Gundah gulana….Sekarang stok EBM Alhamdulillah tgh bnyk ada about 30 X 4oz i guess…Ini membuatkan hati ini gundah gulana…takut power tripping lagi….dah fobia ngan peristiwa lalu…kalau nak keluar rumah asyik check pintu freezer aja rapat ke tak..balik terus gi buka freezer tgk ebm ok ke tak..adeiii..ponatlah kalau gini ada susu bnyk pun susah hati tak bnyk lg susah hati…..Mmm..my baby sekarang ni kena toddler diarrhea.

Toddler diarrhea is a common pediatric condition. In infants it is referred to as chronic diarrhea of infancy and in older children as irritable bowel syndrome. Common clinical characteristics include:

Age between 6-30 months. Most are better by 4 years of age
2-6 watery stools per day. There can be periods of days without stools. Many stools contain undigested material and may drip down the child’s leg from the diaper.
Normal weight, height, and head circumference growth curves without falling off
No evidence of infection
Stools are hematest negative
The child looks well and there is no evidence of malnutrition and no history of abdominal pain
Growth may be compromised if the diet manipulations that have been tried to control the diarrhea have not been enough calories.
There is often a history of colic, gastroesophogeal reflux, and family history of irritable bowel syndrome.

Differential Diagnosis
Malabsorption secondary to pancreatic insufficiency or intestinal mucosal injury
Children are frequently irritable and have loss of appetite
Stools are foul smelling and greasy
Poor weight gain and abdominal distention.
The child is often weak and displays decreased activity.
Anemia, hypoproteinemia, vitamin deficiencies.
Allergies to Food
Vomiting, diarrhea, and blood in stool
+ family history of atopy
Failure to gain and grow
History of eczema, reactive airway disease, urticaria, and allergic rhinitis
Loss of protein in the gut may lead to hypoproteinemia and edema
Lactose Intolerance
Genetic lactase deficiency is rare in young children and will manifest later on in life
Secondary lactase deficiency following gastroenteritis is usually transient and is improvedwithin 2 weeks
Giardia Infection
Foul smelling watery stools
Gassy and abdominal distention
Can develop into chronic condition and diagnosed by inspecting stool or duodenal fluid for cysts.
Usually waterborne but can be from person to person transmission
Cryptosporidium
Watery, foul smelling stools that may be mucousy.
Crampy abdominal pain
+ oocysts in stool specimen
Waterborne or animal or person to person transmission.
Pathogenesis
Increased colonic transit time and decreased inhibition of post-prandial transit time
Decreased fat in diet because of diarrhea that is needed to decrease transit time
Fluid load is increased because of fear of dehydration and this aggravates the condition
Increase sugar in diet that acts as an osmotic diuretic and causes more water in the gut.
Treatment
Increase fat in the diet
Decrease fluid in the diet
Avoid fructose and sorbitol- decrease fruit juices
Increase dietary fiber
Normal diet for age
Reassurance- this is difficult because parents have been to many physicians and are convinced that their child has a serious illness. It is important after making your recommendations to follow-up soon to reassure again and watch weight and height gains.
There is no role for medications.
The parents should be told that there is no serious sequelae and this is not a precursor to inflammatory bowel disease, chronic diarrhea as adults, or cancer
Most children are better by 4 years of age, and are better by the time they become potty trained.

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Ayam masak masala kering

Bahan-bahan
Halba campur
Bawang merah/bawang putih/bawang besar (di potong)
daun kari
halia (dipotong nipis-nipis)
cili kerng (dipotong)
garam
gula
ayam
serbuk ketumbar
serbuk kari ayam
serbuk kunyi atau kunyit hidup ditumbuk halus
asam jawa (diambil airnya)
serbuk pati ayam (jika suka)
kulit kayu manis/bunga lawang etc..
minyak masak
air

Cara-cara memasak
Panaskan minyak masak
setelah minyak panas tumiskan halba campur dan kulit kayu manis, bunga lawang etc serta daun kari..
kemudian masukkan bawang putih, bawang merah, bawang besar,halia ,cili kering
Biarkan bahan-bahan yg telah dimasukkan itu garing dan naik bau, masukkan ayam.
Setelah ayam empuk sedikit maskkan serbuk kari, serbuk kunyit dan serbuk ketumbar.kacau hingga rata.Masukkan air asam dan sedikit air.
Masukkan serbuk pati ayam (jika suka).
Tambahkan garam dan gula.Jika anda menggunakan serbuk pati ayam tidak perlu menambahkan garam.
kacau perlahan hingga sebati
Apabila sudah kering (basah sikit-sikit) tutup api…
Taraaa..sedia utk dihidang…

Note:
Sukatan bahan ikut selera masing2..
Ayam juga boleh digantikan dgn ikan atau udang.Jika anda menggunakan ikan atau udang, sila guna serbuk kari ikan/udang dan tak perlu masukkan serbuk pati ayam.
Sedap dimakan bersama nasi putih panas dan juga ketupat serta lemang…

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Ada bnyk nak tulis ni tapi ..summarized kan ajalah…heheheeee

• Akif’s 2nd hair cut…Pada hari Ahad Daddy akif telah memotong rambut Akif buat kali ke-2…Rambut dah panjang kenalah potong….Kalau sekjak lahir kra potong rambut kali ke-3 la..tp yg 1st time dulu tu cukur sampai botak (masa umor Akif 7 hari)..so kalau yg sekadar potong smlm 2nd hair cut la…ketak2 jdnya rambut Akif sbb Akif tak nak dok diam…hehehehee
• Akif’s 2nd stroller….Tanpa Mommy Akif sedari dia telah membenarkan Daddy AKif membelikan Akif sebuah stroller baru Hahahaaa..selama ni Aku bkn main lg halang ntah nape ntah tetiba aku plak over…Hahahaaa..So Akif dapatlah sebuah stroller baru…..warna black and red…setelah membeli new stroller…Ohhh actually aku nak cari new bag for Akif..Bag nak bawa diapers..ntah mcm mn terbeli stroller ntah laa…..So bag ttp nak…last2 beli bag sandang belakang cap polo (tiruan kot) warna merah+hitam juga….nampak mcm one set ngan stroller..cheewahh..Akif bkn main happy lg dapat stroller..beli2 terus guna…so berjalan2 skrg Akif asyik nak dok dalam stroller aja..Maklumlah baru dapat!!!!
• Akif’s progress…Ahaaa..Akif…skrg bukan main lagi lasak...semua dia nak buat..Dia dah pandai berjalan melata2 dah….kalau kita pegang sejari pun dah bleh jln syarat ada org pegang tak confidentlah tuuuu…..Insya Allah tak lama lg boleh berjalan lah tu….Ohhh..Hari ni Akif genap 10 months old!!!!Happy 10 months old!!!!!
• Shopping baju…..Mmg niat di hati nak beli baju Akif..so sampailah kitaorg kat World Of Cartoon….Beli 5 pasang baju……2 baju tido 3 baju siang….Macam2 color ada..hahhahaaaaa
• Le ni apsallah Huggies dry comfort tak de discount erk???

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