Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 38 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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My son is 5 years old. I think his urinal way is smaller than boys of similar ages. Will it be a problem in future.
I am 17 yrs old and so weak and reason is nightfall. This sudden nightfall occurs and I came to know about this in next morning. My organ is also so weak and whole body is in pain feeling that nothing remains in the body. What to do? please help me!
Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev
Possetting. ( Vomiting as mothers complain )
Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.
Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.
Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:
Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.
Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.
However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev
Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
I am 30 year old woman I hv 10 month son I breastfeed him daily bt when I feed him I have pain so what should I do?
My son is suffering from loose motion for three weeks. Earlier also he used to have this problem. He is 13 years old and eats only homemade food. Yet he frequently affected by loose motion. Pl help.
Dear doctor, my daughter is 5 months old her weight is 7. 5 kgs - when she was born doctor has advised to give vitanova d3 - I seek you advice how long should it be continued? warm regards
My son 3 years old repeatedly getting cold & cough, month 3 times observed, cough with phlegm no fever & other problem kid is active. Doc suspects on allergy. AEC test done count is 468, recommending inhaler & asthalin syrup Pl suggest for small kid don't want give inhaler.
Should ragi malt be avoided when the baby is having cough and fever. What is the diet to be followed when 8 month old baby is having cough and fever.
My daughter is 3 years old. And she's experiencing toothaches at her age. She have dental caries. Some says she is lack of calcium because when I'm still pregnant of her, I drink coffee instead of milk, and I don't take vitamins. Is it normal for her to have dental caries?
I have a 18 months old son. He have brain infections during birth time. Now he has no devlopment. Can you help me.
Dear doctor, my nephew is 11 year old and he is in 6th standard but still he is passing urine in bed. My sister fed of this and she make him to pass urine before going to bed. But still he is doing in the bed. Kindly tell us what we have to do. Thank you.
Hi doctor. I have a daughter who is 3 months 20 days old. She cries a lot. As long as she is having milk she is quite but as soon as I remove the bottle she starts crying again. She is totally on formula feed as due to some medical reasons I can't breastfeed her. She gets hungry very soon. I m giving her nan pro 1 milk 5.5 ounces around 10 times a day. What should I do and how much milk should I give it to her? also once I start semi solid in sixth month, can I start some other milk which is less fatty like buffalo milk? pls help.
Newborn baby2-3 days old only. Today she has 5 stools per day, green in colour. Is it normal? The baby is not taking breast milk. Cz the mother has not started lactating.
Boy 2 years old. What is the pathology in his teeth. this problem is since when teeth started coming. Its painful and he is aggravated while eating and aml by rubbing his teeth when his mom rubs his teeth Today he was eating papaya and uska ek teeth toot gya that is uska ye milk teeth h and so early why is it so and what is the cause he is also suffering from convulsive attack. When attack comes he close his hand tightly and teeth locked and dyspnoea is seen. After attack he is prostrated and sleeps . Attack occurs with any kind of loud noise Please guide.
My baby is 6 months old. He is doing potty frequently. He use to go 2 times per day. But now he is doing 4 to 5 times per day. And I asked few people and they said it is normal when new teeth are coming out. please help me what I have to do to my son.
Hi, my baby is 5 months old. He has a severe chest congestion from last 7 days. Doctor gave maxtra drops 8 drops twice a day, ventorlin syrup 1.5 ml thrice a day and nebulization with levolin 0.3 mg twice a day. After 5 days I stopped giving medicines but next day he had chest congestion even more severe. I am afraid of medicines due to there side effects. Please suggest something. My baby is active and playful. He is taking breast milk properly.
My baby is 3 months old. He has chest congestion from last 4 days. I am giving him maxtra 6 drops thrice and asthalin 1.5 ml thrice a day. Now the mucus became loose and it came into his throat. He becomes very uncomfortable at that time. What to do ?
Hi doctor. My daughter is 18 months old. By mistake we have given her a dose of 2.5 ml in morning and 5 ml in the night of Alerid Syrup. Can you pls advice whether it leads to any problems.
The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them.
Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:
- Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child’s needs better, both physical and psychological.
- Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child.
- Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child’s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child’s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning.
- Focus on your child’s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child’s diet.
- Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.