Dr. Chetan Shetty

No medicine for gaining weight is going to help rather it may do more harm. Milk in appropriate quantity is only medicine. You may start semi solids like suji kheer Dal khichadi etc once in a day to start. For further information please consult your pediatrician in person.

Tb infection first affects the lungs in the form a primary focus and local lymph node enlargement. It's called as primary complex. Almost all children will have this. If it becomes progressive due to suppresseof immunity then it's called progressive primary complex. Common presentation of this in children is low grade prolonged fever.

I n acute phase nothing by mouth advised, after surfery start with sips of water gradually can resume all foods in normal diet.

This is unfortunate that your child is suffering from thalassamia Major. This is autosomal recessive genetic disease. There are following advice for child. 1 please get his Hb level estimation every 3 to 4 weeks. The idea is maitain Hb above 9 to 10 gm%. When Hb level goes down which is likely every 3 to 4 weels then packed cell transfusion need to be given. Simultaneously your child shall need iron cheleating agent to prevent iron overload. This modality of treatment is to continue till child is alive. 2 Another option is to go for bone marrow transplantation which if successful shall cure the disease. The problem with BMT is selection of donor and huge expense in a select tertiary care center. 3 genetic couselling meaning thereby if the parents are interested for another child prenatal screening in ist trimester (first 3 months of pregnancy) to rule out same genetic disorder in your next baby. If report is abnormal you can go termination of pregnancy. Regards

Breast feeding in regular intervals alone will correct it. Do not give any food unnecessarily. It will not digest. Crush Dried grapes With in hot water taken in a tumbler and extract its sweet juice. This you can try in several times in a day.

Though not related to Pardiatrician. You avoid taking fried/ fatty diet .consume more of salad& green vegetables.

You may use any vegetable oil like sunflower, olive oil, coconut oil etc. Baby bath soap may be used.

Yogurt is good. Nutritious diet and physical activity will increase immunity. For dust allergy best remedy is to avoid.

I think you need to speak to the school authorities regarding this, a lawyer would be more helpful in such situation.