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Dr. Rama Devi P

Pediatrician, Chennai

Dr. Rama Devi P Pediatrician, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rama Devi P
Dr. Rama Devi P is a renowned Pediatrician in Ambattur, Chennai. She is currently practising at Dr.Rama Devi's Clinic in Ambattur, Chennai. You can book an instant appointment online with Dr. Rama Devi P on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 28 years of experience on Lybrate.com. You can find Pediatricians online in Chennai 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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No.15, Surya Prakasam Street,Krishnapuram, Ambattur,Landmark:Opp.Bus terminal&Co-operation Bank, ChennaiChennai Get Directions
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She originally was diagnosed in childhood with a whole in heart, then itself vsd was got closed, now she is 11 years old and her weight is 27 kgs. Doing well. She is shuttle badminton player, she is strong enough but she is lien, which food can be given to her to become a little stout.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
She originally was diagnosed in childhood with a whole in heart, then itself vsd was got closed, now she is 11 years ...
If she is active no need for tonics. She is cured now. Donn worry. Give regular diet rich in protein. Dry fruits. Etc.
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What should be the preferred foods for a muscular dystrophy patient? And what should not be taken!

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What should be the preferred foods for a muscular dystrophy patient? And what should not be taken!
Lots of simple proteins like milk, curd, egg, soy, pulses. Avoid oils and fried food, spices and heavy foods like maida, give simple carbs like custard, plain soup with corn flour. Simple fruits like banana, oranges.
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Advent forte syrup and zifi 100 medicine same? I was giving advent to my child now doctor has prescribed zifi should I continue giving advent or change to zifi.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Both are different antibiotics with different action, used for different diseases. You should not use them on your own which causes resistance so that they may not be effective when really needed.
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My 2.5 years old daughter suffering from Hydrocephalus. She treated with VP shunt at her age was 9 Months. But Now her head size is still bigger than normal. & Still She cannot sit herself properly & cannot stand. Her intelligency is also poor. So, Please suggest me what can I do for her for his best recovery.

MD - Paediatrics
Pediatrician, Ranchi
My 2.5 years old daughter suffering from Hydrocephalus. She treated with VP shunt at her age was 9 Months. But Now he...
Hello thanks for the query the growth and development of a baby suffering from hydrocephalus depends on the severity of involvement of brain. If the cortical thickness is very less and there is severe ventricular dilatation the outcome is poor. Please attach the report so that I better able to help you out. I hope she must has undergone hearing and visual assessment as there is high chance of hearing and visual impairment in such condition. Physical rehabilitation helps in recovery. Regards.
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He is 1yr old. His scrotum got shrinked. Previously it was baggy n loose but nowadays I see its shrunk all the time. Is there anything serious?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
He is 1yr old. His scrotum got shrinked. Previously it was baggy n loose but nowadays I see its shrunk all the time. ...
Please check for the presence of both the testes. If they are there in the scrotum nothing to worry about it's shrinkage.
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I have a one year old girl child. Her head temperature is not normal. And sweating. What is the problem doctor.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a one year old girl child. Her head temperature is not normal. And sweating. What is the problem doctor.
Head normal temp can not be defined. It may be warm on touch which is normal so sweating for some babies. If you suspect fever by touching head, measure temp by thermometer which is right way to assess fever.
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Hi Dr, accidentally I gave xylometazoline hydrochloride n sorbitol nasal spray prally to my daughter who is just 8 month old. Is it harmful?

MD - Paediatrics, MBBS
Pediatrician, Delhi
Hi Dr, accidentally I gave xylometazoline hydrochloride n sorbitol nasal spray prally to my daughter who is just 8 mo...
Depends I the concentration of the xylometazoline and how many times have given it. If given once or twice no harm. If given repeatedly can cause problems.
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M.D.S.
Dentist, Pune
If your child's age is between 9-12 years and his/her front teeth or jaws are looking forwardly placed then consult orthodontist as soon as possible as this is the proper age to treat your child by modifying jaw growth if there is any imbalance between upper n lower jaw.
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Can I Eat Rice If I Have Diabetes?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

I have a 18 months old son. He have brain infections during birth time. Now he has no devlopment. Can you help me.

MD - Paediatrics
Pediatrician, Ranchi
Give proper nutrition with adequate calories, protein, carbohydrates and minerals to allow proper growth. These children are prone to poor growth. Look for any feeding problem like vomiting if any.
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Hi my baby is 4 days old and she is sleeping from morning to night and she wake up on midnight for 2-3 hour, so please tell me is this general tendency or any other problem, thanks.

Pediatrician, Pune
New born babies tend to sleep 18- 20 hrs in a day, tend to awaken in the night, this is perfectly normal,
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I have 1 year 5 months baby and she fell down from the table, she feeling pain in right hand wrist and it is swelling little, please suggest?

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
I have 1 year 5 months baby and she fell down from the table, she feeling pain in right hand wrist and it is swelling...
Consult any doctor immediately get an x-ray done and check for any fracture and get treated accordingly.
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Is your child suffering with ADHD?

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.
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My son is 23 months old and he is fussy Eater. Can you suggest multivit. Or iron supplements. Problem is that he likes to eat white things like egg, milk, manner, curd, he hates veggies.

BHMS
Homeopath, Faridabad
My son is 23 months old and he is fussy
Eater. Can you suggest multivit. Or iron supplements. Problem is that he like...
Hi, start giving him Biofungin, 1 -1 tsp, twice daily. BC No. 21, 3 tabs thrice daily. Revert me after 1 month.
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My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindly suggest solution and also suggest applying oil is safe or not.

DHMS (Hons.)
Homeopath, Patna
My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindl...
Hello, ●New born baby is unable to distinguish between night & daytime. Hence, after few week, you have to educate the baby the difference between  day & night in order to establish sound sleep in the night. ●When its day, the baby should be brought in sun light to recognise the day time and similarly in night the baby should be kept in a dim. Light to recognise eving or night time. Her day should be brighter and the night be darker. ●This has to be ensured  that child is adequetly ,fed before going to bed & continued feeding 2 hrly. ●Some time the baby suffers from abdominal pain, earache,headache due to change in climate, cause her weep. ●  usually, we fail to assess the room- temprature being suitable for the baby to make her sleep, comfortably.Ac should be tuned & fan should be adjusted as per the need be. ● in the night while feeding the baby of your own  baby asleeps without taking sufficient quty of milk, makes her weep, again and again during sleep, please keep checking the fact & adjusted as the condition warants. Homoeopathically,  your baby might be nurtured, successfully. Your feedback is solicited to followup your baby. The care.
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My wife gave birth to boy on 4/10/2016 normal delivery. After 15 days she did tubectomy operation also. Boy health conditions also nice. Now her feeding milk also getting reduced day by day. How increase her feeding milk. Her health conditions also nice. Why there is no milk. Please give suggestion to improve her feeding milk. Thank you.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My wife gave birth to boy on 4/10/2016 normal delivery. After 15 days she did tubectomy operation also. Boy health co...
Probably u have started top feed. If so, stop completely n put on exclusive breast feeding till either breast is empty or baby is satisfied. There is no reason that milk is not sufficient. Still both breast may have sufficient milk for baby requirement. Feed him every 2-3 hourly or on demand if it is earlier than 2 hours. This practice shall improve or maintain breast milk production.
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Hi. My son is 2.5year old is having the habit of biting nails. In the process he started eating skin also. Pls advise.

BHMS
Homeopath, Faridabad
Hi. My son is 2.5year old is having the habit of biting nails. In the process he started eating skin also. Pls advise.
Hello, give him a single dose of Phosphorus 200 Ch. calcarea phos 6X , 3 tabs twice daily. Revert after 15 days.
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Is olive oil good for infant to massage? Please advise.

MD - Paediatrics, MBBS
Pediatrician,
Is olive oil good for infant to massage? Please advise.
Any oil is good for massage as long as it suits your baby's skin. The basic purpose of the oil is lubrication, nothing else. Olive oil is traditionally supposed to b the mildest, but cocnut oil is as good, if not better.
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Hi, my kid is of 1.7 yrs old but he didn't started uttering words more than ma' ma n ba' ba' da' da, he delivered by lscs n a month before od edd, till now growth and development is good, he weighs 12kg, walks and moves at a pace, last month he'd seizures during fever but recovery was good, what could be the reason and what steps to be taken to get him talk, our 1st kid was good at sharing at his age.

MD - Paediatrics
Pediatrician, Chandigarh
It could be a febrile seizure. Where you have to be watchful for fever as it has a tendency to recur. However no treatment is needed for first seizure but detail evaluation should be done.
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Hi. Recently my wife has 12 days baby girl our problem is she can not eat mother feeding directly. If we force she started more crying. Then we have to eat mother milk or amul shakti by spoon. This is now daily problem so what we do? So that she direct eat mothers milk. please help. Weight 3 kg.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Hi. Recently my wife has 12 days baby girl our problem is she can not eat mother feeding directly. If we force she st...
Mother might be having problem of retracted nipples which the baby can't hold in his mouth. So help of a senior lady can help this by doing massage of the nipples. Always try to give breast feed directly through sucking otherwise milk secretions will be reduced gradually. --you can use a blunt forcef to hold the nipple and put in mouth of baby. --baby's are very smart. After feeding with bottle (which require no effort) they will avoid breast sucking as it requires effort. --always avoid feeding with bottle.
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