Dr. Dilip Pawar

• Worm infestation is one of the common problems not only in children but also in adults. They are major cause of childhood anemia and malnutrition, which leads to growth retardation, cognitive impairment, and poor academic performance.
• Worm infections are more prevalent among school children aged 5-14 years. They are seen in about 50% in urban and 68% in rural school children.
• Children are carrying worms in their intestine without their knowledge. Worms stick to intestine and keep on sucking blood and other nutrition. There are many types of worm like roundworm, thread worm, pin worm, hook worm etc. which can cause infection.
• Severity of infection depends on worm burden. A large majority of cases are asymptomatic. Infection is first identified when parents notice worms in stool .
• They can cause serious complication like Intestinal obstruction, liver disease, Pneumonia and even brain infections.

How we get worm infection?

• When people defecate in the open, millions of roundworm eggs are deposited in the soil or environment. They cans be carried around freely by dust, wind and rain.
• The infective eggs enter into the human body when we swallow or ingest fecal contaminated water or food. Or we pass onto food by infected hands, dirt under the nails, cups and plates.
• A child playing in a compound picks up infective eggs through dirty hands or play objects.
• Dirty human feet and animals walking in and out of houses bring the roundworm eggs into the home, and thus contaminate the home environment.
• In addition, flies, cockroaches and rats are also common vehicles that carry the roundworm eggs into the home where they infect humans.
• swimming in polluted rivers, eating without washing hands, geophagy (eating soil), eating unwashed fruits and vegetables.

In endemic areas eggs contaminate numerous domestic and public sites, including the following-

• Chopping boards • Coins• Door handles • Dust• Fingers• Fingernail dirt• Fruits and Vegetables
• Furniture • Paper money• Pickles• Public baths and restrooms• Public transportation (eg, buses)
• School rooms• Wash basins

How to prevent it?

• People need to adopt good hygiene habits by washing both hands properly with soap before eating or feeding children and after defecation.
• Wash vegetables thoroughly, especially when eating them raw.
• Cook food and vegetables properly to destroy the worm eggs.

• Hygiene and health education of school children is the most important activity to motivate children to change their behaviors and to take home the good hygiene habits.
• They can be shown photos of worm’s diseases, so that they can be easily persuaded to follow good hygienic habits.

How to identify worm infection?

• 85 % of patients are asymptomatic so it remains undiagnosed.
• Stool microscopic examination, for worms egg is a simple and cheap method of diagnosis .
• If the child is looking anemic, malnourished, weak, stomach pain or having anal itching, get his stool test done.

Treatment –
• Worm Infection can be easily cured. We have very good medicines available for worm infections.
• Consult your pediatrician for medication advice.
• But medication does not prevent re-infection.
• So the main treatment is, Prevention through Education of children and parents about importance of good hygiene.

Take Home message

Make it your family culture - Wash Hands with soaps just before eating food.
Wash fruits and vegetables thoroughly before eating.

For any queries, feel free to contact at penguinclinic.com

One should give exclusive breast feed to baby till 6mth of age. Milk production is a reflex process, more suking at breast will produce more milk. If u give top feed, baby will stop sucking at breast and milk production will decrease. So avoid top milk and give more of breast milk.

"Keep things positive"

Kid’s don’t like to hear what they can’t do, tell them what they can do instead. Keep it fun and positive. Everyone likes to be praised for a job well done. Celebrate successes and help children and teens develop a good self-image.


Happy Parenting,

Dr. Dilip Pawar
For any queries and doubt feel free to visit us at penguinclinic.com or post your query on facebook.

Albumin in urine means kidney is leaking protein.5+ is a high value.you should consult a good pediatric nephrologist for detail investigation and treatment.

Pentaxim is not banned by govt. Pentaxim is also a good vaccine, we prefer Pentaxim in those child where there is risk of complications because of quadravac.

Your neurologist is doing right thing. There are few preventive steps for migrain. Ask him he will guide you. Make your child tension and stress free. A good sleep is a first requirement for migrain cure.

Febrile convulsion means convulsions because of fever. You need to consult a good child neurologist for assessment and EEG

FIGHT the FLU (Influenza) through Education and Awareness.

By – Dr. Dilip Pawar (Pediatrician)

• FLU is caused by Influenza virus (Swine Flu is one of the types of influenza virus flu)

• It mainly affects the respiratory tract and causes diseases varying from mild cold to very severe pneumonia which may be life threatening.

• Flu becomes serious mainly in small kids, old people, and patients having poor immunity due to other diseases.

• Patient spreads the infection by coughing and sneezing infected droplets in the air.

• Flu treatment should be started in all patients and their high risk close contacts as advised by the treating doctor.

• Other measures include isolation of the patient, bed rest, lots of fluid intake, use of face mask (N95) and frequent hand washing by patient.

• An effective method of prevention is yearly Flu Vaccine. It should be given to all kids below 5 year of age, all high risk patients and patients with poor immunity.

• Immunity develops after 2 – 3 wk. of vaccination and last for 6 to 12 months.

• Educating others at home, in schools, offices and society helps in controlling the spread of FLU.

• For any queries and doubt feel free to write us at info@penguinclinic.com or post your query on facebook.


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Role of parents
In their child’s mental & social growth

By – Dr. Dilip Pawar (Pediatrician)

Children who experience neglect in the form of limited learning opportunities, limited play material for brain stimulation at home or poor parent’s-kid’s interaction, are more likely to have poor language, intellectual and social development. They are also more prone to poor school performance and attention regulation problems.

Studies have shown that early intervention in the form of parental education and providing brain stimulating activities for toddlers and children at home, leads to significant improvement in them.
In addition comparative studies have shown that children with good mental and social development have following home environment as compared to others.

These parents have

• Good verbal interaction with their kids.
• They narrate stories to their kids.
• They have age appropriate toys and play materials at home.
• They have good numbers of books and magazines at home.
• They praise their kids often and spontaneously.
• They celebrate their kids small achievements.
• They take their kids on education excursions like zoo, museum, parks etc.
• They encourage their kids to take up extracurricular activities like painting, dancing, sports etc.
• They themselves have good social behavior and good interpersonal relations.
• They have good education and good vocabulary.
• Their TV viewing is limited and controlled.
• They avoid harsh disciplinary methods with kids.
• They are health aware and have good knowledge of balanced diet.

To Summarize, parents and their home environment play a significant role in their child’s mental and social capabilities.
This is the basic foundation on which his/her personality develops later in life.

Happy Parenting,

For any doubts and queries contact
Penguin Clinic For Child Health
penguinclinic.com

Role of parents
In their child’s mental & social growth

By – Dr. Dilip Pawar (Pediatrician)

Children who experience neglect in the form of limited learning opportunities, limited play material for brain stimulation at home or poor parent’s-kid’s interaction, are more likely to have poor language, intellectual and social development. They are also more prone to poor school performance and attention regulation problems.

Studies have shown that early intervention in the form of parental education and providing brain stimulating activities for toddlers and children at home, leads to significant improvement in them.
In addition comparative studies have shown that children with good mental and social development have following home environment as compared to others.

These parents have

• Good verbal interaction with their kids.
• They narrate stories to their kids.
• They have age appropriate toys and play materials at home.
• They have good numbers of books and magazines at home.
• They praise their kids often and spontaneously.
• They celebrate their kids small achievements.
• They take their kids on education excursions like zoo, museum, parks etc.
• They encourage their kids to take up extracurricular activities like painting, dancing, sports etc.
• They themselves have good social behavior and good interpersonal relations.
• They have good education and good vocabulary.
• Their TV viewing is limited and controlled.
• They avoid harsh disciplinary methods with kids.
• They are health aware and have good knowledge of balanced diet.

To Summarize, parents and their home environment play a significant role in their child’s mental and social capabilities.
This is the basic foundation on which his/her personality develops later in life.

Happy Parenting,

For any doubts and queries contact
Penguin Clinic For Child Health
penguinclinic.com