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Dr. Surender Selangia

Pediatrician, Delhi

250 at clinic
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Dr. Surender Selangia Pediatrician, Delhi
250 at clinic
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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.
More about Dr. Surender Selangia
Dr. Surender Selangia is a popular Pediatrician in Dwarka, Delhi. You can consult Dr. Surender Selangia at Shree Hospital in Dwarka, Delhi. Book an appointment online with Dr. Surender Selangia on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 30 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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Shree Hospital

Plot No. 54, Sector 12/A, Dwarka. Landmark: Opp. Bal Bharti School,Delhi Get Directions
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

Diploma in Child Health (DCH), MBBS
Pediatrician, Rajkot
Initially, you can give her, periset syp 5ml stat and do tepid sponging. If no improvement, take her to paediatrician.
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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

My daughter while going to sleep make her leg cross over the leg and tighten the hand and make some noise. This only when she goes to sleep as she is normal eating urine and walking even talking as she is 18 months old. Please advise.

M. sc Psychology, BHMS
Homeopath, Hyderabad
My daughter while going to sleep make her leg cross over the leg and tighten the hand and make some noise. This only ...
Once try to obsrrve after she goes to bed. The first position how she lies, later. How she changes. If you keen on observing, you may b able to find out at what time after or how she changes her position. If it happens suddenly or without conciousness followed by noise in mouth, etc. Once she needs to see neuroligist (suspecting seizures) n related check ups as precautionary action. If it all happens in normal pattern n with her consciousness&voluntarily,&responding well when you call, then you need not to worry. But it all depends on your observation.
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My son is 9 year old and has 102.4 fever though we are giving him crocin syrup. Pls guide.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
My son is 9 year old and has 102.4 fever though we are giving him crocin syrup. Pls guide.
Dear parent hope by now his fever is down. Ifnot get his blood test done does he have any other problem like cough or cold or any pain while passing urine what's the colour of his urine any loose motions or vomiting give him paracetamol regularly till you get the report. Let me know further.
1 person found this helpful
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My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells and 0-3 rbcs. Recent test shows no rbcs but pus cells were 7-10. What to do? He is active, no fever or vomiting. Passing 3-4 stools a day. He is exclusively on breastfeed.

DNB (Pediatrics), DCH
Pediatrician, Surat
My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells...
It looks like it's normal frequency. If child remains active without fever and vomiting then exclusively breastfeeding child can be only observed.
1 person found this helpful
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Hi doctors, My little baby has completed 7 months and now 8 month is running. I've started to give him little bit solid food along with the cow milk. But some of my Superiors are not allowing me to give him solid food. The are telling that it's not the proper time. After 1 year I should start the solid food. Explain me why should I start solid food after 6 months so that I can convince them by showing your explanation. Moreover tell me too much cow milk is beneficial for my baby? Thanks.

BSc - Dietitics / Nutrition, PG Diploma In Dietitics & Hospital Food Service
Dietitian/Nutritionist, Mumbai
Hi doctors, My little baby has completed 7 months and now 8 month is running. I've started to give him little bit sol...
Weaning towards solid foods is individualistic. Semisolids are gradually introduced from 6 month onward or once the baby starts showing swallowing actions. One needs to check how comfortable is baby in swallowing. Food in semisolid form like chapati dipped and soften in dal or soup is recommended, soft small cut fruit is ok. Try foods that baby can eat comfortable. Avoid crispy and hard foods as they having risk of choking the baby.
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Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain weight. Note:we are frequent telling from Chennai to Bangalore is that also a reason for her poor growth?

DHMS (Hons.)
Homeopath, Patna
Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain wei...
hello, lybrate user, it might be a fact as frequent movement of yours might cause irregularity of feeding to your baby resulting malnutrition to your baby. ensure,her feeding timely to gain weight , please. Tk. care
1 person found this helpful
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My son is 2 month and 15 days old. He stated to vomit like thick milk after some time of feeding. What to do .his weight is 3.950 Kg. please let us know reason nd reason.

BHMS
Homeopath, Raebareli
My son is 2 month and 15 days old. He stated to vomit like thick milk after some time of feeding.
What to do .his wei...
Perhaps you need to change the milk (if you are giving him powder milk change to cow's milk). In any case breast milk is most nutritious for him Give him Gripe-water twice daily for few days and see if this helps him.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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Homeopathic Remedies For ADHD!

BHMS
Homeopath, Bangalore
Homeopathic Remedies For ADHD!

A brain disorder, attention deficit hyperactivity disorder (ADHD) is characterized by a continuous pattern of hyperactivity and inattention, resulting in interference with normal development and functioning. The term is applied to both adults and children who exhibit these two characteristics over a long period of time. The condition is usually discovered during a child's early school years, between the third and sixth year (during which he or she may display problems associated with attention) and can go on into adulthood. Although medications are available under western medical science for treating this condition, they aren't free from any side effects.

Which remedies are generally used for treating ADHD?

Homeopathic remedies can help in easing some of the symptoms of this condition, making it easy for children to take part in normal school and social activities. A homeopath prescribes the relevant remedies after having a clear understanding of your characteristics. Some of the medicines that are used for treating the condition are Cina, Hyoscyamus Niger and Stramonium. While Cina is prescribed for alleviating aggressive behavior, Stramonium is recommended for treating fears or PTSD and Hyoscyamus Niger for sexualized or manic symptoms. But the one remedy that is most preferred for treating the varied symptoms of ADHD is Tarentula Hispana.

How is homeopathy different from conventional medicine?

When it comes to the homeopathic treatment approach for ADHD, it differs from conventional western medicine in two very different ways. Firstly, the treatment is personalized to suit your needs and health condition. For this reason, the remedy that is suggested to you differs from the one that is suggested to another individual. Such an approach allows a homeopath to better help you by addressing your specific symptoms compared to the conventional treatment of ADHD. Secondly, it treats the condition using smaller doses of the remedies and not higher doses so as to not aggravate the symptoms of ADHD.

In addition to being safe and non-toxic, when these homeopathic remedies are taken along with dietary modifications and lifestyle changes, they can bring about vital improvements in your health. If you wish to discuss about any specific problem, you can consult a Homeopathic.

5320 people found this helpful

My baby bazel is 15 months old and he is not crawling ,not standing & not walking. He is only rolling and sitting. Kindly suggest what should I do.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby bazel is 15 months old and he is not crawling ,not standing & not walking. He is only rolling and sitting.
Ki...
He is delayed developmental child and need check up. If all are normal he will start though a bit late and catch up. More birth details needed to assess his condition. You can consult me.
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My baby is 2 month old I need some tonic to make my baby healthy please suggest me some tonic.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
My baby is 2 month old I need some tonic to make my baby healthy please suggest me some tonic.
For Six month's mothers milk is the best tonic. You should take a good healthy diet.. more fruits, dry fruits, milk, curd, paneer, eggs etc. More vegetables.
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Hello doctor. I have a healthy three month old baby girl. 3 days a go a relative of mine who only saw her for a minute kissed her on her cheek the same person is now diagnosed with meningitis should I be worried she got infected? There was no saliva when he kissed her.

MD - Paediatrics
Pediatrician, Kolkata
Hello doctor.
I have a healthy three month old baby girl. 3 days a go a relative of mine who only saw her for a minut...
Kissing in the cheek once is unlikely to infect your baby with the germ. Sneezing. Cough and prolonged contact usually transmit the organism. But still there is a remote possibility of transmission of the infection. So you monitor the baby any sign of infection. The same organism may cause other disease also.
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My baby is 1 years 5 months old girl im using baby dove soap and aquasoft lotion is gud?

BHMS
Homeopath,
My baby is 1 years 5 months old girl im using baby dove soap and aquasoft lotion is gud?
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.
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My daughter is not eating anything, even milk also I referred to Dr. n he advised me these medicines Ferikind M, Calshine, Caldikind and Pedic Drops She now loses her weight also What can I do? Please advice me panacea Thanks.

MBBS, MD
Pediatrician, Gurgaon
My daughter is not eating anything, even milk also I referred to Dr. n he advised me these medicines
Ferikind M, Cals...
At one year age. 10 kg is app. Weight ideally. Breast feed tobe given only 2.3 times 8 hrs interval. 4 times you give cereals based soup prepred in milk or curd. That will provide adequate calories and gain in weght. More breast in late night avoided.
2 people found this helpful
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My 7 year old daughter is a very picky eater. She refuses to eat anything, and is underweight. Can you point me to some reference material? thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Some children are very fussy in eating do not force feed and make eating enjoyable. If you tell me her weight and test her tft and cbc in a good lab and send reports to, me privately, I can help better.
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My 10month old son's head is always warm, l will say its hot 40-45degrees. Why is it so, is it normal or I shud take him for treatment?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 10month old son's head is always warm, l will say its hot 40-45degrees. Why is it so, is it normal or I shud take ...
Brain growth is at a higher rate during infancy and blood supply is more to the brain. Hence head is relatively warm which is normal.
1 person found this helpful
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When my baby is examined by pediatrician, he said he heard extra sound in heart and recommend for echo scan. My baby age is 3 month. Is it serious.

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
When my baby is examined by pediatrician, he said he heard extra sound in heart and recommend for echo scan. My baby ...
Hi extra sounds may be indication of some congenital heart defects can be a very mild or serious problem depending upon the sound to confirm you should go for echo as soon as possible.
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