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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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Constipation is a very common problem among toddlers and children. It takes place when the child's stool is dry, hard and unusually large, and the frequency of bowel movement is low and inconsistent. Although it is not a serious cause for concern, constipation in children should be recognised and treated early so that it does not develop into a chronic long-term ailment.
Constipation in children is seldom directly caused by any disease or medical disorder, which is known as idiopathic constipation and may be cause by a number of factors:
1. Diet: This is the primary cause of constipation in children. If the child's diet has low water and fibre content and heavily features sugar and processed foods, stool becomes hard and bowel movement gets restricted.
2. Deliberate Withholding: Often children may consciously avoid visiting the toilet, which may make them feel constipated. This may be due to embarrassment, especially in public spaces or they might be too engaged in playing to not go to the toilet, altogether. Some children do it out of fear when a previous toilet experience has been particularly painful.
3. Lack of Physical Activity: The digestive system is boosted through regular exercise. Lack of physical activity, thus, inhibits regular bowel movement.
4. Illness and Medication: Infections and illnesses, especially ones pertaining to the stomach cause the child to become constipated. Many medicines and supplements also affect the digestive system and can lead to constipation.
What are the ways to manage constipation in children?
Constipation in children is treated differently than in adults as their diets and patterns of bowel movement are dissimilar.
The primary treatments for constipation in children are:
1. Stool Softeners and Laxatives
The administration of bowel movement enhancing medication is the simplest way of treating constipation in children. There are various kinds of stool softeners and laxatives that are safe for children and must always be used under the supervision of a paediatrician.
2. Dietary Adjustment
Making changes to the child's diet by including high fibre foods (such as fresh fruits and vegetables, whole grain breads, cereals, etc.) can help cure constipation. Compelling the child to intake ample fluids in the form of water or milk is also necessary. Sugary drinks must be avoided. If you wish to discuss about any specific problem, you can consult a Pediatrician.
Sir, My son is 9 years old. His weight is 34 kg. He is suffering from fever since last 5 days. I am giving cefpodoxime 100 twice a day Since Sunday night but till 99 to 100 degree temperature comes at night. So now what will we do. Please reply.
Erythroblastosis fetalis is also known as haemolytic anaemia in the newborn. This occurs due to blood incompatibility in the mother and foetus. Due to this incompatibility, the antibodies present in the mother’s blood, will pass through the placental barrier and attack the blood cells of the foetus. This will lead to the destruction of the red blood cells of the foetus and it is likely to cause anaemia in the foetus. This condition varies from mild to very serious. In its moderate or severe stage, the erythroblasts or immature red blood cells are formed in the blood of the foetus and this disease is called erythroblastosis fetalis.
Why does it happen?
The two main causes of erythroblastosis fetalis are Rh incompatibility and ABO incompatibility.
- Rh Incompatibility: When the mother is Rh –ve and the father is Rh +ve, there is a good chance for the baby to be Rh +ve. The antigens present in the blood of the Rh +ve baby will behave like a foreign agent and the mother will produce antibodies against it. If it is the first pregnancy, then the child may not be at risk, however, if the second child ends up being of +ve blood group again, then the antibodies present in the mother’s blood will attack the baby and may result in a spontaneous abortion.
- ABO Incompatibility: This usually occurs when the mother’s blood group A, B, O does not match the baby’s. This causes fewer complications in comparison to Rh incompatibility, but it may be severe if the child has a very rare blood group.
How to avoid it?
It is a highly preventive condition. Firstly, you have not tested your blood group; it is advised to get it tested along with the blood group of the father. If you already know your blood group, then you must mention it to your doctor. If the father has negative blood group, then there will be no problem. However if the father is Rh positive, then it is advised to get routine tests done by the doctor.
The other preventive measure to take is a treatment called RhoGAM or the Rh immunoglobulin. It reduces the reaction of the mother to the baby’s blood cells. This shot is administered around the 28th week of the pregnancy. It is also administered 72 hours after the birth of the baby with the positive blood group.
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