Tag Archives: child specialist in vasundhara

Snoring in Children

 

snoring_mayaclinic.in

As uncommon and abnormal as it may seem, snoring in babies is not always a red flag for your baby’s health. Many babies produce noises like whiffing, snuffing and snoring while sleeping. If your baby snores rarely or occasionally, then it’s not a cause of concern. But if it has become a chronic habit of your little angel to snore, then consulting your Pediatrician is always advisable.

But before you start panicking, let’s understand the causes of snoring in babies.

Causes of Snoring in Babies

  • Cold and flu infections: This is the most common cause of snoring in babies. As your baby’s airways are very small and narrow when they are few months old, mucous secretions during a cold or flu infection easily block her nose and throat. As a result, your baby may snore while she is suffering from cold or throat infections.
  • Allergies: Your baby may be allergic to down filling in the mattress or pillows or allergic to pet hairs if you have a dog or cat. This may obstruct the airways of your baby while she sleeps and become the cause of snoring.
  • Enlarged tonsils or adenoids: Adenoids are lymph nodes at the junction of nose and throat which may enlarge due to various infections. Similarly, tonsils are lumpy lymph tissues located at the back of throat, which can also enlarge due to repetitive infections. Although the rate in newborn babies, with time these can contribute to obstruction in breathing which can in turn cause snoring.
  • Deviated Nasal Septum: Nasal septum is the bone that separates both the nostrils and in case of a deviated septum, this bone may be structurally misaligned obstructing one of the nostrils. This could be a cause of chronic snoring in your baby.
  • Laryngomalacia: In very young babies, the cartilage that keeps the nasal airways open may remain underdeveloped for some time after birth. As a result, your newborn may snore frequently until this cartilage develops properly.
  • Throat abnormalities: Cystic formations in the throat or abnormal palate movement can also cause snoring in babies.
  • Sleep Apnea: This is a condition wherein your baby experiences obstruction in breathing for several seconds, causing lack of oxygen and acute breathlessness. This may happen multiple times during sleep and can cause loud snoring in your baby.

How to correct snoring in your baby?

Once you have identified the cause of snoring in your baby, in consultation with her pediatrician, you can start with the corrective measures to alleviate your baby’s snoring.

You can take the following steps to correct snoring:

If your baby is suffering from cold, flu or allergies; use a humidifier in your baby’s room and put saline nasal drops in your baby’s nose to help her breathe better while sleeping.

Also remove any allergens or allergy-causing agents from your baby’s room to avoid any breathing obstructions.

Change your baby’s position or put a pillow under her head when she’s asleep to help keep her airways open.

If your baby is suffering from sleep apnea, enlarged adenoids and tonsils may be responsible. You can either reduce this enlargement with medicines or can even get them surgically removed once your baby is a little older.

Throat abnormalities and deviated nasal septum can only be corrected surgically and you should consult your Pediatrician/ ENT specialist for complete corrective action.

Thus, if your little one snores, the next time she dozes off, rest assured that it’s nothing to worry about. With proper care and as she grows, this problem can be easily resolved.

 

Regards

Dr Rahul Varma

My newborn’s vaccination schedule. Why do infants need so many vaccines so quickly?

  • Newborns need multiple vaccines because infectious diseases can cause more-serious problems in infants than in older children.
  • While maternal antibodies help protect newborns from many diseases, this immunity begins to disappear as quickly as one month after birth. In addition, children don’t receive maternal immunity from certain diseases, such as whooping cough. If a child isn’t vaccinated and is exposed to a disease, he or she might become sick and spread the illness.
  • Avoid altering your child’s recommended vaccination schedule. Research shows that it’s safe for infants and young children to receive multiple vaccines at the same time, as recommended by ( IAP) Indian Academy of Pediatrics and (CDC) the Centers for Disease Control and Prevention’s vaccination schedule.
  • Remember, newborns and young children can be exposed to diseases from family members, care providers and other close contacts, as well as during routine outings — such as trips to the grocery store, nearby park and family functions etc. Many vaccines can be given even if your child has a mild illness, such as a cold or mild fever. Consult your child’s doctor regularly to keep your child’s vaccination status up to date.

stay healthy and stop the spread of vaccine preventable disease

regards

Dr. Rahul Varma

When to consult a doctor?

General Medical (Health and Safety) Issues in Children

Remember you and your child doctor have same goal: to help your child to grow up healthy and happy.

Asking Question:  Most new parents hesitate in asking questions that they think might be too simple or silly. But if there`s any kind of question on your mind, you are entitled to an answer. Most of the child specialists are happy to answer all your queries. It is best to pen down on piece of paper all your questions (or easier to note on your mobile phone) before you go for doctor visit.

Sometimes there might be difference of opinion or misunderstanding between you and doctor. If you are not satisfied with diagnosis, you can take second opinion. (Some of the doctors can see the tension in your face and they themselves offer second opinion or super specialist opinion). You can simply search on internet regarding the diagnosis and see for yourself.

Regular check up: If you are getting vaccination on time, than for first 2 years, you will be having regular visits to your Pediatrician (Child specialist). After that once a year you should visit, your doctor for routine examination and growth monitoring. These regular visits will ensure that your baby is growing well, gaining weight adequately, no nutritional deficiency, development is good.  Growth charts should be made for every child with regular plotting of weight, height and head circumference (for 1st 3 years).

Telephonic conversations: For some illnesses consulting on phone can help (depending on policy of your child specialist) before you fix an appointment, so that treatment can be started on time.

Specific symptoms:

  • Fever:  For small children less than 3 months, any documented fever above 100 F, should be shown to child specialist. As the child grows old; general activity of child will decide, the urgency to show to doctor. Any fever above 100F, Crocin (Paracetamol) should be given immediately (10 to 15 mg per kg body weight). At height of fever, any child might become dull, but if child is active, alert and playfull once the fever subsides, than it is more reassuring for us. But if fever persists for more than 3 to 5 days, you should consult doctor for opinion.
  • Rapid breathing: With high fever, child can have fast breathing but if even after fever has subsided and still child is having rapid breathing: it’s a dangerous sign, u need to consult doctor immediately. Normal range of respiration (count the number of breaths in 60 seconds, with each in-out being one breath) is
  • Less than 60 per minute till 2 months of age.
  • Less than 50 per minute for 2months to 12 months of age.
  • Less than 40 per minute for children more than 2 years
    • Retractions: You can see the skin suck in (retract) over the collarbones and between and under the ribs. Chest indrawing of any form is severe, needs urgent attention of doctor.
    • Nosiy breathing:
      • It can be simply because of mucus in nose(nose block) or
      •  due to windpipe (stridor), which will be loudest when child is breathing in or
      • Whistling (Wheezing) sound coming from deep inside lungs.

It is best to put the saline nasal drops and clear the nose. And if child is still having noisy breathing it is better to show to your Pediatrician.

  • Pain: It is difficult to tell in small babies, as only thing that will be seen by you is crying (inconsolable cry). Whenever in doubt give pain killer (Syp Ibuprofen) and if pain or excessive cry persists then show to child specialist.
  • Vomiting:  Vomiting of any unusual type warrants immediate attention. That means if child is looking sick or different in any ways.

Usually all small kids might vomit feeds once in a while, or vomiting can be associated with loose motion which can be easily managed at home with medicines.  But if vomiting persists even after oral medication, it is in best interest to show to pediatrician to prevent dehydration.

  • Diarrhea: most of young children have loose motion, which are viral infection needing adequate fluid intake (and do not need antibiotics unless until blood is seen in stools). Most of the complications occur due to dehydration, so it is important to give frequent oral fluids eg. ORS, coconut water, homemade ORS, dal ka paani etc.
  • Head Injury: Fall from bed is very common.  Danger signs which need urgent medical attention are
  •           > If your baby is unconscious, drowsy or keep going back to sleep after fall
    •           > Has bleeding from ear, nose or throat
    •           > Having persistent vomiting
    • Poison: If child has taken anything which you suspect could be poisonous than take your child to nearby hospital which has child specialist available.
    • Rashes: Any viral fever can have rashes, small size, multiple, reddish in color. Or with changing season allergic rashes can be there. Show to your child doctor by routine visit. But any rash that could be from bleeding into the skin: either large purplish blotches or small red spots that don`t go away when you stretch the skin over them, should be looked at right away.

 

Not everything can be covered here, but golden rule is “Whenever in doubt show to your child doctor”. It is better to show rather than regret later regarding delay in diagnosis and treatment.

Again remember you and your child doctor have same goal: to help your child to grow up healthy and happy.

Stay healthy and keep smiling

Regards

Dr Rahul

“ Healthy kids, happy family”

Is it possible to eat healthy food at nearby fast food joint?

fast food

With changing culture and family dynamics in India, there is more and more nuclear family with both parents working. Life has become busy; so many parents opt to eat out at a food joint rather than preparing a healthy meal at home. And with media exposure and cultural change, children are also demanding. Due to this more and more children are overweight and are at increased risk of obesity and other major diseases.

Eating fast food once in a while is fine, but it should not become a regular feature of your child’s staple diet. Twice a month, eating out will be just fine, not more than that.

Being a parent, it is our responsibility to provide child with healthier options and lead with example. We can encourage them to go for healthier options.

healthy food for kids

Few things to keep in mind while eating out that can help you and your kids are:

  • Control the portion size: This is the most important factor in maintaining a healthy weight. Do not get carried away by temptation from food joints who offer to upgrade to larger size or combos to save money. The price difference between a medium drink and large is kept very small so that you are tempted to buy a bigger one.
  • Encourage them to eat roasted, steamed or boiled food rather than fried. It helps to decrease the number of calories and is much healthier option.
  • Order some salad or fruits along as a side dish. It will make you fuller at very low calories and with healthier options.
  • Order some non aerated drinks (without soda) like water, juice or milk. Avoid aerated drinks with soda like cold drinks; they are just empty calories. But to go for healthier options like fruit juices or smoothies.
  • Do not get lured by word “Diet”: Diet food or diet cold drinks or diet chips are not a healthy option. Diet cold drinks have artificial sweetener and other stuff inside which can even be more dangerous (most of such drinks have labels stating that not meant for less than 18 years). Diet chips still have lot of salt (high sodium content) and masala that is not good for your heart and cholesterol.
  • Similarly “Fat free” does not mean a healthy option and you can eat large amount. They still have carbohydrates and lots of calories which can make you obese.

 

Remember you can buy a new house to stay but you have only one body to live.

If your body is not in good shape, all your materialistic wealth will be of no use.

Respect your body: Eat healthy, do exercise and be mentally strong.  And have faith in your abilities, you can do lot better than you think you can.

 

Regards

Dr Rahul Varma

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Injury prevention and Safety in children

Injury Prevention in Children

Every day around 1000 children die worldwide. Most of these deaths can be prevented by taking simple injury prevention measures. Huge number of children becomes seriously injured for life. In developing countries like ours where we lose so many children to infectious diseases; it adds to the mortality burden of country. More than 90% of these injuries are unintentional.

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Common Causes:

RTA ( road traffic accidents), fall from height, burns, poisoning, drowning are the main causes of death in children due to injuries.

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Road traffic accidents (RTA)

It is the leading cause worldwide. various methods which can help in preventing these deaths are Proper use of seat belts and child restrainer devices , wearing helmets, driving and walking in designated lanes, driving within speed limits and to avoid drunken driving.

Fall:

Fall from beds are very common and most baby survive with only bruises and scratches. But still more than 100 children die daily due to fall from height. Many of these deaths can be avoided by using well fitted window panels, child proofing doors and windows and play areas.

Burn:

Burn injuries from hot water or flames are commonly seen in young children. Preventive measures which can help are smoke alarms, temperature regulators, using fire crackers under supervision of adults.

Poisoning:

Another common cause of death in young children is poisoning. Daily numerous calls are received by poison cell. Accidental poisoning can be prevented by child proofing cabinets, keeping toilet cleaner out of reach of children, keeping kerosene oil safely and all the medicines away from children.

Drowning

Drowning is another cause of death in coastal areas. But many small children can drown head down in buckets or bathtub.So to prevent these deaths, we need to store water only in closed container and keep tub empty.

Poverty

Children living in poor economical conditions are more likely to be living in unsafe environment. They might be living close to road with high traffic, poor and unstable construction, illegal electricity connection etc.

child-injury

 

Prevention

Child deaths have decreased significantly over last decade (in western countries) due to following measures:

  • Enforcing laws for child safety like having child proof cabinet for storage of medicines and floor cleaners etc.
  • Structural modification in public places like proper railing for child safety in stairs, well fitted windows, fencing around pools, life guards etc.
  • Public awareness campaigns
  • Better emergency care
  • Proper storage of flammable objects
  • Parental guidance
  • Better disaster management

 1child

In India major issue is with enforcing laws rather than making them. Authorities should be more vigilant and we should also know our social responsibility.

Right to safety

All children have the right to a safe environment and deserve protection from injury. With proper awareness, environmental modifications and good emergency care, it can be achieved.

 

Regards

Dr Rahul Varma

 

Potty-Training-Toilets

When is the right time to start Toilet training in children?

3

Training the children for toilet is a big issue for parents. It is perceived as a big developmental milestone. But the real problem starts when we start comparing our kids with others. Every child has different pace of developing milestones. And few accidents regarding Susu (Urine) and potty (Stool) once in a while should be dealt with patiently. Compassionate and encouraging attitude towards toddlers will help us better, than showing frustration and anger.

What is the age when our baby will be ready?

  • First action which suggests that your baby is ready to train is when baby start to tell you while doing susu or soon after that before you take notice. And when baby is praised for telling the same, they will soon be telling you before doing.
  • Most babies should be ready by 2 years but some may take time until they turn 3.
  • Girls are ready earlier than boys of similar age
  • Control over susu comes before potty
  • Other features which indicates that your baby is ready for toilet training are
    • Telling you that his nappy is wet
    • Pulling at wet or dirty nappies
    • Baby does not want to wear nappies any longer
    • Shows interest in others using toilet

  Potty-Training-Toilets

Patience is the Key to success in this case too. Most problems arise when we start too early or we want our baby to be trained before certain major event in our life. eg arrival of 3nd baby, family marriage, long planned vacation, before going to play school. If we try to put pressure on child it will only worsen the case and increase your frustration levels.

How to train your baby

  • Teach your child meaning of words needed to define urine, stool, dry, wet , it’s coming. Choose words you are comfortable with eg susu, potty, wet (geela), dry (suukha), etc. Clear words and constantly same words to be used by everyone at home will make it easier for baby.
  • Need to have thing with you which are needed like toilet seat (different types are there, choose which ever you are comfortable with), footstool near the seat so that baby can climb up, proper lighting in the area, something to hold on while sitting on toilet seat so that baby will feel safe and relaxed.
  • Keep the area safe. Keep toilet cleaner, household cleaner and other toiletries out of range of children.
  • Talk to your child, if you are comfortable you can let your baby go along with you and tell them all the steps you are doing like cleaning flushing etc.
  • Learn the signal which baby gives before, keep your toilet ready (because your baby won’t be able to hold on for long), loose cloths which can be easily removed.

potty-training-readiness

Few important things you need to know:

  • Never start toilet training when something new is happening and child is trying to adapt. eg change of home, grandparents leaving home, arrival of 2nd baby, you are very stressed out etc
  • Give your child time to get familiar with stuff in toilet (so that they are not scared). Eg let him touch the toilet seat, feel it.
  • Encourage an appreciate child’s behavior and things when they tell in time. Hug them or cuddle them and say something like “You are good baby”. And always support them if they do in their pants.
  • Never embarrass or punish your Child. It will only worsen the situation.
  • Remember it is very difficult skill to learn for child and it will take time. The more you support your child easier it will be for them.
  • Hygiene: Girls should be taught to wipe front towards back to avoid chances of getting the potty into vagina and Boys should be taught to shake penis after susu to get rid of any drops.
  • Teach your child to wash hand every time and also assist them in early stages of cleaning.

 

“Toilet training works best when there is no pressure for either the parent or the child”.

  index

  • If you are stressed out or getting angry seeing that your baby is not learning, it is best to leave it for few days and do not pressurize your child. Punishment will never help.
  • Some baby will hide at some weird place and do susu or potty. Like behind the sofa, or curtain or cupboard. You need to be patient and support them and no Punishment.
  • Most babies will make a mess after doing potty; they may soil their hands and spread it. Do not punish them but also do not pretend to be happy about it. Child should know that it is not good in non threatening way.
  • Constipation can make things worse as doing potty becomes painful and child try to avoid passing stool and is afraid to sit on potty seat. Give warm bath, it may relax the muscles.
  • If a child who has been dry, start to wet again then look for causes of stress or visit a doctor to rule out urinary infection. Features suggestive of urinary infection include:
    • Increased frequency, pain during susu
    • Blood in susu

Consult a doctor if even after age of 4 years child is wetting pants to rule out Urinary infection, bladder abnormalities like Vesico ureteral reflux and behavioral issues like BED-WETTING.

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To Summaries

  • Toilet training is not easy and child needs your support during this difficult phase to learn this new skill.
  • Go slowly at your child’s pace,not as per your need or wish.
  • Praise child at every step and encourage him/her.
  • Do not get dishearten by few accidents (susu & potty) after child had been dry.
  • Punishment has no place in toilet training.

 

Regards

Dr Rahul Varma

Smartphones and Tablets are not meant for babies; they interfere with optimum brain development. Read on to know more

mayaclinic-smarthphone -baby

Smartphones and tablets are not meant for babies (< 2 years)

In today’s environment we all can see small babies and toddlers playing with phones. Whether you are at mall, driving in car, waiting somewhere , smartphones have become like babysitter for many parents. Parents feel excited to see their small babies handling touch screen phones so efficiently. Touch screen smartphones with their great picture quality, colorful images and good sounds appeals to babies. But are they really good for optimum brain development for young kids?

Answer:

Till now there is NO research done to know the connection between infant learning and smartphones. For older children with use of interactive elements it may help in learning concepts such as sequencing and cause and effect relations. But for small babies who are still in very young age of brain development, it’s long term effect is not known.

 baby-on-smartphone

Recommendations:

All the doctors are of the opinion to reduce screen time for small babies. Screen time includes time spent on TV, videos, laptops, phones etc. American Academy of Pediatrics (AAP) has made a clear stance that “NO screen time for kids less than 2 years”. Main reason being association of Language learning delays, poor reading skills and short term memory are seen more often in children with more screen time.

Facts:

Children learn better from real life experiences rather than screen time. It is more so if activities involve moving and doing. Various surveys and studies show that on an average 12-month-old baby is exposed to up to 2 hours of screen time a day.

Young age (< 2 years) is very critical for learning of new concepts. Most of the learning involve 3 dimensional Sensory- motor experiences which cannot be replicated on a 2 dimensional screen. Active play involves better hand – eye coordination , fine motor skill development.

Example:  Compare a ball in real life and a ball on Screen.

Infants are still developing concept of 3 dimensional vision. For a small baby  watching on screen a BALL is just a flat, shaded circle. In real life if we roll a ball across floor it proceeds in a single motions and gradually slows and stops finally. But on Screen same action cannot be done; it will be broken up. Small babies may stare at bright colors and motions on screen but their brain is not capable of making sense or meaning out of these amazing pictures. By  the age 2 years brain has developed enough and baby can understand things better. Due to all this confusion it is better to avoid screen time in small babies.

After a certain age technology and screen time can be used judicially for better interactive teaching. Older children can do lot more and screen time can help them in understanding concept better along with reading from textbook. But not for very small babies.

Another excuse which most parents give is that there baby will never eat food if we take phones out of there life. Just to remind them that before invention of smart phone kids used to eat well.  And Honestly speaking we have started spending more time on social networking like facebook and whats app which have lead to more exposure in children. Because it’s we who cannot live without phone rather then kids.

Regards

Dr Rahul varma

 

 

Newer Guidelines with few changes in IAP Immunization Schedule, October 2014

travel_clinic_vaccinations

“Few Changes in Immunization schedule for 2014″

1. at 9 months MMR in place of Measles, 2nd dose @ 15 months, no dose @ 5 years
2. Live Hep A single dose only , Killed to have 2 doses
3. Rotavirus, DTP vaccine , same stand as before
4. Typhioid-TCV cojugate can be started @ 9months with booster @ 2 years (No need to re vaccinate every 3 years).
5. Cervical Vaccination in 9-14 years, only 2 doses 6 months apart.

New IAP Vaccination Guidelines as per october 2014

For Parents , it is best to discuss with your child specialist. Your doctor is in best position to prepare vaccination schedule for your child as per latest recommendation.
 http://indianpediatrics.net/oct2014/785.pdf

Regards

Dr Rahul varma

 

You can save a life by giving Hands-only CPR !

 

  CPR (mayaclinic.in)

“Anyone can learn CPR and everyone should”

  • Sudden cardiac arrest is one of the leading causes of death worldwide. Many of these lost lives can be saved if a person nearby knew how to do CPR (cardiopulmonary resuscitation) or simply hands- only CPR.
  • You will be surprised to know that it is easy to perform and can be done by anyone. There is no need for any knowledge reading science i.e.  it can be done even by an illiterates . It just need strong will on your part to know it.
  • Sudden cardiac arrest is not the same as a heart attack.
  1. Sudden cardiac arrest occurs when electrical impulses in the heart become rapid or chaotic, which causes the heart to suddenly stop beating.
  2. A heart attack occurs when the blood supply to part of the heart muscle is blocked. A heart attack may cause cardiac arrest.

 hands-only-cpr

Reasons why you should know it

  • It saves many lives should be a good enough reason for you to learn it. Chances of a person surviving a sudden cardiac arrest increase significantly if CPR is started early. Effective bystander CPR provided immediately after sudden cardiac arrest can double or triple a victim’s chance of survival, but unfortunately very few cardiac arrest victims get CPR from a bystander in India.
  • More than 80% of heart attack occurs at home, so chances are you will be saving a person’s life that you love. Put very simply: The life you save with CPR is mostly likely to be someone you love.
  • CPR is not done by many due to various concerns like doing harm to person, doing harm to oneself, reason of hygiene, chances of getting infected or getting into legal hassles. But once you know the proper technique you will realize, you can only do well to a dying person without risking your health. Don’t be afraid; your actions can only help.
  •  Giving mouth to mouth resuscitation is not necessary: Most common reason why people are afraid of giving CPR is that they might have to give mouth to mouth breath. Guidelines in 2010 changed which clearly says that without formal training you should attempt hands-only CPR.  I strongly feel, all of us should know how to do chest compression even without mouth breathing. In many adults hands-only CPR has been found to be equally effective. (Although in children it is different and reasons of sudden cardiac arrest are different)
  • Hand-only CPR is very easy to learn: It can be easily performed
  • Unnecessary deaths can be prevented which occur due to poor response to cardiac emergency.
  • You can learn how to give Hands-Only CPR by watching a simple one-minute video at heart.org/cpr. (In India, call 102 instead of 911)

cpr

Once you have learned CPR, You can teach others too. Give 5 people you care about the power to save lives by equipping them to act quickly in a crisis.

Don’t be afraid; your actions can only help.

mayaclinic.in

If you see an unresponsive adult who is not breathing, call 102(call for help from others nearby) and push hard and fast on the center of the chest.

But before starting CPR make sure your life is not in danger (eg. No moving vehicle nearby, no chances of accident)

SEE A VIDEO, SAVE A LIFE
You can prepare yourself to act in an emergency by simply viewing the Hands-Only™ CPR instructional video(In India, call 102 instead of 911)

correct posture while CPR

The American Heart Association has recommended Hands-Only  CPR for adults since 2008.

Feel free to contact any nearby hospital to learn CPR.

Regards

Dr Rahul Varma

 

Congenital Hypothyriodism

Can my child have thyroid related problem at birth? YES, read on.

Congenital Hypothyroidism (CH)

Congenital Hypothyriodism    

Hypothyroidism is condition in which thyroid gland does not produce thyroid hormone in sufficient quantity. And if this condition is present right from birth, it is called Congenital Hypothyroidism (CH).

Congenital Hypothyroidism (CH) is most common preventable cause of Mental retardation in children.

It is also known as Cretinism, Endemic Cretinism (Iodine Deficiency), Congenital Myxedema.

Hypothyroidism is usually an age related change seen in older people, especially ladies. However its incidence is on a rise in younger population too.

physiology of CH

Newborn babies are also vulnerable; more so because there are no specific symptoms which can lead to early diagnosis. Because of this reason most of the private hospitals are now doing cord blood testing (Newborn Screening) to rule out thyroid related illnesses.

Good news for parents is that it can be diagnosed easily by testing (Newborn screening) and can be treated comfortable; so that child can live a normal life just like any other baby.

Hypothyroid in children

Signs and symptoms

Most of the children are asymptomatic (due to trans-placental transfer of maternal thyroid hormones)

If symptomatic; then following are the features

  • Prolong Jaundice during first few weeks of life (earliest sign)
  • During first month of life there is feeding difficulties (Sluggishness , sometimes even choking spells during nursing)
  • Lack of interest, Somnolence (sleepy all the time), large head size (due to myxedema).
  • Breathing difficulties due to large protruded tongue, also noisy breathing, nasal obstruction
  • During 1st year of life babies are sleepy all the time, have poor appetite, cries very little and sluggish most of the time.
  • Large protruded abdomen mostly has umbilical hernia.
  • A puffy appearance to the face. Dull looking
  • Cold to touch and mottled skin, edema of genital region and extremities
  • Constipation not responding to treatment
  • Poor muscle tone
  • Anemia can be there
  • Developmental delay
  • Slow heart rate

CH-mayaclinic

In children and teenage it can lead to

  • Poor growth leading to in short stature
  • Delayed eruption of teeth
  • Delayed puberty
  • Poor mental development

anatomy of thyroid gland

Thyroid gland is a butterfly- shaped organ at base of the neck.

 Hypothyroid

Causes:

  • Absent (agenesis) or (abnormal location) ectopic in location or underdeveloped
  • Genetic causes:  about 15% of cases are thought to be inherited
  • Iodine deficiency in mothers
  • Use of anti thyroid medicines in mothers

 Diagnosis: It is done by newborn screening in most cases

newborn screening

 Management:

  • Hormone replacement is the treatment (Safe and easy in children too)
  • L-thyroxine tablets are small and can be crushed into food or dissolved into a small amount of formula, juice or other liquid. No liquid formulation is available.    thyroid_treatment
  • Child specialist along with Pediatric Endocrinologist will treat children with thyroid or any other hormonal problems
  • Treatment to be started as soon as diagnosis made; since damage to brain once done can never be reversed
  • Overdosing of L-thyroxine in children can lead to
    • Faster heart rate
    • Loose motions
    • Poor sleep
    • Shakiness or tremors
    •  Soy-based formulas and Iron supplements can reduce the absorption of thyroid hormone.
    • Regular monitoring of child every few months
    • Developmental assessment

Congenital Hypothyroidism, before and after treatment (mayaclinic.in)

FAQ

Q. My child is too small? What if I do not treat my child?

Ans. It can lead to Mental retardation and developmental delay in children. Damage once done can never be reversed.

Q. Is it genetic disease?

Ans. About 15% cases are inherited and genetic counseling need to be done. Genetic testing can be done using blood sample.

Q. What are the tests need to be done to confirm it?

Ans.  If newborn screening is positive:

  • then blood tests are repeated after 72 hours of life which includes TSH, T4,T3.
  • Thyroid Ultrasound and Scan need to be done in certain cases

diagnosis of CH

Q. Can it be diagnosed during pregnancy?

Ans. NO

Q. Can elder siblings also have it?

Ans. If elder siblings are growing well, healthy and developmentally normal. Most likely the answer is NO.

For Any queries related thyroid disease or you want to discuss any other health related issues feel free to contact MAYA CLINIC. Or discuss with your child specialist.

Regards

Dr Rahul Varma