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Dr. Avinash

Pediatrician, Mumbai

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Dr. Avinash Pediatrician, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Avinash
Dr. Avinash is a trusted Pediatrician in Vile Parle West, Mumbai. You can visit him at Balabhai Nanavathi Hospital in Vile Parle West, Mumbai. Book an appointment online with Dr. Avinash and consult privately on Lybrate.com.

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Balabhai Nanavathi Hospital

Vile Parle, Vile Parle West. Landmark:Swami Vivekanand Road, MumbaiMumbai Get Directions
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Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

Midely overdistedned stomach of baby girl 1.5 years thats why she is vomiting frequently once in day or sometimes twice . Kindly guide how do we stop such vomiting? Please suggest .

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
For how long she has been vomiting? If this is an acute problem, visit a pediatrician urgently. If it is longstanding roblem, tell me more about the problem.
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Hello Sir, My name is rinkal and I am a breastfeeding mother of 1.3 years baby. I am suffering from headache since December 2015. And I am having a problem of depression after my father's death I July 2015. I became angry and nervous which cause my hands and lips shiver. Due to this I became week also. I have loose too much weight and forgotten to smile, and to talk to others.

MD - Paediatrics
Pediatrician, Kolkata
Hi lybrate-user sadness and strain of a new baby+your loss can all cause tremendous pressure on you both physically and mentally. There's a saying that if a birth and death occurs closely the soul doesn't leave and is actually reborn. Your father's blessing will always be there with you. Your child us totally dependant on you and that's a very large responsibility that makes all new moms cranky. Don't be hard on yourself. Have a balanced diet, plenty of water and fluids mother's diet. Then she should have 1800 to 2200calorie perday yo breastfeed comfortably. She can have 5 portions of fruits whatever us seasonally available preferred during day time. Drink plenty of water 4 to 6 lper day. Water is important for hydration and good flow of milk. Apples, papaya, my samba, banana are all good. Ask her to have dry fruits few pieces twice a day. (almond+kishmish) plenty of green veggies. Good protein source with each meal (no soya). Additional 550 calorie more than your regular diet. Extra protein of at least 12 to 18 gram +50 gram of normal protein. Daal, chana iron+calcium/vitd3supplements. This is the general plan for a more detailed plan. I would need your bodyweight and height work level (sedentary/working) regular diet that you have tests. Cbc with esr serum calcium and 25 (oh) vitd3 levels sleep when baby sleeps. Meditate for 10 minutes do something you love everyday pray things will get better hope this helps.
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My baby is 2 and half month old. He is losing hair. I afraid what I do. Which oil best for infant hair?

DNB (Pediatrics), MBBS
Pediatrician, Mohali
My baby is 2 and half month old. He is losing hair. I afraid what I do. Which oil best for infant hair?
Hi, thanks for contacting us. Losing hair is not necessarily abnormal at this age. Many infants will become almost bald before they grow the hair back. However, you need to check for any scalp problems like redness, dandruff itching etc. If this is present, or the hair loss is only in a small part of the scalp, then you need to contact your pediatrician, or get back to us, warm regards.
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My son born day before yesterday by sesorian now he is crying with hungry but he wont drink to breastfeed what to do. ?

M.D.( Pediatrics), DCH
Pediatrician,
Persist with breast feeding. Cry is not always because of hunger. It takes time for baby to adjust after birth. Take paediatricians opinion, some times calcium will help to reduce irritability.
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My daughter has just completed 7 years n last 2 weeks she is complaining while bathing that her nipples r paining even I can observe that her breast portion is growing. In this case what should I do?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is a normal process of growth and development. Need not panic and need not intervene too much just ignore it. As the child is attaining menarche its a part of development of secondary sexual characters like growth of breasts/nipples. Just counsel the child about this and be calm and patient, it will subside soon!
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My baby is one month old and is spitting milk after almost every breastfeed. It is watery milk. Kindly suggest me is it safe or not? Thanks.

Diploma in Child Health (DCH)
Pediatrician, Narnaul
My baby is one month old and is spitting milk after almost every breastfeed. It is watery milk.
Kindly suggest me is ...
Dear lybrate-user Burping is essential for small babies She might be suffering from reflux, babies swallow air with milk so burping will help air to come out.
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I'm 32 years old female. I'm so much depressed for the past 3 months. My husband betrayed me. He's in relationship with a girl of age 31. Both told me that they were friends. But both of them planning to marry in Malaysia cause she's a Malaysian citizen. We've a kid of age 5. Don't know what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases, MD - Medicine
Ayurveda, Mumbai
I'm 32 years old female. I'm so much depressed for the past 3 months. My husband betrayed me. He's in relationship wi...
Dear lybrate-user, you struck with bitter truth of life. If you want to be overcome this situation:- 1) be strong, be a fighter and face reality. 2) under stand situation & accept truth. 3) hope for best & prepare for worst. 4) god help them who help them self. 5) keep your self physically & mentally busy in your work, it will help you to over come from depression. 6) do regularly breathing exercise - pranayama - omkar pramayama thrice daily. 7) where one road ends you have two options to progress.
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15 days ka baby hai bahot koshish krne pr bi maa ka dhoodh nhi pee rhi hai ab usko kaunsa dhoodh diya jaye cow mink or dexolac plss ansss.

MD - Paediatrics, DNB (Pediatrics)
Pediatrician, Rourkela
15 days ka baby hai bahot koshish krne pr bi maa ka dhoodh nhi pee rhi hai ab usko kaunsa dhoodh diya jaye cow mink o...
Take the baby and the mother to the nearest PEDIATRICIAN. They will teach the breastfeeding position and breast related issues if any. Usually occurs after the 1st delivery. Remember mother milk is best for the baby and there is no substitute.. Formula feeds are last in worst case scenario. Why we presses more because mother milk has both short term and long term good effect. You can google it online.
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Hello. My younger son is 4 months 15 days old. He just started rolling and rolled only once. His bit th weight is 3.5 kgs. But he is still 6.5 kgs ,looks like tiny baby and not chubby at all. I had severe chickenpox at 6 month of pregnancy. Has this affected?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hello. My younger son is 4 months 15 days old. He just started rolling and rolled only once. His bit th weight is 3.5...
No, his weight is normal for the age. Baby is prevented by maternal antibodies up to 10-12 months age.
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My daughter is in 9 month old. Can I give non vegetarian food to her. Can you suggest healthy food items.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is in 9 month old. Can I give non vegetarian food to her. Can you suggest healthy food items.
Better to avoid as some will develop allergy to animal proteins. Moreover small babies can't digest them.
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My son 3 years old, since 2 weeks now his left testicle has swollen. I have already consulted 2 gen docs. Also gave him ibuprofen still the same. Did ultrasound today for abdomen pelvic and scrotum. result says free fluid. Please advice.

MBBS, MD - Radio Diagnosis
Radiologist, Delhi
My son 3 years old, since 2 weeks now his left testicle has swollen. I have already consulted 2 gen docs. Also gave h...
It could be some infection. The condition is known aa hydrocoele. Take medication for sometime n then repeat the ultraaound to know wether the fluid has decreased or not. Do not worry. Jus keep baby. S private parts clean.
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My son 1.10 years old. Till date, he is not speaking. I had consult with doctors before 6 months, they says, he speaks after some time. But till date, he is not speak speaking. I can't understand. What I do.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son 1.10 years old. Till date, he is not speaking. I had consult with doctors before 6 months, they says, he speak...
Hello, Relax, if there is no defect, different babies take different time to reach milestones. If the baby is a late speaker, wait for the right time. He will eventually be there.
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My son was given the first dose of rotasure. But the second one on 10 week was not given as rotasure is not available in bangalore. What do I do now? The dose was due on 12th nov.

DHMS (Hons.)
Homeopath, Patna
My son was given the first dose of rotasure. But the second one on 10 week was not given as rotasure is not available...
Hello, it can be regulated after its due date, even, please find out the substitute of rotasure at your end to immune the intestine against infection. Tk care.
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My 1 year old son is very low in weight. Only 7.3 kg. He likes to breastfeed and does not take cows milk. Does not eat much. Should I wean (stop breastfeeding) him to increase his appetite. Or along with breastfeed how to improve his weight my milk feed supply is average.

ICR Study, M. B. S.(H)
Homeopath, Mumbai
My 1 year old son is very low in weight. Only 7.3 kg. He likes to breastfeed and does not take cows milk. Does not ea...
How about his milestones ..His teething . Sitting ..And walking if all these milestones are normal...You stop breast feeding and focus on increasing solids..Rice .Daliya ..Mashed potatoes carrots .. Slowly shift him to vegetable soup s green leafy vegetables...
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My baby 5 month old is suffering from fever and cold. So please what should I do.?

MD - Paediatrics
Pediatrician, Jamnagar
My baby 5 month old is suffering from fever and cold. So please what should I do.?
If child is playful, when fever is down, it is viral. Give paracetamol for fever and wait for 2-3 days. If he seems dull/worsening meet your pediatrician.
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My son aged 19 months had been vaccinated for HEPATITIS A.when to give him booster dose.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son aged 19 months had been vaccinated for HEPATITIS A.when to give him booster dose.
If it is 1st dose which should be given at 12 month, now hepatitis a 2nd may be given after 6 months.
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Hi doctor, My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this enough or what should I do for her weight gain? She shows very less interest in eating. She often falls sick for cold cough & fever. Please suggest what should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi doctor,
My baby girl is now 13 months old. Her birth weight is 2.8 kgs. Now her weight is just 8.9 kgs. Is this en...
your baby is under wt. Expected wt at this age is 10-11 kg. Give her well nourished diet well cooked in ghee/ oil of her liking/ taste, milk or milk products, fruits vegetables etc. No force feeding please.
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My baby is going to be 3 month old soon. And I have to go back to work. Can I start solid or weaning food for her as I don't want to give her formula milk. I can manage to breastfeed her only once or twice.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is going to be 3 month old soon. And I have to go back to work. Can I start solid or weaning food for her as ...
Till 6 months not advisable to go towards semisolid feed. For working mother advisable to go for formula feeds or top milk in form of cow milk with added sugar. Word of caution here is, no feed is superior than breast feeds in first 6 months of age of an infant.
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How much salt do babies and children need? How much salt or sodium is good for me?

C.S.C, D.C.H, M.B.B.S
General Physician,
How much salt do babies and children need? How much salt or sodium is good for me?
The maximum recommended amount of salt for babies and children is: Up to 12 months – less than 1g of salt a day (less than 0.4g sodium) 1 to 3 years – 2g of salt a day (0.8g sodium) 4 to 6 years – 3g of salt a day (1.2g sodium) 7 to 10 years – 5g of salt a day (2g sodium) 11 years and over – 6g of salt a day (2.4g sodium)
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