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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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What medicines should be given to my baby she is 5 months old kid she is having cold and she is very thin.
My daughter is 10 years old. She has not done potty for last 2/3 days and she is releasing gas. She is not eating but feeling uneasy. WHAT SHOULD I DO?
Infant mortality is still very high in India.
40% infant mortality occurs in first 30 days of birth.
50% of these death can be prevented by simple measure like cleanliness,hand hyegine, preventing hypothermia and breast feeding, which require just public education and awareness.
Important causes of maternal mortality are anaemia,preeclapsia,eclapsia.sepsis and post partumhaemorrage.
These can be prevented by early institutional care,early registration for pregnancy care and institutional delivery.
I have delivered a baby. I don't have enough milk to feed my baby as after one week of delivery my stiches got broken. Dr. Gave me strong antibiotics and because of antibiotics my milk got vanish. Please suggest me some medication or anything by which I could feed my baby and my milk back.
My son born at 33 weeks. Today is the 44th day. He us preemie. Now he went loose motion. I gave bm only. Kindly advise.
Dear drs, my 5 years old female child is suffering with protein leakage in urine. Doctors found this when she was hospitalized for pneumonia treatment in oct 2014 (urine protein test result 4+) and there was no symptoms of proteinuria. Then she had treated it with prednisolon 15mg in the morning for 2 months and treatment was completed by the end of feb 2015. Result was negative in a month while she was taking the medicine. Now we have tested the urine protein early this month and it shows 2+. When we checked with nephrologist, he told us not to worry that 1+ 2+ is ok? could you please advise? thanks in advance.
Mother of 2 years old child, since last 2 month my cycle is irregular. Still i'm feeding to my son. Just wanted to know is it normal or have to go to see doc for same. Kindly advice.
My daughter bshut roti hai Avi 4yera ki hone ja rahi hi fir avi v bahut roti hai Plesse koi upay bataye ki kya jare bahut presan rahte hai.
My nephew born in Ireland in the month of April 17, my concern with the vaccine, as per ireland physician they will provide the vaccine post 2 months but not indian vaccine and bcg vaccine still pending, please suggest is both country vaccine required for my nephew? My nephew will come to India in October.
My daughter don't want to eat regular food like milk, rice, vegetables etc. We have to feed her by force and she is very skinny but active all the time.
Croup or ‘Kali Khansi’, as it is called in local parlance, is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is thought to be caused by a virus, but reflux acidity has been suggested as a possible trigger.
In gastroesophageal reflux disease, stomach acid causes swelling and inflammation of the larynx, which narrows the airway. It can trigger more swelling with any kind of viral or respiratory infection.
Identifying children with gastroesophageal reflux disease could help treat and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short period of time. These children need to be evaluated.
The same is true for adults also. Patients with non responding asthma should be investigated for underlying acidity as the cause of acute asthma.
YOu can ask me privately in any doubts
Asthma has become a common ailment these days because of rampant air pollution and stressful lifestyle. The quality of the air we breathe, the change in climate and dust allergy can easily bring in an asthmatic flare up in some people.
Asthma attack causes breathing difficulty. This happens as your bronchial tubes get inflamed and contract, thereby narrowing down the air passages. You feel your chest tightening up and experience shortness of breath with a wheezing sound.
What triggers asthma flare ups?
There a number of potential triggers for mild to severe asthmatic attacks. By identifying and avoiding these triggering factors you can bring down the frequency of your asthmatic flare ups notably.
Look out for the following factors that may set off asthma:
Cold and flu:
Cold and flu infection spreads through coughing and sneezing from an infected person. A cold takes 2-4 days while flu takes 3-4 weeks to recover. These infections can potentially trigger the asthma attack by causing inflammation of the air passages.
The changing weather conditions, cold air, humid climate and thunderstorms often trigger asthma flare ups. Changes in temperature also aggravates asthma problem. Cold air is one of the most common reasons for asthma attacks in kids and adults alike.
Dust mites in your carpets, rugs, pillows and bedding may trigger asthma as well. It is very difficult to kill dust mites. Make sure you use vacuum cleaner to clear away dust from your beddings, carpets, pillows etc. And put them out in the sun often.
If you have indoor plants then they may trigger asthma attack due to allergy flare ups. This happens as they tend to form molds that may trigger asthma.
Indoor plants and garden areas may be a good thriving ground for pollens. Pollens are very fine particles. Insects and gusts of air may transport these allergens to your body through breath.
Pet/animal dander and cockroaches:
Pets or animals with hair or fur like a dog, cat, bird or even mice may shed miniscule skin flecks that may cause irritation and trigger an asthmatic flare up.
If you have cockroaches at home, then get pest control done. Their droppings may also trigger asthma flare up and you would have never guessed the real reason!
If your office area is closed up and not well ventilated, has wood dust or smell of wood polish, wall paint fumes, chemicals etc. Then your asthma flare up can set off easily.
If you smoke or you are in a smoking zone like in a restaurant or a party, then the smoke can prompt an asthma flare up. Even smoke from a bushfire may trigger it.
If you live, work or travel in an area where air pollution is high due to traffic or lack of greenery, then an asthma flare up can occur frequently.
Strong smells from flowers, mosquito repellents, incense sticks, varnish, paint, perfumed candles, deodorants or body perfumes can also trigger asthma.
Certain medicines can also trigger asthma attack like blood pressure or steroidal medicines etc. Always ask your doctor before taking medicines.
Stress and emotional highs:
If you have not taken a vacation in a long time, you are working late nights or have to do heavy physical or mental work, then it results in extreme stress. It may trigger an asthmatic flare up. Emotional highs like anger or excitement can also trigger a flare up of asthma.
Exercising, jogging, swimming or running can also trigger asthmatic attack due to physical exertion. This happens because when you run or work out, then breathing becomes faster. This lets a lot of cold air enter your lungs in comparison to normal breath that is made warm by your nose.
Anytime you are experiencing hormonal ups and downs, asthma flare up can get triggered. For women menstrual cycle, pregnancy or menopause can trigger asthma in some cases. This is not very common though.
Kapha aggravating foods can also trigger an asthmatic attack. Avoid rice, curd, high salt, sugar, lentils, strong tea, alcohol, pickles, sauces, processed foods to lower the risk of asthma flare up. Processed foods contain preservatives like sulphite foods that may trigger asthma.
Find out the reasons that cause your asthma flare up. Keep yourself active despite asthma by avoiding these triggering factors.
ask your child daily happenings after coming back home. understand him/her what they are facing and how they are handling issues of their life. this will help child to learn sharing stresses. guide them correct way of dealing with their problems. always punishing scolding shouting on child is not the proper way to handle them. Parents must have patience while dealing with children.
Breastfeeding is best for the baby and its benefits extend well beyond the paradigm of basic nutrition. Breast milk contains all the vital vitamins and nutrients, which a baby needs in the first six months of life. It is fully loaded with disease fighting substances, which protect baby from illness. Many international paediatric organisation recommend exclusive breastfeeding for the first six months and recent research reports have proven that breastfeeding is good for both mother and the baby.
Breastfeeding protects the baby from a long list of illnesses, such as ear infections, lower respiratory illnesses, stomach disorder and meningitis and are less severe when they do happen. Breast milk adapts as the baby grows to meet the changing needs. Breastfeeding builds a strong emotional bond between the mother and the baby and it has long term benefits lasting right into adulthood.
The first milk of the mother contains high concentrations of secretory immunoglobulin A (IgA), which guards against invading germs by forming a protective layer on the mucous membranes in baby's intestines, nose, and throat. Mother's body responds to pathogens (virus and bacteria) that are in her body and makes secretory IgA, which is specific to those pathogens, creating protection for the baby based on to whatever mother is exposed.
The antibodies in breast milk gives a baby's immune system a boost and also helps children avoid type 1 and type 2 diabetes, high cholesterol and inflammatory bowel disease that strike later in life. Babies who were not breastfed run the risk of developing Crohn's disease and ulcerative colitis.
Breastfeeding boosts child's intelligence. Surveys have shown that premature infants with extremely low birth weight who receive breast milk shortly after birth improved their scores of mental development at eighteen months when compared with premature infants who weren't given breast milk. The emotional bonding happening during breastfeeding contributes to some of the brainpower benefits. Breastfeeding lowers the risk of sudden infant death syndrome (SIDS). It reduces a child's risk of becoming obese as a teen or adult as the breast milk contains less insulin, which stimulates creation of fat. The high content of leptin in the milk regulates appetite and fat.
Breastfeeding triggers the release of the hormone oxytocin that promotes relaxation and nurturing. Oxytocin released while nursing also helps your uterus contract after birth, resulting in less postpartum bleeding. It reduces stress level and the risk of postpartum depression. Research studies show that breastfeeding results in changes in breast tissue and lactation reduces the production of oestrogen, which reduces the risk of breast and ovarian cancer. It also reduces the risk of osteoporosis and cardiovascular disease.
I am a mother of a 32 weeks premature baby, am unable to breast feed my baby as m not getting milk, used an electric feeding pump too but of no use, what I have to do for breast feeding my baby.
Toothpicks can be an alternative to use for flossing if dental floss is not available. Remember not to be too harsh while using it.
My 1years 2months baby had febrile seizure last month for first time and I have got some solution from doctors through Lybrate. Thanks for all of them. Now my query is that, is it not possible to restrict febrile seizure permanently, that it should not attack the baby in future. And also suggest me either any chances of this disorder will appear due cold or caught.
Can I take lypolizer tummy tab before food 1/2 hr 2 times in a day when I am breastfeeding my baby who is 1.5 years age. Top feeds he takes only my milk once or twice he takes. please tell me sir.
My baby girl now 15months and 8kgs weight, problem is she used to vomit always from 6, 7months. If she see rice and smell it she feel like vomit. She vomits regularly if her stomach full and from starting piece of food she sound vomit, I am fully depressed, please suggest me.
Epilepsy is a chronic disorder of the brain that affects people worldwide. It is characterized by recurrent seizures, which are brief episodes of involuntary movement that may involve a part of the body (partial) or the entire body (generalized), and are sometimes accompanied by loss of consciousness and control of bowel or bladder function.
Seizure episodes are a result of excessive electrical discharges in a group of brain cells. Different parts of the brain can be the site of such discharges. Seizures can vary from the briefest lapses of attention or muscle jerks to severe and prolonged convulsions. Seizures can also vary in frequency, from less than 1 per year to several per day.
One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having 2 or more unprovoked seizures.
Fear, misunderstanding, discrimination and social stigma have surrounded epilepsy for centuries. This stigma continues in many countries today and can impact on the quality of life for people with the disorder and their families.
Signs and symptoms
Characteristics of seizures vary and depend on where in the brain the disturbance first starts, and how far it spreads. Temporary symptoms occur, such as loss of awareness or consciousness, and disturbances of movement, sensation (including vision, hearing and taste), mood, or other cognitive functions.
People with seizures tend to have more physical problems (such as fractures and bruising from injuries related to seizures), as well as higher rates of psychological conditions, including anxiety and depression. Similarly, the risk of premature death in people with epilepsy is up to 3 times higher than the general population, with the highest rates found in low- and middle-income countries and rural versus urban areas.
A great proportion of the causes of death related to epilepsy in low- and middle-income countries are potentially preventable, such as falls, drowning, burns and prolonged seizures.
Epilepsy is not contagious. The most common type of epilepsy, which affects 6 out of 10 people with the disorder, is called idiopathic epilepsy and has no identifiable cause.
Epilepsy with a known cause is called secondary epilepsy, or symptomatic epilepsy. The causes of secondary (or symptomatic) epilepsy could be:
- brain damage from prenatal or perinatal injuries (e.g. a loss of oxygen or trauma during birth, low birth weight),
- congenital abnormalities or genetic conditions with associated brain malformations,
- a severe head injury,
- a stroke that restricts the amount of oxygen to the brain,
- an infection of the brain such as meningitis, encephalitis, neurocysticercosis,
- certain genetic syndromes,
- a brain tumor.
Epilepsy can be treated easily and affordable medication. Recent studies in both low- and middle-income countries have shown that up to 70% of children and adults with epilepsy can be successfully treated (i.e. their seizures completely controlled) with anti-epileptic drugs (AEDs). Furthermore, after 2 to 5 years of successful treatment and being seizure-free, drugs can be withdrawn in about 70% of children and 60% of adults without subsequent relapse.
Idiopathic epilepsy is not preventable. However, preventive measures can be applied to the known causes of secondary epilepsy.
- Preventing head injury is the most effective way to prevent post-traumatic epilepsy.
- Adequate perinatal care can reduce new cases of epilepsy caused by birth injury.
- The use of drugs and other methods to lower the body temperature of a feverish child can reduce the chance of febrile seizures.
- Central nervous system infections are common causes of epilepsy in tropical areas, where many low- and middle-income countries are concentrated.
- Elimination of parasites in these environments and education on how to avoid infections can be effective ways to reduce epilepsy worldwide, for example those cases due to neurocysticercosis.