Dr. Sunila Ghathar

To know reason of anal pain in peculiar circumstances, it require proper history and examination. You have already dewormed 2 weeks ago. I suppose she is not constipated also. It is advisable to consult pediatrician.

Under medical supervision u can give 1) Tab RecofastPlus 1x6hrly, 2) syp Asthakind 7mlx6hrly, 3) Tab Mahacef xl 1x12hrly considering her weight to be 35 kg

Control your fluid intake after7pm. Before going to bed urinate, before going to bed for few minutes remind your mind to get up for urination. Its training your mind, it works or you keep an alarm to get up 2 to3 hrs after sleep to get up &urinate. Consultation &drug therapy sos.

Cold does not require any medicine. It get cure in 4 to 7 days. If her nose is blocked, instill 1 to 2 drops of saline nasal droops in each nostrils 4 to 5 times in a day. Continue exclusive breast feed.

Keep her on breastfeeds for 6 mths & bathe her with tedibar soap. Do not use oil if she is having pimples.

What is his age? Sometimes even normal children are hyperactive and want to play a lot. Not showing interest in studies. There is a fine line between normal and adhd behavior.

YOu can take Lactare Capsule for milk and even if you give formula do not give in bottle and use spoon to feed

If he is not bottle fed it is common for 3 month old child to poop often and for crying colic aid will help .If on bottle feed stop bottle and give only breast milk

Yes, stat giving weaning food as breast feed alone is not sufficient to meet demands of growing baby.

It is good to follow the diet as far as possible even though he is mildly affected Total CARS scores range from a fifteen to 60, with a minimum score of thirty serving as the cutoff for a diagnosis of autism on the mild end of the autism spectrum

Febrile convulsion means convulsions because of fever. You need to consult a good child neurologist for assessment and EEG

If the diagnosis of typhoid is confirm and fever is persisting despite cefixime and ofloxacin, he may need injectable antibiotic of higher group like ceftriaxone/meropenem depending on the severity.

Dear you have not specified the size or location on the face of the birthmark. If it is reddish, it is usually a vascular malformation called salmon patches (naevus simplex), port wine stains and strawberry naevus. Salmon patches are present at birth, are falt and 50% disappear by the time the child is a year old. Portwine stains are more extensive and get purple and can worsen. They are treated by laser and cosmetic camouflage. Strawberry nevus are soft and raised and appear at 5 to 6 weeks of life. They resolve by three years. Beta blockers like propranalol have shown to be successful in strawberry naevi.

kindly do not forcefeed him.give him small frequent feeds.He will improve gradually.give him iron supplements as his hb is low.

Give semisolid and solid foods, not to be very diluted, don't make her lie down/ sleep at least for 20 mins after feeds, feed in an upright position.

Hello, You can try and give her pomegranate juice, she will feel better. Please make sure to give her only boiled water and sterilise her toys, and vessels before use. Loose, motions can also be due to onset of teething process.

The poor appetite of their kids is a common complaint among mothers. In most of the cases, kids make up for their poor diet by eating more at the next meal. For kids over 1 year old, appetites increase and decrease according to age, energy levels etc. This is a common problem among young children between the ages of 2 to 6 years. However, if weight loss accompanies your toddler loss of appetite, then you must consult a pediatrician to identify the cause & correct it. Causes of Loss of Appetite In Children: Here are 10 main reasons for toddler no appetite: 1. Slow Growth Rate: Changes in growth can cause an appetite slump in children. During the first year, children grow rapidly. But after the first birthday the growth of the child slows down, and she may eat less food now. During this time, a decline in appetite is perfectly normal. 2. Sickness: Illness can often cause a significant loss of appetite in children. If your child is suffering from sore throat, stomach flu, diarrhea, headache, fever or other symptoms, then she may eat lesser than what she normally eats. Thankfully, most of the children recover their appetite when they get better. 3. Stress: Stress can have many negative effects on toddlers and young children, including loss of appetite. If you find your child is losing interest in eating or having a hard time sleeping, then. To cure the poor appetite of your kid, you need to identify the cause of her stress and alleviate it. Some common causes of stress during childhood are: •Family issues like a death in the family, death of a pet or the birth of a sibling. •Bullying •Inability to cope with academic pressure and the impractical expectations of parents. 4. Depression: Depression can be another reason for child loss of appetite. Most of the parents mistake depression for sadness. But sadness and depression are not the same. It is important for you to understand the difference between sadness and depression so that your child can get the help she needs. Feelings of sadness go away with the passage of time, but depression does not. Depression not only makes the child sad, but also interferes with her normal life. If your child shows a lack of interest in activities that she previously enjoyed performing, then chances are that she may be suffering from depression. A change in eating habits is a strong indicator of depression. You may need to seek medical care to help your child come out of depression. 5. Anorexia Nervosa: Sometimes, in a bid to ape their screen idols children develop a psychological aversion to eating. They try to go without eating as long as possible. Even when they eat, they choose a low-fat food and later feel guilty about eating it. If you can relate your child to this food fad, she may be suffering from Anorexia Nervosa. You must take her to an eating disorder specialist. The specialist will tell you how to help your child regain a healthy appetite (1). 6. Medications: Several medications can take a toll on your child’s appetite. If the pediatrician prescribed antibiotics for your child recently, chances are she may be suffering from a poor appetite. A loss of appetite in a child is a common side effect of antibiotics (2). 7. Anemia: Anemia is another possible cause of the decline in appetite among children. A low iron count is common in kids who don’t consume an iron-rich diet. Children suffering from anemia seem weaker, tired and irritable than others. If left untreated, anemia can interfere with your child’s development and school performance. Get a blood test done if you suspect anemia in your child. 8. Intestinal Worms: Intestinal worms can cause loss of appetite in kids. Worms enter into the kid’s digestive system and live there like a parasite, causing intestinal bleeding, loss of appetite, dysentery, etc. 9. Constipation: Irregular bowel movements in children can lead to constipation. Tips To Prevent A Loss Of Appetite In Children: Here are some handy tips to prevent a loss of appetite in children: Offer food that is also a visual treat for your kids. You can present healthy foods in a delicious avatar. •Do not argue or scold the children during the mealtime. •Adjust the meal schedules so that you serve food only when your child is hungry. •Encourage your child to make healthy food choices. •Allow your child to snack between the meals. •Serve small portions at regular intervals. •Encourage your child to be more physically active. •Do not force your child to eat if she is not hungry. As a parent, demanding that she finishes the food on her plate is a bad idea. Remember, it is common for children to lose their appetite, so don’t be alarmed every time it happens. If your child is healthy, happy and can sleep well, then there is no need to worry. But a prolonged loss of appetite needs medical attention. So keep an eye on your child’s eating habits.

Most studies have shown effectiveness for 10 years in majority of people. Hence Tetanus vaccine is recommended once every 10 years, as long as one has received the primary doses of 4 vaccines in childhood. A severe injury or large wound would warrant earlier vaccination along with use of Tetanus Immunoglobulin. Minor injuries need not be occasions to repeat the Tetanus Injection. Definitely not 4 times in 6 months.

What is short stature.What is growth failure?
What is a growth disorder?

A growth disorder is any type of problem in infants, children, or teenagers that prevents normal growth. Normal growth depends upon several factors, such as nutrition, genetics, and hormones (chemical messengers of the body). Hormones are necessary for normal growth and development; they regulate the body's growth, metabolism (the physical and chemical processes of the body), and sexual development and function.

Endocrine (hormonal) causes of growth disorders include thyroid hormone deficiency (hypothyroidism), growth hormone deficiency, hypopituitarism, or other hormone disorders. However, some growth problems are not necessarily growth disorders; normal variants of growth patterns include genetic short height (familial short stature) and slow growth/delayed puberty (constitutional growth delay).

Although growth hormone was originally used to treat growth hormone deficiency (this group of patients respond the best to growth hormone therapy), there have been other conditions for which growth hormone therapy has been approved for use. These include Turner syndrome, chronic renal insufficiency, Prader-Willi syndrome, and children who were small for gestational age and have not caught up in their growth by the age of two years. In 2003 the FDA approved the use of growth hormone for children who have

1.5 year baby need not necessarily drink milk and other foods can be given or milk powder and boiled water in flask can be carried with you