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Dr. P Vasanth Kumar

Pediatrician, Bangalore

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Dr. P Vasanth Kumar Pediatrician, Bangalore
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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.
More about Dr. P Vasanth Kumar
Dr. P Vasanth Kumar is a renowned Pediatrician in Banashankari, Bangalore. You can consult Dr. P Vasanth Kumar at Child Care Clinic & Family Health Centre in Banashankari, Bangalore. Book an appointment online with Dr. P Vasanth Kumar on Lybrate.com.

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Child Care Clinic & Family Health Centre

#651, 2nd Phase, 7th Block, Srividyanagar, Banashankari 3rd StageBangalore Get Directions
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My girl baby is 6 months old. She has heat bumps over her head and neck. It becomes very itchy for her. Please give a remedy for control heatbumps.

DNB(Pediatrics), DCH
Pediatrician, Chennai
My girl baby is 6 months old. She has heat bumps over her head and neck. It becomes very itchy for her. Please give a...
If she is less than 6 months give mother feeding adequately and make sure she passes Irvine 6-8 times and keep in relatively cool place don't expose her to direct sunlight if she is more than 6 months then you can give rice based / liquid porridge you can apply topical moisturiser after consulting your pediatrician.
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My child of 6 years is not putting on weight for the last 3 years or so. His appetite is ok but suffers from allergy and respiratory problems from time to time . He is active however but will like him to add some kilos .

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Average weight of child at 6 year is about 20 kg. If your son is around of this you need not to worry since he is active. You may increase some oily and protein in diet. Otherwise it is better to leave him on his own choice of nutritious diet. If he is suffering respiratory problem, consult doctor who after assessing his problem, he may advise if respiratory problem is to do any thing with his weight gain.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier. Is pcv vaccine for the infants is compulsory?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier...
Every vaccine is compulsory if it is providing protection to your child. This vaccine prevents child from 3 dreadful diseases like pneumonia; meningitis; otitis media and sepsis. If affortability is not the criteria you go for this vaccination either of the 2 vaccinations as my colleague has mentioned.
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Hi my baby is 2 months old. He is on top feed and breast feed both. Inspite of burf he is vomiting, which medicine should I give him please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my baby is 2 months old. He is on top feed and breast feed both. Inspite of burf he is vomiting, which medicine sh...
In this case for the best health of our baby you stop bottle feed and feed only breast milk and if it is not possible you feed with a spoon.
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Hii sir/madam. My daughter is 6 months old. She is very healthy. Yesterday I saw one small swelling on her head suddenly. She had no injury. Swelling size is small. No pain. Please suggest me what ia that swelling and is there any problem. I am very much worried about this. Please help me.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Hii sir/madam. My daughter is 6 months old. She is very healthy. Yesterday I saw one small swelling on her head sudde...
The swelling in the head needs to be seen more so if the size is increasing. It might be small boil or some allergic urticarial phenomena. It is difficult to advise without seeing.
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My son is 5 years old , he is facing ADHD problem, and doctor prescribed a medication Axepta 10 mg , is it safe to use the medicine at this age, is there any particular diet for this problem, or is there any alternative medication . Please guide me.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My son is 5 years old , he is facing ADHD problem, and doctor prescribed a medication Axepta 10 mg , is it safe to us...
Every medicine has some side effects but do not worry on this account, if Dr. has prescribed the medicine , cont it for some time and see the effect. Do not be in hurry to stop the medicine , it is good medicine and will have positive effect, so carry on . In addition do following Change his routine 1.Get up early in the morning 2. Give him a glass of warm water 3. Take him for a walk for 30 mts 4.do deep breathing exercise for 10 mts 5. Do meditation – sit quietly for 10 mts 6. Do daily oil massage of whole body and expose body to sun for 15-20 mts 7. No fast food/ no processed/tinned/ spicy food 8. Avoid milk and egg and excess of fruits 9 No vitamin supplements unless deficiency of specific vitamin good luck.
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My son age 5 years height 78cm and weight is 23 kg. His body growth is very thin and he doesn't like have any frood. He doesn't wills to consume food. We forcefully feed food. What to do for his good health any medication required.

M.D.( Pediatrics), DCH
Pediatrician,
Average weight for his age is 15-24 and hight 100-115 cms. Height is mostly determined by genetic factors unless the child is chronically ill or have endocrinal disorder. Force feeding doesn't help. Respect his choice for taking meals. We can not control children at the most can guide them.
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My 9 month baby girl is only 6.3 kg wight. She was the same in 6th month. Afterthat there is wt gain. I am diabetic and feeding mothers feed. How could she gain weight.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My 9 month baby girl is only 6.3 kg wight. She was the same in 6th month. Afterthat there is wt gain. I am diabetic a...
Hi lybrate-user, thank you for your qjery. Generally birth weight doubles by 6 months of age and trebles by 1 year of age. For example, if a baby born with 3 kg weight, baby will be 6 kgs at 6 months and 9 kgs by 1 year of age. Give her breast feeds and continue to give complimentary feeds 3 to 4 times in a day. Make feeds calorie rich by adding a few drops of ghee or edible oil. Hope I have answered your concerns. Regards, Dr. E venkata ramana.
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Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her cow s milk. And in wat quantity should I give. Please suggest.

MBBS DCH
Pediatrician, Gandhinagar
Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her...
Normally only breastfeeding is sufficient for the first six months of age. If your baby is not gaining weight (normally weight increase is 25-30/ day for first 3 months) then start formula along with breastfeeding. Don't give cow or buffalo milk. Start with 60-90 ml per feed. Don't use bottle.
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My son is 2 years old and he is still not learnt to speak? he says only papa and maa. Kindly advice.

MD - Paediatrics
Pediatrician, Ranchi
My son is 2 years old and he is still not learnt to speak? he says only papa and maa.
Kindly advice.
Hello thanks for the query You won't get worried if he responds to sound, clearly speaks papa and mama and other motor and social milestones are normal. In the current era of gadgets/television and nuclear family it has been observed that the language development lags behind. Just observe about the development and try to interact more with the baby. I hope this helps. Regards.
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Hello doctor. My baby is of 6 months . Can I give her mosambi juice now. In our area its raining. Whether it will cause cold?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hello doctor. My baby is of 6 months . Can I give her mosambi juice now. In our area its raining. Whether it will cau...
Well first answer is yes. You can give but in this season citrous food can give rise to upper airway infections. So better first you start things made up of milk which your child is used to (milk. Like kheer raab sheera.
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Is hyperactivity related to Adenoid? My daughter is hyperactive and aggressively disturbed that she throws tantrums and react violently if we act against her interests. She used to be physically punished badly by my wife all these years. Please advice.

MD - Psychiatry
Psychiatrist, Chennai
Is hyperactivity related to Adenoid? My daughter is hyperactive and aggressively disturbed that she throws tantrums a...
No, it is not related to Adenoids. By the way you don't seem to understand yours daughter's problems. It seems like ADHD, consult a psychiatrist and get evaluated. Read below. Attention deficit hyperactivity disorder (ADHD) affects children and teens and can continue into adulthood. ADHD is the most commonly diagnosed mental disorder of children. Children with ADHD may be hyperactive and unable control their impulses. Or they may have trouble paying attention. These behaviors interfere with school and home life. It more common in boys than in girls. Its usually discovered during the early school years, when a child begins to have problems paying attention. Symptoms are grouped into three categories: Inattention. Is easily distracted Doesn't follow directions or finish tasks Doesn't appear to be listening Doesn't pay attention and makes careless mistakes Forgets about daily activities Has problems organizing daily tasks Doesnt like to do things that require sitting still Often loses things Tends to daydream Hyperactivity. Often squirms, fidgets, or bounces when sitting Doesn't stay seated Has trouble playing quietly Is always moving, such as running or climbing on things (In teens and adults, this is more commonly described as restlessness.) Talks excessively Is always â on the go as if driven by a motor Impulsivity. Has trouble waiting for his or her turn Blurts out answers Interrupts others Causes of ADHD The cause of ADHD isnât known. Researchers say several things may lead to it, including: Heredity. ADHD tends to run in families. Chemical imbalance. Brain chemicals in people with ADHD may be out of balance. Brain changes. Areas of the brain that control attention are less active in children with ADHD. Poor nutrition, infections, smoking, drinking, and substance abuse during pregnancy. These things can affect a babys brain development. Toxins, such as lead. They may affect a child's brain development. A brain injury or a brain disorder. Damage to the front of the brain, called the frontal lobe, can cause problems with controlling impulses and emotions. Sugar doesnt cause ADHD. ADHD also isnt caused by watching too much TV, a poor home life, poor schools, or food allergies. ADHD can't be prevented or cured. But spotting it early, plus having a good treatment and education plan, can help a child or adult with ADHD manage their symptoms. ADHD Treatment Many symptoms of ADHD can be managed with medication and therapy. Medication: Medications called stimulants can help control hyperactive and impulsive behavior and increase attention span. They include: Dexmethylphenidate Dextroamphetamine Lisdexamfetamine Methylphenidate Stimulant medications donât work for everyone with ADHD. Nonstimulant medications may be prescribed for people older than 6. These include: Atomoxetine Clonidine Guanfacine Therapy: These treatments focus on changing behavior. Special education helps a child learn at school. Having structure and a routine can help children with ADHD a lot. Behavior modification teaches ways to replace bad behaviors with good ones. Psychotherapy (counseling) can help someone with ADHD learn better ways to handle their emotions and frustration. It can also help improve their self-esteem. Counseling may also help family members better understand the child or adult with ADHD. Social skills training can teach behaviors, such as taking turns and sharing. Support groups of people with similar problems and needs can help with acceptance and support. Groups also can provide a way to learn more about ADHD. These groups are helpful for adults with ADHD or parents of children with ADHD. Many people with ADHD live successful, happy, full lives. Treatment helps. Itâs important to pay attention to symptoms and see a doctor regularly. Sometimes, medication and treatments that were once effective stop working. You may need to change the treatment plan. For many people, the symptoms of ADHD get better in early adulthood, and some are able to stop treatment.
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My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells and 0-3 rbcs. Recent test shows no rbcs but pus cells were 7-10. What to do? He is active, no fever or vomiting. Passing 3-4 stools a day. He is exclusively on breastfeed.

DNB (Pediatrics), DCH
Pediatrician, Surat
My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells...
It looks like it's normal frequency. If child remains active without fever and vomiting then exclusively breastfeeding child can be only observed.
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I'm breastfeeding for two years. How can I increase supply. Is there way to enlarge my breast.

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore
Breast milk is not dependent on its size alone. Breast Enlargement is one of the most frequently performed surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to increase the breast Size. Enlargement can be done with fat grafting or silicone breast implants. Breast enlargement. Silicone implants are the gold standard world over, very short operative procedure with very gratifying results. The creams and capsules have never actually worked, but since every one is not immediately ready for surgery so the companies use these gimmicks to market their products. If there is lack of substance then augmentation with a silicone implant is the best choice and a gold standard procedure. It is a day care procedure and you are discharge in a very short time from the hospital and it brings about an instant change in breast size and self esteem. Almost 10 crore implants are in use and so it is extremely safe. No one wants surgery unless it is necessary. There is no medication to give the results. No one wants surgery unless it is necessary. NO Creams or Pills actually work except psychologically. Surgery is the only answer. The surgery is almost painless because there are enough medications to keep the pain under control. There is no natural way to increase Breast size, except that after child birth the size may become and remain bigger.
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My 10 month old daughter is facing difficulty in passing stool. She is having very hard potty. Can anybody please suggest any remedy. She has a weight of around 8 kg.

BHMS
Homeopath, Sindhudurg
My 10 month old daughter is facing difficulty in passing stool. She is having very hard potty. Can anybody please sug...
Hi weight is normal..constipation is curable by homoeopathy completely..get it treated immediately by homoeopathy. homoeopathic treatment is safe and effective treatment.
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Dear sir/madam. May I know what is" coarctation of aorta" moderate LV dysfunction" mild MR' OS ASD with left to right shunt" mild PHT. Please reply anyone. My 3 months baby having the problem. What the remedy or solution of this problem?

MD
Pediatrician, Indore
Dear sir/madam. May I know what is" coarctation of aorta" moderate LV dysfunction" mild MR' OS ASD with left  to righ...
There is constriction of aorta. This lead to hypoperfusion as it is present with asd symptoms are less. If symptomatic then repair[surgery] has to be done.
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I don't have enough milk to feed my 12 month baby give me prescription To increase. My brestmilk supply?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I don't have enough milk to feed my 12 month baby give me prescription
To increase. My brestmilk supply?
Now baby requires more than your milk. What ever milk you have that is sufficient to baby. By now, he must have started eating every thing suitable to him cooked at home and top milk. You may continue your feed up to 2 years of age.
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I have 6 month old baby. He has 100 fever. I gave him liquid crocin. Please suggest.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I have 6 month old baby. He has 100 fever. I gave him liquid crocin. Please suggest.
hi Jaya usually fever is considered when body temp rises more than 100.6 F so no need to give crocine before that but if fever is above it than the cause of fever must be evaluated and than should be effectively treated.but in all cased baby must be active playful and feeding well ,
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Hi, my kid is 9 months old. Now he is eating kichidi which is made with rice, dal, half tomato, small piece of carrot, 2 peas, 4 to 5 leaves of palak or spinach. My doubt is that if I use palak along with tomato is that causes any problem like stones in kidneys like that. please suggest. Suggesting some other baby food is most helpful.

M.D.( Pediatrics), DCH
Pediatrician,
Hi, my kid is 9 months old. Now he is eating kichidi which is made with rice, dal, half tomato, small piece of carrot...
Baby needs to be given same food that family eats. It has to be made semi solid so that baby can swallow. You all need to take meals together with baby so that baby watches and learns the way you eat. Whole family (infants and older children included) needs to take healthy food. You are doing a great job just enjoy meals together with the baby. This will inculcate a good habit.
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