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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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My cousin is 10 years old. Her back got burnt when she was two years old. Since then, her mother is applying the necessary cream and other essentials on her back. But the main problem is this that she is getting hair loss after every short interval. Can you tell me how can we overcome that problem of hair loss?
Asthma in children under the age of 5 is a matter of concern. It is not a rare disease and early diagnosis is important. Common signs of asthma in children are:
1. Recurring bronchitis
3. Discomfort in the chest
5. Trouble breathing
While some children have persistent yet mild symptoms, some children have severe attacks at times. Seasonal allergies and smoke make the symptoms worse.
What to notice?
While feeding an infant, if you notice that your child is facing shortness of breath, it might be a symptom of asthma. In a toddler, if your notice a decreased desire to run and play, or easy fatigue, then this could be a symptom of asthma. Asthma attacks for many children under the age of 5 are worsened when they catch cold or have any other respiratory infections. All these, if noticed should not be ignored and your child's pediatrician should be consulted.
The above mentioned symptoms were mild. Some children have it worse and the attacks can be life-threatening, needing immediate treatment. If your child is under the age of 5 and you see them doing one of the following, contact emergency services immediately:
1. Trouble in speaking because they have restricted breathing
2. When they are breathing in, the effort is so much that the abdomen is getting sucked in
3. Gasping for air.
Diagnosing asthma in a child can be tricky as symptoms like coughing, wheezing, etc can be for other conditions also. Once a child is a little older and if the symptoms persist, breathing and lung function tests are taken to gauge the situation.
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Researchers have revealed that seven-month-old babies have basic social skills and can understand what their parents and relatives are up to..this study says small babies not only observe their surroundings but can also understand social interactions
The results provide evidence that directly links neural responses from the motor system to overt social behaviour in infants
Hi doc, my baby is 6 months old n weight is 6kg please suggest something about her diet. Wht food to give n wht to avoid. Is her weight is normal. She is completely on my breastfeed. please suggest to gain weight also. Thank you.
High blood sugar occurs when the insulin in the body fails to metabolize the sugar from the food, which raises the amount of glucose in your blood. It is a metabolic disorder which can be managed effectively with the help of lifestyle modifications such as exercise and food. This article is going to focus on the foods that you can eat to lower your blood sugar levels.
Here are 9 foods that you can use to reduce blood sugar levels:
Cinnamon: Cinnamon is a herb which is very effective in getting your blood sugar down to manageable levels. You can simply sprinkle cinnamon on your food before eating it.
Fenugreek (methi): Fenugreek is a common spice which is used in almost all indian cuisines. It has a number of health benefits, one of which is reducing blood sugar levels. Soaking fenugreek in water and then drinking it the next day is a very effective remedy in combating sugar problems.
Garlic: Not just for sending away the vampires, it is also very effective in blood sugar control. Extracts of garlic have been shown to increase insulin in the body which is required to metabolize the sugar in the body.
Heart healthy fats: Heart healthy fat based foods such as nuts and seeds are good for increasing the good, cholesterol levels (hdl) in the body. Avocadoes contain nutrients which lower the risks of various diseases such as diabetes. In a nutshell, these fats make the cells of the body less resistant to insulin.
Blueberries: Blueberries contain anthocyanin (water soluble pigments) which is very good for your health. They also contain fiber in large amounts which make you feel fuller faster. This fruit has also been shown to improve insulin sensitivity in the body.
Vinegar: Vinegar is an age old remedy to control blood sugar levels; it contains acetic acid which causes a reduction in certain harmful enzymes in the stomach. Vinegar is also known to prevent blood sugar spikes when consumed with food.
Complex carbohydrates: Complex carbohydrates raise your blood sugar but not like its cousin, simple carbohydrates. Simple carbohydrates cause an immediate spike in your blood sugar levels where as complex carbs provide a steady stream of energy. So drop that packet of refined flour and get that whole wheat variant.
Cherries: Cherries, especially tart cherries and dark sweet cherries, are full of anthrocyanins. Insulin resistance prevents insulin from working properly to control blood sugar in normal ranges. Eating a diet high in anthrocyanins can mean improved use of insulin and lower blood sugars.
Nuts: People who eat nuts regularly have lower rates of heart disease than people who don't eat them. Even among the healthiest eaters, the ones who also eat nuts boast the best health record. If you wish to discuss about any specific problem, you can consult
Hi Sir/Madam. My son 9 months old. Last month he got mild patchy haziness in upper right zone side. We took the reports to the doctor and he said its pneumonia and recommended admitted in hospital we admitted in Hospital PISU for three days. In 3 days they gave antibiotics and nebulation in PISU. At the time of discharge they advise to take antibiotic for 3 days and cough syrup. After discharge frequently he getting cold and cough but no fever he is active taking food and milk. Using Maxtra drops and kurfil syrup for cough. But cold and cough still occurring frequently. Please suggest us permanent treatment to cure my son. And precautions for my son. Using nebulizer .05 ml Ns with 6 drops asthalin 1 to 2 times in day. When he gets cold and in easy breath. As we parents do not have any athamma problem. Please suggest us treatment and precautions for my baby. With that will grateful to you.
Sir, my daughter is 8 years old. She always complain about a pain in her stomach. Could you pls tell me the possible reason for this n what will be the remedy for the same.
Menu planning for diet of indian toddlers:
Indian diet plan for toddler
In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.
The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.
Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.
After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.
Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.
Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.
Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
And allergic reactions to these foods.
Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form
Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.
Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all
Here is an indian diet plan for toddlers for your reference.
Time and menu:
- 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
- 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
- 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
- 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
- 2.30 pm: Buttermilk (optional) / ragi kanji
- 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
- 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
- 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
- 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
Important tips to consider while following this indian diet plan for toddlers:
• Milk intake:
Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes
• Water intake
A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.
Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.
• Fruits and vegetables
You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses
• Homemade food:
Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!
• Oatmeal cereals
It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.
• Portion intake
1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.
• Nutritious snacks
Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.
Some common mistakes that you should avoid:
• Making your child drink more than 16-24 ounces of milk per day.
• Forcing your child to eat when he/ she is not hungry.
• Allowing your child to eat sugary snacks
Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.
The term asthma and bronchial asthma are often used interchangeably. Bronchial asthma refers to the chronic inflamation of the airways either due to some internal or environmental allergen. This leads to the narrowing of airways, which makes breathing difficult and blocks air from entering the lungs. Children are most affected by this condition as the immune system is still in the process of maturity and often grows out of it as they age. However, if not treated, this can lead to many complications like respiratory failure and can prove to be fatal. Asthma cases often spike in winter months and in the flowering season. It can also be triggered by second hand or passive smoke, stress, sudden unaccustomed physical exercise, food additives, dust, house mites, perfumes, certain drugs and many other allergens. A family history of asthma, allergic rhinitis, atopic dermatitis and other allergic conditions can also increase a child’s risk of suffering from this condition.
Some of the most noticeable symptoms of bronchial asthma include:
These symptoms often worsen after exercising. Lung function test and Chest X-ray are often used to confirm a diagnosis of bronchial asthma. Once diagnosis is being confirmed, it should be categorized as per severity. Your doctor may prescribe medication in the form of pills and inhalants as per the category of disease. It is important to note that these cannot cure asthma, but can help manage it. Inhalers deliver low doses of steroids directly to the lungs to reduce inflammation and other inhaled medication like Beta 2 agonist will open the airway by relaxing the muscles of airway. Children suffering from asthma must be taught how to use the inhalers and should always have it with them. In the case of school going children, their teachers should also be informed about the condition. Parents should also know how to keep it, use it and clean the device in a proper and hygienic way.
In very small kids those inhalational medication can be given by face mask and spacer, but as the age grows or in case of elder children above 6 years of age, they can directly take the medication from spacer. Those children who are already on inhalers, but still face asthma attack , for them nebuliser is the better choice to manage the emergency. It will make the liquid medicine into mist and enters into the air passage easily and work promptly.
In addition, certain lifestyle changes can also help reduce the frequency of asthmatic attacks. Avoid going outdoors on windy days or days when air pollutant level is high. Reduce the child’s exposure to allergens like pet hair, dander and dust by dusting and vacuuming on a weekly basis. Avoid the use of humidifiers inside your house as moist air can promote the infestation of dust mites. Try to keep the child in a room with adequate air and sunlight. Take plenty of green leafy vegetables and fruits, which contain lots of vitamins and minerals. If possible get your child to wear cover his or her nose and mouth while in outdoors.
In case you have a concern or query you can always consult an expert & get answers to your questions!