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Dr. K.K.Singh

Pediatrician, Bijnor

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Dr. K.K.Singh Pediatrician, Bijnor
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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My daughter is 4 years old. Daily she is vomiting at school. Morning she will have little bit of bournivita that's it. During snack break at school while having snack she will vomit daily. After having bournvita she will say feel like vomiting. Even I changed the drink to tea & other drinks also but same problem please suggest.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
My daughter is 4 years old. Daily she is vomiting at school. Morning she will have little bit of bournivita that's it...
Stop bournvita or any such mixture. Just give her healthy food and milk, according to her liking and taste. Don't force feed.
13 people found this helpful
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Ways To Treat Baby Rashes!

MBBS, MD-Dermatology,Venereology & Leprosy
Dermatologist, Bangalore
Ways To Treat Baby Rashes!

As the baby enters life, he unveils a different world for himself. There is so much to see, understand, learn and experience. A baby’s life is full of exciting new experiences as he views things and people around him with curiosity. But as he fondles with things around him, he carries dust, germs and possibility of an infection. Besides the external environment, his sensitive skin also deals with 24/7 nappies that cause dampness and may lead to a fungal infection.

It is quite natural for parents to panic with the slightest of baby’s discomfort. However, it is important to note that almost all babies develop rashes with first few weeks of their life as it’s the time when their skin is adapting to the outside environment. Not all rashes are harmful. Baby’s immune system has the capacity to fight with most of the infections. Thus, many skin rashes heal on its own. In case, rashes are followed by fever, vomiting, pain or other symptoms, it is advisable to seek medical intervention immediately.

Most common rashes in children are caused due to nappies. The skin around the nappy area become red itchy and irritated. The best way to prevent nappy rashes is to keep baby’s skin clean and dry. Check for dampness and never keep the same nappy for more than 3 hours. Antifungal creams as prescribed by a pediatrician could be applied externally to fight infection.

Blocked pores on baby’s skin can cause acne as well as white spots called Milia. They can appear on face, neck, hands generally first two weeks of baby’s life. Doctors advice using a mild soap and keeping the skin moisturized.

Extreme climate can be harsh on baby’s skin. The skin reacts to dry cold winds in form of dry and scaly patches which become red and itchy. Extreme summers can cause rashes due to sweat. The only way to prevent such problems is to keep baby indoors, warm and hydrated in winter and assure baby wears soft and loose cotton clothing in summers.

Many of us have noticed flaky patches that appear on new born baby’s scalp. Those look like thick yellow secretions. They are known as cradle crap. They are not itchy or painful and heal on their own.

As baby grows, he is introduced to new foods. This is also the time when food allergies began to get recognized. Many times body reacts to an allergen through skin rashes. These are called Hives and may occur any time in child’s life. Avoidance of allergens is the most effective way to deal with food allergies.

A baby needs constant care and supervision. Parents knowledge greatly help in prevention and management of such issues. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3727 people found this helpful

My Daughter She is 7 years old. She is very weak, her weight is 15 kg only. But she is active in study, playing and everything, I consult Endocrinologist visited doctor in sirsa, he write tests and amt. Of test is 8000. What can I do. Problem is Vrinda not gain weight or height. So give me right suggestion about it.

MD, MBBS
Pediatrician, Bangalore
If you feel she is well doing normal activities than don't keep much tention. These things are relates to family members weight and height in child hood, specially parents. Give healthy food and increase it. Personally checkup is important.
1 person found this helpful
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Cleft Palate - How To Treat It Surgically?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Cleft Palate - How To Treat It Surgically?

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery includingplastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.
Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3.Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. If you wish to discuss about any specific problem, you can consult a General Surgeon.

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Hello sir/ mam. Please my three year old son dont want to take milk. He want to eat only roti all the time, i' m so worried about him please suggest me what I do?

Pediatrician, Pune
If he drinks 2 cups of milk in a day, it is more than sufficient, excessive milk reduces appetite, may cause iron defeciencies, he should eat rotis, and everything made at home, including dal rice vegetables, fruits, his weight is appropriate for his age, he is ok, you need not worry, we have come to be in a habit of unnecessary worry, try to avoid this, relax.
2 people found this helpful
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my angel age 2 years 3 m baby she is wt 10. 6 kg she not taken food please suggest any tonic for her like juice fever so it will take like juice she not taken medicine syrup also.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
my angel age 2 years 3 m baby she is wt 10. 6 kg she not taken food please suggest any tonic for her like juice fever...
Don't feed forcefully. Give her available food at home of her choice n taste. Nutritious diet is best tonic. Consult pediatrician to look for any nutritious deficiency. If still you feel to get advice, may consult privately.
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My son is 3.5 years old. He is talkative child but he is soft and fearful by nature. .he is studying pre kg now. .when he us getting scolded or beaten, he use to cry normally but nowadays he is getting anger very much (face full of depression) and beating us. When spoken personally, he cried and said his teacher beating.

BHMS
Homeopath, Sindhudurg
homoepathic treatment tuber 1m 3pills once only do not repeat it from next day start following treatment Nat mur 6x 3pills 3times for 3days and revert back for further treatment.
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Breastfed Babies Have Lower Childhood Leukemia Risk

MBBS
General Physician, Himatnagar
Breastfed Babies Have Lower Childhood Leukemia Risk
When you are having a baby, chances are good that lots of people will have lots of advice. One of the things they’ll probably recommend is breastfeeding. Everyone from your obstetrician to the nurses in the maternity ward to possibly even your friends and family will tell you that it’s important to nurse, and with good reason. Breastfeeding has been linked with lots of benefits including better bonding with your infant, losing those pregnancy pounds faster, and a higher IQ in your child. And now, new research offers up yet another reason it is important to breastfeed–possibly decreasing the likelihood that your baby will develop leukemia as a child.
The study, which was conducted at the University of Haifa in Israel, found that nursing may lower the risk of pediatric leukemia by 14 to 19 percent. The scientists reached this conclusion by performing a meta-analysis of 18 studies that had been previously published. The subjects of each of the 18 investigations were mothers of children who had been diagnosed with leukemia and mothers of children who were healthy. They were asked questions that included whether or not they breastfed their children and their responses were compiled and compared.
The research was not designed to prove cause and effect, and these findings in no way show that failure to nurse a baby causes pediatric leukemia. However, that difference of 14 to 19 percent is significant enough to establish an association between breastfeeding and lowering a child’s risk of this disease. The scientists found that it was a minimum of six months of breastfeeding that appears to confer some type of protection.
The major weakness of this type of study is that the findings are based on recall. You might think that you would certainly remember the length of time that you nursed a child, but if you are asked about it several years later and have more than one kid, some of the details might be a little fuzzy. However, even if that is an issue, it stands to reason that most mothers can provide a fairly accurate account of whether or not they breastfed and the approximate duration.
At any rate, even if the 14 to 19 percent determined by the scientists is slightly off, the evidence still provides a link to reducing the chance of your child developing leukemia. And any potential reduction of a risk like that is something most mothers would jump at. Leukemias, which affect the bone marrow and blood, are responsible for approximately 30 percent of all pediatric cancers according to the American Cancer Society. It is the most common form of childhood cancer, and treatment typically involves chemotherapy and sometimes radiation or surgery as well.
While the research did not address exactly how breastfeeding might help prevent pediatric leukemia, the answer might lie in a 2014 study at the University of Kentucky in Lexington that showed breast milk is an effective route of transmitting antibodies from mother to baby. These antibodies serve a valuable function by quickly bringing the infant’s immune system up to speed and helping the child fight off infections. And as Jon Barron has pointed out,cancer is intimately tied to the strength of your immune system. Other research has found that breastfed babies are hospitalized less frequently than their bottle-fed counterparts, have a lower risk of sudden infant death syndrome, and have diminished rates of ear infections, diarrhea, allergies, anddiabetes.
Ultimately, to breastfeed a child or not is a matter of choice. But with so many proven health benefits to both infant and mother (breastfeeding has been shown to reduce your risk of breast and ovarian cancer as well as rheumatoid arthritis), it is hard to imagine many reasons why a woman would choose formula over nursing. Of course sometimes there are extenuating circumstances due to an adoption, inability to produce sufficient quantities of breast milk, and other issues that might preclude nursing. But any time spent breastfeeding is worthwhile for the health of both you and your little one.
27 people found this helpful

Hello am 25 years old and I think I am suffering from dyslexia problem. Tell me what I do to overcome this.

Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy, Early Childhood Special education, Drama Therapy
Occupational Therapist, Bangalore
Kindly get yourself assessed from any occupational therapists or psychologist. After knowing the degree of your dyslexia, you will be guided about how to functionaly manage the issues. It is very much manageable with proper therapy.
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

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.

Bread

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.

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