Saturday, December 29, 2018

Childhood Obesity , Impacts and Prevention


Overview


Childhood fatness or child obesity  may be a serious medical condition that affects kids and adolescents. kids are on top of the conventional weight for his or her age and height.

Childhood fatness is especially heavy as a result of the additional pounds usually begin kids on the trail to health issues that were once thought to be adult issues — polygenic disorder, high blood pressure and high cholestrolseveral corpulent kids become corpulent adults, particularly if one or each folks are corpulent.

Childhood fatness may also result in poor shallowness and depression.

One of the most effective methods to scale back childhood fatness is to boost the intake and exercise habits of your entire family. Treating and preventing childhood fatness helps shield your child's health currently and within the future.


                                                        Symptoms
  





Not all kids carrying further pounds ar overweight or corpulent. Some kids have larger than average body frames. and kids unremarkably carry completely different amounts of body fat at the varied stages of development. therefore you would possibly not apprehend by however your kid appearance if weight may be a health concern.

The body mass index (BMI), that provides a suggestion of weight in relevance tto height, is that the accepted level of overweight and fatness. Your child's doctor will use growth charts, the BMI and, if necessary, different tests to assist you to work out if your child's weight might create health issues in future


When to visit a doctor

If you are tensed  that your kid has put on an excessive amount of weight, ask his or her doctor. The doctor can take into consideration your child's history of growth and development, your family's weight-for-height history, and wher your kid lands on the expansion charts. this could facilitate verify if your child's weight is normal or excess. you can take advice of Dr. Nidhi Goel  in the matter , Dr. Nidhi Goel Child specialist, Pediatrician in Raj Nagar Extension , you can know about her by clicking following link.




Causes

Lifestyle problems — insufficient activity and too much calories from food and drinks are the major contributors to childhood fatnesshowever genetic and secretion factors may play a vital role as an example, recent analysis has found that changes in organic process of digestive hormones will have an effect on the signals that makes you recognize that you are full. An examination of national health survey results suggests that inactivity, rather than higher calorie intake, could be driving the surge in obesity.




Risk factors

Many factors — sometimes operating together — increase your child's risk of changing into overweight:

Diet. often intake high-calorie foods, like quick foods, food and slot machine snacks, will cause your kid to achieve weight. Candy and desserts can also cause weight gain, and a lot of and a lot of proof points to honeyeddrinks, together with fruit juices, as culprits in fatness in some individuals.

Lack of exercise. kids who do not exercise have a lot of possibility to gain excess weight as a result of they do not burn as several calories. an excessive amount of time spent in sedentary activities, like watching tv or enjoying video games, conjointly contributes to the matter.

Family factors. If your kid comes from a family of overweight individuals, he or she has  a lot of possibility of gaining excess  weight. this is applicable to atmosphere which is filled with high calorie food .

Psychological factors. Personal, parental and family stress will increase a child's risk of fatness. Some kids eat more to deal with issues or to take care of emotions, like stress, or to fight dissatisfaction. Their folks may may have similar tendencies.

Socioeconomic factorsIndividuals in some communities have restricted resources and restricted access to supermarkets. As a result, they may purchase convenience foods that do not spoil quickly, like frozen meals, loco and cookies. Also, those that board lower financial gain neighborhoods may not have access to a secure place to exercise.


   


Complications




Childhood fatness will have complications for your child's physical, social and emotional well-being.


Physical complications

  •  Type-2 Diabetes . This chronic condition affects the method your juvenile body uses sugar (glucose). fatness and a inactive style increase the chance of sort a pair of polygenic disorder.
  •  Metabolic syndrome. This cluster of conditions will place your kid in danger of cardiovascular           disease, polygenic disorder or different health issues. Conditions embrace high blood pressure  high blood glucose, high triglycerides, low protein ("good") steroid alcohol and excess abdominal fat.
  • High cholesterol and blood pressure. A poor diet will cause your kid to develop one or each of those conditions. These factors will contribute to the buildup of plaques within the arteries, which may cause arteries to slender and harden, probably resulting in a coronary failure or stroke later in life. 
  • Asthma. kids who ae overweight or corpulent may well be a lot of possible to possess respiratory illness.
  •  Sleep disorders. Hindering sleep disorder may be a probably serious disorder during which a child's respiration repeatedly stops and starts throughout sleep.
  •  Nonalcoholic fatty liver disease (NAFLD) This disorder, that sometimes causes no symptoms, causes fatty deposits to make up within the liver. NAFLD will result in scarring and liver injury.
  •  Bone fractures. Fat kids have a lot of possiblity to fracture bones than  kids of normal weight.


                                          Social and emotional complications.
  •   Low self-esteem and being bullied. kids usually tease or bully their overweight peers, that suffer a loss of shallowness has  and magnified risk of depression as a result.
  •  Behavior and learning issues. Overweight kids tend to possess a lot of anxiety and poorer social skills than normal-weight kids do. These issues may lead kids who are overweight either to act out and disrupt their lecture rooms or to withdraw socially.
  •  Depression. Low shallowness will produce overwhelming feelings of despair, which may result in depression in some kids who are overweight.




                                             Prevention



  • Whether your kid is in danger of changing into overweight or is presently at a healthy weight, you'll take measures to urge or keep things on the correct track.
  • Limit your child's consumption of sugar-sweetened beverages or avoid them
  • Provide lots of fruits and vegetables
  • Eat meals as a family as usually as attainable
  • Limit intake of food particularly at fast-food restaurants, and once you do dine out, teach your kid the way to create healthier decisions.
  • Adjust portion sizes suitably for age
  • Limit TV and other "screen time" to less than 2 hours a day for children older than 2, and don't allow television for children younger than 2.
  • Be certain your kid gets enough sleep


Also, make certain your kid sees the doctor for complete-child checkups a minimum of once a year. Throughout this visit, the doctor measures your child's height and weight and calculates his or her BMI. a rise in your kid's BMI or in his or her mark rank over one year may be a attainable sign that your child is in danger of changing into overweight.






Dr. Nidhi Goel, Child specialist, Pediatrician, Raj Nagar Extension



River Heights Plaza, Sehani Khurd, Raj Nagar Extension, Ghaziabad, Uttar Pradesh 201017

Phone: 08285666879



Reddit :             https://www.reddit.com/user/drnidhigoel







Thursday, December 27, 2018

Oral corticosteroids for asthma exacerbations in preschool-age children: to treat or not to treat and when?


Abrams et al rigorously thought of the utilization of oral corticosteroids for respiratory illness symptoms in toddlers.1 They suggest oral corticosteroids for these young youngsters within the emergency department and hospital. However, they terminated that there's very little proof that administration of associate degree oral corticoid is useful if administered earlier reception by a parent.

This proposition that the administration of oral corticosteroids is effective within the emergency department or hospital however not earlier is an understandable contradiction. however the devil is within the details. One study reviewed by Abrams et al enclosed outpatients with average symptom scores in each the placebo and active treatment that were <1 on a scale of 0-3.1, a pair of A score of one was outlined within the study as “slight, sleep not disturbed” for night-time symptoms and “slight, no treatment given” for daytime. These gentle symptoms square measure in line with the low demand for Ventolin (salbutamol) that averaged <2/day. Another study questioned the good thing about oral corticosteroids in preschool-age youngsters admitted to hospital (Figure).3 The common divisor of each may be a speedy rate of spontaneous improvement in each placebo and active drug. The good thing about associate degree otherwise probably effective medical specialty agent is then not going to be recognized due to the speedy spontaneous rate of improvement already occurring freelance of oral contortionists treatment.



Using a classification system (Preschool metastasis Assessment Measure) wherever a a pair of would be unhealthy not loud while not a medical instrument and no visible exaggerated work of respiration, terribly speedy improvement resulted in symptoms that became terribly gentle by four hours once admission. Spontaneous improvement was sufficiently speedy that there was very little any profit possible from any treatment.


Children with gentle acute symptoms requiring solely occasional Ventolin inhalation, as within the documented studies,2, three neither want, nor get pleasure from oral corticosteroids. However, we have a tendency to should acknowledge that preschool-age youngsters with respiratory illness have the very best rate of hospitalization of any age.4 though acknowledging that the perfect controlled test has not been performed, a robust case may be created for earlier treatment of preschool-age youngsters with oral corticosteroids for those in danger for requiring emergency department care or hospitalization.




Dr. Nidhi Goel, Child specialist, Pediatrician, Raj Nagar Extension

River Heights Plaza, Sehani Khurd, Raj Nagar Extension, Ghaziabad, Uttar Pradesh 201017

Phone: 08285666879





Monday, December 17, 2018

What is a Pediatrician

It's one of the biggest decisions you make before your baby is born. Which pediatrician is the right one for your child? Before you start your search, take a few minutes to learn exactly what this kind of doctor does. It will help you make a better choice and know what to expect when your little one arrives.

Pediatricians are doctors who manage the health of your child, including physical, behavior, and mental health issues. They're trained to diagnose and treat childhood illnesses, from minor health problems to serious diseases.

Pediatricians have an education that gives them special skills to take care of your child's health. They graduated from medical school and completed a 3-year residency program in pediatrics.

You'll want to find one who's also "board-certified." That means they've passed rigorous exams given by the American Board of Pediatrics. To stay certified, pediatricians have to meet regular education requirements.

What Does Your Pediatrician Do?
They'll see your child many times from birth to age 2 and once a year from ages 2 to 5 for "well-child visits." After age 5, your pediatrician will likely continue to see your child every year for annual checkups. They're also the first person to call whenever your child is sick.

To take care of your child, your pediatrician will:


  • Do physical exams
  • Give your child vaccinations
  • Make sure she meets milestones in growth, behavior, and skills
  • Diagnose and treat your child's illnesses, infections, injuries, and other health problems
  • Give you information about your child's health, safety, nutrition, and fitness needs
  • Answer your questions about your little one's growth and development
  • Refer you to specialists if they think your child needs expert care

How Does Your Pediatrician Work With Your Delivery Team?
Most hospitals ask if you have a pediatrician when you go in to deliver. Your baby's first examination may be with a hospital pediatrician or your chosen pediatrician. It depends on the hospital's policy and whether your newborn's doctor makes rounds there. If a hospital pediatrician checks your baby, they'll send your pediatrician notes about the exam.

After you leave the hospital, your pediatrician will see your baby 48 to 72 hours later, and regularly after that for checkups.

Why Do You Need a Pediatrician?
One thing to keep in mind: Family medicine doctors are also an option for your child. They look after the health of your whole family -- kids and grown-ups alike. It's a personal choice whether you use one or a pediatrician.

Some reasons to go with a pediatrician are:


  • They have special training in children's health.
  • They only see children in their practice, so they have a lot of experience in recognizing and treating childhood illnesses.
  • If your child was born early or has a health condition that needs close monitoring, a pediatrician may offer more specialized care.


Courtesy : webmd


Dr. Nidhi Goel , MBBS, DCH (Pediatrician Newborn and Child Specialist ,is a well known child specialist in Rajnagar Extension Ghaziabad, she has secured Gold Medal and have 12 years of experience in this field, she has the privilege to work with the prestigious institutions like AIIMS and MAMC. She has also worked with Narender Mohan Hospital, Mohan Nagar and Yashoda Hospital , Kaushambi , Ghaziabad

Dr. Nidhi Goel, Child specialist, Pediatrician, Raj Nagar Extension

River Heights Plaza, Sehani Khurd, Raj Nagar Extension, Ghaziabad, Uttar Pradesh 201017

Phone: 08285666879


About Dr Nidhi Goel , child specialist , pediatrician , rajnagar extension

Dr Nidhi Goel, Newborn and Child Specialist, Rajnagar Extension




'Dr. Nidhi Goel is a child specialist doctor in rajnagar extension ghaziabad, she One of the best child specialist in rajnagar extension ghaziabad, well known for her diagnosis and fair practice, clinic is located at river heights shopping complex in HEALTH POINT polyclinic. at Rajnagar Extension Ghaziabad. Dr. Nidhi Goel , MBBS, DCH (Pediatrician Newborn and Child Specialist ,is a well known child specialist in Rajnagar Extension Ghaziabad,
Dr. Nidhi Goel , MBBS, DCH (Pediatrician Newborn and Child Specialist ),is a well known child specialist in Rajnagar Extension Ghaziabad, she has secured Gold Medal and have 12 years of experience in this field, she has the privilege to work with the prestigious institutions like AIIMS and MAMC. She has also worked with Narender Mohan Hospital, Mohan Nagar and Yashoda Hospital , Kaushambi , Ghaziabad.