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Dr. Dharmendra K Dewan

Pediatrician, Delhi

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Dr. Dharmendra K Dewan Pediatrician, Delhi
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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. Dharmendra K Dewan
Dr. Dharmendra K Dewan is an experienced Pediatrician in Rohini, Delhi. He is currently practising at Dr. Dharmendra K Dewan in Rohini, Delhi. Book an appointment online with Dr. Dharmendra K Dewan on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 33 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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Sir, Meri Beti 4 month and 15 days uska birth weight 2 kg 700 gm the. Uska ab weight 4 kg h jo ki health chart se km h. Usko Atoz syerp Di h chide speslist ma. Or wo bottle se feed kerti h or buffalo milk piti h 1/4 water add Kerke. Or kabhi loose motion or vomit ho Jaati h. Cough nhi h Usko. Loose motion to hota hi rhta h. Or kabhi ek dum tight potty aati h.Please advise.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Sir, Meri Beti 4 month and 15 days uska birth weight 2 kg 700 gm the. Uska ab weight 4 kg h jo ki health chart se km ...
As far as possible animal milk should be avoided till 6 mths of age. It may cause severe abdominal pain, constipation or loose motions, anemia etc. Mothers milk is best for physical and mental development of baby. If it is not available formula milk like lactogen 1 should be given (till 6 mths of age) that too with spoon. At one time baby should take around 120 ml and number of feeds should be 6-8 per day. Give orofer-xt drops, 8 drops 2 times a day till one year of age which will correct anemia which must have developed due to buffalo's milk.
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My daughter bshut roti hai Avi 4yera ki hone ja rahi hi fir avi v bahut roti hai Plesse koi upay bataye ki kya jare bahut presan rahte hai.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter bshut roti hai
Avi 4yera ki hone ja rahi hi fir avi v bahut roti hai
Plesse koi upay bataye ki kya jare b...
It can be abdominal pain and if she is bottle fed it is the reason and give her in glass and stop bottle
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My new born baby is not drink her mother's milk? Please consult me that how can milk drink?

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My new born baby is not drink her mother's milk? Please consult me that how can milk drink?
Put to the breast whenever baby cries. Don't put any fixed timings for feeding. Follow demand feeding. See to it mother is getting sufficient milk.
1 person found this helpful
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My son is 11 years old. Studying 6th std. He is interested in all, except education. If we tell you read or write, immediately he is change his feelings. And also very aggressive and laziness with recklessness. Please suggest me to get interest on education and to listening my words.

MD
Pediatrician, Indore
It is difficult and not worth to impose our wishes and feeling. This may distract and divert. Keep patience. He may surprise you in other fields.
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seizure control - important do's and don't

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra

Any patient who is having seizures or epilepsy should take medicines regularly. A patient who has seizures and on medicine should be seizure-free for a minimum of two years before tapering of dosage. Most of the patients who become seizure free for few months or a year tries to decrease their dose on their own and sometimes stop it, that increases their chance of recurrence of seizures. It's very harmful because it affects their natural history of the disease and the seizures which could be controlled on single drug become drug resistant seizures. When a patient is considered for tapering of dosage. His drug is tapered slowly over few months.

4 people found this helpful

What Is Early Childhood Development?

Panchkula & Delhi
Mother and Child Care, Panchkula
What Is Early Childhood Development?

The early childhood period is considered to be the most important developmental phase throughout the lifespan.  This period focuses on the physical, social/emotional and language/cognitive domains of development of a child, which have direct effects on their overall development as an adult in the future.

Physical Development: Physical developments of a child are associated with the motor skills and physical growth of the child. As a child grows and his or her nervous system become more mature, the child becomes more capable of performing increasingly complex actions such as walking, running, balance, and coordination which involve the larger muscles like arms and legs, as well as, some more intricate skills such as drawing, writing, grasping objects, throwing, waving, and catching, involving the smaller muscles in the fingers, toes, eyes, and other areas. Physical growth follows a directional pattern, such as the body's core, legs and arms develop before the small muscles in the fingers and hands.  The muscles in the center of the body become stronger and develop before those in the feet and hands. Development goes from the head to the toes.

Cognitive Development: Cognitive abilities are associated with memory, reasoning, problem-solving and thinking that continue to emerge throughout childhood. There are four Stages of Cognitive Development:

Stage

Age Period Between

Milestones

Sensorimotor Stage

Birth to age 2

Respond to sensory stimuli by simple motor skills.

Preoperational Stage

Age 2 to 6

Learn to use language, but do not understand logic or mentally manipulate information and understand others' point of view.

Concrete Operational Stage

Age 7 to 11

Begin to think logically about concrete events, but have difficulty understanding abstract or hypothetical concepts.

Formal Operational Stage

Age 12 to adulthood

Able to think about abstract concepts and develop skills such as logical thought, deductive reasoning, and systematic planning.

Language Development: It is the most remarkable development in children. According to several researches, it is found that language development begins at fetal level, as the fetus is able to identify the speech and sound patterns of the mother's voice and by the age of four months, a child can distinguish between sounds and read lips. Infants are able to differentiate between speech sounds from all languages; however, around the age of 10 months they lose this ability and begin to recognize their native language only.

7388 people found this helpful

I have 3 month old son and he after birth regularly goes to potty 6 to 7 or sometimes 8 to 9 but I find it normal that time but now i'm getting worried because of it I believe he's growth kind of disturb. His weight is 5.5 kg. Please give me advice it is ok or not and what should I do.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
I have 3 month old son and he after birth regularly goes to potty 6 to 7 or sometimes 8 to 9 but I find it normal tha...
Consult your child doctor. Baby of 3 months does urine 7 -8 times a day but potty may be 4-5 times is ok but 8 -9 times is slightly on the higher side. Does he take outside food to eat or is only on mother's milk? If ony on mother's milk, check what you eat. Avoid heavy meals and also avoid heavy dinners. Check with doctor.
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Sir my 5 months baby girl looks week and she sucking her all finger all time after feeding. Can I give her any other think.

MD - Paediatrics
Pediatrician, Rewa
Sir my 5 months baby girl looks week and she sucking her all finger all time after feeding. Can I give her any other ...
It`s a natural reflex don`t worry, what is her weight. Give only mother`s milk up to 6 months of age then supplement home cooked food and continue mother`s milk minimum up to 2 years. Formula feeds I don`t recommend.
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We have a 3 month old baby boy and did not poop for 10 days. Today is the 10th day. Please Advice. Many Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
We have a 3 month old baby boy and did not poop for 10 days. Today is the 10th day. Please Advice. Many Thanks.
If you bottle feed, you have to stop bottle and feed with spoon and breast only. His thyroid needs to be checked
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Im a mother of 2.8 years old twin girls. Can I give them a very small quantity of Dabur Chyavanprash daily and then gradually increase to one spoon. They are just 11 kgs and born premature. Very poor eating habit and has constipation problem.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Im a mother of 2.8 years old twin girls. Can I give them a very small quantity of Dabur Chyavanprash daily and then g...
U may give but remember that house cooked nutritious diet of their taste n choice is good for health. Fibrous diet n good quantity of liquid shall be helpful for constipation.
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My nephew is 8 year old and he is diagnosed with Autism. He was diagnosed at the age of 3 years. At that time he was not able to stand on his own, avoids eye contacts, irritates and bites his own hand. He is now getting treatment from a Hakim in Muradnagar, Ghaziabad from last 3 years. He is now able to walk on his own but not able to speak or behave normally. He still bites his hand very often in anger. He wants to be alone but likes her parents company, now responds to her parents when they call him. Please help, if somebody knows the medicine or treatment of Autism.

C.S.C, D.C.H, M.B.B.S
General Physician,
Early diagnosis and treatment helps young children with autism develop to their full potential. The primary goal of treatment is to improve the overall ability of the child to function. Symptoms and behaviors of autism can combine in many ways and vary in severity. Also, individual symptoms and behaviors often change over time. For these reasons, treatment strategies are tailored to individual needs and available family resources. But in general children with autism respond best to highly structured and specialized treatment. A program that addresses helping parents and improving communication, social, behavioral, adaptive, and learning aspects of a child's life will be most successful. The american academy of pediatrics (aap) recommends the following strategies for helping a child to improve overall function and reach his or her potential: 6 behavioral training and managementbehavioral training and management. Behavioral training and management uses positive reinforcement, self-help, and social skills training to improve behavior and communication. Many types of treatments have been developed, including applied behavioral analysis (aba), treatment and education of autistic and related communication handicapped children (teacch), and sensory integration. Specialized therapies. These include speech, occupational, and physical therapy. These therapies are important components of managing autism and should all be included in various aspects of the child's treatment program. Speech therapy can help a child with autism improve language and social skills to communicate more effectively. Occupational and physical therapy can help improve any deficiencies in coordination and motor skills. Occupational therapy may also help a child with autism to learn to process information from the senses (sight, sound, hearing, touch, and smell) in more manageable ways. Medicinesmedicines. Medicines are most commonly used to treat related conditions and problem behaviors, including depression, anxiety, hyperactivity, and obsessive-compulsive behaviors. Community support and parent trainingcommunity support and parent training. Talk to your doctor or contact an advocacy group for support and training.
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Aagar baby ko loose motion lag jae to opium de sakte hai ya nahi. Agar dene k baad koi problem ho to kya kre.

BHMS
Homeopath, Secunderabad
Aagar baby ko loose motion lag jae to opium de sakte hai ya nahi. Agar dene k baad koi problem ho to kya kre.
Please take the baby to the doctor if the frequency of loose motions do not decrease. Keep feeding the baby. Keep checking for fever and any drowsiness.
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Dear doctor, I have a 12 year old son. He does’t show any interest in studies. He always likes to play computer and mobile games or watch TV. He studies and writes very little, compared with the syllabus for exams. This is happening from class I on words. He is studying with state syllabus. He studied well up to UKG only. Even when I try to show interesting videos in internet related to studies, he does’t like. Even when we scold him, he doesn't care. He frequently bunks classes. Even brushing teeth and bathing does not do regularly, even when we - parents put a lot of pressure. But he loves us and plays with us well. He behaves well with friends and neighbors. He also likes to eat junk food daily, because of which he is getting frequent health problems. I like to know whether there is anyway to change his behavior and create interest in studies to him, avoid junk food.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good ​Afternoon, The symptoms that you describe for your son are very characteristic of ADHD with behavioral disturbances. Attention Deficit Hyperactivity Disorder can be of 3 types, isolated inattentive type, hyperactive/impulsive type and mixed type. It seems like he has been having these symptoms since 5-6 years of age. I also believe that you will do well to take him to a psychiatrist so that he gets better. He may also be having depression and irritability is a common sign of depression. I believe that you need to let me know more about your kid so that I can get to a proper diagnosis and help with management. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio or video appointment for confidential and private consultation you may do so by contacting the help desk of Lybrate.
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My child 7 month old Suffering from cough and cold Ascoril LS plus good for him? As suggested by doctor.

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
My child 7 month old
Suffering from cough and cold
Ascoril LS plus good for him? As suggested by doctor.
Hi thanks for your query in 7 month old baby to have a cough you can give syrup ascoril but before starting any medications on home I would like to suggest you to visit nearby pediatrician and get changed examination done and to rule out underlying pneumonia infection of the lungs.
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Guideline Steps for Breast Examine by Patient

Homeopath,

Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.


Here's what you should look for:

Breasts that are their usual size, shape, and color

Breasts that are evenly shaped without visible distortion or swelling

If you see any of the following changes, bring them to your doctor's attention:

Dimpling, puckering, or bulging of the skin

A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)

Redness, soreness, rash, or swelling


Step 2: now, raise your arms and look for the same changes.

 

Step 3: while you're at the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).


Step 4: next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.

 

Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage.

 

Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. This up-and-down approach seems to work best for most women. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you've reached the deep tissue, you should be able to feel down to your ribcage.
 

Step 5: finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step 4.

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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

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I have a small brother age 1year he is having fever for last 3 months when medicine given fever goes out. But again come after 3or4 hours when fever goes out the baby becomes normal what are the reason. What should I do

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It is very important that the baby be seen by a good physician immediately. Fever is an important sign of illness and should never be ignored. The baby might need some blood tests too.
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My baby is 2 and half year old and she is just 11 kg. she is very fussy eater and doesn't like to have anything at all. What can I do to improve her apetite and increase her weight? Please suggest!

MD
Pediatrician, Secunderabad
1. Get her checked by a pediatrician 2. She may b suffering from anemia 3. 2and half yr and 11 kg is lying in normal spectrum of weight so her appetite should be normal
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