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Dr. Rishikesh

MBBS

Pediatrician, Thane

400 at clinic
Dr. Rishikesh MBBS Pediatrician, Thane
400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Rishikesh
Dr. Rishikesh is one of the best Pediatricians in Kaushalya Medical Foundation Trust Hospital, Thane. Doctor is a qualified MBBS . You can visit him/her at Dr. Rishikesh@Bethany hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Rishikesh on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 30 years of experience on Lybrate.com. Find the best Pediatricians online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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Lok Upavan Phase 2, Pokharan Road Landmark : Near Blue Star Company.Thane Get Directions
400 at clinic
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HI Can kids use sunscreen. My daughter is 28 months old & she gets tanned easily because of her sensitive skin. Please suggest a best sunscreen for her face and body both.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Use sunscreens with at least 15 or 25 spf half an hour before leaving the house and reapply again every 3 to 4 hours.
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I am there, I hv 1yr 8 months old daughter. I want to stop breastfeeding. Can you suggest me some tips.

C.S.C, D.C.H, M.B.B.S
General Physician,
Though she may cry for a few days you simply refuse to give her and let someone else make her sleep. There is no medicines to stop feeding.
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My mom 37years old she is suffering from typhoid fever please say some tips for my mom health.

C.S.C, D.C.H, M.B.B.S
General Physician,
Typhoid is fully curable with antibiotic and she needs to take only good food and no special tip is needed
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My daughter age is 7 years. Since one month, pus is discharging from her left ear with bad smell. Already consulted an E.N.T. Specialist. He suggested to use candid ear dropsfor 10 days. But invain.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Aurangabad
Hello, Probably your daughter is having a fungal infection of the outer ear . If she is not responding to Candid ear drops , then she may require an examination of ear under microscope ( called otomicroscopy ) and suction clearance. This will help in faster healing as well as a confirmed diagnosis / to rule out any other ear pathology.
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Hi, My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body which are increasing day by day. Please suggest the line of treatment. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body whi...
Neurofibromatosis type 1 (NF1), also called von Recklinghausen's disease, is a rare genetic disorder characterized by the development of multiple noncancerous (benign) tumors of nerves and skin (neurofibromas) and areas of abnormally decreased or increased coloration (hypo- or hyperpigmentation) of the skin. Areas of abnormal pigmentation typically include pale tan or light brown discolorations (cafe-au-lait spots) on the skin of the trunk and other regions as well as freckling, particularly under the arms (axillary) and in the groin (inguinal) area. Such abnormalities of skin pigmentation are often evident by one year of age and tend to increase in size and number over time. At birth or early childhood, affected individuals may have relatively large benign tumors that consist of bundles of nerves (plexiform neurofibromas). Individuals with NF1 may also develop benign tumor-like nodules of the colored regions of the eyes (Lisch nodules) or tumors of the optic nerves (second cranial nerves), which transmit nerve impulses from the innermost, nerve-rich membrane of the eyes (retinas) to the brain. People with neurofibromatosis type 1 may undergo surgery to remove particularly troublesome tumors. Physical therapy may be beneficial for some people. A variety of orthopedic devices may help to improve mobility in some cases. Other treatment is symptomatic and supportive. Genetic counseling will be of benefit for people with neurofibromatosis type 1 and their families.
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My 3.5 month old baby start drool a lot and also chew anything every time. I think he is teething. Can I give calcarea phos to him.

Pediatrician, Mumbai
Drooling is normal so is mouthing it doesn't require any medications. Calcarea being a homeopathic medication I cannot comment on it.
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My daughter aged 14 years is type 1 diabetic diagnosed recently. She is taking insulin injections 3 to 4 times a day. Her hands and thighs are all full of injections pricks. Swelling has started now on the places where we try to give injections. Kindly suggest.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You can give insulin injection on the abdomen. You have to rotate the site of injection to avoid swelling. Suppose you give today on left top, tomorrow right top, then right down & so on.
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My son is getting cold and cough continuously from 6 months homeopathy medicines are given but not reduced. And their is swelling inside the throat?

Diploma in Child Health (DCH), MBBS
Pediatrician, Navi Mumbai
My son is getting cold and cough continuously from 6 months homeopathy medicines are given but not reduced. And their...
Good evening. Most likely he is having tonsillitis which would require proper course of antibiotics along with warm saline gargles and avoiding cold drinks, ice creams, products like wafers, kurkure, cheese balls etc.
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I am suffering from fever and cough and my weight is very low so I feel very weak and my height is also very low.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am suffering from fever and cough and my weight is very low so I feel very weak and my height is also very low.
Would you please mention your age, height, weight and duration of illness and any other associated symptoms. It is not clear whether you seek advice for all three conditions or for fever and cough only. Please clarify. If you are an adult, I may not be helpful to you.
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Hi doctor this is seven. I have a daughter of 5 months. White bleeding is happening to her from her birth onwards that is of low bleeding but every day is happening still now. She born with low weight of 2 kg and 25 days before my expected delivery dat due to my high bp. Can you tell me why that white bleeding happening to my 5 months baby.

BHMS
Homeopath, Faridabad
Hi doctor this is seven. I have a daughter of 5 months. White bleeding is happening to her from her birth onwards tha...
Hi, in the first few weeks, you may notice that your baby's genitals are swollen and red, or that she has a clear, white, or slightly bloody discharge from her vagina. This is normal. It happens because she was exposed to your hormones when she was in your womb (uterus). If you want, you can consult a paediatrician to know more about it.
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My child is 14 months old, we are living in Banglore, he is frequently down with cough, cold & fever. Starts vomiting & some times loose motions Doctors say it is throat congestion chest is clear

MD PULMONARY, DTCD
Pulmonologist, Faridabad
If problem is very frequent, then get his immune status assessed. Can try zifi dt 100 twice/day for 5 days
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My 11 months boy baby is doing excess vomiting and loose motion watery type from last 2 days. But now he is doing better, what may be reason and suggest some prescription.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
My 11 months boy baby is doing excess vomiting and loose motion watery type from last 2 days. But now he is doing bet...
He might be harboring some gut infection, what is the frequency? if not controlled you have to give him medication.
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“Look, Mom! I Have a Loose Tooth!

BDS
Dentist, Mumbai
“Look, Mom! I Have a Loose Tooth!
It’s a pretty special moment when your child runs to you for the first time and tells you their tooth is loose. For a child, loose teeth means that they’ll be a big kid soon. For parents, it means their little one is growing up fast…maybe a little too fast. So what should you do when your child comes to you with the exciting news? Here are the things every parent should know about losing that first tooth.

When do kids start losing their baby teeth?
Children will lose their first tooth around age 6. They’ll continue to lose 3–4 teeth per year until they have lost all 20 of their baby teeth by about age 12.

Which teeth fall out first?
Baby teeth usually fall out in the order they came in. The front bottom teeth are often the first to go. The last teeth to fall out are usually the big molars in the back of the mouth.

Does losing a tooth hurt?
Losing a tooth shouldn’t hurt very much. If it is very painful, it probably means that your child is trying to pull a tooth that’s not quite ready to come out. If the pain gets bad, you can put an over-the-counter, pain-relieving gel on the gum surrounding the tooth. Make sure it’s for children, and don’t use it too much or too often.

Should I pull a loose tooth?
The short answer is no. It can tear the gum tissue around the tooth and cause injury. Allow your child to gently wiggle their tooth. But tell them they should let a tooth fall out on its own.

What happens if my child swallows their tooth?
Nothing, really. Accidentally swallowing a tooth isn’t a big deal. It will simply pass through the body.

Will there be a lot of blood when my child loses their tooth?
There shouldn’t be very much blood at all. When there is a lot of blood, it is usually caused by forcing a tooth out before it is ready. To stop bleeding, have your child bite down on gauze, cotton ball or a clean cloth until the bleeding slows.

When do permanent teeth start to grow in?
Usually it takes a few weeks for the permanent tooth to begin to poke through. It will take a few months more for the tooth to fully grow in.

What to do when i see a permanent tooth erupting before the baby tooth has fallen out?
You need to visit your dentist and get a examination done for your child. In some cases it may be advisable to remove the baby tooth to make way for the permanent one.
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I am suffering from dry cough for the last 2 days and I have a chest pain whenever I cough hard. Can you suggest what should be done.

BHMS
Homeopath, Faridabad
I am suffering from dry cough for the last 2 days and I have a chest pain whenever I cough hard. Can you suggest what...
Hello, take Senega pentarken , 2 tabs thrice daily. Alpha CC , 2 tabs twice daily . Alpha COff , 2 tsp ,with hot water,thrice daily. Revert me after 7 days.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
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5 Common Mistakes People Make While Brushing And how to fix them.

BDS, FICOI, MDS
Dentist, Mumbai
5 Common Mistakes People Make While Brushing And how to fix them.

Dentistry is not expensive, neglect is! brushing is an activity that has been embedded in our systems since time immemorial. It's an exercise you start and end your day with, a routine that can sometimes pass by almost subconsciously, leading to bad habits and ultimately poor oral health and hygiene.

Here are a few mistakes people commonly make when brushing their teeth.

Not using the proper toothbrush

The biggest myth of our time is to buy a medium or hard tooth brush to clean more effectively that's what causes the maximum damage over the years by wearing off healthy natural teeth with overzealous care.

Using an anti-sensitivity/whitening toothpaste permanently

A common mistake is to use a medicated tooth paste meant to mask sensitivity over a prolonged period. Such a practice only masks the symptom does not treat the problem and also leaves you vulnerable to cavities, gum disease and bad breath since the predominant component in such a tooth paste is for treating sensitivity or lightening tooth color.

The type of toothpaste that you use doesn't matter very significantly as long as you use the right amount and twice a day.

Sensitive toothpastes are meant to be used for a prescribed period of time and whitening toothpastes must be used under supervision to prevent any potential damage to your teeth.

Toothpaste must protect your teeth and gums both so a combination of paste that contains fluoride that protects your teeth from decay -and the gel based part has the antibacterial properties to prevent gum disease and bad breath.

Brushing too quickly or too many times

Most of us hate going to the dentist and find brushing an easier alternative but you cant exactly brush off old cavities just prevent new ones.

See to it that you do not brush your teeth more than twice in a day. Excessive brushing can damage your gums and enamel. It will not take a lot of pressure to remove the plaque; hence most dental practitioners suggest brushing using a very balanced pressure.

Studies show that brushing two times a day and about 2-3 minutes every time is perfect to maintain good oral hygiene. Most people make the mistake of falling short of this duration every time they brush. You can ideally divide the mouth in four sections and approximately spend around 30-40 seconds on each section.

Incorrect brushing technique

The strokes while brushing your teeth must be vertical and not horizontal. Many people are habituated with performing long horizontal brushing strokes; this leads to irritation and damage.

Learn the right technique

Hold your brush at an angle of 45 degrees to your gums and brush your gums and teeth with an up and down motion and short strokes. Don't use side to side strokes. Also, start brushing on areas that you have been ignoring till now, reach the difficult to reach inner portion of your teeth. Implement it as a daily ritual and you will attain perfection in it.

Wrestling or brushing

Hard brushing damages the gums and is not good for you. Excessive brushing i. E. Brushing more than 3-4 times is also bad for you. You must always observe a balance in brushing which keeps your dental health healthy.

Fix 

Since unlearning a bad brushing habit maybe harder the easier solution is to switch from a manual to an automatic brush. Going automatic by using a battery operated brush is recommended since it takes the guesswork out of brushing.

It may take a while to get adjusted to but like so many other things which are designed to make life easier automatic brushes make dental hygiene very easy and can even reduce the frequency of your dental visits.

Supplement your brushing 

Of course, brushing your teeth is only a part of a complete dental care routine. Mouth wash twice a day. You should always rinse your mouth and keep it cleaned; otherwise, the germs from the teeth will stay on.

Clean between teeth daily with floss. Tooth decay-causing bacteria still linger between teeth where toothbrush bristles can't reach. This helps remove plaque and food particles from between the teeth and under the gum line. Eat a balanced diet and limit between-meal snacks. Visit your dentist regularly for professional cleanings and oral exams. Got some questions? ask us comment below; we will answer as soon as possible.

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These details are my son. He is 6.5 years old. At the time of night when he sleeps his nose get blocked and he face problem in breathing and feel uncomfortable so please help me.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
you must do" x-ray soft tissue neck for adenoids" after showing your baby to ent specialist. This needs attention asap as snoring has many adverse outcomes. Regards">this is acondition known as" adenoid hypertrophy" --> you must do" x-ray soft tissue neck for adenoids" after showing your baby to ent specialist. This needs attention asap as snoring has many adverse outcomes. Regards.
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Kal morning school jate time van me vomiting hua. Night me phir vomiting hua. Night me disentry (pechise) 3 timekya krun age - 5 year boy. Eating me intrest nahi hai. Biskit Khaya tha rat me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine------------ halarrhena-antidysentrica q (wilmar schwabe india) drink 5 dropin 1 spoon fresh water 4 timesdaily every 4 hrly--------------------------- nux-vomica 30 (wilmar schwabe india) drink 2 drop in 1 spoon fresh water twice daily for 5 days.
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My daughter is 5 years old. She was hospitalised last 15 days ao with a digonose of UTI with mild fever. Now the fever is back again with vomiting. In fever only head got rise thw temp. Legs and hands get cold. When fever comes it is coming with bone severing cold.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear parent the child may have uti again but it canbe some other infection too so along with urine test get her cbc also if it's ito get sonogram also kub.
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I am a new mommy of 43 days old baby girl. I breastfeed my baby daily but there is a lack of milk some times. At that time as per doctor's suggestion powder milk is giving to her. But today her stool is seen as green in colour. Is some thing wrong with her? As a new mom an in tension with this. What may be the reason for that green colour? Did I get in to a hospital soon with my baby?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am a new mommy of 43 days old baby girl. I breastfeed my baby daily but there is a lack of milk some times. At that...
It is the result of powdered milk and it should not be given in bottle. You take Lactare for increasing milk and if you do only breastfeed the baby's motion will be normal. If at all you give other milks prepare exactly as per the instruction and feed it with sepon or filler not bottle.
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