Doctor insights on:
What Is The Best Treatment For Delayed Closure Of Anterior Fontanel
Patience: Most kids will have what feels to be closure of the anterior fontanel by 15-18 mo but some may persist. The separation between the bones will persist to some degree until about 9 when kids reach their adult head size. In examining thousands of kids over 3 decades, i never found one that didn't eventually close. ...Read more
In an infant, the space where two skull-bone sutures join forms a membrane-covered "soft spot" called a fontanel (fontanelle). The fontanels allow for growth of the skull during an infant's first year. The fontanels should feel firm and very slightly curved inward to the touch. A tense or bulging fontanel occurs when fluid builds up in the skull cavity or when pressure increases in the brain (increased intracranial pressure). When the infant is crying, lying down, or vomiting, the fontanels may look like they are slightly bulging, but they should return to normal when the infant is in ...Read more
???: How do you define abnormal? You are going to have to provide a more detailed question. ...Read more
Depends: A lateral malleolar fracture is at the fibula. Typically fractures take 6-8 weeks to heal but the recuperation is dependent on if the fracture is displaced or not because that will dictate the need for surgery, the extent of immobilization and whether weightbearing is allowed or not. ...Read moreSee 2 more doctor answers
Rx delayed puberty : If a girl hasn't started breast development by 12-13 yo, a full endocrine work up is necessary first. Generally, estrogen would be started if necessary to induce puberty. Boys after age 14 yo may be eligible for testosterone induction of puberty following a full endocrine evaluation for a boy who is still prepubertal by age 14. ...Read moreSee 1 more doctor answer
What are the chances of conceiving after treatment for bilateral proximal tubal obstruction and what will be the correct treatment for this type of pto?
Depends: The answer depends on the surgical outcome. You would need to ask your surgeon what was found during the surgical repair and how successful he or she thought that it was. There is an x-ray that can be done to see if the tubes are open. That is called an hsg. If they are the chances are good. ...Read more
.: First try non medication. Including head end elevation position at sleep, burping well, thicken feeds and stir bottle and not shake. If they do not work can try h2 blocker like ranitidine. But a large part of gerd is non acidic reflex. May not be relieved by medication. If gerd too bad causing poor wt or distress or pneumonias, may need surgery. ...Read moreSee 1 more doctor answer
Casting and therapy: Compound fracture of your tibia requiring surgery likely means you had teel rod/plates and screws to stabilize the tibia. After surgery, you may need casting, possible a removable cast. Non-weight-bearing (no walking on that leg) for several weeks, then partial wt bearing etc..Physically therapy is almost always recommended during this process. Ask questions and follow doc's advice. Good luck. ...Read more
Is there a non surgical alternative to treating pediatric crainiosynostosis? If so would it depend on the area of the head that is effected? What is the age range for effective treatment?
Depends where it is: Any injury to the eye socket bones can be serious. Not all require surgical repair but it is essential that you have a complete eye exam to be sure there is no injury inside the eye. The decision on whether the fracture needs surgery depends on where it is, how large it is and whether it affects the nerves or muscle around the eye. ...Read moreSee 1 more doctor answer
Diagnosis: There is never a best treatment without first obtaining an accurate diagnosis. Consultation with an md is the only way to obtain the information about why, and then a best treatment can be planned for. Good luck! ...Read more
See neurologist. : I recommend seeing a neurologist to better address your treatment needs. Wishing you the very best. ...Read more
Monitoring: For mild mitral stenosis and no symptoms and normal pulmonary pressure we just watch. You need to have regular follow-up with a cardiologist. Once the valve gets significantly stenotic and becomes symptomatic either we perform balloon valvuloplasty or valve replacement. There is no medical therapy to fix it. ...Read more
Spinal fracture: The treatment depends on if this is a new fracture or old and on the age of the patient and the mechanism of injury. If it's an old healed fracture there is no treatment necessary at this stage if it's an acute fracture then bracing may be an option versus surgical intervention. ...Read more
Giant cell bone tumor. What kind of surgery is recommended for treating this and what is the recovery time?
Surgical removal: Excision of the tumor from the bone is almost always curative. ...Read more
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