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ATOPIC DERMATITIS (Skin Allergy)

Atopic dermatitis is a long-term skin condition. In simple term it’s itchy skin. It is more common in babies and children, but can also occurs in adults. It usually first appears between ages 3 to 6 months. The word ‘atopy’ comes from the Greek word meaning ‘without place, unusual, described by Coca and Cooke in 1923. Find the best Pediatrician Doctor in Gurgaon Atopic dermatitis- inflammation of the skin due to allergies. Atopic- having allergic tendencies Non atopic-not having allergic tendencies Age of onset- 60% develops in 2 months to 1 year of life. 30% are seen for the first time by age 5 years and 10% develops between 6 months to 20 years of age. Slightly more common in males then females Etiology - • Clinical factors- like Xerosis means reduced water content of skin and decreased secretion of sebum and sweat. Dry and sensitivity means loss of epidermal barrier and irritation from wool clothes, soaps etc., stress, extreme weathers • Immunological factors

Dos and Don’ts for your newborn

There are certain things which always piss off the mind of new moms out there. Rearing a new life in your hands is quite difficult to understand. Top 10 child specialist in gurgaon - Dr Ritambhara Here we discuss few dos and don’ts for the newborn baby:- Dos : Feed baby with breast milk soon after delivery as initial milk called colostrum is there for first 3 days which is full with antibodies, immunological factors, prevents chronic ailments like Diabetes etc. Do keep baby with mother and let her handle the baby which helps in developing bonding with mother, makes skin to skin contact with mother and helps in milk let down in mothers. Do cuddle the baby and talk with him/her as they also feels bored off Bathing should be done after cord clamp falls off Massage to be done after 1 month of life  Feed baby after every 2 hours till 1 month until there is demand feeding to avoid dehydration and jaundice and weight loss Feeding should be followed by adequate burping to a

ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)!!!

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 VACCINES रोटावीरस वैक्सीन

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 •

Urinary Tract Infection in Children

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

Eating Disorder in Children

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 | कुडल्स चाइल्ड क्लिनिक गुड़गांव

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