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Dr. Umesh

Pediatrician, Thane

Dr. Umesh Pediatrician, Thane
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Umesh
Dr. Umesh is an experienced Pediatrician in Dombivali, Thane. Doctor is currently associated with Kamat Hospital in Dombivali, Thane. Book an appointment online with Dr. Umesh on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 38 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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Migraine and Solutions

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi

Ayurvedic Perspective of Migraine and its management

Migraine is one of the worst headaches a person can experience. It is described as a throbbing or pulsating pain that can be on one side of the head. It can begin in a specific area and then spread while it builds in intensity. A migraine is associated with nausea and vomiting. The person will also be sensitive to light, sounds and even certain smells. Sleeping can be difficult and many people become depressed. They can last for a couple of hours or for several days.

Therapies Generally Used.

External treatments along with the internal preparations are very effective in chronic conditions. Panchakarma helps to remove the accumulated toxins and help to strengthen the nerve system. Involvement of other systemic disorders is also taken into account before deciding the treatment protocols.

1. Thala pothichil : Various kinds of paste (grinded mixture of selected herbs in suitable liquid media ) over the forehead / entire head help for the sudden relief from the ache. The preparations help to normalize the hyper action of the nerve cells and regulates the blood circulation towards the brain

2. Thalam : Special herbal powders suitable to reduce the Dosha vitiation, are selected and mixed with suitable liquid media(oils/ghee) and this medicated herbal paste is applied lukewarm over the crown of head (Anatomically over the Bregma point on skull). (Dur 25-45min).

3. Shiro abhyanga : Head Massaging with Oils suitable for the Dosha vitiation, helps to increase the blood circulation towards brain and also helps to relax the spastic muscles on head. Special care is taken to massage the Marmas or the Vital points on head which have marvelous results.

4. Nasya : Nasya (application of herbal preparations through nostrils) is one of the treatments which directly acts on the nerves and removes the toxins accumulated in the sinuses. Mucus lining inside the nostrils are one of the areas where numerous nerve endings are exposed. The medicated oils applied through Nasya directly acts on these nerve endings and help to pacify Vata Dosha in disturbed nerves and control the abnormal impulses gernerated by these nerves. The special preparations used for Nasya drains the mucus deposited in the sinuses thereby the pressure in this area is relieved. The medicinal contents of the oils administered, stimulate the higher centers of brain which have actions on regulation of endocrine, nervous system and circulatory functions.

5. Shiro dhara : Shiro dhara with Takram (medicated butter milk) is also another important therapy which is used to control the vitiated vata kapha doshas localized head.(Dur 25-75min) Other Panchakarma treatments like Vasti (a course of medicated oil and decoction enemas), Virechana (purgation) also helps to put the toxins out from the body.

After the Panchakarma therapies, special preparations called Rasayana (immunoregulatory) is administered. Rasayana preparations improve the immune system further improving the perception of sense organs. Migraine due to other systemic involvement like psychological problems, digestive problems, blood pressure, ophthalmic problems, immune problem, improper menstruation, etc will be relieved when treated according to the specific treatment told for these diseases.

4 people found this helpful

My 18 months baby doesn't eat anything. I have tried variety food as well. Please help me.

BHMS
Homeopath, Faridabad
My 18 months baby doesn't eat anything. I have tried variety food as well. Please help me.
Hello, give him alfalfa tonic, 1 -1 tsp thrice daily. Bc no. 21, 2 tabs thrice daily. Revert after 15 days.
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My one and half year baby got cold and cough since 4 days, I gave ambrodil syrup, laveta M, but it is not reduced, please tell me some medicine.

BHMS
Homeopath, Panchkula
My one and half year baby got cold and cough since 4 days, I gave ambrodil syrup, laveta M, but it is not reduced, pl...
Babies have tendency towards frequent cold n cough; esp this season when there is temperature variation, there is tendency to catch cold and cough. Constitutional Homoeopathic remedy will really help to cure this. Medicines like calcarea, natrum, kali , silicea
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Hello Doctors, My son born on 10th ARR-2016 and the 1st Vaccination done on 20th APR-2016 in his left but now we observed little swelling in his left hand with looking like inside PUSS (Bulging ) and looking as a yellowish color on his left hand. Please request you to suggest on this like is it normal or need to do any actions on the same. Thanks.

Diploma in Child Health (DCH), MBBS
Pediatrician, Pune
Hello Doctors, My son born on 10th ARR-2016 and the 1st Vaccination done on 20th APR-2016 in his left but now we obse...
Hello lybrate-user! as per your history it seems that baby has received bcg vaccination on left arm on deltoid region. It is normal to develop pustule after 4to 6 week which will burst and heal leaving scar mark behind which will remain for life time. If any swelling develops in left axilla (lymph node) or in neck gland swellling then inform your pediatrician.
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Suffering from Chronic Cough - How to Manage it?

MBBS, MD - Internal Medicine
General Physician, Delhi
Suffering from Chronic Cough - How to Manage it?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

  1. Chronic cough with or without sputum.
  2. Fever more in the night time. 
  3. Poor appetite. 
  4. Unintentional weight loss

Read on to know about other common causes of chronic cough and how to manage them.

  1. Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
  2. Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
  3. Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
  4. Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
  5. Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
  6. Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.

The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections were given in right thigh & one in left thigh. I observed that the place where injections had been given in right thigh, got hardened. Please advise us what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections...
Pentavalent vaccine causes local reactions like pain and swelling at the site of injection which usually lasts for 48 hours. You can show to your doctor if doesn't reduce.
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Hi baby is five and half months of age when can I start with semi solid foods. What are the best foods which I can give to my baby.

Doctor of Medicine - Pediatrics
Pediatrician, Agra
Hi baby is five and half months of age when can I start with semi solid foods. What are the best foods which I can gi...
Start when she is 6 month. Home made semisolid easily digestible diets such as khichri, semolina, rice, porridge, mashed potatoes etc can be tried.
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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.

1 person found this helpful

My son is 9 years old and studying in 4th standard. He hates school and home work. Unable to concentrate. Do not enjoy playing or making friends. Very stubborn and angry. Loves watching T V and eating. Psychologist says he is intelligent and highly energetic. Pl help to create interest in studies and sports.

MD
Pediatrician, Indore
Hypertension at 9 yr age is suggestive of physical problem. Do not force him. Try to make freindship with sporty and studious students.
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I want to know my baby is 7months and she had more n more urine n after it she cry for milk. Is their any problem.

BHMS
Homeopath, Bangalore
I want to know my baby is 7months and she had more n more urine n after it she cry for milk. Is their any problem.
There's nothing to worry frequency of urine could b due to cold weather,n moreover kids easily get hungry,take care.. if baby is crying during urination or soon after urination then there might b issue.. this cry is due to hunger so u don't have to wry..
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My son aged 10 years have cough since yesterday. He coughed after 3 minutes one time .I am giving nebulizer treatment with 1.5 ml normal saline and 0.3 ml asthalin respules. Is any other cough syrup required.

MD Pediatrics
Pediatrician, Vadodara
First of all there should be wheeze before giving nebulization asthalin. It should not be given before medical consultation. Kindly visit a pediatrician to rule out urti and lrti or it is just allergic and seasonal.
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My baby is 9 months old and suffering from common cold and cough. Can I use ascoril ls drops for cough.

MD - Paediatrics
Pediatrician, Ranchi
Hello thanks for the query the most common cause of cough and cold in this age is viral infection. With symptomatic management usually symptom subsides. You can give ascoril drops, nasivion pediatric drop will also help in early recovery. The symptoms usually subsides in 3-4 days. The baby should be investigated if symptoms persist for a longer duration. Watch for respiratory distress or decrease oral acceptance if you find any consult your doctor immediately regards.
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My six month baby get injection of dpt. One month ago. Then injected place were hard and red. What I do. One month l.

Pediatrician, Pune
Hardness can persist after dpt injection, will subside in due course of time, can apply local ice application
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My daughter is 8 years old with 50 kg weight. Her skin is also very rough. her prescribed tests are normal. what should we do to reduce her weight?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Jaipur
My daughter is 8 years old with 50 kg weight. Her skin is also very rough. her prescribed tests are normal. what shou...
Healthy diet, avoid oily food, do exercise. Important thing is to visit Dr. For hormonal check up. Hormonal disturbance may b cause behind it.
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My sister's baby girl is having little temperature from last three days and their family were still giving bath to the baby. Today after bath baby was not properly behaving as always. And yesterday baby was also taken out at 5: 00pm. And also during feeding the baby is removing some milk out from her mouth. We visited a doctor today. Doctor said it is usual and gave drops of viral infection. What would you recommend. Any test?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My sister's baby girl is having little temperature from last three days and their family were still giving bath to th...
To recomend any advice, it is necessary to know age, weight and temperature of child and type of change in behaviour. As for removing of milk is concerned, it may be normal.
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My son got an episode of febrile seizure (30sec to 1 min duration) at 18 months. Later, the doctor advised for immediate fever medication and tepid sponging whenever he develops fever. Now, at 21 months, we took him to the hospital because of fever again (no seizure), doctor adviced to give him frisium also whenever he develops fever. Frisium 5m bad as divided doses. I want to know if there are any side effects for frisium and will it effect the extremely active nature of my son.(read online). Also, do febrile seizures cause any permanent problem and will he become more prone to epilepsy later in life? kindly help!

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
A febrile seizure, or febrile convulsion, is an epileptic fit with a high body temperature. There is no serious underlying health issue. Occur 6 months and 5 years. These seizures are very short lasting. Baby is normal after that completely. You are doing well in tepid sponging, also give paracetamol 15mg/kg. Diazepam pediatric suppository may be used at the onset of convulsions, and seizure can be controlled using diazepam iv. Many physicians are also using frisium as a precautionary measure and to alleviate parental anxiety! simple febrile seizures donot need investigations. I agree with Dr. Manu sharma that it is a common problem and settles down after 5 years.
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Ma child is a downsydrome baby of 1 years 5mnth. He started walk frm 1 yr 3mnth. He talks in his language something n all. He plays nicely. He comes to us when we call. Can I know that my child is like a normal child? Can he study in a normal school? Can he be like other children?

DNB (Pediatrics), MBBS
Pediatrician, Mohali
Ma child is a downsydrome baby of 1 years 5mnth. He started walk frm 1 yr 3mnth. He talks in his language something n...
Hi, it seems that your child is passing developmental milestones almost as well as the other babies. This is a good sign, and means that your child can probably go to regular school and be like other children. Get a developmental assessment done at around 2 years by your pediatrician/ a psychologist specializing in down's syndrome, warm regards.
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My son aged 9 years is having fever since yesterday along with loose motions. What medicine can he take?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son aged 9 years is having fever since yesterday along with loose motions. What medicine can he take?
It may due to viral infection. If stool simple loose without mucus and blood, give paracetamol 500 mg 8 hourly, liquid/ water in plenty, ors may be given if he likes. Continue light diet with curd. If condition does not improve or deteriorate, consult doctor.
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My two months baby has watery loose motions. Her weight is 5.80 kg. She breastfeeds. In the night she sometimes she vomits because of cough. What should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My two months baby has watery loose motions. Her weight is 5.80 kg. She breastfeeds. In the night she sometimes she v...
Since her wt is good, motion may not be watering as you think. some time vomiting (regurgitation) may occur with cough. I suppose, cough is not persistent. Continue exclusive breast feeding up to 6 months of age. If you still think, stool is watery, consult pediatrician.
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