Dr. Rekha H Udani

Small babies should be given only breast milk. They get uncomfortable due to gas, but feel good after burping or passing wind. If your child cries it doesn't mean he is demanding feed. Overfeeding usually causes the problems you are describing. Stop formula, and give only breast milk when the earlier feed you have given is likely to be digested. It usually takes 2 hours for that.

As long as she gets what she wants she is not even going to make an effort to try anything else. Besides, she has got addicted to breastfeeding. The only way out of this is to be firm and stop it altogether, no matter how much she pushes you. Offer solids at 4 hours intervals. Don't try feeding in between.

Its because she may not giving breast milk to her child or child may not taking it properly. Take warm water bath and do massage and express the milk in katori and give it baby by spoon or Paladi if baby is not taking direct breastfeeding. Take milder painkiller like Paracetamol if having pain.

Sir, Stop chocolate and kurkure. He is not having appetite because of this. What all food items you are giving in a day. Is he putting on weight. Are you using feeding bottle. Get back to me with details for proper advice.

Vaccine mut be give on specified date, but if its not possible due such unavoidable instances then, need to worry. Let your child recover completely, then you see your pediatrician. Vaccination delay is not a serious problem, for few vaccines, but as far as possible it should and must be given once your baby is healthy. Kindly visit your pediatrician, as he will guide you better. Happy Parenting!

M&s lybrate-user I understand your concern for your baby. It is very nice that you are still breastfeeding in spite of this. The breast milk medically can be said to be less than normal if weight of child is not increasing as per age & child is passing diluted urine less than 6 times in 24 hours. Pl ensure exclusive breastfeeding day & night &frequent suckling is the most important stimulus to increase milk production. Be confident ,be cheerful& think positively about your child. Best wishes®ard.

Child may get rashes on buttocks due to loose motion. If there is rash you can use diaper rash cream like Klinoderm DPR or Rashfree cream.

Too much of it is always damaging to eyes . How is it 8 month gets access to mobile and can he operate the phone himself ?

Your baby may have infection in the stomach and you should not give in bottle and feed from a cup with spoon

Common Skin Problems in Newborns

Eczema

This is very common after the baby has turned about 2-3 months of age or even slightly later. This appears as a red area with itching on the cheeks or the chest area. These babies usually have very dry skin, and it is also not uncommon for one of the parents to have eczema. This form is called atopic eczema. The severity of the eczema is very variable, but the vast majority grow out of the eczema by the time they reach 15 years of age. This tends to be a persistent problem and needs to be managed on a regular basis.

The most important factor to keep in mind is to use a gentle soap and a pH neutral moisturiser all over the body. The soap and moisturiser needs to be continued for years and the dermatologist may prescribe a steroid or anti-inflammatory creams for brief periods during a flare up.

Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter.

Pl continue feeding child or else her breast will be more painful. If she is having fever seeing doctor is a must. Node may be due to collection of milk in Breast which is painful

She is apparently alright in weight. How is her activities? there are medicines which improve appetite. But before giving it we need to do some tests. You do her cbc, tsh and inform me privately.

Hello, First you need to be very sure that signs you are observing are of hunger and you are not over-feeding your baby. If breast milk milk is not adequate then you have few options 1. Formula milk as prescribed by your dietitian 2. Cow's milk 3. Goat's milk More preferable is formula milk as it would be sterile and consistent in quality. Please confirm with your paediatrician. Hope this helps! take care.

Myself i ahomoeopath and actually the problem is frequent medicines.As said that she is frequently sick and so she requires medicines but it is the other way around.She is on frequent medicines,which leads weak immunity and thus frequent infections.I will sugget you to start following homoeopathic medicines and give her good healthy home diet,nothing special. Homoeopathic medicine MUNOSTIM ( Wilmar Schwabe India) Chew 4 tab twice daily NUX VOMICA 30 ( Dr Reckeweg) drink 1 drop in 1spoon fresh water once every night for 5 days.

Dear Lybrate user Shunt is left to right and cardiac function is normal so not to worry much Small osmium secundum defects do close spontaneous

Hello, homoeopathic medicines 1. Kali iod 30 (2 drops in little water) thrice a day for 3 days. 2. Ferrum phos 6x (2 tabs) thrice a day for 3 days and update. Keep a gap of 15 - 20 minutes in both the medicines.

We can not predict whether any intercourse would lead to conceiving or pregnancy. Just consult a gynaecologist and take pill 72 to prevent pregnancy. This pill should be taken under supervision of a doctor and before 72 hours of having intercourse.

HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

During the illness phase children do not take food properly. Also the drug recofast contains contents which has got slight side effect of excessive sleep. As soon as the course of medications will be complete he will be fine and will again take diet as previously.