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Dr. Gita Prasad Kaushal

Pediatrician, Delhi

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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Dr. Gita Prasad Kaushal is one of the best Pediatricians in Rohini, Delhi. She is currently practising at Dr Gita Prasad Kaushal in Rohini, Delhi. Book an appointment online with Dr. Gita Prasad Kaushal on Lybrate.com.

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What is the life span for a baby of 1 year suffering from leukodystrophy, along with other 18q syndrome anomalies?

C.S.C, D.C.H, M.B.B.S
General Physician,
What is the life span for a baby of 1 year suffering from leukodystrophy, along with other 18q syndrome anomalies?
Leukodystrophy is not a single condition, but refers to a group of conditions that mainly affect the white (? leuko?) matter of the brain and the spinal cord. The primary leukodystrophies affect myelin production or breakdown. Myelin is the substance that surrounds and insulates the nerve fibres in the nervous system. When myelin is damaged, the underlying nerve tissue cannot operate in the regular way. Leukodystrophies are usually progressive conditions, which means they get worse over time. They cause loss of normal brain functions. Life expectancy depends on the type of leukodystrophy. Treatment for leukodystrophy currently, leukodystrophies cannot be cured. Stem cell therapy and bone marrow transplantation have each been tried in some cases. However, the benefits depend on the timing, age of onset and severity of symptoms. Therapies such as gene therapy and enzyme replacement therapy are under investigation. Treatment is mainly supportive and may include: physical therapy occupational therapy psychological counselling family counselling (including genetic counselling) medications (for example, medications for seizures. Things to remember leukodystrophy refers to a group of inherited disorders that affect the white matter of the brain. It causes loss of normal brain functions. Onset of symptoms is variable. There is no cure, but supportive treatment can help manage some of the symptoms. Most children with leukodystrophy will have significant problems with walking, talking, and activities of daily living. Some children with leukodystrophy will have a progressive downhill course in their abilities and will have a shortened life span. We encourage you to discuss your child's prognosis with your provider. Because children with leukodystrophy usually have significant medical problems, the impact on the family will be significant. A support group (see below) may be extremely helpful for you and your family. No one can predict the life span. Please ask personally for more doubts.
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BHMS, M.D.
Homeopath, Bangalore
CALMING TIPS FOR CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) know the "Would you please just settle down!" phrase well, and likely use it on a regular basis.

There are a number of tips to help parents settle their child with ADHD down. These quick tips and relaxation techniques take the same amount of time as yelling and scolding but produce incredibly different results in children with ADHD.

Quick Calming Tips:
Try quick tips to calm a hyperactive child down during temper outbursts or unusually rowdy days. These calming tips are not novel to adults by any stretch. How many times have you heard "Take a deep breath and count to 10" or "Calgon, take me away." What works for big people works for little people as well. Deep breathing is one of the simplest ways to calm the body. Teach your children to take deep breaths (in through the nose, out through the mouth) when they begin to feel frustrated and out of control. Parents, you do this too!

Draw a warm salt bath or bubble bath to wash away the child's stresses of the day.

Take your child for a walk or send them around the block on their own if they are old enough. Not only does walking burn off excess energy, the repetitive thump, thump, thump of feet hitting pavement brings the mind back into focus.

Give your child a mini-massage. Touch is very important to Attention Deficit Hyperactivity Disorder children. Massaging their temples, giving a shoulder rub or lightly running your fingers through their hair can calm children quickly.

Put together a "Boredom Box" that provides creative outlets for your hyperactive child. Fill this box or plastic storage bin with paint sets, coloring books, crossword puzzles, modeling clay, jewelry making kits and other artistic areas of interest. Children with ADHD bore easily and their fast spinning minds need extra stimulation. In the absence of nothing better to do, children with ADHD will lean on their own devises and you don't want them doing that. Better that they draw than set the cat on fire...

The quick-fix calming techniques work to sooth the child with ADHD after they already became too stressed or active. There are also techniques that parents can teach their child with ADHD to help them get the "stuff" out before it builds up and explodes.

Create a calming home environment:
Attention Deficit Hyperactivity Disorder children have difficulty remaining calm in a hectic environment. Clearing the clutter and taking a "less is more" approach to decorating can reduce the sensory overload on the ADHD child.

The Attention Deficit Hyperactivity Disorder child's bedroom especially should be free of clutter. Use plastic bins to organize and store all those precious little plastic treasures (that we adults commonly refer to as "junk") and small toys. Open the curtains to provide natural lighting. Keep posters and wall hangings to a minimum. Paint the child's bedroom in calming muted colors instead of bright primary colors.

If you play music in the house, opt for soft "elevator music" or classical music instead of rock. Try to avoid loud clatters and noises when your Attention Deficit Hyperactivity Disorder child is at home.

Follow a Routine:
All children thrive in homes that provide routines, consistency and structure. Children with ADHD especially need structure and schedules to feel secure in their surroundings. For these children, a more "military" approach to routines works better. Waking up, eating meals, doing homework, and bed times should all occur at about the same time every day, with few surprises to upset the Attention Deficit or hyperactive child.

A Place to Relax:
If at all possible, find a space in the house to designate as a relaxation space. It does not have to be a large space but it does need to be away from high activity areas. This little corner (or even a portion of a walk-in closet) can have a beanbag chair and a few books, coloring books or other quiet time activities.

Encourage your child to go to this space when they become angry or out of control, but never make this a place of punishment. This special spot in the house is a positive place where they can go to settle down, sort things out or just hang out when they need to be alone.

Journaling:
For the child who is old enough to write, journaling is an excellent way to untangle frazzled minds and get things off their chest. This technique allows children with ADHD to spill their internal stresses outside themselves and onto paper.

Develop a daily habit of having your child write a page or two, depending on their age, about anything that comes to mind. They can write "I hate school, the dog just drooled, the baby's crying is driving me crazy..." - whatever comes to mind. Eventually, they will get to the guts of what is going on inside them. Then rumple or tear the paper up and throw it away.

These private internal thoughts are not for you or anyone else to read, ever. Please respect their privacy and let them know they can write anything down without fear of reprimand.

Taking a mini-vacation with Guided Imagery:
Guided imagery is a powerful relaxation tool for children with ADHD that pulls their focus to positive thoughts, all the while encouraging creativity in your child. You can check out books on this technique at your local library if you want further information on the subject.

Last, but certainly not least, diet:
Some parents find that reducing or eliminating sugar from the diet goes a long way in calming the hyperactive child. If your child is a finicky eater, you will need to supplement the diet to make sure your Attention Deficit or hyperactive child has the fuels needed for his body to function well.

Starting the day out with a healthy breakfast balanced with proteins, fats and carbs is important. An egg sandwich, peanut butter toast and fresh fruit, protein shakes and fresh fruit smoothies are great ways to start the day for children with ADHD.

Sugar cereals are quick and convenient but should not be used as a breakfast mainstay. Fruit juices are high in calories and sugar and not recommended for children, especially those with Attention Deficit or hyperactivity. Instead of juice or sodas, get in the habit of offering plain old H2O. With plenty of bottled waters that offer fruit flavors and vitamin enhancements, getting your children hydrated is easier now than ever before.
6 people found this helpful

Can we use shampoo for a 3 yrs old child if yes then which brand shampoo can we use.

C.S.C, D.C.H, M.B.B.S
General Physician,
No it is safe to avoid. Regarding online consultation there are certain points which all should know and follow the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin or I have thyroid disease, cannot help a discerning doctor give a scientific advice. 2) it is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch in case of new-born babies and for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer.
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I have 5 month old baby can consume regular water. Is it safe. Kindly advice. Also can We start giving her cerelac. Please advice.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
I have 5 month old baby can consume regular water. Is it safe. Kindly advice. Also can We start giving her cerelac. P...
You should start to give cerelac after 6 month and you should avoid the water also. You should keep your baby on mother feed or if you are giving powder milk, give in proper boil water and some time 1-2 spoon you can give boil water to your baby.
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My nephew, 4 yrs, suffering from measles for the first time since 1 week, and now doctors said measles virus has affected brain, he is not even seeing just sleeping, after admitted in hospital, he was getting fits 1 day and next day it stopped and he is shivering for half minute, fever which stopped again started 102 degree, reports are normal, CT scan is normal, bt in MRI it showed as measles virus affected brain, there is no improvement in him since admitted in hospital except only rashes and fits, what it could be, and how much time will it take for him to recover and will there be any complications in the future.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
It is expected that he must have been vaccinated including measles at proper schedule time therefore there is very remote chance to contract measles. Anyway, once any viral infection effects brain it is unpredictable to assess time of outcome. It is obvious that he is under care of expert in the field. I suggest to trust and discuss with treating doctors.
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My 1year 8months son has fever since 4 days. On antibiotic Gladyclav 228 since 3days and MBKcin injection since 2days and Meftal-p for fever, but his temperature still goes upto 103.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My 1year 8months son has fever since 4 days. On antibiotic Gladyclav 228 since 3days and MBKcin injection since 2days...
Get a complete blood count done meanwhile continue antibiotics as prescribed, fever may resolve in another 1-2 days.
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Hi doctors, my son age is 22 months. He effected birth injury. Doctors neurologist are confirmed .baby 2nd month onwards we are going for physiotherapy. Still neckholding didn't come. Doing physiotherapy regularly. Is there any other therapy? Please help me n my child.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi doctors, my son age is 22 months. He effected birth injury. Doctors neurologist are confirmed .baby 2nd month onwa...
your neurologist doctor approach is right. I don't think there is any other therapy may be useful.
1 person found this helpful
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Kid aged 3.4 years, weight 11.3 kgs. Regular cold issues and snoring at night. Possible Adenoids and Tonsils enlargement. Currently on Momeflo spray. Is Adenoids removal necessary in this case if enlargement doesn't reduces by Momeflo. Kid breathes mostly from mouth and currently diagnosed with ear infection. Does Tonsils needs to be removed also if they are enlarged or will Adenoids removal will help in clearing blocked nasal passages.

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
Hi removal of adenoids should definitely help. But you should at least try once more with proper course of antibiotics and decongestants before going for surgery as your baby is underweight should increase his/her nutrition too.
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Hi doctor my son is 20 days old he is having continuous vomits after every feed. Do not no why he taking out I have consulted to pediatrician he recommended to use NEOPEPTINE drops, but there is no change. He is taking out milk out of mouth and nose and crying. He is needed with mother milk (breast milk) and also we are making a two hours gap in every feed. Please help me out with a good solution. Thanks a lot.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor my son is 20 days old he is having continuous vomits after every feed. Do not no why he taking out I have c...
This is possetting and not real vomiting and is due to the muscular valve in esophagus not yet strong and will be there till 6 months or even upto one year . Do not give bottle feed . You have to burp well after each breast feed and put him on right side
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Could you please suggest a Syrup for feeding mother to get sufficient breast milk for the baby?

MBBS, MD
Pediatrician, Gurgaon
Most of drugs are not having any benefits. A hence I personally do not give medicine but like mother let child suck more that will increase the milk output.
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My daughter is six months old. Doctor suggested me to give her top feed (nan pro 2). Which is recommended for 6+ months child. Is it necessary to give the baby this extra supplement other than breast milk. How many times a day should I give top feed to my baby?

Masters In Nutritional Therapy
Dietitian/Nutritionist,
My daughter is six months old. Doctor suggested me to give her top feed (nan pro 2). Which is recommended for 6+ mont...
Food other than breast milk is necessary as this is the time of weaning period. Beside of kitchen feed and breast milk you can give nan excellapro2 or lactogen2 2 times a day for betterment.
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If nicip plus is consumed by child of 7 years once then what to do? Please advise

MBBS, DPM
Psychiatrist, Bangalore
Dear Bhim, How many tablets the child swallowed, whether the child had any food before swallowing the tablet, weight of the child, etc should be given in detail. If it is just one and after food, do not worry. But in future, be careful to keep all tablets out of reach of children. There are regular tablets supplied in child proof bottles.
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My 7th month daughter had cold 5 days back, she is still having wheezing kindly help.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 7th month daughter had cold 5 days back, she is still having wheezing kindly help.
For just cold you can give her Wikoryl drops 0.5 ml twice daily but if ther is infection antibiotic is needed.
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Can I give theptine biscuits to my 3 year old baby boy. Is that safe? please tell.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Can I give theptine biscuits to my 3 year old baby boy. Is that safe? please tell.
Threptin biscuits are also suitable for people who are in need of higher proteins and calories to meet a specific condition like pregnancy, growing children, elderly, recuperating patients, body builders, and other physically active people. The biscuits are lactose-free. Therefore, they are ideal for people with lactose intolerance who are unable to consume common protein-based food items. The biscuits are fortified with vitamin B and the calories provided in the biscuits help digest the protein. Threptin protein is cholesterol and trans-fat free. Threptin Lite, a variation of Threptin product is sugar-free. It has following benefits: It is beneficial for diabetic, cardiovascular as well as obese patients. It provides dietary fibre, which helps to reduce the cholesterol. It has antioxidants that help patients who are prone to oxidative stress e.g. diabetes patients. It also provides Folic Acid, Vitamin B12 and Vitamin B6.
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My 3 months old has got pneumonia recently. What precautions should we take in this monsoon.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 3 months old has got pneumonia recently. What precautions should we take in this monsoon.
You must vaccinate against pneu mococci with pcv. Continue exclusive breastfeeding till 6 months. Treat cold immediately.
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My 15 month old baby does not eat properly but she eat almonds and cashew. Her weight is only 8 kg pls suggest me what to do.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Aurangabad
My 15 month old baby does not eat properly but she eat almonds and cashew. Her weight is only 8 kg pls suggest me wha...
8 kg for 15 months is certainly ellora side of weight but what was your child birth weight that is important also it is very important whether your child has suffered from any major illness by gastroenterology he is infancy period as you told that your child is eating almonds and cashews that is good for health you can give her eggs dal containing more protein cereals non veg (if you are eating that) dates and sprouted cereal give her lot of cheese and protein containing powder in milk you can provide her some appetizers which will increase her appetite.
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Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

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