Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 40 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Nitin Kumar DhendeYour feedback matters!
I delivered my baby on Thursday 7th April, my nipples got sore feeding the baby. Can you please suggest any remedy.
Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).
Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.
Fever in Children - Causes:
Causes of fever include:
- Bacterial infections
- Viral infections, like influenza (the "flu")
- Illicit drugs
- illnesses related to heat exposure
- Rarely, inflammatory diseases
When to seek medical care:
- The child is younger than 6 months of age (regardless of prematurity).
- One is unable to control the fever.
- One suspects a child may become dehydrated from vomiting, diarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
- The child has been to a doctor but is now getting worse or new symptoms or signs have developed.
Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.
Take a child to an emergency clinic when any of the following happen:
- One has serious concerns and is unable to contact the child's doctor.
- One suspects the child is dehydrated.
- A seizure occurs.
- The child has a purple or red rash.
- A change in consciousness occurs.
- The child's breathing is shallow, rapid, or difficult.
- The child is younger than 2 months of age.
- The child has a headache that will not go away.
- The child continues to vomit.
- The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)
Home Remedies for Fever in Children:
The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.
- The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
- To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
- Glass thermometers work well but may break, and they take several minutes to get a reading.
- Digital thermometers are inexpensive and obtain a reading in seconds.
- Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
- Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
- Acetaminophen and ibuprofen are used to reduce fever.
- Follow the dosage and frequency instructions printed on the label.
- Remember to continue to give the medication over at least 24 hours or the fever will usually return.
- Children should not be overdressed indoors, even in the winter.
- Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
- The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
- A sponge bath in warm water will help reduce a fever.
- Such a bath is usually not needed but may more quickly reduce the fever.
- Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
- The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
- Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.
- The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
- Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup, other rehydrating drinks available at the grocery or drugstore.
- A child should urinate light-colored urine at least every four hours if well hydrated.
- If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.
- The third goal is to monitor the child for signs of serious or life-threatening illness.
- A good strategy is to reduce the child's temperature below 102 F (39 C).
- Also, make sure the child is drinking enough clear fluids .
- If both these conditions are met and the child still appears ill, a more serious problem may exist.
- If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.
Hi I am 30 F from South India. For the past few years I am in depression and over stressed. I am not able to concentrate in office. I am very sensitive person. I always be true to everyone. But I feel people are not the same to me. After my son was born I lost everything. My husband has not got any job. I am taking care of the family for past few years. I feel I am a suffering to my parents too, I am second pregnant now. I am in total tension thinking of my financial crisis. People at office also do not help me at all. The thing is I cannot concentrate in office now. I lost interest in everything. Sometimes I feel to die, Please help me.
My baby who is 1 years old, is having yellow urine, this ive noticed quite a no. Of times. Can this be anything serious? She has almost 450-500 ml of water a day, but still the urine is pale. Kindly guide me.
My daughter is 4.5 month old, she has problem of vomiting throughout the day. Only stop in sleep. We only give mother milk but we don't understand what is actually cause either liver problem or gastritis or something other. I gave her ondem drop and perinorm drop but no benefit find. Problem is still remain. Weight is 6 kg. please advice me for treatment.
My son diagnosed with facial simulation (paradox) that is one side of the faces muscle catch. He is not able to close one eye. Please suggest what to do.
My baby is 22 months old. He was vit D deficient with >10 count. After 3 months we did the test and it showed sufficiency about 48.3. After 3 months we did another test it showed 43.9 even if we continued giving supplement (not booster. Then doctor told to stop giving supplements. Is there any chance for lowering vit d if we stopped giving supplement? Is he normal now? And his hb count is 10.3.
Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.
Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.
Does Eczema In Infants Go Away By Itself?
In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.
Here are some home treatment options for infant eczema:
You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.
A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.
You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.
Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.
You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.