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Dr. Punam Bhatia

Pediatrician, Delhi

500 at clinic
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Dr. Punam Bhatia Pediatrician, Delhi
500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Punam Bhatia
Dr. Punam Bhatia is a trusted Pediatrician in Safdarjung Enclave, Delhi. You can meet Dr. Punam Bhatia personally at SUKHMANI HOSPITAL in Safdarjung Enclave, Delhi. Save your time and book an appointment online with Dr. Punam Bhatia on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 26 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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Hindi

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SUKHMANI HOSPITAL

B-7 Extn,126A Safdar Jung Enclave, Landmark:-Kamal Cinema Road, DelhiDelhi Get Directions
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My son he is 12 years old. The problem is about not growing his height and weight. He is too weak. Suggest me about his improvement.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
My son  he is 12 years old. The problem is about not growing his height and weight. He is too weak. Suggest me about ...
Medicine sbl calc phos 3x / 3 times a day 10 days food 25 pcs kismis daily 5 pcs khejur 2 boiled eggs daily morning 4 tspnful glucose daily mixed fruit juice daily evening complain daily exercise do swming gym daily 20-30 minutes. If medicine suit you then revert after 2 weeks
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I have regular headache and I feel very weak. I have pain in my stomach also. What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have regular headache and I feel very weak. I have pain in my stomach also. What should I do?
check your BP. Check your eye sight. take crocin pain relief in case of severe headache. take good sleep and rest. avoid stress. inform if not ok.
1 person found this helpful
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My daughter is 5. 5 months old her weight is just 5.5 please help me I am really worried birth weight 3.3.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My daughter is 5. 5 months old her weight is just 5.5 please help me I am really worried birth weight 3.3.
Hello, Start weaning incase you haven't. Give her nachni malt, sweetlime juice, banana mashed, porridge, apple juice etc. Start will less quantity and gradually increase. Do not give her excess of milk as that will not help her more. Consult paediatrician regarding deworming agent.
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My son age is 2.9 years but he is not gaining the weight currently he is only 10 kg.what should i do?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My son age is 2.9 years but he is not gaining the weight currently he is only 10 kg.what should i do?
U have to increase his calories. Protein intake. Need to limit milk to 350 ml. Do stool and urine exam.
1 person found this helpful
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My two months old son has increased his feed demands and diet, but he vomits extra semi digested milk, after few feeds and does potty 2-3 times a day. Is it all fine or his growth is being interrupted? Kindly help.

MRCPCH, MBBS
Pediatrician, Gurgaon
My two months old son has increased his feed demands and diet, but he vomits extra semi digested milk, after few feed...
With age feed increasing is normal and curd like vomit after that is also not bothering. Continue the same.
2 people found this helpful
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Hello doctor i'm planning for a baby, my period was 1 to 5, my doc told me to intercourse from 12 to 19, now my doubt is that how I come to know that egg got form, exactly I don't know what word to use but I hope you can understand. Please reply me to good opinion. Thank you.

BHMS
Homeopath, Lucknow
Hello doctor i'm planning for a baby, my period was 1 to 5, my doc told me to intercourse from 12 to 19, now my doubt...
Yeh i understand, you mean ovulation, Ovulation is the phase of your cycle in which one ovaries release an egg, but egg only has 24 hrs to fertilized, because your egg is only viable for 24 hrs. and your partner sperm are able to survive and fertilized it(egg) for up to 5 days after intercourse, so intercourse within five day of ovulation could result in conception.. for that u should know you ovulation period, you should know the length of your menstrual cycle,day one is the 1 day of mc, Ovulation happens about two weeks before the next expected period, soo if your mc is 28 days than your ovulation is around 14 days, means 12 to 15 is best time to conceive.. now the point is how to know that your ovulation days is start.. 1- measures your last menstrual period if.. 2- thick white discharge from vagina.. 3- increase basal body temperature.. 4- mood swings 5- slight cramping or pain in lower abdomen and calf ms.. 6- breast tenderness. 7- abdominal bloating. 8- increase sex desires..
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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My daughter is 3 years old & she use to suck her thumb. Due to which her weight is not increasing. Pls tell me how this problem can be resolved. She doesn't eat so much.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 3 years old & she use to suck her thumb.
Due to which her weight is not increasing.
Pls tell me how th...
Suckiing thumb abd weight loss are not related and this habit will go away as she grows up. You try putting a thimble over the finger and see if it distracts her.
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I have a daughter who is 8 month, 1 week old. My baby has not started teething yet. At present, I have only included brown rice kheer, rawa kheer, dal rice, chikoo and cerelac in her diet. I want to introduce her to new food stuff and want to know what else I can possibly include which will be more nutritious. 1. Are babies also suppose to have a breakfast, lunch, dinner pattern like adults? If yes, then what should be given during these times? 2. What should be the time gap between the three meals? 3. Should we give babies some snacks between the three meals? If yes, then what needs to be given? 4. Can I start her on chicken soup or mutton soup or should I give only vegetable soups for now? 5. If possible could I get a baby growth chart from you which can help me track her growth?

BHMS, MD - Homeopathy
Homeopath, Mangalore
I have a daughter who is 8 month, 1 week old. My baby has not started teething yet. At present, I have only included ...
For 8 months old babies require meals every 3-4 hrs once. You can continue breast feeding along with these. You can give chicken. Or mutton or veg soup. But don't give pieces yet. Egg yellow can be added. Ragi. Dal. Rice. Wheat all in thick soups type. Or smashed. Teething for usually starts 8 months-1 yr. 2 months. Whenever the child cries for food you can feed it. Need not wait for 3 hrs to be complete. Every time a bowl of meal is required. Don't force to much neither let to loose.
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My wife is unable to produce milk for my baby. Kindly suggest with other options between cow milk and Lactogen.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My wife is unable to produce milk for my baby.
Kindly suggest with other options between cow milk and Lactogen.
Usually there is no reason not producing enough milk for infant except not inclination of mother to feed baby. Encourage mother to feed baby and simultaneously find out other reasons consulting obstetrician n to treat accordingly. No milk is better than mother's milk.
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I am 3 months 2 days pregnant. However my pregnancy is through IVF 1st cycle. I am on duphaston & sustain (insert one), frolic acid, iron & calcium tablet. Still my doctor says to continue all 3 for 1 more month and later will see. I am confused. How long I have to take these many medi.

BUMS
Gynaecologist, Mumbai
I am 3 months 2 days pregnant. However my pregnancy is through IVF 1st cycle. I am on duphaston & sustain (insert one...
Till your doctor says all medications r for your pregnancy as you concieved artificially .so through medicine doctor trying to maintain the hormonal balance in your body. So just go through it.
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My son, 5 years old, is suffering from recurring cough n cold. After every 2-3 months the symptoms repeats. Starting with running nose, it turns in dry cough, chest congestion n vomiting tendency. Please advise.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Seroflo 250 is higher dose for his age. Try seroflo 100. Try to improve tech. Allegra syp 5 ml once/day.
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My child who is 6 years complete in Oct 2015. And his weight is 17 kg. But he is taking meals with so much force. Breakfast also same. Nd I am employee. So day by day I loss my patience about my child. Any medicine. Pls help me. Male child.

C.S.C, D.C.H, M.B.B.S
General Physician,
Do not scold your child and no medicine is needed but check his tsh and inform. Consider causes. Understanding causes will restore your trust in your child to do her part with feeding. To fully understand those causes, you and your child need to have had a full assessment, including longitudinal and developmental history and growth and, most particularly, feeding dynamics past and present. Most medical and even nutritional assessments don't address feeding dynamics and history, and it leaves a gap in understanding. Medical assessments and labs are helpful with respect to indicating whether your child has recovered from early medical maladies and/or has some other malady.
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My baby is 6 months old and is suffering from chronic constipation from last two months. In start we tried natural remedies like cotton insertion and sugar water but see no improvement. At last we visited his paediatrician and he advised to give him Glycerine suppository for 3 days and after that to continue adult PICLIN Laxative 6 ml per day (3 ml twice) to cure his constipation. So, we are giving him above medication from his 6th month start and now he passes stool after 2 or 3 days with less difficulty. We tried stopping giving him PICLIN after his 6th month completion but after that baby can’t poop and also decreases his feed intake. His current weight is 6.1 KG and he is teething as well. Regarding his diet, he is completely on breast feed and we have started giving him yellow dalpani from last one month. We have tried 20-25 ml of water intake and 2 tablespoon of pear puree from last 3 days but it does not help. To continue on PICLIN we have some worries and doubts as follows: 1. Is it safe to give PICLIN (Adults) 6 ml daily to baby of just 6 months and any side effects that it can cause when baby grows? 2. For how much time we should continue giving him above medicine? 3. What can be the reason of his severe constipation? 4. Is there any natural remedy to cure his constipation rather then giving him medications? 5. Any other suggestion/medication to cure his constipation? 6. Is glycerine suppository is better than PICLIN? It would be very helpful for any of suggestions.

BHMS
Homeopath, Chennai
My baby is 6 months old and is suffering from chronic constipation from last two months. In start we tried natural re...
The first line of treatment that almost everyone resorts to is that of taking laxatives. It is likely to be any of the most frequently advertised one bought over the counter. It may even be something recommended by an elder in the family. The biggest disadvantage of such laxatives is that they are habit forming. Once you start takingthem, you cannot leave them. Otherwise, you will not be able to evacuate your bowels in a satisfactory manner. Here, Homeopathy offers the biggest advantage. The homeopathic medicines do not work as laxatives. This means that you should not expect them to work as short term quick fixes. Rather, they work to improve the digestive system which has lost its proper and smooth functioning. The peristaltic movement of the intestines, which is responsible for pushing out the waste matter is often compromised in patients who are constipated. Homeopathy  intends to cure the root cause of constipation. It is therefore natural that these medicines are going to take some time to get things going. Ultimately, it is effective at restoring this peristaltic movement to the normal self You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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4 Common Diseases that Babies are Susceptible To

DNB, DCH, MBBS
Pediatrician, Delhi
4 Common Diseases that Babies are Susceptible To

Infants often suffer from certain diseases which need proper care and timely treatment for quick recovery. At times, it can be difficult to communicate with an infant and understand his/her needs and problems but with a close observation you will surely be able to detect any alteration in the baby's behavior and sense it when he/she is ill. Here are some of the most common diseases infants are susceptible to and what you can do about them.

1. Abdominal distension
It is normal for a baby's belly to stick out after he/she has been fed, but if between feedings there is swelling in the abdomen or it feels hard, it can be an indication of a problem. If this symptom is accompanied by vomiting and absence of bowel movements for more than two days, your baby may be suffering from abdominal distention. This condition may have been caused by swallowing of extra air by the baby while crying or feeding. In such a situation, a pediatrician should be consulted for proper diagnosis and treatment.

2. Jaundice
It is common among newborns to develop mild forms of jaundice as the undeveloped liver is often not able to eliminate the chemical bilirubin from the blood. Mostly, this situation proves to be harmless till the level of bilirubin reaches a certain limit. After that, the disease must be properly treated to avoid damage to the baby's brain or nervous system.

3. Rsv infection
Rsv or respiratory syncytial virus is responsible for causing respiratory problems among infants. Rsv infection usually affects the bronchial passage and shows symptoms like cough, runny nose and mild fever which may even lead to bronchitis. Moreover, this infection may also develop into viral pneumonia, which makes it more important to consult a pediatrician if your baby shows any of the above symptoms.

4. Diarrhea
Infants are susceptible to watery bowel movements due to the action of virus, allergens, specific medications or bacteria. If you observe that your baby is passing stools more often than usual and it is watery, then it may be a case of diarrhea. Sometimes, these symptoms are accompanied by high fever, abdominal pain, lethargy, vomiting, dry eyes and mouth etc. In this situation you should consult your pediatrician and focus on replacing the fluids your baby has lost, to prevent dehydration.

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My baby is one month old. On routine check up doctor counts his heart beat which is 180 bpm. He ask for echo test. Echo test done and one line is in bold letters of report. In final impression it is written that is patent foramen ovale left to right and normal pulmonary artery pressure. Doctor says it is normal. It heals within 3 months. I am tense help me. Baby is very active.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is one month old. On routine check up doctor counts his heart beat which is 180 bpm. He ask for echo test. Ec...
As pulmonary pressure is normal there is nothing to fear and foramen ovale usually will close or surgery may needed. If you can upload the full report to me it is better to give you a better idea.
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Hii I have 11 days baby I want to my baby is become generous what should I be done may I give DHA in to lactating mother.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hii I have 11 days baby I want to my baby is become generous what should I be done may I give DHA in to lactating mot...
don't stress too much on DHA these are marketing gimmick for food supplements, just don't restrict mother from having any kind of food. she is currently in very labile mind. support her as much as you can. so that she can concentrate on breastfeeding. exclusively breastfed babies usually have more IQ ,
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I have severe night time back pain and knee muscle pain after the delivery of my baby. My weight is 65 kgs and height 5 ft. I breastfeed my baby in sleeping position. Please give some good medication.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Chennai
I have severe night time back pain and knee muscle pain after the delivery of my baby. My weight is 65 kgs and height...
Avoid repeated forward bending, avoid weight lifting, do not sleep straight, better sleep side wise and knee should be bent back side.
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My baby is 3 month old. I have started weaning him. I give him powdered biscuits mixed in water. Wat food cn I give him ? Cm I go him fruits mashed or blended.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is 3 month old. I have started weaning him. I give him powdered biscuits mixed in water. Wat food cn I give h...
Weaning should be done at 4 months and you are giving wrong thing which is biscuits. Maida is not advisable in first 9 months. If at you wanna start early weaning. That too shall be after 4 completed months not now. When you start weaning. You shall first give simple things like dal water, rice water, thin crushed khichdi, kheer, sheera, crushed and pre boiled potato tomato. Porridge upma ragi dalia sattu. Etc. One by one. Weaning is slow and complimentary process to breast feeds so never reduce breast feeds on first 6 months and shall be continued till a year. Regards.
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Sir my 15 month old kid accidentally chewed trazine H tablet. We r in a remote place.he is active n symptomless for the past 14 hrs! What should I do next!

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Sir my 15 month old kid accidentally chewed trazine H tablet. We r in a remote place.he is active n symptomless for t...
Dear parent as more than 14 hrs have passed not muvh to worry but give him plenty of liquids like plain water, shikanjavi, lassi coconut waterand of course milk is there. So that bthere is total excretion of the medicine.
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