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Columbia Asia partners, parents and schools in holistic health solutions for adolescents. The age group 11-19 years is the most turbulent stage of a human’s life. With hormones raging and all important milestones in school and college reaching its zenith, coping with stress and overdrive of information is the biggest challenge of these years. Adolescents require careful handling and guidance through this phase which marks the cross roads of life.

We at Columbia Asia have a multi-disciplinary team to manage the multitude of problems of adolescence.

Services for adolescents

It is recommended that all youngsters aged eleven to 16 years be seen by their pediatrician; the evaluation includes a history of what is going on in the teen’s life. There should be a physical examination, screening for vision and hearing and laboratory tests (such as blood work and a urinalysis). The pediatrician will decide on what needs to be done at follow up annual visit depending on what has been happening in your teen’s life and what tests have been done in the past.

The Physical Exam

Your teenagers’ check-up will include the following:
  • Height and weight measurements.
  • Blood pressure and pulse.
  • Counselling on important health and safety issues such as sexuality and the prevention of sexually transmitted diseases, the dangers of experimenting with alcohol and other drugs, dietary and exercise habits, driving safety and so on.
  • Vision testing
  • The neck is examined for swollen lymph nodes or an enlarged thyroid gland. The abdomen to feel for any problems with the spleen, liver and kidneys.
  • Using a stethoscope, the respiratory system and heart are assessed for any signs of illness.
  • Posture is checked. Any apparent abnormality of the spine may warrant X rays, because adolescents are prime candidates for developing progressive curvature of the spine, such as scoliosis.
  • Joint flexibility and muscle strength is assessed clinically and further tests advised only if needed.
  • Breast examination for lumps. At this age, a mass in a girl’s breast is most often benign.
  • The pediatrician may conduct a full-body skin inspection, checking for acne and suspicious looking moles.
  • Immunization
Age Type of vaccine Quantity Route Disease against which protection is expected
10-12 years TdaP/Td 0.5 ML Intramuscular Diphtheria, pertussis, tetanus
16 years Tetanus toxoid 1 ML Intramuscular Tetanus
10-12 Years Measles/Rubella 0.5 ML Intramuscular Measles and Rubella
9-12 Years HPV 0.5 ML Intrmuscular Cervical Cancer
Gardasil is given at day 0 (9-12 Years), 2 months and 6 Months
Cervarix is given at day 00 (9-12 Years), 1 Month and 6 months.

Laboratory Screening Tests

Depending on the previous immunisation history (whether timely and correct vaccines were given at right intervals) the paediatrician may advise Hepatitis B surface antigen levels and based on results advice immunization for Hepatitis B.

Counselling before examination for a young girl

First a doctor or nurse educator will ask the young woman questions about her reproductive health, such as when she started her period, whether the periods are regular, how many days does it last and how heavy is the flow. She may also inquire about the patient’s sexual history and discuss methods of protection against sexually transmitted diseases and unintended pregnancies. Then the doctor examines her

The Breast Exam

In examining the breast, the pediatrician looks for lumps and other abnormalities, such as signs of infection. The pediatrician may use this opportunity to instruct the patient how to examine her own breasts. Periodic breast self-exam (BSE) is often recommended for young women.

Click here to know more about Columbia Venus - A Comprehensive maternity care program.

Click here to know more about Breast Health Program.