CHILD PSYCHOLOGY FOR PARENTS.

PRACTICAL PEDIATRIC PSYCHOLOGICAL COUNSELLING FOR PARENTS.
We have to concentrate on 4important points only:
1)children hate parental control.
2)children have interest in socialisation.
3)bad society /bad friendship often turns good into spoiled children.
4)child gives priority to fraternal control than maternal.


PARENTAL CONTROL.
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EVERY CHILD STARTS LEARNING RIGHT FROM BIRTH SOMETHING EVERY HOUR &EVERY DAY
Parents have to provide suitable opportunity,for environmental stimulation for such learning&it is a continuous process,never ending as long as brain functions keep steering
in the normal way.Generally child wants to be independent age 2.They want to eat themselves,though they will do it in a clumsy way. they get used to in due course.
The 2-3 year age group is bestowed with boundless energy&they can be controlled only when their energy level comes down,after a physically tiresome play..When father returns home child will take the privilege of playing with father in an aggressive way.Father is expected to control his emotions.Sizable number of fathers return home fully boozed.Drunken man can not be expected to know how to behave with a child.The result is a gradual demoralisation of child ending up in a child with low I.Q.,OR LOW ACADEMIC PERFORMANCE,or become a school dropout.Beating such children will not only worsen the situation,but may lead to a psychological breakdown situation There after it is not retrievable most often&that is the end.
so prophylaxis is better than cure.

SOCIALISATION;
Animals are social&man is a social animal.From early child hood he wants to play with other children.or pet animals.This is not practicable in U.S.A..(Playing with pet animals is contraindicated)The culture in India differs in this respect with U.S.A


children US see other children only in parties once a month.otherwise there imprisoned inside
4 walls.only person to see is mother.few children are privileged to go to daycare centers.
JAMBOREE where they see other children&many play equipments..In major hospitals,specially teaching institutions,there is a department known as occupation therapy..meant for mentally &physically retarded children.Even normal children can be exposed to this department&can be found beneficial in sharpening the mental make up of children without any doubts

BAD FRIENDSHIP

Tell me your friend,I will tell your character,is an old proverb.Child grownup child,early adolesents dont know how to select good friends.It is the duty of parents to advise them about their friends&how to choose good from the bad.Children naturally make friendship with high scoring children only if they themselves are high scorers.this HAS TO BE CONFIRMED BY PARENTS,NOW &THEN

parents SHOULD ORGANISE PARTIES ONCE IN A WAY FOR THE CHILD'S SAKE.This provides an opportunity

to study the character of the child's "friends circle".
This should be maintained till child enters college ADOLESCENT AGE IS ONE OF THE MOST DIFFICULT PART OF A CHILD'S DEVELOPMENTAL STAGE.&IS OFTEN A CHALLENGING TASK.

Boy or girl,they are very defiant often &parents have to make right decision to have a good command &control over the child.If not they should seek the help of school teacher or headmaster, or a senior educated relative or even police as the last measure.If child is brought

up well &moulded properly from early childhood.all these things may not be necessary


CHILD IS MORE OBEDIENT TO FATHER THAN MOTHER
In the absence of father ,he very obedient to mother.When father returns home at 6 pm,he is relatively less obedient to mother.This should be considered as a sign of intelligence.&no abuse or threat to be used,towards the child.Obedience is one the most important mental faculty
required to be developed gradually.As age advances,different technique to be used to inculcate discipline.Abusing &beating should never be resorted to ,at any age,as it would only further deteriorate there situation.Parents should approach intellectually to control stubbornness.If they do not know let them go to a pediatric psychologist.Small threatening measures like "TIME OUT" may be practiced whenever they do a wrong thing,&to make them understand,what is right.Intelligence level keeps on increasing every year.&by about age 5 they should obey 100%IF CONTRARY IS FOUND,CONSULT PSYCHOLOGIST.Children like parents always to be smiling &playful towards them(irrespective of their own mental conflicts This may be difficult though.on such occasions parents require PATIENCE.Keep the children always in playful activity,or some kind of useful,intellectual occupation,so that children become less mischievous,or less boisterous.All these are easy to preach but difficult to practice.

NEWMUMS DOUBTS ABOUT HER NEW BORN-CLARIFIED

1)CRY
GENARALLY THIS IS A NORMAL SIGN OF LIFE.SOMETIMES IT IS ABNORMAL &NEEDS DOCTOR'S DIAGNOSIS.
SEE MY ARTICLE-CRY-60 CAUSES IN THIS BLOG.
VISIT MY ARTICLE ENTITLED- 4-8 PM SYNDROME IN THIS BLOG.
2)VOMITING.MOSTLY ,IT IS REGURGITATION DUE TO IMPROPER BURPING.WHEN BABY SWALLOWS MILK,IT DOES ALONG WITH SOME AIR ALLWAYS.THAT HAS TO COME OUTBY BURPING.(PUT BABY ON SHOULDER &TAP GENTLY ON BACKTILL GASS COMES UOT 2-3 TIMES..IF IT IS VOMITING IT MAY BE DUE TO STOMACH INFECTION DUE
TO AMNIOTIC FLUID SWALLOWING.RARELY IT MAY BE BRAIN RELATED.ALSO IT CAN BE DUE TO IMPROPER (LESS) DEFECATION OF MECONIUM(MECONEUM ILEUS SYNDROMEWHEN VOMITING CAN LAST FOR 3-5 DAYS.RELIEF OBTAINED MEDICALLY /SURGICALLY.
3)CONSTIPATION:FIRST BLACK STOOL(MECONEUM)PASSED UPTO 3DAYS.GOLDEN YELLOW COLOUR FROM FOURTH DAY..IF NO MOTION LOOK FOR VOMITING /ABDOMINAL DISTENSION.SUSPECT CONGENITAL DEVELOPEMENT PROBLEM OF INTESTINES.SOMETIMES ATRESIAS.SOMETIMES HISPRUNG'S DISEASE.SOMETIMETIMES PASSING MOTION ONCE IN 10-15 DAYS CAN BE NORMAL!(ILLINGWORTH)
4)STRAINING:DURING DEFECATION/MICTURITION.THIS IS NORMAL.BAY IS EXPLORING NEW KNOWLEDGETHAT STRAINING RELIEVES BOWEL/BLADDER!.
5)URINATION:URINE IS HOT.--NORMAL
6)FEEDING50% OF BABIES DONT FEEDPROPERLYDUE TO:
A)LACK OF BREAST FEEDING TECHNIQUE&POSITION.
B)RETRACTED NIPPLES.
C)INSUFFICIENT HYDRATION&MATERNAL NUTRITION
D)SOMETIMES OBSTRUCTION TO MILK FLOW DUE TO THICK COLOSTRUM(TAMIL-SEEM-PAAL)
7)UMBILICAL STUMP:USALLY FALLS ON SEVENTH DAY.SOMETIMES MAY STAY UPTO21 DAYS!,WHEN IT IS REMOVED SURGICALLY.BEWARE OF UMBILICAL SEPSIS.DONT RUSH TO GIVE BATHBEFORE 15 DAYS.CAN GIVE SPONGE BATH INSTEAD.CLEAN AXILLA,GENITALS,NECK ONLY.
8)BATH:GIVEN 3 DAYS AFTER FALL OF UMBILICAL STUMP.NO OIL BATH.NO SOAPNUT POWDER USE.NO NEED FOR BATH IN WINTER.DAILY BATH NOT REQUIRED.HEAD BATH ONCE A MONTH IF THERE IS BAD ODOUR.
9)WATER FEEDS GIVEN TWICE DAILY BETWEEN FEEDS.
10)DONT DO OILING TO EAR /NOSE.
11)CASTEROIL/PURGATIVES USE-CONTRAINDICATED.
12)SKIN -OILING.INDICATED IF SKIN IS DRY.
13)TOILET POWDER USE- CONTRAINDICATED.
14)PHYMOSIS:FORESKIN -PENIS MAY HAVE PIN HOLE MEATUS.MAY RQUIRE DILATATION OF FORESKIN
ONLY.
15)BLOOD PER VAGINA-DE TO EXCESS OESTROGENWITHDRAWAL.NO TREATMENT NECESSARY.
16)BREAST ENLARGEMENT,IN EITHER SEX.:ALSO DUE TO HIGH MATERNAL ESTROGEN IN CIRCULATION.
NO TREATMENT REQUIRED.
17)LACRIMATION SOMETIMES DUE TO NASOLACRIMAL DUCT OBSTRUCTION.SOME TIMES NORMAL.
SOMETIMESREQUIRES,MEDICAL PHYSIOTHERAPY/SYRGERY.
18)BLEEDING DIATHESIS:BLEEDING PER NOSE/MOUTH.DUE TO COAGULATION FACTER DEFFICIENCY.
DIAGNOSIS FIRST-TREATMENT NEXT.
19)HEARING:B E R A -SUPER SPECIAL HEARING TEST AVAILABLE FOR NEWBORNS.
20)VISION:CONFIRMED WITHIN 30 DAYSBY PEDIATRITICIANS.

BABY-CRY-TREATMENT TIPS

BABY CRY TREATMENT TIPS:TO JUNIOR PEDIATRICIANS
1)NEVER EXAMINE WITHOUT SEDATION.
2)CAN BOLDLY SEDATE WITH TWO DRUGS,IF NOT SEDATED WITH SINGLE DRUG.
3)AVOID USING TRICHLORYL(TRICHLOPHOS),AS IT MAY PRODUCE RENAL FAILURE IF REPEATED.
4)SAFEST SEDATIVE DRUGS;PHENERGAN,PHENOBARBITONE,DIAZAPAM,LARGACTIL.
5)IF CHILD CONTINUES TO CRY FOR MORE THAN 6 HOURS/DAYS,IF CAUSE IS NOT KNOWN,BRING DOWN TACHYCARDIA BY A DOSE OF DIGOXIN+FRUSAMIDE.I.V..IF THE HEART RATE COMES DOWN,BABY WILL GO TO SLEEP ONLY TO GET UP FRESH TO PLAY ACTIVITY.THE PRESUMPTIVE DIAGNOSIS HERE IS C.C.F.DUE TO VIRAL
MYOCARDITIS.NEEDLESS TO SAY IT MAY REQUIRE OTHER TREATMENT FOR CORRECTING THE CAUSATIVE FACTORS.

BABY-CRY-60 CAUSES

ANY OR MANY OF THE FOLLOWING COULD BE THE CAUSE FOR A BABY'S CRY.COMPLETE &THOROUGH EXAMINATION OF THE NAKED BODY FROM HEAD TO FOOT HELPS DIAGNOSIS.
PERCENTAGE CONSTITUTION.:

A)FIRST 5 =95% B)NEXT 15- =4%.C)NEXT-4O=1%

CAUSES:60 IN NUMBER.

1)HUNGER
2)SLEEP
3)DIAPER CHANGE.
4)ATMOSPHERIC TEMPERATURE
5)DISTURBING ENVIRONMENT-
Eg;TOO MUCH SOUND,PEOPLE TALKING TOO LOUD,CROWDED PLACE.
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6)VOMITING SENSE
7)GASTRO ESOPHAGEAL REFLUX
8)ACIDITY
9)INTESTINAL COLIC
10)OBSTIPATION/CONSTIPATION
11)URETHRITIS
12)ASOM(MILK ENTERING EARS FROM MOUTH)
13)FOREIGN BODY EYES.
14)ITCHING SENSE
15)ALLERGIC NASAL OBSTRUCTION
16)ALLERGIC BRONCHITIS.!
17)MILK INTOLERANCE.
18)LACTOSE/GALECTOSE INTOLERANCE.
19)ACUTE BRONCHIOLITIS/WHEEZY BRONCHITIS.
20)IRRITATING JEWELLERY/COSTUMES.
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21)FUNGAL INFECTION
22)HEAD LICE/LICE-EYE LASHES.
23)CONGENITAL HEART DISEASE
24)HARE LIP/CLEFT PALATE.
25)HISPRUNG'S DISEASE
26)ANAL STENOSIS
27STRICTURE URETHRA
28)URINARY TRACT INFECTION
29)UROLITHIASIS
30)HAEMATURIA
31)AMINOACIDURIA
32)MAPLE SYRUP URINE DISEASE
33)JET LAG(SLEEP DISTURBANCE)
34)LOW HUMIDITY-UK/USA.CAUSING DRYNESS OF RESPIRATORY MUCOSA.
35)OSTEOMYELITIS
36)PYOGENIC ARTHRITIS.
37)LACK OF MOTHER'S WARMTH-BONDING.
38)IMPROPER BURPING
39)CHILL BLAINS.
40)PUNGENT ODOURS
41)DENTAL ERUPTIONS(AGE AROUND 6 MONTHS)
42)WORM COLIC.
43)CRYSTA LURIA
44)RENAL COLIC
45)CHOLISISTITIS
46)HEPATITIS
47)CRYING CONVULSIONS
48)PRURITIS ANI
49)TORTION TESTIS
50)DIAPHRAGMATIC HERNIA
51)MYOCARDITIS/CCF
52)EMPYEMA
53)SHAKEN BABY SYNDROME
54)SPRAIN NECK(VORUM VIZHUDAL-TAMIL--AGE BELOW 6 MONTHS USUALLY)
55)FRACTURE CLAVICLES(MISHANDLING)
56)INSECT BITE
57)SCORPION STING (SKIN COLDNESS DUE TO PERIPHERAL CIRCULATORY FAILURE)
58)LONELINESS/FEAR COMPLEX
59)FEVER/HYPERPYREXIA
60)BATTERED BABY SYNDROME.

DOUBTS OF NEW MUM NEW BORN RELATED

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1)BABY IS CRYING OFTEN/NOT CRYING.
CRY IS THE ONLY WAY,A NEONATE CAN COMMUNICATE TO THE WORLD.CRY IS OFTEN SLEEP RELATED, OR WET DIAPER OR UNBEARABLE EXTERNAL TEMPERATURE+HUMIDITY OR WANT OF SLEEP OR SOME IRRITATING/STRESSFUL ATMOSPHERE(TOO MUCH OF SOUND, TOO MUCH OF LIGHT)THE PATTERN OF CRY IS DIFFERENT FOR EACH & MOTHER NEEDS TO IDENTIFY CORRECTLY.
BABY MAY NOT CRY BECAUSE THE SLEEP REQUIREMENT IS ABOUT 18 HOURS/DAY&MAY CRY ONLY FOR FEEDS/DIAPER CHANGE.
FOLLOWING ARE OTHER QUESTIONS ASKED BY NEW MUMS:
1)CRY---SEE60 CAUSES IN MY NEXT ARTICLE.
2)VOMITING
3)CONSTIPATION
4)STRAINING DURING MICTURITION,DEFECATION.
5)MICTURITION
6)FEEDING
7)UMBILICAL STUMP
8)BATH(HEAD BATH)
9)WATER FEEDS.
10)OILING TO EARS.
11)CASTER OIL/PURGATIVES.
12)OILING TO SKIN.
13)TOILET POWDER USE
14)PHYMOSIS.
15)BLOOD PER VAGINA(Baby's)
16)BREAST ENGORGEMENT.(BOTH SEXES)
17)LACRIMATION(TEARS IN EYES)
18)BLEEDING DIATHESIS.
19)HEARING SENSE.
20)VISION.
21)NATAL TOOTH.
22)DIARROEA DUE TO LACTOSE/GALECTOSE INTOLERANCE

UMBILLICAL HERNIA-NON SURGICAL TREATMENT

UMBILICAL HERNIA-NON SURGICAL TREATMENT
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THIS IS A CONGENITAL DEFECT IN CHILDREN.IF IT IS SMALL CONSERVATIVE MEASURES ARE ENOUGH.
IF IT IS LARGE ,SURGERY IS THE ANSWER.MANY YOUNG INFANTS DO NOT GET PROPER ADVISE ON CONSERVATIVE TREATMENT.MOTHERS ARE ADVISED USUALLY ABOUT APPLICATION OF A COIN OF 2 CM DIAMETER IS APPLIED&BANDAGED OVER THE DEFECT FOR 3-6MONTHS,WHEN IT MIGHT SHOW AUTOMATIC CLOSURE OF DEFECT.
THE BETTER WAY OF DOING THIS IS APPLICATION OF A SMALL PLASTIC BALL,LIKE PING -PONG BALL
OR A MEDIUM SIZED INDIAN LIME FRUIT(AMERICAN LIME IS 8 TIMES BIGGER!).THE ADVANTAGE IS THAT THE BALL WONT SLIP AWAY UNLIKE THE COIN.THIS IS QUITE SAFE &HAS NO SIDE EFFECT.THE SIZE OF HERNIA OFTEN BECOMES LARGER DUE TO FREQUENT CRIES OF THE CHILD THAT INCREASES THE INTRA ABDOMINAL PRESSURE,FORCING THE HERNIAL SAC WITH BOWEL TO PROTRUDE OUTSIDE WHEN THE HERNIAL ORIFICE(UMBILICUS)IS NOT SUPPORTED BY A BALL LIKE OBSTRUCTION.EVEN IF INFANT CRIES THE BALL IS USUALLY RETAINED IN THE SAME PLACE&APPEARS TO BE IDEAL IF A PING-PONG BALL IS USED.