Welcoem to posts!!
in the future - u will be able to do some more stuff here,,,!! like pat catgirl- i mean um yeah... for now u can only see others's posts :c
Breastfeeding is an instinct and comes naturally without training - there can be no bigger myth than this. Even though babies are born with the reflex to look for their mothers' breasts, many mothers require training and practical assistance in positioning their babies for breastfeeding. For both mother and baby, getting accustomed to it takes time and practice. There are many more myths like this that need to be addressed to provide a clear picture of the subject to new mothers.
This World Breastfeeding Week, learn more about such misconceptions in this special live session ‘Demystifying Myths of Breastfeeding’ by our experts - Dr Aakash Pandita (Senior Consultant) and Dr Rana Chanchal (Consultant - Neonatology).
Youtube live link: https://youtu.be/Lkwl06P3_p4
#kiddocs #WBW2022 #DrRana
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🌸🌸Everything you need to know about Dengue fever🦟🦟🌸🌸
This rainy season, protect yourself and your kids from this deadly disease. Watch the following 2 videos to know everything about Dengue fever, it's signs and symptoms, Cause, know when platelets increase and when to give platelets, its Diagnosis, Prevention home and hospital Treatment.
Dengue Fever Part-1: https://youtu.be/i74LLZrXQP4
Dengue Fever Part-2: https://youtu.be/c68odhWkvRI
Don't forget to like, share, comment and Subscribe to our YouTube channel KIDDOCS.
Dengue fever, also known as breakbone fever, is a mosquito-borne infection that can lead to a severe flu-like illness. It is caused by four different viruses and spread by Aedes mosquitoes. Do watch the video for complete information and details.
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🌸🌸 Hello Everyone, Thank you for all your support and appreciation 🌸🌸
We are currently working on nutritional videos for Children from 0 to 15 years of age.
In the coming few weeks we will be releasing the following videos for a complete information and guide on your kids nutrition and growth.
We have already uploaded a video on complementary feeding in babies more than 6 months old 👇
https://youtu.be/IcOrpKkDKvI
So, stayed tuned and SUBSCRIBE to our channel and hit the bell icon for notifications.
This series will include:
1 - Normal weight for appropriate age
2 - Normal Height for age and weight
3 - 14 Tips for parents to increase the weight of kids
4 - 21 high calorie food items for increasing weight and height of your kid
5 - Fussy and picky eaters and tips to help parents to make their children eat.
6 - Childhood obesity, it's diagnosis and management
Kind Regards
Team Kiddocs
Stay healthy and Stay happy
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Know your COVID-19 vaccines.
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Thank you so much for all your support and appreciation for all the frontline workers. It's not in my nature to post anything negative about anyone. My intention is not to defame anyone, it's only to request everyone that every health care worker around the country is trying there level best to come out of this pandemic, they are risking their lives and staying away from there loved ones.
So, I am removing the rest of the post. Once again thank you everyone from bottom of my heart for your appreciation and advise.
😊😊🙏🙏
Rest assured we (Myself and Dr. Himanshu) will keep trying to help out and reply to as many people as we can but please understand that human body has limitations too and we are just two common human.
#kiddocs, #respectothers, #thankyoueveryone
Thank you so much for your support 😊🙏
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🌸🌸Covid Update - Mucormycosis 🌸🌸
🌹 *Early signs of Mucormycosis*:
Mucor Affects _Sinuses Orbits and Brain and later on Lungs_
🌹 *Early Symptoms for High Suspicion of Mucor*
-Unexplained headache even post recovery.
-Pain in the teeth, numbness and loosening of teeth,
-Numbness in the face,
-Swelling of the eye/Lid oedema
swelling of face,
-Bloody nasal discharge,
nose blocks
*experienced more towards one side*.
💹 *Late Symptoms and Signs*
Inability to move the eyeball, inability to open the eye, vision difficulties or loss of vision and altered consciousness.
Ptosis, Lateral rectus palsy, proptosis, blurring and vision issues are very late signs
🌹 *How is Mucormycosis is best diagnosed?*
By performing a *nasal endoscopy and sampling the nasal discharge for microscopy*. So weekly Endoscopy can be planned by Expert ENT surgeon in high risk cases.
😎 *Role of imaging studies in diagnosis of Mucor*
🌹No role of CT Scan
ORDER IMMEDIATE GADOLINIUM CONTRAST MRI HEAD AND SINUSES
As
*ONLY GADOLINIUM ENHANCED MRI CAN DIFFERENTIATE VASCULARIZED AND AVASCULAR MUCOR THROMBOSED STRUCTURES*.
MRI scan of the brain and orbits is performed just to look for the extent of disease.
🌹 *MUCORMYCOSIS PREVENTION STRATEGIES*
EUROPEAN GUIDLINES: Lancet
Tab Posaconazole 200mg tds
AS PROPHYLAXIS FOR
All high risk category pts like?
- Uncontrolled Diabetics
- Immunocompromised
- Neutropenics
- High cytokines IL6
- High Ferritin (mucor feeds on free iron)
- Those with high CT score who needed mechanical ventilation or tocilizumab or high dose steroids.
*Treatment of Mucotmycosis*
1.Multidisciplinary team of ENT Surgeons, Surgeon, Pulmonologist etc debridement of Dead and necrotic tissue
2. *Primary Antifungal Therapy in Mucormycosis*
1️⃣Liposomal Amphotericin-B first line recommended agent 5mg to 10mg/kg/day esp if CNS is involved
2️⃣Posaconazole 200mg BD/QID,
3️⃣ Isuvaconazole 200 mg OD
can also be used as first line therapy
4️⃣ Itraconazole-Absidia species
😎Fluconazole, Voriconazole - No reliable activity,
🌹 *Amphotericin B remains the primary line of treatment*.
Though the efficacy of *Isavuconazole is not as high as Amphotericin B, it may keep the fight on in.case Amphotericin B is not available*.
🌹 *How hospitals can prevent rise in number of cases?*
Going by the theory of ‘hospital acquired’ infection of mucormycosis among Covid patients by ‘opportunistic fungal spores’, the hospital managements may adopt certain measures:
1. Separate wards for Mucormycosis patients to prevent mass exposure
2. Use of air purifiers with HEPA filters to ensure ‘proper air exchange’ at the premises to ensure the right balance of humidity
3. Using steroids judiciously.
4. Consider using Bericitanib and Tofacitanib as steroid sparing drugs in patients with High CRP
5. Close watch on blood sugar levels in diabetic patients with early initiation of insulin.
6. Keep a high degree of suspicion for early detection of mucormycosis
7. Patients with high blood ferritin level and sugar to be kept under close surveillance as both of these are conducive for the growth of the mucormycosis.
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Based on the CT findings, the level of suspicion of COVID-19 infection is graded from very low or CO-RADS 1 up to very high or CO-RADS 5 and the severity and stage of the disease is determined with remarks on comorbidity and a differential diagnosis.
Regular updates will be provided.CORADS-1 has a high negative predictive value in patients with complaints for four or more days.
CORADS 5 has a very high positive predictive value given the high a priori-chance in this epidemic.
Kind Regards
Dr. Rana Chanchal
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🙏🙏 I am really sorry for not replying to your comments. Please except my sincere apologise to everyone for not able to reply to your valuable comments, I have been working with and for COVID patients and try to help them from 7am morning to 2 am in the night.🙏🙏
Sincerely
Dr Rana Chanchal
🌸🌸🤗🤗We are now available for online consultation 🤗🤗🌸🌸
🌸🌸 Adult treatment, medicines, doses all explained 🌸🌸
Kindly follow the guidelines which I have given below. (Please spare 5 minutes and read the post completely for all medications)
All medications, doses and indications are shared in our community post.
youtube.com/c/Kiddocs_Dr_Rana/community
If in any doubt kindly consult your doctor and if you still want to Consult with us click on the following link below. (Please understand that it is NOT FREE, we are trying to help out every one as much as possible and we are very busy)
🙏🙏 PLEASE PLEASE PLEASE DO NOT CALL US, READ THE POST AND WATCH THE VIDEO, MESSAGE US ONLY IF YOU NEED PAID CONSULTATION FROM US🙏🙏
🌸🌸Link for direct consult on web🌸🌸
- For Dr. Rana Chanchal:
www.naviasmart.health/patient-app/?doctor_id=Dr-Ra…
- For Dr. Himanshu Kumar:
www.naviasmart.health/patient-app/?doctor_id=Dr-Hi…
👉 General Physician:
www.naviasmart.health/patient-app/?doctor_id=Dr-Sh…
Dr. Shailaja Chanchal
MBBS, Fellowship in Diabetes ( Fortis & Royal College, London), Fellowship in Family Medicine.
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🌸🌸COVID-19 treatment for adult🌸🌸
🌸🌸All medicines and doses given🌸🌸
👉 Kindly follow the guidelines which I have given below. (Please spare 5 minutes and read the post completely for all medications)
👉 If in any doubt kindly consult your doctor and if you still want to Consult with us click on the following link below. (Please understand that it is NOT FREE, we are trying to help out every one as much as possible and we are very busy)
For online Consultation:
👉 For Dr. Rana Chanchal: www.naviasmart.health/patient...
Dr. Rana Chanchal
MBBS (KGMU), MD Pediatrics (KGMU)
Fellowship in Neonatology (Manchester)
DCH (RCPCH, London), PGPN (Boston, USA)
👉 For Dr. Himanshu Kumar
www.naviasmart.health/patient...
Dr.Himanshu Kumar
MBBS (KGMU), MD Pediatrics (KGMU)
PGPN (Boston)
👉 General Physician:
www.naviasmart.health/patient...
Dr. Shailaja Chanchal
MBBS, Fellowship in Diabetes ( Fortis & Royal College, London), Fellowship in Family Medicine.
Note: Please stop messaging and calling us for your doubts, you can ask them in the comments section below our videos, I will answer them as soon as possible. If you want Consultation with us then only message is on whatsapp, please don't Call, it's a humble request..🙏🙏🙏
👉Disclaimer: It's a generalized guideline, we advice you to consult your doctor before starting the treatment on your own.
👉 Follow the following treatment (Not for Children below 12 years, kindly book Appointment and Consult with us for Children)
*************************************************
Day 1 of covid symptoms..
Rx (Start what is available & try to arrange what's not online on 1mg.com or netmeds.com or nearby medical stores) any alternative brands of same medicine will work.
ANTIVIRAL & VITAMIN TREATMENT MUST BE STARTED FROM DAY 1 TO 7
1. Paracetamol 650 mg twice daily sos if fever is more than 100 (if fever is not controlled try mefenemic acid 500 or Nimesulide tablets if fever is > 101)
2. Zinc 50 mg twice daily for 15days
3. Vitamin C 500 mg twice daily for 15 days
4. Vitamin D 60000 Units once weekly for 4 to 6 weeks
5. Multivitamin like zincovit, becasule Z or A to Z once daily for 2 months
No need of Fabiflu, Doxycycline, Azithromycin or ivermectin
MOST CRUCIAL MEDICINE ARE STEROIDS (should be added in treatment after 5th day if crp is high or oxygen goes below 93 or if fever persists) (Kindly Consult your doctor before starting Steroids)
1. Steroid inhalers are safer as they don't generate aerosols which can infect another person visiting the room.. So use steroid inhalers like foracort or budecort with spacers 8 to 12 puffs 2 to 3 times a day.
Note: Gargle with warm saline after using steroid inhalers
2. Nebulization can also be used with budecort 1mg or foracort 1 respule 3 to 6 times a day as required to keep oxygen above 93
Note: Gargle with warm saline after using steroid nebulization
3. Nebulization with levolin 1.25Mg or duolin can be used in asthma or bronchospasm when suddenly oxygen level falls... But only 2 to 3 times a day maximum... Be aware this increases heart rate (pulse rate)
IMPORTANT Note : use all Nebulization only in a isolated room with proper ventilation towards outside because it generates covid aerosols
4. Steroid tablets Prednisolone 10 or 20 or 40 mg or Best is methylprednisole 8 or 16mg or 32mg depending upon severity 2 to 3 times a day for 2 to 5 days to keep oxygen >94 %.. then when CRP reduces them reduce steroids to half dose every 3 days (Start only if oxygen saturation drops by 4 units or less than <93% & double it if oxygen drops further) (If possible Consult your doctor before starting Steroids)
NOTE YOU MUST CHECK BLOOD SUGAR
Steroids make sugar go up.
Check your sugar at least 2 to 3 times a day with glucometer at home.. The more steroid you need the more sugar will go up...but DO NOT STOP STEROIDS BEFORE AT LEAST 5 DAYS
If your diabetic Its very important that you still take steroids especially if your Crp is high or oxygen is below 90... Continue old medications for diabetes as before and avoid sweats and carbohydrates ..like biscuits Rusks also.. Check blood sugar 3 times daily at least fasting and 2 hrs after breakfast and 2 hrs after dinner And give an additional Tenaligliptin 20 + Metformin 500 tablet whenever blood sugar is more than 250...can give maximum 3 tablets per day.. Make a proper easy to read chart.
Most people will need need insulin for sugar control. But if sugar is more then 350 then you have to give a safe low dose 5 units of Insulin actrapid at home. & Must check sugar again every 4 to 6 hrs and give 5 units again if still above 350 & please Consult a doctor if sugar is more than 400.
3. Ecosprin 75 to 150mg once daily after dinner for 15days for clot prevention if CRP is moderately high ( keep moving your legs and calf muscles.. That is the most common place clots builds up and the goes up to other parts of body to cause heart attack or stroke.
**** Supportive Medications****
• Betadine gargles 3 times a day for 10 days (not if you have thyroid problems)
• Add Enoxaparin injection if D-Dimer is high. (Consult your doctor before starting)
• Alex or Grillinctus or brozex or asthakind syrup 2tsp 3 times a day for 5 days for cough
• Montair LC in night once or twice daily for 10 days
• Pulmoclear (accebrophylline +acetylcysteine 600 mg) or Plain Mucinac tablet twice daily for 15days
• Papaya leaf extract capsules twice daily if platelet count drop
• Pantoprazole DSR 40 mg before meals once a day for 10 days for gas
• Domperidone Tablets sos for vomiting 2 to 3 times a day before food if needed
• Apply glycerine in mouth for dryness
• Apptivate syrup 2 tsp twice a day for 5 days for anorexia (bhookh nhi lag rahi)
• everyone will fell weakness due to the disease and dehydration… take Give pain water or Electrol or ORS or coconut water twice daily for 2 to 5 days and keep monitoring blood pressure heart rate and blood sugar daily. you May take IV fluids at home like NS or RL for severe dehydration with low blood pressure as required(even sugar patients can take it)
• Can give injection optineuron or neurobion 1 ampule IM daily for 3 days for severe weakness
• For constipation give Softovac sf powder 2 to 4 tsp once at night for 5days
• If loose motion happens-Drink 1 glass water or ORS after every loose motion & Take Only 1 to 2 tablet Imodium/Loperamide only if lose motions are frequent
****COVID HOME MONITERING****
Check Oxygen levels, Heart rate and Temperature every 2 hrs if sick and make a chart, if asymptomatic monitor every 4 - 6 hourly
If you want to do tests Do tests
1. Cbc Esr CRP or HsCRP every 2-3 days
2. DDimer Serum ferretin IL6 COVID-19 Rt PCR test once a week
3. If fever persistent or increases > 5days..do blood culture sensitivity and Procalcitonin
3. chest xray Pa view or Hrct chest if oxygen levels falls below 92 %
• Complete Home quarantine for total or 10 days after last symptom and still wear masks after that you can still be reinfected, remember antibodies need 2 to 3 weeks to be high enough for you to be immune.
You can check covid antibodies igg to check weather you have developed good antibody count or not. But still be aware you can still be infected it covid mutates.
• Drink Alot of water or any liquid around 4 to 5 lts daily , EAT A HIGH PROTIEN DIET, take steam as required, 8 hr sleep, and 10 to 20 min exercise daily if feeling very weak then rest.
• Take regular healthy home cooked food, lots of fruits, salads and lean protein
• Moniter blood pressure pulse rate temperature, Sugar levels and O2 saturation daily
• Rest Continue same treatment as before for other illnesses if any.
For Persistent/High Fever > 5 to 7 days - 1. Start meftal forte
2. Add a broad spectrum antibiotics like
Faropenem 200 mg twice daily for 5days
Linid 600mg twice daily for 5days
******MOST IMPORTANT TESTS******
Repeat Cbc Esr CRP every 1 to 3 days and do DDimer Procalcitonin with chest xray or Hrct chest for people how are have crp more than 30...and repeat tests every 3 days till they are are reducing near normal
Markers that disease is progressing
If neutrophil : lymphocytes rasio (NLR) is >3.2 Its getting serious...increase steroids and if it gets more than >5.2 its already serious go fo injectable steroids.
If DDimer increases... Then that means you needs anticlot medicines like apixaban 10 or rivaroxaban 10mg or 20 mg once daily for 5 days
If Procalcitonin increases you need injectable antibiotics like monocef, tazobactum, Augmentin etc.
***IMPORTANT IF OXYGEN STILL FALLS****
If oxygen levels drops Spo2 <94 constantly...
KEEP PATIENT IN PRONE POSITION... (Ulta letaao)
Double OR triple the steroid dose (Please Consult before increasing the dose)
Keep check ans correcting sugar 3 to 4 rimes a day with glucometer.
Try getting admission in nearby hospital or arrange oxygen cylinder or concentrator or bipip or cpap machine at home.
(Credit: Dr. Education, YouTube Channel by Dr. Paramjeet) with slight modifications
👉Watch the following video before consulting for more information:
- Everything about COVID: https://youtu.be/n0GgWr7ObHk
- Home treatment tips: https://youtu.be/IKeS4UXLyJI
- Danger signs: https://youtu.be/yMMoHC38_B0
- Breathing exercises: https://youtu.be/Bnfh570-es8
- Diet plan for COViD patient: https://youtu.be/o3_JItSLGEc
- Breastfeeding in COVID 19:
https://youtu.be/ftBPS2Hd7vs
Kind Regards:
Dr. Rana Chanchal
MBBS (KGMU), MD Pediatrics (KGMU)
Fellowship in Neonatology (Manchester)
DCH (RCPCH, London), PGPN (Boston, USA)
Stay home, Stay safe
🙏🙏 PLEASE PLEASE PLEASE DO NOT CALL US, ask all your queries in the comment section in our videos 🙏🙏
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🌸🌸Age-appropriate Pediatric vitals🌸🌸
- Dr. RANA CHANCHAL
MBBS (KGMU)
MD Pediatrics (KGMU)
Fellowship in Neonatology (Manchester)
DCH (RCPCH, London)
PGPN (Boston, USA)
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Hello! to all the parents...Welcome to "KIDDOCS"...a channel for the little things which matter the most..👶"
We have created this channel with basic aim to help the parents with day today queries related to health of thier kids, which becomes especially important in bad times of Corona virus pandemic when we have limited accessibility to clinics.
Dr. Rana Chanchal, MD Pediatrics, Fellowship in Neonatology (Manchester) & DCH (RCPCH, London, UK), PGPN (Boston, USA)
Dr. Himanshu Kumar, MD Pediatrics, Ex- Assistant Professor (PIMS), PGPN (Boston USA)
🌸🌸🤗🤗We are now available for online consultation 🤗🤗🌸🌸
👉WhatsApp for Consultations & Collaboration:
- Dr. Rana Chanchal: +918005330987
- Dr. Himanshu Kumar +919161091182
🌸🌸Link for direct consult on web🌸🌸
- For Dr. Rana Chanchal:
www.naviasmart.health/patient-app/?doctor_id=Dr-Ra…
- For Dr. Himanshu Kumar:
www.naviasmart.health/patient-app/?doctor_id=Dr-Hi…