Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 33 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
Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
Submit a review for Dr. RahulYour feedback matters!
In pediatrics, we often say “children are not little adults” but in the case of the common cold, they really are. They have the same symptoms, runny nose, red-rimmed eyes, cough and they just FEEL YUCKY! With those symptoms most babies are fussier than usual and don’t sleep well at night, which is just like an adult with a cold (or maybe just me). for an infant, they are usually up and down all night, don’t feed as well, and just want to be held a little more.
When an infant gets a cold it is not uncommon for them to run a fever along with the cold symptoms. This usually only lasts a day or two and then resolves, but the other common cold symptoms may last from seven to 10 days.
With a cold they may not want to nurse or drink their bottle as well as they have a hard time breathing and sucking. This leads to a cranky baby, who may take less with each feeding, but will need to eat more often.
It is important to make sure that they stay hydrated. fluids are the most important thing. If your baby is having difficulty taking the bottle or latching on due to the congestion , you could feed with a katori spoon or a paladey with gaps in between . small frequent feeds will do the job.
Place the tip of the bulb syringe inside the baby’s nostril to remove mucous and help them breath and eat. You may also use a little salt water nose drops to squirt up their nose to help the mucous come out.
It also helps to get a mist humidifier to place in the room at night to help put some moisture in the air while the heat is running and the air is dry. The mist will also help alleviate some of the thicker mucous and also help the cough that accompanies the cold.
The most important thing to watch for is any sign of respiratory distress. A child’s breathing may “sound noisy” but it is important once again to look at their chest to make sure that they are not using those muscles between the ribs and “pulling” when they are breathing.
Coughs are also protective in that they help move mucous and keep the airway clear to prevent pneumonia. Lastly, your child should look a little better after the first several days of their cold. They should not develop fever later in the cold, and if they do it would be worth a pediatrician visit to check their ears. Not every baby with a cold gets an ear infection and they usually develop after they have had several days of cold symptoms, and not on the first day of a cold.
That’s your daily dose, stay tuned to my next update on your baby's health tips .Send in your questions or comments to babiesandmom.com !
Stay happy and stay healthy !
Dr Gorika's Children's Medical center
Our motto at GCMC is to "Treat every child as if you are treating your own child" This is one such destination where we assure perfect health for your little one. "We care for your newly born till they're eighteen"
Premature (30weeks) born by lscs weight 1.3kg vital stable what could we do for management like feeding and handling etc.
Hello, I want to know Heart beat Maximum rate in Dengue Fever of 8 month's child, because my nephew had Dengue fever but his Maximum heart rate is 230 plus. So kindly tell me how to decrease heart rate of child.
My nephew 1 month 12 days old. He is suffering from rubella syndrome. Heart eye and ear effected. Your advice in this regard is highly applicable.
My child have undescen testicles problem which we came to known recently. His age is 5 and weight is 24 kgs. Am fear of surgery. Any solution in homeopathy for this.
My 1 years old child have eczema from more than a months, but it reappears on some places and very itchy as of now. The treatment is going on from one month.
My kid is 3 years n 5 months old n on medicines since birth. He is basically suffering from seasonal cough n cold n has been admitted to hospital thrice till nw. Please guide me how should I go about it. I live in south delhi, India.
I have a baby she is just completed 6 months and she has not been receptive to water, Juices, Formula milk. So could you please suggest anything for her to be able to be receptive to those things.
Giving a child medication can be a challenging job and one that many parents dread! Wrong dosage can create a havoc and lead to unnecessary complications or the problem not getting treated at all. So make sure you give your child the proper dose.
Here is a small guide that will help you understand more about dosage and administration of medicine for children:
- Dosage: Usually, most pharmaceutical companies print the dosage as per the age or the weight range of the child. This is true mainly for paediatric drugs. Yet, there are other ways of calculating dosage as well. You can divide the age of the child (in months) by 150 and multiply the sum with the average adult dosage to compute the dose that the child should get.
- Frequency: Also, always speak with a paediatrician to find out how often a medicine must be administered. The label will usually have this information, but it is always best to mention the exact symptoms and ask for the frequency.
- Instruments: Child medicine usually comes in liquid form for easy ingestion. You can use a wide mouthed calibrated syringe for administering the medicine, or you could use a spoon, or even the measuring cup that comes with the medicine. The baby's bottle or a dropper can be used for infants as well. Take care to watch for signs of choking and administer the medicine in one dose broken up into smaller doses to avoid the same.
- Storage: Ask your doctor about storing the medicine at room temperature or in the refrigerator as this will affect the efficacy of the medicine.
- Administration: Remember to find out if the medicine is to be administered before or after the child has had a feed or a meal. Then, wash your hands and prepare the child by ensuring that he or she lies still without any squirming. Make the child comfortable about the idea of taking medication and keep the head propped up. Talk to distract the child and if need be, practice sucking it in so that the child avoids choking. You can mask the unpleasant taste of certain medicines by keeping a glass of juice or candy nearby.
- Missed Doses: If your child throws up a dose, or you miss one, do not give a double dose. Instead skip and give it later.
Take due precautions when you are administering, storing and measuring the medicine for your child as this could have an impact on how the child reacts and heals.
Hi, my 1.5 years old daughter is having fever and cough cold for 4 days. Temp increases mostly in night. Her head usually gets hotter than other body parts. I have consulted a pediatrician and she has given few syrup. Paracetamol plus two other syrups. But the fever has not come down yet. For few hours she gets normal with temp 99.6 or 99.8 but most of the time it's 100 or 102. 3F. I am keeping a mild cold water napkin on her forehead for 2-3 times a day. Please suggest if I should go visit the doctor again or this fever is normal and she will be alright. She is on medication since three days. Please reply ASAP. I am scared. Also recommend best pediatrician in South delhi taking appointment in evening between 5-8.
Gd mrng sir, what to do for mother milk well secretion or increase i.e)any food or any tonic or syrup or other your valuable medical advice. My baby born in two weeks ago. So, please help me sir for mother healthy condition.
Good after noon sir Bacche ko 20 din pehle vometing aur pechis hua tha fiver bhi tha Daba lene ke baad kafi aram ho gaya tha abhi 5din se pechis aur fiver fhir agaya hai fiver ja nahin raha hai bahut kamjor ho gaya hu vajan 1 kg kam ho gaya hai kya karu sir kuch samajh me nahin araha hai age 8 months.
Hello Doctors MY 1.7 years old daughter every time she just want to eat papers and notebooks how get rid from it. Please any suggestions.
The human respiratory system includes trachea, bronchi, bronchioles, lungs, and diaphragm. Oxygen that we breathe in and carbon dioxide that we breathe out is exchanged in the alveoli (air sacs) inside the lungs.
Bronchitis is a respiratory problem where the lining of the bronchial tubes (it carries air to and from the lungs) becomes inflamed or swells. The reason can be an infection or the person’s lifestyle. People with bronchitis have reduced ability to breathe in air and oxygen into their lungs; they also face discomfort because of the deposition of heavy mucus or phlegm in their airways.
Types of bronchitis
Bronchitis comes in two forms, acute or chronic:
Acute bronchitis occurs mostly during the winter season caused by cold or viral infection, such as the flu. It consists of a cough with mucus, chest discomfort or soreness, fever and sometimes shortness of breath. Acute bronchitis lasts for one to three weeks and usually improves within a few days without lasting effects (although you may continue to cough for a week). If there is a repeated bout of bronchitis, then it requires a medical attention since it is a symptom of chronic bronchitis.
Bronchitis is also caused by bacteria. Bacterial bronchitis occasionally follows a viral upper respiratory infection.
Chronic bronchitis lasts for at least 3 months a year and two years in a row. It is a serious long-term disorder that requires regular medical treatment. Smoking should be strictly prohibited if a person is down with acute bronchitis since it becomes much harder to recover and difficult to diagnose.
What causes bronchitis?
The irritated membrane of the bronchial tubes is caused by viruses, typically those that also cause colds and flu or by a bacterial infection.
In some cases, exposure to substances that irritate the lungs, such as tobacco smoke, dust, fumes, vapours and air pollution also stimulates the inflammation.
Repeated irritation is the main cause of chronic bronchitis which damages the lungs and airway tissue. Smoking is the most common causes of chronic bronchitis, other causes include continuous exposure to air pollution, dust and fumes from the environment, and repeated episodes of acute bronchitis.
Understanding how smoking is the main cause of chronic bronchitis:
The cigarette smoke damages the tiny hair-like structures in the lungs (cilia) which is responsible for brushing out debris, irritants, and excess mucus from the lungs. This dysfunctional property of the cilia increases the chances of developing chronic bronchitis.
In the case of a chain smoker, the mucous membrane lining the airways stays inflamed and the cilia eventually stop functioning altogether. This results in lungs clogged with mucus which becomes vulnerable to viral and bacterial infections and eventually damages the lung’s airways. This permanent condition is called copd (chronic obstructive pulmonary disease).
Symptoms of bronchitis
Symptoms of bronchitis include:
A cough that is frequent and produces mucusfever (may or may not be present) lack of energywheezing sound when breathing (may or may not be present) sore throatbreathlessnesschest tighteningchillsbody achesheadachesblocked nose and sinuses.
When is medical attention necessary?
Consult with the health care specialist if any of the following problems arise:
A cold that lasts more than two to three weeksa fever greater than 102° fa fever that lasts more than five daysa cough that produces bloodany shortness of breath or wheezinga change in the colour of mucus
Treatments for bronchitis
When someone has bronchitis the best treatment is to take enough rest, stay away from allergens (allergy causing agents), drink lots of fluid and have warm soothing food (like soup and khichdi).
The following are the top homeopathic remedies usrd for cough:
Bryonia is often used for a dry, hard, and irritating cough. Patients usually use this if they have an itching pain in the throat or chest that worsens at night. Movement will also make the symptoms worse. Other symptoms with coughs that require bryonia include splitting headaches, and a dry cough accompanied by faintness, vertigo, and nausea.
2. Antimonium tartaricum
Antimonium tartaricum is often used for loose coughs—the patient may even feel like they are suffocating. The patient also alternates between coughing and shortness of breath. Other common symptoms associated with an individual who requires antimonium tartaricum include nausea, vomiting mucus, weakness, drowsiness, hoarseness, and the desire to be left alone.
3. Aconitum napellus
Aconitum napellus is often used for colds and dry, irritating coughs that come on suddenly. Symptoms will get better from warmth, fresh air, and movement; however, symptoms worsen from warm rooms, exposure to pollen or tobacco smoke, in the evening and at night, and during cold, windy, or hot weather.
Pulsatilla is also an effective remedy for colds and coughs. The patient may cough up thick, yellow-green mucus. The person will experience a loose cough in the morning and a dry cough at night. The person will feel better from open air, but worse in the morning, at night, and in heat.
5. Arsenicum album
Arsenicum album is used for coughs with a burning pain that improves with sips from warm drinks. The person’s symptoms will improve from warm drinks and a warm room, but they worsen from open air and cold.
6. Hepar sulphuris calcareum
Hepar sulphuris is used for a rattling and barking cough that starts after exposure to cold and dry air. Other symptoms include yellowish mucus, constant hoarseness, and wheezing. The person’s symptoms will worsen from lying down, walking, and drafts; however, symptoms get better from rising up and bending the head backwards, a hot compress, and damp air.
Causticum is another great remedy for dry, deep, and hollow coughs. The person will feel as if they can’t cough deep enough to raise mucus. Other symptoms include hoarseness, burning pains, a sore chest, and tightness. Symptoms get better from damp weather and sips of cold water; however, symptoms worsen from drafts, cold air, stooping, talking, lying, sneezing, and bending the head forward.
8. Rumex crispus
Rumex crispus is often prescribed for a dry cough when a person lies down. The person will feel a tickling sensation in the throat that often leads to a cough. They will also experience long episodes of a dry, hacking, and fatiguing cough. The person will get better from warm air and during the daytime; however, things will worsen from cough after eating, talking, touching the throat, deep breathing, and lying down.
9. Drosera (sundew)
Drosera is a homeopathic remedy used for a dry, deep, barking, hollow, and spasmodic cough that may also produce gagging. The person’s coughing episodes will often last two to three hours. They will also experience vomiting, suffocative attacks, nosebleeds, cold sweats, hoarseness, and holding their sides during coughing bouts. The cough will worsen from lying down, being alone, and while drinking, singing, laughing, and talking.
If the condition is worse or there is no improvement then consult a homeopathic doctor for well selection of the medicine.
My daughter is now 9 n half months she has cold . But her eyes looks like infected wit all yellow coming out n she cannot open her eyes after she gets up from sleep.
My baby is 2 and half year old and she is just 11 kg. she is very fussy eater and doesn't like to have anything at all. What can I do to improve her apetite and increase her weight? Please suggest!
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:
Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.
Finger-prick test. A typical blood sugar test includes the following:
A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.
To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:
Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:
Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.
Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are:
- Chronic cough with or without sputum.
- Fever more in the night time.
- Poor appetite.
- Unintentional weight loss.
Read on to know about other common causes of chronic cough and how to manage them.
- Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
- Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
- Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
- Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
- Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
- Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.