Q Are growing pains real?

Growing pains are seen in children of the age group 5 to 12 years. Thses always concentrate in the muscles, rather than the joints. Most kids have pains in the front of their thighs, in the calves, or behind the knees. The children with growing pains can be helped by massaging the area, stretching or by placing a heating pad on the area.

Q Do I need a tetanus jab (vaccine) after an accident or injury?

Yes. It is necessary to get an injection of TT after an accident or injury. Because the bacteria of tetanus are present in the soil which can infect you if not vaccinated.

Q My brother who is 8 year old having diabetes is there any option instead of taking insulin?

Juvenile diabetes (type 1) can definitely be stressful, however it is possible to live a normal life if proper care is taken. There is no alternative to insulin, he will have to keep taking it. Ensure that he always eats healthy, is physically active, takes his insulin shots on time and checks his blood sugar regularly. He needs to monitored by his physician at regular intervals. The sooner you accept and embrace the situation, the better support your brother will have to live his life normally.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.

Q What is attention deficit hyperactivity disorder(adhd)?

ADHD is a common neurobehavioral disorders diagnosed in childhood and often lasts into adulthood. The primary cause behind ADHD is heredity. Symptoms include lack of attention, easy distraction, boredom, careless mistakes, daydreaming, non completion of tasks, forgetfullness, constant fidgeting, talking excessively, difficulty waiting for anything and physical restlesslessness- always moving about from 1 activity to another. There is no single test to diagnose ADHD. It is usually treated with a combination of medication and behavioral therapy.

Q Are anabolic steroids addictive?

Anabolic steroids are synthetic version of male sex hormone testosterone. It is prescribed in several medical conditions where there is muscle loss. However it can be abused by athletes and bodybuilders to enhance their performance. Thus they have the potential of being addictive.

Q What causes sudden diarrhea in infants?

Common causes for acute diarrhoea in infants are: any infection either viral, bacterial or parasitic etc, change in the babys diet or the breast-feeding mothers diet, any sensitivity to medicines, use of antibiotics by the baby or breast-feeding mother, food allergy or poisoning etc.

Q Is depression common in children? If yes, how common it is?

Yes. Depression in children, though missed many times, is a common childhood condition. Teen age is the most affected age in children. Chances of depression increase as the child ages. It is most commonly found in girls. About 11% children can develop depression. Symptoms and signs of depression may vary in children and hence is commonly get misdiagnosed.

Q Is chlamydia only caught through sexual contact?

Chlamydia is sexually transmitted disease. And it can pass from one person to other through vaginal, anal and oral sex. However it can be transmitted to the children by their mothers at the time of birth. The disease can remain insignificant for many years in women having the infection in cervical area.