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Techniques to handle irritability in 6 year old - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1692 Questions
Doctor :   Hi
User :   hi
Doctor :  
How can i help you
User :   i have a 6 years old daughter
Doctor :ok
User :   the problem what i am facing with her that she keeps on crying without any reasons.. presently she is in her 1st std
Doctor :ok
User :   she is also very short tempered
Doctor :ok
Doctor :what else you have noticed about her behaviour
User :   she is very choosy about food
Doctor :ok
User :   i do not know how to handle such suitation... since this suitation creates tension to my family members
Doctor :   shall i ask you few Q
User :   pls ask
Doctor :   how many kids you have
User :   only one
Doctor :   fine
Doctor :   now which school she is going
User :   shishuvan , my residence share common wall with the school
Doctor :   how was she in her child hood
User :   since her childhood she kept on crying w/out any reasons and was fussy about food
Doctor :   what does her father do?
User :   he owns a shop
Doctor :   fine do you work?
User :   yes i do ... but i had taken a break soon after my delivery & was with the child till she turned 5 years of age
Doctor :   how was her behavior when you were with her and now after you join the job do you feel any difference
User :   no not much.. her behaviour in terms of taking food is same whereas over the period of time she became more short tempered, she will cry falsely with loud voice
Doctor :   i will be asking you a detailed history to figure out wt exactly is the problem
User :   ok
User :   yes pls ask
Doctor :   what is the child height and weight
User :   she is 16 kg and around in 3 ft in height
Doctor :   did you ever took her to doctor and was any time her blood was tested
User :   yes she was taken to doctor often , during cough, cold, diareaheo, fever and once her blood was tested to know which blood group she belongs to
Doctor :   it means she is suffering from illness more frequently
Doctor :   it seems you have moved out
User :   she has a historical data of visiting doctor every 6 months a year besides her regular compulsary dosade like polio & others during her early childhood
Doctor :   ok
Doctor :   now what does her teacher say about her
User :   she has a very good academic records
Doctor :   very good. does she keep good relation with friends
Doctor :   does she show interest in playing
User :   very good.
User :   she likes playing typical girls game
User :   and also is keen in playiong other game if some adult is aroud to help her
Doctor :   do you allow her to play or restrict her from playing
User :   no never i allow her to play all the games she desires
Doctor :   ok
Doctor :   now let me tell you some thing
Doctor :   before that do you like to tell me any other facts which you feel you should tell
User :   yes, she does not eat curd and salad in fruits she eats only banana, nor she will show any intrest to taste new food.
User :   also sometimes her behaviour is very good.
User :   but most of the times she is crancky
User :   of late she has been complaninig that she has got sme pain in her feet
Doctor :   fine
User :   not the leg the feet
Doctor :   see your child problem comes under irritable child
User :   ok
Doctor :   these children are being overly sensitive
User :   ok
Doctor :   these people react to pain, fright ,discomfort in more serious manner in the form of crying
User :   thats true
Doctor :   now what causes them to be more irritable?
User :   please tell me
Doctor :   these things we classify under medical and psychological
User :   ok
Doctor :   medical conditions are like, repeated infection, injury,
Doctor :   any hormone imbalance like that
User :   yes , many a times we have been to doc for infection
User :   also want to inform that as per the teachere she is quite a intelligent child but her actions are slow
Doctor :   malnutrition, deficiency of essential vitamins, micronutrients
User :   ok
Doctor :   ya good observation
Doctor :   now psychological condition
Doctor :   lack of affection
Doctor :   want of attention
Doctor :   fear or fright
User :   she is able to relate things very clearly but for actions like eating, running, writting she is slow
Doctor :   ya her physical activity is sloe this is wt i can make out
User :   yes many a times we parents , adopt the policy of frighten her, when her crying is beyond our level of patience
Doctor :   did you visit any doc for this
User :   no not yet.
Doctor :   did you ever consult a pediatrician
User :   morever i want to inform in terms of affection & attention... she gets the maxium of affection & attention. since she is the only child in the house where ther are 9 adult in the family
User :   no i have not consulted a pedia
Doctor :   now i suggest you to do following
User :   pls tell me
Doctor :   you please consult one pediatrician
Doctor :   a good child specialist i mean
User :   ya
Doctor :   you may have to visit him more than three or 4 times
User :   ok
Doctor :   he might order for complete blood test, hormone profile like thyroid test and other tests
User :   such test at such a young age
Doctor :   we do it on new born only
User :   ok
User :   what u feel the problem to be
Doctor :   it is to identify the medical problem and to treat it as early as possible so that if at all any permanent damage can be prevented
User :   permanent damage meaning
Doctor :   i will tell you
User :   pls let me know
Doctor :   for example
if there is thyroid hormone deficiency if not identified in time
Doctor :   the child may become stunted and sub intellectual this will be permenant
Doctor :   i am not scaring you just telling you one example
User :   yes
Doctor :   after doctor works out with the medical profile
User :   ok
Doctor :   if no medical condition is affecting
User :   ok
Doctor :   than a child psychology will assess her behaviour
Doctor :   ok
User :   ok
Doctor :   after this much of exercise we will come to a conclusion wht was wrong that she was irritable
User :   ok
Doctor :   than treatment will be started
User :   ok
Doctor :   since this is a very sensitive issue we dont accept any sort of mistakes from any side
User :   ok
Doctor :   so it will be slow but defenitive
User :   ok
Doctor :   so now relax
User :   yes
Doctor :   leave the child to herself
User :   could u suggest me any pediac for the same
Doctor :   where do you stay
User :   matunga
User :   in mumbai
Doctor :   we are located in bangalore we will try to find out and msg you
User :   thank you very much
Doctor :   can you provide us your mobile no
User :   very kind o f u to advioce
User :   cell number 0000
Doctor :   is there anything i can help you
Doctor :   please fill the feed back form say done
User :   thank you doc
User :   bye
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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