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Stridor in Children - कडल्स चाइल्ड क्लिनिक

 Noisy high pitched sound while breathing:- it is a sound which involves upper airway tract like nose, mouth, sinuses, larynx and wind pipe. Stridor occurs while breathing in i.e Inspiration. Causes can be:- 1) Congenital anomaly of upper airway tract 2) Infections like croup, tonsillitis, adenoiditis 3) Ingestion of substances like food/small object in upper airway path 4) Injury in upper airway tract 5) Allergic reaction in upper airway tract 6) Tumour of same tract. Symptoms :- main symptom involves harsh noisy sound while breathing in. Children are more at trouble due to narrow and shorter upper air way system Diagnosis :- ENT specialist doctor are the doctor who treats this condition like stridor. Tests:- 1) Chest and neck Xray 2) CT scan/MRI 3) Laryngoscopy:- to check throat and larynx 4) Bronchoscopy:- to check trachea and tubes in addition to above ones 5) Spirometery:- to know how much air is breathed in and out 6) Pulse oximetry:- to measure amount of

How to burp your child?

Burping is an important part of routine of baby feeding. Soon after delivery, after initiation of feeds, mothers are told to burp the baby. Every time when baby go for regular checkups, importance of feeding and burping is told by pediatricians . Why to burp and its importance? • Burps help to get rid of some air that babies tend to swallow during feeding • To avoid colic tummies mean pain in abdomen  • To avoid regurgitation of feeds, due to not so strong muscle tone of food pipe in small babies • To avoid spitting of feeds How to burp? • When burping your baby, gentle patting on your baby’s back should be done • With burps, some feeds tend to come out, so place a towel or bib under your children’s chin or on your shoulder Different burping positions :- • Sit upright and hold your baby against your chest. Baby’s chin should rest on your shoulders as you support the baby with one hand. With other hand, gentle pat your baby’s back. • Hold your baby sitting u

Phimosis and Paraphimosis in Children - Cuddles Child Clinic

In simple words, it is a condition in which there is inability to retract the foreskin of male genitalia leading to local infection under the skin which may lead into infection of urinary tract i.e urinary bladder, urethra, and in severe cases may ascend up to kidneys too. This is a condition of male penile area and is commonly seen in young boys. • After birth, the foreskin is adherent to glans penis i.e soft part of male genitalia which separates with time and the foreskin is retractable. • At 1 year of age, 50% boys have adherent foreskin  • By 4 years of age, it is declined to 10% and by 1 years to just 1% Mother need to clean the area is forcefully retracting the foreskin to maintain hygiene. It helps to resolve the partial adhesions of foreskin to glans. • Patients presents with complaint of  • Pain while micturition • Swelling over penile area • Penile discharge • Sometimes symptoms of urinary tract infection ie fever, chills etc • Bulging of foreskin

Pain abdomen in Children - कडल्स चाइल्ड क्लिनिक

Painful tummy is sometimes a big reason to visit a pediatrician. It can cause serious discomfort to a child or might be an on and off problem. As child’s threshold to tolerate pain is less than adult, so they sometimes suffer a lot leading to big panic condition in family. It is very often encountered problem in children. Abdomen pain can be :- -    Acute onset : that arise  recently like overnight -    Chronic: that persisting since long duration   Causes of such pain can be :- Due to underlying problem like gastritis, appendicitis, gastroenteritis etc. Functional here child tends to complaint, but no underlying problems seen. Idiopathic condition where cause is not known. Acute abdomen pain : Its sudden onset, due to some underlying problems like gastritis, gastric acidity, appendix pain, urinary tract infection, intestinal obstruction etc. Not all episodes of acute abdominal pain require surgical intervention. Oral medication mostly solves the problem. To diagnose the condi

SCID- SEVERE COMBINED IMMUNODEFICIENCES - Cuddles Child Clinic

Combined immunodeficiency involves malfunctioning of multiple components of the immune system, including both humoral immunity and cell mediated immunity. •    It is also called as “bubble boy disease” •    It is X-linked genetic disorder •    It characteristically lead to death from overwhelming infection in the first year of life unless they have undergone successful bone marrow transplantation. •    In it neither T cells nor the B cells work properly Types : •    Typical SCID •    Leaky SCID •    Variant SCID Clinical presentation of SCID : •    Children with SCID may develop infections caused by organisms or vaccines •    Organisms which are most dangerous to cause fatal diseases are: pneumonia, fungal infection, viral infections like chickenpox, CMV, influenza, measles etc. •    Patients with SCID having rash are mistakenly diagnosed as eczema, but is actually caused by reaction of the mother’s T-cells. Diagnosis : •    Low lymphocyte count <1500 per cubic millimeter •

FEVER AND RASH CAN BE SCRUB TYPHUS INFECTION

It is a mite born rickettsial infection firstly identified in Japan in 1930. It is caused by Orientia tsutsugamushi.   Mode of transmission : Humans are the accidental hosts. Bite of an infected mite which feeds on small mammals (rats and mites) causes infection to humans. There is no direct person to person transmission. Prevails in rainy seasons and area of scrub vegetation. Find the top child specialist in sector 57 gurgaon . Clinical features : Incubation period is between 6-21 days •    High fever with chills •    Malaise •    Maculopapular rash •    Lymphadenopathy •    Coryza •    Headache •    Gastrointestinal symptoms •    Eschar formation on 5th day of illness. Mostly located in axillary, inguinal region, perianal, scrotum, buttocks and thigh. It appears as an ulcer surrounded by a red areola which is covered by scab. Complications : •    Pneumonitis •    Hepatitis •    Meningoencephalitis •    Disseminated intravascular coagulation •    Myocarditis •    Multi organ

TEETHING IN CHILDREN

Teething is the process of the eruption of primary teeth through the gums called as Odontiasis. Usually primary small teeth incisors erupt without much difficulty, but larger ones sometime are difficult to erupt. This phenomenon starts around 4 months to 15 months of age for primary dentition. Usual order of eruption of primary teeth: •    Central incisors- 6-12 months of age •    Lateral incisors- 9-16 months of age •    Canine teeth- 16-23 months of age •    First molars- 13-19 months of age •    Second molars- 22-24 months of age Between 6 years to 12 years of age the roots of these 20 baby teeth degenerate allowing their replacement with 32 permanent adult teeth. Local signs are: •    Swelling of gums •    Redness over gums and cheeks •    Keeping hands and fingers inside mouth •    Excess of salivation Systemic signs are : •    Irritability •    Crying •    Excess of salivation and drooling •    Decreased appetite •    Restlessness •    Increased thirst •    Rash around