Dr. Sunil Subbaiah

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of flatfoot, so it can be idiopathic or it can be secondary to an underlying issue like bony coalition etc. First step is to get x rays done and rule out an underlying bony issue. If it is not then we need footwear modification, intensive physical therapy and monitoring on whether there is any issue or not. Do not hesitate to contact me if you need any further assistance.

Get your child tested for allergy, chest infection s and also rule out gerd. Consult a pediatrician for the same.

This is indeed a big worrisome infection. This happens with viral infection of the lungs and eventually turns up in a syndrome called ards. Where ecmo was needed. Ecmo removal is success but still stormy days aren't over. Pray to god. Hopefully it shall be fine.

For constipation give high roughage diet like fruits and vegetables, roti. Give more fluids including water. If he is constipated for along time rectal enema once to evacuate the bowels. Then you can use glycerine suppository perrectal daily for 3 days and then as per need. Give syp lactulose 5ml twice a day for about I month till he starts passing normal stools daily. Important to remember is that high roughage adequate diet is most important.

Dear Lynbrate user Till the age of 5yrs children get about 5to 6 episodes of cough and cold so give him home remedies like Honey with ginger Honey with tulsi Honey with lemon Give him warm soups Besan Ka shira But if his breathing is fast or he is having fever 101or more then take him to doctor. Do get his Heamogram done to rule out Anaemia or any infection. If your family eats vegetables then he too will learn.but donot force feed him.

Increase physical activities like exercises, playing. Decrease sugar and fat intakes, gradually weight will decrease.

You can safely add small amounts of ghee butter etc. Make sure not to make your child obese. It is a big health problem in children" too much of anything is bad" you know happy parenting.

With so many symptoms it is better to show a neuro pediatrician at least once. And have to talk frankly about long term effect of it. Schooling, mental behaviour is also to be talked out. Need not to be visit frequently to other Dr. Once you are satisfied.

A lactating mother need to take an extra meal to fulfill her n babies requirements. Dieting z not an option but let me tell you breast feeding burns a lot of calories. You will loose weight eventually. Avoid fats in diet n exercise.

if it is ASD then you need not worry. It will get filled up in 1to2 years. if it is VSD then you should be careful.

Initial three months baby will sleep full day disturbs at full night. So feed baby every two hourly. If baby is doing like that it means you not getting sufficient milk. Consult the Dr. To see wether you have sufficient milk to feed baby or not. If not then you need to start baby substitute milk. Once baby have full stomach he should sleep two hours and again feeding them playing them sleep this cycle of baby should be there.

If you give small dose of d3 vit. You may continue for months. Exposure tomorning sunlight can be more helpful.

See that she latches on the breast properly without leaving any gap, otherwise she sucks in air along with milk, excessive ingestion of air causes fullness, colic, crying, burp her well after feed at least for 20 mins keep her upright, after you have burped her keep her in propped up position of at least 45 degree angle, don't give anything other than breast milk no janam ghutti, grape water, plain water, don't be anxious, relax, your anxiety is realised by the baby making her more anxious, and making her cry - just relax, take support from family.

Lactogen is good for this age and you should not give in bottle and feed from cup with a spoon and give breast milk also

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.

Homoeopathic medicine------------------- kali carb 30 (sbl) drink 1 drop direct on tongue daily night--------------------- spongia tosta 30 (sbl) drink 1 drop direct on tongue every 2-3 hrly---------------------------- tussistin cough syrup (wilmar schwabe india) drink 1 spoon in luke warm water 3 times daily--------------------- report after 5 days------------------------------

ASTHMA --- WHO SHOULD SEEK IMMEDIATE CARE
The attack of asthma is severe if

The patient is breathless at rest, is hunched forwards,talks in words rather than in sentences(infants stop feeding),is agitated,drowsy,or confused,has bradycardia or has a respiratory rate of more than 30/mt.

Wheeze is loud or absent.
Pulse is more than 120/mt( greater than 160/mt in infants)
PEF is less than 60% of predicted or personal best,even after initial tratment.
The patient is exhausted.

The response to initial treatment is no prompt and sustained for at least 3 hours.

There is no improment within 2-6 hours after oral glucocorticoid tratment is started.

There is further deterioration.
Mild attacks ,defined by a reduction in peal flow of less than 20%,nocturnal awakning and increased use of B2- agonist, can usually be treated at home if the patient is prepared and has a pesonal asthma management plan.
Moderate attack may require and severe attack usually require care in hospital /nursing home.

Eosinophil count can increase because of worms / allergy, deworm him, maybe repeat a count after 15 days.

You may, but don't change often. But remember, it's not advisable to take foreign milk protein before one year as it is prone to develop allergies. But we in India have all along been giving cow milk to babies.

You can protect your baby's skin from the development of a skin disease called eczema and from dryness, by applying a fragrance-free, hypoallergenic moisturizing lotion after bathing her.