Dr. Thangadurai

Well its not mandatory to take a pneumococcal vaccine. Generally pneumococcal vaccine is given to prevent any infection caused by pneumococcus, there are 100+ strains of pneumococcus but this vaccine only provides resistance to infection cause by 13 strains. So the baby has still chance of getting infection from rest of the strains. Generally we recommend this vaccine to babies who are born premature and are at high risk of getting infection, like babies who often get ill having cough and cold or pneumonia. It is mandatory for persons travelling to usa, so if you plan to visit usa in future, get your baby vaccinated. If money is not an issue you can get baby vaccinated. If money is an issue you can skip doses for 1st year and get a single dose at 15 months, that would be enough for life long immunity. So its your decision depending on child health and history as well as your financial status. Hope I have solved your query.

Swans chintamani ras 125 mg twice a day sitopiladi avleh 10 gm twice a day relief in 3-4 days and for complete cure take it for 60 days only.

Dear Lybrate user, During lactation period better to avoid medicines. Do - 1) Avoid excess Salt & Spicy food 2) If you have constipation than cure it 3) Take boiled water added sunthi powder in it to drink 4) Increase Milk & Milk Product in Diet 5) For Locally application I advice Shalmali Kantak + Yastimadhu Powder+Lodhra powder + Keshar + Swetachandan(Sukkhad) + Raktachandan powder+mungdaal - prepare paste of it and apply on face thick layer before complete dryness remove it and wash face with warm water Lepam Can't be applied before Sunrise and after sunset.

Give different types of food prepared at home including milk and its products. Baby want change of taste. Don't force to eat. Give him on demand.

Hello Mr. lybrate-user, it would have seen better if I had some pics of the spors you are talking about. Its very difficult to comment without seeing the child. Rashes and spots in the first few weeks of life is common, but at 3 months you atleast need to see a doctor for examination of the child. It can still be a benign rash which subsides over a period of time. But as I told you its difficult to comment without having a look, as there are many forms of rashes/spots. Let someone have a look. Take care.

As you said that he has a confirmed malaria fever with little loosemotions and hence I will suggest you to take proper anti malarial drugs and loosemotions to be controlled with intake of ors solution and diet only and it's better to avoid enterogermina suspension.

Maintain hb more that 9 gm% by regular transfusions, avoid iron overload by giving iron chelators deferrasirox / others as prescribed by your doctor to keep ferritin < 1000, get his blood checked every six months for transfusion related infections and iron overload, maintain a near normal life, try an option for bone marrow transplant.

Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly.

Gas formation may be due to maldigestion of some particular food item. Its best to avoid such identified food items. If not possible them digestive enzymes or simethicone after foods might help.

hello, leybrate user, your baby is already taking fruits juice & soup compenceting liquid supply hence, intake of water is not much needed for your baby. tk care.