Dr. Sangeeta Subudhi

clavum dose is accurate for her wt. but her wt is not accurate with age. in obese esophageal regurgitation may occur. it could be the cause.. cipro is avoided in children

It seems to me you have not given lesson of self feeding. At the age of one year, child picks up food and other things, it puts it in mouth. By four child should learn take thali or dish and chapati, veg. Curd etc, to eat himself with others. Now your child has to be taught this gradually. It will take some time. Let. Child do it himself or spoil food. He is bound to learn.

Vomikind syrup 3.5 ml can be given at 6hrs interval. Plenty of ors filtered or boiled water. Econorm sachets can be safely given twice a day.

Apparently she has no hearing loss. But the OAE test detects the loss of hearing to serai frequencies and may repoat it at a later stage he 4 types of otoacoustic emissions are as follows: Spontaneous otoacoustic emissions (SOAEs) - Sounds emitted without an acoustic stimulus (ie, spontaneously) Transient otoacoustic emissions (TOAEs) or transient evoked otoacoustic emissions (TEOAEs) - Sounds emitted in response to an acoustic stimuli of very short duration; usually clicks but can be tone-bursts Distortion product otoacoustic emissions (DPOAEs) - Sounds emitted in response to 2 simultaneous tones of different frequencies Sustained-frequency otoacoustic emissions (SFOAEs) - Sounds emitted in response to a continuous tone. Pure-tone (PT) audiometry measures throughout the outer ear, middle ear, cochlea, cranial nerve (CN) VIII, and central auditory system. However, OAEs measure only the peripheral auditory system, which includes the outer ear, middle ear, and cochlea. The response only emanates from the cochlea, but the outer and middle ear must be able to transmit the emitted sound back to the recording microphone. OAE testing often is used as a screening tool to determine the presence or absence of cochlear function, although analysis can be performed for individual cochlear frequency regions. OAEs cannot be used to fully describe an individual's auditory thresholds, but they can help question or validate other threshold measures (eg, in suspected functional [feigned] hearing loss), or they can provide information about the site of the lesion. Using current technology, most researchers and clinicians find a correlation between frequency-specific analysis of TOAEs/DPOAEs and cochlear hearing loss. However, at this juncture, the correlation cannot fully describe auditory threshold. Naturally, a correlation would not be expected for noncochlear hearing loss.

Early diagnosis and treatment helps young children with autism develop to their full potential. The primary goal of treatment is to improve the overall ability of the child to function. Symptoms and behaviors of autism can combine in many ways and vary in severity. Also, individual symptoms and behaviors often change over time. For these reasons, treatment strategies are tailored to individual needs and available family resources. But in general children with autism respond best to highly structured and specialized treatment. A program that addresses helping parents and improving communication, social, behavioral, adaptive, and learning aspects of a child's life will be most successful. The american academy of pediatrics (aap) recommends the following strategies for helping a child to improve overall function and reach his or her potential: 6 behavioral training and managementbehavioral training and management. Behavioral training and management uses positive reinforcement, self-help, and social skills training to improve behavior and communication. Many types of treatments have been developed, including applied behavioral analysis (aba), treatment and education of autistic and related communication handicapped children (teacch), and sensory integration. Specialized therapies. These include speech, occupational, and physical therapy. These therapies are important components of managing autism and should all be included in various aspects of the child's treatment program. Speech therapy can help a child with autism improve language and social skills to communicate more effectively. Occupational and physical therapy can help improve any deficiencies in coordination and motor skills. Occupational therapy may also help a child with autism to learn to process information from the senses (sight, sound, hearing, touch, and smell) in more manageable ways. Medicinesmedicines. Medicines are most commonly used to treat related conditions and problem behaviors, including depression, anxiety, hyperactivity, and obsessive-compulsive behaviors. Community support and parent trainingcommunity support and parent training. Talk to your doctor or contact an advocacy group for support and training.

Probably this is anemia hypoproteinemia. Very sick baby requires icu. It requires in person consultation.

Personally I would say don't give bottle with breast. Most of mothers think that milk is insufficient. But it's not true. Weigh the child to find out adequacy of milk. And child should be fed every two hrly at two months. Breast should be given to child in consonance of his age in months. Three month old child is fed three hrly and. Six month old is given breast feed six hrly. Breast feed should be for 10-15 min. On each breast.

Barotollli or borges extra virgin olive oil is the best for her. Olive oil has more effective value in skin rather than those creams. Bt it has to be Italian extra virgin olive oil. It's used in cooking also. It's the best.

Baby should start wearing hearing aids as soon as possible and consult ENT surgeon specialised in Cochlear Implant surgery and an Audiologist. Cochlear Implant will help baby to listen better so that it will not affect his speech development.

You need to feed the baby as many times as it demands. There is no alternative. Use a feeding pillow to get support and avoid backache.