And What To Do About It In Malaysia
Many different things can cause children to vomit. Things such as any forms of infections, intestinal blockage or even pain.
The most common cause of vomiting is usually due to a viral infection (tummy bug) and often this is accompanied by diarrhea.
Most children may have these symptoms for a couple of days but as long as they can drink and keep their fluids down and stay hydrated, they can usually be safely managed at home.
Infection is one of the most common causes of vomiting but it is CRITICAL that that you take your child to the local hospital Emergency Room (ER) if they are presenting any of the following symptoms:
Vomiting With Diarrhea
Cough And Persistently Vomiting
If your child presents ANY of the symptoms above it is critical you take them to your local hospital ER (Emergency Room) without delay.
Do NOT wait to schedule an appointment.
There are some rare occasions when your child vomits due to pain. He or she may have been injured from a fall and there may have been a significant injury, best seen by a doctor to rule out a bone fracture or any other soft tissue injury. Any child who vomits after a head injury needs to be assessed by a doctor.
When your boy has pain in his testis and is vomiting, you should take him to a child surgeon urgently, as he may have a twisted testis. There is risk of him losing his testis.
Type of vomit – non bilious (mostly milk feeds or mucus)
Hypertrophic Pyloric Stenosis
An Infant child (under 3 months old) who has projectile, forceful vomiting with every feed (large volumes), your child might have an obstruction to the stomach outlet (pyloric stenosis). With time your baby may become more dehydrated as none of the milk feed is kept down. You will have to take your child to see paediatrician at a hospital to assess. This is the only condition of bowel obstruction where the vomit does not contain bile.
Type of vomit – bilious (yellow or green)
Bile vomiting is usually indicative of an obstruction to the intestine therefore any child with bile vomiting should be taken to the hospital as soon as possible to be examined, ideally by a child surgeon.
These are blockages anywhere along the gastrointestinal tract from the oesophagus to the anus as the intestine is not in continuity. The child is born with this abnormality. Atresias of the intestine presents soon after birth with bile vomiting and if its further down stream, for example in the colon, there will be associated tummy distention. Surgery is the only option to repair the problem.
Malrotation happens when the intestine is not “arranged” in its rightful position and this predisposes it to twist (volvulus) on its own blood supply. When this happens it causes intestinal obstruction and more seriously it cuts off the blood supply to that part of the intestine. The intestine can die as a result. A child with green vomit and tummy pain needs to be urgently taken to hospital, preferably where there is a child surgeon. Other symptoms include blood in the poo.
This condition is identified at birth and can happen to both boys and girls. In some there is no visible opening for faeces to come through (usually in boys), in some others, the opening is tiny and slightly forward (towards the genitalia). The child will have difficulties opening bowels and hence the tummy will get distended if carried on feeding.
A paediatric surgeon will decide if they can help to improve the faeces to come out till a definitive surgery is done or to perform a temporary stoma where the poo is diverted into a bag on the tummy.
For a detailed article on Anorectal Malformation please click here.
In Hirschprungs disease, there is absence of nerve cells towards the bottom end of the bowel. The length of effected bowel can be variable but mostly no longer than 10 to 20 centimeters, from the rectum. The absence of nerve means that the effected segment of intestine does not relax and hence clamp shut. There is build up of pressure of faeces and gas upstream and these babies cannot open their bowels. Their tummies become distended and they will have bilious vomiting.
The vast majority of children with Hirschprungs disease presents within the first month of life however some present within a year and very rarely beyond this period. Symptoms are infrequent opening of bowels with tummy distention and vomiting. Diagnosis is made by taking a small biopsy (sample) of the tissue from the rectum, which can be done in the child surgeon’s clinic.
For a detailed article on Hirschsprungs Disease please click here.
These are a single finger like projections on the small bowel, which is present in 2% of the population. Only about 6% of all Meckels diverticulum will have symptoms. The inner lining of these may contain acid secreting cells and hence the acid can erode the adjacent lining of the small intestine causing bleeding. Other symptoms of intestinal obstruction are, due to inflammation or infection of the Meckels, or it can cause intussusception or obstruction when it is attached to the tummy wall inside and trap a loop of intestine (band obstruction)
The symptoms of these are tummy distention and pain, blood in the faeces or green vomit.
This condition happens when the intestine telescopes into an adjacent intestine usually the small intestine into the large. Occasionally as in Meckels diverticulum, the abnormal structure on the intestine can cause this to happen too. As the outer one is squeezing the intestine inside, this causes intermittent pain. The child often presents with pain, bloody jelly like poo, and bile vomiting.
The cause of bowel obstruction secondary to appendicitis, like in Meckels diverticulitis is the inflammation or even pus from a burst appendicitis causing the bowel movement (peristalsis) to stop. This is called paralytic ileus, secondary to inflammation or infection.
With appendicitis, the predominant symptom would be tummy pain if it were severe enough to cause an ileus. The vomit here again is bile green. With tummy pain and all the symptoms suggesting appendicitis, its best to take your child to a hospital where there is a child surgeon doing keyhole surgery.
For a detailed article on Appendicitis please click here.
A tumour is any abnormal growth, which can be benign or cancerous. Any growth in the tummy can get large enough to push on the intestine and block it’s opening from the outside. A child with a tumour blocking the intestine will probably have a visible lump on the tummy. With a lump in the tummy and bile vomiting, the child needs to see a child surgeon immediately.
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As a parent myself, I know how daunting it is when you’re faced with the dilemma of finding the best treatment for your children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
Articles and videos to help you diagnose your children and make the right decision for their treatment
𝗛𝗼𝗻𝗲𝘀𝘁 𝗮𝗱𝘃𝗶𝗰𝗲 𝗮𝗻𝗱 𝗲𝘁𝗵𝗶𝗰𝗮𝗹 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝘀𝗵𝗼𝘂𝗹𝗱 𝗯𝗲 𝗲𝘃𝗲𝗿𝘆 𝗽𝗮𝗿𝗲𝗻𝘁'𝘀 𝗿𝗶𝗴𝗵𝘁. As a parent myself, I know how daunting it is when parents are faced with the dilemma of finding the best treatment for their children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
To help parents address their concerns before they need to see a paediatric surgeon, I created a blog with over 25 videos and 20+ articles on a range of different conditions, that children may be born with or develop, that may require surgical intervention.
>> www.drnadachildsurgeon.com/paediatric-blog-conditions-children-malaysia/
Each article and video explains the following about a condition
> WHAT
> SYMPTOMS
> CAUSES
> TREATMENT
> RECOVERY
All articles are available in English, Bahasa Malaysia & Simplified Chinese.
---
Hi, I’m Dr. Nada Sudhakaran, a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps your child experience less pain, recover faster & gives you peace of mind.
I am based in Kuala Lumpur, Malaysia.
To schedule an appointment >> www.drnadachildsurgeon.com/
Dr. Nada, Thanks for introducing yourself to us. As I can see from those performance you have been through. Amazing.
You are one of the best doctors I have ever seen. This is from my personal experience, you treated my son. Thank you so much Dr Nada 🙏🙏🙏
Wonderful speech Dr.above kids healthiness l tq dr.
Bravo Dr
Over 97,300+ viewers & parents have benefitted from the articles & videos in Dr Nada's Blog since June 2020!
> MALAYSIAN PARENTS' BLOG TO PAEDIATRIC CONDITIONS THEIR CHILDREN MAY FACE <
There are over 25 videos and 20+ articles on a range of different conditions, that children may be born with or develop, that may require surgical intervention.
Each article and video explains the following about a condition
> WHAT
> SYMPTOMS
> CAUSES
> TREATMENT
> RECOVERY
All articles are available in English, Bahasa Malaysia & Simplified Chinese.
We hope you find it a useful resource to safeguard the health of your precious little ones. IF so please do share it.
As always...if you require any help please do not hesitate to schedule an appointment with me.
Stay Safe & Stay Happy!
>>> www.drnadachildsurgeon.com/paediatric-blog-conditions-children-malaysia/
Most tummy pain in children is short-lived, intermittent and resolves spontaneously.
Main causes are infections, inflammation, intestinal obstructions, kidney or bladder problems or bile duct problems.
However, if a child has constant, persistent abdominal pain that lasts more than 2 hours, without relief, it is critical to take that child to the local hospital Emergency Room (ER).
Similarly for diarrhea lasting more than 24 hours, particularly with associated lower abdominal pain.
Other situations where it’s advisable to seek medical attention is when there is associated symptoms with abdominal pain, such as vomiting, especially when the vomitus is green or blood stained or if there is blood in a child’s faeces.
If a child has fever and complains of pain whilst passing urine, this could be due a urinary tract infection. So the child’s urine needs to be examined for bacterial infection.
A smaller child who prefers to lie still, refuses to be cuddled, wants to be left untouched could potentially have a serious abdominal condition.
---
>>> Find out more in this article (with videos) including medical conditions that can cause tummy pain in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-tummy-pain-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Tummy Pain In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Main causes of tummy pain in children include infection, abnormal growths, inflammation, obstruction (blockage), and intestinal disorders. Most are short-lived but if the symptoms last more than 24...Perzeus James
Tq so much for this msg Dr.vry useful msg for my family mmbrs.👍🏻🤝
“Why is my son’s testes missing?”
This is a question that Malaysian parents ask when their baby’s scrotum looks flat or when touched, this may be a congenital deformity called undescended testes or cryptorchidism.
This condition is more common in premature babies.
Timely, early intervention can prevent your child’s testicular function from being effected.
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Dr Nada explains more about this condition in this video and article
www.drnadachildsurgeon.com/resources/undescended-testes-cryptorchidism-what-is-it-and-how-to-trea...
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
Great sharing Dr.! Those little ones isn't easy to understand. They will just cry. Thank you Dr. for your unselfishness sharing.
am cryptorchid boy with 23 years
As a parent I sometimes worry about the future my daughter will face...
There is so much uncertainty and worry at the moment. The world is changing fast. Will Malaysia keep up?
Will Malaysia be able to offer her a better tomorrow?
As parents we can only do so much to love, protect and nurture our children. Their future is up to them to make.
But my worries melt away when I see my daughter, Shahana, joyfully and confidently waving our flag as she celebrates Hari Merdeka.
She's not going to wait for Malaysia to be ready for her.
She's gonna make Malaysia ready instead! 🚀
---
To all my lovely parents, today, on our nation's 64th birthday, I wish you and your loved ones the very best of health and success as we make the future a better one...for all of us Malaysians.
Selamat Hari Merdeka! 🥰
She is not going to wait for Malaysia to be ready for her. Sounds Deep and eye opening. 👌💪💪. All the Best cutie ✈️
Selamat Hari Merdeka to you Dr...hugs to your princess 🙂
Happy merdeka day I cant believe shes so big already
Very cute Best wishes to you and Uma
Slamat hari merdeka smoga ttp Jaya nuri itu ya tuan😃😃cantiik
Happy Merdeka to you and your family, Dr. Nada!! Stay safe!
Wish her long and happy life
Selamat Hari Merdeka
Selamat Hari Merdeka to you and your family 👍
Most of the time, groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries.
Some conditions are more urgent than others and its important to see a doctor early on to perform a proper diagnosis.
Here are a few questions parents need to consider before bringing their child to the doctor:
> How long has the swelling been there?
> Is it painful? Has it changed in colour?
> Does it come and go easily?
> Is the swelling there all the time?
Common causes of groin swelling and lumps in babies & children include:
- Inguinal Hernias
- Hydrocoeles
- Undescended Testis
- Enlarged Lymph Nodes...
>>> Find out more in this article (with videos) including medical conditions that can cause groin swelling in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-groin-swelling-in-young-children-and-what-to-do-about-it/
What Causes Groin Swelling In Babies & Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Most of the time, the groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries. Some conditions are more urgent than others. Cli...
Most tummy pain in children is short-lived, intermittent and resolves spontaneously.
Main causes are infections, inflammation, intestinal obstructions, kidney or bladder problems or bile duct problems.
However, if a child has constant, persistent abdominal pain that lasts more than 2 hours, without relief, it is critical to take that child to the local hospital Emergency Room (ER).
Similarly for diarrhea lasting more than 24 hours, particularly with associated lower abdominal pain.
Other situations where it’s advisable to seek medical attention is when there is associated symptoms with abdominal pain, such as vomiting, especially when the vomitus is green or blood stained or if there is blood in your child’s faeces.
If a child has fever and complains of pain whilst passing urine, this could be due a urinary tract infection. So the child’s urine needs to be examined for bacterial infection.
A smaller child who prefers to lie still, refuses to be cuddled, wants to be left untouched could potentially have a serious abdominal condition.
---
>>> Find out more in this article (with videos) including medical conditions that can cause tummy pain in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-tummy-pain-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Tummy Pain In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Main causes of tummy pain in children include infection, abnormal growths, inflammation, obstruction (blockage), and intestinal disorders. Most are short-lived but if the symptoms last more than 24...
Many different things can cause children to vomit. 🤮
Things such as any forms of infections, intestinal blockage or even pain.
The most common cause of vomiting is usually due to a viral infection (tummy bug) and often this is accompanied by diarrhea.
Most children may have these symptoms for a couple of days but as long as they can drink and keep their fluids down and stay hydrated, they can usually be safely managed at home.
Infection is one of the most common causes of vomiting but it is CRITICAL that that you take your child to the local hospital Emergency Room (ER) if they are presenting any of the following symptoms:
> Vomiting With Diarrhea
> Cough And Persistently Vomiting
> High Fever (>38 degrees Celcius)
---
>>> Find out more in this article (with videos) including medical conditions that can cause vomiting in children and importantly what you can do about it in Malaysia...
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-vomiting-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Vomiting In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Many different things can cause children to vomit. Things such as any forms of infections, intestinal blockage or even pain. Click here to see the most common symptoms and causes.
This is my most visited web page - and with good reason! 💦
Urinary problems in children is one of the most common causes of concern for parents.
The urinary system starts from the kidneys, down the ureter (water-pipe) to the bladder and from the bladder out through the urethra (another waterpipe), in boys, urine also needs to go through the foreskin before leaving the body.
The one other difference between boys and girls is the length of the urethra.
When it comes to urinary problems in children, the urine may be cloudy or blood stained or there is pain on passing urine.
A young child may not be able to tell a parent about his or her symptoms, which can make it hard to decide what that child needs.
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🖊 In this article - Dr. Nada explains about the common causes of Urinary Problems in children and what parents can do about them.
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>>> For more helpful videos and articles or if you require help with a baby or child please visit www.drnadachildsurgeon.com
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Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-urinary-problems-in-children-and-what-to-do-about-it-in-ma...
What Causes Urinary Problems In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Children may not be able to tell you about the symptoms they have as a result of Urinary Problems. This can make it hard to decide what your child needs. Check out this article to see the symptoms and...Shamala Subramanam
Parents with a sick child may often be reluctant to schedule an appointment with a paediatric surgeon.
This could be due to fears of not knowing what to expect at the appointment or of immediately being told that expensive surgery is required.
This reluctance is understandable - but very dangerous.
Delaying a 1st appointment when a child is presenting signs of illness or a disorder could be very damaging to that child.
Early detection, diagnosis and treatment is always better.
The majority of appointments don't even require surgery.
In this video Dr. Nada explains what parents can expect when they make that all important 1st appointment with him > 🎬
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>>> For more helpful videos and articles or if you require help with a baby or child please visit www.drnadachildsurgeon.com
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Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
Set up an appointment with Dr. Nada at any of the preferred hospitals and we’ll diagnose how we can help your child better
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Dr Nada Sudhakaran is a consultant Paediatric Surgeon providing specialized children surgery and based in Kuala Lumpur Malaysia. He has extensive experience in reconstructive paediatric surgery, with a special interest in Minimally Invasive Surgery (keyhole surgery). He is on the specialist register to practice Paediatric Surgery in UK, Malaysia and Australia
MBBS University of Wales, UK, MRCS (Glasgow, UK), FRCS (Paediatric Surgery, Intercollegiate Board, UK), CCT Paediatric Surgery General Medical Council (UK), No: 4193546, FRACS Paediatric Surgery, Australia, No: 200030, National specialist Register Malaysia: No: 129809
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