Dr. Avinash G Kamat

It appears more and more from the brief that you have shared that he may be still stuck in his ?terrible twos?. For your information, it is at two years that children discover that they are no longer the center of the world, and it upsets them so that they want to test boundaries to see how much you will tolerate him before he either makes you reject him or he learns to control his urges and learns that you will have needs to be met too sometimes, and only after that his needs will be met: this is a very important learning he must achieve around that age. May be he has not gone through that phase happily. I suggest that you give him a lot of physical contact and enjoy his company. He needs to understand that whatever happens you will love him. Where the eating is concerned do not make a lot of fuss around it. Just keep him in front of the food and give him time to eat or even feed him. If he does not eat for some time nothing will happen. When he is hungry, he will want food and will also ask for the same. That is when you can give him the food. As long as he is active, there is nothing too serious to worry about. I hope you have taken him for all the necessary medical checks to rule out any physical cause. In the meantime there are some questions that I would love answered or for you to take him to a child psychiatrist. My questions: Was the conception normal? Was there a miscarriage or abortion before this child was born or after? How was the nine months of pregnancy for the mother i.e. was she under any kind of stress? Was the pregnancy normal? Was there any threat to the pregnancy? Was she on any medication? Was there any need for supplements? What was her emotional condition? Did she like the pregnancy? Was she happy during and about the pregnancy? Did she get good support from you? Was the delivery normal and on the due date? How long was he breast fed? Did he have any problems with bedwetting etc.? This information will help even a counselor to bring further insight into this problem. If some of these questions raise any serious concerns, you can help the child resolve it with some professional help from a child counselor.

Take planty of fluid like water, cow milk, masur dal, etc.change your thought that you have enough milk for your baby, you think positive. U think about your baby. Stimulate your breast with comb below upward. Give massage over your back by striping method. Also take metoclopramide tab bid for 3 days. Also take calcium and iron tablets.

Report of any test whether it is eeg or any other, is to be correlated with clinical findings. If faint is not suggestive/ leading clue to epilepsy type ailment, even abnormal report should not be discarded outright. Get an other eeg done and consult pediatrician. Fainting is not necessarily epilepsy. Its diagnosis solely depends on nature of faintness since there is no sign of this disease. In this case faint may be due to hot weather leading to dehydration.

A 3 year old with high fever and vomiting requires ome paracetamol syrup, sponging whole body with cold water, cold water pad over the forehead to reduce the temperature. Small sips of cold water fed by spoon continuosly. I f no relief within few hours, don't delay approach family doctor or a child specialist.

You must vaccinate against pneu mococci with pcv. Continue exclusive breastfeeding till 6 months. Treat cold immediately.

Do not force her eat something. At this age kid have something called temper tantrums. By this she will try to assert her will and personality. Let her be. Just make sure she does not have anything else like biscuits, wafers, kurkure etc in between. That can be a reason she does not feel hungry and finds home food less tasty than the bisciuts and wafers.

Milk based diet till 22 months is really not good. If you r bottle feeding stop it immediately. Give her regular diet as we eat but with lesser spices. U can give regular cows milk only twice a day in a glass. Bottle is habit forming and has many disadvantages. Particularly in summers give more water. Fluids. Juice. Along with balanced diet.

Now a days there are many ways to deal dyslexia. (1) first, we have to confirm its dyslexia, because sometimes at this age it is normal that some children may be slow to pick up but later they caught up. (2) if confirmed that the child has dyslexia then you can go for learning disability certificate. (3) then you can go for remedial teaching which takes care of such children.

Put to the breast whenever baby cries. Don't put any fixed timings for feeding. Follow demand feeding. See to it mother is getting sufficient milk.

Thumb sucking these months is acceptable, may be due to teeting. Last 3 days may she have diarrea, look for dehydration. Consult doctor with baby.