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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 daughter is 4years old. She is not gaining weight for last 1 years. She has reduced her weight. She has grown longer and have become thinner. She is very active and naughty. Force feeding. Food serving 9am, 12.30 pm, 1.30pm, 5.30pm, 9pm. Weight 14kg.
Hi I have stomach pain from last three days back pain and ulcer in mouth also Please suggest what shout I do.
My 5 years son is getting fever frequently. After blood reports: serum for c-reactive protein lalex slide agglutination positive 24 Mg/dl Reference range up to 12 Mg/dl What is the diet food for reducing this sir. Please help me sir/madam.
Hello My daughter who is going to be 5 years in october was suffering from meningitis/septicemia? (doctors thought) from 3months old and was given antibiotics ets for more than one month and EEG test shows she has seizure disorder. Till now she cannot speak and even though she can walk she still has problem (not like normal child). Her hearing is good. I give her dilentin at morning and evening till today from 3 months old. Did she have chance to get cured? which hospital will I take her t? please help.
After taking lactare tablets there is no much increase in the production of breast milk please suggest me the best as I am unable to feed baby?
We all got together to indulge into our favourite foods this holiday season, where platter overflowed with sweet, spicy and acidic foods. However, when it comes to teeth, sugar isn’t the only culprit that cause tooth decay. High levels of acid in everyday foods and drinks are equally harmful. Lemons to wine, high-acid foods and drinks erode your teeth, causing decay, sensitivity and discoloration. But that doesn’t mean you have to strike all acidic foods and drinks from your diet. The way you consume these items can lessen their damage on your teeth.
It is a type of tooth wear where, the protective surface of your teeth or the enamel wears away exposing the underlying material, called dentin. This leaves your tooth vulnerable to tartar, plaque and bacteria, which cause decay.
Causes of tooth erosion:
Calcium is a key ingredient in building strong teeth. Unfortunately, exposing your teeth to acid can leach calcium from your enamel, causing this protective surface to break down. Foods which have Ph. below 5.0 to 5.7 are acidic. This acid can come from many sources, including the following:
· Carbonated drinks. All soft drinks, including “diet” options, contain high levels of acid that can easily dissolve your enamel.
· Wine. Whether you choose red, white or rosé, drinking wine will soften your enamel.
· Pickles. Which are traditionally seen in an Indian platter
· Fruit juice. The most acidic options include lemon, cranberry, orange and apple.
· Citric fruits. Snacking or sucking on lemons, oranges and limes can wear down your teeth.
· Candy. No sugary sweets are good for your teeth, but you should pay extra attention to avoid sour gummies and candies.
· Sugar. Even though sugar itself does not contain high levels of acidity, it promotes the growth of acid-creating bacteria in your mouth, creating an acidic environment.
· Stomach acid. Vomiting and reflux also can cause serious tooth damage when stomach acid comes into contact with your teeth. If you suffer from an eating disorder, acid reflux or a related condition, seek professional help.
Signs of tooth erosion
Acid wear may lead to serious dental problems. It is important to notice the signs of tooth erosion in its early stages (sensitivity and discoloration) before more severe damage occur, such as cracks, pain and decay.
· Sensitivity. As your teeth’s protective enamel wears away, you may feel a twinge of pain when you consume hot, cold or sweet food and drink. As more enamel is worn away, teeth become increasingly sensitive.
· Discoloration. Teeth can become increasingly yellow as the thinning enamel layer exposes the underlying dentin.
· Rounded teeth. Your teeth may have a rounded or “sand-blasted” look.
· Sharp edges. You might notice thinning of teeth with sharp edges which might cut your tongue and cheeks.
· Transparency. Your front teeth may appear slightly translucent near the edges.
· Cracks. Small cracks and roughness may appear at the edges of teeth.
· Cupping. Small dents may appear on the chewing surface of the teeth, and fillings may appear to be rising up out of the tooth.
What you can do to prevent tooth erosion
Follow these tips to reduce the effects of acid on your teeth.
· Eating higher pH. Food alongside. This helps in lowering the acidity. Includes food like nuts, cheese, oatmeal, mangoes, melons, banana, apples, eggs, vegetables, brown rice and whole grains.
· Eat with meals. Instead of snacking throughout the day, save acidic foods for mealtimes. This will reduce their contact with your teeth and help neutralize the acid by eating it with other foods.
· Wash down with water. Sip water alongside or after the acidic food or drink to wash it out of your mouth.
· Use a straw. While having acidic beverages, reduce their contact with your teeth by using a straw and finishing the drink quickly, instead of sipping over a long period of time.
· Say no to bubbles. Swap out carbonated drinks with water, milk or tea.
· Wait before brushing. Acid softens your enamel, so brushing immediately after eating or drinking high-acid foods or drinks can actually cause damage. Wait at least half an hour and then start brushing. In the meantime, you can always rinse your mouth with tap water.
· Quit smoking. Studies have showed that smokers are more prone to acidity leading to acid reflux and teeth erosion
· Professional help. See your dentist twice a year for dental cleaning and oral screening.
· Sugar free gums. Chewing on sugar free gums increase the saliva flow which, neutralise the acid and help the teeth to stay strong.
Respected Sir/Madam, I have a girl child of age 4 years. She has so many problem from her birth time. At the time of birth she cry after 5 minutes for birth aphasia. During 1st month she admitted several time at nursing home for dyreh, dehydration etc . From that time she has delayed milestone problem.Her neck stiffen after 6 months, she start crawling after 18th month & standup and start walking after 30th months. After 2years of her age we are go to Bangalore ,after so many test and MRI doctors are said she has brain sell damaged . Now my daughter can walk near about normally ,she can understand most our talk, she can follow most our instruction but she can not talk, only few word she can say, like ma,baba etc. For this we consult with speech therapist but Doctor said my daughter have lack of concentration ,so he just now are not able to help me for this. So please suggest me what can I do now , we have to maintain any special diet chart, we are doing physio therapy from the beginning also add dha supplement from her 2 years of age. So please send me reply with suggestion & advice at earliest as possible. Thanking you
Hello, last four month my daughter (Gagri) not feeling well & healthy every month she need a hospitalized and for your information delivery time my wife suffering from dengue, before two days my daughter again hospitalized due to dengue kindly suggest me. Doctor please help me I am waiting for your reply.
Baby is having fever since 4day. Will increase at night. Local hospital 1blood test shows dengue NsAg +ve other 2 -ve. We go to another hospital blood test shows negative for dengue. Given iv saline. admitted still he is having fever.what to do
Hello Dr. My daughter is 3 years old, she is very stubborn and often speaks very badly about intimate body parts. We have tried so many times to stop her but she continously embarass us on this issue. Day by day she is getting very hyper. We are very worried. Please guide us what to do ?
Epilepsy is an abnormal medical condition due to abnormal electrical discharge from the brain, which could be due to genetic defects, brain injury,brain infection,brain tumor etc.
Recent study shows, patients with awareness, knowledge and attitude towards the disease had better health related quality of life.
- Do take your medicines at the prescribed times.
- Do make it known to your family members, friends and people who work with you that you are seizure-prone. Tell them what should be done in case you get an attack in their presence. This is nothing to be ashamed of as epilepsy is a medical condition just like high blood pressure. If your child has epilepsy, do inform the teacher and the school authorities about it.
- Do tell your child's teacher what to do if your child has a seizure.
- Do keep an accurate record of your seizures and their frequency. Preferably, maintain a seizure diary.
- Do ask your doctor about medicines for other conditions before taking them.
- Do follow a balanced diet.
- Do exercise regularly but avoid over-exertion.
- Do have good lighting in the room where you watch TV. TV picture flashes can trigger seizures. Good lighting can prevent such attacks.
- Do tell someone if you are going for a swim; swim only if your seizures are under control. Moreover, whenever possible, go swimming with a friend.
- Do talk to your doctor about the pros and cons of using contraceptive pills (medicines used by women to avoid unwanted pregnancy) along with your epilepsy medicines.
- Do wear protective headgear when cycling.
- Do tell your doctor about any ill effects that you experience.
- Do get a good night's sleep daily.
- Do make sure you have enough medicine so that you don't run short, even when you are travelling.
- Do check-in with your doctor regularly.
- Don't stop your treatment unless your doctor tells you to.
- Don't consume caffeine or alcohol excessively.
- Don't take other medicines without checking with your doctor.
- Don't lock the bathroom/toilet door, if possible.
- Don't smoke.
- Don't give others your medicines and don't take anyone else's medicines.
Myths and facts about epilepsy
Is epilepsy a very rare disorder?
No. Epilepsy is not a very rare disorder. Epilepsy affects 50 million people worldwide. In India, epilepsy has been identified as a public health problem.
Epilepsy is a mental illness?
It is not a mental illness but disorder of the brain.
Are people with epilepsy violent or crazy?
No. The belief that people with epilepsy are violent is an unfortunate image that is both wrong and destructive. People with epilepsy have no greater tendency toward severe irritability and aggressive behaviours than other people. However, once the attack is over, they return to normalcy and usually display normal behaviour in between attacks.
Are children with epilepsy dull?
Except for children who are born with obvious mental handicaps, children with epilepsy have normal intelligence and should be encouraged by parents and teachers to attend school and complete their education.
Is epilepsy a curse or wrath of God?
No. Epilepsy has nothing to do with curses, possession or other supernatural processes, such as punishment for past sins.
Does epilepsy spread through touching or coughing?
No, epilepsy does not spread through touching or coughing.
Does the use of an onion, metal, etc., help in terminating an ongoing epileptic attack?
No. Some people think that an epileptic attack can be terminated by making the person smell onions or dirty shoes, or by placing a metal key in the person's hand. These are irrational beliefs.
Are epilepsy medications ineffective?
No. Epilepsy medicines are very essential for the control of epileptic attacks and should not be neglected.
Is marriage a cure for epilepsy?
No. Marriage is an important aspect of life but not a cure for epilepsy.
Epilepsy is hereditary hence unfit to get married?
Epilepsy is not a hereditary disorder, and the tendency of epilepsy being passed is only about 3 %, therefore no bar for marriage.
Women suffering from epilepsy cannot have children?
Epilepsy or anti-epileptic drugs cannot affect fertility, even during pregnancy, women can take their medicines under their doctor’s supervision.
Is life of a person with epilepsy miserable?
No. Life of a person with epilepsy can be very manageable and very similar to life of people without epilepsy provided you have a positive approach towards life.
Is epilepsy a hindrance in leading a happy and successful life?
No. People with epilepsy can live a happy and successful life. With the advent of newer medicines, availability of medical care and increased awareness of the condition, it has become possible for a person with epilepsy to lead a good life. There are many famous poets, writers and sportsmen with epilepsy who have excelled in their respective fields.
Special Precautions in Children with Epilepsy
Computerized and Lights:
Up to 5% of children with epilepsy have photosensitive epilepsy. Computers and TVs with a flat screen do not flicker and, so, are less likely to trigger seizures than screens that flicker. However, flashing lights/ flickering screen can act as trigger in photosensitive epilepsy patients.
Exams and Tests:
For Children who are likely to have seizures in stressful situations or at certain times of the day, this may affect how they perform in exams or tests. Tiredness, memory or concentration problems may also affect exams or tests. Tiredness, memory or concentration problems may also affect exams.
Physical Activities and Lessons:
Safety is important for all children, especially during physical activities and lessons, such as when studying science. Epilepsy does not need to stop a child from doing an activity as long as he or she is safe.
This must be allowed only in the presence of trusted lifeguards. It is essential that the swimming coach and the lifeguards fully understand a child’s epilepsy so they can quickly see if the child is having a seizure in the water.
Hi sir. Hamara ek baby boy hai 3 years ka. Wo bahut hi ziddi hai or hr time koi na koi sararat krta hai. Jis kaam ko mna kro wahi kaam krta hai kisi ki nhi sunta hai. Kabhi kbhar uska mood ho to baat maan leta hai. Kya aap iske regarding koi help kr sakte hain. Please help.
Got typhoid! It's been a week I'm with normal body temperature. Suggest what kind of nutritious food I can consume? Please advice!
A fibroid tumour is made up of muscle cells that have escaped and come together to create a knot or a mass in the uterus. These tumours can occur due to a family history, and are usually known to occur for women patients nearing menopause. One of the most common symptoms is unusually heavy menstrual cycles. Let us walk you through the rest of the details.
Types: Fibroid tumours can be of three types, mainly depending on the location. While submucosal fibroids can be found just under the lining of the uterus, intramural fibroids can be found between the muscles that lie on the walls of the uterus. Finally, the third type - subserol fibroids - go beyond the uterine wall to enter the pelvic cavity.
Symptoms: Usually, there are no symptoms of these kinds of fibroids. There may be heavy bleeding during the monthly menstrual cycle, as well as swelling and pain in the abdomen. Also, prolonged bleeding is common when these kinds of tumours are present in the body.
Cause: Fibroid tumours are mostly caused due to an overgrowth of the cells beyond the muscular walls that line the uterus. In such cases, the growth is further fuelled by hormones like estrogen and progesterone. These hormones are usually at their highest level in the body, during the child bearing years of a woman. During menopause, these tumours are known to shrink before they eventually vanish. It is very rare to find malignancy in such tumours.
Risk: Are you at risk? Well, that depends on your age, family medical history, weight and in some cases, even the ethnicity. These tumours are mostly found in women who are between the age of 30 to 40 years and continues through menopause. Obesity is also a major reason that gives rise to this condition. Further, women of colour are known to develop this more easily while a family history can also increase your chances of the same.
Tests and Diagnosis: A pelvic exam and an ultrasound as well as a history of your menstrual cycle will help the doctor in determining whether or not you are suffering from this condition.
Treatment: Non steroid anti inflammatory drugs can help in bringing down the swelling and pain, especially in cases where there is heavy menstrual bleeding. Birth control pills and patches with hormones can also help in such cases. Further, progesterone shots and iron supplements may be prescribed. Very severe cases may require surgery for removal with a myomectomy.
Remember to visit your doctor in case you see any nagging symptoms of fibroid tumours. If you wish to discuss about any specific problem, you can consult an Ayurveda.