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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 baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. We are giving her enfamil a+ and rice dal. Please suggest what to do ?
Bronchitis asthma since 10years, cough, mucoid sputum 15days, Rs no added sounds, spo2 98%. B/L minimal basal, bronchiectasis radiologically stable. Tcdc bvse normal. The above was scripted on prescription.Kindly advise i am aged 54 years having hypertension. Weight 65, height 5'11.
Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
epilepsy – a condition that affects the brain and causes repeated fits or seizures
Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
carelessness and lack of attention to detail
continually starting new tasks before finishing old ones
poor organisational skills
inability to focus or prioritise
continually losing or misplacing things
restlessness and edginess
difficulty keeping quiet and speaking out of turn
blurting out responses and often interrupting others
mood swings, irritability and a quick temper
inability to deal with stress
taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.
I am having a 3 years old daughter, who was recently admitted to Hospital due to Nonobstructive refluxassociated chronic pyelonephritis. The doctors have given medicine and regular check up at intervals are being carried out also. But, even after so much of medication, we are unable to remove the constipation. Any suggestions on this issue as to how to resolve the problem.
On 5.10.16, we shifts with our baby just 8 months old child from our native village to New Delhi who was feeding cow and mother's milk there. Now we have changed to buffalo milk in Delhi. Today he start vomiting two or three times. Suggest us. Thanks n Regards.
My son (19 months) does vomit every almost 10th day. Yesterday night same happened. He did vomit whole night, like 7-8 times in a night, around every 1.5 hour. He took milk around 5 am and he vomited in just 5 min, then in morning he just a sip of water and he vomited same, after 1 hour he is having fever and cranky. He is not eating anything. Doc always give some powder to increase bacteria in stomach which digest food. What to do? No clue for why it happens and when it will stop.
Sir mere bache ko RTA TYPE 2 HE aur uski umar 04 month he kya wo puri trah thik ho sakta he aur jab wo bimar hua tab caretinin 8.00 tha aur abhi 2.80 he.
I am feeling that I am somewhat special, if I go in front of mirror, I start to think who is she, my parents are not mine, every thing which is mine it's seeming that it's not mine actually. These type of feeling actually effecting me. what should i do ?
My son is 4 years old and has cold blocked nose every now and then. Disturbed sleep he has I give him mucolite whenever he gets the blocked nose but always I don't want to give him medicines. Once I stop them after a week it comes back again. It's worse when he sleeps. Pls help.
Hello Doctor, My daughter is 2 years old. I have two questions. 1. We are struggling to feed her everyday. She don't like to eat any sort of food beyond 2 spoons. Even if we involve her in some play and feed, she will vomit in some time. Not sure of reason. Can someone please help. 2. We forgot to take her for 2 years vaccine. Is there any problem if we take her for 2 years vaccine even with one month delay.
Can you please suggest an Indian diet for a 17th month old baby boy diagnosed with nephrotic syndrome. Thanks.
Hello doctor. My baby is of 6 months . Can I give her mosambi juice now. In our area its raining. Whether it will cause cold?
My daughter is 2 and half months now. She is. Passing stools from last two weeks in a watery way. And it happens as soon as I feed her. Coming along with a fart. She is only on breast feeding. She s not sleeping in the day time after this. Am not eating anything from outside. Only diet from home. Kindly guide.
My 17 months old baby girl is not able to speak clearly. She responds when we call her but her voice is not clear. She speaks loudly but unclear. Please help.
My daughter age is 2 years still she is having 10 kg weight. She is not eating properly then what I have to do?
Hi. My baby 10 months old does not eat anything. at least not even a spoon of food she takes. She is bottle fed from birth. No health issues. But eating has become a big concern. When ever we try to feed she pushes the spoon or turn her face other side or closes her mouth tightly. Please suggest me.
Sir I have one daughter of eight months old and his name is hrudya. She looking very week and I check his weight and found eight kg. So what can I do for increase his health.
Develop good study habits. Proper study habits and preparation are the keys to cutting out exam fear
Keep your mind and body healthy by getting enough sleep, eating well and exercising.
Meet with your instructor to aid in focusing your study sessions.
Practice positive self-talk as you prepare for the test. Create a mantra to help you calm your test anxiety. Repeat a phrase, such as" I just need to do my best" or" I will be prepared for this test"
Relax the night before your test. A last-minute review can help you remember facts, but fretting over last-minute studying is likely to cause you more anxiety.
Beat the morning rush by waking up early. Give yourself time to eat a nutritious breakfast that won't weigh you down or feel greasy in your stomach.
Manage your anxiety with relaxation exercises as you wait for the test to start.
Scan the test to find questions that are easy. Answer those test questions to give yourself a confidence boost.
Understand that you are not alone and ask for help as necessary. Exam fear is normal.
Reward yourself after the test is over. The reward gives you the break you deserve after all of your studying. Treating yourself also helps you stop thinking about the test and analyzing every little mistake you may have made.
Please consult a psychologist for counseling and valuable tips.