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My son is 18 months old. He got scissors 2 days before. Got admitted and tested and said occurred due to infection in wbc. He does not have any fever. Hez very active. And also abnormal in eeg. Gave medicine encorate syrup and levipil syrup. My doubt is should he use this medicine life long. And are there any side effects. And does it effect in his regular life style like games physical activity. What is the care to be taken. Please suggest im much worried.
Hi I have a 1 month old baby. He has got neck fold rash on right side of the neck. Please suggest what can be done fir the rash. Any home remedy or oil or any rash cream please suggest.
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.
Hello sir We have a baby who is 3 years old and we have give her formula milk sometimes. For how long can we keep the prepared milk ? I mean can be keep it for 1 hour if she does not take it right away ? Thank you.
My baby is 1 month old. Is it ok to start weaning after 40 days? If no wat are the harmful effects of introducing solids early? Wats the best time for weaning a baby?
Could you please breifly explain that what type of vactinations/ injections should we give for newely born baby. If any drops are there to cure jaundice.
My son's age is 5. He has dust allergy normally he starts to cough a lot but in india doctor used to give Allegra and it used to work. Last 5 months back shifted to London. For the last 15 days onwards, he is constantly coughing but very less during the night time but the coughing increases after having any food or milk. The doctors are saying the chest is clear and has given ventilin evohaler.
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.
What causes cervical Cancer?
Genital Human papilloma virus (HPV) is a very common virus in both men and women that can lead to the development of genital warts, abnormal cervical cells or cervical cancer.
This virus can cause normal cells on your cervix (Know more about Cervix Infection) to turn abnormal. Over many years, abnormal cells can turn into cancer if they are not found and treated by your doctor. It can take 10 to 15 years (or more) for cells to change from normal to abnormal, and then into cancer. Abnormal cells are sometimes called 'pre cancer ' because they are not normal, but they are not yet cancer.
You cannot see or feel HPV or these cell changes on your cervix. Screening tests help us to look for these changes or for abnormal cells (Learn more about sexually transmitted diseases)
How is HPV spread?
HPV is transmitted during genital skin to-skin sexual contact. This includes vaginal or anal sex and possibly oral sex.A person can get HPV even if years have passed since he or she had sex. They will never know it because HPV usually has no signs and symptoms.
In most cases, HPV goes away within two years, without causing any health problems. It is thought that the immune system fights off HPV infection naturally
What screening tests exist for HPV- related diseases?
Cervical Cancer: Cervical cancer can be detected with routine Cervical cancer screening (Pap test) and follow-up of abnormal results. The Pap test can find abnormal cells on the cervix so that they can be removed before cancer develops. Abnormal cells often become normal over time, but can sometimes turn into cancer. These cells can usually be treated, depending on their severity and on the woman's age, past medical history, and other test results.
An HPV DNA test, which can find certain HPV types on a woman's cervix, may also be used with a Pap test in certain cases (called co-testing). The HPV-DNA test is done to determine if you are infected with one of the high-risk types or if your doctor finds certain type of abnormal Pap test result.
Even women who were vaccinated when they were younger need regular cervical cancer screening because the vaccines do not protect against all cervical cancer strains.
Is there a treatment for HPV or related problems?
HPV vaccination could prevent most cancers and other diseases caused by HPV. There is no treatment for the virus itself, but there are treatments for the problems that HPV can cause:
Visible genital warts may remain the same, grow more in number, or go away on their own. The warts can be treated when they appear.
Abnormal cervical cells (found on a Pap test) often become normal over time, but they can sometimes turn into cancer. If they remain abnormal, these cells can usually be treated to prevent cervical cancer from developing. This may depend on the severity of the cell changes, the woman's age , past medical history, and other test results. It is critical to follow up with testing and treatment, as recommended by a doctor.
Post detection of ovarian cancer the doctors , depending on your cancer stage can recommend the treatment more- surgery, medical treatment, radiation therapy or chemotherapy.
My daughter is 5 yrs old and she has got dark circles below her eyes by birth. Some times it is light and some times it get darker. How these dark circles can be removed.
My daughter age is 11 now she is having fever, doctor has told he has given 3 days medicine suspecting mums, what she should take?
My child is only 5 month age. Some issue on his head like dandruff. Please help me. I lived in delhi.
Sir, my son is 5 years old, he is suffering of paratotitis. What kind of treatment will be given to him ?
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.
Hi, my 1.5 years old daughter is having fever and cough cold for 4 days. Temp increases mostly in night. Her head usually gets hotter than other body parts. I have consulted a pediatrician and she has given few syrup. Paracetamol plus two other syrups. But the fever has not come down yet. For few hours she gets normal with temp 99.6 or 99.8 but most of the time it's 100 or 102. 3F. I am keeping a mild cold water napkin on her forehead for 2-3 times a day. Please suggest if I should go visit the doctor again or this fever is normal and she will be alright. She is on medication since three days. Please reply ASAP. I am scared. Also recommend best pediatrician in South delhi taking appointment in evening between 5-8.
ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.
The symptoms of this disorder among children can be categorized under three headings.
1.Hyperactivity which includes
- Fidgets often
- Inability to stay at one place runs around and tries to climb things
- Trouble playing quietly
- Excessive talking
2. Inattention, which can be divided into symptoms like
- Getting easily distracted
- Tendency to loose things
- Facing problems related to organizing things
- Not listening carefully
- Forgetting about daily activities, carelessness
- Interrupts others as they speak and talks out of turn
- Answers questions without listening to what has been asked
- Not being able to wait for their turn to come
10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.
The probable causes of ADHD among children are,
1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.
2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.