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How to conceive to avoid down syndrome .My first child is suffering from down syndrome.

Dr.Amit Agarwal 91% (823ratings)
MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Noida
How to conceive to avoid down syndrome .My first child is suffering from down syndrome.
There is no way to avoid. What you can do is. Whenever you conceive go to fetal medicine person. He/she will do a test before 15-16 weeks of pregnancy and if the fetus is found to be down syndrome then pregnancy can be terminated.
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Asperger's Syndrome - How To Diagnose A Child?

Dr.Vaibhav Dubey 86% (25ratings)
MD - Psychiatry, MBBS
Psychiatrist, Bhopal
Asperger's Syndrome - How To Diagnose A Child?

Asperger's syndrome has been found to affect people at a tender age. The augmented impacts of this syndrome are felt as you grow up. It is a neurological disorder falling under the scope of Autistic Spectrum Disorders. However, it is a milder form of autism and has similarly unidentifiable causes. A person afflicted with Asperger's syndrome will not exhibit stark signs of the disorder. These persons are usually smart and brilliant but face issues in communicating or interacting socially.  

Factors that may result in this disorder

  • Genetic factors could also afflict you with such a syndrome. Thus, it is important to carry your family history while consulting a doctor.
  • Certain changes in a person's brain could create trouble. 
  • Your body could be susceptible to external toxins: many times bacteria and viruses from a polluted environment can lead you to such a serious neurological condition.

Ways to diagnose Asperger's syndrome

  1. A doctor would concentrate on your child's speech: Language development can hint at many underlying health issues. Your child might fail to process speech around him or her which impairs its own speech.
  2. Exchanges in a social setup could be indicative of something: Children or adults could find social 
  3. gatherings challenging. They feel awkward to interact with friends, relatives and colleagues. It takes a lot of effort on their part to exchange basic pleasantries. A doctor will be able to deduce from such symptoms.
  4. Facial expressions while conversing could help diagnosis: A person's facial expressions tell a lot about how they formulate or feel about things. Their words, at the same time, could be contrary. Counselors lay stress on frequent sittings to closely note the gestures made by a patient. 
  5. Comprehension and coordination capabilities: Your child or loved one might find it difficult to handle motor regulated appliances. Comprehending instructions could also be a test. People suffering from Asperger's syndrome face problems in understanding simple things. 
  6. Responding to change will also be taken into consideration: Patients trying to cope with this syndrome are usually not open to change. They take a very long time to adapt to a given way of life; a sudden change will thwart their idea of normalcy.
1669 people found this helpful

Can a nephrotic syndrome child take salt in food? Is it harmful for him? How can nephrotic syndrome be cured?

MD - Paediatrics, MBBS
Pediatrician, Mumbai
Hello. A child with nephrotic syndrome should not be given extra salt in diet other than that is added in gould during preparation. That means he should curtail intake of pickles, papad. Once a child has recovered from swelling, normal diet can be resumed. Nephrotic syndrome can be cured by use of steroids under pediatricians guidance.
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My first baby has down syndrome. I am pregnant with 5 week. I want to protect my second child to down syndrome.

Dr.Sneha Patki(gadkari) 88% (69ratings)
MD - Homeopathy
Homeopath, Pune
My first baby has down syndrome. I am pregnant with 5 week. I want to protect my second child to down syndrome.
Your should be doing the Triple test which can show the risk of down syndrome in the child. Also consider starting constitutional Homoeopathic treatment during pregnanc. Good ANC (During pregnancy)care both physical and psychological well being of the mother is of great importance for the well being of the child. do get back with your reports
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Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

Dr.Deepak Sharma 90% (753ratings)
FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

As the name suggests, congenital nephrotic syndrome affects the kidneys of newborn babies. Though congenital means the disease must be present from birth, babies who develop nephrotic syndrome in the first three months are also said to suffer from this condition. This is a rare genetic disorder that is passed down from parents to their children. Boys are at a higher risk of suffering from this disorder than girls. The congenital nephrotic syndrome causes the kidneys to leak large amounts of protein into the baby’s urine. This can lead to swelling of the body tissues and a weakened immune system.

Some of the common symptoms of this disease include

  1. Low birth weight
  2. Lack of appetite
  3. Swelling of the body
  4. Foamy or frothy urine
  5. Lowered urine production
  6. Cough

Pregnant women are usually screened for this condition before the baby is born. The doctor will be looking for a placenta that is larger than normal in an ultrasound and high levels of alpha fetoprotein in amniotic fluid samples. If found; the doctor might ask for a genetic test to confirm the diagnosis.

Once the baby is born, he or she will show signs of fluid retention as the body begins to swell. Other signs your doctor will look out for are high blood pressure, signs of malnutrition and abnormal sounds from the heart and lungs. A urine analysis will also show high levels of protein in the urine though the overall protein levels in the body may be low. The doctor may also ask for a kidney biopsy in some cases to confirm the diagnosis.

Aggressive forms of treatment in the early stages of this disease can help control it. This may include antibiotics, blood pressure medication, ACE inhibitors and angiotensin receptor blockers to reduce protein leakage and diuretics to manage excess fluid build-up. Nonsteroidal anti-inflammatory drugs may also help reduce the amount of protein leaking into the urine. In addition, the doctor may advise you to limit fluid the baby’s fluid intake to control the swelling. As a last resort, the kidneys may need to be removed to prevent protein loss. This will be followed by dialysis or a kidney transplant.

If left unchecked, this disorder can lead to a number of complications including acute kidney failure, blood clots, infections and diseases related to malnutrition. It can also lead to the death of a baby in the first year of catching the infection or before his or her fifth birthday.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2773 people found this helpful

How Can We Diagnose Down Syndrome?

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
How Can We Diagnose Down Syndrome?

Down Syndrome refers to a genetic condition, where a person is born with an extra copy of a chromosome. Usually, a child is born with 23 pairs of chromosomes but those with Down syndrome are born with an additional copy of one of the chromosomes – Chromosome 21. The genetic disorder causes mental and physical disabilities and developmental delays in the child. Here we check out some tests and methods to diagnose down syndrome problems.

Types of Down Syndrome

  • Trisomy 21 – This is the most common of all three types, with an extra copy of the 21st chromosome in each cell
  • Mosaicism – This happens when the baby is born with an additional chromosome is some but not all the cells
  • Translocation – This occurs when a child is born only with one extra part of the 21st chromosome

Some parents are more likely to have a child with Down syndrome. As per the Centres for Disease Control and Prevention, pregnant women above age 35 have a higher chance of having a child with this genetic disorder, as compared to those in their late 20s or early 30s. The chances of giving birth to a child with Down syndrome rise as the mother ages. Screening during pregnancy can help you understand if your child is likely to have Down syndrome or not.

Screening of Down Syndrome During Pregnancy

Screening for Down syndrome could be a part of your routine prenatal care. If the mother is over 35 years, the father is over 40 years, or if there is a family history of Down syndrome, then you should go for an evaluation.

  • First trimester – Blood tests and ultrasound can check for the down syndrome in your foetus. These tests have a greater positive-false rate than tests performed at later stages of pregnancy. If the results are not normal, the doctor will most likely follow up with an amniocentesis after the 15th week of pregnancy.
  • Second trimester – A QMS test and ultrasound can help recognize Down syndrome, as well as other abnormalities or defects in the spinal cord and brain. The test is performed between 15 and 20 weeks of pregnancy. If the test results show some abnormality, you could be at high risk for birth defects.

Additional Prenatal Test for Down Syndrome

The doctor may recommend a few additional tests to diagnose Down syndrome in the child. These may include –

  • Amniocentesis – The test, typically performed after 15 weeks of pregnancy, involves taking a sample of the amniotic fluid to check for the number of chromosomes the baby has. 

  • CVS (Chorionic villus sampling) – The doctor takes cells from the placenta to evaluate foetal chromosomes. The test is conducted between week 9 and week 14 of pregnancy. 

  • PUBS (Percutaneous umbilical blood sampling) – For this, the doctor draws blood from the umbilical cord to check for any chromosomal defects. The test is conducted after week 18 of pregnancy. 

However, some women hesitate to undergo these tests due to an increased risk of miscarriage

Tests to Diagnose Down Syndrome at Birth 

The doctor will most likely perform the following at birth –

  • A thorough physical examination of the child

  • A certain type of blood test, known as Karyotype, to confirm the diagnosis 

Although Down syndrome cannot be cured or prevented, the risks of having a child with this genetic disorder can be reduced with some lifestyle changes. Nevertheless, if you are giving birth to a child with Down syndrome, you will need to work closely with a medical professional to understand the unique challenges of the condition.

7 people found this helpful

Know Everything About Asperger's Syndrome!

Ms.Parveen 92% (138ratings)
Bachelors In Psychology, Masters In Psychology, Post Graduate Diploma In Guidance & Counselling, Internship in clinical psychology
Psychologist, Jalandhar
Know Everything About Asperger's Syndrome!

Asperger's Syndrome has recently come under the umbrella of Autism Spectrum Disorder. This syndrome usually affects the social skills of the patient, most heavily. The patient may seem normal and even intelligent at first glance. But on closer interaction, several social skill problems will come to the fore including an obsessive focus on certain topics and issues. Repetitive behaviour is also a part of this disease.

Let us find out more about Asperger's Syndrome:

  • Symptoms: The symptoms usually begin to show up early on in one's childhood. The patient will not be able to make eye contact while speaking with others. Also, a perfectly normal person may seem inordinately shy and reserved during social interactions. This awkwardness may come to the fore in the form of looking for expression cues on other people's faces and even the body language. The patient may not be a very happy and lively soul, with hardly a smile to crack at the funniest of jokes. The lack of emotions or the emotionally numb state is also a major giveaway of the condition. Other symptoms may include a strong aversion towards change in food habits and routine.
  • Diagnosis: The diagnosis is usually done by mental health specialists like a developmental paediatrician, a psychiatrist, a psychologist or even a paediatric neurologist. These specialists can put the child through a variety of tests that will study the neurological health as well as the speech and emotional behaviour of the child.
  • Educating the Parent: Once the diagnosis has been done, the parents of the patient will have to appraised of the condition and its implications. The symptoms and treatment will have to be duly discussed even as the parents are put through training and therapy to learn techniques with which they can help the child in progressing along more normal lines. The therapy will also help the parents deal with the challenge of living with someone suffering from this condition.
  • Treatment: There are varied forms of treatment that aim at fixing the specific areas and symptoms that the patient is learning to live with. Social skills training, speech and language therapy, CBT or Cognitive Behavioural Therapy and other forms of treatment can help the child overcome many symptoms that come from this condition.

In the course of the treatment, it is important for the child, parent and therapist concerned to realise that there is no single approach that can be applied to all patients suffering from Asperger's Syndrome. Individual care and therapy will be required for individual cases. At the same time, most of the skills will need to be repeated at home so that the child takes them more seriously.

2 people found this helpful

How To Avoid Down Syndrome?

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
How To Avoid Down Syndrome?

Down syndrome is a genetic disorder that develops when an error or abnormality in the cell divisions leads to an extra copy of Chromosome 21. The condition affects a person’s physical growth and cognitive abilities, causing moderate to mild developmental issues. Many of the developmental disabilities last for a lifetime and possibly reduce life expectancy. 

One out of every 700 pregnancies results in the birth of a child with Down syndrome. Children born with this condition have distinctive features – small head, short neck, flattened face, protruding tongue, and upward slanting eyelids. 

Most often, Down syndrome is not inherited – it is rather caused by an error in the cell division during the early development of the foetus. Some parents are at a higher risk of having a child with this genetic disorder. The risk factors include –

  • Old-age pregnancyThe chances of having a baby with Down syndrome increase as you grow older. This is because the more you age, the more risk the eggs have of improper chromosome division. Studies show that the risk of conceiving a baby with this condition goes up after age 35. Nevertheless, most children with genetic syndrome are born to people below 35 years of age since younger mothers are likely to give birth to more babies.

  • Genetic predisposition to Translocation Down syndrome – Both women and men may pass the genetic translocation for the condition on to their kids.

  • Having had a baby with Down syndrome – Parents, who themselves have a translocation or have had a baby with Down syndrome, have a greater risk of giving birth to a second child with the genetic condition. 

How to prevent Down syndrome?

Down syndrome cannot be prevented. However, parents can take certain steps to lower the risk of having a child with this condition. Here are some steps to follow –

  • Plan an early pregnancy – If you wish your baby to be born healthy, it is best to start planning ahead of conception. In the majority of cases, birth defects happen during the initial 3 months of pregnancy, when the organs of the foetus are developing. Being ready from the beginning of the process can improve the chances of your baby’s good health. 

  • Avoid toxic substances – Exposure to harmful substances, such as alcohol, tobacco, drugs, as well as substances found in the workplace, home, or environment may have severe consequences on the unborn child during pregnancy. These may also affect the mother’s health and ability to give birth. The best way to avoid risks is to stave off toxic substances. For example – quitting smoking can improve the likelihood of a mother giving birth to a healthy baby and avoiding certain birth defects, such as Down syndrome. 

  • Turn to a healthy lifestyle – The health of the mother during pregnancy directly affects the health of the unborn child. There are several things, which you can do to keep yourself and your baby in the best of health during this time and lower the risk of birth defects in the baby. The key to opting for a healthy lifestyle starts with regular exercising, maintaining ideal body weight, and following a healthy diet that mainly includes vegetables, fruits, whole grains, healthy fats, lean proteins, and low-fat dairy. 

Even if you cannot prevent Down syndrome, you can certainly ensure that your child is at the minimal risk of being born with the genetic disorder by following the above precautionary measures. 

Most importantly, consult and discuss with your doctor about planning your pregnancy while you are still in your late 20s or early 30s, as well as about avoiding toxic substances, and opting for a healthy lifestyle. 

3 people found this helpful

World Down Syndrome Day Know More About It!

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
World Down Syndrome Day   Know More About It!

21st March is observed as World Down Syndrome Day annually all across the globe. The day marks the importance of raising awareness about the genetic disorder, Down syndrome, among the public. The General Assembly summons all organizations and the Member States of the United Nations, as well as NGOs to celebrate World Down Syndrome Day in a proper manner. 

The prevailing low expectations, negative attitudes, exclusion and discrimination ensure that those born with Down syndrome fall behind and lack opportunities to take part fully in decision making about all matters in life. This happens in society, as also within the Down syndrome community and disability community. 

At the root of this exclusion and discrimination is a lack of knowledge of the challenges people face throughout their lifetimes and the failure to back them with the tools and opportunities required to participate in a meaningful way.

The 2020 theme of World Down Syndrome Day focuses on ‘We Decide’ – everyone with Down syndrome should have complete participation in decision making regarding the matters affecting, or relating to their lives. Meaningful and effective participation is the basic human rights principle backed by the UN Convention on the Rights of Persons with Disabilities. 

As we strive to make people at large wary of Down syndrome, let us know some more about the disorder.

What is Down syndrome?

Down syndrome occurs when a child is born with an extra copy of the 21st chromosome. This is a genetic condition, which alters the course of normal development of the child, causing developmental delays and affecting their cognitive abilities. 

Characteristics of Down syndrome

Children born with Down syndrome share some common distinctive physical characteristics. 

  • Upward slanting eyelids

  • Short neck and small stature

  • Flat nose

  • A protruding tongue

  • A wide gap between the second and large toe

These people also have moderate to mild intellectual disability, for instance – learning disabilities, or delay in fine motor skills. 

Unfortunately, Down syndrome cannot be cured or prevented. However, leading a healthy lifestyle during pregnancy can help reduce the risk of having a baby with a chromosomal condition. 

Screening and Diagnosis 

Early diagnosis and screening are recommended for people at an increased risk of giving birth to a child with Down syndrome. Screening tests can evaluate the propensity of the disease being present. A few diagnostic tests can also reveal if the child will be born with Down syndrome. 

Women aged between 30 and 35 years, or above, may receive genetic testing during pregnancy since the likelihood of having a baby with the disorder increases with age. 

Living with Down syndrome

An encouraging home environment, premium educational programs, support from family, friends, and community, and good healthcare can help people with Down syndrome lead productive and fulfilling lives.  

9 people found this helpful

How to know that ur child is not having down syndrome if she having some symtoms of down syndrome.She is growing with slower speed.

Dr.Aravinda Jawali 91% (1523ratings)
MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Ludhiana
At birth, babies with Down syndrome usually have certain characteristic signs, including: flat facial features. Small head and ears. Short neck. Bulging tongue. Eyes that slant upward. Oddly shaped ears. Poor muscle tone.
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