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Dr. Punnet

Pediatrician, Delhi

200 at clinic
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Dr. Punnet Pediatrician, Delhi
200 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Punnet is a popular Pediatrician in Palam, Delhi. You can meet Dr. Punnet personally at Divya Prastha Hospital & Diagnostic Centre in Palam, Delhi. Save your time and book an appointment online with Dr. Punnet on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 41 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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Divya Prastha Hospital & Diagnostic Centre

Rz-37,Main Road, Palam Village. Landmark: Opp. Bagh Wala School, DelhiDelhi Get Directions
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Guidelines for Appropriate Complementary Feeding

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
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Lybrate - Dr. Gorika Bansal talks About Complementary Feeding

 

Hello everyone. My name is Dr. Gorika Bansal and I am pediatrician practicing in green park. Today I will be talking about complementary feeding. Complementary feeding means introduction of new food into your baby’s diet. When he turns 6 months in age. So now the question that may pop in your head is why only at 6 months? Why not earlier this is? because baby’s demand is completely met by the breast milk that you give to the baby until 6 months of age. But, as the baby grows older his requirement his nutrient requirements grow exponentially as its gaining weight, height and brain development is happening at a very faster rate so the nutrients requirement also really increase and that is why we have we have to introduce all these new foods apart from milk to take care of all these additional nutrient requirements.

Now next question would be what all can we give to the baby? when he turns 6 months so for example, we can start with porridge that is kheer you can give chawal ka kheer or sooji ka kheer or may be a halva make sure that the consistency of the kheer is liquid or may be a thick liquid not as thin as a milk but yes but not as solid not like semi-solid food. It should be in between the semi-solid and the liquid consistency. So it can provide the right amount of the nutrient value. So porridge is one, second you can give mashed fruit to the baby which may include mashed papaya, banana, apple, oranges and mango of course other option would be daal and chawal so daal chawal, khichdi can be made into the grovel form and can be served to the baby. To improve the taste of the khichdi we can also add salt for pat ability. Other things that we can give to the baby would include maybe a fruit custard or a fruit yogurt curd can also be the other good option or maybe a lassi which may be namkeen or sweetened also we can give different kind of soup like a vegetable soup, chicken soup, palak soup etc. Even boiled steamed vegetables are every good option which can be mashed and give it to the baby. Mashed potatoes is something that babies really love, even mashed sweet potatoes, so all these are good option and if you are a south Indian may be upma could work really well may be at least sambar can be really well in that case. At least sambar is something that you can put idli into it and then again comes a grovel form you can server to the baby.

Now let’s come to the next question. How many time you should serve this to the baby? So as I said we do not have to cut down the milk. Milk has to be continued the way it used to be apart from the milk feed we give new foods 2-3 times in a day to a 6-8 months old baby. Why if the baby is 9-12 months old we give these food 3-4 times a day. How much quantity to give now? So the quantity of course baby is going to decide how much he want to eat. To begin with, you have to be very gradual. So start with the teaspoon of the meal and gradually build it up so the requirement for the baby at the age of 6-8 months would be around 3 tablespoon per meal. While for 9-12 months old baby, requirement may be up to half a cup of the meal. But as I said, It is not a thumb rule that your baby decides how much he want to eat. When you are preparing these foods make sure the hygiene of the food. Make sure your hands are washed. Your baby’s hands are washed because he is going to put his fingers into the food start liking on it. So make sure all of that is in place. Also the utensils are nicely cleaned. Other thing is that you can start for you baby is of course water. What am I usually asked by the parents. Because in summer months kids may be dehydrated.

Water is something you can start now. But water should be given only after the food not before the food because it is going to kill the hunger after because it is going to take care of the oral hygiene as well. Salt and sugar as I said can also be used for palatability but in very minimal amounts. Another thing I would like to add is the commercial products that they usually sell for babies like celeriac should only be a fall back option it should be given once in a while and shouldn’t be given regularly because these products has preservatives. Preferable would be giving homemade food to the baby. Unless and until you are traveling that is a different case in which you can use celeriac. So some babies would really love eating what you are giving them some may puke out the food that you are giving. In case they vomit out the food, do not get dishearten, do not stop giving them food you are giving. But of course do a bit of variation as sweet food is definitely a win situation at the babies. You can probably start with fruit purees to begin with if he is not liking something you are giving. The food that he vomited you can re-introduce that food after a week time. So having said that all these little things, you need to keep giving to the baby and ensure that you maintain the nutrient value and of course the taste for the baby as well. And of course the colorful foods are really cherished by them. Colorful sweet and liquid consisting food.

That’s all from me and all the very best and in case you have any queries any questions, you can contact me on the Lybrate home page or you could visit my clinic in green park, for any question or queries you can always leave a message on my number
Thank you so much.




 

3531 people found this helpful

My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second child. Some people say that children born in late ages are always by surgery. Is this true?

DGO, MBBS
Gynaecologist, Bhavnagar
My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second ...
No. There is no such rule that children at later age are born by surgery only though ratio may b more.
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Hello doctors. I am new mom have a baby of one month. My problem is that my breast milk production is very low. Its not sufficient for my baby at all. So my baby do not latch my breast too. I am feeding him formula milk as I have no choice left. Doc.suggested me to take shatavari caps. But its not working. I am taking soups .having proper food as well ,but there is no increase in milk production. I am very sad now. Pls help! I would be highly grateful.

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Hello doctors.
I am new mom have a baby of one month. My problem is that my breast milk production is very low. Its n...
Hello, Simplest way of generating more breast milk is physical contact with baby as much as possible & also encouraging your baby to latch on to & suck nipples as much as possible (even if there is NO breast milk). Another trick is gently massaging your breasts & expressing milk droplets by gently squeezing breasts. Milk production in women is dependent on hormone oxytocin (or hormone of mothers love) & Oxytocin secretion (which in turn will help breast milk production) is dependent upon cuddling, fondling, physically touching your baby & baby sucking nipples (which activates milk secreation reflex acrc in your body) All the Best.
1 person found this helpful
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My son Jeremy is 14 months old and his fontanelle has still not closed. What can I do? He has also not started to walk.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My son Jeremy is 14 months old and his fontanelle has still not closed. What can I do? He has also not started to walk.
The Anterior fontanelle (AF) is simply an area on top of a baby’s head where the various bony plates that make up the skull have not yet come together. The fact that a newborn’s skull isn’t one solid bone at birth, but rather comprised of several bony plates is not just useful, but necessary, as it allows a newborn’s head to adjust enough in size to pass through the birth canal and then allow the skull to expand as babies’ brains grow considerably throughout the first year.------------AF is generally between 3 to 6 centimeters diameter during the first 6 months of life, and gradually gets smaller thereafter—closing some time between the ages of 10 and 25 months old. Any babies who are born prematurely, however, may have their anterior fontanelles close even later. -------So your question is of little concern right now and nothing to worry about-----------------------
2 people found this helpful
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My only 1 yrs 6 month child girl is not speak any word but she understand all thing she dance in musicmusic so please tell me is there any problem or not.

MD - Paediatrics, MBBS
Pediatrician, Lucknow
Get her hearing checked by any audiologist. If she is hearing normally she will speak normally sooner or later.
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Respected Sir, My 4 years old daughter having problems broken Khansi just like Sine ko pakad ke khana, ye last 7 days se hai, Dr. prescribed sy. Augmenting -Doo 5 ml twice and sy. Alex-P 5 ml 3 times, after days Alex-P replace of Grilinctus-BM, Total 7 days but koi relief nahi mil raha hai, time to time many stroke of khansi. Pls suggest me for better.

MBBS
General Physician, Jaipur
Respected Sir, My 4 years old daughter having problems broken Khansi just like Sine ko pakad ke khana, ye last 7 days...
There are few symptoms to know cough productive inside sounds throat inspection etc detailed history needed. G bm syrup is for asthamatic type cough advice to reduce dose of this syrup and try lozenges need to get examined fir tonsils also. If no relief need re examination of chest any fever better have detailed chat to better understanding.
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My grand son is one year and 4 months old. He has not started uttering words although he blabbers some times. He hears and responds well . He had problem in sucking milk from the beginning. Does it have any relevance? When do children start uttering meaningful words normally. Please advice. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
My grand son is one year and 4 months old. He has not started uttering words although he blabbers some times. He hear...
At this age one three words is normal . But he may a late developer but you better check him up to make sure . Also encourage him to speak by talking to him patiently
1 person found this helpful
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I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc. And I have always bone pain. It is genetic. Please help me. And suggests some medicine and treatment. And chest pain also.

MD - Internal Medicine
General Physician, Khammam
I'm suffering from sickle cell. And I have always breathing problem and I can't do anything like singing sport's etc....
Hello Lybrate user Sickle cell anemia patients are prone for above symptoms if the blood percentage drops. Take adequate amounts of oral fluids. Consult your physician and get evaluated.
3 people found this helpful
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My grand son 3 months baby based on mother's breast feed and milk is not sufficient. Almost in exhausting stage Please suggest to come out of this problem and to feed the baby with sufficient milk. Also suggest the best bottle feeder to suit to the little mouth of baby to drink the milk through bottle feeder

Diploma in Child Health (DCH), MBBS
Pediatrician, Hubli-Dharwad
Till 6 months completion. Give only direct breastfeeding. Never use bottle use either spoon or palladai.
1 person found this helpful
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Is there a limit to how many vaccinations you csn have. Please tell me the limitations of the vaccination for a new born child.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is there a limit to how many vaccinations you csn have. Please tell me the limitations of the vaccination for a new b...
It is not limitation and there is a schedule followed by hospital and you have to follow them. If you have more specif doubt on any vaccine you can ask.
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Child is having autism. His weight -15 kg, age-5 years old. Please suggest a diet.

MD - Psychiatry
Psychiatrist, Mumbai
Autism spectrum disorders (asd) are developmental disorders that affect children by disrupting their ability to communicate and interact socially. To reduce a child's symptoms of autism, parents often try alternative treatments such as specialized diets. Lately, the gluten-free/casein-free diet has grown in popularity. Some parents report improvements in autism symptoms with this dietary regimen. Little research has been done, though, on the gluten-free/casein-free diet for autism. When following this strict elimination diet, all foods containing gluten (found in wheat, barley and rye) and casein (found in milk and dairy products) are removed from the child's daily food intake.
1 person found this helpful
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My baby is 6 month. Is cerelac is good for her. Hav to start cerelac. please suggest which brand or which flavour should introduce first.

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
My baby is 6 month. Is cerelac is good for her. Hav to start cerelac. please suggest which brand or which flavour sho...
Any packet food is not recommended. Can be used only in cases where food can't be prepared fresh like travelling. Rest all it should be home made. Clean. Hyginic. Healthy food. Veg soup. Porridges.fruit pulp. Khichdi. Dalia.many varieties can be given.
2 people found this helpful
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I have a 3 months old baby girl. What should be the supplement for breastfeeding whenever required. Does cow's milk is safe to give? If formula milk then specify the brand please. Thanks.

MBBS, MD
Pediatrician, Gurgaon
I have a 3 months old baby girl. What should be the supplement for breastfeeding whenever required. Does cow's milk i...
At three months,most of mother think,that breast milk is inadequate.its not true.If they give breast feed as per age of child in months,they will realise that weight gain is satisfactory.If you see that weight gain is less you can add cows milk fresh.and even you can give thin cereal soup in small quantity freshly prepare d at home. thanks,nice question.
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Sir my son is 7.5 months now. What kind of food does he have? Please tell me. Now he has a small tooth start. What happens when a teeth grows?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Sir my son is 7.5 months now. What kind of food does he have? Please tell me. Now he has a small tooth start. What ha...
Hi Mayur... You can start on liquid and semisolid diet... Like juice and soups... Usually child have diarrhoea or irritable Ness while teeth starts eruptions... You may take Homoeopathic treatment in that case when needed.
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My son is 7 month old he is low weight birth at the time of birth his wait is 1396 grams I want to concern about his diet what should we have to give him.

DRCH, BHMS
Homeopath, Bareilly
My son is 7 month old he is low weight birth at the time of birth his wait is 1396 grams I want to concern about his ...
Up to six month solely the child should be on breast fed and then after liquid diet and mashed food should be started. You can give him rice water, pulse water, mashed khichadi, mashed potato and other vegetables, biscuit in milk, mashed fruits, fruit juices, cerelac at this stage. The child should be double of his birth weight at the age of 6 month so check his progress by weighing him.
2 people found this helpful
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I requested you to suggest a good treatment for my daughter age 3 years she is not interested to take any food his weight is 9.8 kg.

BHMS, pgdcbm, MD(AM)
Homeopath, Gurgaon
Your daughter is underweight. She needs a good nutritious diet to help her in physical and mental growth. Be creative. Make her food look interesting, colourful. You can cut paranthas, sandwiches in interesting shapes n serve with jam/ green chutney/ salsa/cucumber raita etc. Involve her in grocery n fruit/ veg shopping. Tell her what you r buying and why shd we eat it. Make meal times a family affair. Let the whole family sit together, serve the food nicely and involve her in setting up the table etc. You can add vegs to khicdi/ dalia/ upma or make veg soup/ tikkis/idlis / paranthas. Dals / chanas can b sprouted and given as colourful tasty salad. Fruits can be served as shakes/ smoothies/ custard/ pies etc. Give her a variety of foods n flavours. Do not give her junk food or aerated drinks bcos they r addictive n very poor in nutritional value. You can give her homoeopathic alfalfa tonic (paediatric)/1 tsp/ twice a day 30 minutes before meals for 10 days. Bringing up children is a task that requires a lot of skill and patience. All the best.
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