Best pediatrician Doctor Sector 57 | Cuddles Clinic

It is a behavioral disorder and makes difficulty for the child to pay attention and/or control their behavior. Onset of ADHD  before age of 7 years and has 3 main features: • Inattention • Hyperactivity • Impulsivity Condition become evident when a child starts preschool or are in early school 3-5% children suffers from ADHD Find the best  Child Specialist Doctor in Gurgaon - Dr. Ritambhara Lohan What exactly it means ? a) Inattention:- • Child who faces difficulty in keeping themselves in one task and gets bored easily because of one • Child switches from one task to other without completing one • Child who does not follow instructions • Child forgot things needed for task b) Hyperactivity :- • Child is in constant movements like roaming around, touching things, squirming or fidgeting etc. c) Impulsivity :- • Child speaks or acts without thinking its results • Child who blurts out inappropriate comments, even do not wait for their turn Diagnos

Rotavirus infection is very contagious; it spreads when infants or children come into contact with an infected person’s body fluids or feces, or items. Most common age group is between 3 months to 35 months old. Infection is transmitted through stools to the mouth of another child called as fecaloral route of transmission. The virus can stand long on hands for hours. Find the  Best Child specialist in Gurgaon - Dr. Ritambhara Lohan The introduction of rotavirus vaccine helped protecting children from virulent rotavirus which is the leading causing of severe diarrhea in infants and children. More than 6,00,000 young children die and approximately 2.4 million hospitalize annually from rotavirus disease. Because of the tremendous global burden of rotavirus, WHO has prioritized vaccine development and introduction to control this disease. History says : • Human rotavirus was first isolated by Ruth Bishop in 1973. • 1980, efforts were made to develop rotavirus vaccine •

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