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Treatment of Child and Adolescent Problems
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)
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Management of Childhood Nutrition
Child Growth Management
Management of Postnatal Care
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• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
SIGN AND SYMPTOMS:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.
• Avoid bony injuries, to prevent factures.
• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.
• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.
My daughter is 7 .she has fever around 100 for last 24 hours Consulted doctor crocin 3-4 times a day and ibugesicbis advised at nite Body is less warm .head is more warm Can you advise Doctor says nothing to worry She is little active though.
Hello Doctor, I have a 5 month old baby girl. She was born on 32 week of gestation. Sept 13 2017 she was born. Can you please tell me what is her corrected age as my due was Nov 10. And also how much ml feed she should be having now. She is having expressed milk till now.
I have severe night time back pain and knee muscle pain after the delivery of my baby. My weight is 65 kgs and height 5 ft. I breastfeed my baby in sleeping position. Please give some good medication.
My baby is 5 month old. She is on formula milk. She won't put her feet down to stand. What is the reason?
To help your children protect their teeth and gums and greatly reduce their risk of getting cavities, teach them to follow these simple steps:
1. Brush twice a day with fluoride toothpaste to remove plaque-the sticky film on teeth that's the main cause of tooth decay.
2. Floss daily to remove plaque from between your teeth and under the gumline, before it can harden into tartar. Once tartar has formed, it can only be removed by a professional cleaning.
3. Eat a well-balanced diet that limits starchy or sugary foods, which produce plaque acids that cause tooth decay. When you do eat these foods, try to eat them with your meal instead of as a snack-the extra saliva produced during a meal helps rinse food from the mouth.
4. Use dental products that contain fluoride, including toothpaste. Make sure that your children's drinking water is fluoridated. If your water supply; municipal, well or bottled does not contain fluoride, your dentist or pediatrician may prescribe daily fluoride supplements. Take your child to the dentist for regular checkups.
My daughter has congenital third nerve palsy. she is 3 years old Right eye hypotropia with severe ptosis and pupil dilated We had been informed that first strabismus surgery will be done and later ptosis is corrected after few months with another surgery. May I know how dilated pupil will be recovered as her eye is sensitive to bright light and cannot open.
Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:
- Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
- Nightmares: They might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
- Obstructive sleep apnea: Snoring might be the result of improper respiration while sleeping and while it isn’t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.
- Bedwetting: This is something most children experience, but usually grow out of by the time they turn six. It doesn’t need to be a cause of concern unless the frequency doesn’t reduce over time and more than two instances of bedwetting take place in a week.
- Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
- Excessive daytime sleepiness: Excess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn’t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day.