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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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My daughter is 15 months old. She is active. I am giving milk, rice, vegetables and fruits in daily food. Shall I start her giving non veg. please suggest me what to give for better growth of my baby. Her weight is 2.8 kg at birth. Now she is only 8.5 kg. I consulted pediatrician also. I am giving min min syrup daily.
My child is 2years n she does not eat properly. What should I give her to increase her appetite? She has stopped eating cerelac also.
Doctor sahab my baby is not gaining weight properly or not eating anything is the one of the major complain in any parenting forum and in my clinic also. This blog is dedicated to those parents who always concerned about baby weight. I will try to cover all step by step. This post is only for exclusive breast feeding baby means below 6 months of age baby. At birth baby weight should be approximately 3kg or more than that. Less than 2.5 kg is low birth weight. Babies lost there weight in initial days and regain there birth weigh around 10th to 14 th day of life. In first 3 months growth rate is approximately 25 to 30 gm per day after that it will increase @ 400 gms per month till 1 year. Weight will double at 5 months and triple at 1 year. Usually we compare our baby weight with others and get frustrated our baby is not healthy. We expect chubby photogenic baby. So here I will try to explain the whole story.
Let's start from the very beginning the story start the day we decide to have a baby. Maternal nutritional status and medical fitness have a mojour role. Single infection can cause low birth weight baby or preterm. In us dental infection is one of the majour cause of preterm baby. We adviced to consult couples before and after pregnancy for any problem. You can have folic acid 3monthes before concepction. Mother, short interval of previous pregnancy, maternal hemoglobin level, nutritional status, high bp (pih, viral infection, bleeding per vaginal, chromosomal abnormalities can be cause of low birth wight, prematuered or iugr baby. Women should have healthy food, do some light exercise and try to live stress free life.
In second part of story baby born with certain weight and maturity. Weight less than 2.5 kg is low birth weight and birth before 37 weeks called premature baby. Baby weight gain is mostly affected by recurrent infection and feeding and temperature for initial days.
Too hot or too cold weather can affect weight. Try to wear one extra clothes what we are wearing like if we are comfortable in half shirt we can wear him full shirt or if we are comfortable in full shirt we can wear him a half sweater more. In winter we have wear him cap and shocks but in summer only cotton jhabla is sufficient.
New born babies had low immunity so chances of infection is much more. To prevent infection you should remember these things
- try to touch baby after hand wash and try to not touch the above the wrist joint. We touch by infected hand and baby keep the same hand in his mouth get stomach infection.
- don't give any antibiotics without without consulting doctor and complete full course of antibiotics
- immunize your child as per schedule.
- avoid bottle feed if possible and if you are using it should be properly sterilized.
Exclusive breast feeding is adviced till 6 months. There is either problem in milk production and ejection or technique of feeding.
- Milk production and ejection: Milk production is controlled by prolactin harmone. For most part of milk production is use it or loose it process. The more often baby nurse the more milk you make. Oxytocin harmone is responsible for milk ejection. Suckling, thought of the baby, sound and sight of
- Baby stimulate milk ejection: Stress is the major suppress of milk ejection. Plenty of water, milk, apricot, poppy seed, papaya, oatmeal, carrot, bottle ground, funnel seed, basal leaf, can be used to augmentation of milk production.
- Breast feeding: Proper positioning and attachment is necessary for successful breast feeding. Try to feed baby with one breast at a time so baby can get for milk and hind milk both. For flat or inverted nipple can be corrected by syringing method. Tounge tie or fungal infection can be cause of improper feeding. Feed your baby on demand or every 2hr. If baby satisfied he should sleep 2 to 3 hrs after feeding, passes 6 to 8 time urine. 5 to10 min sufficient for feeding if your baby takes half an hour means you had less milk production. Initial 3monthes feeding frequency8 to10 times day after 7 to 8 times a day may be sufficient.
- Condition related to baby: For preterm and low birth weight kangaroo mother care is very useful. Where baby is kept in vertical position between the mother breast under the clothes so both skin can be in touch. You have to keep baby at least 1 to 2 hrs in a single sitting and as long as you can. It helping milk production and weight gain of baby. Repeated infection of respiratory tract, stomach infection, urinary tract infection, some congenital infection, metabolic disorder may cause slow weight gain. Neurological insult during delivery may cause slow weight gain with delayed mile stones.
- Motherhood is a great honor and privilage: It is the most challenging and utmost satisfying job, and as in every job first year is most difficult one with less paying with no vacation. As a man we never understand these things. So big salaute to those moms who day and night care there baby and wish best of luck.
Tooth eruption is not only a sign that your child is acquiring the ability to tear, bite, and chew food but it also effects the baby's weight gain, immunity strengthening and development of the brain indirectly.
It is observed that most babies get their first tooth at around 6 months after birth, but they may start gnawing as early as 3 months or as late as 14, and may vary from child to child. This depends on many factors, one of them being as when the parents started sprouting teeth and whether or not your baby was a preemie. In case of premature and low birth weight babies there may be a delay in their first tooth eruption. Children should have a full set of primary teeth by the time they are almost three.
Babies generally undergo the following Teething Timeline:
6 months: lower central incisors
8 months: upper central incisors
10 months: lower and upper lateral incisors
14 months: first molars
18 months: canines
24 months: second molars
Symptoms of Teething:
Babies start gnawing to relieve the pain of an emerging tooth.
Puffy and red gums
Irritation, especially at night
A change in eating habits
Methods to Soothe the Pain:
Teething is a physiological process, no major intervention is needed.
Distraction: You can often soothe your child simply by diverting their minds off the pain by any new toy.
You shouldn't use teethers and topical teething gels to soothe the pain as they might be toxic to babies.
Symptoms of teething usually disappear when the tooth breaks through the gum. In case your baby is teething and the pain prevails , the following signs and symptoms are seen - high fever, diarrhea, or vomiting, highly inflamed gums or blue gum (Cysts) or any kind of lesion or bumps on the gums. In such case you should consult the pediatrician for further guidance.
My 21 days old daughter start crying uncontrollably before urinating, she is facing this problem from past two days.
My son is 4 year old. He is not at all showing interest towards meal/food. Whatever he eats we have to make him eat forcibly. Consulted paediatrician and showed my concern if this is resultant of any worm, but he did not advise any anti-worm medicine. Now I am little worried about possible reason. Please advise what to do?
I have my first baby (8 month) with cesarean delivery bcz I won't got pain till the delivery date whether there is an chance to get my second pregnancy with normal delivery & how long time I want to wait to get 2nd pregnancy.
Sir kindly advise recent blood report of my son are as under 1. ALP 769 U/L 2. Calcium 10.2 mg/dl 3. Phosphorus 5.1 mg/dl 4. Calcium serum 9.8 mg/dl 5. PTH 53.9 pg/ml may please advise what problem is with him.
My 2 months old son got pneumonia.Was hospitalised.Now after two months he has again got the blood and chest infection.Wat to take precautions ?
I have a 6 years old daughter. She is suffering from dry skin problem on birth itself. Doctor told, we could not cure this one. Just apply moisturizing cream continuously. If there is any possible to cure.
My 8 months daughter always catches cold and cough. My concern is how long shall I keep her on over the counter medication. Please suggest few immune boosting food for her and I don't want to continue to give her cough syrup every alternate or after few days.
Hi Dr. Greetings for the day! My baby girl birth with cleft palate now she is 4 months old. And I am planning to fit a feeding plate. Now my question is 1. If I fit feeding plate now will it be remove later at the time of surgery, or the same plate will be fixed for permanent. Also she is not gaining weight as ASD and PDA (7mm) was there from birth. Now only PDA (5mm) is there. Kindly suggest how she will gain weight. Birth weight 2.5 kg now she is in between 2.6 to 2.7 kg.
Last month only I had a c-section delivery can I continue having green tea while feeding baby it won't be problem for baby!
CHILD PSYCHIATRY: Attention Deficit Disorders
Attention deficit disorder is characterized by the main features of distractibility, impulsivity, and hyperactivity. It occurs in both children and adults, and interferes with the person's ability to function normally in their day-to-day activities, such as work, school, and at home. While we do not yet fully understand the causes behind these problems, there are many readily available and effective treatments for attention deficit problems.
Diagnosing this disorder can be difficult since it is common for many people to have some of the symptoms of this disorder to some degree, such as difficulty paying attention or being easily distracted. Also, some of the symptoms of ADHD can manifest as anxiety or depression. Therefore, prevalence rates for this disorder are difficult to precisely pin down. However, according to recent epidemiological statistics, approximately 4 percent of the population has ADHD. About one-half to two-thirds of children who are diagnosed will continue to have some difficulties with ADHD during their adulthood.
The diagnosis of ADHD or ADD cannot be done online. This informational resource can help you better understand these problems and give you more confidence when contacting a mental health professional for appropriate treatment.
It is normal for children to be easily distracted at various stages throughout their development for short periods of time. Most children grow out of such stages naturally on their own. Do not become alarmed if you find that you or your child may match many of the symptoms listed -- this is likely one of the most overly diagnosed mental health problems today.
In order for ADHD or ADD to be diagnosed properly, it is important that the problems to be noted happen in multiple settings, that they have been consistently observed for 6 months or longer, and that many such symptoms of lack of attention, impulsivity, or hyperactivity are easily apparent.
We have developed the information here to act as a comprehensive guide to help you better understand the symptoms, causes, and treatments for attention deficit problems, whether you're an adult or a child. We've developed this resource to help you discover more information about these problems on your own.
manifest themselves in a manner and degree that is inconsistent with the child's current developmental level. That is, the child's behavior is significantly more inattentive or hyperactive than that of his or her peers of a similar age.
Attention deficit disorder (with or without hyperactivity) is known by a cluster of co-occurring behavioral symptoms. Check to see if any of these symptoms sound familiar to you.
ADHD or ADD is characterized by a majority of the following symptoms being present in either category (inattention or hyperactivity). These symptoms need to manifest themselves in a manner and degree that is inconsistent with the child's current developmental level. That is, the child's behavior is significantly more inattentive or hyperactive than that of his or her peers of a similar age.
Symptoms of Inattention:
§ often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
§ often has difficulty sustaining attention in tasks or play activities
§ often does not seem to listen when spoken to directly
§ often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
§ often has difficulty organizing tasks and activities
§ often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
§ often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
§ is often easily distracted by extraneous stimuli
§ is often forgetful in daily activities
Symptoms of Hyperactivity:
§ often fidgets with hands or feet or squirms in seat
§ often leaves seat in classroom or in other situations in which remaining seated is expected
§ often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
§ often has difficulty playing or engaging in leisure activities quietly
§ is often "on the go" or often acts as if "driven by a motor"
§ often talks excessively
Symptoms of Impulsivity:
§ often blurts out answers before questions have been completed
§ often has difficulty awaiting turn
§ often interrupts or intrudes on others (e.g., butts into conversations or games)
Symptoms must have persisted for at least 6 months. Some of these symptoms need to have been present as a child, at 7 years old or younger. The symptoms also must exist in at least two separate settings (for example, at school and at home). The symptoms should be creating significant impairment in social, academic or occupational functioning or relationships.
There are three variations in which this disorder is diagnosed.
§ Attention-Deficit/Hyperactivity Disorder, Combined Type: when both criteria for A1 and A2 are met for the past 6 months.
§ Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type: when criterion A1 is met but Criterion A2 is not met for the past 6 months.
§ Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type: when criterion A2 is met but criterion A1 is not met for the past 6 months.