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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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I am 19 years old. I gave a birth to a girl baby 3 months ago. I feed breast milk for sometimes. After sometime I feed powder milk. What kind of food that increase the lactation. And what are the other steps for it?
One month baby girl complain of cough and cold nasal condition running nose and eyes are completely close like conjunctivitis please advice.
The stress of a modern lifestyle have taken a toll on the mental health of the population all over the world. Earlier, it was adults who were mostly affected by the problems of depression, anxiety and stress. However, with the passage of time, even children are also suffering from major mental health problems, the roots of which again are anxiety, stress and depression.
Reasons behind it
Be it adults or children, the major cause of health issues is stress. Stress doesn’t only cause mental health problems, but serious physiological disorders as well such as hypertension, diabetes, heart diseases, sexual problems as well as other issues. If the anxiety or stress persists, it would then slowly develop into a pattern of the mind and then become conditioned, thus leading to depression. Nowadays, children are also being afflicted by depression. Similar to adults, depression in children is caused due to any combination of factors that are related to life events, physical health, family history, genetic vulnerability, environment and biochemical disturbance. It should be noted that depression is not just a passing phase. The symptoms are often left undiagnosed as well as untreated. This is because they are passed off as normal psychological and emotional changes that occur naturally during growth.
Some of the typical symptoms are:
1. Loss of interest in pleasurable activities such as hobbies or crafts which were pursued earlier eagerly
2. Loss of concentration
3. Sudden outbursts
4. Sleeping too much or sleeping too little, suddenly waking up early in the morning
5. Constant fatigue, decreased energy and being slower than usual at tasks
6. Excessively low appetite or increased appetite which would thus result in weight loss or binge eating resulting in weight gain
7. The development of physiological disorders which may stop responding to treatment. Many children develop headaches or digestion problems which aren’t resolved by medication.
8. Always sad or irritable or in a depressed mood
9. May find it difficult to sleep or concentrate on work and thus, studies and grades may suffer
10. Extreme and sudden mood changes accompanied by incessant crying
11. Suicidal thoughts
12. Loss of energy as well as lowered self esteem
With children, you have to be extra careful not to ill-diagnose the problems and if they persist for more than a few weeks, you should seek professional help. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Hi - I have 35 days old baby. Please suggest me some tips to make breast feeding easier. How often we can feed? Ideas on foods to eat and avoid during tis time ?
My baby when born is iucr and he is 2 now but he is not healthy not eats food what to do. Please tell to make him healthy.
Hello doctor my baby is 2.5 years and she got muscle strain in left side of her neck. Please suggest best available treatment and medication.
I had surgery to remove a cyst from my scalp. My test report shows cells named s100 with Schwannoma. What is it?
What You Need to Know About Clubfoot?
Clubfoot most often presents at birth.
Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.
Clubfoot is twice as common in boys.
Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.
Children with clubfoot should be able to take part in regular daily activities once the condition is treated.
What is clubfoot?
Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).
Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.
Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.
Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.
What are the signs and symptoms of clubfoot?
In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.
What are the risk factors of clubfoot?
Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.
The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.
Ponseti Serial Casting
The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.
Bracing for Clubfoot
While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.
Life after Treatment of Clubfoot
A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities.