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Dr. Ravindra.Y.Chittal

Pediatrician, Mumbai

Dr. Ravindra.Y.Chittal 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. Ravindra.Y.Chittal
Dr. Ravindra.Y.Chittal is a popular Pediatrician in Bandra West, Mumbai. Doctor is currently associated with Dr. Ravindra.Y.Chittal@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Book an appointment online with Dr. Ravindra.Y.Chittal on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 34 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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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 baby was eight months old. Past two weeks her stool was gray and some times green color. Is it normal? Before it happens like this few months back I consult to doctor he advice it's normal. But sometimes it's repeating. Is it normal. I'm so much worried about this. Now using Ayurvedic medicine for this problem. But it's continuing the same. please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby was eight months old. Past two weeks her stool was gray and some times green color. Is it normal? Before it h...
First of all, if you bottle feed, stop bottle and feed from a cup or glass/ sipper (not nipple & bottle) and of course breast milk to continue. Bottle fed babies usually show this kind of stools. Then inform me.
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My baby 10 month old is suffering from fever from last three days and become senseless 2 times for last 2 days and till now he is suffering from fever please suggest what to do?

MD - Paediatrics
Pediatrician, Kolkata
My baby 10 month old is suffering from fever from last three days and become senseless 2 times for last 2 days and ti...
This may be sign of neurological dysfunction. So you must immediately consult a pediatrician or a neurologist.
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BHMS, M.D.
Homeopath, Bangalore
CALMING TIPS FOR CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) know the "Would you please just settle down!" phrase well, and likely use it on a regular basis.

There are a number of tips to help parents settle their child with ADHD down. These quick tips and relaxation techniques take the same amount of time as yelling and scolding but produce incredibly different results in children with ADHD.

Quick Calming Tips:
Try quick tips to calm a hyperactive child down during temper outbursts or unusually rowdy days. These calming tips are not novel to adults by any stretch. How many times have you heard "Take a deep breath and count to 10" or "Calgon, take me away." What works for big people works for little people as well. Deep breathing is one of the simplest ways to calm the body. Teach your children to take deep breaths (in through the nose, out through the mouth) when they begin to feel frustrated and out of control. Parents, you do this too!

Draw a warm salt bath or bubble bath to wash away the child's stresses of the day.

Take your child for a walk or send them around the block on their own if they are old enough. Not only does walking burn off excess energy, the repetitive thump, thump, thump of feet hitting pavement brings the mind back into focus.

Give your child a mini-massage. Touch is very important to Attention Deficit Hyperactivity Disorder children. Massaging their temples, giving a shoulder rub or lightly running your fingers through their hair can calm children quickly.

Put together a "Boredom Box" that provides creative outlets for your hyperactive child. Fill this box or plastic storage bin with paint sets, coloring books, crossword puzzles, modeling clay, jewelry making kits and other artistic areas of interest. Children with ADHD bore easily and their fast spinning minds need extra stimulation. In the absence of nothing better to do, children with ADHD will lean on their own devises and you don't want them doing that. Better that they draw than set the cat on fire...

The quick-fix calming techniques work to sooth the child with ADHD after they already became too stressed or active. There are also techniques that parents can teach their child with ADHD to help them get the "stuff" out before it builds up and explodes.

Create a calming home environment:
Attention Deficit Hyperactivity Disorder children have difficulty remaining calm in a hectic environment. Clearing the clutter and taking a "less is more" approach to decorating can reduce the sensory overload on the ADHD child.

The Attention Deficit Hyperactivity Disorder child's bedroom especially should be free of clutter. Use plastic bins to organize and store all those precious little plastic treasures (that we adults commonly refer to as "junk") and small toys. Open the curtains to provide natural lighting. Keep posters and wall hangings to a minimum. Paint the child's bedroom in calming muted colors instead of bright primary colors.

If you play music in the house, opt for soft "elevator music" or classical music instead of rock. Try to avoid loud clatters and noises when your Attention Deficit Hyperactivity Disorder child is at home.

Follow a Routine:
All children thrive in homes that provide routines, consistency and structure. Children with ADHD especially need structure and schedules to feel secure in their surroundings. For these children, a more "military" approach to routines works better. Waking up, eating meals, doing homework, and bed times should all occur at about the same time every day, with few surprises to upset the Attention Deficit or hyperactive child.

A Place to Relax:
If at all possible, find a space in the house to designate as a relaxation space. It does not have to be a large space but it does need to be away from high activity areas. This little corner (or even a portion of a walk-in closet) can have a beanbag chair and a few books, coloring books or other quiet time activities.

Encourage your child to go to this space when they become angry or out of control, but never make this a place of punishment. This special spot in the house is a positive place where they can go to settle down, sort things out or just hang out when they need to be alone.

Journaling:
For the child who is old enough to write, journaling is an excellent way to untangle frazzled minds and get things off their chest. This technique allows children with ADHD to spill their internal stresses outside themselves and onto paper.

Develop a daily habit of having your child write a page or two, depending on their age, about anything that comes to mind. They can write "I hate school, the dog just drooled, the baby's crying is driving me crazy..." - whatever comes to mind. Eventually, they will get to the guts of what is going on inside them. Then rumple or tear the paper up and throw it away.

These private internal thoughts are not for you or anyone else to read, ever. Please respect their privacy and let them know they can write anything down without fear of reprimand.

Taking a mini-vacation with Guided Imagery:
Guided imagery is a powerful relaxation tool for children with ADHD that pulls their focus to positive thoughts, all the while encouraging creativity in your child. You can check out books on this technique at your local library if you want further information on the subject.

Last, but certainly not least, diet:
Some parents find that reducing or eliminating sugar from the diet goes a long way in calming the hyperactive child. If your child is a finicky eater, you will need to supplement the diet to make sure your Attention Deficit or hyperactive child has the fuels needed for his body to function well.

Starting the day out with a healthy breakfast balanced with proteins, fats and carbs is important. An egg sandwich, peanut butter toast and fresh fruit, protein shakes and fresh fruit smoothies are great ways to start the day for children with ADHD.

Sugar cereals are quick and convenient but should not be used as a breakfast mainstay. Fruit juices are high in calories and sugar and not recommended for children, especially those with Attention Deficit or hyperactivity. Instead of juice or sodas, get in the habit of offering plain old H2O. With plenty of bottled waters that offer fruit flavors and vitamin enhancements, getting your children hydrated is easier now than ever before.
6 people found this helpful

I am a 14 years old boy. I am suffering from loss of memory and I am unable to memorize the lessons read in previous day. What shall I do?

MD
Pediatrician, Indore
You improve your concentration by pranayam and yoga. Apart from this you have to be away from face book whats app and many more these kind of internet activities. Instead involve in some out door sport this will help you to regain memory.
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Meri baby four months ki hai usko sardi hula hai but mere yaha garmi bahut jayada hai bina air conditioning k nahi raha jata usko pasina hone lagta hai to kya main air conditioned chala sakti hu.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Meri baby four months ki hai usko sardi hula hai but mere yaha garmi bahut jayada hai bina air conditioning k nahi ra...
सर्दी होने से आपका तातपर्य क्या है समझ नहीं सका क्यों कि मौसम गर्म है। ए सी चलाते समय कमरे का तापक्रम करीब 27 डी० सेलसियस हो।
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My son is 5 month old, we feed him by breastfeed and NANPRO 1 both. Weight 8.1 kg. Don't have cold. He has been going dark-green poop with smell after every 2 days from last 2 weeks. His pediatrician told that it's normal. Please suggest.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son is 5 month old, we feed him by breastfeed and NANPRO 1 both.
Weight 8.1 kg.
Don't have cold.
He has been going...
Hello, If he doesn't have cold or cough or neither taking any antibiotic, it is quote normal to happen. Ensure that you are, not giving him anything apart from mother's milk for first 6 months, not even water.
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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.
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My daughter who is 2 years and 8 months is suffering from boiled watery pimples which r getting burst n becoming black again new r starting, she is also feelings itching. She had the same problem earlier also twice I had given her azithromycin 200 on doctors prescription, so now also from 3 days I have been going the same syrup but she is not recovering pls suggest what to do.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My daughter who is 2 years and 8 months is suffering from boiled watery pimples which r getting burst n becoming blac...
Don't give azithromycin. It could be skin allergy. Avoid cold drinks, check any thing new eaten, drank, applied, wore. Apply any calamine lotion, avoid trauma. If persist then see a skin specialist.
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My baby is 3 months old his skin gets darker compare to previous month am much worried about it what shall I do.

MBBS, MD
Pediatrician, Gurgaon
My baby is 3 months old his skin gets darker compare to previous month am much worried about it what shall I do.
Skin colour changes with blood perfusion of skin. So wait and watchbefore true colour comes. Don't use chemical cream and soap.
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Dear Sir, My Baby is 14 months old and is suffering from the problem of Dandruff and scalp itching from last 15 days. His Scalp become flaky and got rasshes also due to itching. please advise me what should i do ? he also got

MD - Paediatrics, MBBS
Pediatrician, Faridabad
This is atopic dermatitis. Spoo shampoo. You may use desotil lotion with oil once a day for ten days then once in three to four days.
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Lactose Intolerance in Kids

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Lactose Intolerance in Kids

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.

Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.

Symptoms:

The symptoms of lactose intolerance are:

  1. Bloating; on consumption of milk over a period of time

  2. Diarrhea is also very common

  3. Stomach pain

  4. Nausea

Diagnosis:

  1. It is self -diagnosable; just strike out foods containing lactose from your child’s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must’ve been lactose intolerance.

  2. However, it can be tricky as many non-dairy products also contain lactose.

  3. If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child’s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one’s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.

Treatment:

This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the ‘lactose- free’ milk variety for your child.

2635 people found this helpful

Deficiency of Iron in Children

PALS, MD, MBBS
Pediatrician, Delhi
Deficiency of Iron in Children

For the growth and development of children, they need an essential nutrient Iron. It helps in the transfer of oxygen from lungs to the body's tissues. Red blood cells contain iron in the hemoglobin. The hemoglobin carries oxygen in the blood to the different parts of the body. Iron has an important role to play in the development of brain and generating energy in a child's body. The lack of sufficient iron in the child's body can lead to anemia, which is a nutritional deficient illness and will require medical attention. When a child suffers from anemia, the lack of oxygen makes a child weak and sick.

There are certain symptoms of Iron deficiency in a child's body. These are:

  1. Infections and weak immune system can make a child suffer from frequent infections.
  2. Lethargy and fatigue is another common symptom of an iron deficient body. Due to deficiency of Iron it is difficult for the body to transport oxygen to cells in the body and hence it unable to generate enough energy levels.
  3. Breathlessness and increased sweating can be a sign that your child may be suffering from iron deficiency.
  4. Pica Children suffering from iron deficiency may find a special taste for non-food substances like chalk, dirt and clay.
  5. Lack of iron in the body hampers the physical growth of a child.

The deficiency of iron in children can be diagnosed through blood tests. Your doctor may recommend supplementing iron content orally or through multivitamin medicines. But the deficiency of Iron in a child's body should be taken care of with absolute urgency.

Proper steps should be taken to prevent the deficiency of Iron in children. Those notable precautions are mentioned below:

  1. Balanced diet: A well balanced diet is always recommended. For older children (within 9-12 years of age), red meat, chicken and fish would suffice as good sources of iron.
  2. Oral iron supplements: Oral iron supplements would be required for children with low weight at birth and who have a deficiency of iron in their daily diet.
  3. Vitamin C: Foods such as strawberries, tomatoes and potatoes help in providing the sufficient iron content when included in daily diets, thus reducing the chances of anemia.
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We have a kid of 2 years old and she is in the early stage of Autism and she is undergoing Autism therapy after the consultation with Dr. Now her sleep is very much erratic and she does not sleep in night, is there any medication?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
We have a kid of 2 years old and she is in the early stage of Autism and she is undergoing Autism therapy after the c...
Autism is a neurodevelopment disorder in which the children have decreased social interaction, stereotyped behaviour, language problem along with co-morbid medical disorders. There are some medications which can help to control her behavioral issues but the main onus lies on occupational/speech therapy and regular counseling for the parents and child.
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My child age 9 years not eating food. he is not at all feeling hungry. what to give doctor.?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Not eating food without physical illness. Is to be tackeled in a different manner. Take inputs from child for food. Find out stresser from him in school and home.
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My child is of 4 months. He got loose motion due to infection because I feed him through bottle also please suggest me remedy.

MD - Paediatrics, MBBS
Pediatrician, Ghaziabad
Dear , firstly, if mother's milk is adequate, don't give him bottle feeds. If not adequate, give him only infant milk formula, not open cow milk. Also, although tedious, katori/spoon feeding is more hygienic. If you have to use a bottle, then make sure you use a sterile bottle every time, and make sure gaps between feeds are at least 3 hrs.
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My son age is Two & half years. He is very active but bahut sararati hai kisi ki bhi baat nhi sunta or na hi abhi tak acchi tarah se bol pata hai. But hum sab uski sararton se preshan ho jate hai. Is there any solution to resolve that problem. Please help.

MBBS, MD
Pediatrician, Gurgaon
My son age is Two & half years. He is very active but bahut sararati hai kisi ki bhi baat nhi sunta or na hi abhi tak...
Some children are more active than other. 1_5 years age is age of exploration. Thus they donot listen to others. He will calm down himself by 5 year's age.
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Stay Chaos Free - Tips to Care for Your Newborn Baby

Speciality Birthing Care
Gynaecologist, Bangalore
Stay Chaos Free - Tips to Care for Your Newborn Baby

Taking care of a newborn is round-the-clock job as the baby needs constant attention. There are many parents who get stressed out as taking care of a newborn as a first-time parent is challenging. There is no need to get stressed out and the best way to keep a cool mind is to make use of practical strategies.

Practical strategies to follow to stay stress-free
A newborn baby in the family definitely brings a lot of excitement, but it also brings along much stress and fatigue to the parents. It is very important that during this time, you take care of yourself by eating a healthy diet and avoid giving up on sleep.

  1. It is also essential that you drink a lot of water and when the baby sleeps you should also sleep. You can work out a suitable night time schedule with your partner so that both of you can take care of the baby and rest as well.
  2. This way, you will be able to take care of your baby without getting extremely tired.
  3. It is important that you set up some visiting rules for your relatives and loved ones so that you get the required rest. It is equally important that you insist your friends to wash their hands with a hand sanitiser and then carry the baby.
  4. As a parent, it is very important that each day you set aside plenty of time for the nursing sessions, and if you plan to go out you must give yourself added time to pack the required supplies.
  5. It is essential that you spend more time with your newborn as it needs more attention and love from you.
  6. It is very important that you create a proper and perfect sleeping environment for your baby, and you should make use of a good mattress so that the baby sleeps comfortably and even you get to sleep.

Share your emotions with your partner
It is important for parents of a newborn to share their emotions with each other and stay connected with each other. By sharing your thoughts and emotions, you can lighten your mood. Parenting is definitely a challenging job and to enjoy this phase of life, it is important that the stress associated with it is handled properly. In case you are finding it hard to handle your baby, it is advisable that you consult a doctor, who will help you adjust to your new life with your newborn.

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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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