Understanding Kids, Child Health, Illness, Treatment, Doctor - Online Medical Advice

21 month old.She weighs 9kg. not eating. rocking behaviour, masturbation like action- Pediatricianon

2008-05-16T09:42:00.001+05:30

My daughter is 21 month old.She weighs 9kg.From last 15 says she has totally stopped intake of milk,dalia,vegetables etc.She is only eating namkeen suji and at times eats biscuits etc.Though she has always been fussy about food but still she used to eat in tits and bits.I am very worried for her,how will she get calcium,vitamins,minerals etc.if she continues ea ting Suji.I have tried making Suji in various forms,like with sugar and milk or with vegetables,but she is refusing to eat except plain salty Suji.Otherwise she is a very active child.I am really worried for my child and her health.What supplements can I give her.Consulted many Drs.,they say keep on trying and prescribed some tonics,but no improvemnet.
> From last 4,5 months she rubs herself on bed or in my lap(Masturbates).I am worried and shocked to see her doing so,she continues to do so for hrs.and if I try to divert her she starts throwing tantrum.Some drs.say its normal.Kindly let me know how to make her eat and get her rid of rubbing herelf.
> Pl.Pl.help me out,I am very worried for my little one.
>

My daughter is 21 month old.She weighs 9kg.
====== thats little less. plot her serial weight on growth charts. if she is gradually falloing down on lower curves or below.. surely she is failing to thrive.

From last 15 says she has totally stopped intake of milk,dalia,vegetables etc.She is only eating namkeen suji and at times eats biscuits etc.
==== this happens with underlying throat infections which may get otherwise unnoticed. It may a case as simple as adenoiditis or tonsillitis. In all these intake gets reduced child remaining active.

Though she has always been fussy about food but still she used to eat in tits and bits.I am very worried for her,how will she get calcium,vitamins,minerals etc.if she continues ea ting Suji.
==== you may need to add supplements for time being.

I have tried making Suji in various forms,like with sugar and milk or with vegetables,but she is refusing to eat except plain salty Suji.
=== add soups of vegetables and fruits... to suji.
its also time for switching over to salty namkeen solids like chips, dhoklas, theplas etc

Otherwise she is a very active child.I am really worried for my child and her health.What supplements can I give her.
==== first improve her intake. add calorie rich foods like ragi, soya, sago.. make soups, porridge, pappads, snacks and what not with these.
improve water intake. if she doesnt take one, try again daily and may be after a week change to another. get adjusted to what she likes.

Consulted many Drs.,they say keep on trying and prescribed some tonics,but no improvemnet.
=== tonic preferably should contain minerals and vitamins and also iron calcium. some decongestants may help for adenoids. insist for twice daily cleaning of teeth and mouth and also 3 times a day gargling. improving oral health will improve intake.

> From last 4,5 months she rubs herself on bed or in my lap(Masturbates).I am worried and shocked to see her doing so,she continues to do so for hrs.and if I try to divert her she starts throwing tantrum.Some drs.say its normal.Kindly let me know how to make her eat and get her rid of rubbing herelf.
===== this is a rocking behaviour, unless you find it a persistant one, not to worry. just talk to her, repeatedly counsel her that she should not do it. try this.. Just say " baby dont do this, mamam doesnt like it, its not a good habit" 10-12 times when she is doing this. for regularly a week. see the change.

> Pl.Pl.help me out,I am very worried for my little one.

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** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics

> > Please be brief and avoid too many medical terms My daughter is 21 month old.She weighs 9kg.From last 15 says she has totally stopped intake of milk,dalia,vegetables etc.She is only eating namkeen suji and at times eats biscuits etc.Though she has always been fussy about food but still she used to eat in tits and bits.I am very worried for her,how will she get calcium,vitamins,minerals etc.if she continues ea ting Suji.I have tried making Suji in various forms,like with sugar and milk or with vegetables,but she is refusing to eat except plain salty Suji.Otherwise she is a very active child.I am really worried for my child and her health.What supplements can I give her.Consulted many Drs.,they say keep on trying and prescribed some tonics,but no improvemnet.
> From last 4,5 months she rubs herself on bed or in my lap(Masturbates).I am worried and shocked to see her doing so,she continues to do so for hrs.and if I try to divert her she starts throwing tantrum.Some drs.say its normal.Kindly let me know how to make her eat and get her rid of rubbing herelf.
> Pl.Pl.help me out,I am very worried for my little one.
>

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RE: Online Health Advice - Pediatricianonline baby was born on friday and started convulsing on t

2008-05-10T08:20:00.001+05:30

the baby was born on friday and started convulsing on the next day saturday. we are worried what the cause is and what the will be the impactmon the baby. she cannot feed on her own.
>
a doctor who has examined him for some neurological signs will be able to tell what extent brain may have been damaged. its very difficult to predict the extent of future of probable brain damage at early age before 3-4 months.
well, convulsions can be due to many other factors than brain damage. we call them metabolic seizures. if tackled and responded properly most of the metabolic seizures may not cause any brain damage.
it can be as simple and a common cause as low calcium. but it is crucial to look for any evidence of brain damage or neurological signs and may be evaluate for same and if required start with early intervention therapies.not able to feed on her own, may be a sign of being on medicines for seizures or brain damage or any other serious event. discuss this with your doctor in details.

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> the baby was born on friday and started convulsing on the next day saturday. we are worried what the cause is and what the will be the impactmon the baby. she cannot feed on her own.
>
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my son is teo years old and four months he only speaks simple words like mama and dad. do you think

2008-05-10T07:54:00.001+05:30

my son is two years old and four months he only speaks simple words like mama and dad. do you think this is autism?
>

Autism is a brain development disorder that impairs social interaction and communication, and causes restricted and repetitive behavior, all starting before a child is three years old

speech delay doesnt necessarily mean autism. somple speech delay can be commonly because of lack of speech or hearing stimulus.

Autism is distinguished by a pattern of symptoms rather than one single symptom. The main characteristics are impairments in social interaction, impairments in communication, restricted interests and repetitive behavior.
visit http://en.wikipedia.org/wiki/Childhood_Autism_Rating_Scale

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> >
> Please be brief and avoid too many medical terms my son is teo years old and four months he only speaks simple words like mama and dad. do you think this is autism?
>
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RE: Online Health Advice - Pediatricianonline feeding advice 6 month old queries

2008-04-29T17:22:00.002+05:30

DR Kondekar wrote:

5-6 months old, has less appitite and avoids lot of times drinking from mother's breast.

====== his requirements of speed of milk intake is more, as breast may have good quantity milk and if the infant cant get good quanitity in short time, he may show such upsetness with breast. if you feed the same mother milk with a spoon the child may ahve better acceptability. if the child refuses any feeds and cannot take any feed for 12 hours, it may be medical emrgency.

Her stools is grassy green in color and liquidish and some times some red thread like items are seen in her stools.

====== better get the stools tested. grassy green may be normal for age sometimes and do change with dietary variations. when to worry about diarrhea pls read more at http://www.rehydrate.org/

Doc sometime bak had given xymex syrup, could you kindly advice why is it like this and what is xymex syrup is used for ,
--------- its more likely a multivitamin/ digestive supplement.

after few days...

The girl baby is 6.5 months. She was 2.5kg at birth.
======== well, at this age, there is no hurry for cereals, you should just be starting.

As mentioned earlier sometime back she started refusing breast milk.
====== its common at this age as appetite improves.. the speed of milk from breast may be inadequate. so its frustrationg.. hence leaves the breast.

And after few days again she accepted breast milk.
======= good, she got else feeds to satisfy her speed.. and breast as she liked it most.

During that time this was the pattern of feeding daily

started giving ragi+rice +wheat (all three powder mixed- 1.5 spoon) diluted in hot water and then given once daily morning.. good !

cerelac 2 times 1.5 spoon again in water 2 times in a day ok!

cow milk 30-40ml once or twice when she refused breast milk avoid! or keep least .. replace with soup or rice kanji

Also during the time we noticed red boil on hands and legs which lasts sometimes for 3 days and reoccurs in different places. She passing motion every 3-4 days once ============ well, may be some kind of rash.. if its gone.. forget it.

Then this saturday ( 25.4.08) she started vomitting and crying continuously for about 3 hours.
======== i feel its related to constipation, but it can still be due to nose block or throat infection.. sometimes due to gastritis/reflux. not to label it as indigestion.

Then when we consulted the doctor he mentioned that it is indigestion. But this trend worries us. Doctor said give lactogen, couple of others (non-doctors) said give cerelac. Some also mentioned that cerelac is not good. We are sort of confused here.
========= well, doesnt practically make much difference in a healthy child. its after all an alternative to feed.. and should only be used as transition from milk to diet.

Now since saturday we stopped giving cow's milk and feeding breast milk whenever she accepts plus rice Kanji ( liquidy broken rice preparation) 3-4 times+cerelac 1 or 2 times in liquid form.
===== thats good, but donot give the formulas in liquid form. follow the dilution recommended on box. if you feel like.. give intermittent water sips between spoons.

What we would like here to know is what is the correct pattern of feeding and what would you suggest feeding the baby with. Can we give bonison or gripe water 4 digestion
======= avoid. read complementary feeding at my site.

Sorry to bother you but, all these issues to new to us.== true.. you are welcome.

Awaiting your advice.

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** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics
Dear DR Kondekar

With reference to the below mentioned earlier mail and with your very much appreciated reply, please find more details about the baby.

The girl baby is 6.5 months. She was 2.5kg at birth.

As mentioned earlier sometime back she started refusing breast milk. And after few days again she accepted breast milk. During that time this was the pattern of feeding daily

started giving ragi+rice +wheat (all three powder mixed- 1.5 spoon) diluted in hot water and then given once daily morning
cerelac 2 times 1.5 spoon again in water 2 times in a day
cow milk 30-40ml once or twice when she refused breast milk
Also during the time we noticed red boil on hands and legs which lasts sometimes for 3 days and reoccurs in different places. She passing motion every 3-4 days once

Then this saturday ( 25.4.08) she started vomitting and crying continuously for about 3 hours. Then when we consulted the doctor he mentioned that it is indigestion. But this trend worries us. Doctor said give lactogen, couple of others (non-doctors) said give cerelac. Some also mentioned that cerelac is not good. We are sort of confused here.

Now since saturday we stopped giving cow's milk and feeding breast milk whenever she accepts plus rice Kanji ( liquidy broken rice preparation) 3-4 times+cerelac 1 or 2 times in liquid form.

What we would like here to know is what is the correct pattern of feeding and what would you suggest feeding the baby with. Can we give bonison or gripe water 4 digestion

Sorry to bother you but, all these issues to new to us.

Awaiting your advice.

thanks in advance

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** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics

>my friends baby which is 5-6 months old, has less appitite and avoids lot of times drinking from mother's breast. Her stools is grassy green in color and liquidish and some times some red thread like items are seen in her stools. Doc sometime bak had given xymex syrup, could you kindly advice why is it like this and what is xymex syrup is used for , thanks in advance
>
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sore throat or throat infection RE: Online Health Advice - Pediatricianonline (bri ross)

2008-04-20T11:23:00.001+05:30

my 4yr. old daughter weighs approx. 38lbs. and is on amoxicillin for strep throat. what is the proper dosage? the bottle is labeled 400/5ml.
its always important to get the dosages and duration of drugs cleared from your doctor while leaving his consulting room. the doctor may change the dosage and duration depending on the diagnosis and his subjective judgment of severity and worry for side effects in most cases.
Amoxicillin given for strept throat should preferably given for 10 days as inadequate duration therapy may not clear the strepts completely. the usually dose is 30 to 80 mg per kg body weight per day divided in 3-4 doses. 400/5ml means 400mg in 5 ml. for a child of say 20 kg weight given with dose of 40 mg/kg/day, total dose will be 800mg, or may be around 200mg 4 times a day that is with this preparation it will be 2.5ml 4 times a day.
please read the article on sore throat or throat infection at www.pediatricianonline.in

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my 4yr. old daughter weighs approx. 38lbs. and is on amoxicillin for strep throat. what is the proper dosage? the bottle is labeled 400/5ml.
>
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ITP RE: Online Health Advice - Pediatricianonline

2008-04-20T10:59:00.001+05:30

I have seven years child who is now affected on ITP. I am trying to best treatment on our country prospects. But on our resident doctor suggest to take her abroad. In that situation i would like to take my patient on your hospital. If you need any kind of information regarding me or my patient then do not hesitate to contact with me.

one thing u may know about ITP is that it cant be elliminated from roots, it may be recurrent, it may stop on its own. may present with recurrent petichae. Accurate diagnosis is important as many diseases can cause petichae like this. The diagnosis is confirmed usually by absence or very small spleen and bone marrow showing normal thus ruling out most malignant situations.
ITP can cause serious morbidities following bleeding in brain.
Transfusion with platelets are not recommended as it may make the spleen over act worsening the situation. Rather the newer therapies like intravenous immunogobulin or oral or IV steroids including methyprednisolone may reduce or control the disease causing rise in platelet counts. your doctors may speak to me on phone at my site.

feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in

>
> Please be brief and avoid too many medical terms I have seven years child who is now affected on ITP. I am trying to best treatment on our country prospects. But on our resident doctor suggest to take her abroad. In that situation i would like to take my patient on your hospital. If you need any kind of information regarding me or my patient then do not hesitate to contact with me.
>

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Is it fine to drink ice cold when catching some colds? RE: Online Health Advice - Pediatricianonline

2008-04-20T10:41:00.001+05:30

Is it fine to drink ice cold when catching some colds?

practically ice causes congestion of vessels.. eventually blood supply to nose gets reduced and cold secretions and runny nose may get halted for some time. but sooner as effect weans off, it will cause rebound excess of secretion after minutes.
In addition , patients who show hypersensitivity (allergy) to cold, may get their cold aggrevated.
cold in addition promoted growth of viruses causing cold.
so its not prudent to have ice during cold, however one may have ice cream when its melted, definitely after medical consultation.

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>Is it fine to drink ice cold when catching some colds?
>
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RE: Online Health Advice - Pediatricianonline my 9 month old baby suffering with loose motion or diarrea pls give me the causes or remedied for it

2008-04-18T17:07:00.002+05:30

my 9 month old baby suffering with loose motion or diarrea pls give me the causes or remedied for it

it all depends on what type of loose motions.
if watery motions in spurts (not too much quantity), it may be a sign of colitis,
if there are watery or greenish watery purges.. it may be a sign of enteritis.
in enterocloitis, we see a mix of these.

all above is applicable for acute diarrhea in otherwise healthy child.
commonly diarrheA at this age is caused by viruses mainly rotaviruses. other viruses are like norwalk and other enteroviruses.
bacterial infections are commonly caused by E. coli and shigella.

dysentery is diarrhea with mucus or blood in stools. stools may be foul smelling in bacterial dystentery. Amebic dysentery and giardiasis are prtozoal infection. giardiasis has bulky yellow stools, amebiasis may have dysentery or anchovy sauce coloured stools.

all above descrption is highly subjective and vary from experts to experts.

Each may have different specific treatment, but one common aim and treatment.
AIM:reduction of diarrhea and prevention and treatment of dehydration
please read www.rehydrate.org for more info on dehydration and Oral rehydration solutions, like electral, punarjal, saltw ater, lemon water etc to be taken under medical guidance as they need to be prepared cautiously.

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ask your doctor a "contingency prescription"

2008-04-17T00:31:00.004+05:30

what is a contingency prescription?

Its very often possible that you as parent go to a doctor for a patient or kid, and get a prescription; in a day or two you may find no relief or may find some new problem.. so you like to see the doc again .. and it may take 2 days more for the next appointments. you may not wish to go to ER, as you may not find it that emergent enough, or the ER doc may not find this situation emergency enough. so worry worry worry till nest doc visit, or search on web for online medical advice.. may be this si how you are on this site at present.

all this can be avoided for sure, if you ask your doc a " contingency prescription" in the fist visit itself.

its your right to ask for it.

contingency prescription is one which a doctor may give you in advance anticipating some complication or side effect or nonrecovery from illness or no response to meds. However rare this situation may be, having an SOS presription in hand will make a parent most comfortable, for then you know exactly what may happen and what may be done.

doctor can modify his contingency instruction.. just by adding "one more extra dose or a less dose" or "an alternative drug if some problem arises" or by adding new drug which may help in the possible hypothetical situation.

Or he may write a fresh instruction or presciption saying:
"if this- give this in this manner,"
Or "if this, go to ER".

for knowing more about danger / serious symptoms, select from dropdown menu.

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

http://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, online pediatrician mumbai India.

Disclaimer: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be comnpleted unless he/she had personally examined the patient through professional consultation. However this site will help you understand problems, descrpancies and clarify doubts, and misunderstandings; and will discuss various therapy options in given hypothetical situations.

some short questions and answers: child health

2008-02-28T17:25:00.002+05:30

varshas a1 year old ands 8*5 kgs wgt.giving her 150ml pediasure twice in morng and nght,paruppu sadam at 9,sago,boiledrice,oatskanjiat noon,fruits or cerelac5scoops as brunch,sometimes biscuitat dusk,dalrice at 7pm.shes apicky eater.suggest some diet >

======= replace pediasure by cereal diet . add some sago / ragi kanji to the diet. improve quantity of overcooked rice.

my age is 22 and i live in Pakistan.1st of All i m really glad to find this website so that i can share my problem internationally,I have been trying since last three years to find the way on internet so that i can discuss my problem and atlast i found this website.> so,My problem is of right hip pain since last 4 years due to which i lost two years of my educational career,I had a slight pain in my hip 4 years ago which i didn't take serious ,but as the days passed the pain increased then i was attacked by typhoid fever for the first time in my life and that took me to the bed and i was unable to walk for which i was admitted in hospital and was given high anti biotic called Rociphen Inj. which stabled my fever but then doctors were concerned about my hip pain.they performed many tests such as different type of Blood tests and Urine tests and also They did My BONE MARROW test from which different doctors were presenting different diagnosis,but at Last 2 years ago in 2005 on the result of MRI they diagnosed as Bone TB and i started to take anti TB drugs and i took those for 19 months but i am still having problem but now at the end they suggessted HIP replacement.Now i want to ask is it better for me to do a hip replacement.I am still using Pain Killer everyday since last 4 years.due to which i feel a bit comfortable but still i can't walk without support.So Please suggest me what should i do.I am very much concerned about my education and i want to have a bright future.>

if you have been treated for tuberculosis of hip joint and if there is significant joint destruction, and if the sugery is adviced by an orthopedic specialist, and if it is feasible for your heath, i recommend, the hip replacement may solve your problem to a great extent.in addition, discuss with your do regarding post surgery problems movements and rehabilitation.

my son 4 months old, he does 6-7times a day, sometimes yellow sometimes brown some times,sometimes mucus will also be there> ,he is taking mother feeding and nestrum rice(three times a day) After eating medcine he will recover after two days he starts same as before.> today it was green colour.kindly help me.Thanks.
if t were about loose motions, it may most likely related to arly introduction of rice based feeds

my daughter is 11 year old now hair is growing on her vagina. i want ot know what she should use to remove hair as per medical term ( raser or some hair remover) kindly suggest>
some anount of hairs are healthy, they need to be daily washed. i wont suggets any action to remove them at ths age.

My 11 months old son have no interest in any food other than breastmilk.He is 9 kg now.his birth weight is 3.75kg.He refuses to take cereal,bread,rice, bottle foods,egg meat or water.I stared giving he semi solids at 5 months he used to take little food at his 7 & 8 th month but stoped taking any thing.Im really worried.will this affect his growth and brain developement.I take so much time to feed him but refuses.I dont forcefully and feed because he crys a lot and at the end vomits.he is other wise active and playfull.> He had recurrent fever after 4th month diagnosed as uti and curcumsition done at 6 1/2 months.his throut is ok.Please help me.>
a new diet item when added should be added gradually in very small quantity as small as a spoon, in more and increasing frequency, like 1 spoon per hour. well, in weeks there will be acceptance.throat infections make intake of solids uncomfortable. so its prefered to give liquid or semisolid like soups and porridge for temorary phase.give the child some edibles to chew when he is teething.ghee, curds and butter slice may be better options.

i'm raising my granson who is 2 and half yrs,my daughter whilst pregnant drank alcohol,my grandson sufferers contantly of watery bowel movements as she caused this by her drinking?>
alcohol intake during pregnancy affects fetal growth of brain and heart. loose motions may have diferent reason. i ned more info on motions to give accurate reasoning for loose motions.

my daughter is one yearnow....i request u to prescribe a healthy diet for her... she is 9 kgs now...is too much non veg dangerous... she likes fish very much and takes plenty of them... pls help me with a balanced diet....
fish is good unless allergic. there is no restriction on fat in cildren below 5 year age. a diet shet may be found at my site. details can be modified only if i know the daily eating items and quantity of you kid. uncooked or partly cooked nonveg is dangerous.

My daughter has had two periods and does lots of vigorous excercise like swim team and running. It has been 6 months now and she hasn't had another one yet. Sometimes she says she has small flashes of abdominal pain. Is something wrong?>
the commonest reason for missing periods is pregnancy, how ever unacceptable it may be.please visit a doctor for pregnancy test.uncommonly oligomenorhea is another condition when blood flow is least. both require urgent medical attention at this age.

My baby is only 7 months and she has constant constipation. now the constipation is gone and her normal stool has blood in it. what does thst mean.>
please read constipation at my site.presence of blood in stools can be streaky or splash in pan. streaky blood may be seen in constipation or in dysentery, good amount of blood is sen in piles which may be unusual at this age.its must to get stool tested for blood, and shown to a pediatrician.

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

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the request for a diet chart(vegetarian)for my 2 1/2 yr old baby.she is prone 2 cold very often (

2008-02-01T13:02:00.001+05:30

hello sir,previously i made a query 2 u,it is regarding the request for a diet chart(vegetarian)for my 2 1/2 yr old baby.she is prone 2 cold very often.n sometimes vomits after i finish her feeding n it is usually a bit sticky.i do request u for a diet chart 2 increase her immunity n complete nutrition.her wt is 13 kgs now birth wt is 2.75kgs n present ht is 1 mt.so far she is gd in her behaviour,sleep paterns,n active 2.but the qty of food which she takes in is less compared 2 her age kids.n as v r nuclear family i do not hav any help in this regard.v r frm karnataka n now stay in singapore.
> thank u in advance.
> regards

Answer:

your anxiety may be a concern for you, The current weight and height for age is satisfactory for your child, given that even milestones are normal.
children at this age relatively do not feed more, as the growth velocity starts lsowing down.
In addition, if the activity is less compared to peers, he will be less likely to be hubgry often.
Its always fair to perform a thorough clinical examination of the child and get certified your child healthy whenever the weight falls on the growth charts in abnormal range.. (that is most likely)

If you detail me the current food pattern, i may be able to suggest a change in it, rather than giving the fresh diet sheet; as it will be needed to be modified depending on your eating patterns and feeding habits.

** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in

> >
> Please be brief and avoid too many medical terms hello sir,previously i made a query 2 u,it is regarding the request for a diet chart(vegetarian)for my 2 1/2 yr old baby.she is prone 2 cold very often.n sometimes vomits after i finish her feeding n it is usually a bit sticky.i do request u for a diet chart 2 increase her immunity n complete nutrition.her wt is 13 kgs now birth wt is 2.75kgs n present ht is 1 mt.so far she is gd in her behaviour,sleep paterns,n active 2.but the qty of food which she takes in is less compared 2 her age kids.n as v r nuclear family i do not hav any help in this regard.v r frm karnataka n now stay in singapore.
> thank u in advance.
> regards

>
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My Grand Son 2 1/2 Months has a heart murmur

2008-01-30T13:05:00.000+05:30

My Grand Son 2 1/2 Months has a heart murmur. I have seen his upper lip turn a little blue . Is this a sign it is not innocent. What will hurt him ,crying , swinging playing of any form

Date/Time: 2008-01-29 04:58:18 PST> Sender IP: 74.224.145.92 [United States] kut2kotulpy1qrv5> Referrer: http://askyourdoc.blogspot.com/

Answer:
he should avoid excessive exertion/exhaustion and cry.not evaluating him in details by echocardiography and not continuing meds as suggested by the doc will surely hurt him. turning lips blue may be one of signs of cyanotic heart diseases. As a parent you should not worry about what is innocent murmur. A murmur is a murmur, and needs to be confirmed by a colour doppler or echo of heart. pls visit a pediatrician or cardiologist for details. some children do turn blue, enough to be serious.

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

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big bump in forehead and also her teeth cut - Pediatricianonline (Vij)

2008-01-04T18:12:00.000+05:30

My 21 months old daughter fell down from the stairs and got a big bump in forehead and also her teeth cut her lower lip. She was bleeding for a while in the mouth. But now she is normal, active, no vomitting.
> I have 2 questions.
> #1. The bump does'nt go away even if i keep icepacks. Do i need to consider this serious?
> #2. She is not able to eat anything as her wound in the lip hurts. Any suggestions what i could feed her and what should i apply on the wound?

ANSWER

A head injury in child is significant if its a fall from more than 3 feet or its showing some symptoms. Symptoms may b of local injury at the site of trauma,lik abrasion, bruise, lacration, cuts, fracture or bleeding. can be at head, body, spine or back.
It can also cause some internal complications like internal bleeding in brain, chest or abdomen or at times thig or muscle hematomas.
Head injury is problematic if it causes some internal problem like internal bleed, hematoma or increased pressure with or without concussions/ contusions and other shake injuries.
A major problem is expected if there is persistant vomiting, drowsiness, sleepiness, irritability,convulsion/fit altered sensorium or unconsciousness with or without weakness, headache, hypertension and bradycardia, which a doctor is keen on looking for.
The child may require some investigations including CT scan to check for major ailments.

Now coming to your questions:

1. bumps: they remain upto 7-10 days, they may reuce in size over these days and change colours. increasing size isnt serious, but developing black eye is common.Bumps are serious when they hae underlying fracture or gets infected.
2. pain: injury elicits inflammation that causes pain. Pain is best tackle by painkillers as prescribed by your doctor. sometimes if the wound is open as in cases of lips/cheeks, he may give some local painkiller application like those containing dicofenac or some -caine derivative. Many times even paracetamol or ibuprofen also cause good painrelief when taken by mouth. SHe can however eat blan, sweet diet incluing soups and other warm liquids or drink them with straw.

> Date: Thu, 3 Jan 2008 13:56:38 -0800
> >
> Please be brief and avoid too many medical terms My 21 months old daughter fell down from the stairs and got a big bump in forehead and also her teeth cut her lower lip. She was bleeding for a while in the mouth. But now she is normal, active, no vomitting.
> I have 2 questions.
> #1. The bump does'nt go away even if i keep icepacks. Do i need to consider this serious?
> #2. She is not able to eat anything as her wound in the lip hurts. Any suggestions what i could feed her and what should i apply on the wound?
>
> hide my email address
>
> how did you get to my website? from email or search engine or chatroom or a friend? AllExperts website
>
>
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6 year old daughter has been potty trained for over 2 years.

2007-12-29T10:29:00.001+05:30

6 year old daughter has been potty trained for over 2 years. within the past 6 months has started wetting the bed now almost evernight. is also urinating on floor in bedroom. she gets attention, she is not acting out. what else could cause this?

ANSWER:

it may be not unusual for many parents to face this situation, although some kids may urinate till 7 years like this. But definiitely this is a cause of concern as itmay be a result of infection, emotional / anxiety related evenet, fear or sweet diet.
There may be many other reasosn but these seem to be common.
visit your pediatrician who can help you ruling out all of these and will guide to a child psychologist who may help you train your child through counselling or other techniques.

> Date: Thu, 27 Dec 2007 20:27:18 -0800

>
> Please be brief and avoid too many medical terms 6 year old daughter has been potty trained for over 2 years. within the past 6 months has started wetting the bed now almost evernight. is also urinating on floor in bedroom. she gets attention, she is not acting out. what else could cause this?
>
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>
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40 yr old working mother of 13 months,3 weeks old- twins

2007-12-29T10:14:00.001+05:30

I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given

ANSWER:

The variety and frequency of diet seems adequate, but unless the quantity is specified it isnt always easly to get to whether its in adequate calorie , protein, carbs etc. (most of the times exact percentage is not required)

If the feeds are made as per instructions on formula usually they contain the carbohydrates proteins and fats in proportions.
There is no need to restrict fat till 4 year age, he may also need extra fats for his growth in this age group.

As he is 1 year plus there is no need to prolong breast feeding, so definitely no need to boost your milk production, so let it have its natural course.

Just for your knowledge his requirements on an average will be 1000 cal per day which is usually done with 8 good feeds of 100 ml each. by 2 year it will be 1200 cal per day

Its important at this age to have the child on complementary feeding. A 1 year old child should be able to eat all the diet items which an adult can eat , and his requrements may be as good as half of an adult.

plot his serial growth charts, maintaining well on growth charts is an indicator of good intake.
** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in

> Date: Thu, 27 Dec 2007 22:35:30 -0800
>
Hello Drs,
>
> I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given.
>
>
>
>
>
> hide my email address
>
> how did you get to my website? from email or search engine or chatroom or a friend? search engine
>
>
> --
> Date/Time: 2007-12-27 22:35:28 PST
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> Referrer: http://askyourdoc.blogspot.com/

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13 month old diarrhea vomiting

2007-12-27T12:04:00.001+05:30

My baby is running 13 months.Now he is suffering from diarrhoea 6 times and vomiting 3 times.

=== this much diarhea and vomiting can make a child seriously sick. please visit a doctor earliest to get examined and treated for dehydration.

But he doesn't have fever.IN his stool I see only water.
=========== loss of large volumes from body precipitates dehydration. please visit www.rehydrate.org for details on dehydration.

please > tell me the reason of having diarrhoea and vomiting and how can we able to prevent from such disease to our baby.
=== commonest cause is hygeien or water contamination causing infection. infection can be viral or bacterial. whatever is the reason the treatment is correction of dehydration and if necessary other therapy. prevention is by following cleanliness while preparing feed and feeding the child. in addition reduce the use of bottle and switch over to spoon feeding. use sterilised or boiled-cooled water. avoid touching the baby unless hands are washed. dont let the baby play on ground or put things in mouth.

At last I feed him food and bottle milk because my brest stop to produce milk when he was 2 months.
======== now he is 13months, its important to switch to complementary feeds.
>

> Date: Wed, 26 Dec 2007 17:10:33 -0800
> >
> Please be brief and avoid too many medical terms My baby is running 13 months.Now he is suffering from diarrhoea 6 times and vomiting 3 times.But he doesn't have fever.IN his stool I see only water.please
> tell me the reason of having diarrhoea and vomiting and how can we able to prevent from such disease to our baby.At last I feed him food and bottle milk because my brest stop to produce milk when he was 2 months.
>
>
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>
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>
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vomiting loose motion fever zifi zocef ondem,Pediatricianonline (muru*****)

2007-12-25T10:40:00.001+05:30

i have 2.5 years old female child. She got vomitting. On consulting doctor, he given ondem syrub and advised to take for 2 days. But after one day intake, she got fever. Again we consulted doctor. He suggested combiflam syrub and zifilb syrub for 2 days. But after one day intake, i.e. on third day, baby got diarrhoea. Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub for 3 days. At the time of giving zocef, baby vomitted everything. After few minutes we have given to baby enterogermin. I want to (a)know whether the treatment is correct (b) whether enterogermin will cure the disease.

i have 2.5 years old female child. She got vomitting.

===== vomiting in children of this age is commonly due to throat infection and less often due to gastritis.

On consulting doctor, he given ondem syrub and advised to take for 2 days.
====== it works, but is not required in simple cases unless vomiting is persistant. treatment of throat infection if any, should be the prime concern.

But after one day intake, she got fever.
====== fever has no relation to vomiting unless its a part of ongoing throat infection.

Again we consulted doctor. He suggested combiflam syrub and zifilb syrup for 2 days.
==== well, they do work on fever and bacterial infection respectively.

But after one day intake, i.e. on third day, baby got diarrhoea.
========ZIFI is known to cause diarrhea in some, though less chances with zifilb. The diarrhea of such kind isnt watery, but is in the form of yellow loose stools 4-6 times a day.
If it is watery diarrhea or diarrhea with mucus flecks or blood, more likely it may be a fresh intestine infection. vomit8ing may persist if its intenstine infection.

Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub
======= enteroigermina is a drug currently not marketed for use in diarrhea. It may help in reducing the duration of some diarrheas.
zocef as i recall it contains cefuroxime, is a good choice of antibiotic in throat infection and typhoid fever but not for routine use in diarrhea.

. At the time of giving zocef, baby vomitted everything.
====== children vomit strawberry flavoured syrups easily. If proper precautions not taken they may spit out any medicines. please read an article at my site on "how to administer medicines to babies".

I want to (a)know whether the treatment is correct
========== a doctor cannot comment on correctness of any tretament unless he examine sthe child. its likely that i may miss out some clinical finding which your doctor may have found on examination. my answer is just interpretation of the details you provide. the extra details of symptoms and their chronology will help me come to better conclusion. My job is not to replace your doctor nor to give you any advice against your doctor. Its just to make you understand what and how it is going and what it seems to be.

(b) whether enterogermin will cure the disease.
====== did your doctor reach to a conclusion what disease he is planning to treat? did you get a stool or blood test done? enterogermina doesnt cure any disease it only tries to maintain colon flora and reduces duration of diarrhea in some cases.
Also read other articles/answers on loose motion at my website.
ALso please read "vomiting" at my "site".

please feel free to reply at website.

REPLY AND PART II ANSWER:

If zifilb syrup is causing diarrhea why it is being prescribed by doctors ?
====== well every drug has some side effects that may not be seen in all patients.

After taking this only she had 2 times yellow colored loose stools.
==== it may be possibly because of that, but cant be proven.

enteroigermina was given by doctor though it is not marketed as per your words.
====== its is marketed but not for loose motions, well it may come to market soon for loose motions once research is complete. many drugs may be prescribed by doctors even though they are not licensed at individual benefit / risk.

We have not applied typhoid vaccine so far. Doctor is not telling that baby is having typhoid.
=== i too did not tell that this is typhoid. its unlikely. However typhoid is one of the many reasons for which zifi or zocef may be given. well, it may be given in any other bacterial infection that may be susceptible to it.

He told after curing the curring problem, we can go for typhoid vaccination.
========= nothing wrong in it. It need not be typhOid in this case. many things in medicine are difficult to prove and they are the interpretation of individuals clinical judgement. It may not mean that one is wrong and other is right all the time. well, it wasnt the curing problem either.

Baby is not having throat infection also. Hence why zocef is being given by my doctor. ?
====== zocef is an antibiotic. throat infection is one of teh reasosn for which it may be given. But theer are many other reasons when your doctor may find zocef suitable for some infection. its an individual judgement, and what i explained to you is just the most likley possibility.

Whether i have to change my doctor? He is suggesting 3 ways of prescription : (1) continue the current prescription or (2)admit for 3-4 days in one big hospital which he suggests or (3) take some injections from him at his clinic itself for 5 days.
========= such decisions need to be taken individually. you can always go back to previous doctor any time in case you change the doctor. it may be that the next doctor may not be as good as your current doctor. AS long as a doctor is qualified, i suggest you to trust the doctor. If in doubt, consult another. Amongst the 3 options given i feel , let the doctor decide the treatment what is in best favour of your child. May be the best which he would have preferred for his own kid?

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** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics

> Date: Mon, 24 Dec 2007 09:51:06 -0800

>
> Name:
>
> Please be brief and avoid too many medical terms i have 2.5 years old female child. She got vomitting. On consulting doctor, he given ondem syrub and advised to take for 2 days. But after one day intake, she got fever. Again we consulted doctor. He suggested combiflam syrub and zifilb syrub for 2 days. But after one day intake, i.e. on third day, baby got diarrhoea. Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub for 3 days. At the time of giving zocef, baby vomitted everything. After few minutes we have given to baby enterogermin. I want to (a)know whether the treatment is correct (b) whether enterogermin will cure the disease.
>
> how did you get to my website? from email or search engine or chatroom or a friend? by search engine
>
>
> --
> Date/Time: 2007-12-24 09:50:35 PST
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