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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 am 37 years old and have two daughters of 9 years and 2 years old. After breast feeding, my breasts became very loose and a lot of fat in tummy area. Could you please suggest any cream or medication for both? thank you.
My son is 4 moths old. He have Bicuspid aortic valve. I need a clarification of that, Can he play games while going to school or any restrictionsfor this issue?
My son has constipation problem. 3 months baby. Mother milk feeding male baby. Help me out of this problem.
While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.
There are a few things that matters the most which are as follows:
1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.
The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.
E. G. Rice, potatos, bananas, or over ripen fruits.
And advice is to take them in minimum quantity instead of completely banning them.
Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.
2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.
In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.
3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.
If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.
So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.
And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.
4) general prevention of complication and specific cares:
By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:
Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.
Out of these one that I care the most and patients ingnore the most is foot care:&nbsp;
Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.
Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap.&nbsp;
Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.
These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.
Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.
There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:
E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.
Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.
Most mothers complain this.Whereas the real condition in majority of cases is not a disease "vomiting" READ ON. YOur baby is possetting.
What is possetting?
Possetting is normal in small babies. It's when small amounts of milk are brought back up. It's often why parents have a cloth with them after a feed to catch the posset which often bubbles through baby's lips after a feed
What causes possetting?
Often when your baby's stomach is full, milk can come back up. Babies often posset a little when burping, bringing up the milk often with swallowed air or wind.
In a baby the muscular valve at the end of their food pipe, which acts to keep food in the stomach, hasn't developed properly yet.
What are the symptoms of possetting?
Bringing up about a few teaspoons worth of milk after a feed.
It's non-forceful and tends to dribble out.
How is possetting treated?
If it is just possetting your GP or health visitor will give you reassurance that is it quite normal.
They can also help establish if it is the more serious conditions of reflux or gastroesophageal reflux disease known as GERD.
What is reflux?
Reflux is more serious than possetting. It's when the stomach contents are regurgitated.
When acid from the baby's stomach comes up as well as the milk, this can be painful. About half of babies will experience some form of reflux during their first year. As the muscular valve gets stronger, your baby is better at keeping food down.
How to tell the difference?
If your baby shows discomfort when feeding, such as arching away, refusing to feed and crying, it can be a sign of reflux. She may also frequently vomit or spit up more than normal possetting, and cough a lot, including at night, with no other sign of a cold.
If your baby displays any of the above symptoms check with your GP. Reflux is quite common. It tends to peak between one and four months and normally ends by 12-18 months.
How to alleviate reflux?
It can often be successfully controlled by simple remedies: For example:
More small feeds to prevent your baby's stomach getting too full.
Keeping him upright during and for at least half an hour after a feed.
Avoid tight clothing, particularly around your baby's stomach.
Ask your doctor or health visitor for advice.
Gastro-oesophageal reflux disease (GERD)
If reflux is very severe there can be complications like damage to the oesophagus ( oesophagus), or long-term problems and this is diagnosed as gastro-oesophageal reflux disease ( GERD).
Symptoms may include: vomiting, failure to put on weight, coughing and breathing problems.
If your baby vomits bile which is green, has repeated projectile vomiting or vomits blood seek medical advice straight away. Symptoms like bloody stools (poo), abdominal distention, excessive crying or if baby keeps refusing feeds may also be signs of GERD, and again should be checked by a medical professional promptly.
It is rare for infants to suffer from GERD but bringing milk up is very common for most babies, who tend to grow out of possetting or reflux by 12-18 months.
My baby, who is 2 months old now, was fair when she was born. But now her skin is becoming darker. Pls help me to make my baby look fair.
I'm diagnosed with dangerous cyst after a routine radiological examination. How complicated it is? I have been advised a surgery to remove the same. What should I expect? I'm worried.
The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.
The rise in pollution during Diwali affects you in the following ways:
- The PM (particulate matter which is smaller than 2.5mm) enters your lungs (learn more about lung cancer) and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
- High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
- A compound called ‘strontium’ found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
- Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
- The noise pollution also rises during the festival and in extreme cases, can permanently damage one’s hearing.
However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:
- Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
- Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
- Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
- Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues.
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.