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Dr. Richa Agarwal

Pediatrician, Delhi

Dr. Richa Agarwal Pediatrician, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Richa Agarwal
Dr. Richa Agarwal is a popular Pediatrician in Saket, Delhi. You can meet Dr. Richa Agarwal personally at G.M.Modi Hospital in Saket, Delhi. Book an appointment online with Dr. Richa Agarwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 32 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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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
4 people found this helpful

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MD, MBBS
Pediatrician, Bangalore
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Every medicine have some side effects. So these drugs also like loss of appetite and sleep, wt loss, mood changes but long term effects are same.
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Hello mera abhi 4 oct ko baby boy hua h operation SE wo din me 20-25 baar poti karta h mujhe bahot tention ho rhi h please bataiye main kya karu.

BHMS
Homeopath, Secunderabad
Hello mera abhi 4 oct ko baby boy hua h operation SE wo din me 20-25 baar poti karta h mujhe bahot tention ho rhi h p...
Keep feeding her only breast milk. Check wether she has fever. Is she active and sucks the breasts.(hydration is important). Get in touch with your doctor and once he checks clinically, correct treatment plan can be thought of. Follow up after that.
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Dear doctor, my daughter is 5 months old her weight is 7. 5 kgs - when she was born doctor has advised to give vitanova d3 - I seek you advice how long should it be continued? warm regards

C.S.C, D.C.H, M.B.B.S
General Physician,
Vitamin d (ergocalciferol-d2, cholecalciferol-d3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Having the right amount of vitamin d, calcium, and phosphorus is important for building and keeping strong bones. Vitamin d is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin d is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin d from the sun. If the baby feeding milk and taking nutrients it is not absolutely necessary to give calcium supplement. But there is no harm in giving to a growing child as his requirements of all vitamins are more. Let us say you can give till one year after that he must get all nutrition from good food. Happy parenting. Feel free to ask any doubt, privately.
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My baby cries alot in the car. What do I have to do to stop him crying? he is 4 month old.

C.S.C, D.C.H, M.B.B.S
General Physician,
If he cries only in the car he may be scared. But you have not said whether it is during long journeys. Then he may be be hungry or diapers may be wet. You give more details about your baby.
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My 8 months child is suffering from loose motion 10 to 15 times a day kindly suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hope you consulted paeds Dr. As its emergency for kids to maintain hydration. It could be indigestion or infection if fever present. Any way give kid water boiled by adding thyme seeds n sounf seeds a bit sugar n salt.
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My baby is 5 months old and passes urine 2 to 3 times within half an hour and 15 to 20 times a day. What could be the problem and what should I do about it? Please help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My baby is 5 months old and passes urine 2 to 3 times within half an hour and 15 to 20 times a day. What could be the...
Hello, Breastmilk is mostly water, so such small babies tend to urinate more,that is absolutely normal. The frequency will gradually go down.
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My son is 25 year old he suffering from asthma when there is climate change so please tell me how to cure permanently this diseases. Thank you

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Better avoid dexona. Spirometry to confirm asthma. Take telekast f 1 tab/day with budamate 200 2puff twice/day. If mainly seasonal/change of season,start 15 days before the season and stop medicine gradualy.
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Hi my six months baby girl is crying very much. I have visited a doctor and he said that the baby is taking air during breast feeding. Is it true? what should we do during breastfeeding to avoid it?

M.D.( Pediatrics), DCH
Pediatrician,
What is weight? is she growing normally in spite of crying? if yes then, supporting the child by taking in lap, moving around by taking him on shoulder is needed. Some babies do cry for no reasons, they need feeling of security, tactile comforting, talking to him. It is passing phase and not going to last long. Meanwhile you can try giving colimex drops as and when required.
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My son 1 year old front teeth are turning dark n little black! Any specific reason?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My son 1 year old front teeth are turning dark n little black! Any specific reason?
If he is on iron tonics then nothing to worry after few weeks of discontinuation of therapy it will get clear.
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My baby is 3 month. His skin is very unfair. What is the healthy diet & massage for his healthy skin & healthy growth.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 3 month. His skin is very unfair. What is the healthy diet & massage for his healthy skin & healthy growth.
If he is unfair , no massage can make him fair as the colour / complexion is genetically controlled and we have no control over it . Till 4 months give exclusive breast milk and then start all home made foods , fruits for health
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Plz suggest any vit d syrup for my 4 months old daughter. As I am giving her A Z drop DEPURA IS THIS ENOUGH OR I SHOULD CHANGE. please DOCTORS HELP ME.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Plz suggest any vit d syrup for my 4 months old daughter. As I am giving her A Z drop DEPURA
IS THIS ENOUGH OR I SHOU...
vitamin d shall be there im daily requirement doses ..use vitanova d3 drops 1 ml once a day.for 6 months of age .you dont need any other vitamins if your baby is growing well.
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My niece is getting fever frequently and then fever goes out within every 20 seconds approx. Suddenly her body goes up and then does down immediately. She is 5 months old. Please suggest

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My niece is getting fever frequently and then fever goes out within every 20 seconds approx.
Suddenly her body goes u...
U have not mentioned range of temp. It appears that you r assessing her temp by touching body. Maintain her temp chart 4 times in a day for 4 days and get back. In the mean time she develops fever and not comfortable, consult pediatrician.
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My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for nose drops, I am giving steam too, she making sounds tru throat ,she vomiting frequently due to cold. Hw to get rid of cold n frequent vomit.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for...
All problems u mentioned is a matter of examination in person. It is advisable either follow advise of ur doctor or have 2nd opinion.
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My child is 1yr 9 months old, suffering from cough and fever from last 3 days. Not only this time very often he suffer for the same. This time Amoxycillin oral suspension I. P and terbutaline sulphate, Bromhexine Hydrochloride, Guaiphenesin Syrup started from yesterday. What more treatment is needed for him?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Most often it's viral infection. Fever usually settles down in 3 to 4 days. Cough takes 7 to 10 days. Continue same treatment. Small children get frequent infections because of low immunity.
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My daughter is 10 yrs. Old. She has the problem of snoring, nostrils block when she feels so hot in summers. She had an operation from ent doctor in her throat since two years. After operation the problem was clear. But now it is repeated from 6-8 months. Now she takes homoepathy treatment but no response is here. She is fatty also. Her weight increases day by day. Now she is 44 kg. What should I do.

C.S.C, D.C.H, M.B.B.S
General Physician,
First of all some tests may be done to make sure the cause of weight gain and she is allergic and perhaps she has adenoids. Need to know all details and what surgery was done. I can help. Please ask privately.
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Hello, my daughter is 3 years old. She has cold, cough and bronchitis. Whenever she get cold and cough that can't cure easily. We give such medicine that will b cure for 3 to 5 days and again that continue for 2 to 3 months. So please advice proper medication to cure .

BHMS
Homeopath,
Hello, my daughter is 3 years old. She has cold, cough and bronchitis. Whenever she get cold and cough that can't cur...
Your baby has easily cold taking tendency. Homoepathy has the best answer for this. If you treat by homoeopathy your baby's tendency to easily catches cold will b cured. Study reveals that soo many antibiotics taken in childhood causes immune deficiencies. Soo treat by homeopathy. And see the result.
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My baby is two months old girl. She is only fed mother's milk. Now she has not done potty since 3 days. Before this, she was doing normal potty daily. She is taking medicines bisgly-xt drops, rxplus drops, calshine p drops, ostocalcium b12 syrup that are prescribed 1 & 1/2 months ago by paediatrician. Now please advise, what to do for her normal motion.

M.D.( Pediatrics), DCH
Pediatrician,
Relax no need to do anything. If child is taking breast feeds and is active, to pass soft stools once in 5-6 days is normal. If child is passing gas then there is no mechanical obstruction in the gut (serious surgical condition). As regards the tonics iron and vit d drops are okay.
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Hello, I had a cesarean delivery and have a baby of 45days old. I have to attend my pg exams. So how should I feed my baby is it safe to use any outer source. please suggest a good one.

BUMS
Pediatrician, Washim
Mother's milk is best for babys bt you can feed your baby with formula feed i. E, lactogen1. Prepare one spoon powder in 30ml of water and feed every 2 hrly or as required.
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Hi, I am having a query about my daughter. She is 8 months old. She don't eat anything if I force her she cries a lot and vomit it out. She only do breast feeding. What should I do? Feeling confused.

MD - Homeopathy, BHMS
Homeopath, Greater Noida
Hi, I am having a query about my daughter. She is 8 months old. She don't eat anything if I force her she cries a lot...
Hello. Firstly, try to stop breastfeeding. It will cause some trouble for few days. Bear it. Next, donot force her to eat. That will make her averse to food. Sit together on a dining table and give her a separate plate and spoon. Serve food and let her enjoy it by herself. It will be messy at times, but enjoy it. If she is hungry, she will eat. You and your family also join together at meals. It will automatically develop her eating habits. Happy parenting Regards
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