Lybrate.com has an excellent community of Pediatricians in 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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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
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Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
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Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
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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? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
My daughter has no interest in having food. She is 6 years old. Comparing with others friends of her age or below her age are healthy but she is very thin and every often she fell sick. Please suggest and medicine for felling hungry.
Why it's important that your child's diet is calcium-rich
Calcium is an inevitable part of your child's diet. You cannot afford to skip it if you wish to maintain a healthy lifestyle for your child. It is recommended that children between the ages of 9 and 18 should get approximately 1300 milligrams of calcium every day. Calcium-rich diet is important for your child for a number of reasons.
- Calcium helps in building strong bones and teeth for your child.
- It is important in order to ensure proper functioning of your child's muscles and nerves.
- Calcium plays a vital role in the release of such hormones and enzymes in your child's body that convert the food he eats into energy.
- It is also helpful in causing the blood to clot whenever your child gets bruised.
- Since your child is continuously growing, a calcium-rich diet ensures an adequate supply of resources that help him to develop new bones that are healthy and strong.
- A calcium-rich diet is also essential as far as other bodily functions like muscle contraction, blood vessel constriction and relaxation are concerned.
What does lack of a calcium do to your child's body?
- Lack of calcium can cause bone diseases like osteoporosis in your girl child, thus exposing her to a greater risk of weakened bones and possibility of fractures.
- If your child is a young kid and his diet lacks calcium or vitamin d, which absorbs calcium, he is exposed to the threats of the bone-softening disease called rickets. It can cause in him bowing of the legs, muscle pain and poor growth.
- Bones are living tissues that change constantly, old bones keep getting replaced by newer ones and a calcium-rich diet aids this procedure. Therefore without an adequate supply of calcium, this process would borrow minerals from existing bones, thus weakening them and exposing them to increased risks of fracture.
- Lack of calcium also increases risks of cardiovascular diseases, damaged gums, high blood pressure, ovarian and breast cancer and several other infirmities in your child in his later years.
My daughter is two years old. She is now 10.5 kg. She is very fussy for any kind of food. Her hands, feet and head always remain hot .plz advice.
Bronchitis asthma since 10years, cough, mucoid sputum 15days, Rs no added sounds, spo2 98%. B/L minimal basal, bronchiectasis radiologically stable. Tcdc bvse normal. The above was scripted on prescription.Kindly advise i am aged 54 years having hypertension. Weight 65, height 5'11.
My 6 month baby has started to take solid food. But she refuses milk. I will struggle to her to drink 2ozs milk. But she takes solid food for my compulsion. She doesn't show interest on solid food. My worry is that she is not interested on solid food at the same time she refuses the milk. please give me best solution as soon as possible.
I am 3.5 years old. Suffering from loose motion and indigestion. What food I eat for quick recovery? Suggest medicine. Thankyou.
Hi, Is bhabhi ko abhi 5 din pehle baby girl hui h, baby loss their weight and she not feed completely. We are so much worried. Pls help.
I am not getting proper nutrition or what that my weight is not increasing I eat so much but after that also please solve this problem.
My wife gave birth to male baby two weeks ago but baby is dead 2 day ago her breast is pains to much because of milk she don't want to take out the milk with any another process she want me to take feeding from her breast ,she say that she well feed me with her breast milk is it ok to take feedings from her breast? It urgent answer me fast.
My daughter is 5 years old, getting increase abdominal portion since 6 months. Not taking much more fatty food yet her weight is 27 kgs, height 3'7" Is it normal for this age of a growing child OR should she has to go for a complete medical check up. Please advise.
My baby is 6 months 4 days. When it is better to start solids. Now we r giving formula milk 3 times and brest milk 2 times. 2days back we started giving boiled carrot. And today we gave mixed (raw carrot 2 badam 1 cashew) 4 spoons. She splited out.please advice
My son is 3 years old, he doesn't eat anything, we use hungry syrup, but no change, we are worrying about him, please give me a best suggestion for him, and one more thing he is always crying, what is the reason for crying?
Hi my baby girl is 5 month old since last 4 days was doing very loose potty but in general intervals mostly 3 to 4 times a day. Yesterday frequency increased to 5 times and we visited doctor be.
My son aged 9 years of age suffering throat harsh problem from 15 days. As per his version he has no pain but feel something is there in throat and spitting every time. Local doctor given worm medicine but problem not solved. I shall be thankful if you kindly suggest any homeopathic/allopathic medicine.
2 years old baby last one he had stomach pain, we consulted Doctor, they tell to take scan, after seen scan report they said "left renal pelvis mildly dilated AP-17 mm. Left renal cortical thickness-13 mm" Impression: 1) LEFT HYDRONEPHROSIS, 2) CYSTITIS, and they said to take cultural test. So please suggest and give what the problem is and which Dr. to consult.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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