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Dr. Vibha Krishnamurthy

Pediatrician, Mumbai

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Dr. Vibha Krishnamurthy Pediatrician, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vibha Krishnamurthy
Dr. Vibha Krishnamurthy is a renowned Pediatrician in Lower Parel East, Mumbai. You can consult Dr. Vibha Krishnamurthy at Ummeed Child Development Center in Lower Parel East, Mumbai. You can book an instant appointment online with Dr. Vibha Krishnamurthy on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 35 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 have 3 months baby. How many hours a day sleep is required for baby & is there a particular time table or sleep schedule to be followed like sleep time / play time, please guide.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I have 3 months baby.
How many hours a day sleep is required for baby & is there a particular time table or sleep sch...
Most 3- to 6-month-olds sleep a total of 15 to 16 hours a day, including nighttime sleep and naps. There is no strict schedule but try to train baby for sleeping at nightime and early afternoon.
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My son is of 8 months n he has cold and cough from 15 days. I give him cough syrup by still there is no sign to cure it. He has running nose at morning so I am so worried about his cold and cough please give me correct treatment for him.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son  is of 8 months n he has cold and cough from 15 days. I give him cough syrup by still there is no sign to cure...
For running nose put saline nasal drops frequently into each nostril. Cough for such a long duration might need evaluation.
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I am female 27 years old. Have a baby 20 days old. My nipples are very small. When I feed my baby milk does not comes out in normal flow, and it becomes red and sour after every time I feed my baby. Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I am female 27 years old. Have a baby 20 days old. My nipples are very small. When I feed my baby milk does not comes...
I think you have inverted nipples. You should pull them out gently 20 to 30 times in the morning and evening. You can also try syringing which is taught by a pediatrician. For sore nipples apply your milk only which comes at the end of feeding.
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Hello doctor. My daughter is 7.5 months old. She is into teething. Can we give any calcium supplement at this stage. Kindly suggest?

MD - Paediatrics, MBBS
Pediatrician, Ghaziabad
It is a very common misconception (unfortunately even smong some doctors) that extra calvium is needed while teething. This is absolutely incorrect if you r giving your baby a healthy diet, including solids, her calcium intake wud b more than enough. As kajol says in tv ads, vit d is essential for absorption of the dietary calc. For this, expose her to sunlight early in the morning or late eve, ven it is not very hot outside.(make sure she wears short dresses, as skin must b exposed to the sunlight).
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My baby has 3 month old nd he has cold from last 10 days. At sleep time it's difficult to breath for him we use nasivion medicine but it doesn't effective please suggest me best medicine for baby.

MRCPCH, MBBS
Pediatrician, Gurgaon
My baby has 3 month old nd he has cold from last 10 days. At sleep time it's difficult to breath for him we use nasiv...
Hello, if breathing difficulty is only in sleep position there might be another concern like reflux but still try nasal saline drops for nose when in lying position, give steam inhalation for 5-10 min before sleep but no vicks please. Also, as it is 10 days is long period so see your paediatrician to rule out other concerns like reflux/infection. Take care.
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My son is 7 years old he is suffering from headache n dizziness, while dizzying he sees cars around his eyes, dizziness is not regular but some times, pls advice what to do?

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
Headache and dizziness can be because of some opthalmic refractory error- means he might need specs. So first check his number and if its ok, see a pediatric neurophysician.
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My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second child. Some people say that children born in late ages are always by surgery. Is this true?

DGO, MBBS
Gynaecologist, Bhavnagar
My age is 38. I was married late. We have a girl child who is now 6 years old. My husband wants to go for the second ...
No. There is no such rule that children at later age are born by surgery only though ratio may b more.
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Easy Tip For Toddlers mummas

B.H.Sc (Food Science & Nutrition), M.H.Sc (Food Science & Nutrition)
Dietitian/Nutritionist, Mumbai

Easy tip for toddler's mumma

When it’s time to feed your child dinner at the end of a long day, it’s a good idea to finish your meal first. Trying to feed a fussy child on an empty stomach will only make you irritable and impatient. Eat first and you’ll find you’re way more patient and energetic to tackle any challenges the dining table may throw up.

My 1 week old baby girl I just want to ask that she is having fever since day before yesterday normal fever. So please let me know what should I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 1 week old baby girl I just want to ask that she is having fever since day before yesterday normal fever. So pleas...
Fever can occur in a newborn because of high atmospheric temperature which can be tackled by increasing the number of feeds. If the baby is inactive and refuses to take feeds you must show to your pediatrician.
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She is suffering from pcos from long time. And she had completed her 1 month treatment of 3 month. And she had a 5 day period last month. Will you please tell me all the type of symptoms of getting better.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
She is suffering from pcos from long time. And she had completed her 1 month treatment of 3 month. And she had a 5 da...
She should do regular exercise walking jogging cycling etc. If she will reduce her weight to 55 kg. Most of the problems associated with pcos will vanish.
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I want to lose weight and for this purpose I have tried almost all the weight losing products available in the market. But the are of no use and all makes me suffer from the problem of lose motion.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I want to lose weight and for this purpose I have tried almost all the weight losing products available in the market...
Lose motions are caused by cleansing effect of herbs in intestines. Moreover, weight losing medicines have to be supported with walks, pranayam, kapalbhati, hot water drink boiled with some naturals as well as negative calory intake balance.
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My son is 5.5 years old. His weight is 20 kg. He complaints of pains in legs very often. It happens maximum time in midnight. He does not play much as he has afternoon shift for school. Please let me know what can be the reason & remedy for it thanks.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
It's called as growing pain. Many children of that age have that. You can give some analgesic like paracetamol if it's unbearable.
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I have two daughters, one is 3 years and second is 8 months old. I didn't given polio drops this time. As I am giving vaccination at time. Is it really necessary to give polio drops even after correct vaccination?

M.D.( Pediatrics), DCH
Pediatrician,
I understand it is about pulse polio. Yes, Irrespective of the vaccination, you should give polio vaccine at pulse polio center. It is your social responsibility to make pulse polio a success.
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I recently noticed that my eyes are going deep inside. I'm worried now. I normally sleep 7-8 hrs a day. Im going to gym daily from last 2 years. I sit infant of pc for 4-5 hours.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I recently noticed that my eyes are going deep inside. I'm worried now.
I normally sleep 7-8 hrs a day. Im going to g...
Prolonged working on laptop/tv/mobile can cause computer vision syndrome. Computer vision syndrome is a condition resulting from focusing the eyes on a computer or other display device for, uninterrupted periods of time. Some symptoms of cvs include a. Headaches b blurred vision c. Neck pain d redness in the eyes e. Eye strain f dry eyes sometimes watery eyes these symptoms can be further aggravated by improper lighting conditions. Measures to reduce this include 1. Work under proper light. 2. Blink a lot. 3. Cold compresses 4. Use good lubricating eyedrop.
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ADHD (Attention Deficit Hyperactivity Disorder)

MBBS, M.D Psychiatry , Diploma in Psychological Medicine
Sexologist, Navi Mumbai
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Hello Friends, I’m Dr.Vikas Deshmukh. I’m a neuro-psychiatrist and sexologist working in Navi Mumbai, Vashi area. So today, we are going to talk about ADHD.

So, what exactly is ADHD and why is it important to you?

ADHD means Attention Deficit Hyperactivity Disorder. So the name itself is self explanatory. So in ADHD there are three major components. One, is inattention. Other is hyperactivity and the last is, impulsivity. Early diagnosis and management of ADHD is very important or else it can ruin your child’s academic or career. So the first symptom of ADHD is inattention. Inattention is not noticeable until the child goes to school.

Most of the time inattention could be neglected at home. In inattention the child might be procrastinating the things, not completing the task, switching from one uncompleted task to another uncompleted task, unable to complete both the tasks. So symptoms can be disorganized, bahut messy rahega child, bilkul he cheezein yahan wahan padi hui hai, systematically kuch dhang se kaam nahi ho pa raha hai use. Then he is not able to focus on certain topic. Teacher padha rahi hai toh ye choti si awaz aayegi toh uska dhyaan wahan jayega, teacher jo padha rahi hai who likh nahi payega theek se, small small mistakes he’ll make, likhte hue bhi ek word gayab ho jayega, ek word mein kahin ek letter gayab ho jayega, kabhi kabhi cheexein bhool kar aane – bhoolna, forgetfulness is also a very common symptom. Pen bhoolke aayega, pencil bhool ke aayega, eraser bhool ke aayega, kabhi kabhi tiffin, kabhi water bottle bhool kar aayega. This is very common.

  • Inattentiveness mein ek aur bhi chhez hai jaise ki aap usko bulaoge toh ek baar mein woh aapke taraf dhyaan nahi de payega. You have to call him multiple times. “Arre beta mein ne kitni baar bola, kitni baar mein aap ko yeh sab sunaya. Agar usko aap kuch kaam bolte ho, jaise teen se chaar cheezein ek saath bolte ho toh who saare teen chaar kaam ek saath dhyaan mein nahi rakh pata hai. Koi na koi cheez hundred percent bhoolega. Yeh inattention mein bahut common hai.
  • Second one is hyperactivity. Hyperactivity mein child is very hyper, not able to sit in one place, constant fidgeting, squirming in their seat, fidgeting means kuch na kuch movement chalu rahega – haath ka, per ka, kuch na kuch – bina hile beth nahi sakta baccha. Isko bolte hai constant fidgeting and squirming in the seat. Kuch nahi rahega toh seat pe he idhar udhar apne aap mein hona. Yeh sab who baccha aapko karte hue dikhai dega. Hyperactivity mein aur ek cheez, you feel as if uss ke andar motor fix kiya hai, continuously on the move, unable to stop at all.
  • The next thing we can see is trouble playing quiet games like Chess or pursuing quiet hobbies, he can not do that. Then, talks excessively, bahut zyada baat karna ki usko stop karna mushkil ho jata hai. And in adult and teenage, this hyperacticity can be seen in the form of inner restlessness. Who andar se restless feel hota hai unko. You may not see that hyperactivity physically but that inner restlessness is there.
  • So the third part is impulsivity. Impulsivity is when the child is impatient. He cannot wait for his turn. Queue mein agar khara hai, toh “Arre mera number kyun nahi aa raha hai hai, kyun mein itne der se khara hoon.” If you ask him a question, before completion of the question he will blurt out the answer. “Teacher answer yeh hai, teacher yeh hai.” He can make multiple mistakes for that. Frequently interrupts others. Do bade baat kar rahe ho toh baat khatam hone tak rukega nahi, beech mein aa ke aap ko disturb karega. Aap ko lagega har baccha aisa karta hai but hamesha agar bacha karta rahe toh this is a sign of ADHD.

Kabhi kabhi agar kar raha hai toh it’s okay, jab usko urgency rahega, jab usko kahin jaa na rahega. Starting conversations at inappropriate times is also a sign of ADHD.

So ADHD manage karna kyun zaroori hai?

ADHD mainly do components ko bahut zyada affect karta hai. One is academic and other is socialization. Toh academics mein kaise ADHD kaise harm kar sakega? For example, if your kid has an IQ jisse use ninety percent marks aa sakte hai aaram se but if he is not able to pay attention aur woh studies mein focus nahi kar payega, attention nahi de payega teacher kya padha rahi hai, books mein kya likha hua hai, toh who padhke apne brain mein register nahi kar payega. So attention is first required for registration. Then, again, when he wants to recall it, tab bhi use dimaag shant rakh ke recall karna padta hai. Tab bhi use recall karne ke liye attention chahiye. Toh jo ninety percent ka baccha hai agar usko ADHD hai, according to the severity of ADHD, he can slip down to sixty percent, fifty percent, or forty percent. So aaj kal ki zindagi main ek ek marks ke liye bhi bahut tagra competition hai, you know that. Agar ye competition mein itna agar bacche ka performance kum ho gaya toh this is very dangerous for the career of your child. So time pe ilaaj hona zaroori hai. Doosra behviour mein, socialization mein farak dikhta hai. Agar mein kahin galti karta hoon ya mujhse koi galti hoti hai aur woh mere parents ko, mere teachers ko pasand nahi aayi toh I should be attentive ki mein uss cheez ko dhyaan mein rakhu. Dhyaan mein rakhne ke liye mujhe attention chahiye, “Arre haan mummy ne last time aise bola tha, mummy ko ye pasand nahi aaya tha, teacher ko who cheez pasand nahi aayi thi”. Yeh mere dimaag mein register hona chahiye, yeh register hone ke baad mein jab next time kaam karoonga, tab mujhe who samajh mein ayega ki “arre haan, nahi last time yeh galti kiya tha, mummy ko pasand nahi aaya tha, ab yeh nahi karna chahiye.” But yeh attention he mere paas nahi rahega toh wahi galtiyan mein roz karoonga. Kal bhi maine maar khaaya tha, aaj bhi mein maar khaaonga, aur parso bhi mein maar khaane wala hoon. So this is a part and parcel of life ho jaata hai, aur wahi wahi galtiyaan repeat hoti hai. Toh patient khud ke ilava kissi aur ke bare mein soch nahi pata. Toh woh socialization mein kaafi peeche pad jaata hai.

Is ke treatment part mein kya aata hai?

First is Occupational Therapy jiss mein child ka hyperactivity kaafi hadh tak kum hota hai. Second is parenting techniques ki baccho ko behavioural therapy mein daal kar ke kaise uska parenting kiya jaaye. And third one is medicines. Medicine is a very important part of therapy. Most of the parents ask us ki arre itne chote bache ko medicines chalu karenge, kuch side effects hoga toh, kuch problem hua toh? Minor side effects medicines ke rehte hai but those side effects can be managed with proper consultation. Aur yeh medicines baccho ke liye he banaya gaya hai toh baccho ko yahi dena padega. Baccho ko sardi khaasi ho gaya, baccho ko bukhar aa gaya tabh aap bolte ho ki baccho ko medicine nahi dena chahiye? Agar who baccho ke liye banaya gaya hai toh who baccho ko he dena padega. So hope this discussion is helpful for you and please be proactive and seek help.

Don’t let ADHD destroy your child’s future. For more information, you can contact me on www.lybrate.com.

Thank you very much!
 

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Hello Doctor, My daughter is one and half year old, I just want to ask you one thing is it safe for my baby to give milk with saffron, if so in how much quantities? Can you please tell me the health benefits of saffron for baby? I heard That drinking saffron too much is harmful, is it true?

BHMS
Homeopath, Secunderabad
Hello Doctor, My daughter is one and half year old, I just want to ask you one thing is it safe for my baby to give m...
Since it has never been researched thoroughly its difficult to comment on the benefits or harmful effects. So if you go by the traditions then be vigilant that you use a genuine product and give a small dose. Check whether it suits her. The best nutrition is nothing but the daily food that we consume. Give all variety of fruits and vegetables and give the staple food as a routine.
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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

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