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Dr. Harshvardah Mehra

Pediatrician, Delhi

200 at clinic
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Dr. Harshvardah Mehra Pediatrician, Delhi
200 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Harshvardah Mehra
Dr. Harshvardah Mehra is a trusted Pediatrician in Chattarpur, Delhi. You can visit her at Vandana Dental And Physiotherapy Clinic in Chattarpur, Delhi. Book an appointment online with Dr. Harshvardah Mehra on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 28 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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Vandana Dental And Physiotherapy Clinic

Building No 619/5, Shanti Kunj, Chattarpur. Landmark:-Opposite Tivoli Garden, DelhiDelhi Get Directions
200 at clinic
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My son was 4 months old and was formula feeding. Since last 45 days he was suffering with motions and vomtings due to lactose intolerance problem, when I gave him zero lac everything went good but the problems repeats if I use other feeding. Please suggest me can I use zerolac regularly.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son was 4 months old and was formula feeding. Since last 45 days he was suffering with motions and vomtings due to...
Your son is suffering from Lactose intolerance. Lactose free milk feed is right approach. Yes you can give zero lac which is lactose free formula milk.
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Weight Gain Issue Among Exclusive Breast Feed Baby

Diploma in Child Health (DCH), MBBS
Pediatrician, Seoni

Doctor sahab my baby is not gaining weight properly or not eating anything is the one of the major complain in any parenting forum and in my clinic also. This blog is dedicated to those parents who always concerned about baby weight. I will try to cover all step by step. This post is only for exclusive breast feeding baby means below 6 months of age baby. At birth baby weight should be approximately 3kg or more than that. Less than 2.5 kg is low birth weight. Babies lost there weight in initial days and regain there birth weigh around 10th to 14 th day of life. In first 3 months growth rate is approximately 25 to 30 gm per day after that it will increase @ 400 gms per month till 1 year. Weight will double at 5 months and triple at 1 year. Usually we compare our baby weight with others and get frustrated our baby is not healthy. We expect chubby photogenic baby. So here I will try to explain the whole story.

Let's start from the very beginning the story start the day we decide to have a baby. Maternal nutritional status and medical fitness have a mojour role. Single infection can cause low birth weight baby or preterm. In us dental infection is one of the majour cause of preterm baby. We adviced to consult couples before and after pregnancy for any problem. You can have folic acid 3monthes before concepction. Mother, short interval of previous pregnancy, maternal hemoglobin level, nutritional status, high bp (pih, viral infection, bleeding per vaginal, chromosomal abnormalities can be cause of low birth wight, prematuered or iugr baby. Women should have healthy food, do some light exercise and try to live stress free life.

In second part of story baby born with certain weight and maturity. Weight less than 2.5 kg is low birth weight and birth before 37 weeks called premature baby. Baby weight gain is mostly affected by recurrent infection and feeding and temperature for initial days.
 

Temperature regulation:
Too hot or too cold weather can affect weight. Try to wear one extra clothes what we are wearing like if we are comfortable in half shirt we can wear him full shirt or if we are comfortable in full shirt we can wear him a half sweater more. In winter we have wear him cap and shocks but in summer only cotton jhabla is sufficient. 

Infection control:
New born babies had low immunity so chances of infection is much more. To prevent infection you should remember these things

  • try to touch baby after hand wash and try to not touch the above the wrist joint. We touch by infected hand and baby keep the same hand in his mouth get stomach infection.
  • don't give any antibiotics without without consulting doctor and complete full course of antibiotics
  • immunize your child as per schedule.
  • avoid bottle feed if possible and if you are using it should be properly sterilized.

Feeding:
Exclusive breast feeding is adviced till 6 months. There is either problem in milk production and ejection or technique of feeding.

  • Milk production and ejection: Milk production is controlled by prolactin harmone. For most part of milk production is use it or loose it process. The more often baby nurse the more milk you make. Oxytocin harmone is responsible for milk ejection. Suckling, thought of the baby, sound and sight of
  • Baby stimulate milk ejection: Stress is the major suppress of milk ejection. Plenty of water, milk, apricot, poppy seed, papaya, oatmeal, carrot, bottle ground, funnel seed, basal leaf, can be used to augmentation of milk production.
  • Breast feeding: Proper positioning and attachment is necessary for successful breast feeding. Try to feed baby with one breast at a time so baby can get for milk and hind milk both. For flat or inverted nipple can be corrected by syringing method. Tounge tie or fungal infection can be cause of improper feeding. Feed your baby on demand or every 2hr. If baby satisfied he should sleep 2 to 3 hrs after feeding, passes 6 to 8 time urine. 5 to10 min sufficient for feeding if your baby takes half an hour means you had less milk production. Initial 3monthes feeding frequency8 to10 times day after 7 to 8 times a day may be sufficient.
  • Condition related to baby: For preterm and low birth weight kangaroo mother care is very useful. Where baby is kept in vertical position between the mother breast under the clothes so both skin can be in touch. You have to keep baby at least 1 to 2 hrs in a single sitting and as long as you can. It helping milk production and weight gain of baby. Repeated infection of respiratory tract, stomach infection, urinary tract infection, some congenital infection, metabolic disorder may cause slow weight gain. Neurological insult during delivery may cause slow weight gain with delayed mile stones.
  • Motherhood is a great honor and privilage: It is the most challenging and utmost satisfying job, and as in every job first year is most difficult one with less paying with no vacation. As a man we never understand these things. So big salaute to those moms who day and night care there baby and wish best of luck.

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
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 ...
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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My son 1.5 yrs having fever twice or thrice in a day. Almost 2 week. Due to fever gems occur in neck. Please help me.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics)
Pediatrician, Bangalore
My son 1.5 yrs having fever twice or thrice in a day. Almost 2 week. Due to fever gems occur in neck. Please help me.
Hi, welcome to lybrate fever for more than 5days -a week is not a simple one. It may be serious one. Your child needs to be examined thoroughly and some blood tests need to be done if needed after examination. Please consult a pediatrician immediately.

My daughter is 13 years old, she is using Nivea Cream but want to use sunscreen now, she is playing basket ball also. Please answer the best sunscreen for her sensitive skin for daily use.

Diploma in Child Health (DCH), MBBS
Pediatrician, Aurangabad
There are many sunscreen lotions in the market with different spf values. Guidelines to choose a good sunscreen: spf:(sun protection factor).-the higher the spf the better it is for sun protection. -try and get a waterproof sunscreen as she will be sweating while playing. -remember that due to sweating, one has to reapply the sunscreen every 45 minutes.
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Mr. vaccines r given at the age of 9 month and 15 th month now wat s the reason for implement in school going children. Why it s necessary. Everyone saying it's not harmful. Can someone help me. Wat s true.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Mr. vaccines r given at the age of 9 month and 15 th month now wat s the reason for implement in school going childre...
The exact schedule as per Indian academy of pediatrics recommendation 3 doses MMR are necessary for complete protection of baby which are to be given at 9 months, 15 months and 5 years of the age respectively. If some one is trying to put additional doses you can show them your baby`s immunization card.
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My son (11 years) have been suffering from cough since last 2 years. Though the cough is intermittent in nature, he says that something blocks his chest, for which, he coughs. He was diagnosed with anti allergy medicines, but of no use. Can you suggest the remedy?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Please see a good pulmonologist. Two years is too long a period of suffering. He needs to be checked out thoroughly with blood tests and Xray chest. Maybe it is simple asthma, but still!
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My daughter is 14 months old. She had undergone surgery for not passing her first stool due to meconium ileus. I had came to know that meconium ileus will be due to cystic fibrosis. Please inform me about the symptoms of cystic fibrosis and other reasons for having meconium ileus.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 14 months old. She had undergone surgery for not passing her first stool due to meconium ileus. I had ...
Meconium ileus (mi) is a condition where the content of the baby's bowel (meconium) is extremely sticky and causes the bowel to be blocked at birth. In most cases the bowel itself is complete and intact but it is just the inside that is blocked. In some cases there has been a twist of the bowel before birth, which has caused the bowel to be blind ending (an atresia). Most babies with meconium ileus (90%) have cystic fibrosis (cf) and it is this that has caused the sticky meconium. Meconium ileus is a rare condition affecting only 1 in 25, 000 babies. For further doubts and regular advice on child rearing as your family doctor you can ask personally.
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Colic Pain - How to Treat It

MD - Paediatrics, MBBS
Pediatrician, Delhi
Colic Pain - How to Treat It

When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.

What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.

Causes: Though still not exactly established, some things that are believed to cause colic include:

  1. The baby's digestive system that is growing and goes through spasms
  2. Extreme sensitivity to noise and light in the surrounding environment
  3. Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
  4. Hormones that are supposedly affecting the baby's moods

Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.

  1. Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
  2. Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
  3. Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
  4. Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.

Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.

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My baby is 5 and half months old. He is having green hard stool since couple of days. But seems normal, his diet is normal n he is. playful. His diet include breastfeeding, lactogene formula 1 n some liquid form like apple juice banana mixed with lactogene and rice and tur dal water. Is this normal having green stool? Or what would be the reason for this?

C.S.C, D.C.H, M.B.B.S
General Physician,
If you are feeding lactogen in bottle with nipple it can cause this. Stop bottle and feed from cup with spoon. Also give boiled water in between if you give formula feed. The best is to give breast milk and home made semisolids with boiled water in between.
4 people found this helpful
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My 3 and half months bay got vaccinated with pentavac 2 days back. But there is a hard swell amd reddish around the vaccinated area. What to do n what may be the reason. Does this cause problem to the leg after growth.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 3 and half months bay got vaccinated with pentavac 2 days back. But there is a hard swell amd reddish around the v...
no worry at all. this vaccine is reactogenic and causes swelling , lump and fever for few variable days --> just apply ice at that hardened part and it fades away in 4 weeks . if it is causing reduced leg movement or persistence of fever then only u shall be worried- well no long term effects !
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My baby girl is 1 month after farting and toilet she releases little poop. Please advise. After every feed she gets 15 min burping.

Pediatrician, Pune
If she is breast fed, gaining weight well, stools are golden yellow, whatever she is doing is normal for her age.
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I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc. And I have always bone pain. It is genetic. Please help me. And suggests some medicine and treatment. And chest pain also.

MD - Internal Medicine
General Physician, Khammam
I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc....
Hello Lybrate user Sickle cell anemia patients are prone for above symptoms if the blood percentage drops. Take adequate amounts of oral fluids. Consult your physician and get evaluated.
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Dear doctor. My daughter 7 years old her body weight is 15kg. Eaten food very slowly she will taken the time half to 1 hour more. Kindly need your suggestion how will improve actual weight in the particular age and advice healthy food.

C.S.C, D.C.H, M.B.B.S
General Physician,
By one formula, the weight in this age is around 22. Some test may be done to make sure all is fine. Ask privately after monday.
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BAMS, YIC, DEC
Ayurveda,
Bronchial asthma- Disorder causes the airways of lungs,to swell,and narrowing leading to whizz, are shortness of breath, chest stiffness and coughing and sounds in chest-- proper diet yoga, good life style and good food, regular in take of medication can prevent asthma attack.
4 people found this helpful
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My son is 23 months old and he is fussy Eater. Can you suggest multivit. Or iron supplements. Problem is that he likes to eat white things like egg, milk, manner, curd, he hates veggies.

BHMS
Homeopath, Faridabad
My son is 23 months old and he is fussy
Eater. Can you suggest multivit. Or iron supplements. Problem is that he like...
Hi, start giving him Biofungin, 1 -1 tsp, twice daily. BC No. 21, 3 tabs thrice daily. Revert me after 1 month.
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My child is 3 years old. She is 6kgs weight only, I mean she is very thin. I need her to get weighted. What are the medicines or foods should taken by her ?

MD - Paediatrics, MBBS
Pediatrician, Bangalore
You need to get her checked for any cardiac defect or other condition which is causing failure to thrive.
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