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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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I have 6 months old kid. I'm breastfeeding her. Initially my Dr. Told me to continue calcium and iron tablets till I feed the baby. So I'm planning to continue breastfeeding at least for a year. So till that I need to continue calcium and iron tablets?
My child (2 years old) is having blisters in throat due which he had fever which has now subsided but he is not eating or drinking anything. Due to this he is getting irritable. Currently Doctors has prescribed Zytee which is a pain relieving gel, Maxtra and azithral. What could be a better medicine for his blisters.
Hello, I am father of 7 months old baby. Last week she got cold and cough. We went to pediatrician. He wrote medicine, There was not any visible effect. At the sometime, we can now see little blood in her stool.
My baby is 7 months old and his weight is not growing. The weight increases only 200 gms a month. Currently his weight is 7.2.so I am worry about it.
My kids are 4 month old. I prefer painless dtap/dtwp vaccine. Is it equally effective as painful dtap/dtwp vaccine?
Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible.
Why to worry?
Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem.
When to worry?
Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys.
What causes growth failure?
Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy).
How can I improve my child's growth?
Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth.
What can be done if my child is very short?
Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease.
Time is important- act now if your child is short.
Hi .I m from srinagar kashmir. I hv a daughter aged 4. She has a problem with her nose. Inside her nose she has adenoids and she is so allergic. I consulted many doctors here but all was in vain. She always has a running nose and sometimes blocked nose. please suggest me remedies. Thanks.
My son will complete 2 years of age in coming September. Please help me some guiding some good or healthy food for him as now a days he is not looking anything as what ever we give him he takes that from his mouth immediately and keeps crying for not eating. . He is also losing waiting because of this. Req for some relevant answer which helps.
My son is- 8 years old. Having 38 kg weight. becomes fatty since last two month. H/o- Adenoids (opeBeaches rative not done) Thyroid test done. Values are T3- 231.8 mg/dl T4- 8.09ug/dl TSH- 1.77uig/ml Is there any disease? Please tell the prognosis.
My son is six month old. Which type of food I should give to him. He is also on formula milk lactogen since 3 month old.
I'm a 34 years old mother of 2 girls, and a 14 years old son. My son has always been a loving, caring, well behaved child. Only problem that we have had is the first years and a half of middle school as he was focused on being cool. He's grades began to slip for a short period. Recently I found out that he gently rubbed my 16 years old sisters butt, and tried to slide his hand down her panties while she was asleep, one night while she and my mom came for a visit. My little sis slept in his bed, and he slept on floor beside the bed. He got as far as his knuckles when he pulled his had away. He says he stopped he felt guilty" Gross and disgusted" were the words he used. It truly flabbergasted me that he did this. I didn't believe it when I was told he had done this. He has always been a caring child. A kid that truly cared about other's feelings. My question is. Could this be normal exploration even though he chose to do this to a sleeping young lady, or could this be something that I should worry about as I have a 12 years old daughter, and a 3 year old daughter that doesn't speak well yet? I love my son and I'm very worried about this. Does he need counseling?
Cleft lip and cleft palate are the two most common birth defects affecting children all over the world. What happens in the cleft lip is that the upper lip is incompletely formed and in cleft palate abnormalities, we see babies with an incompletely formed roof of the mouth. Both these can be found individually or can occur together. These conditions can be severe or mild and affect one or both sides of the face.
The fEtus undergoes the separation of the upper lip and the roof of the mouth pretty early. In certain cases, this separation does not happen or happens incompletely and certain parts of the upper lip and roof of the mouth fail to form properly leading to cleft lip and palate.
Repair through surgery
- Plastic surgery is the only way to repair a cleft lip and/or palate. Both of these impair vital functions like speaking, eating, breathing, and hearing properly.
- Surgery is done to restore function and to make the affected child look more normal.
- Most cleft lip and palate surgeries are done on very young children usually 3 months to a year old.
- Before the actual surgery, a team of specialist define a course of treatment, including repair of the cleft using surgery, which means plugging the hole in the lip or the palate; speech rehabilitation and dental restoration, as the child usually has no teeth in the affected parts of the upper palate.
The specialists required are:
- Plastic surgeon
- Pediatric dentist
- Ear, nose, and throat specialist
- Auditory or hearing specialist
What happens during surgery?
Usually, cleft lip surgery happens in children as young as 3-6 months old. It has to be carried out under general anaesthesia. If the condition is severe, and the cleft lip is wide, special procedures like lip adhesion or a moulding plate are used to bring the two parts of the lip closer and it is fully repaired.
Cleft palate repair surgery is done at the age of 9-12 months only.
What happens here is that plastic surgeons bring together the muscles of the upper soft palate and rearrange them to cover the gaping hole in the roof of the mouth. The surgery is usually done under general anaesthesia and requires a short hospital stay.
- Without a normal palate, the child can’t speak properly. So, surgery helps to improve and normalise speech.
- And that’s not all. The child may require more surgeries as he grows older to treat these two problems.
- This is because the child’s facial structure changes and he or she may require advanced surgeries like pharyngoplasty, which helps improve speech, or alveolar bone grafts to provide stability for permanent teeth.
- A bone graft is usually done when the child is 6-10 years old and it closes gaps in the bone or gums near the front teeth. If you wish to discuss about any specific problem, you can consult a pediatrician.
My son is 6+ years old. From last 2 months he has developed few motor tics like stretching his eyebrows and eyes upwards and stretching his mouth wide open. What should I do. Which Dr. should I consult. Neurologist or psychiatrist?
I have a 4 months aged son. His weight is 6.5 kgs. There is no fever. Problem is he is not passing the stool everyday. Once in 5 days is passing stool. Doctor prescribed vitazyme and milk of magnesia syrup but there is no use. Kindly help me.
My son- 1 year 3 month age, body very weak- 8.100 kg weight. Only, in his blood test- found ammonia very high 4.8, calcium very low, blood low, so to control ammonia to reduce which food will I give and which food to avoid, which food will give to increase blood, calcium, please Doctor give suggestion.?
My baby is 25 days old and every time she passes gas or even otherwise little poops comes out. Her normal poops are abut 3 to 4 times per day but this small ones means I am changing her nappy in every five minutes. Please advise is this normal or not.
In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
- This is popularly known as juvenile onset diabetes.
- Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
- People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
- Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
- Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
- Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
- Sometimes, oral medication or insulin injections are also needed.
- Extreme thirst and hunger
- Frequent urination
- Sores or bruises that heal slowly
- Dry, itchy skin
- Unexplained weight loss
- Unusual tiredness or drowsiness
- Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
- Morning at 6: teaspoon fenugreek (methi) powder + water.
- Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
- Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
- Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
- Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
- 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
- 6 pm: 1 cup soup
- 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
- 10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
- Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
- For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
- Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.