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Marwah Clinic

Pediatric Clinic

F-1/9, Dlf City Phase I. Landmark: Near DLF Shopping Mall, Gurgaon Gurgaon
1 Doctor · ₹600
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Marwah Clinic Pediatric Clinic F-1/9, Dlf City Phase I. Landmark: Near DLF Shopping Mall, Gurgaon Gurgaon
1 Doctor · ₹600
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Marwah Clinic
Marwah Clinic is known for housing experienced Pediatricians. Dr. Poonam Marwah, a well-reputed Pediatrician, practices in Gurgaon. Visit this medical health centre for Pediatricians recommended by 74 patients.

Timings

MON-SAT
09:00 AM - 12:00 PM

Location

F-1/9, Dlf City Phase I. Landmark: Near DLF Shopping Mall, Gurgaon
Gurgaon, Haryana
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I took 6 weeks injection last week for my child I took in a nearby health center as they took penta 1 and given opv as they were running out of stock of ipv1 suggested me to take later I was worried about the delayed vaccination please help.

MBBS
Internal Medicine Specialist, Kendujhar
I took 6 weeks injection last week for my child
I took in a nearby health center as they took penta 1 and given opv
a...
Hello, thanks for your query on Lybrate "as" per your clinical history is concerned you can take it as soon as you got it and few days delay is not important, so nothing to be worried about it at all. Hope that helps.
1 person found this helpful

Asthma In Children!

MBBS, DNB (Pediatrics), Certification Course In Sick Newborn Care, POST GRADUATE PROGRAMME IN PEDIATRIC NUTRITION
Pediatrician, Delhi

Has your child been coughing frequently lately? Is the cough chronic in nature, making your child breathe rapidly, and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.
Diagnosis: the diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.
The different modes of asthma diagnosis are as follows:

Medical history and symptoms: you must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.

Physical examination: a physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.

Medical tests: a chest x-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and x-rays to know if sinus infections are affecting asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when asthma worsens and when emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.
You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.
In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of the smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.
 

Hearing Loss

M.Sc - Audiology, BASLP
Audiologist, Delhi
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While most noise is just in the background for us, loud noises, either in small spurts or prolonged exposure, can cause hearing loss. This has been happening more frequently as the levels of noise in an industrialized society go further up.

1042 people found this helpful

Keeping A Track Of Baby Poop - How Can It Be Done?

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Keeping A Track Of Baby Poop - How Can It Be Done?

As a new mother, you will be always in a constant state of worry whether you are doing things right. And of those many, many things you worry about, your baby’s bowel movements are one of them.

A baby’s poop is a sign of his/her health. Thus, you do need to know what is normal and what needs medical attention. Read on to know more about your baby’s poop.

What’s Normal?

The kind of poop depends on how you are feeding your child. If you breastfeed the baby, his/her poop will be:

  1. Small in size—no bigger than a coin

  2. Light in colour, usually a greenish-brown or bright yellow

  3. Sloppy in texture

The first few weeks of breastfeeding will produce waste daily, after each feed. The frequency will diminish later, but that is not a concern, as long as the waste is easily passed and is soft.

If you are feeding your child formula, the poop will be different. You will notice that the poop is:

  1. Bulkier

  2. Yellow-ish brown or pale yellow in colour

  3. Smells stronger

The next worry you have is when you change your baby’s feeding routine. When you switch from breastmilk to formula, you will notice:

  1. The poop is darker in colour.

  2. The texture becomes thicker.

  3. The smell also becomes stronger.

The other dramatic change you will see is when your baby starts eating solids.

What isn't Normal?

There are mostly two things you need to be concerned about: diarrhoea and constipation. Both of these conditions mostly affect babies who are formula-fed.

If your baby has diarrhoea, you will notice:

  1. The poop is runny

  2. Frequency and amount of poop is increased

And if you suspect constipation, be aware of the following signs:

  1. Your baby finds it difficult to poop

  2. The poop is dry and small

  3. The tummy is hard when you touch it

  4. There might be blood in the poop

Green poo:

If you're breastfeeding, green poo can be a sign that your baby is taking in too much lactose (the natural sugar found in milk). This can happen if she feeds often, but doesn't get the rich milk at the end of the feed to fill her up. Make sure your baby finishes feeding from one breast before you offer her your other one.

If you are feeding your baby formula milk, the brand you are using could be turning your baby's poo dark green. It may be worth switching to a different formula to see if that has any effect.

If the symptoms last longer than 24 hours, visit your health visitor or GP. The cause may be:

  • A food sensitivity

  • Side-effects of medication

  • Your baby's feeding routine

  • A stomach bug

Very pale poo:

Very pale poo can be a sign of jaundice, which is common in newborns. Jaundice causes your newborn's skin and the whites of her eyes to look yellow, and usually clears up within a couple of weeks of birth. Tell your midwife or doctor if your baby has jaundice, even if it looks like it's going away.

Also tell your midwife or doctor if your baby is passing very pale, chalky white, poos. This can be a sign of liver problems, especially where jaundice lasts beyond two weeks.

Management Of Recurrent Abdomen Pain In Children!

MBBS, MS - General Surgery, MCh - Paediatric Surgery
Pediatric Surgeon, Kolkata
Management Of Recurrent Abdomen Pain In Children!

Abdominal pain is serious and a very common problem. Commonly known as stomach aches, the treatment is generally symptom based. The symptoms of abdominal pain are commonly found in school going children. It is a discomfort in which children faces pain from the lower chest to distal groin. The pain can be dull, cramps and may be sharp. The main cause of abdominal pain is constipation. The recurrent pain in abdomen is very common in children. This is not a serious problem, but should be prevented than cured. The most common symptoms, causes and prevention are discussed below in the article. 

Symptoms of Recurrent abdomen pain: 

  1. One of the reasons for constant abdomen pain can be due to the body’s inability to digest food. Indigestion and formation of gas causes recurrent abdominal pain. 
  2. Another symptom and reason behind abdomen pain could be the inability to pass stool. 
  3. Constipation is quite common in children and major cause of recurrent abdominal pain. 
  4. Chronic or severe diarrhoea

How can you conclude the real reason behind recurrent abdominal pain: 

A stool test can be conducted to know the reason behind the pain like lactose intolerance or amoebiasis or worms. Ultrasonography of the abdomen should be done to rule out any other pathology like mesenteric lymphadenitis. Diagnostic laparoscopy can be done if recurrent abdominal pain persists even after dietary modification, treating the constipation and deworming the child. 

How can you treat recurrent abdominal pain: 
There are many ways to treat recurrent abdominal pain as discussed in the first paragraph, the treatment depends on the symptoms and intensity, according to which the treatment is chosen and corrective measures are conducted. Some of the general treatment includes: 

  1. Dietary Modifications: Child should avoid spicy feeds, oily feeds, fast food, milk products except curd, chocolates etc. Child should be encouraged to have fruits and vegetables with high fibre content. 
  2. Pharmacological therapy: Anti-spasmodics should be given if pain is severe. Laxatives if constipation persists even after taking high fibre diet. Pre and Probiotics should be added. A course of antibiotics should be given if symptoms and signs are suggestive of colitis. Pizotifen has been found as a prophylactic medicine but not much evidence of use in children. 
  3. Cognitive-Behavioural Therapy: This is a non-surgical corrective method, in which the patient is counselled and his behaviour is analyzed thoroughly and then corrective measures are suggested to get rid of the pain.
1 person found this helpful

Stammering In Children!

MASLP
Speech Therapist, Mohali

Helpful tips for parents

  1. Show your child that you are interested in what he says, not how he says it. Try to maintain natural eye-contact when he is having difficulty talking. Don't finish his sentences - this can be frustrating for him.
     
  2. Be supportive. Respond to a speech difficulty in the same way that you would with any other difficulties that arise as they develop their skills, such as when they trip over or spill things. If you feel it's appropriate, acknowledge the difficulty in a matter-of-fact way so that she doesn't feel criticized. Avoid labeling the difficulty as stammering. You could use expressions like "bumpy speech" or "getting stuck", or ask her for her own words or descriptions.
     
  3. If you speak quickly, slow down your own rate of speech when you talk to your child. Telling him to slow down, start again or to take a deep breath is unhelpful. Pausing for a second before you answer or ask a question can also help him to feel less rushed.
     
  4. Be encouraging if your child gets upset about her speech, just as you would if she was upset about any other difficulty. You might say something like "Don't worry, talking can be tricky sometimes when you're still learning."
     
  5. Observe your child's speaking patterns but try to resist seeing it as a 'problem?'.Stammering is not caused by parents, but your anxiety can be passed on to your child, who may feel he is doing something wrong. In fact, he is just struggling a bit at the moment, and the stage may well pass.
     
  6. Set aside a few minutes at a regular time each day when you can give your full attention to your child in a calm, relaxed atmosphere. You could follow her lead in playing or talking about something she likes. Try to talk about the things you are doing together right now, not about things that happened in the past or are planned for the future.
     
  7. Reduce the number of questions you ask. Always give your child plenty of time to answer one question before asking another. This way, he is less likely to feel under pressure. Keep your sentences short and simple and instead of asking questions, simply comment on what your child has said, thereby letting him know you are listening.
     
  8. Take turns to talk so that everyone in the family can speak without being interrupted. This will reduce the amount that your child is interrupted, or that she interrupts others.
     
  9. Respond to your child's behavior in the same way that you would with a child who does not stammer. As with any other child, discipline needs to be appropriate and consistent.
     
  10. Try to avoid a hectic and rushed lifestyle. Stammering can increase when your child is tired. Children who stammer respond well to a routine and structured environment at home and at nursery or playgroup. It is also helpful to establish regular sleep patterns and a regular healthy diet.

Taking Care Of A Newborn!

MBBS
General Physician, Mumbai
Taking Care Of A Newborn!

No matter how much time you spend researching on how to take care of your newborn, once your child is delivered, the first few weeks will leave you frantic and overwhelmed. However, there are a few tips which new parents must keep in mind. 

Handling a New born

1. Since babies have a weak immune system and are susceptible to infections, it is of paramount importance that anyone who handles your child has clean and sanitized hands. 

2. You also need to be careful about always supporting and cradling your child's head and neck since the muscles in his or her neck are weak at birth, and babies only develop head control after six months. 

3. Never shake your newborn baby whether playfully or out of frustration. Shaking the baby can cause bleeding in the brain or in severe cases, death. Tickle your child's feet to wake him or her up. 

4. Not only is it important to make sure that your baby is fastened securely in the car seat, stroller or carrier, you must also restrain from activities which may be bouncy or rough.

Diapering

Firstly, you must decide whether you want disposable or cloth diapers for your infant. Babies go through at least ten diapers a day (irrespective of whether they are cloth or disposable). While diapering, you must keep in mind to not leave your baby unattended on the changing tables. So get all the supplies such as clean diaper, diaper ointment (in case of rash), fasteners, diaper wipes and warm water, before changing his or her diaper. 

Bathing:

Newborn babies need to be given a sponge bath with warm water and very little soap till the navel and/or the circumcision heals completely. This can take about one to four weeks. After being healed, the baby should be bathed twice or thrice a week since frequent bathing may damage the baby's skin. 

Breastfeeding and Burping:
Doctors recommend feeding the baby on demand i.e. whenever your baby is hungry. Crying, putting fingers in the mouth, or making sucking noises convey that the baby is hungry. A new born baby needs to be fed every couple of hours. 

Burping is important so that the air consumed during the feedings can be let out since it makes the baby fussy. Patting or rubbing a baby's back usually helps them to burp or pass gas. 
 

1 person found this helpful

My son is 7 years old his penis the oval shape down portion border is having redness. Its not from outside its from inside. Pls. Suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hello lybrate-user. Without proper check up cannot help you. Consult a pediatrician and take proper check up. Once you have diagnosis you can consult me at Lybrate for homoeopathic treatment.

Our child aged 13 years male he do daily bed wetting in sleep for long time a chemist advised me a medicine i.e. Minirin 0.2 tablet hs for one month, please advise me.

MD - Homeopathy, BHMS
Homeopath, Pune
Do not take any drug without consulting a physician. Homoeopathy has exceptional results in such cases. I personally must have cures 200 -250 cases of bedwetting till date. Consult online in private with details for treating this condition.

My baby is 2 weeks old. He cries always for milk when awake (breast feeding) and urinates 6 times per hour. Is that abnormal?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My baby is 2 weeks old. He cries always for milk when awake (breast feeding)  and urinates 6 times per hour. Is that ...
YOur baby is normal in feeding and urination pattern and I advise you never feed him formula feeds in bottle and only breastfeed
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