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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 11 months old baby is suffering from cold badly. She face difficulty to breathe while sleep and taking feed. What to do?
My daughter is 4years 8month old. Yesterday she has been detected a minus cylindrical power. Does she need to wear spectacles all the time. What can help her reduce her power. What are the present technologies that can help her.
List the food item should be given to lactose intolerant 10 month old boy baby. Daily what should be given? To become fat.
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.
Namaste my daughter has cough since 5 days. I used cough syrup and cough tablets. Her age is 8 years? What is the reason for cough to my daughter? What is the proper remedy and it increases more in night.
My child has 4 years old now but his height is very short & weight is only 11 kg please give me some suggestion or best specialist doctor.
My newborn son is 12 days old and he rarely burps after breast feeding and spills milk sometimes. I am really worried if its fine. He also has jaundice (8.9 when last checked on 8th day) and doc has said it will go on its own on 20th day. Shall I be avoiding certain foods or my daily massage that my midwife gives? Doc has also suggested not to apply nothing on his skin but he is having little pimples on his face.
My baby is 20 days old she is 2.5 kg now. When can I use diaper for her. She is wetting full body in night times and she becomes cold.
Give some good goodtonic name so that my 10 year old kid gains weight he is 10 years old and 23 kg height is 4.4.
I start my 5 years old daughter to eat egg. On per day sometimes two. After eating she takes her dinner that contains MALAI cream of milk. Is there any problem that may attack like Vitiligo or should I stop egg. Kindly advise me.
My daughter suffering from loose motion and 102fever from last 15days. She is just 10months old. What should I do?
Hello Doctors, My son having 4 months age and from yesterday he is having cold so we given CORIMINIC drops - 4 ml once in the morning as per doctor earlier prescribed. If it is not clear can we give one more time the same drop today evening? And also it will be great if you are suggesting anything. Thanks.
My baby is following problem. Symptomatic lgs. Partial agencies of corpus callosum. L orbito frontal mcd. Autistic spectrum disorder. Please send any treatment or best doctors address in coimbatore or tamilnadu. Thanks.
My baby is of 51/2 months and still on breastfeed. Can I start with something else? and if yes, then what it can be?
Dear Doctor, My Baby is 4 month and both kidney are jointed to physically but not any issue but your opinion in future life in my baby any issue?
Dear doctors, My son who is 4 years old now, has a habit of chewing his clothes and any random objects in hand. He does that usually when not engaged in any activity. He also sometimes pronounce words opposite to what he means. For e.g. When he wants to move forward he moves forward but says he is moving back. He isn't shy and do approach people to make friends be it his own age or elders. But at times get conscious of crowd. He panics if he doesn't see me around when at a new place. That's the reason he isn't comfortable going to school. I am concerned whether it's a serious issue or just a behavioural pattern. Pls help! Thanks.
Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:
- Social withdrawal
- Feeling of worthlessness
- Difficulty in concentrating
- Reduced ability to function during events
- Continuous feelings of sadness
- Physical complaints
- Depression in children can be caused due to the combination of a multitude of reasons.
- Children from a family history of depression are more likely to be suffering from depression.
- Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
- Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
- Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.
In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:
- Changes in eating, sleeping or activities
- Isolating oneself even from family
- Talking of suicide, feeling helpless or hopeless
- Increased risk taking behavior
- Substance abuse
- Giving away possessions
Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.