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Dr. Praveen Vakija

Pediatrician, Delhi

500 at clinic
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Dr. Praveen Vakija Pediatrician, Delhi
500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Praveen Vakija
Dr. Praveen Vakija is an experienced Pediatrician in Saket, Delhi. He is currently practising at Sawan Neelu Angel's Nursing Home in Saket, Delhi. Book an appointment online with Dr. Praveen Vakija on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 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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Sawan Neelu Angel's Nursing Home

Office No. J/293 Block J Saket,Landmark: Near Union Bank of IndiaDelhi Get Directions
500 at clinic
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Bottle Feeding

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Bottle Feeding

Health considerations when bottle-feeding

If you decide not to breastfeed, or are unable to breastfeed, commercial iron-fortified formulas can give your baby the nutrition he or she needs. Infant formulas have the right amounts of protein, calories, fat, vitamins, and minerals for growth. However, formula does not contain the immune factors that are in breastmilk. The immune factors in breastmilk help prevent infections and other health conditions throughout a baby's life.

Picture of a baby feeding himself a bottle

Infants who take enough iron-fortified infant formula usually don’t need vitamin and mineral supplements. However, the American Academy of Pediatrics recommends vitamin D supplementation for all babies drinking formula until they are drinking at least 32 ounces a day. Fluoride supplements are recommended for babies whose primary water supply is not fluoridated. Check with your baby's healthcare provider about vitamin D and fluoride supplements.

Types of infant formula

  • Cow's milk-based formula. Most infants should be able to tolerate a standard cow's milk formula. Cow's milk formulas are modified to be closer to human milk. These formulas have lactose as the carbohydrate (sugar) source. They are available in ready-to-feed cans, liquid concentrate, and powder. Regular cow's milk is not an appropriate source of nutrition for a human baby.

  • Soy-based or lactose-free formulas. These formulas are used if an infant can’t tolerate lactose, which is rarely a significant problem in babies. They don’t contain lactose as the sugar source. As many as 50% of all infants who are allergic to cow's milk formula will also be allergic to soy-based formulas. Talk with your baby's healthcare provider before changing formulas. Vegetarian parents may prefer soy-based formulas. But they should be aware that breastfeeding is still the best option.

  • Specialized formulas. There are special formulas for babies who are premature or who have certain rare disorders or diseases. These formulas may have special directions for use. They are prescribed by the baby's healthcare provider.

  • Hydrolyzed formulas. Hydrolyzed formulas are easier to digest. They may be used in babies at risk for allergies. They are more expensive than regular formulas. Talk with your baby's healthcare provider before using these formulas.

  • Low iron formulas. These formulas are not recommended.

Helpful hints for feeding your baby

  • Breastmilk only is the ideal feeding for at least 6 months. This means no water, sugar water, or formula.

  • Wait until breastfeeding is well established before giving your baby breastmilk in a bottle.

  • Working mothers can use a breast pump on break time and refrigerate or freeze the milk for later use as a bottle-feeding. Refrigerated breastmilk should be used within 24 hours after pumping. Frozen breastmilk is good for several months in the freezer. Fathers and other family members can be involved in feeding time if breastmilk is offered from a bottle occasionally.

  • Offer cow's milk-based formula with iron as first choice of formula if not breastfeeding.

  • Keep your baby on breastmilk or baby formula until he or she is 1 year old. After this time, you may switch to whole milk. Children under 2 years old should not drink skim or low-fat milk.

  • It’s important to follow the formula preparation directions exactly as directed on the packaging. Using too much water can result in poor weight gain. It's also important to discuss your water supply with your child's healthcare provider. In some areas, water must be boiled first, or bottled water should be used.

  • Bottles should never be propped up.

  • Babies should never be put to sleep with a bottle. This can cause cavities to develop.

  • All babies, whether breast or bottle fed, should be offered a feeding whenever they show signs of hunger.

1 person found this helpful

My Son is 3 years and 6 months old. He is not eating anything .his only food is complain and sometimes he eats chips or chicken soup. But he is just 10 kgs now .we are very worried and doctor told to give infagrow and some vitamin syrup .he does not take these instead avoids if forced he takes and vomits. Please advise me on this.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Children tend to vomit if food is forced on them. as part of investigating the cause you need to check his TSH and inform me . 10 Kg is reasonable and make sure he is not anemic
1 person found this helpful
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Eczema in Infants: What You Should Know?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Jaipur
Eczema in Infants: What You Should Know?

Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.

Causes-

Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.

Does Eczema In Infants Go Away By Itself?

In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.

Treatment-

Here are some home treatment options for infant eczema:

  1. You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.

  2. A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.

  3. You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.

  4. Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.

You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.

4002 people found this helpful

Lactose Intolerance In Children - Causes And Treatment

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Lactose Intolerance In Children - Causes And Treatment

The sugar found in milk and other dairy products such as yoghurt and cheese is called lactose. An enzyme in the small intestine called “lactase” breaks lactose into galactose and glucose. When the lactose is not digested properly by the small intestine, it passes unbroken into the colon. The bacteria in the colon break the lactose down into hydrogen and carbon dioxide. People who fail to digest lactose in their small intestines are diagnosed with lactose intolerance.

Usually lactose intolerance only affects adults, but sometimes children do suffer from it. For children, their symptoms can be mild or very severe (for example, cramps, diarrhoea in children, etc.)
Normally, parents can confuse milk allergy with lactose intolerance. They do share the same symptoms, but they are completely different medical conditions. Milk allergy is caused by the immune system while lactose intolerance is a problem with the digestive system.

The causes of lactose intolerance include:
1. Absence or deficiency of the lactase enzyme
2. Infections in the gastrointestinal tract that damage the lining inside the small intestine
3. Gluten intolerance (It affects lactase production)
4. Genetics (Lactose intolerance can run in the family)

When the lactose is broken down in the colon, certain gases are produced. These gases can cause symptoms such as:
1. Abdominal inflammation and pain
2. Excessive burping
3. Loud sounds in the bowel
4. Excessive diarrhoea and gas
5. Explosive and watery bowel movements
6. A feeling of urgency when it comes to bowel movements (In children, they might feel like they need to get to the bathroom as soon as possible or they might embarrass themselves)

How best to treat it?
Living with lactose intolerance usually involves dietary modifications and taking supplements such as over-the-counter lactase to aid in digestion. For instance, you can replace milk with soy milk, or take lactase before ingesting any dairy product. Or alternatively, you can consume lactose-reduced or lactose-free milk and dairy products.
Calcium deficiency is a serious side effect of lactose intolerance. So incorporate calcium-rich foods such as broccoli, kale, tofu, almond, dried fruits, soybeans, turnip greens, collard greens and fortified orange juice in your diet. If you wish to discuss about any specific problem, you can consult a pediatrician.

4381 people found this helpful

Amazing Weight Loss and Diabetes Control with GUAVA LEAVES !

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Amazing Weight Loss and Diabetes Control with GUAVA LEAVES !

Amazing Power of Guava Leaves ! Excellent Obesity & Diabetes Tip !

For Obesity

Guava leaves helps in weight loss as it prevents the body’s complex starches from getting converted into sugars. The Carbs in our body are broken down in the liver and guava leaves prevents this process of Carbohydrates getting transformed into useful compounds.

For Diabetes

Guava leaves are also beneficial for diabetes patients. It helps in preventing the body’s absorption of sucrose and maltose and thus helps in lowering blood sugar levels. Consuming Guava leaves tea regularly for more than 12 weeks can help in maintaining your blood sugar levels. It also reduces the production of insulin in the body.

Do follow for more easy to follow, kitchen & home remedies. 

Do take Personalised/Customised Diet/Therapeutic Nutrition Consultations for best results.

Regards,

Dt. Neetha Dilip.

8 people found this helpful

My 10 mths old son has cough issue for the last one mth in regular intervals. Further he don't take proper diet. Just dependent on mother's milk & biscuits. Kindly suggest some remedy.

BHMS, PGDCBM, MD(AM)
Homeopath, Gurgaon
My 10 mths old son has cough issue for the last one mth in regular intervals. Further he don't take proper diet. Just...
Improper nutrition will lower your child's ability to fight infection. A 10 month old child needs vitamins, iron and proteins which cannot be provided by mother's milk alone. Avoid giving him ice creams, cold drinks etc give him dalia/rice khicdi with dal, vegetables and curd. Give suji/rice kheer, custard, yogurt. Give him fruits specially banana, apple, anar and other seasonal fruits he can now have 3proper meals. Try variety of things without being disheartened. Parenting is a tough job. All the best.
1 person found this helpful
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I have a boy is 16 years old doing 10th standard. He is not open minded and not discussing anything to us. He is become angry when we ask anything to him. Always spend time only with mobile and devices, not studying and getting avoid from his friendship circles. Getting complain from school also. Please help me.?

MD - Alternate Medicine, BHMS
Homeopath, Pune
Hello, you can try bach flower remedies for him. They are very good for behavioural disorders. Give him bach flower remedy agrimony 2 drops 3 times a day.
2 people found this helpful
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Hi, My son who is 8 years old. He doesn't know to speak properly till now. His attention quality is very poor. His way of talking, playing are like a child of 3 or 4 years. And he is very emotional. His anger is very high. Sir please suggest what will we do now for his improvement.

M.Phil - Psychology, M.Sc - Clinical Psychology
Psychologist, Zirakpur
He needs to undergo through evaluation for his difficulties. An IQ test is recommended. Along with it other tests to know whether or not he is suffering from other childhood disorders like ADHD, autism etc. After that a skill based training program can be formed to tackle the various behavioural problems.
1 person found this helpful
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Me and my boyfriend enjoyed sex yesterday without condom. Is there any chance for born of child. We never planning for sex that day but unfortunately we do that. Any salutation for this.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Me and my boyfriend enjoyed sex yesterday without condom.
Is there any chance for born of child.
We never planning fo...
We can not predict whether any intercourse would lead to conceiving or pregnancy. Just consult a gynaecologist and take pill 72 to prevent pregnancy. This pill should be taken under supervision of a doctor and before 72 hours of having intercourse.
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