Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 36 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.
Book Clinic Appointment
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. R D SrivastavaYour feedback matters!
Whooping cough, also known as pertussis, is a highly communicable respiratory disease, which particularly affects babies younger than 6 months and who haven't been vaccinated yet. It can also affect children of 11 to 18 years of age who suffer from low immunity.
If the diagnosis of a whooping cough is done at an early stage, antibiotics of suitable dosage could help cut down coughing and few other symptoms. Doing so will also help prevent the infection from spreading to others.
What causes a whooping cough?
1. Bordetella pertussis bacteria
A whooping cough, characterised by a 'whooping sound', is caused by a bacterial infection called bordetella pertussis. The bacteria when inhaled get attached to the lining of the airways in your child's upper respiratory system, wherein they release toxins to cause swelling and inflammation. It's mostly transmitted to you from your infant, especially when he/she is in the early stages of the infection and hasn't been diagnosed yet. It can last about three weeks, this duration is reducible to five days, by antibiotic treatment.
2. Transmission from an infected person
When anyone infected with the disease sneezes or coughs, the droplets in the surrounding become infected. Young children who come in contact with the contaminated surrounding may get infected by the same bacteria.
How to recognise the signs of whooping cough?
The symptoms tend to worsen gradually and become worse at night, there are bouts of a cough as the airway gets irritated by the bacterial toxin leading to swelling and inflammation and mucus production with airway spasm.
You know that your child has this condition if he/she displays the following symptoms:
Moreover, children under 18 months of age affected with whooping cough should be watched at carefully as persistent coughing can disrupt their breathing process. Young babies with severe conditions may even need hospital care. If you wish to discuss about any specific problem, you can consult a Pediatrician.
My baby 6 month old just one week back we shifted yo cereals today we have given him boiled apple little banana and he vomited today after 5 hours now just given mom milk that also get vomited.
My son is 4 years suffered from high fever 103 so Dr. told to take blood test report was elevated wbc and crp. Wbc is 19000 and crp is 76. So he put him oñ antibiotics. For 7 days but after 2 days he is alright but now continuing the antibiotics. Dr. told to repeat the blood test but am very worried. I have google regarding end but it is shocking if elevated wbc is dangerous? Or only becoz of the fever the wbc is elevated? He is active and normal. Shall I repeat the test after 7 days. Is there anything serious ?
List the food item should be given to 10 months baby who is lactose intolerant. He want to be com fat. And healthy.
If Joe says “no” to this request, cheerfully tell your child, “That’s okay, Sarah! Let’s wave bye-bye to Joe and blow him a kiss.”
2. Help create empathy within your child by explaining how something they have done may have hurt someone. Use language like, “I know you wanted that toy, but when you hit Rohan, it hurt him and he felt very sad. And we don’t want Rohan to feel sad because we hurt him.”
Encourage your child to imagine how he or she might feel if Rohan had hit them, instead. This can be done with a loving tone and a big hug, so the child doesn’t feel ashamed or embarrassed.
3. Teach kids to help others who may be in trouble. Talk to kids about helping other children*, and alerting trusted grown-ups when others need help.
Ask your child to watch interactions and notice what is happening. Get them used to observing behavior and checking in on what they see.
Use the family pet as an example, “Oh, it looks like the cat's tail is stuck! We have to help her!!”
Praise your child for assisting others who need help, but remind them that if a grown-up needs help with anything, that it is a grown-up’s job to help. Praise your child for alerting you to people who are in distress, so that the appropriate help can be provided.
4. Teach your kids that “no” and “stop” are important words and should be honored. One way to explain this may be, “Smriti said ‘no’, and when we hear ‘no’ we always stop what we’re doing immediately. No matter what.”
Also teach your child that his or her “no’s” are to be honored. Explain that just like we always stop doing something when someone says “no”, that our friends need to always stop when we say “no”, too. If a friend doesn’t stop when we say “no,” then we need to think about whether or not we feel good, and safe, playing with them. If not, it’s okay to choose other friends.
If you feel you must intervene, do so. Be kind, and explain to the other child how important “no” is. Your child will internalize how important it is both for himself and others.
5. Encourage children to read facial expressions and other body language: Scared, happy, sad, frustrated, angry and more. Charade-style guessing games with expressions are a great way to teach children how to read body language.
6. Never force a child to hug, touch or kiss anybody, for any reason. If Grandma is demanding a kiss, and your child is resistant, offer alternatives by saying something like, “Would you rather give Grandma a high-five or blow her a kiss, maybe?”
You can always explain to Grandma, later, what you’re doing and why. But don’t make a big deal out of it in front of your kid. If it’s a problem for Grandma, so be it, your job now is doing what’s best for your child and giving them the tools to be safe and happy, and help others do the same.
7. Encourage children to wash their own genitals during bath time. Of course parents have to help sometimes, but explaining to little Joe that his penis is important and that he needs to take care of it is a great way to help encourage body pride and a sense of ownership of his or her own body.
Also, model consent by asking for permission to help wash your child’s body. Keep it upbeat and always honor the child’s request to not be touched.
“Can I wash your back now? How about your feet? How about your bottom?” If the child says “no” then hand them the washcloth and say, “Cool! Your booty needs a wash. Go for it.”
8. Give children the opportunity to say yes or no in everyday choices, too. Let them choose clothing and have a say in what they wear, what they play, or how they do their hair. Obviously, there are times when you have to step in (dead of winter when your child wants to wear a sundress would be one of those times!), but help them understand that you heard his or her voice and that it mattered to you, but that you want to keep them safe and healthy.
9. Allow children to talk about their body in any way they want, without shame. Teach them the correct words for their genitals, and make yourself a safe place for talking about bodies and sex.
Say, “I’m so glad you asked me that!” If you don’t know how to answer their questions the right way just then, say, “I’m glad you’re asking me about this, but I want to look into it. Can we talk about it after dinner?” and make sure you follow up with them when you say you will.
If your first instinct is to shush them or act ashamed, then practice it alone or with a partner. The more you practice, the easier it will be.
10. Talk about “gut feelings” or instincts. Sometimes things make us feel weird, or scared, or yucky and we don’t know why. Ask your child if that has ever happened with them and listen quietly as they explain.
Teach them that this “belly voice” is sometimes correct, and that if they ever have a gut feeling that is confusing, they can always come to you for help in sorting through their feelings and making decisions. And remind them that no one has the right to touch them if they don’t want it.
11. “Use your words.” Don’t answer and respond to temper tantrums. Ask your child to use words, even just simple words, to tell you what’s going on.
My 16 months old son swallowed small pieces of plastic cover now he tried to vomit but vomit did not come what can I do for it.
A baby should be breastfeed for at least the first few months after birth. Breastfeeding has a number of benefits for both the mother and child. Apart from being the best source of nutrition for the baby, it also helps the mother and child bond.
Here are a few benefits of breastfeeding your baby.
- Nutrition: No formula can be compared to the nutrition provided by a mother’s milk. The first milk produced by a mother’s breasts is known as colostrum which is rich in antibodies and proteins. Breast milk is made up of the perfect mix of proteins, vitamins and essential fats. It is also easier to digest as compared to formula feeds.
- Immunity boost: A mother’s milk is rich in antibodies and helps strengthen the newborn child’s immunity. These antibodies also help lower the baby’s risk of developing asthma or allergies later in life. Babies that are breastfed are also said to have a lower risk of suffering from ear infections, respiratory problems and diarrhoea. It also plays an important role in lowering chances of sudden infant death syndrome. Breastfeeding is also said to protect babies from certain types of cancer in infancy and later stages,
- Bonding: While being breastfed, a baby is held close to the mother and has skin to skin contact. This makes the baby feel secure and helps him or her to bond with the mother. For the mother, this process can also help fight postpartum depression and help reconnect with the baby.
- Healthy weight: Babies who are breastfed are said to be less likely to develop obesity. This is because breast milk has lower levels of insulin as compared to formula and babies who are breastfed have higher level of appetite and fat regulating hormone called leptin. As they grow, these babies put on a healthy amount of weight, but refrain from overeating and have healthier eating patterns. This helps maintain a healthy BMI and prevents diseases like diabetes etc.
- Boosts intelligence: Studies show that babies who were breastfed for the first six months have a higher IQ than those who were not. Thus, breastfeeding is said to play a significant role in cognitive development. There are two main reasons for this. Firstly, breast milk is said to fatty acids that are not available in formulas, Secondly, the emotional bonding between mother and child is also said to contribute towards boosting IQ levels.
My baby is passing stool after every feed. He is on total mothers feed. Is this normal? Color of his poop is green most of the time. It is going on from 10 days. My pediatrics says this happens when baby takes mothers milk and also because of the weather. please gave me some suggestion.
Hello, last four month my daughter (Gagri) not feeling well & healthy every month she need a hospitalized and for your information delivery time my wife suffering from dengue, before two days my daughter again hospitalized due to dengue kindly suggest me. Doctor please help me I am waiting for your reply.
My baby is 1.5 yr old. She doesn't have any problems now. But only one problem she has that not gaining weight. At this stage she is only 9kg.
Baby is having fever since 4day. Will increase at night. Local hospital 1blood test shows dengue NsAg +ve other 2 -ve. We go to another hospital blood test shows negative for dengue. Given iv saline. admitted still he is having fever.what to do
Today I put vaccination for my 4 months baby. He has no fever after vaccination. Is it mean the medicine not working into the body?
My son 2 years old he have prob in worm in motion area. He said always biting that worm. 2 months back I gave bandy suspension. Now what I do? He is crying fully night for that. Kindly answer and help soon urgent! Pls.
My 2 year baby is very thin. She is just 9. 2 kgs (her birth weight is 2. 75) she will not like to have any food but very active - please suggest me I am very much worried to see her thin legs:(
I have two daughters of 5 years age. One of my daughter I'm taking to dance class. Second girl is not doing it because of shyness. Im trying from 1 month but she is not open. I try to learn other hobby but she is not ready for anything.
My son is 8 years old, he looks very lean. After eating little quantity of food he says his stomach is full. He is 18 kgs weight. What care I should take to increase his appetite and weight.
My baby gal hav to take 6 weeks vaccination as follows Opv1/opv1+ipv1 Dtwp1/dtap1 Hib1 hepatitis b2 Pneumococcal conjugate vaccine1 Rotavirus1 I want to know painless vaccine and its cost and normal cost also. Regards.
My child have flu problem for last one week he is 3 years old his running nose vomiting stomach problem chest problem What should I do?
Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.
Some of the risks involved during the process include:
1. Abnormal reactions to the medications
3. Problems in breathing
4. Need for more surgery
Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. If you wish to discuss about any specific problem, you can consult a specilized pediatrics and ask a free question.