Monday, September 16, 2013

CHILD WHO REFUSES TO EAT--CONTINUED

11.AVOID GIVIG SNACKS BEFORE MEAL TIME
12.ENCOURAGE TODDLER TO HELP YOU IN THE KITCHEN IN SMALL WAYS LIKE' PICK THAT ONION'HE MAY SHOW INTEREST TO EAT THE FOOD HE HAS HELPED.
13.SNACKS AT 10.30 &4.30.ONLY
14.EAT ALONG WITH YOUR CHILD.
15PREFERABLY NO TV DURING FOOD.
16.USE DIFFERENT COLOR PLATES EVERY DAY(ASK WHAT COLOR DO YOU LIKE TODAY)
17.GIVE HIS FAVOURITE SAUSE/KETCHUP/MAPLE SYRUP.THEY LIKE TO DIP FOOD IN JAM SAUSE.
18.ASK CHILD TO GIVE HIS CHOICE OF FOOD
19.AVOID OFFERING REWARD FOR EATING
20.AVOID PUNISHING FOR NOT EATING
21.TRY
TO DISTRACT ATTENTION BY SHOWING SOMETHING NEW OR A STORY &FEED WHEN HE IS UNAWARE
22.ALLOW ANOTHER NEIGHBOUR'S CHILD TO EAT ALONG WITH IF POSSIBLE
23.FIND OUT WHICH OF THE TRICKS MAKE HIM EAT &REPEAT SAME OFTEN
24.PULL OUT A BANGLE FROM YOUR ARM &PLACE IT OVER YOUR EARS.HE WILL ASK FOR THE SAME.DO IT.(ATTENTION DISTRACTED .NOW FEED HIM.
25)SHOW DRUM BEATING MONKEY TOY/JUMPING FROG TO DISTRACT ATTENTION.
26.IF  ALL ATTEMPTS FAIL-DONT GIVE UP HOPE.WAIT FOR ONE HOUR&RESTART EXERCISE OR WAIT TILL HE FEELS HUNGRY,&CRIES AS AN INDICATION.

drselvarajp @yahoo.com


Sunday, September 15, 2013

CHILD WHO REFUSES TO EAT


THIS OCCURS FROM AGE 1-6 YRS.THIS THE CHIEF COMPLAIT OF ALL MOTHERS THROUGHOUT WORLD.A CHILD ALWAYS WANTS TO PLAY.
.WHAT ARE THE DOs &DONTs
DONTS.
1)DONT SHOUT AT CHILD
2)DONT BEAT CHILD
3)DONT DO FORCE FEEDING
$0EVEN IF YOU ARE ANGRY DONT SHOW.ACT AS IF YOUARE NOT
5)NEVER USE FRESH LIQUID / BOTTLED COW'S MILK
(PREFER FORMULA  POWDER MILK)
6)DONT PLAY TV AS THAT WOULD BECOME HABITUAL


DOs
-----
1. BE PATIENT.SHOW MORE LOVE & AFFECTION.HUG HIM KISS HIM
2.SHOW SURPRISES.BUY NEW TOYS .KEEP HIDING.
3 USE DIFFERENT COLOUR SPOONS/PLATES/CUPS.ASK CHILD WHICH COLOUR HE WANTS
4)ALWAYS EAT THE FOOD BEFORE GIVING TO CHILD.IT MAY BE UNDULY HOT /COLD/SALTISH/ NO SWEET
5)AT ABOUT 3 YRS OF AGE ,TELL SOME READY MADE STORIES..AFTER EACH 3LINES OF STORY GIVE FEED ,WHILE HE IS CONCENTRATING ON THE STORY.
6.INCULCATE DISCIPLINE BY FEW WORDS OF COMMANDS LIKE ,SIT STAND CLOSE EYES TOUCH SCALP,ETC
7 MAINTAIN ROAD TO HEALTH CHART.IF WEIGHT GAIN IS SATISFACTORY,DONT WORRY.
8.GIVE PROTIENS DAILY LIKE FISH/EGGS/ CEREALS/MILK/SOYABEEN MILK
9FEED TODDLER AT SAME TIME,SAME PLACE EVERY DAY
10.WAIT TILL HE GETS TIRED IF HE IS PLAYING
10.GIVE A CALM ATMOSPHERE PREFERABLY


Friday, September 6, 2013

BRAIN EATING AMOEBA (NAEGLERIAFOWLERI)


EVER SINCE ITS DISCOVERY IN 1965,THE DIAGNOSIS IS DIFFICULT & MORTALITY CONTINUES TO BE HIGH.
WHAT CAN WE DO TO BRING DOWN MORTALITY?
THE FIRST PHYSICIAN WHO TREATS THE CHILD OR ADULT SHOULD ASK HIM SELF WHEATHER THE FOLLOWING POINTS CHECKED.

1,FEVER.
2,HEADACHE-ANTERIOR/POSTERIOR/TEMPORAL/EYEPAIN.
3,VOMITING/BLURRING OF VISION.
4,FITS ( SERIOUS).
5,NECK STIFFNESS (SERIOUS).
6,DECREBRATE SPASM (SERIOUS).
7,H/O SWIMMING IN POND/POOL/LAKE/UNDER WATER WARM WATER POOL.
8,SYMPTOMS WITHIN 2-5 DAYS AFTER SWIMMING.
9,H/O NASAL ASPIRATION OF SWIM WATER (SPREADS THROUGH OLFACTORY NERVE ENDING)
10 CAREFUL OBSERVATION &MASTERLY EXPECTANCY TO DO A LUMBAR PUNCTURE FOR CSF EXAM&IF NECESSARY REPEATED LPs.ONCE THE DIAGNOSIS IS CONFIRMED OR SUSPECTED TREATMENT SHOULD BE STARTED AS FOLLOWS ON A SCIENTIFIC CONCEPT.MANY DRUGS ARE USED FROM SULPHADIAZINNE /COLLOIDAL MERCURY TO NEWER DRUGS RIFAMPICIN ,AMPHOTRESIN-B/OTHER ANTI FUNGALS LIKE FLUCALAZOLE OR ANTI-BREAST CANCER DRUGS--ALL ARE ONLY EMPIRICAL &NOT PROOVEN.SO FOR ONLY SUCCESS RATEIS 10-20%.UNDER SUCH CIRCUMSTANSES
WHY NOT WE TRY ANY TWO OF THE FOLLOWING DRUGS?
1PRAZIQUENTAL
2RIFAMYCIN(ORAL/INTRA THECAL)
3)CHLOROQUIN-ORAL
4)METRANIDAZOLE-I.V

PRAZIQUENTAL
DRUG OF CHOICE TO TREAT NUERO CYTICERCOSIS. WITH CYSTIDE ORALLY.THIS IS DOCUMENTED IN TWO MEDICAL TEXT BO0OKS
ONE OF THE BEST ANTIPARASITIC IF BRAIN IS INVOLVED.DRUG ANAPHYLAXIS IS COMMON

CHOROQUIN
USED FOR CEREBRA MALERIA &TO KILL ENTAMAEBA HITOLYTICA.I.V USE IS DANGEROUSMAY RESULT IN SEVERE ANAPHYLAXIS

RIFAMYSIN
GOOD ANTI TB DRUG..FREQUENTLY USED FOR NEONATAL PYO-MENINGO ENCAPHALITIS.USED INTRATHECALLY VIA ANTRERIOR FONTENELLE
ANY OF THIS CAN BE USED DISSOLVING IN WATER ,GIVEN THRO NASOGASTRIC TUBE

METRANIDAZOLE
.USED FOR EH 7LATER FOR ANAEROBIC SEPSIS USED BY IVDRIP IS BETTER..ANY TWO DRUG THERAPY CAN BE USED ON ANA EXPERIMENTAL BASIS.THIS ONLY A CONCEPTUAL THINKING.

drselvarajp@yahoo.com-----ph;9841354335