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Dr. Roshan

MD

Pediatrician, Shimla

21 Years Experience
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Dr. Roshan MD Pediatrician, Shimla
21 Years Experience
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Roshan
Dr. Roshan is a renowned Pediatrician in Bharari, Shimla. He has been a successful Pediatrician for the last 21 years. He is a MD . He is currently practising at Aastha Hospital And Paediatric Centre in Bharari, Shimla. Save your time and book an appointment online with Dr. Roshan on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 34 years of experience on Lybrate.com. You can find Pediatricians online in Shimla 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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Education
MD - Indira Gandhi Institute of Medical Science - 1996
Languages spoken
English
Hindi

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Aastha Hospital And Paediatric Centre

Panthaghati Road, Kasumpti, Shimla Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Sir/Mam My child is 4 and half year old and his weight is about 40 kg. He is active as well as a sharp minded personality. His height is 4 feet. My question is "is his growth is normal or he is overweighted. If overweighted please suggest me doctor in patna or muzaffarpur.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
hello, children will eat whenever they are allowed to eat. you will help them learn to regulate the food habits, just by watching portions of food, limiting in between snacking, Integrate some physical activity, sign him him up for a physical sport- dance, gymnastics, a martial arts like karate/taekwondo or basketball, anything to get him moving as opposed to sitting.
1 person found this helpful
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A baby born two week back diagnosed as asphaxia. What are early sign to detect damage to the brain?

M.D.( Pediatrics), DCH
Pediatrician,
Shrill cry, convulsions following birth & delayed mental mile stones like smiling. Mri after 3 months,
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Hi, My daughter is getting some infection on skin which is not getting well. It starts with a small boil and very next day it turns into shady spot which keeps growing. It is mostly on her legs and it keeps occurring. I consulted with few specialists but still not satisfied with the results. Please help.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi,
My daughter is getting some infection on skin which is not getting well. It starts with a small boil and very nex...
there are many ayurvedic medicines for this purpose like ras manikya ras...gandhak rasayan....panchnimbadi churna....panchtikta ghrit guggul...arogya vardhini vati...khadirarishta....marichyadi oil...pranacharya B clean syrup..take these medicines by consulting with a good ayurvedic doctor
1 person found this helpful
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My son is one and half year old. My son is in the habit of thumb sucking. I have tried so many things but he still does it. Even because of this habit his teeth are not in proper shape. What should I do.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is one and half year old. My son is in the habit of thumb sucking. I have tried so many things but he still do...
Teeth shape is not de to thumb sucking and you can gently advise him. When he grows up he will stop this habit . Try putting a bandage on his thumb
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On dated 18.06.2017 at 05.46 hrs, a boy baby born with normal delivery at super speciality hospital Railway Patna and after one minute baby cried and it seems that the baby fill suffocation and he was taking long breathing and his chest expansion and depression is more than normal babies. Doctor advised that he was drunk dirty water during the delivery. Hence he couldn't took breath due to drunken of dirty water. After two days on dated 20.06.2017 during diagnosis doctor told that cleft in palate or upper part of tongue. He couldn't take milk of mother and couldn't take breath easily. After diagnosis Pierre Robin sequence disease is found.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
On dated 18.06.2017 at 05.46 hrs, a boy baby born with normal delivery at super speciality hospital Railway Patna and...
Well your baby might have aspirated either liquor or meconium causing respiratory distress. Most baby recover with symptomatic Treatment. Unfortunately your baby is born with Pierre robin syndrome characterised by micrognathia (small chin) glissoptisis (falling of tongue in oropharynx )and cleft palate. The child needs special care in feeding and maintaining posture while lying down on bed preferably in prone position and be fed in almost sitting position to avoid aspiration through defect. Well with proper feeding and maintaining proper position the baby shall thrive and gain weight. At one year of age after proper evaluation the cleft palate needs to be repaired by maxillofacial surgeon
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My 21 month old daughter is suffering with mild fever, coughing, sneezing from yesterday. Fever is around 100-101 degree. Giving her grenil syrup, ambrodil. Kindly advice me. Should I give her antibiotic.

DMB
Pediatrician, Chennai
Cough, sneezing and fever are all symptoms of flu. If she has breathing problem made out by poor activity, chest moving up and down, she has to be seen by a doctor. Otherwise give her paracetamol syrup 5 ml and lots of fluids.
4 people found this helpful
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hello Doctor my baby is 1.5 years old suffering from high fever and small red boils ion this body unable to digest food can your please tell the reason is this chickenpox or small pox.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
hello Doctor my baby is 1.5 years old suffering from high fever and small red boils ion this body unable to digest fo...
It is chickenpox, smallpox eradicated two decades back. Rest,paracetamol,antipruritic drug & plenty of fluids are advised.
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Now my baby is 5month old. I want to know the best contraceptive method which I can use for next 3yrs.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Now my baby is 5month old. I want to know the best contraceptive method which I can use for next 3yrs.
Best contraceptive is that which suits you and you like. New Copper T is quite good and safe, low oestrogen OCP can be used. Before adopting any contraceptive method, consult Family planing Counselor.
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My son is 8 years old & his weight is 27 kg. He is suffering from headache since last two months. All reports are normal. Usko chashma bhi lag gya +0.5 ka. Fundus test bhi normal hai. please advice me. Thanks.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My son is 8 years old & his weight is 27 kg. He is suffering from headache since last two months. All reports are nor...
You have not stated properly how long the headache lasts each time it comes. If it's for only a few hours and goes away after sleep, it is likely to be a tension headache. He may be having stress due to study or problems in school or home. Drinking less water may also cause headache due to dehydration. Blocked nose, sinus infection and nasal allergy also may cause long standing headache. Migraine headache lasts longer, usually more than a day if untreated. Get him properly examined by your local pediatrician. He may need a CT Scan to diagnose if the problem is persistent and worsening.
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If new born baby of 3 month old and we are taking care about everything but there is problem about lose motion every time within / between 10-15 days. How we can care of baby?

Pediatrician, Pune
babies do get golden yellow coloured loose stools , when on breast feeds , nothing needs to be done if the baby is gaining adequate weight and is otherwise well
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I delivered a baby girl on 1st Dec 2016 that time only my periods came just for 5-6 days. After that till now I have not got it. And from 1-2 weeks i'm feeling drowsy and having slight stomach ache. Why so.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I delivered a baby girl on 1st Dec 2016 that time only my periods came just for 5-6 days. After that till now I have ...
In most of the female who are actively feeding the baby.. naturally (our body has that mechanism) don't have periods... and by that way they don't conceive by mistake... so it works as natural contraception... so the periods may not appear till you are feeding... The drowsiness and stomach ache might be of some other reasons... will need more data...
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Why my 8 month old daughter doesn't sleep nicely for 3 to 4 hours together in the night ?

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Small children have a tendency to remain awake at night. This was their routine in mother's womb. Some children continue top have the same. Nevertheless other causes need to be ruled out as well.
2 people found this helpful
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Sudden Sensorineural Hearing Loss: Causes and Evaluation

MS - ENT, MBBS
ENT Specialist, Hyderabad
Sudden Sensorineural Hearing Loss: Causes and Evaluation

SSHL is not like any other normal hear-loss trouble. Rather it is quite a severe condition. Sudden deafness can occur at any time due to several reasons. This trouble does not affect both the ears rather only one specific ear is usually affected, and thus this is one of the prominent signs that can help the doctors to understand that SSHL has occurred. 


What are the leading causes of this hearing loss?

  1. Head injury: If you have faced any severe kind of head injury ever, then it might bring SSHL. This is why you are suggested to get necessary treatment on time so that this kind of hearing loss can be avoided.
  2. Loud-noise exposure: If your ears are exposed to louder noises or sounds in a consistent manner, then there is a greater possibility of the occurrence of this hearing loss. Thus, you should stay away from unwanted noises. 
  3. Ageing: With the increase in age, hearing power slowly decreases. However, if you take proper precautions from the very beginning, then SSHL can be definitely avoided. 
  4. Blood-circulation troubles: Interrupted blood-circulation creates different physical troubles out of which hearing loos is one of the most prominent one. And if timely treatment is not provided, then it might get converted into SSHL. 
  5. Ototoxic medication: This kind of medication should not be continued for long without doctor's prescription otherwise SSHL might occur. 
  6. Lyme disease: This is a kind of disease, which occurs due to tick bites and this is pretty infectious in nature. Apart from that, this disease is now considered as one of the main sources of SSHL. 

How to evaluate this hearing loss? 

  1. History analysis: The history of the patient needs to be known first otherwise SSHL cannot be perfectly treated. If the history shows that the patient already has an existing trouble of ear loss for which SSHL has been proven, then in accordance with the same the treatment can be prescribed. 
  2. Laboratory and imaging: Laboratory analysis is one of the main methods for evaluating SSHL and necessary images of the ears boost the potentiality and importance of this kind of analysis to a great extent. 
  3. Quick evaluation: This kind of medical evaluation is mainly made on the basis of the symptoms. The doctors often follow the signs thoroughly in order to determine as to whether the patients have SSHL or not. This evaluation is highly supported by different medical tests that are prescribed by the doctor.
4741 people found this helpful

Baby Rashes - Best Way To Deal With Them

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Delhi
Baby Rashes - Best Way To Deal With Them

As the baby enters life, he unveils a different world for himself. There is so much to see, understand, learn and experience. A baby’s life is full of exciting new experiences as he views things and people around him with curiosity. But as he fondles with things around him, he carries dust, germs and possibility of an infection. Besides the external environment, his sensitive skin also deals with 24/7 nappies that cause dampness and may lead to a fungal infection.

It is quite natural for parents to panic with the slightest of baby’s discomfort. However, it is important to note that almost all babies develop rashes with first few weeks of their life as it’s the time when their skin is adapting to the outside environment. Not all rashes are harmful. Baby’s immune system has the capacity to fight with most of the infections. Thus, many skin rashes heal on its own. In case, rashes are followed by fever, vomiting, pain or other symptoms, it is advisable to seek medical intervention immediately.

Most common rashes in children are caused due to nappies. The skin around the nappy area become red itchy and irritated. The best way to prevent nappy rashes is to keep baby’s skin clean and dry. Check for dampness and never keep the same nappy for more than 3 hours. Antifungal creams as prescribed by a pediatrician could be applied externally to fight infection.

Blocked pores on baby’s skin can cause acne as well as white spots called Milia. They can appear on face, neck, hands generally first two weeks of baby’s life. Doctors advice using a mild soap and keeping the skin moisturized.

Extreme climate can be harsh on baby’s skin. The skin reacts to dry cold winds in form of dry and scaly patches which become red and itchy. Extreme summers can cause rashes due to sweat. The only way to prevent such problems is to keep baby indoors, warm and hydrated in winter and assure baby wears soft and loose cotton clothing in summers.

Many of us have noticed flaky patches that appear on new born baby’s scalp. Those look like thick yellow secretions. They are known as cradle crap. They are not itchy or painful and heal on their own.

As baby grows, he is introduced to new foods. This is also the time when food allergies began to get recognized. Many times body reacts to an allergen through skin rashes. These are called Hives and may occur any time in child’s life. Avoidance of allergens is the most effective way to deal with food allergies.

A baby needs constant care and supervision. Parents knowledge greatly help in prevention and management of such issues. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2843 people found this helpful

Can we give baby of 5 months anything else than mother feeding? Or we should continue mothers milk till 6 months can you suggest me at what month I should start giving my child juice or any other liquid cereal? Please sugest?

MD - Paediatrics
Pediatrician, Bangalore
Can we give baby of 5 months anything else than mother feeding? Or we should continue mothers milk till 6 months can ...
If your milk is not sufficient then. You can start liquid diet like ragi poridge, rice poridge, boiled vegetable soup, dal water, fruit juices. But see that they are completetly liquid form til 7months. Continue withbreast feeding. You can use powder milk like lactogen, enfamil, similac instead ofmilk. Do not start with cows milk.
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Insulin Like Supplementary Drugs for Hyperglycemia

Homeopath,
Insulin Like Supplementary Drugs for Hyperglycemia

Insulin like supplementary drugs for hyperglycemia
Pramlintide (symlin) is a new type of injectable drug that can help control postprandial hyperglycemia, the sudden increase in blood sugar after a meal. Pramlintide is injected before meals and can help lower blood sugar levels in the 3 hours after meals. Pramlintide is used in addition to insulin for patients who take insulin regularly but still need better blood sugar control. The fda approved this drug in 2005 for adults with type 1 and type 2 diabetes. Pramlintide and insulin are the only two drugs approved for treatment of type 1 diabetes.

Pramlintide is a synthetic form of amylin, a hormone that is related to insulin. Side effects may include nausea, vomiting, abdominal pain, headache, fatigue, and dizziness. Patients with type 1 diabetes have an increased risk of severe low blood sugar (hypoglycemia) that may occur within 3 hours following a pramlintide injection. This drug should not be used if patients have trouble knowing when their blood sugar is low or have slow stomach emptying (gastroparesis).

2 people found this helpful

What food I have to give my 17 month boy baby? Please suggest what foods have protein that I can give to baby.

MBBS, MD
Pediatrician, Gurgaon
What food I have to give my 17 month boy baby? Please suggest what foods have protein that I can give to baby.
Protein is available in milk curd paneer eggs hence you should not worry for it. Mainly is calories. You should give 125gms cereals a day divided in six feeds.
1 person found this helpful
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What Are the Affects of Galactosemia In Infants?

dnb pediatrics
Pediatrician,
What Are the Affects of Galactosemia In Infants?

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. If you wish to discuss about any specific problem, you can consult a Pediatrician.

2575 people found this helpful

How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

cold cough

My daughter has a persistent wet cough since 3 days. But being little kid, she is not able to spit it out. Which medicine/home remedies can be given to her. Is there any way to pass cough via stool/spitting?

BHMS
Homeopath,
My daughter has a persistent wet cough since 3 days. But being little kid, she is not able to spit it out. Which medi...
You can try out ginger ale.but it is better to get her auscultated(checked through a stethoscope) by a general practitioner so that he can give you some mucolytics so that the csputtum will pass out through the stools.meantime also avoid cold food and drinks.
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