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Dr. Puvada Sreenivas

Pediatrician, Hyderabad

300 at clinic
Dr. Puvada Sreenivas Pediatrician, Hyderabad
300 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Puvada Sreenivas
Dr. Puvada Sreenivas is a popular Pediatrician in Punjagutta, Hyderabad. She is currently practising at Pragna Hospital in Punjagutta, Hyderabad. You can book an instant appointment online with Dr. Puvada Sreenivas on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 27 years of experience on Lybrate.com. Find the best Pediatricians online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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6-3-347/22/b/1, Dwarakapuri Colony, Panjagutta. Lanmdark: Near Saibaba Temple, HyderabadHyderabad Get Directions
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My Son, 11 months old doing potty 4 times in a day since 3 days & losing weight. His current weight is 7.5 kg. Please advise how to overcome from this.

C.S.C, D.C.H, M.B.B.S
General Physician
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My Son, 11 months old doing potty 4 times in a day since 3 days & losing weight. His current weight is 7.5 kg. Please...
Is he bottle fed then stop bottle and feed from a cup with spoon. If it is infective diarrhoea , he needs antibiotics

My baby does not have sound sleep at night ? Why so ?

MBBS, Diploma in Child Health (DCH)
Pediatrician
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Try to find any thing which make your uncomfortable like Cold Very hot Mosquito Wet nappies Tight clothing Noise Excess light Any pain Nose block HUNGER! most common, make sure it's not crying for feeds

I feel very scared after my father sudden death 4 months before. I was very happy and joyful person but it seems that in a day everything change. I am scared that what will happen if again anything happen to anyone in my family whenever my husband go out for work after every hour I call him, when my baby cry in illness I become panic that something will happen. I am trying to overcome this situation by keeping myself busy in household works but I am tired of my negative thoughts. I want to be like what I was.

Diploma in Diet and Nutrition
Dietitian/Nutritionist
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I feel very scared after my father sudden death 4 months before. I was very happy and joyful person but it seems that...
Its tragic to lose someone close to you. The vacuum left behind takes time to fill up and time to heal. It is all right to feel grief and feel sad. We are all humans. Just accept it instead of trying to fight it. Try different types of meditation. On YouTube you will find videos of Mindah Lee Kumar. Try them they are very useful. Try to connect with friends. and meet them. Life is a journey with ups and downs... Everything is in Gods hands. I am sure your father would always like you to stay positive and be a fighter. Be strong and be patient. Be hopeful.

Hello, Mera baby ko vomit hua two times. Uske baad still usko vomit jesa hota rehta hai. Jese hi use vomit sa hota hai main usko shoulder se laga deti hu. N tap krti hu uski back ko toh thodi der mai normal ho jata hai. I don't know ki kya hua hai use. Jab use bottle feed karati hu toh bht pblm se feed karta hai. Like bottle muh se nikal deta hai. Or breast feeding mai b ye hi pblm hai. please help.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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Hello,
Mera baby ko vomit hua two times. Uske baad still usko vomit jesa hota rehta hai. Jese hi use vomit sa hota ha...
first of all..get rid of bottle asap.bottle feed brings many disease and future teeth malalignment issues also. secondly ...give anti reflux measure ..symptoms you mentioned is of reflux disease. 1.esomac 10mg half sachet for a 5kg baby shall help. 2.give syp.ondem 2ml for severe vomits . 3.mild one shall be fine with taking baby on shoulders. regards

Hi. And he's 2 1/2 years old. He's studying PRE KG in there some school children health camp program should be conducted. In there one doctor said that he have a some problems in heart may be it will be a hole or some block" we are suffered. I will show some details of ECG report that they given HR: 102 bpm P Dur: 82 Ms. PR int: 110 Ms. QRS dur: 80 Ms. QT/QTC int: 300/392 Ms. P/QRS/T axis: 25/26/25 RV5/SV1 amp: 1.196/1.027 mV RV5+SV1 amp: 2.223 mV RV6/SV2 amp: 0.982/0.794 mV These r the details given by them. And they given a referral slip I Purpose of referral: CVS- Sgs murmur intricupid & RS- BAE + Pls anyone tell me clear solution we are afraid about this. Is there any risk? Or is there any serious problem? Can you tell anyone pls.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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Hi.
  And he's 2 1/2 years old. He's studying PRE KG in there some school children health camp program should be cond...
Murmur as heard by the physician who saw the child. It would be safer to get heart scanning which is known as echo cardiography shall be done for safer side. All holes in heart are not dangerous so don't worry in today's world almost solution is there for these kind a issues.

Iron Deficiency - How it Puts Your Child at Risk

Diploma in Child Health, MBBS
Pediatrician
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Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.

Risk factors for iron deficiency in children

Infants and children at highest risk of iron deficiency include:

Babies who are born prematurely or have a low birth weight
Babies who drink cow's milk before age 1
Breast-fed babies who aren't given complementary foods containing iron after age 6 months
Babies who drink formula that isn't fortified with iron
Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
Children who have certain health conditions, such as chronic infections or restricted diets
Children ages 1 to 5 who have been exposed to lead
Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.
Symptoms of iron deficiency anaemia

The signs and symptoms of iron deficiency anaemia in children may include:

Pale skin
Fatigue or weakness
Slow cognitive and social development
Inflammation of the tongue
Difficulty maintaining body temperature
Increased likelihood of infections
Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch
Prevent iron deficiency in children

Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:

Breast-feed or use iron-fortified formula. Breast-feeding until your child is age 1 is recommended. If you don't breast-feed, use iron-fortified infant formula.
Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.
Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same.
Iron Deficiency - How it Puts Your Child at Risk

Health tip for babies.

DNB (Pediatrics), MBBS
Pediatrician
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Health tip for babies.

Babies have variation in appetite so don't go on day to day appetite but follow weight trend over 2 to 3 months. If that is okay. Baby is doing well.

Esp in sickness babies lose appetite as we do.
So wait for few days n appetite will return.

Regards
Dr. Rajiv singh aradhya clinic indrapuram. Consultant max hospital vaishali.
Health tip for babies.

Sir my 15 month old kid accidentally chewed trazine H tablet. We r in a remote place.he is active n symptomless for the past 14 hrs! What should I do next!

M.D.Pediatrics, MBBS
Pediatrician
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Sir my 15 month old kid accidentally chewed trazine H tablet. We r in a remote place.he is active n symptomless for t...
Dear parent as more than 14 hrs have passed not muvh to worry but give him plenty of liquids like plain water, shikanjavi, lassi coconut waterand of course milk is there. So that bthere is total excretion of the medicine.

My son is entering middle school in the fall. What advice can I give him if he finds himself on the receiving end of cyberbullying?

C.S.C, D.C.H, M.B.B.S
General Physician
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How Parents Can Help If you discover that your child is being cyberbullied, offer comfort and support. Talking about any bullying experiences you had in your childhood might help your child feel less alone. Let your child know that it's not his or her fault, and that bullying says more about the bully than the victim. Praise your child for doing the right thing by talking to you about it. Remind your child that he or she isn't alone — a lot of people get bullied at some point. Reassure your child that you will figure out what to do about it together. Let someone at school (the principal, school nurse, or a counselor or teacher) know about the situation.Many schools, school districts, and after-school clubs have protocols for responding to cyberbullying; these vary by district and state. But before reporting the problem, let your child know that you plan to do so, so that you can work out a plan that makes you both feel comfortable. Encourage your child not to respond to cyberbullying, because doing so just fuels the fire and makes the situation worse. But do keep the threatening messages, pictures, and texts, as these can be used as evidence with the bully's parents, school, employer, or even the police. You may want to take, save, and print screenshots of these to have for the future. Other measures to try: Block the bully. Most devices have settings that allow you to electronically block emails, IMs, or texts from specific people. Limit access to technology. Although it's hurtful, many kids who are bullied can't resist the temptation to check websites or phones to see if there are new messages. Keep the computer in a public place in the house (no laptops in children's bedrooms, for example) and put limits on the use of cellphones and games. Some companies allow you to turn off text messaging services during certain hours. And most websites and smartphones include parental control options that give parents access to their kids' messages and online life. Know your kids' online world. Ask to "friend" or "follow" your child on social media sites, but do not abuse this privilege by commenting or posting anything to your child's profile. Check their postings and the sites kids visit, and be aware of how they spend their time online. Talk to them about the importance of privacy and why it's a bad idea to share personal information online, even with friends. Write up cellphone and social media contracts that you are willing to enforce. Learn about ways to keep your kids safe online. Encourage them to safeguard passwords and to never post their address or whereabouts when out and about. If your son or daughter agrees, you may also arrange for mediation with a therapist or counselor at school who can work with your child and/or the bully.

My son is suffering from fever since 10 days & loose motion since one month he has asthmatic allergy and having history of loose stools since his birth. He is six years old.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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My son is suffering from fever since 10 days & loose motion since one month he has asthmatic allergy and having histo...
I can understand your concern - commonest cause of such loose stools are - milk protein allergy, lactose intolerance and improper digestion n food habit and rarely disease known as" celiac disease" which is an allergy of gehu. Wheat. So pls get tests for these many issues done especially - test named as ttg-a.

My baby is 8 months old he frequently gets ill as cold fever etc. What is the problem with him? what should be the diet for him?

MD - Paediatrics, MBBS
Pediatrician
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My baby is 8 months old he frequently gets ill as cold fever etc. What is the problem with him?
what should be the di...
Upto 8 times upper respiratory infections are considered normal till year. It's because of low� immunity.

Muje 6 months se left eye ke vision me ek black point dikhai de rha hai, mene private doctor se tratment bhi liya, but koi asar nbi hua, and meri aankho ke number bhi badb rhe h. Har 6 months to 1 year mai meri aankho ke number change ho jate h. Kya ye koi bimari hai, muje kya karna chaiye?

DO, Diploma in Ophthalmology, MBBS
Ophthalmologist
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Muje 6 months se left eye ke vision me ek black point dikhai de rha hai, mene private doctor se tratment bhi liya, bu...
You have not mentioned your age! The black point could be pathological or physiological, Get a Fundus exam. Done. Frequent change is common in young age but it could be a case of progressive myopia.

Is green poo in 1 month formula fed baby normal or something to worry about?

MD - Paediatrics
Pediatrician
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We recommend only mother`s milk up to the age of 6 mths.If the baby is on bottle then this may be a cause.

What is the remedy for respiratory infection it is more during winter but it is not there during summer how to get rid of this problem permanently please advise.

MD PULMONARY, DTCD
Pulmonologist
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Get flu vaccination and pneumoccal vaccination . Avoid exposure to cold.Eat green vegitable and fruits.Try to improve oral hyegine.

C.S.C, D.C.H, M.B.B.S
General Physician
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HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.

Hi! My 4 months old baby boy is fearing from sounds from last 2-3 days, he suddenly wakes up from fear and cries. He is also fearing from very small sounds even when he is awake. He was never like this until from last 2-3 days. I am really worried. Please guide me.

C.S.C, D.C.H, M.B.B.S
General Physician
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Hi! My 4 months old baby boy is fearing from sounds from last 2-3 days, he suddenly wakes up from fear and cries. He ...
He could be having the beginning of a cold and all sounds and minor things will cause irritation and you take care.

Dear sir, My daughter have 7 month old, have cough and cold, There for I consult a physician and taking treatment. But still my daughter is irritable. The whole body having normal temperature, but only head is hot always. What is this? Is this a sign of grow of teeth?

MD - Paediatrics, MBBS
Pediatrician
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Dear sir, My daughter have 7 month old, have cough and cold, There for I consult a physician and taking treatment. Bu...
There is nothing wrong with your baby as it is a normal observation. Just replace breast or bottle milk with semisolids & milk by spoon, gradually increase quantum with increasing age.

Sleeping in ac for a new born baby is ok or not?

MD - Paediatrics
Pediatrician
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Maintain temperature of 26-28 celsius. Avoid direct exposure to the cold air. It is good to use ac for new born to avoid raised environmental temperature effect.

C.S.C, D.C.H, M.B.B.S
General Physician
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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
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