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Treatment of Child and Adolescent Problems
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Hello sir, I worried about my 11 years old son is suffering with bed wetting since start, if I wake up him and make him to release his pea than ok otherwise he wet regularly. Need help.
Hello sir or madam my daughter felt from standing active and her head has some swelling bur now she has no swelling she had vomiting after 3 hours no blood in ear and nose have asked the some question like school name class teacher name tution madam name is there any serious issues BUT NOW IS 24 hours HAS COMPLETE SHE IS EATING WELL PLAYING WELL NO VOMITING IS TILL THE NOW I HAS ASKED ONY YEAR QUESTION SHE GAVE ME RIGHT answer NO PAIN BUT WHEN I PRESSED SHE HAVE SWELLING ONLY little BIT swelling IS THAT GUD ANY serious issue IS THERE.
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.
Mera baby 1 saal ka hai usko daant aa raha hai bahot tabyat kharab ho rahi hai fever loos motion vomiting please bataye kya karun. Koi gharelu ilaj.
Dear doctors; our baby is 10 days old. And he had a skin jaundice on 4th day after birth (bilirubin was 14.6 ); and hence treated for one day and again measured which showed the bilirubin level as 10.2. And released eventually. Now I want to know the symptoms of skin jaundice as we take the precautions, and one thing. For the first 7 days his stool was blackish, but now it is yellow. Is it any way related to high bilirubin level. But his urine is crystal clear, please advice.
My baby is 2.5 years old. Still she weighs 10 kgs only. We have tried all methods from giving all kind of buttery foods, protein powder, fruits, milk everything but she is growing very slowly. On weight chart she comes below all parameters. Her height is 85 cm. Please advice.
It can cause irreversible hearing loss.
अगर बच्चे और जवान शुरूआत से घूमना walking चालू कर दे तो उसे बाद में diabetes डायबिटीज होने का खतरा 50% तक कम हो जाता है,
So keep walking everyday.