breast feeding. She drink hourly just for 2-5 minutes. Kindly suggest what food should I try giving her?
Hi this is for my baby he is eighteen months he not eat anything please answer me how can give good food please.
My son is about 8 years old. He is very good in gymnastics, taekwondo, sports etc. Very active. But he is thin. I want him to put on more weight and become little chubby. Please suggest some good food, nutrients, etc so that he puts on some weight. Thanks.
My kid is 7 months old now and I wish to nurse him at least for 6 more months. I feel there is a reduction in milk quantity. Started taking Galact granules 2 months back but did not find it boost the milk supply. Please suggest diet to increase milk supply.
Hi my son is 1 month old and he vomit milk frequently after every mother feeding. Kindly give me solution sir.
Is watching porn and masturbating right for me?(I'm 16 years old. Does it cause any harm to my health or stamina and does it affect my concentration and cause distraction in studies? It wastes lot of my time and I feel a bit guilty after doing it. What should I do? Stop it completely (which is very hard for me) or continue it and do it once in 2-3 days?
This is extremely common in Indian babies. This appears as a blue-grey patch on the buttocks or the lower back. The patch can be quite large in size. They look unsightly, but apart from the cosmetic appearance, they do not cause any problems. Often parents confuse it with a bruise and see a dermatologist when it doesn?t settle down. This can be safely ignored and it may either disappear or become smaller with age.