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Dr. Sandeep Duggal

Pediatrician, Delhi

Dr. Sandeep Duggal Pediatrician, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Sandeep Duggal is a popular Pediatrician in Kamla Nagar, Delhi. You can consult Dr. Sandeep Duggal at Dr. Sandeep Duggal Clinic in Kamla Nagar, Delhi. Book an appointment online with Dr. Sandeep Duggal on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 34 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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How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

cold cough

My little daughter (2 years 10 month old) dos not want to take any kind of food every time she want to take mother's milk, please give us some advice.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
My little daughter (2 years 10 month old) dos not want to take any kind of food every time she want to take mother's ...
At this age, mother's milk does not provide any kind of nutrition. There is a thing called positive reinforcement - means giving reward every time she tries new food, may be small. Stop breast feeding, it is really not useful at this age. Please do not punish or use any kind of negative reinforcement for the child.
1 person found this helpful
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My baby is 3 and half months. He have cold and cough also from last three days .Dr gave maxtra drop and nasoclear but cold and and cough not cure. Is steam can give to baby for relief what should I do please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 3 and half months. He have cold and cough also from last three days .Dr gave maxtra drop and nasoclear but...
If cold n cough is without fever n there is no involvement of lung and baby is active, just saline nasal drops 4-5 times in a day is sufficient.
1 person found this helpful
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Causes and Symptoms of Migraine

MBBS, D.P.H
General Physician, Gurgaon
Causes and Symptoms of Migraine

It is the most common problem seen in society today. A migraine is a common neurological condition characterised by a headache, but some people have associated symptoms of eye and ear.
Classic symptoms of a migraine:

  1. Severe throbbing headache on one side of head
  2. Nausea and vomiting
  3. Sensitivity to light and noise.
  4. Prefer quite a dark room to sleep

Vestibular symptoms:

  1. Vertigo
  2. Dizziness
  3. Imbalance
  4. Unsteadiness
  5. Sensitivity to motion

Hearing symptoms:

  1. Muffled hearing
  2. Ear fullness
  3. Ringing in the ear or tinnitus

Causes of a migraine:
Migraine headaches probably relate to both abnormal discharges in cells within the brain and to the construction of the walls of the blood vessels in and around the brain. But the exact cause of a migraine is not known. Following are the provocating factors which make the condition worse

  1. Hypoglycaemia (low blood sugar)
  2. Stress altered sleep patterns
  3. Diet fast food, oily food, processed food
  4. Chocolates, cheeses
  5. Coffee sodas with caffeine
  6. Alcohol

Factors related to a migraine

  1. More common in women than men
  2. Symptoms are often worse during menstruation
  3. Family history

Management

  1. Avoid food, which triggers migraines e.g. Chocolate, alcohol, cheese, oily, spicy, junk and processed food
  2. Relaxation exercise
  3. Stress management
  4. During menstrual period decrease the salt intake and take some diuretic
  5. Ibruphen for pain after meal
  6. Other treatment with the advice of neuro physician e.g.
    1. Beta blockers agents
    2. Calcium channel blockers
    3. Tricyclic antidepressants
    4. Seratonergic agents
    5. Gabapantin or neurontin
    6. Clongepam
    7. Acetazolamides or diamox
    8. Sodium valporate or depakots
    9. Topiramax
    10. Oxycarbazapine or trieptal
2 people found this helpful

Dear sir, my daughter who is 5 years old does not eat food properly, her weight is good she is 24 kg, but I don't understand how to get rid of her diet.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
she should sit with parents during meal time to get familiar with different kind of meal.gradually add 1 new food at a time. stop snacks before meal time.give her finger foods.
1 person found this helpful
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My son age is 7 month, during morning time we feed Lactodex2 for feeding but he not taking interest to eat, please suggest me another option.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son age is 7 month, during morning time we feed Lactodex2 for feeding but he not taking interest to eat, please su...
From 4 month onwards you have to give all homemade foods and change food every day to keep interest to take.
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My son of 15 months panics at night in pain. When I give colic aid he is quiet and sleeps. This is happening since 5-6 days.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
My son of 15 months panics at night in pain. When I give colic aid he is quiet and sleeps. This is happening since 5-...
Dear mother Deworm your child but first try by patting him and taking him in your lap and avoid colimax or any other medication Hope this will help
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Hi doctor, My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this enough or what should I do for her weight gain? She shows very less interest in eating. She often falls sick for cold cough & fever. Please suggest what should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi doctor,
My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this en...
your baby is under wt. Expected wt at this age is 10-11 kg. Give her well nourished diet well cooked in ghee/ oil of her liking/ taste, milk or milk products, fruits vegetables etc. No force feeding please.
4 people found this helpful
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I am 3 month old mom yesterday I see bleeding .is it normal. Its my first baby. And I born him by cesarean.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 3 month old mom yesterday I see bleeding .is it normal. Its my first baby. And I born him by cesarean.
Hello, You may have started with your menses. This can happen if you are not breast feeding your child properly and lactational amenorrhoea may end.
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My grand son 2 months baby is suffering with chronic constipation and the pope is very hard. He gets motion only if we apply Glicerin suppository otherwise suffering very hard. Please advise to avoid his problem ?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Probably the feed is less,if baby is breast feeding then immediately after breast feed give top feed.Give tab perinorm thrice a day and galact powder 2tsf thrice a day for 15 days to mother
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My health is not good I am suffering from it from long time My health is not increases what can I do for this.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
My health is not good I am suffering from it from long time My health is not increases what can I do for this.
I feel your food habits is not good, take rich nutritious food, deworming, to increase your height do regularly swimming, or cycling.
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My child 6+ they have small earth worm problem, give market medicine but he does not cure.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Give mebex suspension 5ml at bedtime & repeat after 15days & 45days. Trim the nails & maintain personal hygiene. It is pinworm, not earth worm.
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I had my boy baby 13 weeks ago. Pls tel me food list. When I will start .Tel me eating and food schedule.

C.S.C, D.C.H, M.B.B.S
General Physician,
I had my boy baby 13 weeks ago. Pls tel me food list. When I will start .Tel me eating and food schedule.
Right now you have to give only breast milk and till the age of 6 months when home made semi solids can be started
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My daughter is 3 Yrs 4 Mths old. We r planning to visit abroad where the climate is very cold so I request you to please suggest the medicines which I can carry to treat cough, cold, fever etc. I would be very Thankful to you for your kind suggestion.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 3 Yrs 4 Mths old. We r planning to visit abroad where the climate is very cold so I request you to ple...
Some time which appears common cold n cough, may be prodromal symptom of disease. Since you r going abroad, it is advisable to take care of cold n not to try self medication. Anyway, you may take with you Paracetamol for fever n Saline nasal drops for nasal block n consult pediatrician.
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Dental Tips General Category

BDS, Basic Life Support (B.L.S)
Dentist, Pune
Dental Tips General Category

When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.

1 person found this helpful

Nutrition For Expectant Mothers

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
Nutrition For Expectant Mothers

A. Nutrition deserves special attention during pregnancy because of increased demand and specific role of different nutrients for the baby during pregnancy. 
B. A woman whose diet is adequate before pregnancy is usually able to come out with full term pregnancy 
Without elaborate modifications of her diet and lifestyle. For example, in diabetes, incidence of structural defects can be reduced to nil by bringing the blood glucose level under good control couple of months before conceiving.
C. Maternal nutrition taken during pregnancy are very important in supporting breastfeeding. Breast milk is best and complete food for baby during first four months as it also provides antibodies for protection against many infections. 
D. Undernourished mothers are prone to delivery before nine months. 
So, take good care of your health during pregnancy.

2 people found this helpful

My baby is 5+ month old. She hold her head but always keeps her head downwards not up what must be the reason?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not yet time for proper head control. For personalised attention ask privately. Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter.
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Health Benefits of Bajra

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Health Benefits of Bajra

5 reasons you should include bajra in your diet

1. Powerful for controlling diabetes: 

Pearl millet is very powerful in controlling diabetes. Because of its high fibre content, it tends to digest slowly and release glucose at a slower rate as compared to other foods. This helps in maintaining healthy blood sugar levels for a long period of time.

2. Weight loss:

 Being high in fibre content, it takes a longer time for the grain to move from the stomach to the intestines. This way, bajra curbs hunger for a long span of time.

3. Reduces cholesterol: 

It contains phyto chemical, which is called phytic acid believed to increase cholesterol metabolism. It also stabilises the level of cholesterol in the body.

4. Helps in digestion:

 Bajra is rich in insoluble fibre that aids digestion. It also reduces secretion of bile acids and is linked to a lowered risk of gallstone formation.

5. Helps prevent cancer: 

Bajra has cancer-protecting properties. A study showed that regular intake of bajra protects pre-menopausal women from developing breast cancer.

7 people found this helpful

How to use medicine like refzil-o drops for children? In this medical no liquid come in box so what I add in it water like cool or boil? How many drops gives to child 9th month old? This medicine is for what problem?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
How to use medicine like refzil-o drops for children?
In this medical no liquid come in box so what I add in it water...
This is a broad spectrum antibiotic to be given orally. You can use boiled & cooled water as diluent. Usual dose is 1 ml of liquid medicine.
1 person found this helpful
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