Best pediatrician Doctor Sector 57 | Cuddles Clinic

UTI occurs in children with a prevalence of 1-3% in girls and 1% in boys. In girls, UTI occurs by the age of 5 years whereas in boys mostly UTI occur during 1st year of life . Most commonly UTI causative organisms are colonic bacteria like E.Coli, Klebsiella, Proteus etc. which are more common in girls and Proteus infection in boys. UTI can present in 3 forms : • Pyelonephritis • Cystitis • Asymptomatic bacteriuria Pyelonephritis : it is the infection of urinary system involving upper urinary tract (kidneys). It presents with: • Abdominal/back pain • Fever • Malaise • Nausea • Vomiting Renal parenchymal involvement can lead to renal scarring means affecting kidneys. Cystitis : it is the infection of urinary bladder. It presents with: • Dysuria (painful urination) • Increased frequency of passing urine • Urgency  • Lower abdominal pain • Loss of control on urine Cystitis does not cause fever and does not result in renal injury. Most UTIs are

Behavior eating disorder in children between 14-18 years of age is known as Anorexia Nervosa. Female adolescents are affected the most. Anorexia- is loss of appetite Nervosa- loss is due to emotional reasons Diagnosis- it is a clinical diagnosis and patient presents with: • Patient shows refusal to maintain body weight which is required for particular age, weight, height. • Child feels fear of gaining weight and becoming fat. • There is disturbance in body weight and shape • Disturbed cycle Types - • Restricting type- child restrict himself/herself to eat • Binge-eating/Purging type- child has habit of binge eating i.e. self induced vomiting, excessive use of laxatives after eating This affects child’s health in the form of depression, OCD, phobias, panic attacks, other personality disorders, substance abuse. Health changes - • Decrease BP • Decrease HR • GI and kidney problems • Decrease Bone Mass • Skin dries out and nail become

Enuresis (Bed Wetting): when child doesn’t have control of urination is known as Enuresis. It can be at night time (nocturnal) or both day and night time (diurnal). Most children achieve control by the age of four years. But some children achieve the control late by 6-7 years. Enuresis is countable, if the control is not after 7 years of age. Enuresis is more common in boys than girls. This condition sometimes makes bad effect on children as well as parents in many ways:- ·  Child is always scared: don’t want to go to camps, to relatives as he is hesitant to sleep at night. ·  Parents feel frustrated with problem of their child and loose temper on them and make the condition worsen. Nocturnal enuresis: ·  Primary type is those who were never dry since potty trained. No daytime wetting. ·  Secondary type is those who achieved dry days till 6 months but now again started bedwetting. Sometimes it’s related to any underlying disorder or stress. Diagn

ASTHMA ( अस्थमा ): It is defined as hypersensitive reaction of airways.  It involves the bronchial tree.  The triad includes: ·   Inflammation ·   Bronchospasm ·   Odema Allergic reaction involves immune response (IgE mediated) and an increase in absolute eosinophilic count (AEC). Causative agents: ·   Dust ·   Smoke ·   Preservatives ·   Coloured food items ·   Pets ·   Change in weather Family history plays an important role in predisposition of Asthma. Asthma or allergies run in family Symptoms: ·   Cough (due to bronchospasm) ·   Audible wheeze  (severe condition) ·   Breathlessness (Air hunger) ·   Vomiting Signs: ·   Wheezing heard with stethoscope ·   Nasal flaring, chest retractions (severe cases) ·   Falling blood oxygen saturation ·   Cyanosis (severe cases) ·   Silent chest (severe cases) Evaluation of asthma is clinical mostly expect for need of X-ray chest, Allergic profile (IgE and AEC), Spirometrey, ABG (severe

When u has a child in your arms, u has a lot any doubts about upbringing of a child that “what to do or what not, this is right or that is right, is this normal or abnormal.” So with a new phase of life and being a new mom, here come the answers to your doubts. 1)How to know that my mild is sufficient for my baby? You are lactating means you are milking, no worries then. If your baby passes 6-8 times urine a day and having good weight gain in monthly assessment, then yes your milk is sufficient for baby 15-20 minutes adequate feeding and proper sleeps in between feed also indicates the same. 2)My child wakes whole night and sleeps in day? When baby was in womb, he sleeps in day as mother rooms around and giving a swing feeling to baby and them wake when mother sleeps on bed, the same continues after birth. This is called their Jet lag and takes times to adapt to new sleep awake cycle. Try helping baby to awake more in daytime, so that he sleeps more in night with time. 3