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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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My son is 7 years old he often get boils on his bums, he is very fussy about food and just after his birth he was put on antibiotics for 10 days, and he didn't even cried after birth because of my high blood pressure. He waz born unconscious. But recovered later. The Dr. Recommended him for a sugar test, is there a chance of suffering from the disease.
My baby is 10 month old. He is drinking formula milk plus my milk. In day time and evening time I give him Buffalo milk. Fruits and vegetables in day time. But in night time my baby wants formula milk .His present weight is 8 .95. Is it is good to have formula milk in night time.
My son is about 8 month & his weight is 8.5 kg. He is suffering from diarrhea. I gave him zinc & pre probiotic twice daily. But not effective. Please advice.
My mri report shows 2 subserosa fibroids below 4 cms (both) are benign. What r the causes of fibroids and any medication for them not to grow further to avoid surgery in future? Upto which size are they harmless. No symptoms of discomfort like excess bleeding etc. Periods r regular. Do they shrink for me after menopause?
Our 6 yrs. Old son never chews any food. He swallows soft food but can't (or doesn't want to) chew solid food. He is otherwise normal. We have consulted local doctors and child psychologists but without any result. We fear he will be an object of fun at school as he can't eat his tiffen! Please help us.
Hi Doctor, Please suggest any tonic for my daughter for deep hunger. She depends on milk 2-3 times in a day only. She never asks for any food. She is only 3.5 years old only. Please suggest a good tonic for her to increase hunger. Thanks.
6 days ago
Small babies should wear at least six layers of warm clothes.It is layers that is important because warmth is due to the air trapped between the layers..
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.
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.
Babies are fragile and need special care. In case of babies that are born prematurely, the amount of attention needed increases many fold and parents need to be extra careful and attentive. A baby born before 37 weeks of pregnancy is said to be a premature baby. The earlier the baby is born, the higher the risk of complications.
Most premature babies spend the first few days after birth in a neonatal intensive care unit (NICU). This is because they may have trouble breathing and may need help maintaining body heat. Though you may feel helpless watching your baby, it is important to spend time with your baby while he or she is in the NICU. Talk to the baby and touch him or her. As soon as your doctor allows, carry your baby while allowing him or her to have maximum skin to skin contact.
It is important to breastfeed a premature baby. Breast milk is the richest source of nutrition for your baby and is easy to digest. It is also rich in antibodies that help boost a bay’s immunity and protect them against a number of infections. If you cannot feed your baby directly, pump your breast milk and store it in sterilised bottles to be given to the baby. Premature babies can get critically ill very fast. To prevent this from happening, it is important to build a good rapport with your baby’s doctors and keep a close eye on your baby. Maintaining a journal can help you recognise changes in your baby’s development. Watch out for subtle signs that your baby could be falling ill. Some of these signs are:
- A distended abdomen
- Dry the diapers frequently
- Frequent vomiting
- Blood in the stool
- Temperature instability
- Lethargy and unresponsiveness
- Change in breathing
In some cases, the mother may be discharged before the baby. This may seem very difficult, but does not need to limit your time with your baby. Caring for a premature baby is tough and hence use the time away to rest and recuperate. Remember that your baby is in safe hands and do not let yourself get too stressed.
Your baby will be ready to come home once he or she can breathe on their own and is able to maintain a steady body temperature. Your doctor may also wait until the baby can be breastfed and begins gaining weight before discharging him or her. Once the baby is home, do not attempt to be the sole caregiver but involve your family in building a team of caregivers. This will keep you from getting burnt out and will ensure that your baby is constantly monitored. If you wish to discuss about any specific problem, you can consult a pediatrician.
Hi. Is it safe to use 3 wheel baby cart (push walker)? Does that help to make them learn walking soon.? As my son is going to start with 16th month soon but dose walk yet. And every single doc has been saying NO for normal walker.
My baby is 12 months but I am afraid to take green coffee beans to reduce weight .can you give me any advice on this .will it have any effect on baby.
My 2 year baby is very thin. She is just 9. 2 kgs (her birth weight is 2. 75) she will not like to have any food but very active - please suggest me I am very much worried to see her thin legs:(
I have 4 year and 2 month old son, He is suffering from dental problem. His few teeth are almost abolish from gum and a hole has been created on that locations. Few teeth had been covered by filling as per doctor's advice. We as a parent are very much afraid. Please give us some suggestion/opinion.
Dear sir I have only one son. He is 6 year old but he not able for walk he not speak he not sit he abnormal I took many treatment for him but he did not have any improvement please give some suggestion what I do for him he can speak or walk or can sit thanks I i am from madhya pradesh live in gwalior I want he will be ok.
My wife is feeding my one month baby now a days so what should be her diet? Because we feel he has a stomach sometimes as he cry a lot.
My 6 year son often complains about acute stomach ache. He even vomits when he is in pain. He has completed his antibiotics course for the same, around 3 to 4 times in the past 8 months. I've got his deworming done too, but still no relief. His usg was also done that stated minor swollen lymph nodes. But the pain is unbearable. Suggest what could be the possible reasons for it. Moreover, if any other test I should get done. I'm really worried for him. please help.
Sir/madam My daughter doesn't consume milk from breast Even she doesn't hv any cough and cold. If we put breast milk in a bottle then she can have easily. please suggest me what should I do for her. Or suggest me any substitute instead of breast milk Thank you.
Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.
With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.
Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:
- Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
- Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
- Attacks of cold or flu can lead to an asthma attack.
- Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
- Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
- Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.
- The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).