Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Patient Review Highlights
Dr. Sushma Narayan provides answers that are very helpful, knowledgeable, thorough, well-reasoned and sensible. Excellent, the doctor seems to be extremely knowledgeable and expert in her profession, many thanks.
Dr. Sushma Narayan provides answers that are knowledgeable. Hello Mam, Thank you so much for the reply. Baby got discharged and she is doing better now. But still i hear some gurgur sound when she breath.
I found the answers provided by the Dr. Sushma Narayan to be very helpful. Thank you mam...
Instead of giving zincovit drops we used zincovit syrup for 7 months old baby. Worried abt it. Suggestions pls?
Hii sir/madam. My daughter is 6 months old. She is very healthy. Yesterday I saw one small swelling on her head suddenly. She had no injury. Swelling size is small. No pain. Please suggest me what ia that swelling and is there any problem. I am very much worried about this. Please help me.
I am looking for the cost of recommended vaccination after the age of 5 years of a child. I am looking for injection cost for MMR2, Varicella 2 etc.
My son is 3 months 20 days old. He has given 3dose of pentavalent vaccine on scheduled time. I missed his 1st dose of ipv before so He got 1st dose of IPV (0.1 ml subcutaneous) with 3rd dose of pentavalent vaccine. So when should I give 2nd dose of IPV? How many doses are needed? His weight is 6.6 kg now. Which other vaccines are mandatory?
Hello. .my nephew is 40 days old and he is often crying badly due to etching on anus caused by pinworm.. Suggest some medicine for him. I repeat he is only 40 days old.
My baby recovered from sepsis on 3rd days of born due to bacterial infection by vancomycin .he is now 1.5 month & is o.k.,received pcv13 & one doctor says not to take PENTA1 vaccine. Only to take hexaxim. But doctor who treated him earlier says yes. Now I am confused. Please suggest me which one is to take?
My nephew and he is 7 years old. He is in 2nd class. He is not eating properly on time and he is not focusing on study. He wants to watch TV only. He is short tempered. So please suggest what do we do to take him on the right way.
Some babies learn to walk by the age of nine to ten months, and others may take longer, much longer to start walking properly. By the age of 15 months, people may start asking you if your little munchkin is able to walk yet. These constant questions can eventually irk you off, and keep you wondering if truly your baby is facing any sort of disability or not. In most cases, you will probably find your baby was too lazy to start walking all along, and he has mastered the art of “toddling” a couple of months later. Other times, when your baby has not started walking in over 17 months, you may want to give your paediatrician a visit.
When should you not worry?
If your baby is an active child and is playing around normally, you may not worry about him or her too much. If you find your child able to move around crawling or rapidly kicking his legs around, then your child is probably a late bloomer when it comes to walking. Other factors that will indicate that your baby is not going through any developmental issues are when he or she is able to communicate with sounds or broken speech. Other thing that you must keep in your mind is the relative age of your baby if it is born premature. If your toddler was born two months prematurely, then you must consider his developmental age by adding two months to his actual birth. Also notice if your child is able to move positions on his own, like if he is able to change positions when he is sitting down or lying down. As such, inability to walk is not really a solid indicative of a developmental disorder.
When is it of concern?
When you go to your paediatrician with your child regarding his inability to walk, your doctor will firstly take a note of the general movement of your baby. Thus the “quality” of movement is what matters the most. If your baby is showing signs of rigidity or flaccidity in his limbs, it may concern your doctor, as it is the primary symptom of cerebral palsy. Nothing can be concluded unless your get proper reports of scans like MRIs which your doctor will recommend you to get.
If your child is not walking, avoid carrying him around too much to allow him to make movements on his own. Who knows, you may find yourself chasing him around all over in no time!
Hi I have baby who is one year old. Yesterday he was having red throat. So doctor suggested him timnik, ibugesic and FloraBS but today he is having severe cough. Please suggest what can be given in severe Dry cough.
My baby is completed his 2 year 2 month and I want to stop breastfeeding but it's not possible for me as well as for my baby what should I do I want to stop feed him please suggest me some solution.
Can we feed grape water for new born baby (20 days) old baby. Some times he is not comfortable to sleep.
Dear Sirs/Madam, My wife had undergone a lower abdominal surgery in last month, and taking so much antibiotics, our baby is 11 months old and taking brest feeding, is there any problem to continue his brest feeding or should we discontinue his feedings?
The patient is 10 year old child having severe wheezing problem due to food and other seasonal allergies. What should be done to give immediate relief to the child during such attacks.
Precocious puberty is a medical condition in which the process of a child turning into an adult i.e. puberty is initiated at an earlier stage than what is considered as normal. Certain characteristics like rapid growth of bones and muscles change the body structure, its ability to reproduce and manifest during puberty. If puberty is initiated before the age of 8 in girls and 9 in in case of boys, then it is a case of precocious puberty.
Studies to determine the actual cause as to why precocious puberty occurs have been inconclusive. In some cases, due medical conditions, such as hormonal disorders, brain abnormalities, brain tumor, and infections might cause precocious puberty. Generally medication is prescribed in such conditions to delay the process of puberty until later.
In case of girls, if you notice the below mentioned symptoms in a child who is about 8 years of age then it is a sign of precocious puberty:
- Breast Growth
- Menarche (First Period)
In case of boys if you notice the below mentioned symptoms in a child who is about 9 years of age then it is a sign of precocious puberty:
- Enlarged testicles and penis
- Facial hair
- Deepening voice
Also, there are few characteristics or traits which are common to both girls and boys and indicate precocious puberty if it occurs at an early age:
- Underarm hair or pubic hair
- Rapid growth
- Adult body odor
Precocious puberty might induce a few complications. A few have been stated below:
Short height: Children who are suffering from precocious puberty in many cases grow taller at a quicker rate at first. This generally causes such children to be of below average height when they enter adulthood. By early diagnosis and treatment of precocious puberty, such a situation could be avoided and the child in question would be taller than he/she would if they did not undergo treatment.
Social and emotional problems: Children who undergo puberty before their peers can end up being self-conscious about their body, which may result in low self-esteem or in extreme cases substance abuse.
Treatment of patients suffering from precocious puberty can be administered through medications like GnRH antagonist treatment. This is a monthly injection, which delays further development and has to be continued up to the point till normal puberty period sets in. If you wish to discuss about any specific problem, you can consult a Pediatrician.
Doctor only suggested me to use Venusia max cream on my 1 month baby. Can I use it or shall I use dermadew cream.
My daughter has turned now 1 and half month. I just want to know is there any vaccination should b given to daughter from birth. If any please give me full details of vaccination like which vaccines and how many times.
Hi Doctor, Now I have 6 month baby for twins, so I can introduce to my kids for extra virgin olive oil, for oil massage and foods, can you reply doctor as soon as possible.
My daughter licked a little of perlice creme wat should I do. I immediately wiped her tongue with a towel n rinsed it. But very scared.
Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.
Risk factors for iron deficiency in children
Infants and children at highest risk of iron deficiency include:
- Babies who are born prematurely or have a low birth weight
- Babies who drink cow's milk before age 1
- Breast-fed babies who aren't given complementary foods containing iron after age 6 months
- Babies who drink formula that isn't fortified with iron
- Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
- Children suffering from, Malabsorption, Chronic diarrhoea, thyroid disorders and Celiac Disease.
- Children ages 1 to 5 who have been exposed to lead
- Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia
The signs and symptoms of iron deficiency anaemia in children may include:
- Pale skin
- Fatigue or weakness
- Slow cognitive and social development
- Difficulty maintaining body temperature
- Increased likelihood of infections
- Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children
Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:
- Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
- Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
- Deworming: The power to kill parasites. With such tablets, we can eliminate worms in children and stop parasites from absorbing the critical nutrients a child needs to develop.
- Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Don't take pallor lightly. Consult the doctor.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same. If you wish to discuss about any specific child related problem, you can consult a specialized pediatrician.