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Pre-Pregnancy Check-Up & Tests
The importance and value of prenatal care are well-documented as it keeps track of the mother-to-be and her baby. Medical check-ups during pregnancy are quite frequent and have been recommended by doctors and gynaecologists for long. However, in recent times, most experts have suggested pre-pregnancy or preconception care.
What is a Pre-Pregnancy Check-Up?
A pre-pregnancy check-up includes a set of tests your doctor may run on you and your partner to ensure that both of you are free from illnesses that can ruin your chances of becoming pregnant. Based on the results of these tests, your doctor will provide you with instructions to follow in areas like exercising, diet, lifestyle, and necessary supplements. He will also recommend changes in certain habits like smoking and consumption of alcohol to have a safe pregnancy and a healthy child.
Why is Preconception Check-Up Important?
A pre-pregnancy check-up is essential to make sure that a woman is healthy and physically prepared to nurture and bear a child. A pre-pregnancy check-up is important for a couple, as it can enhance the possibility of the woman conceiving. The risk of congenital disabilities, anomalies or miscarriage is also reduced if a pre-pregnancy check-up is carried out. It helps to rule out any future complications that may arise during pregnancy as a result of existing health issues with the man and woman.
What Prenatal Care Providers Can You See for Pre-Pregnancy Examinations?
While choosing a pre-pregnancy care provider for preconception care, you can choose the same doctor or provider to whom you plan to entrust your prenatal care later on. This way, the same set of medical practitioners can care for you in pre-pregnancy, prenatal and post-delivery care too. You will have to see the following providers for pre-pregnancy examinations:
1. Family Physician
Also known as a family doctor, this trained professional is capable of treating ailments and taking care of you before, during and for post-pregnancy related issues.
2. Midwife
A midwife is a trained and professionally educated person who can take care of women, pregnant or otherwise, irrespective of their age.
3. Obstetrician
This is a doctor who is trained to care for pregnant women and carry out deliveries of their babies.
4. Maternal-foetal Medicine Specialist
An MFM specialist is an Obstetrician who specialises in taking care of women facing high-risks. You may have to see a Maternal-foetal medicine specialist if you have health conditions that could lead to complications during or after pregnancy.
5. Family Nurse
This is a practitioner with nursing qualifications and thoroughly qualified to care for pregnant women.
6. Women’s Health Nurse Practitioner
Otherwise known as WHNP, this qualified individual is specially trained to look after women and is knowledgeable about pregnancy-related problems women face.
What Happens at the Check-up?
During a pre-pregnancy check-up, your doctor or health provider will carry out various examinations and tests to make sure you are ready for pregnancy. A few are listed below:
1. Weight Check
This is necessary to know if your body weight is ideal for your body size and type. If it isn’t, then the doctor will suggest certain changes in your food intake and diet or prescribe medications to help bring the weight to normal. Unless your body weight is right, the doctor will not suggest getting pregnant. A Body Mass Index (BMI) between 18.5 and 22.9 is the ideal BMI for women.
2. Mental Health Screening
Mental health issues like anxiety disorders, depression or eating disorders can pose a problem while conceiving a baby. Since there will be massive mood swings, this may increase the disorders and will interfere with conception. To decrease the risk of mood disorders, a preconception mental health screening will be carried out by your doctor during or after the check-up.
3. Urine Tests
Checking urine for the presence of a urinary tract infection and kidney ailments is a part of every pre-pregnancy check-up.
4. Gynaecological Screening
This screening is carried out to check for uterine fibroids, cysts, benign tumours or any pelvic inflammatory diseases (PID). It also checks for irregular periods and PCOS (polycystic ovarian syndrome) or any other gynaecological condition which could hamper pregnancy.
5. Breast, Pelvic and Abdominal Examinations
The pelvic examination checks for infections such as yeast or trichomoniasis, which may pose a problem. The abdomen is examined to check if there are any physical anomalies. The breasts are examined to check for lumps which may need attention.
6. Blood Pressure Reading
The blood pressure is checked to identify very high or very low BP, as both may lead to complications.
7. PAP Test
A Pap smear test is an integral part of your first visit to your doctor. The test is done by inserting a speculum into the vagina for a view of the cervix. The doctor then runs a cotton swab over the cervix and collects cells which are sent to the lab to be analysed. This test assesses whether you are infected with Sexually-Transmitted Diseases (STD) like gonorrhoea, syphilis, HIV or Hepatitis B. A colposcopy will be carried out if the doctor finds abnormal cells during this examination.
8. Blood Tests
The following blood tests are carried out to check for various conditions:
Vitamin D deficiency
Haemoglobin count
Rh factor
Rubella
Varicella
Tuberculosis
Hepatitis B
Toxoplasmosis
Thyroid functions
STD
9. Genetic Conditions
Speak to your doctor if your family has a history of thalassemia, cystic fibrosis or Down Syndrome so that further investigations can be conducted.
10. Contraception
Inform your doctor about the contraceptive methods you have been using. Most practices do not impact how much time it takes conceive as soon as you stop using them. However, if you have been using contraceptive injections, it may take up to a year to get your fertility to return to normalcy.
11. Past Pregnancies
It is always advised to discuss any past miscarriages, terminations or ectopic pregnancies you may have had in the past. Though this can be hard for you, it will help the doctor to prepare for the best care.
12. General Queries
You can expect the doctor to discuss your diet, your health in general, the lifestyle you follow, your exercise routine, and your current occupation. Share any complications with your menstrual periods. Any existing health conditions like asthma or diabetes will also be of interest to your doctor during the check-up.
Pre-Pregnancy Tests
The following preconception blood tests should be carried out before you decide to get pregnant. Of course, your doctor is the best person to suggest the right tests, so it is better to consult with him/her for the same:
1. Complete Blood Count (CBC)
This is a mandatory test to determine if you need to be started on iron supplements. You could suffer from anaemia if you become pregnant while your body is facing an iron deficiency.
2. Hepatitis B Test
This test is recommended if the doctor feels you are at risk for this disease. Before you get pregnant, you can get yourself vaccinated against Hepatitis B.
3. Herpes Test
If you or your partner have a history of having contracted herpes, this test has to be carried out before you conceive. This test should be carried out even if you have never shown the symptoms of herpes.
4. Blood Test
Your immunity to chickenpox or rubella can be found out by conducting this blood test.
5. Test for Syphilis
This test ensures that if the mother is infected with syphilis, it does not pass on to the baby. Untreated syphilis can lead to miscarriage or stillbirth, and hence your doctor will recommend taking this test.
6. Test for HIV
The test for Human Immunodeficiency Virus is mandatory since HIV reduces the body’s ability to fight infections by attacking the body’s immune system. This virus can pass on to your baby during birth and while breastfeeding too.
FAQs
As you plan to take on the responsibility of becoming a mother and starting a family, you will have a number of thoughts and doubts in your mind. The following Frequently Asked Questions will help you to put your mind to rest:
1. Do I Need Pre-Pregnancy Dental Check-Up?
A thorough dental examination is as important as the other pre-pregnancy check-ups. By eliminating the chances of bacteria in your gums, you are sure that the bacteria are not transferred to the baby through the amniotic fluid. Also, a simple dental issue can significantly worsen during pregnancy, since your immunity is low at this time.
2. What to Do If I Am Unhappy With My Gynaecologist?
There is a possibility that you could feel disconnected from your gynaecologist during your meetings. He may not provide satisfactory answers to your queries or may not understand your fears as a first-time mother-to-be. You may even be uncomfortable or something about his personality could make you unhappy. However, you should be clear about the reasons if you feel so.
It is always best to ask for recommendations and references for gynaecologists while you are searching for one. Females often prefer female gynaecologists, as it allows a certain amount of comfort. However, there is no harm in seeking consultation with a male doctor if you are comfortable. Continue with the doctor only if you trust her completely otherwise you can surely ask for a second opinion and switch.
3. Do I Need to Take Someone With Me to the Doctor's Appointments?
It is always a great idea to take along your partner or husband for the first consultation with the doctor. Make a list of the questions and doubts you may have about the check-up after mutually discussing the same. There are many advantages to jointly visiting the doctor for the check-up. The doctor will make suggestions for changes in your current lifestyle and diet amongst other things. He will also list out the precautions to be taken and the tests you both will have to undergo.
If your partner is present for the appointment, he will realise how important it is for you to eat well, reduce stress and take rest. Visiting the doctor together helps your husband to feel more involved with the pregnancy, and this will bring you closer as a couple. It is also easy to recall the doctor’s instructions when both are present for the doctor’s appointment.
4. How to Make the Most of the Check-Up?
While visiting your gynaecologist for a preconception health screening, you should remember that he or she will be pressed for time. This means that you will have to make most of the time you spend with the doctor, as the average consultation time does not exceed beyond 15-20 minutes with a busy doctor. Here’s how you can maximise the check-up:
Always book a prior appointment which allows you and the doctor to plan properly.
Write down an agenda so if you have more than one problem. Share it with your doctor at the start of the check-up or ask one by one. Discuss the most important concern at the beginning of the consultation, or you could run out of time.
While seeing a gynaecologist for the first time for a health check-up before getting pregnant, you should give a summary of yourself. The doctor rarely has time to read your complete medical history between two appointments.
If the doctor has shared his number with you, ask basic queries over the phone, so you have more time to discuss important issues during the check-up
Starting a family and bringing a brand new life into this world is a huge decision a couple takes. However, it makes sense to prepare for the baby by sorting out parental health problems before becoming pregnant. A healthy mother improves the chances of a healthy pregnancy and, hence, it is important to carry out all the requisite tests and exams needed, after consulting the doctor.
Also Read: 15 Best Sex Positions to Get Pregnant Faster Read more
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Lyme Disease in Children - Causes, Symptoms and Treatment
The bites from black-legged or deer ticks are known to lead to Lyme disease. These are not visible to the naked eye, and immature ticks are often the size of poppy seeds. Adult ticks look like the size of sesame seeds.
What Is Lyme Disease and How Common Is It?
Lyme disease is very common in the United States, being one of the leading tick diseases there. It's an infectious illness caused by black-legged or deer ticks. Typically, people who are bitten by these ticks don't feel the bite and have no memory of it. The infection gets passed on when the tick sits on you for 24 to 48 hours and bites. Those who live in woody areas are more prone to tick bites, and thus, this disease.
Causes of Lyme Disease
Lyme disease in toddlers, infants, and adults are caused by various factors. Here are the common ones below:
1. Borrelia Burgdorferi
The strains of the bacteria Borrelia Burgodorferi are known to lead to Lyme disease in humans. These are transmitted through tick bites and are spread by nymphs.
2. Through a Host
The development of a tick happens in three stages - larval, nymph, and adult. When a tick is in its nymph or larval stages, it feeds off the bacteria from livestock and birds. It then transfers these bacteria to humans during upcoming feeding cycles. Small animals can transmit the bacteria responsible for causing Lyme disease on to the ticks and some examples include the grey squirrel in California and Western Fence Lizards.
3. Ixodes Pacificus
The Ixodes Pacificus or the Western Blacklegged Tick is found in woody areas and is known very well for spreading Lyme Disease.
4. Borrelia Afezilii And Borrelia Garinii
These are cork-screw-like bacteria that are known to spread Lyme disease in Europe and Asia. These transmit spirochaete infections.
5. Parks, Grassy, and Woody Areas
Any ticks located in regions like parks, grassy areas, and woody regions are famous for causing Lyme disease. They secrete an anaesthetic by sitting on you, causing you not to feel any pain during bites.
6. Other Carriers
If the eggs of a tick hatch onto the fur of your pet or the bacteria infects other animals, you may acquire Lyme disease from them as they become disease carriers essentially.
Lyme Disease Symptoms in Children
Lyme disease symptoms are tricky because they are often misinterpreted for something else. Signs such as behavioural changes, lack of appetite, or decreasing attention span are sometimes thought of by parents as a temporary phase, when in reality, it's Lyme disease behind them. In general, the disease goes through three stages and these have their characteristic symptoms which are listed below.
1. Stage 1 Symptoms
Stage 1 is the early localized stage. Its symptoms are
"Bull's-eye" rash which is marked by a dominant central spot
Rashes that look like bruises
Any rashes which are solid-red or have redness around the edges
2. Stage 2 Symptoms
Stage 2 is the early disseminated stage and occurs many weeks after the day of the tick bite. It is characterized by symptoms which are flu-like such as:
Blurry vision
Chills
Fever
Swelling of the lymph nodes
Tiredness
Aching muscles
Headaches
Rashes may also appear in different areas besides the site of the tick bite
3. Stage 3 Symptoms
Stage 3 is known as the late disseminated stage and occurs months and years after the tick bite. Symptoms of this stage are:
Changes in the rhythm of the heartbeat
Difficulty focusing mentally
Brain fog
Brain disorders like encephalopathy which lead to changes in mood and memory
Sleep pattern disturbances
Difficulty talking to people or listening to conversations
Numb feeling in the arms, legs, and feet
Headaches which increase in severity
Also, make sure to watch out other symptoms of Lyme disease in babies and kids by taking note of behavioural changes, poor cognition, sensitivity to light, and night sweats. Achy, stiff and swollen joints are another symptom which makes parents often mistake Lyme disease for arthritis and other conditions, so beware of that.
Diagnosis of Lyme Disease
There two ways Lyme disease in infants and children are diagnosed which are listed below.
Visual Inspection by a Medical Professional - This involves looking for the bulls-eye rash and any spots other than the area where the tick has bitten
Blood Tests - In 20-25% cases, the rashes may not be visible. This is where the doctor may do a blood test and analyze the sample for the presence of Borrelia bacteria and antibodies in the body.
How Lyme Disease Is Treated in Children?
Lyme disease in toddlers treatment is done usually with a course of antibiotics. However, treatment will depend on the following factors:
Whether the child plays outdoors in any tick-infected areas or woody regions
Blood test results
Any other tests that say positive for spirochetes
Any symptoms that exhibit ones of tick bites
Ways to Prevent Lyme Disease in Kids
Here are some different ways to prevent Lyme disease and safeguard your kids from it.
1. Change the Clothing
Don't let your child wear sleeves or short trousers and shirts. Wear full-sleeved and long clothing when going out to woody areas.
2. Apply Repellents With DEET
Use children's insect repellents which are known to have 10 to 30% DEET.
3. Shower After Coming Home
When your child comes back home from outdoors, tell her to shower immediately and not delay.
4.Do Not Visit Tick-prone Areas
This is a no-brainer, but don't let your child play in areas crawling with ticks.
5.Tuck the Hair Into a Cap
This is to protect the scalp and prevent ticks from crawling up your child's hair. Ticks can't jump from above though.
6. Avoid Contact With Anyone Having Lyme Disease
This also includes non-humans like pets and other animals.
7. Get a Medical Diagnosis
If you notice any behavioural, emotional, or physical changes without any rashes developing, get a blood test or medical diagnosis done for early care and prevention.
How to Remove Tick From Your Child's Body?
Here's how you remove the tick from your child's body.
Use a pair of tweezers to remove the tick from your child's body.
Don't twist or jerk when pulling since this won't remove the tick well.
Pluck near the tick's head or mouth when pulling until it lets go of your child's skin.
Soak a cotton ball for 30 seconds and warm water and apply to your child's skin, letting it sit. Remove that and the tick will come off.
When to Visit the Doctor?
You should take your child to the doctor or call one in if you notice any flu-like symptoms, facial paralysis or swollen joints alongside any of the symptoms listed above.
FAQs
Here's a key question we've answered about Lyme disease that strikes the minds of many readers.
1. Is Lyme Disease Contagious?
No, Lyme disease is not contagious and cannot be transmitted from person to person through oral or sexual contact or blood transfusions.
Lyme disease can become dangerous if the symptoms become long-lasting, which is why it's imperative that you spot and get them treated early. We hope the information above helped but always consult a medical professional just to be sure.
Also Read:
Tips to Deal with Bed Bug Bites on Babies & Kids
Papular Urticaria in Children
Home Remedies for Insect Bites in Children Read more
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Teaching Toddlers to Label Simple Emotions
Though understanding facial expression seems a natural thing to parents, it doesn't come easily to toddlers. They need to learn what's what. It's important that effort is put in to explain the list of emotions with faces for toddlers. They'll grasp it a lot faster.
You want your toddler to grow up to be a sociable individual who can interact in the most effective ways. However, if he can't gauge the facial expressions of others, all his interactions may fall flat. Helping your toddler to understand different emotions is an ideal start to teaching a few important lessons.
How to Teach Identifying Emotions in Faces
1. Naming Emotions
Your toddler starts expressing his feelings and emotions from a very early age. But, he’s just not aware of what these feelings are. Start by telling him what he’s actually feeling. For example, when you allow him to do something and he gets thrilled about it, tell him that he’s feeling happy. Similarly, when he cries at his inability to get what he wants, explain that he’s sad’, which is why he’s crying. Keep repeating the names of the different emotions time and again. It’ll help your toddler understand his feelings better.
2. Pointing out Emotions
Once your little one becomes more in tune with his feelings, start teaching him the names of the emotions. One way to do this is by pointing out the expressions of his favourite cartoon characters on TV or using flash cards. Use relevant words like ‘happy’, ‘sad’, ‘angry’ and ‘afraid’. You can also teach your toddler to identify emotions through facial expressions by pointing to comic books and story books with pictures.
3. Say the Emotion
After your little one has learned basic emotions, it’s time to put his knowledge to the test. Use clip art or flash cards that depict emotions. Ask him to name the emotion in the card. You can even mimic them. Don't expect your tot to be a pro from the word ‘go’, however; you’ll have to help him before he starts getting the names right.
4. Acting Time
Play a game with your toddler. Tell him that you’ll call out the name of an emotion and he should act it out. If he’s unsure how to do it, start the game by acting out the emotions yourself. Once he sees what fun the game is, he’s sure to follow suit. You can add even more appeal by including his friends and asking them to take turns.
5. Reading with Emotions
Reading books is a great way to enhance emotional development in early childhood. Pick books that are written especially to explain emotions to toddlers. Go for ones that include his favourite superheroes and cartoon characters. Read them aloud to your tot and tell him about how the character feels at different parts of the story. You can even use inflections and act the emotions out.
Teaching emotions to kids can be a little difficult especially when just starting out. But, when your child becomes attuned to his feelings and acts accordingly in a situation, you’ll agree that the efforts were definitely worth it! Read more
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Rumination Disorder in Small Children
Is your child constantly bringing up swallowed food, re-chewing it, and then spitting it out? Does he feel pleasure doing this, instead of being upset or disgusted? And has he been doing this for a long time? He could be suffering from rumination disorder. Learn all you need to know about the syndrome, and what you need to do to handle it.
Rumination disorder can develop in any person, from an infant to even adults in rare cases. However, not all cases of re-chewing food can be categorised as rumination disorder. If your child seems to be bringing up swallowed food but digesting normally, you need to check for a whole month before diagnosing his condition as rumination disorder.
Probable Causes of Rumination Disorder
The exact cause of this disorder is not known yet. However, there are some triggers that seem to play a major role in bringing on this syndrome. Typically, high-stress conditions, caused due to domestic disharmony or sudden change in the child’s life seems to bring about this disorder. Some contributing factors could be.-
Being neglected by the mother or the primary caregiver
Abnormal relationship between the child and the mother/ primary caregiver
Physical illness
Attention-seeking behaviour
Cognitive impairment
Remember, the primary goal of rumination is self-comforting. If a child is not finding comfort from her caregivers, she might resort to rumination, which gives her pleasure.
Symptoms of Rumination Disorder
While, the most obvious symptoms are repeated regurgitating and re-chewing of food, there could be some associated symptoms too, like-
Loss of weight
Bad breath and decay in teeth
Complaints of stomach ache and indigestion
Chapped lips
Smaller children could also show some unusual movements, like arching their backs, holding their head back and sucking movements with their mouth. They do this in order to bring back the swallowed food up the food pipe.
While most children outgrow rumination disorder, in case the condition persists for more than a month, it is advised to consult your paediatrician. The doctor usually eliminates other possible causes such as gastrointestinal abnormalities, hiatal hernia or stenosis, before diagnosing the condition as rumination disorder.
Treatment and Diagnosis
Addressing the behaviour problems or the conditions causing stress to the child is the most important treatment for rumination disorder. No medications are used to treat this disorder. The treatment mainly focuses on changing the kid’s behaviour.
Consequences of Rumination Disorder
Rumination hinders complete digestion of food and assimilation of the nutrients in your preschooler’s body. Therefore, if left untreated, the disorder can lead to severe malnutrition, anaemia and weight loss.
Many children, especially those who are a little older, hesitate to own up to rumination, due to the embarrassment. In such cases, the disorder can go unnoticed. As parents, you need to keep a close eye on your child. Catch the symptoms early and take timely action to preserve your child’s health. Most importantly, give him a stress- free and energising environment to thrive with happiness. Read more
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Have You Tried 'Toy Rotation' Yet? Try This Trick for a Tantrum-free Playtime!
Dads and Moms out there, do you find yourself staring at a bin full of toys, wondering why your child isn't interested in playing with any of them?
There's a simple explanation to it. Your child is most probably overwhelmed with all the choices. There is so much to choose from, that it is almost boring to sort through, and pick one from many. That is why your child would rather find something new and interesting to play with, than spend time sorting and picking.
This mindset is, in fact, very inherent to us humans. Whenever we are faced with an overwhelming choice, we call it quits or push it to the back burner. This is just how we operate. So, is all hope lost? Not at all!
Try this little trick called 'toy rotation'. As the name suggests, it involves introducing toys in small batches to your toddler. The result, he or she will have fewer options to choose from, and will find it easy to pick a favourite. Once the batch that is out becomes old news and no longer appealing, get the next batch out. The batch that goes back in can be reintroduced down the line and, you will be surprised to see the reception it gets!
So, how does toy rotation benefit families? Let's find out.
1. Less clutter to deal with
2. Easier and happier clean up routines
3. Very economical
4. Teaches the concept of reusing
5. Instils ownership in kids
6. Makes them responsible for taking care of their own toys
The best way to approach this concept is early on in childhood or during occasions like birthdays, when your child receives gifts in large numbers. Just put some of the toys away and bring them out, gradually. Doing so, will make sure boredom never creeps into your child's playtime.
When your child grows up a little, you can do it together and explain, along the way, why you're doing it.
So, get sorting! Try 'Toy Rotation' today!
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
Dr Ghouse has added a new answer
Guardian of 0 children
4 hours ago
Q. Bread feeding mother can have green tea
Dr Ghouse
Paediatrician
3 hours ago
A. absolutely no problem to have green tea ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Guardian of 0 children
3 hours ago
Q. In my growth scan doctor found that 2 round cord has been partly around baby necks. Is there any problem with this. will I get normal delivery?
Rashmi
Mom of a 9 yr 7 m old girl
3 hours ago
A. A lot of times normal delivery is actually seen in these cases also if the doctor is quick and the child cooperate then yes normal delivery is very much possible but some doctors don’t take a chance with the health of your child and so they normally suggest C-section so let’s see what’s your situation by the end when you are into your labour
Dr Ghouse has added a new answer
Guardian of 0 children
2 hours ago
Q. I m preganant in 5 month in twin baby. Last lmp is 22/12/2023. my expected due date
Dr Ghouse
Paediatrician
41 mins ago
A. 29.9.24. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Sunita Mahato has added a new answer
Mom of a 1 m old child
2 hours ago
Q. #asktheexperts How to increase quantity of milk production?
Sunita Mahato
Mom of 3 children
1 hour ago
A. to increase milk take latction supplement as lactare...
take green papaya bottle gourd bitter gourd fennel seeds garlic oats ragi dalia sabudana ...
regular pumping increase milk use Babyhug electric breast pump...
Dr Ghouse has added a new answer
Expecting Mom due in 4 months
1 hour ago
Q. hi doctor from two days i am eating milk cream with sugar and i want to burn it in my stomach I am 5 month pregnant plzz help ??
Dr Ghouse
Paediatrician
40 mins ago
A. at present weight no exercise is other than moderate walking. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. I am in my 8th month of pregnancy (last week), and for some reason I am continously facing lot of fatigue. I am feeling deprived of energy and I don't have any energy to do anything. resting isn't Helping in any way and taking small walks isn't too. what can be the possible reason and how to overcome this.
Read moreDr Ghouse
Paediatrician
42 mins ago
A. yes that can be both physical and psychological problems during pregnancy ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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