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Dr. Harish Kumar Pemde

Pediatrician, Delhi

Dr. Harish Kumar Pemde 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.
More about Dr. Harish Kumar Pemde
Dr. Harish Kumar Pemde is a renowned Pediatrician in Rohini, Delhi. He is currently practising at Dr Harish Kumar Pemde in Rohini, Delhi. Book an appointment online with Dr. Harish Kumar Pemde on Lybrate.com.

Lybrate.com has a number of highly qualified 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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1 Nav Vikas Apartments Sector 15 Rohini, Delhi, DelhiDelhi Get Directions
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Is biscuit to be given to small baby? After which age biscuit is good for small baby?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Buscuits contain refined flour (maida) which is not good for children. It causes stomanch pain and colic and indigestion in babies. It is best to give them these things after 2 years of age. Also in limited quantities.
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My six year old daughter suffers from midnight visit barking coughing with vomit of coughs occasionally. I give her cough syrup. What may be the reason and what is the treatment for it?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Barking cough with vomiting is said to be due to pertussis i. E kali khansi. I am sure she must have been properly vaccinated including pertussis. Even then pertussis cough may occur. It is better to consult pediatrician in person.
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I have taken amoxicillin cetrizine after that breast milk production is less. Plus suggest how to increase the production.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
These medicines have no effect on production of milk. Best way to increase production, put baby on breast to suckle till breast becomes empty or baby is satisfied.
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Hi, My son is 4 years old. Suddenly since last night few blisters appeared on his back and on front left lower side of stomach. Please consult what is this disease and the treatment.

BHMS
Homeopath, Secunderabad
It can be any thing! It needs to be checked to ascertain what it is. It can be allergic rash or it can be some skin infection. If it is some minor problem it will subside in 2-3 days.(ask if there is itching, fever etc). Maintain hygiene always. Better visit a doctor if there is no relief.
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

2 people found this helpful

My little daughter (2 years 10 month old) dos not want to take any kind of food every time she want to take mother's milk, please give us some advice.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
At this age, mother's milk does not provide any kind of nutrition. There is a thing called positive reinforcement - means giving reward every time she tries new food, may be small. Stop breast feeding, it is really not useful at this age. Please do not punish or use any kind of negative reinforcement for the child.
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Hi. Recently my wife has 12 days baby girl our problem is she can not eat mother feeding directly. If we force she started more crying. Then we have to eat mother milk or amul shakti by spoon. This is now daily problem so what we do? So that she direct eat mothers milk. please help. Weight 3 kg.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Mother might be having problem of retracted nipples which the baby can't hold in his mouth. So help of a senior lady can help this by doing massage of the nipples. Always try to give breast feed directly through sucking otherwise milk secretions will be reduced gradually. --you can use a blunt forcef to hold the nipple and put in mouth of baby. --baby's are very smart. After feeding with bottle (which require no effort) they will avoid breast sucking as it requires effort. --always avoid feeding with bottle.
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Hi, My sister adopted a baby boy having 4 month we don't know how we will care? Can you please give some tips how could we care, what type of Food , timing, oil, medicine for digestion . Everything.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Sir, What is the weight of the child. Child needs milk feeds. you can give by spoon. You can from Lactogen formula 1 or NAN 1 formula, Child needs vaccination every month. Clothing should be cotton. Keep the child warm. Get back to me for any clarification.
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My son 12 year, his SGPT is 34.1IU/L and SGOT is 22.8 IU/l, kindly guide what its means and remedy.

MD
Pediatrician, Secunderabad
Normal (in most senarios) Please donot enquire about lab reports its unethical to comment upo lab reports before seeing the patients.
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My baby is suffering from loose motion since 2 weeks. We have shown her to pediatrician. She recommended walamycin, enterogermina, gastric, zinc drops but still she is doing 6 -7 stools per day. Please suggest.

MBBS, MD-Pediatrics
Pediatrician, Faridabad
I think u should stop milk feeds &keep him on lactose free milk.breast feeds can be restarted once motions stop.
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Dear sir my child born on 10 months before , by operation . After six months his right hand function is very slow compare to left hand. Two months he was treatment by psychotherapy, his right hand function is slowly recover, but fully not cured what treatment is required , in allopathy or homeopathy or sidda what can I do sir thanks sir.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
It appears if your child is using left hand more than right hand that is giving impression of weakness of right hand. It is just possible that your baby may become left handed. Even then give message and active & passive movements to rt hand beside good nutritious diet.
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My daughter is 5 years old her hair is very thin not even a little finger size I use coconut oil Nad clinic plus shampoo can you suggest Me what to do to make her hair thick oil shampoo and food that can be given.

MD - Paediatrics
Pediatrician, Ludhiana
Cnslt skin specialist fr any local infctn if any. But mostly this is due to dietary deficiencies which needs to be corrected first.
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When to Seek Medical Help for Epilepsy

MBBS, MD - Psychiatry
Sexologist, Mumbai
When to Seek Medical Help for Epilepsy

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

  1. You must take medications exactly as your doctor has prescribed.
  2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
  3. You should never stop taking the medicines.
  4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
  5. In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.

Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

4443 people found this helpful

My 7 years child is suffering from typhoid, what kind of food we have to give for his better health and for early recovery.

CCH, CGO, BUMS
Unani Specialist, Udham Singh Nagar
Give light diet fruits and juices foods cooked on high heat and ofcourse boiled water. Keeping your toilets clean is must.
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My 5 months old son. I think he is weak as compare to other kids. How he gain proper weight and height. Is cerelac is good for him. Also tell me some homemade food for him?

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
5 months baby should not be put on cereal but it should be started once he had completed 6 months of age. Baby requires exclusive breast feeding in first 6 months of life. Even water is not required irrespective of weather condition 2 anytime freshly prepared home made non chewable mashed food should be introduced like dal dalia khichri sujji ka halwa mashed banana 3 fruits juices soup can be supplemented to home made family food. 4 say big no to commercial baby food except in special circumstances like travel working mother.
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My grand daughter is not gaining height as per her age. She is 13 months old. What should I do?

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Kindly share her weight and height. Along with what she had consumed in the last three days. It will be helpful if you can mention her birth weight.
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Baby Bottle Caries In Bottle Fed Children

PGDHHM, BDS
Dentist, Gurgaon
Baby Bottle Caries In Bottle Fed Children

What is baby bottle tooth caries?
 

Baby bottle tooth decay is caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. Among these liquids are milk, formula, fruit juice, sodas and other sweetened drinks.
The condition is associated with breastfed and bottle fed infants who have prolonged feeding habits or with children whose pacifiers are frequently dipped in honey, sugar or syrup. The sweet fluids left in the mouth while the infant is sleeping increase the chances of cavities.
 

Why should I be worried about baby bottle tooth decay?
 

Giving an infant a sugary drink at nap or nighttime is harmful because, during sleep, the flow of saliva decreases, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, decay can result, which can cause pain and infection. Severely decayed teeth may need to be extracted. If teeth are infected or lost too early due to baby bottle tooth decay, your child may develop poor eating habits, speech problems, crooked teeth and damaged adult teeth.

How can I prevent baby bottle tooth decay?
 

1. Never allow a child to fall asleep with a bottle containing milk, formula, juice or other sweetened liquids.
2. Clean and massage the baby's gums to help establish healthy teeth with a moistened gauze square or washcloth.
3. Brushing should begin upon eruption of the first baby tooth. When brushing a child's teeth, use a soft toothbrush and water.
4. Parents should first bring their child to the dentist when the child is between 6 and 12 months old for a checkup.
5. Decrease consumption of sugar, especially between meals.
6. Children should be weaned from the bottle as soon as they can drink from a cup, usually by their first birthday.

My child is ten years old but his growth is not proper on height also not take interest in taking food/diet what can we do and also want to know what will be height after of ten years.

Diploma in Naturopathy, B.A.M.S
Ayurveda, Gurgaon
now a days kids prefer lot of junks which leads to deficiency its one. Of them normally calcium defeciency leads to this. Try to give him diet rich in calcium and proper excercises. Calcium rich diet like milk. Cheese. Curd yogurt r rich in calcium and excercise like swimning skiping juumping helps in increasing height. Few medicines accd to child also helps to increase height.
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