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Dr. Pankaj

MBBS

Pediatrician, Mumbai

500 at clinic
Dr. Pankaj MBBS Pediatrician, Mumbai
500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Pankaj
Dr. Pankaj is one of the best Pediatricians in Mumbai, Mumbai. He is a qualified MBBS . You can meet Dr. Pankaj personally at Chandra Prabha Swamy Medical Center in Mumbai, Mumbai. Book an appointment online with Dr. Pankaj and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 39 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.

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MBBS - - -

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42/44, Kika Street, 2ndnd Floor,room No. 122, Landmark: No 210,Raja Ram Mohan mark, MumbaiMumbai Get Directions
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545,Thawardas Bhuwan, Netaji Subhash Road, Mulund West, Landmark: Opp Abhyudaya Co Operative Bank.Mumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have twins of 2 yrs. Boy and girl among which girl is not eating any food. She only demands for milk or water. please suggest.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
I have twins of 2 yrs. Boy and girl among which girl is not eating any food. She only demands for milk or water. plea...
Small children do not know what is good for them, give them diet they require to develope in healthy adults.
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My daughter's age is five and half years but she still lisps some words like speak k to t what should I do. Please suggest me. Thanks.

MASLP
Speech Therapist, Hyderabad
These are substitution errors. Misarticulations in speech. They can be corrected with speech therapy. Not a major problem.
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Hi sir my son is 3 years old from the last 2 days my son has cough and blocked nose suddenly fever came doctor prescribed P 250 levolin and relent plus but it is of no use the fever subsides can you Tel me the antibiotic sir.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
Hi sir my son is 3 years old from the last 2 days my son has cough and blocked nose suddenly fever came doctor prescr...
Fever can be because of viral illness also, which does not require antibiotics, you should wait for atleast 3 days, because a viral illness will subside on its own, however if the child looks really sick, azithromycin is the antibiotic which will help.
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I am 29 yrs. I am having belching of abdomen. I am having cough at present. What antibiotics i can choose. What is the treatment for belching?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Belching it self can cause cough. Try tab pantaprazole and levosulpride combination. Reduce spicy food,tea and coffee. Take food in small quantity at a time. If due to belching it will help you.
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My daughter is 3 years old. Problem is she is very mischievous not listening to anyone. I now have a younger son who is just born. She sometimes try to hurt son. Also she sleeps very late at night sometimes viewing you tube kids videos. Should I consult a child psychiatrist for any medication? I recently heard a tv program about child psychiatry in which children high in ADHD are very mischievous.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 3 years old. Problem is she is very mischievous not listening to anyone. I now have a younger son who ...
This seems to be a normal sibling reaction after arrival of second child. The child is to be kept prepared for arrival of newborn. Anyway just extend your love & affection to her as usual without any hesitation, talk to her a lot, give her time & make her feel she is equally impotantant to you & newborn has come to give her company.
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Hi my age is 45 I have broncholitis problem form many years. Initially I went to ENT he gave me steroids. After that I gained weight. I am doing daily exercise still my weight is not reduced up to my expedition I want both advise for my bronchiolities and weight reduction.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear, immediately stop the steroids by contacting another specialist doctor.It will cause the heart problem also.And after wards I will give an Ayurvedic medicine to keep up good health. Contact to my email:- drvsrao58@gmail.com.
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5 months infant is attacked from cold for 3 days, how to cure? Which syrup is suitable to the infant?

C.S.C, D.C.H, M.B.B.S
General Physician,
5 months infant is attacked from cold for 3 days, how to cure? Which syrup is suitable to the infant?
You have to take care of feeding by not bottle feeding and if you give semisolids, give water slo in between. There are colic medicines.
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Can I Eat Rice If I Have Diabetes?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

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Hi dr, My baby is 10 months old hr skin is to dry I wanna use lotion which lotion best for babies please suggest 2 3 options. I am waiting for you rply.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi dr, My baby is 10 months old hr skin is to dry I wanna use lotion which lotion best for babies please suggest 2 3 ...
Moisturize, moisturize, moisturize. After every bath, spread a gentle, hypoallergenic baby lotion or oil (Virgin coconut oil or Olive oil) onto your baby's slightly damp skin. Reapply every 12 hours, even on days you skip the bath. If the air in your home is dry, use a cool mist humidifier in your child's room. If your child's skin is very sensitive, don't dress him in clothing that's tight or rough. Also keep in mind that some fabrics, such as wool, can be especially irritating to dry skin.
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Involuntary Oral Habits That Are Eating Away Your Smile.

BDS, FICOI, MDS
Dentist, Mumbai
Involuntary Oral Habits That Are Eating Away Your Smile.

Clenching or night grinding.

If you have ever experienced a strong emotion of either anger or resolve you may realise our body tenses up and our teeth clench. If this is not a frequent occurrence the damage maybe minimal but as sports people or someone with a bad temper you may actually end up wearing down your teeth considerably. Now a large part of this habit is semi voluntary you can remind yourself to control it but a few people suffer from an entirely involuntary condition called night grinding or bruxism.

Unfortunately here you have no awareness of doing the grinding except maybe waking up with a sore jaw or a headache but the person sleeping beside you can even hear you gnashing your teeth. Needless to say the damage this is silent destroyer is causing is significant and rapid. The best solution if diagnosed with this habit is to start wearing a night guard which is a thin plastic appliance that fits snugly on your teeth similar to a sports guard so that it protects your teeth and wears down before your teeth do. Also the jaw separation it creates puts your muscles at ease and they don't get activated or clench anymore.

Mouth breathing.

Many people are unaware of this habit entirely. A very common condition mouth breathing occurs more so when you're sleeping and tend to breathe more through your mouth than your nose.

This condition can be a result of the way your nasal passages and throat are shaped. It commonly occurs in people with a deviated nasal septum as well. The main sign to know if you're mouth breathing or not is if you wake up with an extremely dry mouth, at times bad breathe and tend to have red irritated gums that bleed often on brushing.

Mouth breathing also predisposes you to snoring so if you haven't started yet if you're a mouth breather chances are you will start snoring as well.

It usually can be corrected surgically and if not severe snoring particularly can be corrected by oral appliances or oxygen machines which supplement the air reaching your lungs.

Tongue thrusting.

This habit develops at childhood or birth and is also attributed to the tongue shape and the structure of the palate and throat. A person having this habit tends to push the teeth out while swallowing as a result they present with spaced out teeth and a large tongue.

To prevent the need for braces catching this habit early on and wearing an appliance to control it would be best. If spaces have already increased then best form of closing the gaps would be either with braces or by cosmetic fillings.

Cheek biting.

A surprisingly unnoticeable habit people tend to chew their inner cheek or parts of their lip when under stress or deep thought. While this habit can seem harmless it can create a long term wound in the mouth which can either balloon up with fluids or be subject to infection. Chronic injuries or wounds should never be left unnoticed and habits like these should be discontinued to avoid discomfort and the eventual need for treatment.

Exposure to alternating extremes of temperature.

Another very ignorant but seemingly harmless habit is to eat a hot meal and down it with a glass of ice cold water or have a hot drink and second it with ice cream. While the effects of this habit may only show up in the long term what it does is create an impact on the enamel and slowly cause the teeth to become sensitive.

While our teeth are extremely hardy and don't breakdown until exposed to hundreds of millions of such daily stimuli, the best solution is to keep an intermittent time gap between the extremes of temperature in order not to shock the nerves that rest within your teeth to become hypersensitive.

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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? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months and hashimoto's thyroiditis is an auto immune disease where we can control it with medication but not cure it completely.
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Baby Bottle Caries In Bottle Fed Children

PGDHHM, BDS
Dentist, Gurgaon
Baby Bottle Caries In Bottle Fed Children

What is baby bottle tooth caries?
 

Baby bottle tooth decay is caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. Among these liquids are milk, formula, fruit juice, sodas and other sweetened drinks.
The condition is associated with breastfed and bottle fed infants who have prolonged feeding habits or with children whose pacifiers are frequently dipped in honey, sugar or syrup. The sweet fluids left in the mouth while the infant is sleeping increase the chances of cavities.
 

Why should I be worried about baby bottle tooth decay?
 

Giving an infant a sugary drink at nap or nighttime is harmful because, during sleep, the flow of saliva decreases, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, decay can result, which can cause pain and infection. Severely decayed teeth may need to be extracted. If teeth are infected or lost too early due to baby bottle tooth decay, your child may develop poor eating habits, speech problems, crooked teeth and damaged adult teeth.

How can I prevent baby bottle tooth decay?
 

1. Never allow a child to fall asleep with a bottle containing milk, formula, juice or other sweetened liquids.
2. Clean and massage the baby's gums to help establish healthy teeth with a moistened gauze square or washcloth.
3. Brushing should begin upon eruption of the first baby tooth. When brushing a child's teeth, use a soft toothbrush and water.
4. Parents should first bring their child to the dentist when the child is between 6 and 12 months old for a checkup.
5. Decrease consumption of sugar, especially between meals.
6. Children should be weaned from the bottle as soon as they can drink from a cup, usually by their first birthday.

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My child is 3 year 3 month old, his thalassemia minor, hemoglobin label is 8•4 what should I do?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My child is 3 year 3 month old, his thalassemia minor, hemoglobin label is 8•4 what should I do?
Hello, The baby might be needed to be examined by the pediatrician. Exclusive breast feeding for first 6 months, is important. Later the child can be given protein and iron rich diet. Being thalesemic minor you should be worrying as they are usually anaemic, but a proper diet and regular examinations, might be needed.
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BDS, MDS - Oral & Maxillofacial Surgery
Dentist, Pune
Take care of your teeth as you take care of your body!
35 people found this helpful

Hi, I am having a query about my daughter. She is 8 months old. She don't eat anything if I force her she cries a lot and vomit it out. She only do breast feeding. What should I do? Feeling confused.

MD - Homeopathy, BHMS
Homeopath, Greater Noida
Hi, I am having a query about my daughter. She is 8 months old. She don't eat anything if I force her she cries a lot...
Hello. Firstly, try to stop breastfeeding. It will cause some trouble for few days. Bear it. Next, donot force her to eat. That will make her averse to food. Sit together on a dining table and give her a separate plate and spoon. Serve food and let her enjoy it by herself. It will be messy at times, but enjoy it. If she is hungry, she will eat. You and your family also join together at meals. It will automatically develop her eating habits. Happy parenting Regards
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Is it possible for a child of age 5 years and 4 months to have 'Fibrile Convulsion Plus' symptoms without running a high fever?

DCH, MBBS (MAMC)
Pediatrician, Delhi
Febrile convulsion means convulsions because of fever. You need to consult a good child neurologist for assessment and EEG
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My child's age is 11 years he has fever, vomiting, stomach and body pain from 4 days and we have showed on 15/07/2015 to Dr., she has prescribed ibugesic plus and given injection, but nothing has cured, next morning we have visited to colombia asia hospital, after every tests, doctor has confirmed about dengue fever and his plate cells are 141000 and doctors has injected one small bottle injection and one big bottle on 16/07/2015 at 11: 30 am in casualty ward, we have requested regarding admission because we don't want to take any risk regarding our child's life, they explain us (in seven days dengue fever plate cells will increasing and digress, if lower level has touches counts of the plate cells then only we suggest for admission nothing to worry, just make daily blood test twice for counts of plate cells and take daily medicines which we have prescribed) doctor has sent with injected needle in wrist and from same day 07: 00 pm to 09: 45 pm had loose motion 7 times, again I have contact to hospital and explain to duty doctor, he suggested nothing to worry, it's a part of the curing we have given the injections that is coming out and if any infection in the stomach it will cure properly my request to all doctors please suggest, we have to do running treatment is enough or we have to proceed for other treatment.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
There's no special treatment for dengue fever. Keep monitoring platelet count. Maintain proper hydration with adequate fluids. Follow your treating doctor's advice correctly.
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My wife delivered baby girl 3 months back. Her MC has started now last only for day in a month. We had unprotected sex yesterday and now worried if she may get present again. I would like to know1- what are the chances she may get pregnant 2- can she take any contraceptive pills? If yes which one. 3- will there any side effect of those pills as she is breast feeding and will it affect on her body or milk? Please advice.

C.S.C, D.C.H, M.B.B.S
General Physician,
My wife delivered baby girl 3 months back. Her MC has started now last only for day in a month. We had unprotected se...
With one sex there may not be much chance of pregnancy and she is lactational anovulatory period and that is why mc was just one day. As a breastfeeding mother she need not take any pill. Safe and best is to insert an intrauterine device like iucd (copper t)
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Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her cow s milk. And in wat quantity should I give. Please suggest.

MBBS DCH
Pediatrician, Gandhinagar
Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her...
Normally only breastfeeding is sufficient for the first six months of age. If your baby is not gaining weight (normally weight increase is 25-30/ day for first 3 months) then start formula along with breastfeeding. Don't give cow or buffalo milk. Start with 60-90 ml per feed. Don't use bottle.
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