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Dr. K.Das

Pediatrician, New Delhi

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Dr. K.Das Pediatrician, New Delhi
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making peoples health into peoples hand...more
making peoples health into peoples hand
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I have a 4 months old baby girl. So I just wanted to know when she will crawl and when she will starts talking. please advice?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I have a 4 months old baby girl. So I just wanted to know when she will crawl and when she will starts talking. pleas...
Usually children start crawling after 7 months and creeping after 10 months. They start saying 2 to 3 meaningful words after 1 year.
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My son age about 3 years 6 months. He frequently suffered with cold, fever, cough, stomach infection. When his in one year old he suffered with high fever with fits. Every 2 or 3 months he suffered with fever, stomach infection, cough. Doctor prescribed so many medicines. Please tell me what is his problem? I can not understand what is his problem. Why frequently his health condition disturbing?

MBBS, DNB (Pediatrics), Fellowship in Pediatric Critical Care (IAP)
Pediatrician, Barmer
Your child is perfectly normal. If child is having recurrent infection that means problem is in hygiene. Tell me wash hands with soap before taking food. Use filtered or boiled water. Bath regularly. Keep distennce from any one who is suffering from cough or cold.
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My daughter who is 11 year old. She bites her nails, for deworming do I need to give albendazole 400 mg just once or for two consecutive days.

Homeopath, Mumbai
Dear user Your 11 year old has nail biting. This usually happens in not very confident children ,not loved much by parents, not allowed to play and have less friends, or constantly thinking on subject matter etc Basically children who feel not well paid attention child can fall into such habits. Tips is regularly cut her nails Always nicely look directly in the eyes of the child so that child feels not being neglected Nicely and politely speak to your child and rarely intimidate that too on serious mistakes. Caress and cajoled them. These are subjective hunger of a child so that they grow strong and able to take up future challenges in life. If you do this I am sure you will observe that your child becomes more confident, listen and obeys you ,will be good in studies in shorter period of study hours. Moreover the child will be less inclined even to mobile and play outside. Now deworming You can give for 1/2/3 days as advised by your doctor once in a month. If with above tips if your child persist to have nail biting habbit you can text consult me I will give effective medicine which will help your child grow smarter outlook Regards.
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Hey Doctor, My daughter is 5 years old. She had fever in past 10 days & since then she is having weakness & low appetite, sometime she gets stomach pain. So doctor please suggest to improve her appetite & remove weakness. Thanks.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
To start get some investigations done cbc, esr, widal test, urine exam, cxr, sgpt medicines to be advised as per reports.
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My baby 4-1/2 years old suffering from cold but no temperature is recorded but is very weak and not eating nor having milk what is the reason please help me.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Cold without fever is due to allergy. You must avoid possible allergens like dust, pollen etc. Show to a pediatrician.
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Sir, I have 4mnth baby, past 1 mnth he had a trouble in getting out his motion regularly, we visited a doctor, he prescribed a medicine, what' s the problem is if he a take a medicine he regularly getting out the motion if stopped it then he didn' t getting out motion even for 3 days

C.S.C, D.C.H, M.B.B.S
General Physician,
Is the baby on bottle feeding. Then stop bottle feeding. You can give breast milk only. If you need to give other milk give it with spoon. Avoid bottle and nipple feeding. Next what medicine is being given. You need to add boiled water ( can be sweetened by adding raisins ) if fed on artificial milk. It has to be given by spoon and not bottle. Also need to screen for hypothyroidism. If you prefer private chat you can do it via this site. Happy parenting, regards.
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My 5.5 month old has been passing green thick smelly stool since we started him on top feed - banana, dal water, rice paste, wheat paste etc. Is this normal? There is no apparent discomfort he is suffering from.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 5.5 month old has been passing green thick smelly stool since we started him on top feed - banana, dal water, rice...
It is normal. You may give all items but not in a day. Give him one item for 2 to 3 days and then switch over to other item gradually.
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I have 7yrs old son and he is suffering with adenoid transcle since 3yrs and he is taking prescribed medicines, now doctor advice is to go for surgery. Is it compulsary for the children. Once our doctor said that these transcles will cure automatically when the boy grows. Doubts ------------- 1) if the surgery is necessary how much it cost 2) after the surgery throat is effected or not 3) does it effect the other child.

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Although adenoid regress with age but once adenoids are infected and enlarged enough to cause airway narrowing surgery is only curative treatement.Now a days done with new techniques like microdebrider/coblator with minimal bleeding and pain.
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Test and Devices for Diabetes Patient

Test and Devices for Diabetes Patient

Home management
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:

Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.

Finger-prick test. A typical blood sugar test includes the following:

A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.

To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:

Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:

Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Glycosylated hemoglobin
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.

Urine tests
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.

type diabetes
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Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier. Is pcv vaccine for the infants is compulsory?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier...
Every vaccine is compulsory if it is providing protection to your child. This vaccine prevents child from 3 dreadful diseases like pneumonia; meningitis; otitis media and sepsis. If affortability is not the criteria you go for this vaccination either of the 2 vaccinations as my colleague has mentioned.
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