Paediatrics - Diseases of Children and Child Care

Main Resource Person

Main Resource Person for DIseases of Children and Child Care is Dr. Samantha Chandrarathne MBBS MD DCH - Consultant Paediatrician - Trincomalee

JE Vaccination

my sun is 4years old .I coudnot give him JE at the relevent time.now ican give it to him & from where ican gine it ?(LRH is possible)

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Congenital facial weakness

Dear Doctor,

My doughtier is now 1 and 1/2 years old. When she was about 5 month old we have identified that her left side of the facial movement is not active as right, specially when she was crying and smiling. We showed this to our paedriatrician and guided us to do the nerve therapy to her face. We have been doing it so far at least 1 or 2 days per week. Mean time we were asked for the second opinion and consult her to the neuro physician(One of the best neuro physician in SL). He has done a MRI scan to her brain and said no problem on her brain and ask us to continue neuro therapy as past.
Now it is about 14 months that we are continuing this process.
Even more she can not work alone and need to have some help to stand up and working. We felt that she can not balance her body herself and need some object to hold.

So, my question are as bellows:
01. Is this treatment are ok.?
02. Will it take a long time to recover?
03. Who is the best consultant for this kind of problems?
04. Is there any relationship between body balance and facial pulsy?
05. Do we need to increase the frequancy of theraphy?
06. What is the best place for neuro therapy for this kind of pulsy?

Thanks
Kamal Gunarathne

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Cryptorchidism - Missing/Absent Testicles

Dear Doctor,
This is about a 09 months old boy. He is a bit slow in growth. Recently when he was taken to hospital, they found his testes are not in the scrotum. They said they mey be somewhere above and later move down. Any way to confirm they did a scan on him. The finding was the testes were not found anywhere so that they referred him to a surgeon. The parents have not met a surgeon yet. Question is, what will be the consequences of this condition to the child? Can it be cured? Whom (which type of specialist) to be consulted?

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Vaccination in Sri Lanka

Is vaccination for children mandatory in Sri Lanka? Or is it the choice of the parents?

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Egg Allergy and MMR

CAN INFANT BE GIVEN WHOLE EGG BEFORE MMR VACCINATION?

DOES WHITE EGG MAKE THE MMR VACCINE LESS EFFECTIVE VIA CROSS REATION?

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TOF

my baby has a congenital heart defect TOF. Is there minimally invasive procedure for total correction of TOF.

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Extended Program of Immunization in Sri Lanka

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Vaccines are important to prevent contagious disease like polio, chicken pox and tetanus. In fact the vaccination process has saved millions of lives in the world, much more than that by pills and operations.

Asthma

If your child is having Asthma….

It’s extremely important to avoid factors that trigger episodes of wheezing.

Asthma is very common among children, but that doesn’t mean it persist in to adulthood. But even with medical treatment, it is difficult to cure asthma if the precipitating aspects are not controlled.
Try to identify the factors in your household environment that induce the child’s wheezing episodes. Some of the common causes are house dust, wool toys, fur of household pets, cockroach excreta etc.

Vomiting and Diarrhea in Children

Vomiting and diarrhea (frequent, watery bowel movements) can be caused by viruses, bacteria, parasites, foods that are hard to digest (such as too many sweets) and other things. Vomiting and diarrhea can be harmful to children because they can cause dehydration. Dehydration occurs when too much fluid is lost from the body. Signs of dehydration are listed below. Young babies can become dehydrated quickly. But dehydration can occur in a child of any age.

Signs of dehydration

* Irritability
* Not eating as well as usual
* Weight loss
* Not urinating as often as usual
* Urine that is darker than usual
* Fast heartbeat
* Dry mouth
* Thirst (babies may show thirst by crying and being irritable and eager to drink when something is offered)
* Sunken eyes
* No tears when crying
* Sunken soft spot in babies younger than 18 months
* Skin that isn't as springy as usual

If the child has had several bouts of vomiting or diarrhea, he or she will need to drink fluids to replace those lost with vomiting and diarrhea. Older children can be encouraged to drink water and other clear fluids. Baby or toddler can be given an oral rehydration solution (ORS), which contains the right mix of salt, sugar, potassium and other elements to help replace lost body fluids.

If the child is vomiting, try giving him or her small amounts of ORS often, such as 1 teaspoonful every minute. When the child is able to keep the drink down, slowly increase the amount. If the child keeps vomiting, wait 30 to 60 minutes after the last time he or she vomited, and then give him or her a few sips of ORS. Small amounts every few minutes may stay down better than a large amount all at once. When the child stops vomiting, the amount of ORS can be increased.

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