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Dr. Aloke Goel

Pediatrician, Delhi

400 at clinic
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Dr. Aloke Goel Pediatrician, Delhi
400 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Aloke Goel
Dr. Aloke Goel is a renowned Pediatrician in Naraina, Delhi. He is currently associated with Dr. Aloke Goel@Apex Hospital in Naraina, Delhi. Book an appointment online with Dr. Aloke Goel on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 42 years of experience on Lybrate.com. You can find Pediatricians online in Delhi 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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Apex Hospital

E 22, Naraina Vihar, Naraina, Landmark: Opp. Bikarnervala.Delhi Get Directions
400 at clinic
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Weight Gain Issue Among Exclusive Breast Feed Baby

Diploma in Child Health (DCH), MBBS
Pediatrician, Seoni

Doctor sahab my baby is not gaining weight properly or not eating anything is the one of the major complain in any parenting forum and in my clinic also. This blog is dedicated to those parents who always concerned about baby weight. I will try to cover all step by step. This post is only for exclusive breast feeding baby means below 6 months of age baby. At birth baby weight should be approximately 3kg or more than that. Less than 2.5 kg is low birth weight. Babies lost there weight in initial days and regain there birth weigh around 10th to 14 th day of life. In first 3 months growth rate is approximately 25 to 30 gm per day after that it will increase @ 400 gms per month till 1 year. Weight will double at 5 months and triple at 1 year. Usually we compare our baby weight with others and get frustrated our baby is not healthy. We expect chubby photogenic baby. So here I will try to explain the whole story.

Let's start from the very beginning the story start the day we decide to have a baby. Maternal nutritional status and medical fitness have a mojour role. Single infection can cause low birth weight baby or preterm. In us dental infection is one of the majour cause of preterm baby. We adviced to consult couples before and after pregnancy for any problem. You can have folic acid 3monthes before concepction. Mother, short interval of previous pregnancy, maternal hemoglobin level, nutritional status, high bp (pih, viral infection, bleeding per vaginal, chromosomal abnormalities can be cause of low birth wight, prematuered or iugr baby. Women should have healthy food, do some light exercise and try to live stress free life.

In second part of story baby born with certain weight and maturity. Weight less than 2.5 kg is low birth weight and birth before 37 weeks called premature baby. Baby weight gain is mostly affected by recurrent infection and feeding and temperature for initial days.
 

Temperature regulation:
Too hot or too cold weather can affect weight. Try to wear one extra clothes what we are wearing like if we are comfortable in half shirt we can wear him full shirt or if we are comfortable in full shirt we can wear him a half sweater more. In winter we have wear him cap and shocks but in summer only cotton jhabla is sufficient. 

Infection control:
New born babies had low immunity so chances of infection is much more. To prevent infection you should remember these things

  • try to touch baby after hand wash and try to not touch the above the wrist joint. We touch by infected hand and baby keep the same hand in his mouth get stomach infection.
  • don't give any antibiotics without without consulting doctor and complete full course of antibiotics
  • immunize your child as per schedule.
  • avoid bottle feed if possible and if you are using it should be properly sterilized.

Feeding:
Exclusive breast feeding is adviced till 6 months. There is either problem in milk production and ejection or technique of feeding.

  • Milk production and ejection: Milk production is controlled by prolactin harmone. For most part of milk production is use it or loose it process. The more often baby nurse the more milk you make. Oxytocin harmone is responsible for milk ejection. Suckling, thought of the baby, sound and sight of
  • Baby stimulate milk ejection: Stress is the major suppress of milk ejection. Plenty of water, milk, apricot, poppy seed, papaya, oatmeal, carrot, bottle ground, funnel seed, basal leaf, can be used to augmentation of milk production.
  • Breast feeding: Proper positioning and attachment is necessary for successful breast feeding. Try to feed baby with one breast at a time so baby can get for milk and hind milk both. For flat or inverted nipple can be corrected by syringing method. Tounge tie or fungal infection can be cause of improper feeding. Feed your baby on demand or every 2hr. If baby satisfied he should sleep 2 to 3 hrs after feeding, passes 6 to 8 time urine. 5 to10 min sufficient for feeding if your baby takes half an hour means you had less milk production. Initial 3monthes feeding frequency8 to10 times day after 7 to 8 times a day may be sufficient.
  • Condition related to baby: For preterm and low birth weight kangaroo mother care is very useful. Where baby is kept in vertical position between the mother breast under the clothes so both skin can be in touch. You have to keep baby at least 1 to 2 hrs in a single sitting and as long as you can. It helping milk production and weight gain of baby. Repeated infection of respiratory tract, stomach infection, urinary tract infection, some congenital infection, metabolic disorder may cause slow weight gain. Neurological insult during delivery may cause slow weight gain with delayed mile stones.
  • Motherhood is a great honor and privilage: It is the most challenging and utmost satisfying job, and as in every job first year is most difficult one with less paying with no vacation. As a man we never understand these things. So big salaute to those moms who day and night care there baby and wish best of luck.

My baby is suffering with constipation please advise me what is the best solution for it. Her age is 20 months. We have consulted doctor's many times but no use.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is suffering with constipation please advise me what is the best solution for it. Her age is 20 months. We ha...
It may be functional constipation. Give abundant fluids and fibre. If you have already tried laxatives without any result you must show to a pediatric surgeon to rule out anorectal anomalies.
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Hi doctor my sister has new born baby. She is 24 year old. Her prbm is due to feeding it's paining in her right side nipple. Wt type of prbm it is? Is any infection. Pls give some solutions.

MBBS, MD - Paediatrics
Pediatrician, Pune
Hi doctor my sister has new born baby. She is 24 year old. Her prbm is due to feeding it's paining in her right side ...
Pain can be due to cracks in the nipple. It can be due to infection also. Apply your own milk after feeding the baby. The last part of milk is rich in fat and can help in healing. If there is any tenderness in breasts and discharge then please consult your doctor.
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My 8 month old son had Dilo BM when we were not around. He probably had about half a tea spoon. Do I need to take him to hospital immediately or what signs I should look for to take him to a hospital?

MD, MBBS
Pediatrician, Bangalore
My 8 month old son had Dilo BM when we were not around. He probably had about half a tea spoon. Do I need to take him...
Don't worry nothing happens except little sedation, but take care iñ future he can take more and other dangerous thighs.
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Sir, I have a 8 years old son studying in grade 2, he is very impulsive, never sit and concentrate, never obey and listen, very destructive, sometimes hits back on us. He enjoy the repetitive task from where we stop. Please give me your kind suggestion.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Dear lybrate-user this is an issue with behavioural aspects There are specialists called child psychologist or counsellors These are not psychiatrists You need to consult them It is easier to mould the child at this stage rather than later.
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Do kids need antibiotics? If yes how often they have to be given if they are falling sick almost once or twice every month.

MD Pediatric
Pediatrician, Mumbai
Do kids need antibiotics? If yes how often they have to be given if they are falling sick almost once or twice every ...
It depends on what kid is suffering from. Antibiotics acts against bacteria. So if child is suffering from some illness caused by bacteria he should be treated with appropriate antibiotics. In children frequent episodes of common cold (viral) is quite common. If they are growing normally they just need comforting measures during the episode not antibiotics.
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8 Tips to Improve Your Child's Mental Well-being

Hypnotherapy and NLP, CBT, Autism, Ph.D-Clinical Psychology, MA - Applied Psychology, BA - Psychology
Psychologist, Gurgaon
8 Tips to Improve Your Child's Mental Well-being

Parents are always concerned about their child's physical health, but often ignore their mental health. Along with physical well-being, your child's mental well-being is also equally important.

The following are eight tips to improve your child's mental well-being:

  1. Adequate sleep: Sufficient amount of sleep is required for a child to stay mentally fit. Parents often engage their children with various classes and activities and compromise on their sleeping hours. This in turn affects the child's mental state. Therefore, as a parent, you must take care not to compromise on your child's sleeping hours.
  2. Allowing them to play: Nowadays, children are overburdened with studies and other learning activities. They do not get to play quite often. But as a parent, you must take care of your child's schedule, so that he/she can have proper playtime too. Playing involves physical activity as well as creativity in certain cases. This helps to improve mental health.
  3. Learning to share and care: You must take care to inculcate in your child the values of sharing and caring. These little things can also help improve your child's mental health. Learning how to share with others and caring for others will help them to stay happy.
  4. Regular exercise: Encouraging your child to regularly exercise will not only help improve his/her physical health, but also mental health. It will also help them to reduce stress and maintain a good mood as well.
  5. Listen to them: Parents often ignore when children are speaking on less important matters; may be about a new friend or a strict teacher in school. But as a parent, you must take out some time from your daily schedule to listen out to their stories. Listening to them attentively will make them feel important, increase their confidence and hence, improve their mental well-being.
  6. Encourage them to make friends: Encouraging your child to make new friends will help them to socialize better. They will feel confident about themselves and also open up. This can boost up their mental well-being.
  7. Good nourishment: Proper nourishment is not only essential for being physically fit, but also mentally fit. Good nourishment will help them stay healthy physically and increase their energy levels. This in turn will positively affect their mental health.
  8. Make them feel safe: Children need to feel safe in order to stay mentally fit. Try and spend some time with them every day. As a parent, always make your children realize that you are right beside them. Listen to their problems and help them find solutions to solve those instead of scolding them. Help them to relax and feel secure to stay mentally fit.

If you wish to discuss about any specific problem, you can consult a the doctor and ask a free question.

2518 people found this helpful

My kid baby boy age is 13 months but his weight is just 8 kg and the boy is very active. Please help me.

ICMR Training. in. clinical. Genetics and Metabolism, Fellowship in Pediatric And Adolescent Endocrinology
Pediatrician, Jalandhar
Hello , weight is less, but birth weight and feeding practices are important to assess. Also it depends on the height gain and weight gain pattern whether the child is having an issue or not. You should ask your pediatrician to plot the height and weight and head size on growth chart and keep monitoring growth every two months. This way you can make an informed decision and management can be done. I hope it helped Dr. Uppal growth, childhood diabetes and hormone specialist.
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Hi, my daughter is 3 year old, she has congestion, cold from last month, doctor suggested augmentin and maxtra, but today we see some red spots on her Legs and few places on hands, the spots looks similar to hives, how to cure the red spots.

MS - Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Varanasi
Hi, my daughter is 3 year old, she has congestion, cold from last month, doctor suggested augmentin and maxtra, but t...
Seems bit too much for simple cold n congestion in such a small baby. Althrocin or plain amoxicillin would have been good enough.
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