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Dr. Poonam Sidana

Pediatrician, Delhi

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Dr. Poonam Sidana Pediatrician, Delhi
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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. Poonam Sidana
Dr. Poonam Sidana is an experienced Pediatrician in Shalimar Bagh, Delhi. You can consult Dr. Poonam Sidana at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Book an appointment online with Dr. Poonam Sidana and consult privately on Lybrate.com.

Lybrate.com has an excellent community of 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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Max Hospital-Shalimar Bagh

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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My baby is 15 days old, it was c sec delivery. My problem is my milk production is low I'm already taking lactare and perinorm from last 5 days but still it's not improved so much. I'm depressed please help.

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Hello, if your baby is satisfied after every feed, passes stool every day & passes urine 5-6 times a day, gaining weight, then stop worrying. Milk flows wen baby sucks at breast. Anxiety & worry will hamper milk secretion. Have healthy diet comprising lots of seasonal fruits & vegetables, with atleast 1 glass of milk every day. Enjoy your motherhood.
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My daughter is 15 years old. She is suffer from swelling and pain in a gland in neck below the right side jaw since 15 days. This is not tonsil. please advise.

MD - Paediatrics, MBBS
Pediatrician, Gurgaon
She might be having infection in lymph nodes. Proper clinical examination is required to decide if a course of antibiotics is required. There are other possibilities also, so delay in seeking doctor's opinion should be avoided.
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My baby is 1 year baby. She has SCID SEVERE COMMON IMMUNO DEFICIENCY. Now she suffering from intestine abstraction. Can we go for surgery for SCID patients. Any problem. please suggest me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is  1 year baby. She has SCID SEVERE COMMON IMMUNO DEFICIENCY. Now she suffering from intestine abstraction. ...
Intestinal obstruction is an emergency. SCIM may not be a bar for emergency op. Have face to face discussion with surgeon.
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My daughter is 4 yrs old. When I am about to feed her anything she starts crying. It may b breakfast or lunch or dinner. Why does this happen with her? her weight is 15 kgs.

M.D.( Pediatrics), DCH
Pediatrician,
Her weight is in normal range. Probably like all anxious parents, you are trying to control her which she doesn't like. under this condition what else she can do? Tell me. Your anxiety makes you forget that she has a mind of her own, which would not like to be dictated by others.Live her alone, love her unconditionally. Let her exercise her choice about what,when and how to eat. Then she will be more receptive to your advice. Practice what you preach, eat everything in front of /with her, whatever you want her to eat. Hope this helps.
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How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

cold cough

I have a daughter who is 8.5 years old. Actually her problem is that she does not want to eat and she is underweight. Whatever she eats she eats with water. What should I do sir?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Hello lybrate-user, you have not mentioned your daughter's weight, which should b between 26-28kg. What I will advice is do not force her to eat, let her demand food, & serve only heathy food items avoiding junk food like bakery products, all kinds of wafers, chocolets etc. Pl make sure that she has salad & fresh fruits daily. Treat constipation if that is the case, deworm her every 6 months. If she is falling sick often she needs to b seen &investigated by Dr. I hope this solves your problem. All the best!
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I delivered a baby boy 5 years ago and breastfed him for around 2 years and 8 months. However I still have sensitive nipples. They are erect maximum time, I have to wear padded bras in order to conceal them. Please help.

BHMS
Homeopath, Raebareli
I delivered a baby boy 5 years ago and breastfed him for around 2 years and 8 months. However I still have sensitive ...
To soothe sore nipples, you can apply a warm compress on the affected area. The heat from the compress can ease discomfort and aid healing. Dip a washcloth in warm water. Wring it out and then place it on your breasts for a couple of minutes. Do this at least 10 minutes before breastfeeding. Repeat this remedy several times a day until the soreness is gone. A warm shower or heating pad can also help alleviate the discomforts of sore nipples. Please follow the above for 1 week and revert back
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My grand son is 16 months, diag rickets, 25-oh vit d3 - 8.8, cal 8.51, phosphorus 4.0, APD 999. Without support can not sit from bed can not standup. He walk when made standup, what to do for his cure.

Pediatrician, Kanpur
My grand son is 16 months, diag rickets, 25-oh vit d3 - 8.8, cal 8.51, phosphorus 4.0, APD 999.   Without support can...
Vitamins 60thousand unit for 10 days and also send sample for thyroid profile. And what is the birth history.
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Hi my son is 9 suffering from duchnne md his cpk was 17160 reduced to 5123 he is on homeopathy but weakness is not reduced he can walk now thinking to start steroids Dr. Recommended defcort 18 in high dose 10 day/ month & calcium his weight is 35 kg & dose is 54 mg /day.

MD
Pediatrician, Indore
i suggest good nutrition, prevent obesity, good physiotherapy will delay further complications. steroid may improve muscle strength. but beware of steroid therapy complication in form of osteoporosis and wt gain
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My son is 3 years in age. He is playing all time. But last two days when he eats heavy meal like rice, cerelac, he says pain in belli and doing latrine. Like mangohope. Please sir help me what can I do and what is the food chart of my kids. My son weight is 16 kg (approx) and he take crime medicine one week ago. So now what is suitable for him and how the problem is solve. Thank you.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
My son is 3 years in age. He is playing all time. But last two days when he eats heavy meal like rice, cerelac, he sa...
This is most likely due to eating or drinking of some contaminated food or drink. Common symptoms include nausea, vomiting , pain abdomen ,loose stools and weakness. You would need to follow a particular diet for a while and also need some medicines for the same. Private Consult​ with me for detailed treatment protocol with medicines and dietary instructions.
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My son (2 yrs) has a lump in upper middle chest. Please suggest what it can be and where and to whom I should go for check-up and treatment.

MD - Homeopathy
Homeopath, Pune
My son (2 yrs) has a lump in upper middle chest. Please suggest what it can be and where and to whom I should go for ...
Hello, it can be fat lump or lipoma, but needs to be seen personally. Since when it is present? for now consult paediatrician mbbs dch or md paeds for opinion. Thanks.
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My child is 2years n she does not eat properly. What should I give her to increase her appetite? She has stopped eating cerelac also.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My child is 2years n she does not eat properly. What should I give her to increase her appetite?
She has stopped eati...
You have not mentioned wt n ht of your daughter in your query though these have been mentioned on top which are not consistent to each other. Cerelac is not proper diet for 2 years old child. She needs all home made nutritious food stuff of her choice rather thrusting your choice on her, it appears so. Leave her free to choose her items. Avoid sugar rich drinks, toffee, chocolates etc. Her choice is best appetizer.
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My son (11 months old) is suffering from cough and cold & having watery nose. He is being given maxtra (5 ml one dose) though his nose is watery as a result of which he used to be cranky all the time. Please suggest what else should be given.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son (11 months old) is suffering from cough and cold & having watery nose. He is being given maxtra (5 ml one dose...
Probably maxtra is trade name. Generic is convenient for proper advice. Anyway if maxtra is antibiotic, it has no role in Common cold n cough. U can instill saline nasal drop in each nostrils 3 to 4 times in a day n can give antihistamine.
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My daughter is 3 years old & I don't want another child at least for 2-3 yrs. Can you please suggest me any tablet which I can take on regular basis to avoid unwanted pregnancy.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 3 years old & I don't want another child at least for 2-3 yrs.
Can you please suggest me any tablet wh...
It is better to use Copper T or similar intrauterine device which are safe and painless and makes you free from side effects of hormonal tablet.
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What's Swaran Bindu Prashana

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala

Since ancient times, our ancestors passed their best practices of holistic lifestyle to their next generations. Over a period of time they became a ritual that got integrated into their day to day life. These series of rituals are known as samskaras. They are connected with the major events of life such as pregnancy, childbirth, naming ceremony, education, marriage, etc. These samskaras enables us to live a complete fulfilling physical and spiritual life.
Swarna prashana is one of sixteen samskaras mentioned in ancient texts for paediatrics. It is an unique method to build long lasting health and intellect naturally without leaving any harmful side effects.

Swarna prashana is an unique method of giving swarna bhasma (gold ash) mixed with honey and ghee that is fortified with arka, an herbal extracts like vacha, brahmi, shankupushpi, etc. To children orally.

This process promotes overall growth in a natural way. Due to its broader benefits, it is not only useful for normal children, its much more beneficial for children with special needs such as autism, learning difficulties, attention deficit disorder, hyper activity, delayed milestones, etc.

Swarna prashana is one of sixteen samskaras mentioned in the ancient texts for pediatrics.

Benefits:

Benefits of swarna prashana is elaborated in “kashyapa samhita” that was written before 600 bc.

“Suwarnaprashanam hyetanmedagni balavardhanam ayushyam mangalam punyam vrushyam varnyam grahapaham”- ka. Su. 18/ 4-5

It means the following benefits can be achieved:

  • Medha (intellect)
  • Agni (digestive and metabolic power)
  • Bala (strength)
  • Aayush (gives long life)
  • Mangalam (is auspicious)
  • Punyam (virtuous)
  • Vrushyam (aphrodisiac)
  • Varnya (increases complexion)
  • Grahapaham (eliminates the evil effects of planets) 
  • Vaidya vikas nagi is leading in swaran prashana

My 3 years old baby is been diagnosed with type 1 diabetic. Is there a cure for it. Thank you.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Nagpur
My 3 years old baby is been diagnosed with type 1 diabetic. Is there a cure for it.
Thank you.
As of now there is no treatment, it can only be controlled by insulin. Yes there are newer technologies for delivering insulin.
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Reasons Behind Iron Deficiency In Children!

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Reasons Behind Iron Deficiency In Children!

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is an essential nutrient for formation of Hemoglobin, which transports Oxygen and Carbon dioxide through the bloodstream and it is also essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiency of it causes anemia specific to iron. 

Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

  1. Low birth weight
  2. Excessive intake of cow's milk at less than 2 years of age
  3. Feeding exclusively on breastmilk beyond 6 months of age
  4. Lead poisoning
  5. Gastrointestinal disease or infection
  6. Improper diet of the mother during pregnancy
  7. Chronic diarrhea
  8. Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment. If you wish to discuss about any specific problem, you can consult a Pediatrician.

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Hello 'Dad' Your Health Affects Your Baby's Well-being Too

Panchkula & Delhi
Mother and Child Care, Panchkula
Hello 'Dad' Your Health Affects Your Baby's Well-being Too

We all are aware of the fact that it's not just mothers- to- be who need to make sacrifices during pregnancy, infact it's a excellent idea for fathers to give up smoking and drinking too. Many people are aware of the fact that smoking during pregnancy can be harmful for an unborn baby, so if either you or your partner is a smoker, you should actually give up now. And giving up smoking and cutting down on alcohol now will eventually lead to a healthier and fitter you, so that when you've got a little baby around, you will be in the best of your health.

Passive smoking is harmful:
Passive smoking near your partner is dangerous as when she breathes in your cigarette smoke, your baby is taking in harmful carbon monoxide, nicotine and maybe other harmful chemical substances. Nicotine may lead to constriction of the blood vessels and might affect the uterine and placenta blood flow, might even increase blood pressure and heart rate of you and your baby.

One of the best moves you and your partner can practice is to keep your baby's surrounding and environment smoke free, both for now and as well as after the birth too. If you and your pregnant partner or other people in your home indulge in smoking, it can cause serious harm to your unborn baby.

Drugs and Alcohol is a Big No:
Taking other drugs or drinking alcohol can surely get in the way of you being the parent you always wanted to be. It can also affect your ability to take care for your child. This is a big issue with newborns, who wake up often during the night for feeding and changing. Parents indulging in the use of drugs and alcohol, this unhealthy practice may lead to the risk factor for SUDI if the children sleep in the same place as the parent. For many men, alcohol and other drugs can fuel heated arguments that might lead to violence and aggression. This can have serious consequences for the health and wellbeing of the mother and child.

Your habits affect your kids:
In a recent research the rate of lymphoma, brain tumours and leukaemia were up to 80% higher in children under the age of 5 when fathers had smoked prior to conception, even though the mothers were non smokers all the way. Moreover the rate of childhood cancer was seen highest when fathers smoked more cigarettes every day, or had been smoking for a longer time or started smoking before the age of 20.

It's not just your partner who requires staying healthy before, during and after pregnancy, you all fathers need it too. A healthy diet can surely help with conception, but it's always important to practice and carry on eating a well-balanced variety of nutritious foods. This will lead to the encouragement of your partner to do the same and help her enjoy a healthy pregnancy as well.

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I have 4th year girl child. We went for 5 days tour. Now she got vomiting and motions with stomach pain also she is getting pain at stool place. What to do?

BHMS
Homeopath, Faridabad
Hi, seems to be a case of food poisoning. Give her homoeopathic medicines -- arsenic alb. 30 and aloe soc. 30 - both after every 1 hour of gap for 1st day then reduce the frequency to 2 or 3 times a day till she gets better. Management: -only give boiled or r. O. Water to drink. -give her light non-spicy home-made food (like'khichri' curd, porridge, non-spicy rawa upma without oil or ghee, curd & rice, roasted slice of bread, black tea, pro-biotic like yakult). -avoid food from outside, stale food, dairy & dairy products, junk food. -also keep her well hydrated by giving her plain water, lemon-water'chaaj' (if needed, give her ors solution available in chemist) -let her take good sound sleep and rest.
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