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Dr. Sharad Patel

Pediatrician, Ahmedabad

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Dr. Sharad Patel Pediatrician, Ahmedabad
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
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Gayatri Hospital

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How To Feed Fussy Eaters ?

Msc - Clinical Nutrition
Dietitian/Nutritionist, Mumbai
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Hi, this is Malika Kabra Rathi being a mother of a 5 year old and a paediatric nutrition since 10 years, I know how challenging it is for mothers to feed their fussy, picky or poor eaters.

So today I am going to share with you my 5 prong approach in order to ensure that your child eats well and will fully. A research suggests that when you introduce lumpy or chewy food at the age of 6 to 9 months, your child appreciation for food increases and it reduces the likelihood of him turning into a fussy eater later on. If your child’s first took hasn't interrupted, don't worry his gums are strong enough to be able to grind that food. If you hadn't done this when your child was a baby, again don't worry it's never too late nor too early to start following these guidelines to tackle your fussy eaters.

So the first approch is do not give up on food rejection and also an Australian research suggests till you don't introduce a new food for nearly 10 times on 10 different occasions, you cannot really label that food as undesirable by your child, so keep trying and keep patience. Remember that child should be practically hungry each time you introduce the new food. Second, keep calm Indian parents equate their happiness question to the amount of food their child eats, some mothers even break down when their child refuses to eat. Remember, a child will never voluntarily starve unless he is unwell. In fact children are very good judge of their own hunger and appetite signals. If meal times are friendly children really look forward to it. Just the way our appetite keeps fluctuating as per our activity levels, digestion, sleep patterns and the weather outside. Similarly, no single child will eat the same amount of food on your daily basis, so keep realistic goals and please feed on demand.

Some warning signals for the parents whose child refuses to eat,no nagging or yelling not showing anxiety, no threatening, no bribing the child with foods like cakes, chocolate, biscuit cookies, and no running after the child with food plate in hand. If the child is suffering from constipation or lack of energy during the day, is not in getting in happy playtime or is falling sick very often please discuss the same with your paediatrician. Third, setup good and responsible examples, charity begins at home we all know parents and relatives staying with their young children are their first point of contact. Parents with restrictive eating habits pass on the same to their children because children learn their behaviour from their parents. So don't limit your child's food variety to those that you prefer, it may so happen that your childs taste buds are totally different than yours and perhaps all this while you were feeding only those who to your child that he didn't quiet originally like.

Fourth, food and growth, like I said before child will never voluntarily stave unless he is unwell. So if he is eating well and he is growing well and not falling sick too often you are on the right track. If it is still your concern then please keep a tab on the total amount of food that the child eats during the day, children can graze constantly so the amount of snacks that they label on between there three full square meals just like we adults we love to have a 3 full square meals, a child may end up snacking more often and all these little little snacks that the child labels on ads up to their energy and calorie value and which is why they are fuller for longer hours.

If you need further reassurance , please check your child’s growth and weight chart and discuss the same with your paediatrician. One word of question, there are children who eat well but are lagging behind in their growth and weight chart they could be hyperactive, so please reduce the amount of sugar, milk, chocolates, bakery items processed and packaged foods in their diet, instead substitute it with nuts, millets, whole fruits and vegetables, homemade ghee, homemade snacks and homemade curd and see the difference for yourself. Fifth, meal time strategies, be a good role model while you sip on your early morning tea and coffee do not expect your child to start his or her day with something healthy. Set up regular habits of eating and sleeping in time, a child when wakes up in the morning is practically very hungry provided he wakes up early in the morning by early I mean anywhere between 8 to 8:30 or even before that, avoid putting your child to sleep very late in the night or during afternoon. Early to bed and early to rise will surely keep your child healthy, wealthy and wise Encourage self-feeding and food exploration from a very young age don't worry if they messed up in fact teach your child about nutritive value of some common foods, he will be surprised to know what good nutritionist they turn out to be.

My 5 year old child, as soon as he spots Amla in the market he tells me how abundant it is in Vitamin C and how it helps standing his immunity. Keep sufficient gap between two meals example anywhere between 1 to 3 hours is ideal depending on the child’s age, activity levels and appetite. Offer a wide variety of fresh and colourful fruits and vegetables on your child's plate. Encourage each time he tries a new fruit or vegetable, remember, if your child likes a particular kind of fruit or vegetables avoid serving it to him on a daily basis because sooner or later he is going to get bored of it as children taste buds a constantly changing, in fact focus on variety in taste, texture, colour, consistency of food cooking methods and selection of ingredients. Offer alternatives between the same food groups if your child dislikes milk don't worry offer him a whole lot of curd, yoghurt, homemade paneer and homemade ghee. Do not force feed your child, a child will only throw up or vomit if you force feed or over feed him.

Don't compare between two children because every child has his unique body structure, eating preferences and immunity, so don't compare two children on the amount of food they eat, their height, growth and weight. Food and water go hand in hand, if your child is eating well but is not having enough water it can further suppresses his appetite. So please ensure your child is hydrated well specifically in summertime. I hope my 5 prong approach is of use to you in your real life situation to deal with fussy picky and poor eaters, just the way it was for me. Motherhood is the best gift of nature so enjoy every bit of it and don't turn yourself into fussy mothers in order to tackle your fussy eaters,

Thank you.

3962 people found this helpful

Managing Asthma at Home!

MBBS
General Physician, Bangalore
Managing Asthma at Home!

1. It is important to gargle with warm water immediately after nebulization. This measure is intended to wash out the deposits of drugs that if allowed to stay within the oral cavity, will lead to hoarseness of voice and oral ulcers.

2. Following the gargle, drink 2 cups of warm water. This measure will wash out the drugs that is deposited during nebulization on the walls of the esophagus. Thus avoid esophageal irritation caused due to the drug deposited on the inner walls of the esophagus.

3. It will definately help to have a air purifier at home to monitor the particulate matter content in the ambience. This will also reduce the frequency of attacks and enable relatively clean air for the affected, creating comfortable indoors.

4. Take time out to teach children on how to apply the inhaler effectively so as to be able to self-help during acute asthmatic attacks. If available, adrenaline shots of 0.5 to 1 mg may be carried on them, so that in event of severe asthmatic attack, a subcutaneous shot of adrenaline is life saving.

5. Be aware of early signs of an attack, point out these early signs to asthmatic children so that they may stop their activity and take self-help measures.

6. Do not wait for ambulances to arrive in case anybody is in acute asthmatic attack, sit the person in upright position, give them multiple shots through pocket inhaler or start nebulisation with duolin +/- budecort, if the affected person is carrying a adrenaline shot - 1mg subcutaneous should be given on the deltoid of either upper limb of the person.

My due is on July first week and am choosing breast feeding which foods r good for that which food I need to avoid also am worried will I get milk after birth bcoz I don't find any symptoms please advice.

MBBS, MD
Pediatrician, Gurgaon
You don't feel any change because heaviness of breast is very gradual process. Milk will surely come if you desire it. So no anxiety apply to breast as possible after delivery. Thanks.
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My 11 months baby is having fever since yesterday, I just gave him chloramphenical syrup and fenceta syrup. But still no sign of fever gone down. What should I give him?

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My 11 months baby is having fever since yesterday, I just gave him chloramphenical syrup and fenceta syrup. But still...
Paracetamol is sufficient to get the fever down in first few days. Chloramphenicol is an old drug for typhoid fever and can have serious side effects so better avoided.
2 people found this helpful
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We have six months old baby. Currently he is at my in-laws' place with my wife. I am planning to bring my family to Bangalore. We have a question regarding buffalo milk feeding. As we get the milk from a dairy here, is it ok to feed him this milk. My wife's milk production is not much, please advise on what things to take care regarding feeding our baby. Thanks in advance.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
We have six months old baby. Currently he is at my in-laws' place with my wife. I am planning to bring my family to B...
It is OK. As for choosing between cow’s milk and buffalo milk, cow’s milk is a better option to start with, as buffalo milk is rich in fat and difficult to digest. Indigestion can lead to diarrhea. While introducing milk, start by adding a few teaspoons of the pasteurized milk to soups, halwa and some room-temperature curd. If he/she tolerates this well, then over time the quantity can be increased with careful monitoring. When introducing buffalo milk, mothers must first boil the milk, let it cool and then remove the layer of cream before feeding the baby.
2 people found this helpful
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My 3 months old baby's iris of both eyes is a bit bluish in colour. Can I do something to change that or any food taken by mother help in this case to develop a natural colour of iris for the baby. Please advice.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My 3 months old baby's iris of both eyes is a bit bluish in colour. Can I do something to change that or any food tak...
No,you can not change color & pattern of iris But cosmetic contact lenses can mask natural color of iris.
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Hello doctor mere ghar me 2 month old baby hai uske chest me cuff ho gaya hai usse thik karna hai give some solution.

DHMS (Hons.)
Homeopath, Patna
Hello doctor mere ghar me 2 month old baby hai uske chest me cuff ho gaya hai usse thik karna hai give some solution.
Hello, baby ko thik rakhney ke liye aapko thick rehna hoga. Thandey item nahi lenahoga. Baby ko homoeo medicine deyen. @ Bryonia album 30-1 drop thrice 1 Chapmach aapney milk ke sath. @ Antim tart 30 -1 drop +1 chammach apana doodh. Thrice. Dono medicine mein 10 mnts Ka gap hona chahiye. 4/5 days mein report kariye. Tk care.
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HI its Bharat from Giridih. I have a continuous bed wetting problem after suffering the serious meningitis problem in the year2000. I have to face same during journey also. Tell me what to do?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
HI its Bharat from Giridih. I have a continuous bed wetting problem after suffering the serious meningitis problem in...
It is the consequence of meningitis and as it is you can use adult diapers. Medications can treat a variety of conditions of which bedwetting is a symptom. For example: Antibiotics can eliminate UTIs. Anticholinergic drugs can calm an irritated bladder. Eesmopressin acetate increases levels of ADH to slow nighttime urine production. DHT-blocking medications reduce swelling of the prostate gland.
1 person found this helpful
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Mera baby 1 and half month ka hai mujhe sardi ho gayi usko na ho is ke liye kya karu pls tell me.

MBBS, MD
Pediatrician, Gurgaon
Mera baby 1 and half month ka hai mujhe sardi ho gayi usko na ho is ke liye kya karu pls tell me.
Just keep away from child. Hygiene of hands, not coming close to child. Particularly mouth, hand contact to be avoided.
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