Dr.Vijay Ganesh S
MBBS, MS,MCh FEBPS, FMAS FIAGES
Sr Consultant-Paediatric Surgery,laparoscopy and paediatric urology
Sreechand Speciality Hospital, Kannur
Common Q and A in Paediatric Surgery
- My child has repeated episodes of abdomen pain. Do I need to worry? When do I need to consult a medical practitioner?
- My child has repeated urinary tract infections? What do I do now?
Repeated urinary tract infections in children needs further evaluation by a paediatric urologist and if necessary early surgical intervention to prevent early kidney damage.
- My baby has a swelling in the navel which appears on crying and disappears again? What do I do?
Your baby might be having umbilical hernia which usually disappears around first birthday. Consult a paediatric surgeon earlier if the swelling is painful and doesn’t go away.
- My baby has repeated respiratory infection, difficulty in feeding and frequent regurgitation of feeds.
The baby might be having either severe gastro oesophageal reflux or some serious birth anomalies of food pipe. Consult a paediatric surgeon immediately.
- What do I do if my child ingested a foreign body like blade or nail?
Do not panic, report to the nearest medical centre keeping the child on an empty stomach. Endoscopy can retrieve a foreign body if it is in stomach. Even otherwise they will pass in motion in 5-7 days time.
- What if a foreign body doesn’t come out in a week’s time?
Watch for abdomen distension, vomiting and failure to pass motion. Report to paediatric surgeon if so, immediately.
- Whenever my boy pees he has ballooning of penis. What do I do?
Your child may be having phimosis. Doing circumcision which is a day care procedure will suffice.
- My paediatrician told that my new born baby is having swelling of kidneys? Do I need to worry?
Majority of the kidney swellings are physiological which means it will resolve on its own although it needs to be evaluated by a paediatric surgeon as some may require immediate or delayed surgical intervention.
- My new born baby has jaundice for more than two weeks now. Will it resolve and can I wait for some more time?
Physiological jaundice should usually come down by 2 weeks of time. If the jaundice is deepening beyond two weeks with increase in direct bilirubin, that’s a warning bell for a serious liver anomaly. Consult a neonatologist or paediatric surgeon immediately.
- My child could not speak certain words and my paediatrician says he has a tongue tie. Can I leave it alone?
No. Ideally tongue tie should be corrected before the child starts speaking so that the words get registered in the brain properly. So earlier the better.