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Dr. Sharmila Malya

Pediatrician, Mumbai

500 at clinic
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Dr. Sharmila Malya Pediatrician, Mumbai
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sharmila Malya
Dr. Sharmila Malya is a renowned Pediatrician in Borivali East, Mumbai. You can meet Dr. Sharmila Malya personally at Crystal Hospital in Borivali East, Mumbai. Book an appointment online with Dr. Sharmila Malya and consult privately on Lybrate.com.

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Crystal Hospital

Sheel Palace Building, Dattapada, Kasturba Cross Road Number 1, Asara Colony, Borivali East, Landmark: Behind State Bank of India, MumbaiMumbai Get Directions
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Fever in Children And Home Remedies

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Fever in Children And Home Remedies

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:

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 vomitingdiarrhea, 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.
  • 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.
1 person found this helpful

He has completed 9 months but his weight is not increasing from 5th month. His weight is still 8 kg as he was in 5th month. I am giving him diet of meshed cereals, cerelac, and some vegetables (5 meals a day ). Also to mention that he does not like mother's milk, every time he refuses that within a minute or two. Please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
He has completed 9 months but his weight is not increasing from 5th month. His weight is still 8 kg as he was in 5th ...
Don't compare his wt with 5 month's wt. Now his expected wt should be about 9 kg. 8 kg is slightly at lower side. As the child grows, his wt doesn't increase with the same pace as at younger age. I am not seeing any place of milk or its product in his 5 meals. Give him ideally 2 meals but not more than 3 meals in a day consisting of varieties like ghee added haluwa, rice/ sujee kheer, khichadi, dal-roti very small pieces, vegetables well cooked in ghee/ oil, fruits etc of his taste and to develop taste. 3-4 times sweetened milk and rest breast milk 3-4 times. Probably he may be refusing mother's milk because she may be trying to feed her own milk most of time. If it is so I hope with above regime he shall like mother's feed and start gaining wt.
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My daughter Anusha is 54 days old. She is spilling milk out 7 to 8 times in a day. She even takes burb after every feed and is on mothers feed. What can I do and is there an issue. I have given bonnisan 5 drops in a day but no luck.

Pediatrician, Kaithal
My daughter Anusha is 54 days old. She is spilling milk out 7 to 8 times in a day. She even takes burb after every fe...
Maybe burping is not proper. You should burp the baby properly for at least 10 minutes after every feed. If baby is gaining weight adequately, there should be no serious issue. If no improvement, consult your doctor at the earliest.
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Hello doctor .normal range of body temperature in 6 months old baby. If fever what is temperature to give medication. How many times can fever medicine can be given in a day.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello doctor .normal range of body temperature in 6 months old baby. If fever what is temperature to give medication....
A temperature reading isn't the only indication of whether a fever is serious. Age is a factor: Fever is more serious in babies under 3 months. Behavior is another factor: A high fever that doesn't stop your baby from playing and feeding normally may not be cause for alarm. Keep in mind that everyone's temperature rises in the late afternoon and early evening and falls between midnight and early morning. This natural cycle of our internal thermostat explains why doctors get most of their phone calls about fever in the late afternoon and early evening. So yu have to treat the cause of fever and and not the temperature .if the baby is active and playful the temperature is not an indication ofr giving paracetamol and is harmful .It need to be given only if there is infection and a doctor can decide it after seeing the baby.
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Hello drs. My baby is 15 months old and he is still on breast feed but from some days im feeling pain in my left breast and white spot on my nipples please help What to do.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello drs. My baby is 15 months old and he is still on breast feed but from some days im feeling pain in my left brea...
You can now stop breast and do not feed from bottle but feed from a cup. The spot need to be shown and can be fungal infection.
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She is just 11 days old baby how she can get fat she is very thin what is the diet for my baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is just 11 days old baby how she can get fat she is very thin what is the diet for my baby.
For 11 day old infant only breast feed is needed and her being thin is genetic nature and advise not to make her obese and sick.
2 people found this helpful
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Pneumonia se bachne ke liye upaay bataiye please. Kya care lena chahiye? Excercise kya karna chahiye? Diets?

DNB (Respiratory disease), Fellowship Bronchoscopy, MBBS
Pulmonologist, Ahmedabad
Pneumonia se bachne ke liye upaay bataiye please.
Kya care lena chahiye?
Excercise kya karna chahiye?
Diets?
pneumonia is a kind of infection so take all measures to avoid infection .. keep cleanliness.and do deep breathing exercise
3 people found this helpful
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My baby is nine and a half months old now. He is able to stand on his own by holding a chair, sofa or wall. When will he start to walk?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is nine and a half months old now. He is able to stand on his own by holding a chair, sofa or wall. When will...
Babies start standing with support by 9 months & without support by 9 to 12 months. By 13 months they should be able to walk without support. 1 or 2 months delay is not at all a problem.
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Galactosemia In Infants

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Galactosemia in infants. - know the reasons behind it!

An infant is usually called a bundle of joy and with good reason. There are simple and carefree, and bring a smile to your face with their antics. However, the mood and health of an infant can be tarnished due to an issue which is known as galactosemia.

What is galactosemia?
When a baby has galactosemia, he or she will have a problem when it comes to digesting galactose, which is something that is present not only in milk but in all milk products. Galactose is a sort of sugar, just like fructose and glucose is. As a matter of fact, lactose, which is what milk has, is, in fact, a combination of glucose and galactose. Also, when lactose is processed, it is broken down by the human body into its constituents.

The condition is something that is passed down through the genes of the parents of the baby. The condition would occur if the gene which causes a tendency for a baby to have galactosemia is present not only in one parent but both of them. A baby who has the condition will be lacking an enzyme which is known as the galt enzyme. The enzyme could also not be functioning as it should be under normal circumstances.

When it comes to the problem, it is very important, to say the least, to detect it sooner rather than later as if there is a build-up of unprocessed galactose which is allowed to occur, it can affect the baby adversely and in some cases, it can also be threatening to the life of the baby!

How does it affect a baby?
The problems which can erupt due to galactosemia include issues which affect organs such as the brain, eyes, liver and kidneys. It is interesting to take note of the fact that these are all organs which either have something to do either processing the blood or are heavily dependent on it. While a baby is not in the position in which he or she can communicate the issues that are being faced, when keeping an eye out for galactosemia, the signs which are displayed include an irritability of the baby as well as lacking consumption of the milk of the mother.

Even though galactosemia may not be the case, a doctor should be consulted as the exacerbated issue can include seizures and jaundice. It is to be kept in mind that galactose is something that can be found not only in the milk of the cow but also human milk as well as the milk of other animals such as goats.

3 people found this helpful

My baby (9 weeks old) have passed stool on last Monday (25/09/17), from Monday till today he have not passed stool.

MD PHYSICIAN
General Physician, Delhi
My baby (9 weeks old) have passed stool on last Monday (25/09/17), from Monday till today he have not passed stool.
Irregular bowel habbits are normal in babies they might pass stool after 3 days, 5 days or more. The baby might cry due to gas formation. You can stimulate the anal part with the help of earbud coated with vaselline. But be carefull as you might hurt the baby. If it persist for long consult a pediatrician to rule out any underlying pathology present.
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My baby boy had head circumfrenceces at birth was 36 cm and after 37 days his head circumferencesis 40 cm. I have done cranial usg after birth of baby in which report is normal. Is there chances of hydrocephalus.

MD - Paediatrics
Pediatrician, Allahabad
My baby boy had head circumfrenceces at birth was 36 cm and after 37 days his head circumferencesis 40 cm. I have don...
Head circumference of your baby is within normal limits for his age. With normal cranial usg, there is no evidence of hydrocephalus.
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My son is 21 months old. One week back we travelled by train in AC coach. Till now he is suffering from cough and stuffy nose. I am giving him kofarest pd twice and montair lc once daily. Still he is not recovering. What to do?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
My son is 21 months old. One week back we travelled by train in AC coach. Till now he is suffering from cough and stu...
Your baby is allergic to cold and other allergents. First of all book to expose to such allergents. Give steam inhalation, continue anti alletgents. It will settle don't worry.
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Hi my baby girl is 3 weeks old, she is suffering from cold, chest cough and vomit, she is very much suffer from motion problem, she is 2.5 kg only still weight not gain because of these prblm I am very much worried about this pls advice.

MD - Paediatrics, Diploma in Child Health (DCH), Postgraduate Diploma in Adolescent Pediatrics
Pediatrician, Gurgaon
Hi my baby girl is 3 weeks old, she is suffering from cold, chest cough and vomit, she is very much suffer from motio...
Dear lybrate-user, you have not mentioned the birthweight of your baby----was it the same or less. This is important for the doctor to decide if the baby is growing normally. Many mothers mistake the nasal sounds that baby makes while feeding, as cold and cough. Babies on only mother's milk do not catch colds easily, esp at that age of 3 weeks. Please have him assessed by a doctor for cold. Vomiting or regurgitation is common in babies and not a cause for concern if baby is sucking briskly, feeding well and passing urine 8to 10 times a day and stools of breastfed babies are usually loose. Do not worry too much and relax and enjoy your baby instead of spending too much time on google to see what is wrong with your baby. Feed your baby as often as she asks and not by the clock. This will go a long way to increase milk production.
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How to increase the breastfeeding I have 3 month baby how to increase the baby wait.

C.S.C, D.C.H, M.B.B.S
General Physician,
How to increase the breastfeeding I have 3 month baby how to increase the baby wait.
You have to tell the birth weight and present weight and by normal nutrition the milks will be sufficient and there are medicines claimed to increase breast milk.
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Hi, My 3 years old son is feeling very lazy these days. His weight is 13 kg and was very active kid but now he keeps lying on beds or couch. He also wants less now and often complains of backache. Is there something to worry about?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi, My 3 years old son is feeling very lazy these days. His weight is 13 kg and was very active kid but now he keeps ...
His weight is normal for his age. Children feel tired if they have anemia which can occur even in children with normal weight. Get hb% and peripheral blood smear done.
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Hi, My daughter is 4 months old and she doesn't take the mother's milk. We give Lactogen powder, however she doesn't digest properly and time to time it comes out from mouth, not too much. We also keep her for 2 mints with shoulder after having the milk. Suggest me what we should do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi, My daughter is 4 months old and she doesn't take the mother's milk. We give Lactogen powder, however she doesn't ...
You need not to worry. This is regurgitation occurs after feed usually due to swallowing of air too during feed. If feeding with bottle, switch to spoon feeding which shall reduce episodes of regurgitation. Give more time to burping. At this age if her wt is about 6 kg, it indicates she is taking required feed.
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I am confused whether to give my 7 month old son flu vaccine as it is listed as optional in the vaccination schedule. I live in kolkata and have not seen anyone suffering from influenza in the near past in my area. Please advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am confused whether to give my 7 month old son flu vaccine as it is listed as optional in the vaccination schedule....
Flu vaccine neither covers all flue strains nor give long lasting immunity. This is reason, it is optional. Choice is yours.
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Hii sir I have 14 days boy I want to my baby become genous what should I be done.

BHMS
Homeopath, Navi Mumbai
Hii sir I have 14 days boy I want to my baby become genous what should I be done.
ITS REALLY GOOD THAT YOU WANT YOUR KID TO BE A GENIUS. TO BEGIN WITH, YOU SHOULD TAKE CARE OF HIS NUTRITION. EXCLUSIVE BREAST MILK FEEDING FOR FIRST SIX MONTHS OF LIFE. NOW, FOR HIS PERSONALITY, FIRST SEVEN YEARS OF HIS LIFE ARE VERY IMPORTANT. THESE YEARS WILL DEFINE HIS PERSONALITY. KIDS LEARN MORE THROUGH OBSERVATION IN THIS PERIOD. WHICH MEANS, YOU NEED TO GIVE A VERY HEALTHY EMOTIONAL ENVIRONMENT. YOU NEED DISPLAY THE BEHAVIOR LIKE TRUE GENIUSES HAVE. HOPE THIS HELPS. ALL THE BEST
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Good evening. My daughter 5 years old has a high temperature like 39,2-39,7 for 4 days already. Nurafen and Paracetamol help for a while and temperature drops after intake for 2-3 hours and then comes back. Also her nose blocked (she breaths with hew mouth open during her sleep) but not running. No other symptoms. What are possible diagnosis? For how long can I proceed with Nurafen and Paracetamol? What vital signs should I monitor and when I should run to the hospital?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Ideally you shall contact your doctor whenever fever is more than 48 hours long. To diagnose it better. Watch for any sign of rash. Low urine out put, lethargy. Poor intake. Retro orbital pain joint pain etc.
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My son aged 12 years reading in Class-VI. Basically he is very obedient in nature but he is very unmindful and sometimes he is alone thinking something else and that's why he could not concentrate in reading and he is very slow learner despite his vigorous labor. He is not interested in sports and other physical activities. He has god gifted singing talent. He usually likes to sit alone. He could not adjust with friends in school properly. He is shaky in unknown areas and could not respond promptly. We the parents are very much anxious about his marks at School and his lonely behaviour. Please let me know whether there is any Education Therapy or any counseling is required for him. If it's required then please tell me how much time will be required for that as we are living at Silchar far distance from Guwahati. Please let me know whether this treatment is available at your organisation.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
My son aged 12 years reading in Class-VI. Basically he is very obedient in nature but he is very unmindful and someti...
At least you have identified his great skill in singing. so you must explore that extensively to build self-confidence and to develop this area. This is an Early Adolescent stage and any manifestation of problems like these are indicative of some serious that needs the attention of a professional. There may be some developmental issues and/or genetic that needs immediate attention. If you do not attend to it now, it will disappear and make it appear that there is nothing wrong. That is a deception. It will come again in mid-adolescence seeking a resolution. If you do not solve it then it will come again finally for the last time in late adolescence. If at that time you do not resolve it, the child will enter adulthood with permanent negative traits that lead to a breakdown and cause even personality disorders. The more it is delayed, the more severe can be the effects.
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