Doctor in Dr. Ravi Yadav
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
Congenital Ear Problem Treatment
Treatment of Thyroid Disease in Children
Management of Childhood Nutrition
Child Growth Management
Management of Postnatal Care
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Newborns primarily need your love, care, and attention. If you aren't sure whether you're on the right track with your little one, read on to find out the 3 most important things that your newborn needs:
1. Skin-to-skin contact: One of the best ways to speed up the bonding process with your newborn is by having as much as possible skin-to-skin contact with your child. This is important as the newborn connects through smell and touch during this time. The senses of your baby are naturally tuned to react to the feel of your bare skin and your distinctive smell.
Many studies also suggest that close physical contact can help in reducing stress in your newborn so as to allow its biological drive to come through and easily latch onto your breast to feed itself. In other words, it ensures a higher chance of getting the newborn started on breast milk in case your child is not taking to your breasts easily.
2. To be breastfed: The best food for your baby is milk that is produced by you. Breast milk offers a host of benefits that go beyond basic nourishment. According to research conducted by the national institute of environmental health sciences, a child faces 20% lower chances of dying between the ages of 28 days and 1 year if he or she is breastfed.
Protecting your child from illnesses such as childhood cancers or type 1 and type 2 diabetes, allergies, and obesity are some of the very important benefits that mother's milk can provide.
3. Swaddling your baby right: Wrapping a blanket snugly around the body of your newborn can help calm your little one and promote sleep. Several studies reveal that this technique of swaddling (which is done to resemble the mother's womb) if done correctly can bring about longer and better sleep for your child as well as reduce instances of crying. It also ensures your baby stays warm and comfortable.
Baby bottle syndrome is a decay that affects the milk teeth in children who fall asleep with a bottle containing sugary drinks. Prolonged contact between the liquid and the surface of the teeth promotes the destruction of tooth enamel.
Causes and symptoms
The symptoms of baby bottle tooth decay are discoloration of the tooth (enamel), with the formation of yellow or black spots on the surface.
When a child falls asleep with a bottle containing sugary liquids such as milk, fruit juice, sugar water, or with a pacifier dipped in honey or syrup - bacteria present in the mouth, (streptococcus mutans to be precise) transform the sugar into lactic acid.
Normally, the saliva helps to neutralize this acidity, but its production declines during sleep. Thus, teeth are subjected to acid attacks that promote the formation of cavities. As milk teeth are weaker than permanent teeth, decay can be quick with enamel getting hit first, then dentin and finally the pulp in the centre of the tooth.
To avoid it, the first thing to do of course is to stop giving your child a sweetened drink at night or when putting the child for a nap. You should also brush your baby's milk teeth twice a day, especially at bedtime with a cotton swab and water and in a year - with a toothbrush and toothpaste.
In case, the teeth are already decayed or you have doubts about it (staining of the tooth that becomes pink or white can be the harbinger of decay), consult a paediatric dentist immediately. Decayed milk teeth may lead to deformation of the permanent teeth if not attended to immediately.
Sleep is an essential part of a child's growth and development journey. Sleep helps the child develop both physically and mentally. Thus, it is important for every child to develop good sleeping habits. The amount of sleep a child requires varies from child to child and according to their age. Here's a broad guideline for how much sleep your child should be getting depending on their age.
Less than a year
The confusion between day and night ends when the baby is about 4 months old. This is when you will notice regular sleep patterns emerging. By the time they are 6 months old, most infants have a regular sleep and wake cycle. At this age, your baby needs at least 15 hours of sleep a day. The goal here is to establish healthy sleeping habits.
1-3 year old
After their first birthday, toddlers tend to reduce their number of day-time naps. But they still require 11-14 hours of sleep a day. Let your child take a 1-3 hour afternoon nap and put them to bed early, so that they can get a full night's sleep.
3-6 year old
Naps gradually become shorter as the child grows up. These pre-schoolers need 10-13 hours of sleep a day. At this age, it is a good idea to encourage your child to fall asleep on their own. They should no longer need an adult to put them to sleep. They should also learn to fall back asleep on their own, if they wake up in the middle of the night.
7-12 year old
A pre-teen needs 10-11 hours of sleep a day but the average sleep they get is about 9 hours. The challenge at this age is to not allow bedtime to get very late. Once they start going to school, children have a fixed time to wake up. Thus, a late bedtime will give them inadequate sleep.
12-18 year old
Teenagers require 8-9 hours of sleep a day. In no way should they get less than 7 hours of sleep. It is a good idea to keep the television and computer out of their bedroom. Also, avoid letting them have caffeinated drinks before sleeping.
Poor or inadequate sleep can lead to a number of health complications as well as mental disorders such as ADHD and cognitive problems. Thus, it is important for your child to not only follow a regular sleep schedule, but also to have restful sleep. If you wish to discuss about any specific problem, you can consult a Pediatrician.
A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.
Here are few very simple ways you can prevent your child from getting it:
1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.
2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.
3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day. If you wish to discuss about any specific problem, you can consult a pediatrician.
Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.
Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Pain in the stomach
Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:
- Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
- pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
- Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
- Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.
In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding
Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby. In case you have a concern or query you can always consult an expert & get answers to your questions!
Rheumatic fever is a kind of autoimmune ailment that can occur as a result of group A streptococcal throat infection leading to inflammatory lesions in the connective tissues of the body. This disease specifically affects the joints, heart, blood vessels and various subcutaneous tissues located all over the body.
History of the effects of rheumatic fever:
The disease has been evaluated and depicted since the 1500s, though the connection between the rheumatic fever, and the throat infection was not found out until it was late 1880s. And the sore throat was also related to the rash, which is caused by streptococcal exotoxins, along with fever. Rheumatic fever was one of the leading causes of deaths in children as well as one of most common reasons behind the acquired heart diseases in adults before the invention and availability of penicillin.
Reasons behind the causes of rheumatic fever:
Even though adolescents and adults may be affected by the rheumatic fever, it mostly affects children aged between 5 to 15 years. It is a common disease in areas like South-Central Asia, sub-Saharan Africa and several parts of New Zealand and Australia. Group A streptococcus bacterium is the primary cause of this fever, and it also leads to scarlet fever in some people. It makes the body attack its own tissues once it has been attacked by the bacteria. This particular reaction leads to widespread inflammation throughout the body and forms the basis of all the common symptoms of the rheumatic fever.
You may have to take your child for the strep test if you notice any of the following symptoms:
- A sore throat and red rashes all across or in certain parts of the body.
- If your child has tender or swollen lymph nodes that are causing difficulty in swallowing.
- Tonsils that are filled with pus or red and swollen.
Harmful impacts of the rheumatic fever:
Developed mostly due to strep throat infection, it can affect the heart, skin, joints and nervous system of children. Though it may not affect all who have gone through a strep throat infection, it can lead to long-term diseases of the heart and its valves and is termed as a rheumatic heart disease. Since each attack of rheumatic fever may cause further damage to the heart, it is very crucial to make sure that your child doesn’t have one more attack of the fever, and it is therefore, important to have regular doses of penicillin injections and consult a specialist for receiving further advice on treatments and prevention.