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Pulmonology

 

Ans. Allergic Dermatitis, Allergic Shi and Allergic Asthma are the different Allergic diseases seen in children.

Ans. No, all children who wheeze in childhood, do not go on to develop Bronchial Asthma. Many young children and babies wheeze due to a viral cold. Most of these wired of their symptoms by 5-6 years of age. Children with an allergic predisposition are more likely to develop Asthma.

Ans. Most of the medicines given through inhalers are quite safe in children (however consult your paediatric pulmonologist before starting inhaler) as medicines given through inhaled route has negligible systemic absorption and dosage is in micrograms.

Ans. Any medication which has to be continued for long has to be safe. Inhalers are the safest medication for recurrent wheeling. Also they have a quick unset of action due to directly reaching the lungs.

Ans. These children should take their yearly dose of Influenza vaccine. It is advisable to avoid strong smells, perfumes, agarbatti, deodorants, mosquito repellents. Cigarette smoking and pets at home are important cause of wheezing in children. Food preservative and colouring agents should not be consumed. Cleanliness should be maintained at home and surroundings.

Dermatology

Ans. Only Coconut Oil is safe and recommended by association of Paediatric Dermatology all over the world.
Ans. Massage should be done gently only by coconut oil and in single direction only, else it can lead to blocking of pores and infection.
Ans. Yes, more chances of Childhood Asthma, Allergic Rhinitis and Atopic Dermatitis (that is Skin Allergy in children) with one or both parents with Allergy.
Ans. Allergy of skin and nose is more common in changing seasons, spring season, more with dust.
Ans. New born’s skin is delicate. Adequate pH and hydration is required for dry skin. Always consult a Dermatologist before taking any Over-The-Counter cream or soap for the kid.
Ans. Yes we can do it by cream or some specific liquid or cryotherapy or by manually by specific instrument.
Ans. Vitiligo or White Patch can be treated if it is limited and is not spreading. Disease is auto immune and unpredictable in nature, doctor can reduce disease activity by medicine and do surgery if it is limited, not spreading.

Paediatric

Ans. When foreskin of the penis is not going back it is known as Phimosis. It is considered physiological till one and half year of age. After that if child is having problems of urination, recurrent infection, ballooning of foreskin at time of urination or he is repeatedly taking his hand over there, it should be treated by a small surgery known as circumcision.
Ans. Your child is probably suffering from a condition known as inguinal hernia. In this condition, an abnormal passage from abdomen to scrotum remains open in the affected child, which otherwise should have closed. Through this passage, whenever intraabdominal pressure increases (when child cries, strains at the time of defecation or coughs), intestines from tummy descend into scrotal sac and a swelling appears, which is known as inguinal hernia. This is a condition which requires surgery at the earliest, because if intestines get trapped over then emergency arises. So you should go ahead with surgery at the earliest.

Ans. Your child is suffering from a condition known as Undescended testis. In all children, before birth testes are in the abdomen, which descend during last trimester of pregnancy. However in few of the children it does not. This condition should not be taken lightly. If testis remains at an abnormal site, then development of testis and sperm will get hampered. Abnormally located testis may get twisted (torsion of testis) or there may be a chance of cancer developing later in the life in the abnormally located testis.

So ideally, it is advised that you should wait for the testis to descend spontaneously till the age of 6 months in a full term child and till 9 months in a premature baby. After this age, testis is unlikely to descend on its own and should be operated.

USG by a good sinologist is mandatory to locate the testis, however even if the testis is not found on USG, it should not be left as absent testis. Only 4% of non palpable undescended testis are actually absent, hence these children should be offered laparoscopy to locate the testis.

Ans. Your child is probably suffering from a condition known as Hydrocele, in which fluid accumulates around the testis. If your child is a small baby, you can wait till the age of 2 years. There is high possibility that it will disappear on its own, without any surgical intervention till that age. But if it remains even after that age, child should be offered surgical intervention.

Ans. You should immediately consult your paediatrician. He may suggest you USG, which under most circumstances will be normal. Your child is probably suffering from Labial synechiae, in which both labia minora of opposite sides fuse with each other in the midline and cover the urethral and vaginal openings. A small OPD surgical procedure without anaesthesia is required to separate labia minora, which will cure your child.

Ans. You should immediately consult pediatric surgeon. He is having condition called hypospadias in which urinary opening is not situated at the tip of penis, penis is bent and there is irregular foreskin. He will need surgery for this condition. He should be operated before he starts going to school.