Dr. Narasimhappa G M

Do not worry No relation with date eating or keeping dates in fridge. The might be having cough due to climate change But be careful about viral fevers. Keep vigil.

My be allergic cough due to nasal allergy. Answer my some questions and give me an update. 1. Is there running nose. 2. Is there snoring/grunting sound in chest. 3. Is there any allergy disease in her relatives. Eg mother, father, brothher, sister, grandparents like repeated sneezing, repeated colds, asthma etc. Follow up with an update.

That might be a fungal infection. Keep your nipples clean and dry. After cleaning, apply warm coconut oil on the nipples. You can clean the oil before feeding.

Hello. You start with homeopathic medicine chamomilla 200 1 does only. Then reverts back. After week.

Your child weight is normal for the age, he may be taller for age looking thin. So no need to be concerned

2-3 weeks old children should only be given a sponge bath by using a dam-rinsed wash cloth and warm water.

If culture for brucellosis positive then only brucellosis. Otherwise may look for other diagnosis [connective tissue disorder etc.] consult pediatrician and rheumatologist.

Possibly worms are present in stools. Get her stool examined and get proper treatment. Do take care of any nail biting or eating outside food.

Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring

Age and weight of baby is not mentioned. Vomiting after feed is regurgitation. Burping is solution for this. Rest depends on age n gaining weight.

Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block injection is effective long term

Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day.

You still have to be very careful with your diet and daily activities don't eat anything fried spicy and junk food eat very simple homemade fat free food and also don't do any heavy exercises yet it takes very Long time to recover completely from jaundice

Your son is suffering from Lactose intolerance. Lactose free milk feed is right approach. Yes you can give zero lac which is lactose free formula milk.

Spitting Up in Babies
Why do babies spit up?
Babies spit up when they've eaten too much or when they've swallowed too much air while feeding. Spitting up usually happens when babies burp. It can also happen when your baby is drooling. Spitting up is not vomiting. Babies usually don't notice when they spit up. Vomiting is forceful and painful. Spitting up is common for most babies until about the time they can eat solid foods (usually around 6 months to 1 year of age).

The medical term for "spitting up" is gastroesophageal reflux, or reflux. It happens when milk or solid food in the stomach comes back up into your baby's esophagus (the esophagus is the tube that joins the mouth and the stomach).

What can I do to help my baby?
Feed your baby by placing him or her in an upright position. If you bottle-feed you baby, burp him or her every 3 to 5 minutes. Make sure the hole in the nipple on the bottle is not too large, or milk will come out too fast. Avoid laying your baby down following a feeding or moving him or her around too much before the food settles in the stomach.

Some babies spit up less if their formula is thickened with rice cereal. Ask your doctor if you can add 2 to 3 teaspoons of rice cereal to each ounce of formula. You might have to use a nipple with a larger hole so the thicker formula will come out easily.

Some babies also spit up less if they are given less milk at each feeding, but are fed more often.
Will reflux cause problems for my baby?
Spitting up is messy, but it is normal during your baby's early months. It rarely involves choking, coughing or pain.

However, you should contact your doctor if you notice your baby has the following symptoms:
Is not gaining weight.
Spits up a large amount of milk (more than 1 or 2 tablespoons)
Spits up or vomits forcefully
Has fewer wet diapers than normal
Seems very tired or lethargic
Spits up green or brown liquid
Should I CONSULT A doctor
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If your baby experiences any of the symptoms listed above, you should CONSULT ONLINE PRIVATELY IN THIS SITE/drsajeev/lybrate

First, your doctor will make sure your baby is healthy and growing well. Your doctor will also check to see if your baby has breathing problems. If your doctor thinks your baby is fine, nothing else needs to be done. Your doctor will probably want to see your baby regularly./REMAIN IN CONSTANT TOUCH,ONLINE OR PERSONALLY

If your baby's reflux is causing excessive problems, your doctor may prescribe medicine to help treat it. This medicine is the same one used for heartburn in adults. If your baby continues to not gain weight or develops other problems, your doctor might do some additional tests.

Typhoid vaccine has to be given at 2 years age and it is not a mandatory vaccine, it is upto you either to give it or not.

It may be skin infection which is spreading due to direct contact. Give systematic antibiotics after consulting with your doctor.

Your child could be having an infection mostly a viral. Give 1) sy ondem 5 ml 3 times a day. For vomiting 2) sy. Crocin 5 ml 3 times a day for 3 days for fever. Extra dose of crocin can also be given if fever recurs. If loose motion starts give ors and plenty of water.