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Dr. Srihari

Pediatrician, Bangalore

250 at clinic
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Dr. Srihari Pediatrician, Bangalore
250 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Srihari
Dr. Srihari is a popular Pediatrician in New BEL Road, Bangalore. You can consult Dr. Srihari at Shirdi Sai Hospital in New BEL Road, Bangalore. Save your time and book an appointment online with Dr. Srihari on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 26 years of experience on Lybrate.com. You can find Pediatricians online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Shirdi Sai Hospital

No.519, 2nd main Nethravathi Street, Devasandra , New BEL Road. Landmark:-Opposite SLK SoftwareBangalore Get Directions
250 at clinic
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A pacifier is how much a good idea for my one month old baby? Is it harmful for him in any aspect?

Diploma in Paediatrics, MD (Physician)
Pediatrician, Gurgaon
A pacifier is how much a good idea for my one month old baby? Is it harmful for him in any aspect?
Hi lybrate user according to me it is not a good idea to give pacifier. As this can be a good source of gastrointestinal infections.
3 people found this helpful
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Take Care of Your Child's Diet

MBBS, Diploma In Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

Brain Tumor In Children - Understanding It In Detail!

MBBS, MS - General Surgery, Mch - Neuro Surgery
Neurosurgeon, Ghaziabad
Brain Tumor In Children - Understanding It In Detail!

Though childhood brain tumor is a rare disease, still, many children of any age all over the world suffer from this condition. Unlike the brain tumors in adults, brain tumors in children is a bit different. Brain tumors are probably the most common form of solid tumors affecting children. However, having knowledge of the symptoms, probable treatment of the disease can help the parents in coping with the situation in a better way and taking the right decision at the right time.

What is a brain tumor?
A group of abnormal cell growth in the brain is referred to as a brain tumor. The types of brain tumor depend upon the structure of the tumor cells, their rate of growth, composition and several other characteristics. However, two most common types of brain tumor affecting children are primary and secondary. In primary brain tumor, the tumor cells develop in the brain, while in secondary, cancerous cells invade the brain from other parts of the body.

Symptoms that determine the presence of tumor may vary in every child. The variation is due to certain aspects including size of the tumor, the location of the tumor, how the tumor is affecting the brain, etc. Some of the most common symptoms of childhood brain tumor are severe headaches, occasional seizures, feeling of sickness and vomiting, eye problems such as blurred visions, feelings of drowsiness without any reason, etc. Some children suffering from brain tumour may also experience difficulty in maintaining balance when walking or behavioral changes in children.

Treatment
While for some, surgical removal of the tumor may be the only treatment solution, for some sessions of radiotherapy and chemotherapy turn out to be really helpful. To control or reduce the effects of the brain tumor symptoms, taking regular medications may also be necessary for the affected children. Doctor may devise the best treatment plan despending on the condition of a child. As the treatment completely depends on the severity of the problem.

Prognosis
Depending on the grade, location, and type of tumor as well as the treatment, the overall health of children can be determined. While a significant number of children often successfully recover from the brain tumor, for some, the treatment needs to be continued for many years. As the nervous system of a child is in its developing stage, sometimes, children may develop some kind of learning or behavioral or physical disability as a result of the brain tumor treatment. If a child has any of these symptoms mentioned above, his or her parents should consult a medical professional right away. The sooner it is diagnosed, the better are the chances for the child to recover from a brain tumor. In case you have a concern or query you can always consult an expert & get answers to your questions!

3204 people found this helpful

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist, Delhi
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

  • Feeling breathless
  • Angina or chest pain with a feeling of pressure or tightness
  • Syncope of fainting
  • Palpitations and enhanced heartbeats
  • A steady decline in regular activities and energy levels
  • Fatigue due to little exertion
  • Not gaining weight
  • Poor eating patterns
  • Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:

  • MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
  • CT scan or computed tomography where three-dimensional images are extracted.
  • Chest X ray
  • Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

2976 people found this helpful

I want to know a complete diet plan for my 4 months baby what to feed and when the correct time he doesn't take breastfeeding.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
I want to know a complete diet plan for my 4 months baby what to feed and when the correct time he doesn't take breas...
The only diet for a 4 month old baby is mothers milk! under special circumstances formula feeding can be given but only if required. There might be other reasons for the baby for not taking breast milk like colic pain problem or any any problem. Just rule out any other problem rather than shifting to any other diet. I suggest you to continue only breast milk atleast till 6 months.
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My 1.4 years old baby girl have hairs on face, forehead what should I do to remove those hairs?

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
My 1.4 years old baby girl have hairs on face, forehead what should I do to remove those hairs?
No need of any medicine They will vanish as the child grows Need not to worry at this age as this is common in many babies

My little boy aged 33 months has normal bowel movement but with bad odour. At times he strains himself to let it out though he drinks a lot of water. How to help him to overcome this problem.

MBBS, MD
Pediatrician, Gurgaon
My little boy aged 33 months has normal bowel movement but with bad odour. At times he strains himself to let it out ...
if cereals intake in dietless and milk is more child gets constipated at times strain with hard stools.I hope you know now the problem.
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Yesterday Done the delivery procedure. It's baby girl But due to toilet in her mouth Dr. Said and Start NICU. As we see my child All is OK Just she take breath very fastly after she birth, And then she is very fine.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Yesterday Done the delivery procedure. It's baby girl
But due to toilet in her mouth Dr. Said and Start NICU.
As we s...
U have not mentioned your query. Fast breathing is not good sign. It may be due to inhalation of toilet (meconium). Such babies are kept in NICU.
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My daughter age is 15 month And 10 days. When his age is 6 and half months than we find that she is suffering from Iron deficiency Anemia. That time hemoglobin level is 6.5% and that time required blood transfusion. After that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently We take some test. At present hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. Now I want to know the above report result mean. Can you tell me please? We are worry about his weight and not eating, when we try to her some food always vomiting.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My daughter age is 15 month And 10 days. When his age is 6 and half months than we find that she is suffering from Ir...
These are in fair range and you have to ask details with weight and feeding habits and you can ask personally so that I will see it Ferritin is an ubiquitous intracellular protein that stores iron and releases it in a controlled fashion. The protein is produced by almost all living organisms, including algae, bacteria, higher plants, and animals. In humans, it acts as a buffer against iron deficiency and iron overload.The normal range for blood ferritin is: For men, 24 to 336 nanograms per milliliter (standard units) or 24 to 336 micrograms per liter (international units) For women, 11 to 307 nanograms per milliliter (standard units) or 11 to 307 micrograms per liter (international units)
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Hi doctor, I have 3 year old son. I am giving him vitamin d syrup (1ml/day, uprise d3, 400iu/per day) supplement since 6 months. There is no sun light exposure for him as you know in apartment culture getting sunlight is very difficult. Will it have any side effect? Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hi doctor, I have 3 year old son. I am giving him vitamin d syrup (1ml/day, uprise d3, 400iu/per day) supplement sinc...
If you do not exceed the recommended daily allowance there is no problem. Excess vit d can lead to toxicity. Check his blood cbc and tft. Send me reports also do serum vitamin d level if you want.
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