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Dr. Hatim

Pediatrician, Mumbai

700 at clinic
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Dr. Hatim Pediatrician, Mumbai
700 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Hatim is an experienced Pediatrician in Mumbai, Mumbai. You can meet Dr. Hatim personally at Ankur Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Hatim on Lybrate.com.

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Ankur Hospital

Mathuradas Road, Kandivli (w). Landmark:Opp Punjab National Bank, Opp, MumbaiMumbai Get Directions
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I don't have enough milk to feed my 12 month baby give me prescription To increase. My brestmilk supply?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I don't have enough milk to feed my 12 month baby give me prescription
To increase. My brestmilk supply?
Now baby requires more than your milk. What ever milk you have that is sufficient to baby. By now, he must have started eating every thing suitable to him cooked at home and top milk. You may continue your feed up to 2 years of age.
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My grandson is 3 years and 9 months old. While he utters few words he is yet to speak joining words together. He hears well understands active recognises colours items and very friendly. He toe walks. His delayed speech causes concern. Neurosurgeon says he would speak but late. BERA tests and others show he is normal. We put him in play school. He enjoyed. What can we possibly do to help him? We are in Bangalore.

BAMS, PGFP
Ayurveda, Jalgaon
Hello. This is a type of delayed milestone. But his all other senses are normal so do not worry too much. Take the help of ayurved physician he will help you. Also take appointment of a speech therapist. Concentrate on his nutrition & growth. He will be fine.
2 people found this helpful
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My baby is 4 months old I want him to feed exclusively mother milk but unable to do so

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Mothers sometimes feel very sad at not being able to breast feed properly. It can be solved with a little patience. Tell me about his/her wieght, urine, stool, vaccines, any other issues etc.
1 person found this helpful
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

2 people found this helpful

Are there any long-term effects associated with taking adhd (attention deficit hyperactivity disorder) medications? if so, what are they and what medications are implicated?

C.S.C, D.C.H, M.B.B.S
General Physician,
No to control adhd symptoms you must take medicines. If you can tell me privately what medicines you are taking I can help with specific advice.
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Hi, Can my newborn baby (20 days) sleeps in an air condition rooms. If yes what will be the temp range? How to make him sleep better?

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
Hi, Can my newborn baby (20 days) sleeps in an air condition rooms. If yes what will be the temp range? How to make h...
A normal temperature range , where child doesn't feel sweat or shiver . Also run exhaust fat along with AC, it keeps fresh Oxygen in flow. Don't make him sleep in direct flow of AC's dry air , cover him with fine cotton sheet.
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My baby high fever. Any home remedies for my baby. My baby 2 and half year.PLease tell.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby high fever. Any home remedies for my baby. My baby 2 and half year.PLease tell.
Fever is symptom of disease. For temporary relief, do tepid water sponging and keep baby well hydrated by giving plenty of fluid and consult doctor for proper remedy.
1 person found this helpful
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
8 people found this helpful

My daughter is 5 years old and constantly suffers from stomach pain and indigestion. We also have taken sonography report which came normal. Her immunity is also very low and falls sick very often. We are also doing homeopathy for her. Please advice.

C.S.C, D.C.H, M.B.B.S
General Physician,
Children usually fall sick till they are of certain age by when their body would have become immune to common viruses and allergens in the surroundings. School going children also get infected from their peers. You tell her weight and send reports to me. As tft done? yo check her eating pattern whether she eats on time even if little.
1 person found this helpful
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BDS, Certified Endodontist, Certified Implantologist
Dentist, Siliguri
Getting a good night sleep before the root canal treatment is the best way to go as it would reduce anxiety and maintain the overall well being.
3 people found this helpful

My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
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.
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BDS, MDS, MBA (Healthcare), FAM
Dentist, Hyderabad
Take care!
1 person found this helpful

My baby is very weak she is very thin and is having fever sometimes. Please tell me what to do?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is very weak she is very thin and is having fever sometimes. Please tell me what to do?
Being thin is not a disease and you check her blood to see if there is any disease by doing blood CBC and TSH and inform me
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My son is going to be 6 months and I want to know what semi solids I should start first.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is going to be 6 months and I want to know what semi solids I should start first.
You can give raggi pse and cooked with milk, banana powder in cooked semisolid state , you can give mashed cooked rice with daal . and all homemade foods mashed well
1 person found this helpful
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The Best Ayurvedic Treatment for Diabetes ( Sugar )

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
The Best Ayurvedic Treatment for Diabetes ( Sugar )

" nishamlaki" - tablets are only the first choice of treatment for type 2 diabetes which commonly available as the classical ayurvedic medicine in any ayurvedic medical shop in india. So I advise any of my madhumeha (diabetic) patients in my 40 years of clinical experience as well as teaching ayurveda to my students.
 

2 people found this helpful

My son 8 yrs old have typhi o & h positive. Please give us suggestion to treat it

Pediatrician, Pune
If having fever, widal test must have been done, would like to know the titres of o and h antigen, other investigations done, he may require a course of antibiotics, vaccination against typhoid if not received, avoid high protein, non vegetarian food, soft dal khichdi in diet is easily digestible and adviced, avoid outside food
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Meri beti hai 5 year ki use night me potty ke raste me pain hota hai maine use gastroentrology doctor ko bhi dikhaya lekin unhone kaha koi bhi problem nahi hai lekin use daily pain hota hai please mujhe koi medicine bataye jisse uska dard kam ho jaye ya fir usko neend aa jaye thankyou.

MBBS, MD - Paediatrics
Pediatrician, Pune
Does she have constipation? does she pass stools with difficulty or hard stools? this is the age group in which children are often constipated? first add fibre to diet and adequate water. Fruits, ghee, green vegetables, banana are good in fibre. Wheat chapati etc. Also show your child to a paediatric surgeon who will do per rectal examination to rule out anal fissure. Give her sitz bath. Before going to bed make her sit in hot water tub.
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There is problem regarding food, he don't like any time of spicy food, even if it little spicy because of this I was worried. So give solution of this.

Postgraduate Programme in Pediatric Nutrition, Diploma in Pediatric Emergency Medicine, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Bangalore
If it is a short term problem, check his mouth to see if he has any ulcers in the mouth. If long term problem, give whatever he can tolerate for now and his tolerance to spicy food will increase slowly. There is no nutritional advantage to giving excessively spicy food. Food should be rather balanced based on the intake of cereals, pulses, fruits, vegetable and milk products.
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I am mom of 5 months baby boy. I heard there is vaccination and syrup for baby brain development. Is there is any thing like that .please give info about this. Thank you.

MBBS, FELLOWSHIP IN PAEDIATRICS
Pediatrician, Ghaziabad
I am mom of 5 months baby boy. I heard there is vaccination and syrup for baby brain development. Is there is any thi...
At the age of five months, the only thing thats good for your babys brain and his whole health is exclusive breastfeeding. There are no such syrups or vaccines, they may be marketed as they help in brain development of your baby but there are no trials done and hence no scientific proof that they work. So I would suggest you ignore such thing sand advertisements.
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My son is 1 year old now he is crawling from 8 month but yet not creeping and sitting. Is this matter of worry. Please suggest. Regards.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son is 1 year old now he is crawling from 8 month but yet not creeping and sitting. Is this matter of worry. Pleas...
There will be slight variation in the development at that age. Some babies will crawl & some will not. Sitting without support is usually at10 months of age.
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