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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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My daughter is about 4 years old. From the birth of her, she didn't do clear potty & she go behind the bed & she straighten her legs tightly & she press her toilet place. She didn't hunger, until we give she didn't eat anything with her only. please say any suggestions or tell any syrup name.
1. My 5 week old baby s giving some wired sound while sleeping and even she's awake sometimes at time of feeding. I don't know why she's giving such sound. It makes me worry. Can. you please tel me is this normal or any issue. Do I need to give any medicine for tat. 2. Daily she poops frequently. More than 10 times. Max of 15. To 2o times per day.When checked with Dr. Dr said its normal and will change after 30 days. Now she's 5 weeks old but still same.I'm Worrying alot. Pls help me 3. Crying while urinating and passing poops. Daily giving water. Only breastfeeding. What should I do. Pl help Dr. This s my first baby. I m very much worried.
For the growth and development of children, they need an essential nutrient Iron. It helps in the transfer of oxygen from lungs to the body's tissues. Red blood cells contain iron in the hemoglobin. The hemoglobin carries oxygen in the blood to the different parts of the body. Iron has an important role to play in the development of brain and generating energy in a child's body. The lack of sufficient iron in the child's body can lead to anemia, which is a nutritional deficient illness and will require medical attention. When a child suffers from anemia, the lack of oxygen makes a child weak and sick.
There are certain symptoms of Iron deficiency in a child's body. These are:
- Infections and weak immune system can make a child suffer from frequent infections.
- Lethargy and fatigue is another common symptom of an iron deficient body. Due to deficiency of Iron it is difficult for the body to transport oxygen to cells in the body and hence it unable to generate enough energy levels.
- Breathlessness and increased sweating can be a sign that your child may be suffering from iron deficiency.
- Pica Children suffering from iron deficiency may find a special taste for non-food substances like chalk, dirt and clay.
- Lack of iron in the body hampers the physical growth of a child.
The deficiency of iron in children can be diagnosed through blood tests. Your doctor may recommend supplementing iron content orally or through multivitamin medicines. But the deficiency of Iron in a child's body should be taken care of with absolute urgency.
Proper steps should be taken to prevent the deficiency of Iron in children. Those notable precautions are mentioned below:
- Balanced diet: A well balanced diet is always recommended. For older children (within 9-12 years of age), red meat, chicken and fish would suffice as good sources of iron.
- Oral iron supplements: Oral iron supplements would be required for children with low weight at birth and who have a deficiency of iron in their daily diet.
- Vitamin C: Foods such as strawberries, tomatoes and potatoes help in providing the sufficient iron content when included in daily diets, thus reducing the chances of anemia.
My son about 2 years 3 months old accidentally consumed coriminic syrup which contains paracetamol 125 mg per 5 ml about 30 ml. What should I do now. Do he need hospitalization.
Hello Doctor, I have a six months baby. Next week, we are going to fly to Kuwait. Can I give him a dose of Pedicloryl syrup before flying to avoid the disturbances to the baby due to atmospheric pressure variations? Awaiting for your valuable reply. Thanking you.
My child is suffering from cough and cold since a week. Chest blocked. what should i do ? Suggestion please help
On the occasion of World Asthma Day (3rd May, 2016), I would like to break a few myths related around Asthma which otherwise people generally believe to be true.
Myth #1 - Asthma is a communicable disease
Fact #1 - Asthma is an allergic disease and is neither contagious (infectious) or communicable (passed on from one person to another)
Myth #2 - Inhalers are addictive
Fact #2 - Absolutely wrong! Inhalers are not addictive but it is a good habit to keep control over asthma and use your inhalers as prescribed by your doctor. Also, contrary to popular belief that using inhalers on a regular basis reduces their effectiveness, inhalers continue to be equally effective on a regular basis.
Myth #3 - Inhalers are expensive
Fact #3 - Again, absolutely incorrect! Inhalers are in fact cheaper when compared to other drugs.
Myth #4 - Inhalers are given to patients who face Chronic Asthma
Fact #4 - Wrong! Inhalers should be used from a very early stage itself to prevent progression of the disease.
I hope this tip helped bust atleast a few notions that most people have about Asthma and that you are now better informed about this condition. In case you would like to ask me anything or discuss your or your loved one's case in detail, feel free to 'Consult' privately with me.
My five years old daughter is diagnosed with -2 diopter. How can I protect her from being high myopic.
My son is 2.5 months old baby his naval will swollen (hallow like) sometimes when breathing strongly and suddenly comes to normal stage after few seconds. He uses to urinate frequently means 15-20 times per day is this is normal please suggest.
Hi my baby is 5 month old. He is suffering from chest congestion from last 10 days. There is no severe cough but phlegm is there all the time. Doc gave ventorlin syrup mucolite drops and nebulizer levolin 0.3 mg. But its been 10 days now im worried. He is very active otherwise and taking breastfeed properly. Is there any harm of phlegm on his body.
Menu planning for diet of indian toddlers:
Indian diet plan for toddler
In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.
The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.
Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.
After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.
Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.
Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.
Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
And allergic reactions to these foods.
Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form
Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.
Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all
Here is an indian diet plan for toddlers for your reference.
Time and menu:
- 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
- 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
- 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
- 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
- 2.30 pm: Buttermilk (optional) / ragi kanji
- 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
- 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
- 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
- 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
Important tips to consider while following this indian diet plan for toddlers:
• Milk intake:
Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes
• Water intake
A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.
Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.
• Fruits and vegetables
You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses
• Homemade food:
Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!
• Oatmeal cereals
It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.
• Portion intake
1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.
• Nutritious snacks
Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.
Some common mistakes that you should avoid:
• Making your child drink more than 16-24 ounces of milk per day.
• Forcing your child to eat when he/ she is not hungry.
• Allowing your child to eat sugary snacks
Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.
Hi mam my baby is now 10 months old but still her teeth's are not come yet and from 2-3 days she having loose motions and vomiting can you please help me.
Abusive head trauma (AHT) and shaken baby syndrome usually refer to the same thing. When a parent or other caregiver shakes and injures a child, it's sometimes called shaken baby syndrome.
Shaking a baby is the most common form of AHT. It occurs most frequently in babies younger than 1 – typically when an adult is overwhelmed by a crying baby and tries to get him to stop. It can happen when an adult is frustrated with a toddler or preschooler, too.
AHT is also the term doctors use to describe a serious brain injury that results from blunt force. Receiving a blow to the head and being thrown or dropped cause similar injuries to violently shaking a child, so doctors refer to all such injuries as AHT.
When a child's head is shaken back and forth, his brain bumps against the skull, causing bruising, swelling, pressure, and bleeding in and around the brain. The impact often causes bleeding in the retina – the light-sensitive portion of the eye that transmits images to the brain.
A child with AHT may also have a damaged spinal cord or neck as well as bone fractures. The extent of the damage depends on how long and hard the child is shaken or how severe the blow to the head is. But in just seconds, a child can suffer severe, permanent damage or even death.