Understanding Kids, Child Health, Illness, Treatment, and Doctor

Online Medical Advice

Understanding Kids, Child Health, Illness, Treatment, Doctor - Online Medical Advice: Sep 14, 2007

Dr S K "Pediatrician Online" from Mumbai India.

*Ask your Doc, what is a "concern" for him.. and tell him what is a "concern" for you.
FREE..Ask the Online Expert Doctor!
health illness and treatment advice

CLICK HERE..
Click to make pediatricianonline.in your homepage
Medical Teacher
Guest Book

Make Donations
answered for free in 48 hrs.

Doctor SK, Pediatrician online is on vacation from 03rd May till 16th May 2008

No questions, emails, phone calls will be replied in this period. however they may be accumulated and replies may be posted by 20th May 2008. Sorry for inconvenience. please use blog search fro older articles/ past queries.

old articles: archives

READ CHIKUN GUNYA CLICK HERE UNDERSTANDING CHILDREN - PARENTS, THEIR DISEASE, TREATMENT AND THE DOCTOR! READ CHIKUN GUNYA CLICK HERE ARCHIVES 2005 Managing Fever In Children* METHOD OF ADMINISTERING MEDICINES TO INFANTS * How to console a crying infant?* 3 years but doesnt eat * should i give some outside milk?* four months old; should i stop his breast feeding? * FEED BREAST MILK WHEN YOU ARE AT WORK? HOW TO EXPRESS BREAST MILK; MANUALLY ? * IS MY MILK ENOUGH FOR MY BABY? WHY DOES MY CHILD COUGH ?* ARCHIVES 2006 DO NOT BOTTLE FEED YOUR BABY diet for 1 yr old baby * KNOW MORE ABOUT- chikungunya virus* a six week old newborn eat per day. ? 21/2 month old having cold* what is malnutrition? when should start giving foods(juice,soups * why a baby cries excessively? pediatric pharyngitis TREATMENT* vomiting IN CHILDREN * child losing weight.... what to do* Milestones related to vision or seeing* WHEEEZING / BRONCHIOLITIS* why does my baby get skin rashes?* temp and cold * Pediatric asthma and wheezing in infants and children, symptoms, treatments, inhalors - basic facts for parents: IMPORTANT * SERIOUS SYMPTOMS* feeding query 9 year old * ARCHIVES 2007 bad cough throat pain allergy cold EXCESSIVE DIARRHEA, AND VOMITING Tuberculosis basic advice to patients regarding th... Consumers Prefer Human Touch For Online Health Adv... what is ARI? Pneumonia or acute respiratory infect... HELMINTHIASIS (WORM INFESTATIONS) Human Milk for Human Infants daughter 2 years old. suffereing W... 5 and a half months old her height ...

Friday, September 14, 2007

seven and a half month old baby girl. For the first four monthsI was only breastfeeding her. On the instructions of the peadiatrician

UNDERSTANDING CHILDREN - PARENTS, THEIR DISEASE, TREATMENT AND THE DOCTOR!

Hello,I have a seven and a half month old baby girl. For the first four monthsI was only breastfeeding her. On the instructions of the peadiatrician,I started her on semi solid food like ragi in the fifth month. Slowly Imoved her on to other food stuff and now I give her cerelac in themorning for breakfast, apple juice at around 10:30, rice, potato,carrots and beans all pureed for lunch, again a little cerelac, or alittle bit of banana, or sometimes even 1 marie biscuit mixed withlactogen in the evening at around 4 and then ragi for dinner. • Is this diet adequate for her age? • Can I start introducing other vegetables and fruits? • Most of the above said food is given in a semi solid form. When do Istart introducing solids? She is in the process of teething as she bitesand nibbles a lot. • I want to slowly wean her off by December. Can I give lactogen as asubstitute for breast milk or should I start her on cow’s milk?• After every meal, she brings out a little – sometimes immediately,sometimes after about an hour or so. Is this ok?• How much of water should she have a day? As of now, she has lessthan 3 oz of water. Should I increase her water intake?Another concern that I have is about her sleep pattern. She does notsleep much during the day. When she does sleep, she sleeps only forabout half an hour at a time. It’s like she has got this in builtalarm that wakes her up exactly after half an hour. She now sleeps forabout 2 hours totally during the day. She used to sleep through thenight when she was about four months, but from her fifth month onwards,she started getting up again for her nightly feeds. Now she sleepsreasonably well at night, but she does get up for her nightly feeds atleast 3 times. Because of this we co-sleep.• Should children her age sleep longer during the day? If so how can Ihelp her sleep longer?• Is there anything I can do to make her sleep through out the nightlike she used to in her fourth month?• Is co-sleeping good for her?• Is it too early to for her to sleep in another room?Hoping to hear from you soon.


Answers:

Hello,I have a seven and a half month old baby girl. For the first four monthsI was only breastfeeding her.
======== very good!

On the instructions of the peadiatrician,I started her on semi solid food like ragi in the fifth month.
======== early introduction of solids before 6 months is not recommended as the gut may be immature.


Slowly Imoved her on to other food stuff and now I give her cerelac in the morning for breakfast, apple juice at around 10:30, rice, potato,carrots and beans all pureed for lunch,
======= well the quantity is more important.

again a little cerelac, or alittle bit of banana, or sometimes even 1 marie biscuit mixed withlactogen in the evening at around 4 and then ragi for dinner.
======== how much? little is too little!

• Is this diet adequate for her age?
======== well, children at this age need feeds almost 6-8 times a day

• Can I start introducing other vegetables and fruits?
==== sure, but give adequate quantity of diet and then change the quality.

• Most of the above said food is given in a semi solid form.
========= thats ok till 8 months age.

When do Istart introducing solids?
======= as soon as your baby asks for it, i mena he will start biting... thats the time he should be introduced to solid edibles.

She is in the process of teething as she bitesand nibbles a lot.
====== normal for her age to taste chew and spit.

• I want to slowly wean her off by December.
===== yes by december u can easily get her to normal adult diet. but in half quantity.

Can I give lactogen as asubstitute for breast milk or should I start her on cow’s milk?
===== as far as possible, start on complementary feeding. yopu need not need replacement for milk, just add variety of diet balanced in calorie and proteins.

• After every meal, she brings out a little – sometimes immediately,sometimes after about an hour or so. Is this ok?
===== yes, this is called possetting. this is totally normal. no need to give any meds for this unless the child is facing some other problem due to this. (that is very unusual)

• How much of water should she have a day? As of now, she has lessthan 3 oz of water. Should I increase her water intake?
======= thats enough, you may give frequent water sips between feeds. how about half punce 6 times a day? most her feeds now are semisolid, they contain good water, unless constipated, increase in extra water is not recommended.

Another concern that I have is about her sleep pattern. She does notsleep much during the day. When she does sleep, she sleeps only forabout half an hour at a time.
===== well, that will pas off in 2 months. its normal for age.



It’s like she has got this in builtalarm that wakes her up exactly after half an hour. She now sleeps forabout 2 hours totally during the day. She used to sleep through thenight when she was about four months, but from her fifth month onwards,she started getting up again for her nightly feeds. Now she sleepsreasonably well at night, but she does get up for her nightly feeds atleast 3 times. Because of this we co-sleep.
========= i think co-sleep is a good habit till 1 year age.
her sleep pattern seems normal.

• Should children her age sleep longer during the day?
===== they will sleep if made o but you should not, as she is adjusted to night sleep clock.

If so how can Ihelp her sleep longer?• Is there anything I can do to make her sleep through out the nightlike she used to in her fourth month?
======= sleep reduced naturally after 4 months age.

• Is co-sleeping good for her?
===== yeas.
€¢ Is it too early to for her to sleep in another room?
======= wait for 4 more months.

Hoping to hear from you soon.

===== thank u for ur patience.




www.peditips.com


child health expert pediatrician online from India.
Dr kondekar santosh is a pediatrician, lecturer at G S Medical college from KEM hospital Mumbai, India. He is clinical expert in various childhood illnesses including asthma , cold, allergy and respiratory diseases. he is also a pediatric intensivist at KEM hospital Mumbai. The KEM hospital caters to a vast number of patients from various category and speciality. Dr is exposed to various children suffering from infectious diseases including tuberculosis, pneumonias, malaria , leptospirosis, dengue fever etc and congenital hearts and metabolic diseases.
The PICU at KEM hospital also caters to difficult respiratory cases including ARDS and also to serious infections like tetanus. ACademicians are always welcome to discuss various cases with dr kondekar at paediatric yahoogroup.


Dr Kondekar Santosh venketraman is a MD pediatrician at seth GS medical college and
KEM HOSPITAL MUMBAI INDIA

Ask a Doctor Online

paid service below

see the amazing indian kid below, from hanging garden Mumbai