Thursday, May 26, 2011

chickenpox-how to treat in kids/drugs

chickenpox news:

drugs are avlble for chickenpox.consult your doctor as soon as you see the first vesicle in your will get more benefits if you start drug as early as possible.

Acyclovir is the drug of choice.

acyclovir:kids <2yrs:20mg/kg 4 times a day for 5 days

kids2-6 yrs:400mg ×4 times a day for 5days

;kids>6yrs:800mg×4times a day for 5 days

chickenpox will be severe in older kids and adults than in younger kids.

Drugs will reduce scaring,duration of illness and improve outcome;

Saturday, April 2, 2011

what is natal teeth and when to remove it ?

some times newborn babies may  smile  at you with a tooth at birth. this is called as PRENATAL TEETH /NATAL TEETH

natal teeth are usually lower incisor.

there are two types of natal teeth and we have to differentiate for proper management

I.PREDECIDUOUS TEETH: these are super numery teeth .that means extra teeth apart from the hidden milk teeth. these are loose and the roots are absent.we have to remove it otherwise it may be aspirated while feeding. it occurs in 1 in 4000 births

II.TRUE DECIDUOUS TEETH:  these teeth are true teeth that erupt early.they occur in  <1 in 2000 births.they should not be extracted.

Tuesday, March 29, 2011


Education should bring a change in your child s life not in her back. There is a growing concern over the effects of overloaded school bags in children.

It is unfortunate that parents are not aware about the ill effects of excess weight


Growing children have a tender spine which is not meant for weight weight bearing for long duration can bend the back will result in backpain.

Shoulder bag can restrict breathing of your air entry in to the lung is reduced which may cause lung disease in future.

Other pains such as hand pain and leg pain also can occur

Chronic weight bearing can damage the knee joint and will cause early onset of osteo arthritis of knee joint.


it is recommended that children should not carry >15 % of their weight .that is if your kid is 15 kg ,he should not carry more than 2.25 kg.

In India most kids are either malnourished or obese.only small number of kids fall in the normal weight it is very difficult to give a standard guideline according to age or grade 

But we can reduce the burden by following measures.


1.provide safe purified drinking water in the school campus will definitely reduce 300-500 gms of weight

2.provide mid day meal ,reduce additional half kg wt.

3.books should be split in to two or three parts and only that particular part should be taken for that terms

4.make arrangements to keep few of the notebooks and text books in a safe place

5.avoid single sided bag.always use strapped shoulder bags so that the weight will be distributed evenly.but remember that shoulder bag can restrict breathing movement if it's overloaded .

I hope in the future the tablet pc will replace all the text and notebooks and children will be freed from this burden.