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Dr. Lata Bhat  - Pediatrician, Delhi

Dr. Lata Bhat

93 (167 ratings)
Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS

Pediatrician, Delhi

32 Years Experience  ·  600 - 800 at clinic  ·  ₹300 online
Dr. Lata Bhat 93% (167 ratings) Fellowship In Neonatology, MRCPCH(UK), Diploma In Child ... Pediatrician, Delhi
32 Years Experience  ·  600 - 800 at clinic  ·  ₹300 online
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Good evening,<br/><br/>I am Dr. Lata Bhut, I am a pediatrician specially trained to handle a deve...

Good evening,

I am Dr. Lata Bhut, I am a pediatrician specially trained to handle a developmental problem in children and running Palak Child Development Centre in Mayur Vihar, Phase- 2, Delhi.

Today I am going to talk about Autistic spectrum disorder, earlier I spoke about how to suspect a child for high-risk Autism based on signs and symptoms, today I am going to talk about the evaluation and management of such children. Autism is a social communication skills disorder where this impairment nonverbal and verbal communication both and there repetitive behavior patterns which impaired child day to day functioning. Speech delay is the commonest presentation although they can be some intellectual disability in some children. So early intervention is very important because in earlier years especially below the age of 3 years brain has compass fantastic capacity to rewire in response to environmental stimulation and 1 to 3 years is the best age to teach speech and language to a child. So American Academy of Pediatrics recommends starting early intervention starting specially below 2 years of age and do not wait till the diagnosis made because diagnosis may take some time, so all children should be scream for Autism between 18 to 24 months of age using a screening tool by a pediatrician and once a pediatrician suspects a child to be high risk for Autism, child should be referred to a development pediatrician or even if the parents suspect the child to be at risk for Autism they can come directly to the child development centre or to developmental pediatrician and the child is handled by multidisciplinary team of developmental paediatrician, paedia technologies, clinical psychologist, occupational therapies, special educators, speech and language therapist and parents are a part of the Core Team. In the diagnosis hearing assessment is very important because there is speech delay and other tests are done based on the clinical features and decide by the doctor, a detailed evaluation is done by the team using Autism diagnosis tools and once a diagnosis made or even before that early intervention is started once we suspect Autism. Early intervention involves intensive behavior modification therapy to teach nonverbal communication, speech, improve cognition, improve the independent self-help skills of the child and to enumerate the problematic behavior of the child. Occupation therapy, especially by the therapist trained in sensory integration, aims to develop self-help skills and fine motor skills and to enumerate the problematic sensory behaviors because if the child problem is sensory issues then the child can have difficult behavior, difficulty in learning and also in feeding. A special educator aims to give remedial education to help in academics and speech therapist in to develop speech of the child. It has to be individualized, goal-oriented, the intensive systematic model where we review it time to time because a development of change time to time, parents are a part of a Core Team. At least 25 hours per week of therapy should be given which means some hours at the center and followed by at least one and a half and two hours at home therapy should be done. And coming to the medications there is no medication to cure or Autism, although we can give medicines to enumerate the problematic behaviors and prognosis the earlier we start the better it is.

For any further queries, you can contact me on Lybrate.

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Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of develop...

Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of developmental disorders in children like Autism, Hyperactivity, ADHD, learning and physical disability. Today I will talk about Autism.

Autism is a spectrum disorder that means there is a wide range of presentations.

Why did I choose to speak on this topic? The incidents are alarmingly high. It is a sort of epidemic and if not addressed, it can lead to a disaster.

The cause is Genetic. If one child has got Autism then the siblings also have the maximum chance to suffer from the same disease.

How does it affect the children?

Autism affects the communication of the child. It affects the speech, language as well as the non- verbal communications. Communication is the exchange of thoughts, ideas between the two or more people. Speech is delayed.

How do the parents or a care taker suspect the child?

Initially, the norms of the communication come first and then the speech.

 

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Preterm Labor and Birth<br/><br/>Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take ca...

Preterm Labor and Birth

Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take care of the developmental problems of children. So today I want to talk a bit about pre-term babies who're born before 36 weeks. Normal babies are born from 37-40 weeks of gestation after the mother becomes pregnant and babies who're born before 36 weeks have some problems. Babies who're born from 34-36 weeks donot have that much problem but those who're born before 34 weeks, especially those born below 28 weeks have lot of problems and especially babies who're less than 1.5kg or less than 1kg. But in good centers in India, like my center also, we do save babies, about 600 or 700 or 800gm babies and also thos born in about 25-26 weeks of gestation and there is a success rate of about 90%.

Now, globally about 15 million babies are born pre-term and out of this 25% are born in India. So imagine the burden of pre-term babies in India and the facilities that exist in India are abysmal as compared to the number of babies who're born pre-term, and we've to remember out of all the number of deliveries about 12.5% are born pre-term which is a huge number. About 27 million babies are born annually and out of this about 3.6 million babies are born pre-term.

So now considering the problem all the prospective parents and everybody should know what causes prematurity. Because however much educated a gynecologist maybe or a pediatrician maybe there is no full proof method to predict or prevent it but there are certain factors which contributes more to prematurity. So early recognition and timely transfer to higher center with better facilities is very important. Now in India it happens due to complex factors, it happens in poor people as well as rich people. Pregnancy in adoloscent people, whose womb is no yet ready to take babies or if the mother is underweight, there are recurrent infections in the mother, under-nutrition or impropoer nutrition, then substance abuse by the mother, in vitro fertilisation, if the mother has diabetes during pregnancy, mother has uncontrolled blood pressure during pregnancy, infections during pregnancy, especially urinary tract infection or genital infection, Sexually Transmitted Diseases.

These are the conditions where we can definitely predict that baby can be born pre-term, and also in case of multiple pregnancies, especially if the mother has twins or triplets then risk of pre-term birth is more. Now stress also leads to pre-term birth. In the current lifestyle there is stress, everybody is career oriented so we're facing a lot of infertility, people are taking treatment for infertility, having in vitro fertilisation that is also leading to pre-term birth. Now, once we know there are a lot of factors how do we prevent it. First is prevention then comes treatment. For prevention, as I told you before conception we've to think that mother's nutrition should be good, she should be well nourished, mother's age should be appropiate, she should not be a teenager or an adolescent, that is more than 22-23yrs of age. Then pregnancy planning, birth spacing, then we've to think about preventing sexually transmitted diseases, we've to give vaccines which are recommended for adoloscents, then genetic counselling, screening for diabetes, if there is substance abuse you've to stop it, stop smoking, prevent stress and all these things. And also proper ante-natal care by a proper gynecologist where they screen for everything and do regular ultrasound examination of the mother and they train the mother to handle the pregnancy well

Now, despite doing everything if we're not able to avoid pre-term labour then one has to plan to deliver at a center where there are facilities, there is trained new born consultant who'll be attending the delivery and they have all the facilities to take care of the baby after birth. And supposing if sill the baby is born in a center where there are no facilities then a proper transport should be arranged. We should not just pick up the baby and shift to a center because temperature mainatainance is very important, we've to take care the baby is getting continuous glucose, baby is receiving oxygen and is properly transported. Even during transport if these things are not taken care of the baby's brain development can be affected. If transient dip of oxygen, even for a few seconds or for few minutes if the baby is not receiving any glucose or if there is very rigorous transport the baby can suffer haemorrahage in the brain.

So new born babies, especially a pre-term babies can be very very delicate and so transport should be done in a proper manner and then once you've gone to a center where they're saving babies, you've to first maintain the temperature, take care of the breathimg, if require breathing support, if require oxygen then maintanance of blood sugar, prevention of infections, hen regular screening to lok for the eye problems, brain problems and once the baby survives at the time of discharge these babies may stay in a hospital for a long time and after discharge you should listen carefully to what the doctor is telling because a proper follow up is what will give a quality outcome in the long run. Because we just don't want to save lives and give them long term problems like hearing, speech, vision or physical disability.

All these are preventable and to a certain extent correctable. If you follow properly the pediatrician and if possible the developmental pediatrician. So that's very important. So the take home message is try to prevent pre-term birth by knowing the factors which cause it and if its inevitable get your delivery done in a center that has facilities to take care of the pre-term babies and after the baby survives follow up all the instructions given by your doctor and pediatrician.

So, if you've any further doubts related to a pre-term baby or any baby you can consult me through librate.com where we can chat or telephonic conversation or you can contact me at Child Developmental Clinic which is at Poorvanchal Plaza, Shop No-106, Mayur Vihar, Phase-2.

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Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.<br/><br/>Good after...

Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.

For any other further information, you can contact me on lybrate.com.

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Lata Bhat
With over 30 years of experience in field of Neonatology Dr. Lata Bhat is undoubtedly one of the most efficient neonatologist working in Mayur Vihar , New Delhi. She received her M.B.B.S in 1996 from the very prestigious Lady Hardinge College,New Delhi. She has also acquired Diploma in child Health(DCH) in 1991 from the Well-known Vardhaman Mahavir Medical college and Safdarjung hospital,Delhi and he has also received MRCPCH in 2003 from the Royal college of Pediatrics and child health,UK. Apart from this she has also done a fellowship in Neonatology in 2005 from the St Peter?s Hospital Chertsey,UK. A well reputed name in her field,Dr. Lata Bhat is a professional member of Indian Academy of Paediatrics. Apart from that she is also a member of National Neonatology Forum (NNF). She is currently associated with Palak child Deveolpment Centre in Mayur Vihar, Delhi. In her clinic, one can avail a whole lot services including Adoloescent Problems treatment, limping child treatment, New born care, New born jaundice. Apart from this she is also well- versed with Thyroid Disease in children, Thyroid Disorder Treatment and Child and adolescent treatment. ?

Info

Education
Fellowship In Neonatology - St Peter's Hospital Chertsey - NHS - UK - 2005
MRCPCH(UK) - Royal College of Pediatrics & Child Health UK - 2003
Diploma In Child Health (DCH) - Vardhman Mahavir Medical College & Safdarjung Hospital, Delhi - 1991
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MBBS - Lady Hardinge Medical College New Delhi - 1986
Languages spoken
English
Hindi
Professional Memberships
Indian Academy of Paediatrics (IAP)
National Neonatology Forum (NNF)

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Palak Child Development Centre

226-A, Pocket-B, Mayur Vihar, Phase -2Delhi Get Directions
  4.7  (167 ratings)
600 at clinic
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Pocket- A, A-Block, Sector-19 NoidaNoida Get Directions
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800 at clinic
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Asthma in Children - Different Ways It Can Be Managed!

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Asthma in Children - Different Ways It Can Be Managed!

Has your child been coughing frequently lately? Is the cough chronic in nature, making your child breathe rapidly, and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4371 people found this helpful

Is Your Kid Having the Right Weight?

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Is Your Kid Having the Right Weight?

Your kid's weight should be a real matter of concern for you. In today's world, the number of obese and overweight children is increasing at an alarming rate. Gaining excess weight and being obese poses the risk of numerous health problems in children. The disorders are diabetes, heart diseases, asthma and many others. Obese children face a lot of problems in their social lives, are teased and neglected. This causes lack of self-confidence and self-esteem in obese children. They develop a negative body image and depression. However, by taking proper measures, your child can regain normalcy. Eating disorders may also occur in obese children, and they are also likely to develop substance abuse habits.

The major medical conditions that an obese child can face are:

  1. Type 2 diabetes
  2. Asthma
  3. High blood pressure
  4. High cholesterol
  5. Problems in bones and joints
  6. Sleep disorders
  7. Liver and gall bladder disorders
  8. Depression

Is your kid having the right weight?
The growth rate in children varies with time and stages. Hence, it is difficult to tell whether your kid is overweight. You should measure your child's BMI to find your answer. BMI or body mass index uses the height and weight measurements of a person to calculate the amount of body fat and is used for screening obesity problems. BMI is effective in general and provides accurate data. In some cases, it may be  imperfect. In case your kid has a high BMI for age measurement, other assessments are made to detect obesity. The assessments include skin thickness measurement, diet evaluation, physical activity and family history.

How to check obesity in your kid?
In order to rectify obesity, a lot of changes must be made in a child's regular habits and schedule.

  1. Food patterns: You should feed your child a wide range of fruits and  green, red, orange and yellow vegetables. Having a proper breakfast reduces chance of obesity and should not be avoided. Focus on healthy cereals and fruits. Other than reducing the intake of chocolates, desserts and fried junk food, food items containing hidden sugar should be avoided. Go for low sugar food items. The meal times of your child should be fixed, and this pattern should be followed. Also limit having outside food. Avoid foods, which contain trans fats. 
  2. Physical exercise: Your child should be involved in regular physical exercise or workout. Let them go out of home and exert themselves, as this would keep them fit and away from obesity. For obese children, exercise will burn calories and help in losing weight.

Your kid's weight should really concern you. You should avoid your kid getting obese and make him/her follow all necessary precautions. In case you suspect obesity in your kid, get the BMI measured.

1 person found this helpful

Fix Your Appointment With your Paediatrician For Your Child

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Fix Your Appointment With your Paediatrician For Your Child

A pediatrician manages a child's overall physical and psychological health condition. While most parents consult a pediatrician when the child falls sick, they miss the importance of regular visits to the doctor even if the child is seemingly healthy. There are recommended schedules which prescribe regular visits to the doctor from about a week after the birth of the child. The visits are more frequent up till the age of 6 or 7, after which a monthly visit is usually sufficient. The following is a list of reasons why your child should be taken to a pediatrician every month:

1. Documenting the rate of growth
The pediatrician measures the child's weight and height during every visit and charts them. This is important for comparison with the average rate of growth and pin pointing the problems in normal growth (if any) and the reasons for these problems. For example, if a 4 year old girl is in the 80th percentile for height, it means that 80% of the girls her age are shorter than she is and 20% are taller than she is. The rate of growth is an indicator of a child's general health.

2. Detecting deviations in developmental patterns
There are well-defined physical and emotional developmental patterns for children of all ages. For example, a child starts using signals to communicate by 4 months, or starts talking by the age of 2. A pediatrician can spot deviations from the standard patterns better than parents can. Apart from the measurement of height and weight, sometimes hearing, motor skills and vision tests are also conducted on your visit to the pediatrician to ensure that these basic systems and functions are developing properly.

3. Identifying reasons behind behavioral problems
Behavioral issues in children can be caused by a number of reasons - their inability to correctly express physical discomfort, bonding or attachment issues with the parents or caregivers, interactive problems with peers in school etc. Common behavioral problems are snoringsleep walking, bed wetting, outbursts of anger, lack of social communication etc. The problems can be prevented from becoming complicated conditions if treated early.

4. Prevention of diseases
The schedule for all the required vaccinations is maintained by the pediatrician. Apart from immunization, regular visits to a pediatrician are important for pointing the beginning symptoms of certain diseases. Nutritional deficiencies, which are very common in children, can be diagnosed and addressed before they lead to health problems. Often parents become extremely apprehensive about the child's health- their queries can be answered and their worries can also be put to rest by these visits.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4014 people found this helpful

Causes, Symptoms and Treatment for Cyclic Vomiting Syndrome in Children

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Causes, Symptoms and Treatment for Cyclic Vomiting Syndrome in Children

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes:

There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms:

The syndrome (a group of symptoms) usually has 4 phases:

  1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.

  2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

  3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

  4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment:

Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

  1. If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.

  2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

  3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.

Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

How To Overcome Childhood Obesity?

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
How To Overcome Childhood Obesity?

Childhood obesity is a serious condition plaguing many adolescents and children these days. Obesity brings along with it a plethora of health scares such as high cholesterol, high blood pressure and diabetes, all of which at a point of time were confined only to adults. Obesity in children also results in depression and self-esteem issues. Too much of calorie consumption accompanied by a sedentary lifestyle and other hormonal or genetic factors contribute to obesity in children.

Overcoming Childhood Obesity-

  1. Healthy Eating: Consider opting for vegetables and fruits over high-calorie and fatty foods such as crackers, cookies or other processed foods. Cut out on the intake of sweetened beverages that makes your child too full to grab other healthy foods. Encourage sitting together for a family meal and initiating interaction rather than turning on the TV or other electronic gadgets. Allow your child to decide his/her proportion of food and never over feed. This habit should be inculcated in the child since the formative years.

  2. Engaging in Physical Activity: Make sure and talk your child into not spending more than two hours sitting glued to the TV set or the computer on a daily basis. Rather, egg him/her on to go out in the open and enjoy the day underneath the sun. Try and start building in your child the habits of exercising and staying active right from the beginning. This will go a long way in deciding your child’s health and overall fitness in the future. Remember! Morning shows the day. And it’s up to you to structure out your child’s ‘morning’.

Quick Tips For Parents-

Encourage:

  1. Play time or physical activities in ways that your child enjoys, such as going for a walk or hike, playing at the park, playing sports, dancing or going for a bike ride (and join them!)

  2. Healthy home-packed lunches

  3. Drinking more water and eating whole vegetables

  4. Eating when you are truly hungry, not when you’re bored, mad, stressed, etc.

  5. Eating together as a family

  6. Decreased meal sizes

  7. Focus on health rather than taste

Discourage:

  1. Too much screen time

  2. Eating while watching TV or other screens

  3. Eating out

  4. Negative food cues and triggers by removing them

  5. Skipping meals if you are hungry

  6. Eating if you are not hungry

  7. Eating by the clock (you should eat when you’re truly hungry)

  8. Too much sugary drinks (sodas and fruit drinks)

In case you have a concern or query you can always consult an expert & get answers to your questions!

4123 people found this helpful

Autistic Spectrum Disorder (ASD)

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Play video

Good evening,

I am Dr. Lata Bhut, I am a pediatrician specially trained to handle a developmental problem in children and running Palak Child Development Centre in Mayur Vihar, Phase- 2, Delhi.

Today I am going to talk about Autistic spectrum disorder, earlier I spoke about how to suspect a child for high-risk Autism based on signs and symptoms, today I am going to talk about the evaluation and management of such children. Autism is a social communication skills disorder where this impairment nonverbal and verbal communication both and there repetitive behavior patterns which impaired child day to day functioning. Speech delay is the commonest presentation although they can be some intellectual disability in some children. So early intervention is very important because in earlier years especially below the age of 3 years brain has compass fantastic capacity to rewire in response to environmental stimulation and 1 to 3 years is the best age to teach speech and language to a child. So American Academy of Pediatrics recommends starting early intervention starting specially below 2 years of age and do not wait till the diagnosis made because diagnosis may take some time, so all children should be scream for Autism between 18 to 24 months of age using a screening tool by a pediatrician and once a pediatrician suspects a child to be high risk for Autism, child should be referred to a development pediatrician or even if the parents suspect the child to be at risk for Autism they can come directly to the child development centre or to developmental pediatrician and the child is handled by multidisciplinary team of developmental paediatrician, paedia technologies, clinical psychologist, occupational therapies, special educators, speech and language therapist and parents are a part of the Core Team. In the diagnosis hearing assessment is very important because there is speech delay and other tests are done based on the clinical features and decide by the doctor, a detailed evaluation is done by the team using Autism diagnosis tools and once a diagnosis made or even before that early intervention is started once we suspect Autism. Early intervention involves intensive behavior modification therapy to teach nonverbal communication, speech, improve cognition, improve the independent self-help skills of the child and to enumerate the problematic behavior of the child. Occupation therapy, especially by the therapist trained in sensory integration, aims to develop self-help skills and fine motor skills and to enumerate the problematic sensory behaviors because if the child problem is sensory issues then the child can have difficult behavior, difficulty in learning and also in feeding. A special educator aims to give remedial education to help in academics and speech therapist in to develop speech of the child. It has to be individualized, goal-oriented, the intensive systematic model where we review it time to time because a development of change time to time, parents are a part of a Core Team. At least 25 hours per week of therapy should be given which means some hours at the center and followed by at least one and a half and two hours at home therapy should be done. And coming to the medications there is no medication to cure or Autism, although we can give medicines to enumerate the problematic behaviors and prognosis the earlier we start the better it is.

For any further queries, you can contact me on Lybrate.

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My baby age 14 week and vaccination centre today and Vaccine DTwp3 ,IVP3, Hib3 in vaccine name quadrovax date is expired. So I want no confirm side effects. Please use side effects na ho koi medicine explain to better my baby.

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
My baby age 14 week and vaccination centre today and Vaccine DTwp3 ,IVP3, Hib3 in vaccine name quadrovax date is expi...
There should be no side effects. Generally the expiry date is much longer than what's mentioned. If there is expiry then efficacy may decrease but there should be no side effects.
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Why There Is A Need To Consult Pediatrician For Your Child?

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Why There Is A Need To Consult Pediatrician For Your Child?

Your child needs complete care whether it is emotional, psychological or physical. A thorough evaluation of your child's body and mind is vital at nascent stages. Childs growth should also be checked regularly and monitored. Weight, height and head circumference should be checked and plotted in standard recommended graphs to see if these are normal otherwise timely action can be taken. Childhood vaccinations should be given at right time. These are advised by Paediatrician. If you observe any complaints by your little one that may require medical help, such as:

1. Frequent headaches
Much like adults, children too can experience headaches that last from 30 minutes to 3 hours. A range of primary or secondary headaches like, migraine, meningitis, sinusitis or tension may affect children due to neurological issues.

2. Blurry vision
If you observe either a vision developmental delay or near-sightedness and farsightedness in your child, it might be related to neurological issues.

3. Slurred Speech
If your child is 7-8 months and is not responding to sounds or cannot babble non-sense words, it calls for a neurological check-up.

4. Motor and Co-ordination Delay
Sometimes babies are unable to perform motor skill activities like crawling, walking or using fingers to grip or hold, such delay requires attention of the parent.

5. Fatigue
Check if your kid has become lazy and decreased his physical activities due to fatigue and tiredness suddenly of late.

6. Abnormal Movements
Common involuntary movements or tics like eye blinking, twitching of nose, grimacing or making sounds is in some cases overlooked. Tourette syndrome is an example of such a tic, which has been evaluated as a neurological issue.

7. Tremors or Seizures
Children are prone to febrile seizures (fits) or tremors along with fever that occur between 6 months and 5 years. These are signs of neurological issues that require an immediate check-up.

8. Numbness in Limbs
Neurological complications in your child’s infancy may also cause joint pain and numbness of arms and legs.

9. Behavioural disorders
A change in behaviour or attitude in your child is noticed if he/she is suffering from attention-deficit/hyperactivity disorder, school problems, sleep issues, intellectual disability or other neural conditions.

10. Weakness
This symptom is tricky in children, as it may be confused with general tiredness by your human eye. It may be unheard of but many children face trouble in performing easy tasks. A neurological exam may identify the source for treatments.

An underlying problem to the nervous system can cause harm or impairment in the normal growth and development of your kid. Early diagnosis helps in correct care, recovery and prevention of long-term problems. You can opt for a routine neurological examination if you find such symptoms in your child. These exams check the functioning of your child’s brain, spinal cord, nerves that come from the brain and spinal cord and offers accurate diagnosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Ways To Manage Constipation In Children!

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Ways To Manage Constipation In Children!

Constipation is a very common problem among toddlers and children. It takes place when the child's stool is dry, hard and unusually large, and the frequency of bowel movement is low and inconsistent. Although it is not a serious cause for concern, constipation in children should be recognised and treated early so that it does not develop into a chronic long-term ailment.

Constipation in children is seldom directly caused by any disease or medical disorder, which is known as idiopathic constipation and may be cause by a number of factors:

1. Diet: This is the primary cause of constipation in children. If the child's diet has low water and fibre content and heavily features sugar and processed foods, stool becomes hard and bowel movement gets restricted.

2. Deliberate Withholding: Often children may consciously avoid visiting the toilet, which may make them feel constipated. This may be due to embarrassment, especially in public spaces or they might be too engaged in playing to not go to the toilet, altogether. Some children do it out of fear when a previous toilet experience has been particularly painful.

3. Lack of Physical Activity: The digestive system is boosted through regular exercise. Lack of physical activity, thus, inhibits regular bowel movement.

4. Illness and Medication: Infections and illnesses, especially ones pertaining to the stomach cause the child to become constipated. Many medicines and supplements also affect the digestive system and can lead to constipation.

What are the ways to manage constipation in children?

Constipation in children is treated differently than in adults as their diets and patterns of bowel movement are dissimilar.

The primary treatments for constipation in children are:

1. Stool Softeners and Laxatives

The administration of bowel movement enhancing medication is the simplest way of treating constipation in children. There are various kinds of stool softeners and laxatives that are safe for children and must always be used under the supervision of a paediatrician.

2. Dietary Adjustment

Making changes to the child's diet by including high fibre foods (such as fresh fruits and vegetables, whole grain breads, cereals, etc.) can help cure constipation. Compelling the child to intake ample fluids in the form of water or milk is also necessary. Sugary drinks must be avoided.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Ways To Deal With Your Child's Addiction With Sweets!

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Ways To Deal With Your Child's Addiction With Sweets!

If your child has become increasingly addicted to sweets and other sugary items, this addiction can lead to certain behavioral problems (like mood swings, irritability, anger, etc) in children. Moreover, a high sugar intake can lead to your child falling prey to serious diseases and conditions, including diabetes, obesity and cardiovascular diseases. 

Here's what you can do to break your child's indulgent habits and wean him from ill-health causing culprits like cakes, ice creams, candies, chocolates and rich and creamy desserts etc.

1. Practice what you preach -
In order to develop healthy eating habits in your child, it is imperative for you as a parent to lead by example. When it comes to weaning your child from sugary foods and sweets, you yourself should limit your intake. So, if you tell your child to avoid sweets but love sweets yourself, you'd be setting a bad example by eating them yourself and not letting your child have them. The best thing to do is to be a role model to your child as children learn everything from their parents. 

2. Curb consumption of sugar by deferring intake to a later date -
Instead of depriving your child completely, it would prove to be more useful to tell them that they could have sweets on some other day. This is because if you deny him his indulgence, your child would invariably go on an eating spree the moment an opportunity arises. A study on a group of restrained eaters and non-diet individuals revealed that restrained eaters were found to consume more food than the non-dieting individuals. Not knowing when they could have their favourite foods again, they went on an eating spree.
Make frequent yet small offerings of sweets while explaining to him the importance of moderation and why he/she shouldn't overindulge but space out sugar intake.

3. Try the 90/10 rule - 
Teaching older children the 90/10 principle is another sure-shot way of breaking your child?'s addiction to sweets. The rule calls for 90% of the diet to be made up of healthy food with the remaining 10% being devoted to foods your child wants to indulge in such as junk food, sweets or foods with high sugar content. The total calorie intake that arises from consumption of about 10% or 1-2 fun foods is only about 100-200 calories everyday. 

4. Present your child with healthy alternatives to sugary items -
The next time your child wants to indulge in his sugar craving, instead of giving a processed sugary food, give healthier sweet foods like dates, honey or a fresh sweet fruit. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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