About Experts Sitemap - Group 40 - Page 67 2015-01-20

Pediatrics: dose question Amoxicillin 250mg/5ml
Hi, David, For an ear infection the correct dose for a kid this size is 800 to 1000mg a day, divided into two doses. So 400-500mg twice a day. This is based on the 80-90mg/kg/day that is recommended by the AAP. This is therefore a small dose. Good...

Pediatrics: dpt and hepb donne what about hib?
Hi Rina, I am not sure why these vaccines have been used separately. DPT-Hib-Hep B and DPT-Hib combinations are easily available and can be used. There is no need to have a gap for taking Hib vaccine. Hib vaccine can be taken any day. The next...

Pediatrics: Peeling Fingers and Sickness
Pediatrics: Peeling Fingers and Sickness

Pediatrics: green stool in baby
breast milk is rarely not enough. greenish stools are often due to indigestion of excess sugar in formula feeds at this age. as long as weight gain is good and stool test is normal, try to switch to breast feeding and formula no morethan 2 times a day...

Pediatrics: HPV Preventive
Hi, Lori, Your pediatrician shares my thoughts exactly. This is one of the only two vaccines out there that radically decrease the risk of cancer (the second is the Hep B vaccine). I recommend it strongly and my two daughters received it. It is more...

Pediatrics: Immunization
Hi Vishal, 2nd dose of Hep A vaccine is given 6 months after 1st dose. Hence, it is already due for your son. Typhoid vaccine is to be given at 2 years of age. You can see the latest immunization schedule on last page of the following link: http://www.iapindia.org/IMM%20Schedule.pdf...

Pediatrics: infant diarrhoea
Hi Sylvia, Your doctor seems to be on right track. Keep following his/ her advice..and let the baby eat anything he likes in whatever small amount he wants. Please don t force-feed. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi,...

Pediatrics: Infant health
1.delices drops and tonoferon drops at the same time and only dexolac norish and improve the growth of my infant... === if the feed preparation in quantity and quality is maintained as advised by doctor; growth may be fine. 2.my child not breastfeeded...

Pediatrics: Infant swallowing foreign objects
Hi, Michelle, George Harrison said it best: all things must pass . I think I already answered this, but if not, use the XR if needed and this is really safe. Your doctor can make a decision as to whether in the future this will be clinically helpful....

Pediatrics: Issues with New born´s health
Hi Jahanzaib, If mother has less feed, the best way to increase it is: Let mother have lot of water, sufficient milk (1 L/ Day) remain calm (anxiety and pain decreases milk) and FEEDING MORE...By giving Lactogen or any other milk, breast milk will be SUPPRESSED...

Pediatrics: Peeling Fingers and Sickness
Hi, Amanda, I m not sure why the shot, for all strep responds well to oral amoxicillin. Maybe a shot for not able to swallow meds. Either way, this sounds like strep and the post-strep peeling is common. He should be feeling much better. Good luck,...

Pediatrics: Preschooler sleep issues
Hi, Patrick, Good intentions from sweet caring parents often create sleep monsters. She doesn t know how to fall asleep on her own. Her last waking memory (LWM) is you guys, not her bed. Everytime she wakes up at night for the countless and normal...

Pediatrics: Rash-13 month old
Hi, Kylie, There are two types of amoxicillin rashes. One is an allergic reaction, hives that occur in the first 24-48 hours of starting the med and an idiosyncratic, non-allergic reaction that usually happens 5-7 days after starting. The whole situation...

Pediatrics: rectal tear in baby not healing
Hi, swetha, Could it be questions are always tricky, for always, in virtually any case, there can be bad things that can look like common benign conditions. Your doctor is on the right track. If this doesn t just heal with time and treatment, then...

Pediatrics: Reg : Teeth
Hi Sundar, There are many causes of delayed teething. Most common cause is familial : i.e., if parents or other close family members had delayed teething, baby can have the same. Calcium and/ or vitamin D deficiency is also a common cause. Your daughter...

Pediatrics: Regarding 6th week vaccination
Hi Dinesh, DTwP is MUCH LESS costly than DTaP: That is what I was mentioning. It is less costly but MORE EFFECTIVE. Hence you should switch to less costly vaccine (with DTwP) from next dose. Regarding PCV, there are 2 brands: PREVENAR 13 and SYNFLORIX....

Pediatrics: seizures
Hi Shaheena, Yes, it is useful in immediate control of seizures. The brands available are: INSED (Samarth Pharma), MIDASPRAY (Intas Pharma) and more recently launched: MIDACIP (Cipla). Local doctors would be in a better position to tell which brand...

Pediatrics: Toddler unhappy
Do you know the new teacher well? It is better to contact other parents to find out whether other kids also have any problem. Some children need some time to get adjusted to a new place. It is better to get the child examined by a pediatrician once. Perhaps...

Pediatrics: What Vaccination
INFANRIX contains Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine pentaxim contains diphtheria, tetanus, pertussis, polio and Haemophilus influenzae type b. Infanrix hexa has Diphtheria,tetanus, pertussis (acellular, component, hepatitis...

Pediatrics: vaccine
Hi Neeraj, The best brands of MMR, Varicella and PCV vaccine in India are: Priorix (GSK), Varivax (VHB life sciences) and Prevenar 13 (Pfizer) costing Rs. 545, 1440 and 3801 per dose respectively. The doctor would charge his fee as applicable. Best...

Pediatrics: Vaccine
Hi Madan, I wouuld like to clarify that it is only very recently that new guidelines have come up...On 9th November 2013 to be precise. In fact, these new guidelines are not yet published: supposed to be formally published on December 17, 2013 in Indian...

Pediatrics: weight loss in a 9 month old
if you had checked on separate weight scales such issues may occur at times. The weight gain rate slows after the age of 6 months. Most doctors will not worry if the infant weight is 9 kg throughout 7 month to 12 months, switch over to cereal based complementary...

Pediatrics: white blood cell level keeps going up (30,000 - Katie - Cyprus)
Hi, Galia, Reviewing the labs, the gammaglobulin A levels are low, suggesting an IgA deficiency, a rather common immune deficiency that can cause frequent infections and these infections, mild as they may be, can cause an increase in the WBC. The LDH...

Pediatrics: A to Z Syrup
Yes. It van be given. But it is not necessary to give it continuously. Ensure the child gets fresh whole fruits and vegetables daily. This will ensure he gets enough vitamins and minerals. http://www.homebusinessandfamilylife.com/vitamins_and_health.htm...

Pediatrics: 10 weeks Vaccine schedule, hepatitis b vaccine, new delhi india
hepatitis b vaccine, new delhi india, dwarka new delhi: Hi Jothi, Cost of Pentaxim is Rs. 1893 per dose. There are two brands of Pneumococcal vaccine: Synflorix and Prevenar 13. The cost is Rs. 1999 and 3801 per dose respectively. Prevenar is superior to Synflorix. There are many brands of Hepatitis B vaccine...

Pediatrics: 11 months old drinking hot chocolate, protein powder, hot chocolate
protein powder, hot chocolate, almond milk: I would like to know weight of the child before i comment on underweight. Often some birth related conditions may have low growth potential. if weight is alrming low, child may need evaluations in that directions. It will be better to have the child on protein...

Pediatrics: 13 month old not putting on weight, month old baby, malabsorption syndrome
month old baby, malabsorption syndrome, putting on weight: Hi, Katherine, Please have your doctor consider a malabsorption syndrome, a condition where the body doesn t absorb certain nutrients. I would also have a dietician see her, after you carefully record everything that goes into her mouth for a couple of...

Pediatrics: 13Month Girl, 7.8KG and not Walking, karachi pakistan, bundle of nerves
karachi pakistan, bundle of nerves, vanilla flavor: Hi, Rehan, Erb palsy involves the brachial plexus, the bundle of nerves in the upper arm and therefore should not have a great bearing on walking. Lots of normal kids wait until 15-18 months to walk. This is usually normal, especially if the rest of...

Pediatrics: 2 year old son does not chew, gags, chewing food, stage iii
chewing food, stage iii, wafers: if his weight is less than 8 kg, one may need to investigate. otherwise, the child just needs to be trained in chewing food items like say pappads,pattice,wafers and then switch to idlis parathas and chapatis.. parent has to sit and eat with child making chewing...

Pediatrics: 5 year old high fever with headache, upper respiratory infection, high fever
upper respiratory infection, high fever, viral illness: Hi, Heather, This has nothing to do with molars. She probably has a viral illness. If her neck is stiff, if she is getting increasingly obtunded ( out of it ), then see your doctor immediately. It is common this time of year to see kids in an office...

Pediatrics: 6month old has had a cough for months, respiratory illnesses, oxygen level
respiratory illnesses, oxygen level, ear infection: Hi, jayia, I disagree that doctors should be able to tell me the first time I go in . A lot of illnesses are unclear in the beginning, especially virus respiratory illnesses. If he has RSV, this is an illness that may last for weeks and there really...

Pediatrics: 7 mo old inconsolably crying at night, stomach virus, fever night
stomach virus, fever night, night terror: Hi, Jillian, Sleep in babies is tenuous and sometimes even an illness can goof it up. I would try, if you can, to modify the way you put her to bed. I would not let her fall asleep on the bottle but as she is drowsy and slowing down the feeds, take...

Pediatrics: 8 yr old vomiting as much as 8x per day, pediatric gastroenterologist, ultrasound of the abdomen
pediatric gastroenterologist, ultrasound of the abdomen, psychological causes: Hi, carol, I can t really help too much with this, not knowing the details and the whole story. Has she seen a pediatric gastroenterologist? Has she had a number of blood and imaging studies? Is she healthy and not loosing weight? Yes, psychological...

Pediatrics: adenoid gland enlargement, nasal steroids, medicine treatment
nasal steroids, medicine treatment, treatment option: Hi, Krishna, Adenoids, I find, are often removed in a fairly haphazard way in the USA and I suspect perhaps more so in other countries. Generally a try of nasal steroids, antihistamines and a full discussion of what the problem is and how it relates at...

Pediatrics: Allergy, sodium cromoglycate, puneet kumar
sodium cromoglycate, puneet kumar, new delhi india: Hi Mr Kalyan, I can t say whether your grandson really needs this without having seen him (Almost every child in this age group suffers from frequent cough and cold, but only a small fraction of kids realy have Allergic Rhinitis who require this treatment)...However,...

Pediatrics: Allergy, sodium cromoglycate, allergic rhinitis
sodium cromoglycate, allergic rhinitis, montelucast: allergic rhinitis is not an easy diagnosis below 5 years unless parents to suffer from same. i would like to confirm the sqame by getting further tests before advising any medicines. the tests are allergen tests, CBC for esosinophils, xray chest and xray...

Pediatrics: alternative to simethicone?, simethicone drops, simethicone
simethicone drops, simethicone, milk intolerance: Hi, alex, Gas is either farting or burping. The simethicone will do nothing for the farting gas, for that is from processes of digestion. Farting a lot might mean a formula/milk intolerance. I really don t think that simethicone works that well for...

Pediatrics: Baby 7month old, infant formulae, paste consistency
infant formulae, paste consistency, vegetable puree: Hi Anshu, Toned milk shouls NOT be given at all to babies. It s not good for babies. You should work on his diet: that should improve his sleep gradually...Following write-up would help you in choosing good diet for your baby: Following are the general...

Pediatrics: Baby Brother Fell Off the Bed?, baby brother, hi amy
baby brother, hi amy, forehead: Hi, Amy, If falls like this caused low IQ, we would really be a dumb nation, for this is a common type of fall that virtually everyone has done in their life. He is fine. He didn t pass out, he was fine immediately and he will be as smart as he otherwise...

Pediatrics: baby diet, soft diet, baby diet
soft diet, baby diet, cerelac: Hi Sumeet, There are 2 issues here: food fussiness (that is quite common at this age) and wrong choice of foods (soft diet only): this is something of more concern. Normally, soft diet like khichari/Ceralac is started at 6 months of age and gradually...

Pediatrics: baby having hiccup, hiccup, distension
hiccup, distension, moths: common cause of hiccup is over distension of stomach; slow gradual feeding will usually settle it. often doctors prescribe anti vomiting medicines like domperidone drops, but its need/dose/frequency is decided only after having a look at child and frequency...

Pediatrics: Ballanitis in 5month infant, preventive steps, penis head
preventive steps, penis head, blood counts: The cause of balanitis needs to be looked for with a swab culture and blood counts. Often it is likely to be bacterial which may warrant use of specific antibiotics for good 10 daqys duration, along with application of local antibiotic. foreskin pushing is...

Pediatrics: Ballanitis in 5month infant., preventive steps, penis head
preventive steps, penis head, foreskin: Hi, syam, Balanitis occurs in uncircumcized kids. Depending on how tight the foreskin is, the advice to pull it back may be good, or may cause more problems. Generally keeping this area clean, soaks daily in a warm water, will do the trick. Please be...

Pediatrics: bcg vaccine, botch, child birth
botch, child birth, scar: Its known that all children with bcg vaccine need not develop scar. The resposne to vaccine depends on infant s immunity. There is no point in repeating the dose at age 9 years, as the kids would have acquired similar response by now naturally. Protection...

Pediatrics: blood in the stool, pus cells, blood in stools
pus cells, blood in stools, loose motions: If the child has symptoms.. has blood in stools and has a culture positive, it deserves specific therapy. You may ignore 1 to 2 pus cells but when it is numerous... it cannot be ignored.. Read further details of the loose motions at pediatricianonline.in...

Pediatrics: Bump on nose, gymnastic stunts, brusing
gymnastic stunts, brusing, basement floor: Hi, Maria, Yes, it could be broken. I would check this over the next couple of days. If the swelling decreases and the profile side and front looks normal, it probably is just bruised. If the nose is crooked, then see your doctor for an exam and possible...

Pediatrics: child behavior, pediatric specialist, lack of sleep
pediatric specialist, lack of sleep, child behavior: Hi, Yvonne, She needs to see a pediatric specialist in behavior, who can explain what is going on, why it is going on and ways that both mother and father can be unified to help their daughter. The parents may have so much anger with each other that a...

Pediatrics: child constipation, milk of magnesia, stomach bloating
milk of magnesia, stomach bloating, positive reinforcement: Hi, Alison, It sounds like the constipation is no longer an issue. The issue now is a behavioral one. He is at a perfect age for toilet training resistence, especially since he has had awful experiences with large hard stools that hurt. I would simply...

Pediatrics: chronic diarrhea, crohn s disease, chronic diarrhea
crohn s disease, chronic diarrhea, breast milk: Hi, salina, There is plenty of information online regarding Crohns disease. You need to sit down and have a discussion with your doctor or a member of his staff to understand this important diagnosis. I guess with any soiled diapers, ants might eventually...

Pediatrics: colicky stages, physical discomfort, soothing music
physical discomfort, soothing music, crying baby: It is not always easy to say why a child cries. Make sure he does not have any physical discomfort. It may be better to get him examined once to be sure. Try playing soothing music if he does not have any other problem. http://www.homebusinessandfamilylife.com/crying_baby.htm...

Pediatrics: Complementary feeding/ "weaning", infant formulae, paste consistency
infant formulae, paste consistency, vegetable puree: Hi Ikbal, Biscuits need not be given to babies. Following write-up would help you about feeding an infant (complementary feeding): Following are the general guidelines on infant feeding in addition to milk (complementary feeding): 1. There is no doubt...

Pediatrics: constipation, abdominal ultrasound, frquency
abdominal ultrasound, frquency, susmita: If constipation persists some diseases have to be ruled out. It is better to get the baby examined again. Sometimes investigations like abdominal ultrasound and estimation of some hormone level may be needed. It is difficult to come to any conclusion without...

Pediatrics: coogh and loose motion, loose motions, loose stools
loose motions, loose stools, necessary details: I hope you had read details about loose motions at www.pediatricianonline.in if not- please do read and provide the necessary details needed for a doctor to give advice in a case of loose stools. cough too is caused by various reasons from infections to...

Pediatrics: Cough Syrup for Infants, night cough, cough syrup
night cough, cough syrup, delsym: all children may not have same reason for cough. night time cough is often related to bronchospasm/wheeze, this is best treated with inhaled albuterol. discuss with your doctor regarding its need. you may read treating runny nose at www.pediatricianonline.in...

Pediatrics: Delay in sentence making in 2 years 4 month old kid, spectrum issues, personality changes
spectrum issues, personality changes, autistic spectrum: Though two languages do cause confusion, it cannot prevent a child a from learning the sentence making. If a 2 year old child cannot join or use a veb, there is serious need to get a BERA test (speech processing pathway)and a speech therapist analysis as...

Pediatrics: Early Morning/Morning vomiting in 2 year old, newborn jaundice, viral illnesses
newborn jaundice, viral illnesses, afternoon nap: Hi, Trish, I have seen kids like this with low grade viral illnesses that only manifest the illness by vomiting a bit. Otherwise they are well. It is hard to think of anything serious with this intermittent history. No new foods introduced? If she...

Pediatrics: vaccination
Pediatrics: vaccination

Pediatrics: Fever coming back after a gap of 4-5 days, mild fever, solvin
mild fever, solvin, recovery phase: how is her cough right now? she seems to be in recovery phase. reduced intake is likely to be due to loss of energy and reduced fluids. good that she is active so you can encourage soft sweet diet for fast energy fill up. now she has mild fever which...

Pediatrics: food, fruits veggies, oil massage
fruits veggies, oil massage, milk and honey: Hi, Ikabal, Seven month olds can eat what their parents eat, as long as it is in a preparation they will not choke on. Limit whole milk and honey until a year. Make the diet varied with different grains, fruits, veggies and meats. Pretty simple advise...

Pediatrics: FUO and elevated ESR, mild nasal congestion, differential diagnosis
mild nasal congestion, differential diagnosis, kawasaki disease: Hi, Sarah, Prescribing antibiotics is the hardest thing NOT to do in the pediatric world. If there is no obvious source of the fever and the inflammation continues, then a further tier of tests should be done. These may include a chest xray, a urine...

Pediatrics: heart murmur, heart murmur, chest xray
heart murmur, chest xray, heart problem: Hi, deserie, Unless your doctor has missed something completely over the years, and I doubt this, this is probably a murmur that was present due to the illness and fever and increased blood flow through a completely normal heart. For someone to say on...

Pediatrics: Can you help?, thyroid abnormality, thyroid hormone
thyroid abnormality, thyroid hormone, loss of appetite: Thyroid hormone reports need to be interpreted with caution considering the various components age group and clinical pattern of sleep diet intellect and personality What is child s day to day routine weight and milstones? Please detail with all above details...

Pediatrics: hep b, health care interventions, hepatitis b vaccine
health care interventions, hepatitis b vaccine, puneet kumar: Hi Vishal, Hepatitis B vaccine is NOT a live vaccine! There is no need to keep a gap of 4 weeks after it. (But measles vaccine is a live vaccine. If measles vaccine is given first, then 1 month gap is necessary). Both Hep B and measles vaccine could also...

Pediatrics: Immunization, hepatitis b vaccine, local news papers
hepatitis b vaccine, local news papers, new delhi india: Hi cecilia, 3rd dose of hepatitis B vaccine should be given 5 months after 2nd dose (i.e., around 5/5/2013). She can be given combination of DTP and Hib (Quadrovax by Serum, or any other brand). Rest of the doses of Hib should be taken separately at one...

Pediatrics: Immunization Schedule Advice, rotavirus vaccines, immunization schedule
rotavirus vaccines, immunization schedule, mild fever: Hi Ansh, The cost is for both (DPT+HiB AND IPV) injections. Pentaxim in addition to being single injection, has DTaP instead of DTwP: Both DTaP and DTwP are equally effective, but DTaP causes less fever pain (no pain/ fever in most cases) than DTwP. The...

Pediatrics: Infection in throat and stomoch, weight doctor, frequent infections
weight doctor, frequent infections, water intake: Child appears healthy with good weight… leg pan appears to be a nonserious issue… you may use paracetamol syrup for leg pain at times… Calf pains are often caused by less calcium and less water intake… Call back if no improvement in 2 months with cbc blood...

Pediatrics: influenza vaccine, puneet kumar, new delhi india
puneet kumar, new delhi india, influenza vaccine: Hi Gururaj, It is not necessary to give her influenza vaccine. If given, there are no specific side effects just because of her being born preterm. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.kumarChildClinic.com...

Pediatrics: Injection for new born, new delhi india, pneumoccal
new delhi india, pneumoccal, dwarka new delhi: Hi Tanu, The price (MRP) of Pentaxim, Prevenar 13 and Rotarix in India is Rs. 1893, 3801 and 1199 per dose (You can always check the MRP on the packing). Adding doctor s fee brings the total to above Rs. 7000. Yes, the vaccines are costly, but they are...

Pediatrics: about lactose intolerance, loose motions, milk protein
loose motions, milk protein, stool examination: feeds can be stopped only till motions under control and gut has healed. often it is 10-15 days. start the feeds and repeat the stool test for Ph and sugars, if it is positive for intolerance, you may need to stop for more days. some babies who have weight...

Pediatrics: light yellow vaginal discharge with my four year-old, yellow vaginal discharge, water drinker
yellow vaginal discharge, water drinker, color tabs: Hi, Lisa, See your pediatrician. We all spend a great deal of our day looking at this area and are fairly skilled to separate out what is normal and what is not. A light drainage like this is not uncommon and usually is due to non-specific irritation...

Pediatrics: Low Iron Blood Levels in 5 yr old., serum iron levels, serum ferritin
serum iron levels, serum ferritin, viral illnesses: Hi, Beth, Serum iron levels are at best a guess of iron stores. I usually do a test called a serum ferritin, which is a better measure, most of us think, of iron stores. It is probably a mute point, for he is mildly anemic with low iron. Why not use...

Pediatrics: Lump on jawline, jawline, cyst
jawline, cyst, lymph node: Hi, Jen, Yes, it sounds like a cyst which is usually benign, or a lymph node, depending on where is exactly is located. If it seems bigger, see your doctor. I see a lot of things like this in my office, and appreciate that most are not a big deal, but...

Pediatrics: Milk consumption, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Rajitha, Please don t force her. Forcing her is bound to reduce her intake further. Give her a variety of food items and whatever small amount of milk she takes: let her have it. If she takes curd, milk in any form (milk-cereal, cheese, milk with something...

Pediatrics: Moving to Ethiopia vaccinations, addis ababa ethiopia, immunization schedule
addis ababa ethiopia, immunization schedule, beijing china: Hi, Salime, I refer you to the website, CDC.org, for detailed information about this. This relates a lot as to what your child has already had and probably what you will be doing in Ethiopia. I don t have the faintest idea and this would be where I would...

Pediatrics: mucus looking poop, clear mucus, stomach virus
clear mucus, stomach virus, growth spurt: Hi, Ginger, Kids will sometimes have a strange poop or two and be completely fine. Whether this is a manifestation of a low grade virus, a food issue, or whatever, it usually is temporary and in a kid who is fine otherwise, just bears watching. Sometimes...

Pediatrics: odd sleeping position of my child., sound sleep, hello doctor
sound sleep, hello doctor, remedial measures: Hi, mandakini, Why would you want to change her sleep position? If she is sleeping soundly, let her sleep. I can t think of how this would hurt her. Often kids this age will do some self-stimulation (masturbation) as a means of falling asleep and this...

Pediatrics: oil for infants, detergent soap, skin softness
detergent soap, skin softness, free soaps: Hi Sundar, Whether it is baby product or anything else, costlier may not always be better ! Oil massage has no role in skin colour (complexion) and has hardly any role in physical growth. It helps in toning of muscles (kind of passive exercises...

Pediatrics: pain in legs, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Laura, Although it can be viral infection, you must get her examined by her doctor so that we are not missing anything. Best wishes, Dr. Puneet Kumar. Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-981835684...

Pediatrics: pediatric, world health organization, febrile convulsions
world health organization, febrile convulsions, spiritual dimension: It is quite common for young children to get repeated attacks of cough and cold. If she is active and her weight gain is normal you need not worry. It is safe to give Monticope for one month. http://www.homebusinessandfamilylife.com/recurrent_illness.html...

Pediatrics: Pediatric Chronic Seasonal Chough, post nasal drip, pediatric allergist
post nasal drip, pediatric allergist, acid reflex: Hi, Stephani, If this truly is a seasonal cough during the time that you are mentioning, I would strongly consider allergic factors. It sounds like he might be allergic to something in the house, rather than outside. If he coughed all year, I would consider...

Pediatrics: pediatric problem, infant formulae, home cooked food
infant formulae, home cooked food, paste consistency: Hi Ramesh, Your baby sounds fine to me. Your pediatrician is in a better position to judge whether your baby needs calcium/ vit D supplement. I haven t seen your baby; so can hardly comment. Every baby is different (even twins are different in several...

Pediatrics: Persistent cough in 3 year old, full blood count, chest xray
full blood count, chest xray, cough medication: Hi, Ice, Chronic coughs in kids this age are due to basically four causes: allergies, infections such as sinusitis, asthma, and acid reflux. I would ask your doctor if these things have been considered. A med such as Singulair can be helpful for the...

Pediatrics: polio vaccination, polio vaccination, puneet kumar
polio vaccination, puneet kumar, new delhi india: Dear Mr. Tripathy, Every child less than 5 years of age should take OPV during every POLIO RAVIVAR (Pulse polio) irrespective of routine vaccination. You need not wait for completion of 3 doses of Pentaxim. Best wishes, Dr. Puneet Kumar, Kumar...

Pediatrics: My preemie daigonsed with NEC - Solution, blood transfusion, hi doc
blood transfusion, hi doc, pediatric surgeon: Hi, Adi, NEC is often watched carefully and some kids with it don t need surgery. Many do need surgery and this is a decision that is made by the doctors caring for your child. The surgery is major and in skilled hands, with a skilled pediatric support...

Pediatrics: premature babies weight gain, twin babies, premature babies
twin babies, premature babies, baby weight: Hi, chetan, No tablets or tonics will increase weight safely. Generally we supplement feeds with added calories, making the breast milk and/or formula 24 cals/30cc as compared to the standard 20 cal/30cc. More calories will cause more weight gain, it...

Pediatrics: query regarding vaccines, sanofi pasteur, act hib
sanofi pasteur, act hib, hib vaccine: Hi Tanu, There are a very serious issues here: 1. If DTaP and Hib vaccine have been given as SEPARATE injections, it is OK. If however, they were mixed in single syringe, it should not have been done, as they are of different manufacturers. [HoweverDTaP...

Pediatrics: rash, dry skin condition, atopic dermatitis
dry skin condition, atopic dermatitis, rough patches: Hi, Amber, This sounds a bit like atopic dermatitis, or what people commonly call eczema. I wouldn t be worried. With the chicken skin thing, this may be keratosis pilaris, another benign dry skin condition. I would slather him up with moisturizers...

Pediatrics: recurring loose motion, puneet kumar, new delhi india
puneet kumar, new delhi india, loose motions: Hi Ranjana, Absence of reducing sugars goes against lactose intolerance. There is nothing to panic about the weight loss as it is going to comeback to normal very soon as she recovers. Remain in touch with her pediatrician and follow his/ her instructions...

Pediatrics: regarding bilateral hydronephrosis and communicating hydrocele in 3 month old male child, communicating hydrocele, bilateral hydronephrosis
communicating hydrocele, bilateral hydronephrosis, posterior urethral valves: Hi, monica, A huge, expanding hydrocele can cause the problems that your doctor is describing. I can t tell you how long to wait, for this is dependent on a number of factors that a doctor on the ground can tell you. It sounds like it needs to be treated...

Pediatrics: regarding vaccination, new delhi india, dwarka new delhi
new delhi india, dwarka new delhi, puneet kumar: Hi Madhuri, There is no problem/ harm in switching to IPV. However, please note that your baby would need a second dose of IPV (IPV alone, not Pentaxim) one month later to complete the primary course of IPV. A booster of IPV would be required at 16-18 months...

Pediatrics: Signs of diabetes type 1???, severe stomach pains, diabetes type 1
severe stomach pains, diabetes type 1, stomach cramps: Hi, Jennifer, Just bring a urine specimen into your doctor and have it checked for glucose. If it is negative, then she doesn t have type I DM. If it is positive, then she probably does. I doubt she does, but the test is so simple that to ease your...

Pediatrics: My son 6 going on 7, sinus decongestant, fever medicine
sinus decongestant, fever medicine, mild headache: Headache is ofetn a feature of sinus infection. make sure that your doctor has completed a prescription of antibiotics and sinus decongestant apart from the pack. headache may respond to fever medicine dose, and if it does you may use it for once in a day...

Pediatrics: strange sleeping position of my daughter, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Mandakini, Any effort made towards this is definitely going to be counter-productive. Completely ignoring (including no discussion about it within family when she is around) is the only solution. To me, her low self-esteem is of more concern rather...

Pediatrics: stress/breathing problems, eeg test, seizure disorder
eeg test, seizure disorder, hello doctor: Hi, Ubed, The EEG shows a tendency toward seizures, that may or not be significant in light of the entire history and the exam that your doctor has done. The echo is probably normal. Ask your doctor about the possibility that the events you are seeing...

Pediatrics: I suspect my 3 year old son has leaky gut syndrome, leaky gut syndrome, corn kernels
leaky gut syndrome, corn kernels, school nurse: Hi, Brittany, LBS is a disease entity that is poorly defined and poorly understood, by pediatricians and most conventional doctors. My understanding of this, and it is limited, is that eliminating foods that seem to be offensive is the way to go. I think...

Pediatrics: Toddler behaviour, temper tantrum, toddler behaviour
temper tantrum, toddler behaviour, renee: Hi, Renee, At least 20% of all kids will go through a head-banging phase. This is normal and I would suggest treating it as a temper tantrum and ignore it. She is smart and will never hit herself hard enough to hurt. The more attention paid to this,...

Pediatrics: My toddler is speech delayed, start potty training, stay at home mom
start potty training, stay at home mom, spoiled brat: Hi, Mrs. Bradley, I would strongly recommend an evaluation by someone skilled at the diagnosis of autism spectrum disorder. I suspect this is what he has. Your pediatrician can do some initial screening. The speech delay and social delays are consistent...

Pediatrics: toileting issues, belly ache, pee
belly ache, pee, initiate: Hi Sharon, Since he is toilet trained, this is clearly a behavioral issue...Such issues can t be tackled by force, inducements, punishments..and you can never, never win battles with a these smart kids!! The best strategy is just explaining him one last...

Pediatrics: typhoid, puneet kumar, new delhi india
puneet kumar, new delhi india, typhoid fever: Hi Bhawna, Severity: No test is required to grade severity: Her general condition is what is assessed by your doctor to judge the severity. Bed Rest: Go by your doctor s advice regarding need and duration of bed rest. Precautions: Just follow instructions...

Pediatrics: underweight, breast milk, 7 months
breast milk, 7 months, good luck: Hi, vero, Please see your doctor. It is not at all normal to not gain any weight in 2 months at this age. Your need to have a doctor get a good feeding history, a good exam and then a good plan of action based on this evaluation. Please do this. ...

Pediatrics: Use of Paracetamol, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Mr. Kalyan, Crocin should be given if temperature is above 100.5 F unless otherwise prescribed by your doctor (There are several situations where Crocin needs to be given below this temperature or even when the temp is normal, e.g., for pain) Best...

Pediatrics: Use of Paracetamol, british medical journal, allergic rhinitis
british medical journal, allergic rhinitis, montelucast: Hi, Kalyan, My answer is basically the same, except for the mention of the supplement. Paracetamol, like any other fever reducer, can be abused and again, treat the child and how they feel, rather than the height of the fever. Good luck, Dr. Olso...

Pediatrics: vaccination, local news papers, combination vaccines
local news papers, combination vaccines, rotarix: Read and download latest immunisation schedules from www.Kondekar. com Best for your child at this stage and for your requirements will be injection pentaxim which will cover hib and will not have hep b but will have polio injection in addition. Also it is...

Pediatrics: Vaccination, puneet kumar, son aryan
puneet kumar, son aryan, new delhi india: Hi Vishal, First, it must have been Hep B and not Hep A at 6 weeks... You can see the latest immunization schedule, as officially recommended by Indian Academy of Pediatrics (IAP) at: http://iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf...

Pediatrics: Vaccine, rotavirus vaccines, immunization schedule
rotavirus vaccines, immunization schedule, prevenar: Hi Vivek, For Rotavirus vaccines, two brands are available: ROTATEQ and ROTARIX costing Rs. 960 and 1199 per dose. However, ROTATEQ requires 3 doses at one mon interval; ROTARIX requires only 2 doses (at one month interval). Both are equally effective...

Pediatrics: Water Affinity., reply thanks, curing the common cold
reply thanks, curing the common cold, biological reason: Its normal for age. There is no gene coded for water affinity yet to prove your suspicion. Tremendous is your subjective perception. If it were so he will be conitnuosly drinking water too. Cold may be related to water but all swimmers donot get frequent...

Pediatrics: Water Affinity., reply thanks, curing the common cold
reply thanks, curing the common cold, biological reason: Hi, Prashant, Frankly and excuse my bluntness, this seems like a pretty lame question. Can genetics play a role? Probably, but who really cares? It sounds like a lot of time has been wasted on discussing something that no one can prove one way or the...

Pediatrics: weight gain for premature babies, twin babies, multiple births
twin babies, multiple births, premature babies: They will gain weight if they are given adequate milk. If breast milk is not enough for both babies you can give a suitable formula after consulting your doctor. Premature babies need calcium and iron supplements and your pediatrician will tell you about...

Pediatrics: Zoloft and ADD medication, severe anxiety, ocd symptoms
severe anxiety, ocd symptoms, question thanks: Hi, Melanie, Again, adding a stimulant is fine with an SSRI. Considering a trial of another SSRI that may help the anxiety and not cause the hyper, unfocused, dis-inhibited behavior would be another possible avenue to pursue. Hope all goes well,...

Pediatrics: 11 Month old with chronic bronchilitis and ear infections, arterial blood gas, chronic lung disease
arterial blood gas, chronic lung disease, arterial blood gas analysis: Hi I would like to see his chest shape with both hands raised above head… Also if possible a CT scan chest and an arterial blood gas analysis will give me a clear reasoning of chronic lung disease. In addition to above specific therapy with ipratropium...

Pediatrics: 18-month-old daughter doesnt chew, dairy milk chocolate, chewing games
dairy milk chocolate, chewing games, finger foods: u should teach her as game.. bite game, peek a boo game hiding food inside .. below tongue around cheeks.. she shouldnot feel it like some work.. despite all if the protrusion reflex is there, you may need to make it semisolids for some more time and also...

Pediatrics: 25 month old boy does not talk yet, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Jyoti, Your son has delayed development of expressive language and needs to be pro-actively managed as he is above 2 years now. Hearing needs to be tested by a test called BERA (if not done earlier). If it is normal, speech therapist needs to be consulted...

Pediatrics: 3 year old throwing up, runny nose, abdominal pain
runny nose, abdominal pain, diarrhea: What is the color of his urine? If it is dark yellow he needs to be tested for jaundice. Was there any change in his diet? If he has no fever or abdominal pain probably there is nothing serious. Is he passing stool normally or having diarrhea? If the...

Pediatrics: 4 year old vomiting every 2-3 weeks, common denominator, migraine variant
common denominator, migraine variant, gaining weight: Hi, Jeanna, I would wonder about this being a migraine variant, especially if migraines run in your family. I would also recommend keeping a good diary of food, activity and other things to see if you can find a common thread. It is very difficult for...

Pediatrics: 9-month baby- watery green stool- some blood too, streaks of blood, ml milk
streaks of blood, ml milk, loose stools: I hope you had been through the featured article on loose stools written by me at www.pediatricianonline.in The streaks of blood if with pain can rarely be straining fissure or piles but often it is dysentery that will need specfic antibiotics course....

Pediatrics: Advice, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Smriti, Tes, MMR and Chicken Pox vaccines can be given on the same day (but as separate injections on different sites). If not given on same day, then minimum 4 weeks interval is must between the two. Any one can be given first. Best wishes, Dr....

Pediatrics: Baby's eyes, puneet kumar, first time mom
puneet kumar, first time mom, new delhi india: Hi Kira, If it persists for more than a week or so, he must be examined by his doctor to find out the cause and appropriate advice. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-981835684...

Pediatrics: Baby Growth, head circumference, baby growth
head circumference, baby growth, ct scan: I do not advise cyp-L. Some children walk a little later. Has he started saying mama etc.? He should be treated for worms. I hope he is not anemic. Avoid food forcing. It is difficult to say anything about the head circumference without examination. If there...

Pediatrics: my baby vomited at night., puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Krishna, Yes, you can. You must change babies posture (sometimes flat on back, sometimes on right side, sometimes on left side) every few hours. Baby should NOT always be on her back. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New...

Pediatrics: Best Vaccine, puneet kumar, new delhi india
puneet kumar, new delhi india, irreversible consequences: Hi Mahender, Both the leading brands (Okavax & Varilrix for chicken pox and Avaxim 80 & Havrix 720 for hepatitis A) are equally good. Please get your child examined by his pediatrician for appropriate treatment of allergy. Please don t try to self-treat...

Pediatrics: Bulge right next to left of spine in 9 mo old, assymetry, plain film
assymetry, plain film, scoliosis: Hi, Sylvia, If the spine is normal and she is otherwise fine, I would tend to watch this. Scoliosis in this age group can be tough to identify and my take on this would be to have your doctor carefully check things, record any findings, and then at the...

Pediatrics: Chicken Pox question, dear doctor, handwash
dear doctor, handwash, youngest son: Yes, this disease does spread by air. Try isolating the kid.. do practice good handwash and minimum handling around objects involved in care of sick child. You may vaccinate the kid now and also discuss with your specialist if prophylactic therapy with acyclovir...

Pediatrics: constant crying, woodwards gripe water, puneet kumar
woodwards gripe water, puneet kumar, new delhi india: Hi Bhuvana, Babies in first 1-2 months have reverse sleep cycle : That is they spleep more during the day and are awake (and awake means crying for feed, crying to be held, etc.) at night (usually from 11pm to 5 am). Since this is normal phenomenon, no...

Pediatrics: contipation in my 2yr old daughter, prune juice, half cap
prune juice, half cap, miralax: Hi, Lindsay, I assume you mean she is constipated. If all the dietary stuff doesn t work, then you could try a product, OTC here in the States, called PEG 330, or brand Miralax. Mix a half cap (top of bottle measures it) in some juice, like orange juice...

Pediatrics: My daughter's eye, eye specialist, drops of water
eye specialist, drops of water, newborn baby: Slight watering of one or both eyes is normal in infants. Gently massage the sides of the nose from above downwards several times. Repeat this three to four times daily. The watering should stop gradually If there is no other problem you need not worry, ...

Pediatrics: Developmental delay, calcium supplements, leading question
calcium supplements, leading question, developmental delay: Hi He should do same in next 20 days if he is able to stand on his own with support. Check his weight and give him calcium supplements. please specify if you have not understood the statement. children of prematurity may not need a consultation if they...

Pediatrics: didn't go motion at 3 days, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Krishna, If baby is otherwise well, passing urine regularly, feeding well, there is nothing to worry. Just ensure you are not giving anything like Gripe water/ janam Ghutti etc, as these products cause constipation. Normal babies often don t pass stools...

Pediatrics: Diet for 7 months old, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Maddie, Paneer should preferably be added gradually after 9 months of age. All fruits and vegetables can be given. If there is any minor problem with any food item CONSISTENTLY, avoid it for a few weeks and try introducing it again at a later date....

Pediatrics: Developmental delay
Pediatrics: Developmental delay

Pediatrics: fall off bed, head injuries, instinct
Pediatrics: fall off bed, head injuries, instinct, mama

Pediatrics: fall off bed, stomach virus, hair line
stomach virus, hair line, 3 feet: Hi, amanda, If this happened a week ago and everything is fine now, then the injury has nothing to do with her current symptoms. This is probably a stomach virus that you all are sharing and should just pass. If she seems to be getting dehydrated, then...

Pediatrics: feeding, soft diet, chapati
soft diet, chapati, ambulation: Hi Aditi, I am so sorry for replying late. I was busy elsewhere.. Your baby s weight is well within normal range. Usual weight gain at this age is just 250-300 grams a month; So relax! Usually, babies erupt one tooth a month on an average. I think...

Pediatrics: Food for 7 months old., puneet kumar, new delhi india
puneet kumar, new delhi india, cumin seeds: Hi Akshara, Dry-fruits like peanuts need to be avoided at this age. They should preferably be introduced after one year of age. Use of milk shouls also be minimum: The porridge should be thick (paste like with minimum milk: Our aim is to give everything...

Pediatrics: Growth.., puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Prasanna, Yes, his weight and height are within normal range..However, better interpretation can be made only after looking at his growth chart. Discuss it with his pediatrician. In general, he should gain about 3 kg and 6 cm every year from now...

Pediatrics: Can you help?, rheumatoid arthritis, urine culture
rheumatoid arthritis, urine culture, losing my mind: It is difficult for me to help you without seeing the child. You have not mentioned his ESR. If the ESR is normal probably there is nothing very serious. I do not know whether you have traveled abroad. In that case malaria and other less common conditions...

Pediatrics: Hives, witch hazel, self medication
witch hazel, self medication, xyzal: Hi Trisha, Yes, he has typical hives (urticaria) and there are several causes of it, the most common being allergy...and there are hundreds of allergens in our environment, and negative test for top ten allergens doesn t mean there is no allergy. Nobody...

Pediatrics: Could my infant be teething?, biting lips, wet diaper
biting lips, wet diaper, teethers: It may be teething but thats too early. Common cause of cry at this age is nonspecific colic which responds to colic meds. sucking hands and biting lips is common at this age, giving some teethers or feed will settle the issue, its more of craving/habit...

Pediatrics: Language development., puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Smriti, Ya, it is normal. Keep talking to him. It is a bit difficult for the baby to learn first 1-2 words. He would learn faster after that. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com...

Pediatrics: Leg pain/fever, viral illnesses, sore muscles
viral illnesses, sore muscles, high fever: Hi, Stephany, It is common for kids with viral illnesses to have intense myalgias, or sore muscles. I would feel more comfortable since he has had this before with viral illnesses. I would suggest that his parents discuss this with the doctor the next...

Pediatrics: Low HB - 8 Year old girl, puneet kumar, new delhi india
puneet kumar, new delhi india, iron tonic: Hi Jaya, Yes, she doesn t seem to be picky eater, as she is already overweight (by at least 8 kgs, as normal weight range at 8 years is 16-32 kg). That indicates that she may not be having a well balanced diet. Please be more careful of her diet and physical...

Pediatrics: nose bleed, frequent nosebleeds, bactroban ointment
frequent nosebleeds, bactroban ointment, nasal allergies: Hi, Jeanne, Bleeding could be related to allergies. I am not sure if muconase is an inhaled steroid, since I don t prescribe it. If it is, it could help with nasal allergies and therefore may help with bleeding. I would recommend discussing it further...

Pediatrics: orrange pigment in urine, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Raj, I am sorry for replying late.. was busy elsewhere No, Pampers can t be given.... Even otherwise Pampers and such diapers should NOT be used routinely. Use very very occasionally. You can enquire about urine collection bags for newborns:...

Pediatrics: pentavac can be after pentaxim.., hepatitis b vaccine, puneet kumar
hepatitis b vaccine, puneet kumar, new delhi india: Hi Dr. Vijay, There is no harm to the baby if Pentavac was given after giving Pentaxim. However, you must know the difference between the two. While Pentaxim is a combination of DtP (acellular/ painless or gentle : DTaP) with Hib and IPV. Pentavac...

Pediatrics: petechia on 4month old legs, blood work, alisa
blood work, alisa, good luck: Hi, alisa, If the blood work is normal and she seems healthy, this should get better. What do you mean by not acting the same ? Is she sick? Petechiae can be caused by pressure on a certain part of the body, like clothes that are too tight. If she...

Pediatrics: plz guide urgently, sanofi pasteur, rotarix
sanofi pasteur, rotarix, hello doctor: 1.sii and sanofi brand should not be mixed and it may not be equal to pentaxim. Hep B 2 should have been given alongwith. 2. Though some docs disagree.. I suggest to take pentaxim and rotarix in next session. You may download pdf file of latest schedule...

Pediatrics: Polio drops, polio days, puneet kumar
polio days, puneet kumar, new delhi india: Hi Dipti, Pulse polio drops are over and above routine vaccination, for added safety. They should be given to every child below 5 years of age during every pulse polio round. The drops need to be given on the very same day, from nearest Polio Booth. In...

Pediatrics: premature infant medication, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Mili, Please do not self-treat your precious baby. Get him examined by his pediatrician for appropriate treatment. Any laxity on your part can have disastrous consequences in a your preterm baby. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic,...

Pediatrics: Prolonged rash, rash on stomach, viral illnesses
rash on stomach, viral illnesses, viral fever: Hi, Judy, A lot of viral illnesses come with a rash, either at the end of the illness, or during it. This is probably the case. The other phenomena we see this time of year is back to back viral illnesses, that are hard to sort out from one illness that...

Pediatrics: Re: Infection & baby food, nan 1, stomach infection
nan 1, stomach infection, simalac: here are answers 1. Is her weight OK. Her weight in the last 1 ˝ months has not increased much. What could be the reason? ==at present weight is fine.. and not gaining is no good. you may need to stress on milk free feeds.as milk kills appetite and is...

Pediatrics: Re: Infection & baby weight, nan 1, stomach infection
nan 1, stomach infection, simalac: Hi Gururaj, Here are the answers: 1. Her weight gain is excellent. Babies normally triple their birth weight by 9 months of age. Because of good care that your baby has got, she is more than 4 times the birth weight at 7 months!! There should be no worry...

Pediatrics: Recurrent cold & cough, puneet kumar, new delhi india
puneet kumar, new delhi india, frequent cough: Hi Priyanka, Every child in 2-6 years of age group suffers from frequent cough/ cold. These children, especially in lower side of this age group can have 6-8 episodes of cough/ cold every year. The frequency of these episodes is even more during change...

Pediatrics: recurring loose motion, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Ranjana, There is no restriction in diet in diarrhea. She can take almost everything that is cooked at home: with little extra fat (ghee/ butter/oil) as compared to adult diet. Animal milk, dry fruits and non-veg is what is to be avoided at this age....

Pediatrics: refusing breast milk
Hi Dinsha, I hope you started introducing solid foods at 6 months of age, since that is the best time to start. It is more difficult to start solids once baby is older and is habituated to take only milk. You should not stop breastfeeding, but always...

Pediatrics: regarding my 2.5 yrs child, cough and colds, frequent cough
cough and colds, frequent cough, chest congestion: Hi Parminder, Every child in 2-6 years of age group suffers from frequent cough/ cold. These children, especially in lower side of this age group can have 6-8 episodes of cough/ cold every year. The frequency of these episodes is even more during change...

Pediatrics: Reqarding mild thickening of walls of gallbladder for infant., pediatric radiologist, hello doctor
pediatric radiologist, hello doctor, urine flow: Hi, chiru, I m not sure why they even looked at the gallbladder with these symptoms. I suspect this is normal, but be sure the doctors are using some measurements that are appropriate for a 5 month old. If in doubt, make sure a pediatric radiologist...

Pediatrics: Sensory Processing/sensitive child, early intervention services, immature nervous system
early intervention services, immature nervous system, temper tantrum: Hi, Angela, Don t let her hit anyone. Sensitive or not, this is not the acceptable way we show displeasure. I would handle her responses in a calm, compassionate way, explaining why things are happening and explaining why her response, it it involves...

Pediatrics: my sons behavior, wait times, group activity
wait times, group activity, group activities: It is difficult to offer any suggestion for this problem as it requires interviewing and counseling the child. Every child is unique and will have some idiosyncrasies. Sometimes the best approach would be to ignore the behavior for some time encourage the...

Pediatrics: Swallowed a Rock, new delhi india, india www
new delhi india, india www, stools: Hi Stephanie, If he is otherwise alright (i.e., not vomiting or looking sick), there is no need to rush to ER. You can just keep a watch...Most of small objects are passed in stools spontaneously without any problem in 48-72 hours. Best wishes, Kumar...

Pediatrics: Vaccine, chickenpox, mmr
chickenpox, mmr, chicken pox: Age of the child is more important. When u give these vaccines to baby… Sequence doesnot matter. Read and download detailed instructions and schedule for vaccination in India till 2012 from download link at my website.website www.kondekar.com All the vaccines...

Pediatrics: weight, puneet kumar, new delhi india
puneet kumar, new delhi india, calcium supplements: Hi Krishna, Have faith on your pediatrician. Yes, ONLY breast feeding (not even water) till 6 months of age...Never give any other feed/ water! Mother should take care of her diet: well balanced diet with lots of water and don t forget calcium supplements....

Pediatrics: White Stool in Toddler, jasmine rice, white stool
jasmine rice, white stool, wheat bread: Hi Nathalie, Relax! There is nothing to worry about. Stool color is of no practical significance. Just ignore it. Everyone has a different sleep requirement: We can t alter it. There is nothing to worry if she doesn t sleep much, but is active during...

Pediatrics: my 2 month olds cough, running a fever, drool
running a fever, drool, tylenol: Hi, erica, Most 2 month olds with a wet cough have a cold. If she is sick, running a fever, or breathing hard and/or fast, then she should see her doctor. Otherwise, humidity, Tylenol if needed and fluids are the treatment. Good luck, Dr. Olso...

Pediatrics: 25 month old boy, developmental pediatrician, mama papa
developmental pediatrician, mama papa, afternoon nap: Though speech delay is common in India... it needs complete developmental evaluation to study associated issues. Playschool will help as a form of therapy but it cannot bypass a visit to occupational therapist and speech therapist and developmental screening....

Pediatrics: 3 year old speech developement, sisters name, lunch box
sisters name, lunch box, sippy cup: Hi Jameela, I am so sorry for being so late in replying... Last few days were so hectic that I just couldn t manage this forum well. Sorry again. Jameela, your younger daughter definitely has gross delay in expressive language development, although her...

Pediatrics: 4 month old, breestfeeding not pooping, loose stools, apparent change
loose stools, apparent change, suppository: Hi, Queen, Injected seems a bit harsh! (: Lots of BF babies have infrequent but still very loose stools. They can normally go a week or so without a stool and why it can happen with no apparent change in anything is unknown to me. If he is not fussy,...

Pediatrics: 4 month old daughter, nose drops, runny nose
nose drops, runny nose, pediatrician: Hi, mark, The only med we ever give for a cold is Tylenol, for aches and pains and possible fever. We recommend extra liquids, perhaps some non-medicated salt water nose drops and watching for getting worse. All the possible meds are either unsafe, ineffective...

Pediatrics: 4 year old vomiting, stomach virus, hi mom
stomach virus, hi mom, food sensitivity: Hi, Mom, Hard to say what this is and I agree that a viral illness is less likely considering what you have told me. If these are just intermittant and she is otherwise well, I could be a type of food sensitivity or it even still could be a virus. It...

Pediatrics: My 5 year old gets up several times a night, smart parents, chore chart
smart parents, chore chart, favorite store: Hi, Angela, You sound like perceptive smart parents and it sounds like you have a kid with these characteristics also. Try this. Make a special card for her that allows one visit a night to see you guys, if she wishes. You keep the card after she uses...

Pediatrics: adopting street child, adoption agencies, illicit purposes
adoption agencies, illicit purposes, street kids: Hi, This sounds highly illegal and is something I never would recommend. Please discuss this with adoption agencies in your country and find out if this is legally feasible. This strikes me more as kidnapping or taking a kid for illicit purposes. Do...

Pediatrics: Advice for my Baby Vaccine Schedule, baby vaccine, vaccination program
baby vaccine, vaccination program, rotarix: Now Hi You can download latest schedule from kondekar.com you will find a link in downloads section. The bcg in your case should have been given with hep B… and if it is not given your pentavac had hep B 1… pentaxim covered IPV 2 but hepB2 needs to be taken...

Pediatrics: blood work results and urinalysis, typhoid vaccines, white blood cells
typhoid vaccines, white blood cells, routine blood: Hi, Jeanne, Again, I have no idea why all these tests are being done on a healthy kid. No one recommends these tests for a healthy child and it is hard to interpret things in this setting. Uric acid levels in kids this age are usually normal and perhaps...

Pediatrics: Calcium syrup for babies, calcium supplements, premature babies
calcium supplements, premature babies, hi doc: I do not know the circumstances under which your doctor prescribed it. Usually there is not need to give calcium syrup for such a long time. Breast milk is a good source of easily digested calcium. It takes care of all nutritional requirements. Premature babies...

Pediatrics: Cold - caugh, appetite stimulant, cold syrup
appetite stimulant, cold syrup, maczone: It looks like child was being managed as bronchiolitis. I would like to know weighr milestoes,diet,duration and frequency of these episodes over months. You may chart symptoms on breathingdiary available at breathing diary.com to make one understandiff...

Pediatrics: constipation and pain in 5 month old daughter, constipation
constipation: Thanks . Please go through my article on constipation at following link and if any further queries.... do write back. a href= http://childrenspecialist.blogspot.in/2010/01/constipation-in-newborn-or-infant.html http://childrenspecialist.blogspot.in/2010/01/constipation-in-newborn-or-infant.html...

Pediatrics: Content Knowledge essential to the job, answer homework questions, content knowledge
answer homework questions, content knowledge, disease processes: Hi, Kensy, I usually don t answer homework questions, but of course content and knowledge of what is normal, abnormal and content regarding countless disease processes, development and treatments are part of the pediatricians package. Good luck, Dr....

Pediatrics: CT scan, appendicitis, ct scans
appendicitis, ct scans, radiologist: CT scans are a significant dose of radiation and should only be done if needed. I am not a surgeon or a radiologist but my understanding is that ultrasound is pretty good at assessing appendicitis and does not involve radiation. However there may have been...

Pediatrics: Diarrhea - 5 months old, zinc supplement, month old baby
zinc supplement, month old baby, small quantities: Diarrhea can occasionally take more than a week to subside. If the baby is well hydrated and active there is no need to worry. Continue to give more fluids If there is no improvement after several days of treatment please consult your doctor again. It...

Pediatrics: drainage of tubes on 1 1/2 year old, oral antibiotics, stomach pain
oral antibiotics, stomach pain, ear drop: Hi, Cindy, The tubes generally do several thing: they protect hearing, they cause less pain, and they reduce (but no eliminate) the chance of ear infections. This drainage sounds decidedly abnormal and your Grandson needs to be seen and probably started...

Pediatrics: Elevated platelets, acute phase reactants, fever symptoms
acute phase reactants, fever symptoms, viral illness: Hi, JR, Elevated platelets generally mean nothing in a CBC. They are markers of illness ( acute phase reactants ) and will move up and down, and especially will increase with a viral illness at times. They mean nothing clinically relevant in this setting....

Pediatrics: Infant behavior, puneet kumar, new delhi india
Pediatrics: Infant behavior, puneet kumar, new delhi india, dwarka new delhi

Pediatrics: Fear of overweight and refrain from eating enough food, anorexia nervosa, muscle problems
anorexia nervosa, muscle problems, menstrual period: it need not always be a psychological case like say anorexia nervosa that may require months of counselling and therapy. often there may be organic reason for reduced intake like say infections or throat or gut. etc, in such cases she has good chances of...

Pediatrics: fever, fever in babies, doctor asap
fever in babies, doctor asap, hello doctor: I assume that you checked the temperature in axilla. It is slightly high. Does the baby have any other symptoms like cough, cold or diarrhea? If the baby feeding well and smiling I do not think there is any problem. Otherwise you need to consult a doctor...

Pediatrics: fever, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Yaminikrish, Medicine should be given only if temp is above 100.5F. If fever persists for more than 2 days or baby appears sick at any time, refuses feeding, please do consult your pediatrician urgently. Best wishes, Dr. Puneet Kumar, Kumar Child...

Pediatrics: fever for ten days in 3yr old, viral fever, chest infection
viral fever, chest infection, flu like symptoms: Hi, atika, I always find time to answer questions! This is either another illness that has unfortunately hit her or a complication of the first illness. I would wonder in this scenario about a secondary bacterial infection like an ear or chest infection....

Pediatrics: Fifth disease, cheek bones, arm pits
cheek bones, arm pits, fifths disease: Hi, Amanda, I would much more wonder about this being scarlet fever, a strep infection with a rash or a staph scarlet fever syndrome. Please see your doctor. Fifth disease does not involve the genital area very often and the other two conditions do frequently...

Pediatrics: frequent fever to my 33 months son, hidden infections, leval
hidden infections, leval, adenoids: Hi This is often likely to be nonspecfic viral infection if the fever got controlled in 3 days each time.... I don t find it a problem. But even once it lasts five days in 6 months, I will investigate for hidden infections like tonsils adenoids or UTI. ...

Pediatrics: Green diarrhea with cramps, diarrhea stomach cramps, stomach flu
diarrhea stomach cramps, stomach flu, stomach virus: Hi, Jennifer, This does sound like a typical stomach flu, with pain, diarrhea, vomiting and loss of appetite, especially if this has been only going on for a few days. I would hang in there, continue to give fluids and any solids as tolerated and see...

Pediatrics: Hepatitis B vaccine schedule, hepatitis b vaccine schedule, hepatitis b vaccine
hepatitis b vaccine schedule, hepatitis b vaccine, puneet kumar: Hi Sridhar, Yes, your baby should be given an extra dose to cover up the lapse. The 4th and last dose should preferably be given 5 months from 3rd dose: i.e., around 7th August. Best wishes, Dr. Puneet Kumar Kumar Child Clinic, Dwarka, New Delhi,...

Pediatrics: high TIGE, constant cough, cough symptoms
constant cough, cough symptoms, nasopharynx: Hi The calculations are not so easy. These levels are high though not very high to suggest major modifications in therapy... Treatment is decided by symptom frequency of nose or cough symptoms and is assessed by charting the symptoms once a day on a recall...

Pediatrics: Infant behavior, light intensity, optical processes
light intensity, optical processes, infant behavior: Hi, Bryon, I thought I answered this, but if not, this is totally normal behavior for one this age. Infants have a tendency to be fascinated by differences in light intensity, or faces, and will stare at them often. Totally normal. Good luck, D.r...

Pediatrics: Infant reflux, eosinophilic esophagitis, gi specialist
eosinophilic esophagitis, gi specialist, ph probe: Hi, Mandy, I personally give them at the same time, but others may differ. I doubt the Prevacid is making things worse. Feeding aversion happens a surprisingly often time in this situation. I have never heard of traces of dairy in Prevacid, although...

Pediatrics: infant suffering from recurrent git and uti infection, puneet kumar, new delhi india
puneet kumar, new delhi india, bacteria in urine: Hi Anuj, A 5.5 month old can NORMALLY have such stools and does nt require much treatment (other than zinc and probiotic, may be). I won t rely much on the lab reports if the baby is otherwise well (not looking sick), feeding well and gaining weight. ...

Pediatrics: inflamed liver, inflamed liver, liver inflammation
inflamed liver, liver inflammation, albumin levels: First thing is to know on what grounds this label was given. Liver inflammation need not cause gastritis. Often doctors use various terms to make peole understand the prescription. I suggest you o to a peiatrician or get tests done to confirm liver issues....

Pediatrics: live skin inside childs umbelical area, moist tissue, oil fall
moist tissue, oil fall, patent urachus: Hi, daiana, This may be an umbilical cord granuloma or rarely there may be a connection between the bladder and the umbilicus called a patent urachus. Please have your doctor examine this area carefully and a simple test like an ultrasound of the bladder...

Pediatrics: Messy Baby, not sleeping at night, infant formulae, home cooked food
infant formulae, home cooked food, paste consistency: Hi Chiranjeevi, I don t see any problem here... It is better to give home cooked food rather than Cerelac. Following write-up would help you in this regard: Following are the general guidelines on infant feeding in addition to milk (complementary...

Pediatrics: Messy Baby, not sleeping., month old baby, chiranjeevi
month old baby, chiranjeevi, stage 1: Hi, chiranjeevi, If he is a bit sick with the cough and more urine because presumably he is drinking more than taking solids, then it might be a good idea to see your doctor. If he is just not a good sleeper in general and he has never slept through the...

Pediatrics: Miralax Dosage, miralax, cleanout
miralax, cleanout, stools: Hi, Laura, I dose generally 1 cap two times a day as a cleanout followed by 1 cap each day mixed in 4-6 oz liquid of choice daily for a month or so. The stuff is safe, so I use bigger doses to get things going in these kids who often have stools larger...

Pediatrics: mucus stool of my baby since a month, puneet kumar, mucus stool
puneet kumar, mucus stool, new delhi india: Hi Mandipa, I am sorry for replying late.. was busy elsewhere This is often normal. Please get your baby examined by your pediatrician to be doubly sure. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com...

Pediatrics: Nails, median nail dystrophy, nutritional deficit
median nail dystrophy, nutritional deficit, ring fingers: Hi, Clint, One really needs to see nails in the flesh to try to figure out what is going on. I have seen a condition called median nail dystrophy in a few kids, although they do not have as prominent finding usually as adults do. Why this happens is...

Pediatrics: pediatric problem, constipation in children, fruits vegetables
constipation in children, fruits vegetables, diet changes: Surely most such issues are related to diet and are completely curable in 100 days with diet changes. Select cases are related to infections like tuberculosis and some due to defects in gut formation in embryo, which may need surgery. Do read my article...

Pediatrics: about pentavac, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Swamy, It is not unusual to have more fever/ pain with subsequent dose of DPT. If the problem is extending beyond 72 hours, do get your baby examined by his pediatrician to find out if there is some other cause of the problem also. Best wishes, Dr....

Pediatrics: Petechiae, running a fever, bacterial illness
running a fever, bacterial illness, blood work: Hi, Stacey, Although petechiae are classically a sign of serious bacterial illness, they also can be seen with some viruses. This is probably the case with your child. It takes up to 4-7 days for these to disappear. Hope he is getting better. Good...

Pediatrics: pink eye, high fever, pink eye
high fever, pink eye, jana: Hi, Jana, The high fever in a child this age is what separates this out from an ordinary pink eye. Most of this type of illness will be viral in nature, but other things come to mind and I think this is a good time to have him run by your doctor to see...

Pediatrics: Potty Training, world health organization, spiritual dimension
world health organization, spiritual dimension, boy and a girl: The difference is not very big. Even among girls there can be variation. http://www.homebusinessandfamilylife.com/potty_training.html Please support an online petition to the WHO requesting the authorities to review the definition of health and include...

Pediatrics: Re - occurring fever, ear nose throat specialist, ear nose throat
ear nose throat specialist, ear nose throat, white blood count: Hi, Sam, We do see repeated viral illnesses in kids this age, that can appear to be one illness. I carefully explore this by finding out historically if the child has days when he is fine and then gets sick again. The CRP is quite high, regardless of...

Pediatrics: reccurent scalet fever, group b beta strep, scalet fever
group b beta strep, scalet fever, scarlet fever: Hi, Yasser, I am not sure why he was given the ceftriaxone IV. I am also not sure about the sensitivity of the strep to amoxicillin, for we never check this, the assumption being that all are sensitive to group B beta strep. Was the fever spike due to...

Pediatrics: Schedule for my Baby, puneet kumar, new delhi india
puneet kumar, new delhi india, pulse polio: Hi Ankur, Yes, it is OK. IPV booster should be given along with DTP+Hib (Quadrovax) booster at 18 months of age. OPV should be given at 6 months, 9 months and 5 years of age, in addition to every Pulse Polio rounds. Best wishes, Dr. Puneet Kumar, Kumar...

Pediatrics: Sleep pattren, sound sleep, sleep problems
sound sleep, sleep problems, good luck: Hi, Smriti, Most sleep problems are due to the concept of Last Waking Memory that tells us that kids remember how they fell asleep and need that same situation to fall back to sleep whenever they wake up. Usually this means that parents are with them...

Pediatrics: Sleeping problem, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Smriti, I am so sorry for replying late; I was busy elsewhere. Every child (and even adults) NORMALLY wake up several times (although briefly) during sleep. It is NOT due to hunger. In babies/ toddlers, we have to help them to get back to sleep....

Pediatrics: a small bulge below the ear, eating habit, pea size
eating habit, pea size, paediatrician: if ESR is high its always better to get the small node removed and ivestigated by histopathology to put fullstop to all speculations and stress of probable long term disease. children with such node issues are often normal and may not have any symptoms...

Pediatrics: How to stop swaddling, old baby girl, month old baby
old baby girl, month old baby, cold turkey: Hi, Laura, The key thing to getting your baby to sleep well on her own is to let her fall asleep without being in her arms. She doesn t know how to fall asleep on her own. I would rock her until she is drowsy, but clearly awake, and put her in the crib....

Pediatrics: another unexplained fever, scarlet fever, dry cough
scarlet fever, dry cough, nasal congestion: Hi, Michelle, It is common for kids to go from a treatable illness like strep and later, probably coincidentally, come down with an unrelated viral illness. This is probably what is going on. I think the advice from your doctor to wait is reasonable,...

Pediatrics: Thick green poop in 6 month old..?, oatmeal cereal, rice cereal
oatmeal cereal, rice cereal, green poop: Hi, Bonnie, Good for you! You introduced solids at the time I recommend and the time we did for our three kids. Breast milk is the greatest laxative in the world; consistently soft stools all the time. Adding any solids will change the stool and...

Pediatrics: toddler development, pincer grasp, developmental checklist
pincer grasp, developmental checklist, youngest boy: Hi, Rachel, I would dispute the statement that he is not meeting developmental expectations. He has sisters who talk for him, get him stuff and in some respects he lives a pampered life, where everyone pays him a lot of attention. This is really good,...

Pediatrics: tonsilitis, tonsils and adenoids, cheese slice
tonsils and adenoids, cheese slice, high fever: This season the cases of tonsil inflmmation are on rise. These kids present with high fever lating 2_3 days requiring medicines like combiflam 3 to 5 times a day.. tonsils remain bright red from day 2 to day 5 causine pain in swallowing. Kids can accept only...

Pediatrics: underweight 2 year old twin, balanced diets, supplement advice
balanced diets, supplement advice, twin girls: Hi, Jas, Small for gestational age babies tend to be small all their lives. I know of no supplement that will help enhance growth. Balanced diets full of good things is all people generally need. If she really has problems with her ability to fight...

Pediatrics: underweight, cows milk, primary complex
cows milk, primary complex, hello doctor: If she has eosinophilia and tuberculosis her condition will improve considerably after these two conditions are properly treated. Her anemia may not respond unless these conditions are treated. Her appetite will automatically improve with proper treatment....

Pediatrics: urine, cancer of the bladder, bladder cancer
cancer of the bladder, bladder cancer, sir search: Hi, pankaj, If the urine was negative for red bloods cells, then you aren t having blood in the urine. Blood in the urine is easily proven and tested for in your doctors office. If the urine is pink, I would think of other causes, such as beeturia (Google...

Pediatrics: urine, blood in urine, mumbai pediatrician
blood in urine, mumbai pediatrician: well, your symptoms donot look like bladder cancer at all, nor your age is. Relax. The red colour is not caused by blood as RBC was nil in tests. Many other reasons that may cause painless red urine like say dyes, medicines,some coloured sweets. If...

Pediatrics: Vaccination Advice, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Ansh, I am so sorry for replying late. I was busy elsewhere. Pentaxim, as you know, has DTP (acellular: DTaP), IPV and HiB. Easy Four is a combination of DTP (whole cell) and Hib. As you will notice, there are 2 differences: One, Easy Four...

Pediatrics: Vaccination day issue, rotavirus vaccines, puneet kumar
rotavirus vaccines, puneet kumar, new delhi india: Hi Yashasvi, Yes, Pneumococcal and Rotavirus vaccines should be given now (as soon as possible). And one month from the date of this vaccination, 2nd dose of Pentaxim, Pneumococcal and Rotavirus vaccine needs to be given. Regarding Hepatitis B vaccine,...

Pediatrics: Vaccine, indian academy of pediatrics, puneet kumar
indian academy of pediatrics, puneet kumar, new delhi india: Hi Preeti, Yes, as per the current recommendations, IPV and pneumococcal vaccines should be given to all babies. You can see the latest immunization schedule at official website of Indian Academy of Pediatrics (IAP): http://www.iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf...

Pediatrics: vaccine, indian academy of pediatrics, puneet kumar
indian academy of pediatrics, puneet kumar, new delhi india: Hi Priyanka, Pentaxim, has DTP (acellular: DTaP), IPV and HiB vaccines. Easy Five is a combination of DTP (whole cell), Hib and Hepatitis B vaccines. As you will notice, there are 2 differences: One, Easy Five does not have IPV. Hence, IPV needs...

Pediatrics: Vaccines schedule mismatch, polio program, pulse polio
polio program, pulse polio, hepatitis b: You may download latest schedule from kondekar.com Basic principle to be followed is if two vaccines are notgiven on same day, there.should be a gap of a month. Prevenar and rotavirus could have been given at this 6 week along with pentaxim and hepB...

Pediatrics: Vitamins for kid(s), gummy vitamins, height and weight percentiles
gummy vitamins, height and weight percentiles, chocolate milk: Hi, Jalyn, Vitamins for any kid would be safe and parents can give them if they wish. Whether they truly need them is debatable. As long as kids get either adequate veggies or fruits, they should be fine. If they don t, then a vitamin may be helpful....

Pediatrics: vomiting, food intolerance, bouts
food intolerance, bouts, migraine: Hi, Victoria, If this is a very intermittent occurrence and is separated by a long time where he is fine, then this may even by what we call a migraine equivalent, an episode where instead of having a headache, the migraine manifestation may be vomiting....

Pediatrics: 15 days Baby cries severely, baby cryin, stool culture
baby cryin, stool culture, question thanks: Hi, Radha, Again, in the USA we conventionally try to find out what is going on before bombarding kids with a number of antibiotics. Please consider this with your doctor. You need to find out what is causing the diarrhea, and the causes can be numerous...

Pediatrics: 20 month old does not chew, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Shilpa, Ideally, babies are encouraged to chew from 6 months of age, as ideal age to learn chewing is 6-12 months. It becomes increasingly difficult to help a baby older than 1 year to learn chewing. The only way to try to help him learn is to keep...

Pediatrics: 4 year old won;t dtop cussing, tiny speck, extreme anger
tiny speck, extreme anger, dtop: Hi, Please see your doctor, have a good exam done, get a good history and have your doctor suggest a good family counselor to help solve this messy situation. Don t wash his mouth out with soap. It probably won t hurt him, but will be as ineffective...

Pediatrics: 5 & 1/2 month boy not pooping properly, first time mom, rice water
first time mom, rice water, breast milk: Hi, Mrs. Singh, There is really no improper poops, except if they are hard and infrequent and hurt when they are passing. Adding cereal or anything else to the diet will change the stools. If they are not uncomfortable, you don t need to do anything....

Pediatrics: 6 months old boy - weight - First food, low protein diet, rice vegetables
low protein diet, rice vegetables, protein food: Hi Sowmya, The normal range for weight of 6 month boy is 5.6-7.9 kg. He is definitely not underweight! It is better to give home-cooked diet rather than commercial formulae like first Food/ Cerelac/ 1st Bites etc. Diet must be paste-like, rather...

Pediatrics: 6 yr old girl, vaginal area, nightshirt
vaginal area, nightshirt, toilet paper: Hi, cindy, Girls this age often get an irritative vaginitis, a non-specific inflammation of this area due to heat, moisture, inadequate wiping or wiping in the wrong direction. I would try some twice a day sitz baths (have her soak in a bathtub without...

Pediatrics: 6th Week Vaccination, prevenar, hepatitis b
prevenar, hepatitis b, immunisation schedule: Hi All are eficient but none is sufficient alone. Pentaxim has an advantage of being relatively less painful and has injectable polio in addition but it lacks HBV that gets covered in comvac 5. I will prefer pentaxim hepatitis B and Prevenar with rotavirus...

Pediatrics: 7 month old, digestive processes, excess gas
digestive processes, excess gas, intestinal gas: Hi, donna, I guess it could be veggies and you might try cutting back a bit to see what happens. Intestinal gas is due to digestive processes, some really anything that causes excess gas, milk especially, could cause this. Good luck, Dr. Olso...

Pediatrics: 9-Month baby - possible Costeff syndrome, optic nerve, metabolic disorders
optic nerve, metabolic disorders, medical reports: Hi Sorry for late reply. Things are not that easy in this case. I need to sit and discuss- explain various issues with family to have multidimensional improvement.. Root cause in each problem may not be treatable.. but problems are finely manageable. Thanks....

Pediatrics: Is my baby getting enough?, 10 month old baby, month old baby
10 month old baby, month old baby, infant feeding: Hi, Shills, I look at infant feeding in a very simple way. He is getting enough if he is gaining weight, is developing normally and is happy and content. That s as much as anyone can expect and if he meets these criteria, then he is feeding enough. ...

Pediatrics: benadryl, good sleep habits, benadryl
good sleep habits, benadryl, pediatrician: Hi, Nadia, I would not recommend any medicine, even one as safe as this, for nightly bedtime use in children. They need to develop good sleep habits and not be drugged to sleep. I doubt the pediatrician would approve this for long term use. Good...

Pediatrics: a bite in my chin, warm compresses, insect bite
warm compresses, insect bite, doctor dr: Hi, Christian, It is impossible for me to tell you what this is. Lumps that are painful and progressively getting bigger should always be seen by a doctor. You might want to try repeated warm compresses, like a hot wash cloth, on this to see if it will...

Pediatrics: BUN/Creatinine Ratio, bun creatinine ratio, renal cysts
bun creatinine ratio, renal cysts, serum creatinine: Hi, Tricia, I am not sure what her kidney diagnosis is or why these studies were done in the first place. Is there a history in the family of polycystic kidney disease? Did she have an infection and the ultrasound was prompted by the infection? I need...

Pediatrics: child nutrition, well balanced diet, average caloric intake
well balanced diet, average caloric intake, child nutrition: Hi, Melinda, Don t you think it would be a good idea to have her see her pediatrician, do a good dietary history, a good exam and perhaps some targeted lab studies to see if she is medically OK? To me, this would be the first thing to do. An alternative...

Pediatrics: Cold?, constant runny nose, medclinic
constant runny nose, medclinic, cold medicine: Please remember that medicine is continuously evolving and no doctor can claim to know everything. Every doctor has his unique experience and bases his judgement on that experience. There are many grey areas and it is not always easy to say who is right and...

Pediatrics: diarrhea kindly help, watery stools, watery stool
watery stools, watery stool, redcell: Hi Rafay, Many normal babies pass this kind of motion. If baby is active, gaining weight, there is no need of any treatment: no medicines and no switching of formulae. Since I can t examine your baby and reassure you better, my advice would be to consult...

Pediatrics: dry coughinh, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Kamal, Please consult his pediatrician, as he needs careful examination to find out the cause and then treated appropriately. Cough that increases with activity can be a sign of (mild) Asthma; hence needs to be carefully evaluated. Best wishes, Dr....

Pediatrics: Excessivlely depenent nursing baby, changing habits, cold turkey
changing habits, cold turkey, one mother: Hi, jennifer, It is hard to think how changing habits when they are older habits would be easier than changing them in the beginning, but who knows? Hysteria never hurt a baby in any permanent manner. This is going to be either a cold turkey change...

Pediatrics: Eye Blinking Tic - at worst with TV, allergy medicine, blinking mummy
allergy medicine, blinking mummy, typical childhood: Hi, Jacqueline, This is a typical childhood motor tic and as far as I am aware, has no relationship to TS. I see probably a kid every several months with this and to me, it is a mistake getting eyes tests and using drops and stuff like this, for it just...

Pediatrics: Ferritin levels, depression anxiety, thyroid dysfunction
depression anxiety, thyroid dysfunction, ferritin levels: Hi, Brian, Yes, this could be the total explanation. Give the iron supplement three months, have the ferritin and the CBC repeated and see how she is. Could this also be depression/anxiety? Absolutely and other things like thyroid dysfunction should...

Pediatrics: GERD-plus, little fellow, torn in two
little fellow, torn in two, care giver: Hi, Aunt, It sounds like GERD. Meds like Nexium do not generally work as well as ones like ranitidine. Sometimes a combination of the ranitidine and a med like Nexium will work better. Other meds similar to Nexium, like prevacid or prilosec, can be tried...

Pediatrics: Green stool and Mucus, motile bacteria, pus cells
motile bacteria, pus cells, mild fever: If only breastfed he is unlikely to suffer from infection.Are you taking any medicines? This can cause bowel disturbance in the baby. Traces of reducing substance can be normally found. Bacteria can also be normally seen. If there are not many pus cells...

Pediatrics: Growth issues, sticky stools, seizure disorder
sticky stools, seizure disorder, tummy ache: Hi, Amanda, I suspect her evaluation is being organized by a children s hospital team or a developmental specialist and if this is not the case, it should be. This is a really difficult type of question for me to answer, without being privy to the whole...

Pediatrics: Hepatitis b vaccination, hepatitis b vaccination, hepatitis b vaccine
hepatitis b vaccination, hepatitis b vaccine, puneet kumar: Hi Anil, The third dose of Hepatitis B vaccine should have been given 5 months after the 2nd dose, i.e., around 1st October, 2013. The inadvertent 3rd dose that was given too close to the 2nd dose WOULD NOT harm your baby...but MAY NOT be effective in...

Pediatrics: ill effects of masturbation, effects of masturbation, ill effects
effects of masturbation, ill effects, mental health: It depends on how often you do. If that is the only job yu feel every now and then, then it is abnormal. Having it regularly is not bad but can be healthy too. If you feel guilty for that then it will affect your mental health. I would suggest no more...

Pediatrics: ?? INDIGESTION, milk protein allergy, puneet kumar
milk protein allergy, puneet kumar, new delhi india: Hi Dr. Tawseefa, Your son s weight is within normal range of 10-15 kg. He should gain 1 kg every 6 months. You should discuss about possibility of Celiac disease, lactose intolerance and Cow milk protein allergy with his pediatrician. Tests may or may...

Pediatrics: INDIGESTION??, normal iq, iq level
normal iq, iq level, gluten allergy: Hi, Tawseefa, He probably has a lactose intolerance and might have a gluten allergy/sensitivity. Avoiding these products or before milk products, using an enzyme called Lactaid, will help. Get some further testing from your doctor to make sure he doesn...

Pediatrics: Malaria Medicines, malaria medicines, puneet kumar
malaria medicines, puneet kumar, new delhi india: Hi Rachel, For travellers travelling from non-endemic countries like USA to hyper-endemic countries like many countries in Africa, malaria medicine (like Chloroquine phosphate) IS recommended IN ADDITION to the measures your have described. The medicine...

Pediatrics: Nephew's behavior?, breath holding spells, nephew
breath holding spells, nephew, crs: Hi, Kathy, Breath holding spells are common and ultimately harmless, even if they promote a brief seizure, which he probably is having. Here is a great handout I use for my patients and hope it will explain this condition to you. http://www.cpnonline.org/CRS/CRS/pa_bbreath_hhg.htm...

Pediatrics: Overdose of Vitamin D supplement, calcium level, saline drops
calcium level, saline drops, nasal congestion: Hi, Anil, Vitamin D is quite safe for an accidental overdose that is over a short period of time. The symptoms she is having are in no way due to the vitamin D overdose, although the pain with urine passing should at least prompt a check of her urine....

Pediatrics: Paediatric, laxative therapy, prune juice
laxative therapy, prune juice, movicol: The key thing is to maintain water intake which can be via any liquid - they are all mainly water. The main cause of constipation is not drinking enough. It sounds like he may benefit from some laxative therapy to keep the stools soft eg Movicol or equivalent...

Pediatrics: Potty training, toilet training, lid down
toilet training, lid down, power struggle: Hi, Gabi, I am concerned that he only is drinking a cup in a day. This seems a bit slight for a three year old. What is different about the toilet at the day care? Is it more easily used by him? If it isn t different and he goes well there, then...

Pediatrics: potty training problems, poop, pee
poop, pee, three months: Hi, Rebekah, I can t answer this without a lot more information. Is this pee or poop or both? Is she constipated? Has she ever been trained? Does she do anything different on the 2nd or 3rd day of the month? Does she live with you always, or does...

Pediatrics: rash, infant eczema, trunk area
infant eczema, trunk area, rashes: Hi, joanna, Rashes are highly visual and tactile phenomena. Unless one can see it and perhaps feel it, it would be a total guess. It sounds like infant eczema but of course I can be sure. Your pediatrician should be able to help in this. Good luck,...

Pediatrics: Re: coconut water, puneet kumar, new delhi india
puneet kumar, new delhi india, drink juices: Hi Archna, Try to give water/ coconut water. Home extracted Orange juice and branded Honey can be given as medicine for constipation. Increase her intake of fruits and vegetables to prevent constipation in future. I hope you are not giving that can increase...

Pediatrics: Re: infant food, puneet kumar, new delhi india
puneet kumar, new delhi india, paste consistency: Hi Archana, Using of blender does NOT make the food poisonous , but is not recommended. Baby must get used to the granular consistence. there is no need to push more food by blending it or any other way. Just go by baby s appetite: that is the only...

Pediatrics: RE: My little girl is masterbating with objects, inserting objects, care doctor
inserting objects, care doctor, age kids: Hi, Jessica, Putting sharp objects in your vagina is not a good idea at any age. Kids and adults like to masturbate because it feels good. I suspect that unless the other kid at school was masturbating in front of your daughter, demonstrating how she...

Pediatrics: Recurring cold & cough even after adenoids surgery, post nasal drip, frequent cough
post nasal drip, frequent cough, endoscopy results: Hi Seema, Every child in 2-6 years of age group suffers from frequent cough/ cold. These children, especially in lower side of this age group can have 6-8 episodes of cough/ cold every year. The frequency of these episodes is even more during change of...

Pediatrics: remedy for cough by vaccination, diary link, remedy for cough
diary link, remedy for cough, first daughter: You can try to understand remedy for cough cold repeated in kids from my website www.breathingdiary.com Click on the novel diary link to go the page that will show a flow chart and 3 articles. Do get back if you could not understand or if you need further...

Pediatrics: spacing between two different combination vaccines, puneet kumar, days gap
puneet kumar, days gap, new delhi india: Hi Manas, There is no problem if OPV is also given along with IPV (pentaxim). Till July 2012, this was the standard recommendation to give OPV along with IPV. However, as per the latest recommendations (issued in July 2012), OPV is to be given at birth,...

Pediatrics: stomache ache/not eatting, running a fever, vomiting and diarrhea
running a fever, vomiting and diarrhea, tummy bug: Hi, Ali, I suspect this is a viral illness, but with it going on longer than one might suspect and with the lack of vomiting and diarrhea, I would suggest a visit to your doctor to be sure there is nothing more serious developing. Good luck, Dr. Olso...

Pediatrics: swallowing, fellow classmate, party pizza
fellow classmate, party pizza, mental sense: Hi, Mike, Globus pharyngitis is a common pediatric condition. I consider it a type of anxiety disorder and some kids can lose weight and become quite disabled by this, in a physical and mental sense. Short of seeing a counselor, and this may be a good...

Pediatrics: Temperature Fluctuations in ten week old after UTI, measurement accuracy, temperature fluctuations
measurement accuracy, temperature fluctuations, rectal temps: Hi, Holly, These small changes are normal and have to do with the childs normal changes and the measurement accuracy of your device. I m not sure the idea of all these rectal temps is a great one for a healthy child. Please be sure that the UTI was well...

Pediatrics: toddler joints popping, joints, good luck
joints, good luck: Hi, Patti, I really doubt this is causing pain. If you really think it is, and kids this age are very good at seeking attention, then see your doctor. I would tend to ignore it and not comment on it at all when you are with her and see what happens....

Pediatrics: Toddler refusing solids, cows milk, egg whites
cows milk, egg whites, iron rich foods: Hi, Head banging is normal and occurs in at least 20% of kids. I tell parents to ignore it, he won t beat himself senseless, and respond loving immediately upon stopping. It really sounds like he is developing a feeding aversion, commonly seen in...

Pediatrics: undigested food in stool, undigested food in stool, puneet kumar
undigested food in stool, puneet kumar, new delhi india: Hi Ranjana, At 11 months, weight is roughly 3 times the birth weight. Hence, your daughter s weight, as compared to birth weight, is OK. It is also normal for a baby s stools to have some undigested food. However, her weight gain of 200 grams in 3 months...

Pediatrics: Vaccination Advice, hepatitis b vaccine, pneumonia vaccine
hepatitis b vaccine, pneumonia vaccine, immunization schedule: Hi Anshul, There is no problem for a week s delay. But don t delay it any further, as her vaccination is much behind the schedule. Normally, 3 doses of DPT, IPV and PCV are administered by 3.5 months (14 weeks) of age! Your pediatrician would choose...

Pediatrics: about the vaccine, hepatitis b carrier, hepatitis b vaccine
hepatitis b carrier, hepatitis b vaccine, hepatitis b: Hi, sherry, First of all, additional doses of Hep B vaccine don t hurt and generally produce better immunity. Pentavalent is used at 2 months and I believe at 6 months. We use in our office Pentacel, which doesn t contain Hep B and give the Hep B at...

Pediatrics: about the vaccine, hepatitis b carrier, hepatitis b vaccine
hepatitis b carrier, hepatitis b vaccine, hepatitis b: Some authorities recommend Hep B at 0,1, 2 months if mother is positive and another dose at one year. Hep B is also available separately. You can also get quadruple vaccine which does not contain Hep B. It is better to discuss this with your doctor when you...

Pediatrics: Weaning a 4.5 months baby, old baby girl, infant formulae
old baby girl, infant formulae, corn flour: Hi Blessing, Ideally, babies should be breastfed exclusively till 6 months of age. After 6 months of age, solids are introduces, while continuing breastfeeding. With change in diet, change in colour, consistence and smell of stoold is expected and is...

Pediatrics: wolf spider bite, initial ed, nurse line
initial ed, nurse line, wolf spider: Hi, Violet, Great pictures! I am surprised that in the initial ED visit they didn t culture the lesions. A culture after a few days of clindamycin will be somewhat useless. This looks like a typical spider bite and how long it will last depends on the...

Pediatrics: 28 month old son not talking as yet, autism, ADD
autism, ADD, speech delay: A large number of children at this age have such speech delay in India, often children learn things by age 3 and parents forget about this problem. But they fail to realize that his speech development remains late compared to peers and may have adverse outcome...

Pediatrics: My 3.5 son Coughing since last 2 months, cough treatment, cough medicine
cough treatment, cough medicine, further management: I am based in Hong Kong and came accross this website, my 3.5 yrs old son had a viral infection 2 months back == viral infections settle in 5 days without antibiotics unless complicated and after seeing doctor we gave a 5 days antibiotic course which...

Pediatrics: 5month baby passing green stool, pus cells, benzonate
pus cells, benzonate, green stool: Hi, shrawan, Diarrhea is treated totally differently in your part of the world compared to the USA. We virtually never treat anyone before we know the causative agent for the diarrhea. We do stool cultures and seldom analyze the stool, for without knowing...

Pediatrics: 8yr old daughter, allergic reaction, poison ivy oak sumac, diphenhydramine 25mg
poison ivy oak sumac, diphenhydramine 25mg, allergy medication: Hi, Darla, This looks like a contact dermatitis, an allergic reaction caused by something touching the involved skin. Poison ivy/oak/sumac are examples of this. Other things can cause it. I would try some oral diphenhydramine, 25mg, and see if it gets...

Pediatrics: astma, exercise induced asthma, asthma attacks
exercise induced asthma, asthma attacks, allergic to cats: Hi, Leah, He needs to be on a daily controller medicine. The Flovent is really designed to be used daily, twice a day, to prevent asthma attacks. His allergies need to be well controlled, for what happens in the nose effects the lung function. He should...

Pediatrics: Baby Hit Nightstand, brain damage, baby brother
brain damage, baby brother, little baby: Hi, Ami, This is a pretty common sort of injury and if he is not crying and is doing fine and didn t lose consciousness, then he should do well. This minor injury will not cause brain damage nor will effect his IQ. Don t freak on this! Happens to a...

Pediatrics: Breathing problems, slow transition, clock work
slow transition, clock work, viral illness: Hi, Megan, I doubt if what happened to him at birth, a slow transition to life outside the womb, has any bearing on what is happening now or the sounds he makes from birth. It sounds like he might have a bit of a viral illness, like a cold. With a...

Pediatrics: CBC, iron deficiency anemia, puneet kumar
iron deficiency anemia, puneet kumar, new delhi india: Hi Sambudha, Your daughter has severe iron deficiency anemia. Please get her thoroughly evaluated by her doctor for accurate diagnosis and appropriate management. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, india www.KumarChildClinic.com...

Pediatrics: CFL Break Mercury exposure, mercury emissions, conservative source
mercury emissions, conservative source, mercury exposure: Hi, Brooke, The EPA is a pretty reliable and usually conservative source of information. I would follow their advice and just ventilate the heck out of the room. Of course, you can always do what you,as her Mom, thinks is best. Good luck, Dr. Olso...

Pediatrics: cough, child coughs, parents section
child coughs, parents section, dry cough: hi Dry and wet cough by literal means is something without and with sputum. When you apply this logic, most child coughs get dry label and not useful in treatment or diagnosis. please check if it is more between 10 pm to 10 am, if so she may need bronchodilator...

Pediatrics: Daughter dosent eat by herself, routine diet, throat infection
routine diet, throat infection, blood tests: Hi there Is it possible for you to list current routine diet in your family. Is there any specific food she. Likes or doesnot like at all. Common causes at this age are constipation or throat infection ... at times there can.be serious infection that may...

Pediatrics: My 3.5 son Coughing since last 2 months, appointment, india
Pediatrics: My 3.5 son Coughing since last 2 months, appointment, india

Pediatrics: loose stool in 5.5 month old baby
Pediatrics: loose stool in 5.5 month old baby

Pediatrics: Flaking in urine., skin flakes, smegma
skin flakes, smegma, phimosis: Hi, Nitu, I thought I answered this but somehow answer didn t go through. I would worry that the ballooning of the foreskin suggests a phimosis, a scarring of this area with the restriction of the opening to keep urine trapped. The white stuff may be...

Pediatrics: Frequent Cold and Cough in 4 year old boy, frequent colds, loratidine
frequent colds, loratidine, good sleep: Hi, Kalyan, Most kids this age with frequent colds are exposed in a day care situation. Allergic symptoms are often hard to distinguish from a cold. Antihistamines, like diphenhydramine or loratidine are available and can sometimes help and are safe....

Pediatrics: Frequent Cold and Cough in 4 year old boy, frequent cough, selective cases
frequent cough, selective cases, vulnerable age: Hi Mr. Kalyan, Every child in 2-6 years of age group suffers from frequent cough/ cold. These children, especially in lower side of this age group can have 6-8 episodes of cough/ cold every year. The frequency of these episodes is even more during change...

Pediatrics: Greenish Stool And Occult blood, going in the right direction, reducing sugar
going in the right direction, reducing sugar, diagnostics test: Hi, Safal, How about a culture of the stool for ova, parasites and bacteria to definitively prove what is going on? I appreciate things are done differently in India, but I would love to ask why something this simple is not done. Before a major test...

Pediatrics: Head Circumferenth Growth, head circumference, adult head
head circumference, adult head, warning signs: Hi, Adrienne, There is nothing that can be done with a small head at this age. Often the head size at 18 months approximates the adult head, especially if people in the family have smaller than average heads. If his growth is fine and he is doing well,...

Pediatrics: height, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Rafsan, By this age, you have already reached the height that was destined by the Almighty. Accept it. No tests are required. You should not gain much weight also. Eat a healthy diet and be active. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic,...

Pediatrics: height, hormonal problem, exact height
hormonal problem, exact height, healthy diet: Normal height varies considerably and we cannot say what should be the exact height of a person. If you do not have any other problem you need not worry. It is advisable to get yourself examined by a doctor to rule out any hormonal problem. http://www.homebusinessandfamilylife.com/normal_child_development.htm...

Pediatrics: Importance of Pneumococcal and Rotavirus Vaccines in india, rotavirus vaccines, national vaccination
rotavirus vaccines, national vaccination, routine immunization: These vaccines are globally recommended for routine immunization by bodies of pediatricians. They are costly and that s why government finds it difficult to incorporate in national program. Even current vaccines in government supply are funded by UNICEF....

Pediatrics: Importance of Pneumococcal and Rotavirus Vaccines, rotavirus vaccines, indian academy of pediatrics
rotavirus vaccines, indian academy of pediatrics, puneet kumar: Hi Vivek, Yes, both of these vaccines are recommended for routine use (NOT OPTIONAL) by Indian Academy of Pediatrics. You can see the latest immunization schedule, last updated in July 2012 at: http://iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf...

Pediatrics: Would like to know your opinion about Intracranial pressure, normal head circumference, anterior fontanelle
normal head circumference, anterior fontanelle, sleep problems: Hi, It is hard for me to think this situation involves high intracranial pressure, for he is growing well and is developing well and has a normal head circumference. That doesn t make sense to me, but the test is benign and if his anterior fontanelle is...

Pediatrics: my little brother, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Ryan, No, it has nothing to do with the heart surgery that he had. However, he seems to have some behavioral issues and needs to be seen by his doctor to help him out. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India...

Pediatrics: Loose Motion from Past 4 days, loose motions, loose stools
loose motions, loose stools, culture report: I hope you read loose motion or diarrhea article at kondekar.com for better understanding. i feel he was suffering from dysentery. I will request a blood culture report and ten days antibiotic course as your doctor may advice. Mebarid may not help. Loose...

Pediatrics: loose stool in 5.5 month old baby, loose stools, month old baby
loose stools, month old baby, small intestine: here are the answers: My baby is 5 and half month old and she is on EXCLUSIVE breast feeding. == good to have six month exclusive Breast feeding. Before now, she had been having normal stool, which she passed out once, daily. But since yesterday, her...

Pediatrics: Need advise, reducing sugar, stool sample
reducing sugar, stool sample, diagnostics test: You must be giving some formula as unable to understand what you said. I just guessed that you may be giving formula as infection is very unlikely in exclusively breastfed babies. It may be necessary to get the stool cultured and give suitable antibiotic...

Pediatrics: nipple lump, premature thelarche, secondary sexual characteristics
premature thelarche, secondary sexual characteristics, history of trauma: Hi, Jennifer, We see lots of kids, girls and boys, who develop a breast bud at an early age. This is called premature thelarche and is considered normal with the lack of other secondary sexual characteristics. See your doctor, but this is almost certainly...

Pediatrics: Number of cases - clarification, clarification question, pediatric office
clarification question, pediatric office, ballpark figure: Hi, Monique, I am in a typical busy pediatric office and see between 30-35 patients a day, a combination of sick kids, routine PE and some complex exams. Therefore in a 4-5 day week, see between 120 and 150 patients a week. I think this is pretty average...

Pediatrics: opinion on CBC, heavy periods, eosinophil
heavy periods, eosinophil, rdw: Hi, sambudha, I have no idea what she is suffering from, for I only know she has a fever and what seems to be a normal CBC. The CBC does not tell us what one has, only gives us clues that combined with the history and exam can be helpful. Good luck,...

Pediatrics: opinion about umbilical hernia treatment, hernia treatment, outtie belly button
hernia treatment, outtie belly button, 1 year olds: Hi, Denee, This seems like a small, normal umbilical hernia and unless it is causing problems, which almost never is the case, I always recommend waiting until age 5 to repair the very small percent that don t get better by then. If not better by 5, it...

Pediatrics: pubic hair in 6 year old, precocious puberty, pubertal changes
precocious puberty, pubertal changes, antibacterial soap: Hi, Jody, A couple hairs in the area you describe are normal and not a sign of precocious puberty. Axillary or pubic hair may be, although depending on ethnicity and other factors, a few scant hairs in these two areas can be normal as well. Good luck,...

Pediatrics: rapid weight loss, rapid weight loss, dramatic weight loss
rapid weight loss, dramatic weight loss, doctors office: Hi, Violet, This is a weight loss of over 10% of his body weight and if this is over a month, I would be concerned. Please ask your doctor to explain to you why he is losing weight and if the current weight indeed is valid, what can be done to help stop...

Pediatrics: Re: Mealtime, suji halwa, curd rice
suji halwa, curd rice, mix veg: Hi Archana, Almost all babies take time to eat, as their attention span is less. Just keep offering her a variety o food items. Let her sit with you when YOU are having a meal. give her own attractive plate with small bites of food. She is sure to copy...

Pediatrics: recurrent fever in toddler girl, ombres de gumprecht, high platelets
ombres de gumprecht, high platelets, smudge cells: Hi, Marie-Josee, I would have a CBC done with a pathologists consultation, to carefully have someone skilled, not a machine, look at this. Other things cause smudge cells other than ALL, but have someone skilled directly look at the smear and give their...

Pediatrics: regarding newborn healthy skin, johnson baby products, head hairs
johnson baby products, head hairs, dark complexion: Hi Saman, Almost every baby is relatively fair and pink at birth. It is after a few weeks later that one comes to know of the real complexion of the baby. Complexion, like other inherited factors, can be taken from other realities also (like grand parents),...

Pediatrics: sinus bradycardia and heart murmur, sinus bradycardia, slow heart rate
sinus bradycardia, slow heart rate, innocent murmur: Hi, Marie, Sinus brady is normal. The echo should be reassuring and will probably tell you that your 12 year old athlete has a normal heart and any murmur heard is a functional one, or innocent murmur. If no one has ever heard a murmur in his repeated...

Pediatrics: Sleep pattern of my 28 month old son, night and sleep, sleep time
night and sleep, sleep time, care takers: I AM SURE YOU WONT NEED MEDICINES FOR THIS. once you start with preschool, his schedule will be timelined as per school needs. often baby sitters/ care takers make child sleep in day time that keeps thema wake in night, if so you may need to talk to...

Pediatrics: speech delay, correct rhythm, geometrical shapes
correct rhythm, geometrical shapes, phisically: Hi, Giovanna, I find that bilingual kids are sometimes slower in one language than kids who are monolingual, but if you add up all the words in both languages, they are fine. He sounds to me like a normal, sweet, healthy kid and from my perspective, I...

Pediatrics: suffer frm fever, puneet kumar, new delhi india
puneet kumar, new delhi india, loose motions: Hi Yamini, Yes, you can definitely feed your daughter. Although a 4 month old baby can NORMALLY pass loose motions, do consult your pediatrician in case baby appears unwell/ sick. Only after careful evaluation, the best treatment (if required) can be...

Pediatrics: Swollen belly in my three year old., inflammation of the stomach, intestinal flora
inflammation of the stomach, intestinal flora, white cell count: Hi, Felicia, Did he have a strep culture that proved he needed antibiotics? If the culture/screen was positive then he does. If not, he doesn t. I would suggest keeping him hydrated as you are and consider adding a probiotic like Culturelle to help...

Pediatrics: about thyroid prob, puneet kumar, new delhi india
puneet kumar, new delhi india, tsh level: Hi Chinmay, Relax! There is nothing to worry as the TSH level has come down to normal. No further testing is required if the latest test is done from a reputed lab (I am not aware of this RLS lab). Do remain in touch with a good pediatrician in your...

Pediatrics: thyroid problem, pediatric endocrinologist, thyroid problem
pediatric endocrinologist, thyroid problem, tft test: Hi, TSH is sometimes abnormal in the first few weeks of life, even in babies with ultimately normal thyroid function. Your child has a normal TSH, normal active hormones and is fine. I have no idea what are good labs in your country. Good luck, Dr....

Pediatrics: about thyroid problem, thyroid problem, pls reply
thyroid problem, pls reply, tft test: If the baby is passing stool every day most probably there is no thyroid problem as hypothyroidism usually causes constipation. Sometimes lab results can vary. If there is no clinical evidence of thyroid problem you need not worry. If there is any doubt you...

Pediatrics: thyroxine and the newborn, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Claire, Thyroxine is natural hormone and is given to any patient to correct the deficient levels in her/ his body (hypothyroidism). Dose is adjusted according to the levels (lab tests: T3/T4 TSH) Being a natural hormone, it does not have any adverse...

Pediatrics: Toddler fell, goose egg, loss of consciousness
goose egg, loss of consciousness, pink area: Hi, Sunni, And you also have a great weekend! The front of the face is very vascular tissue that is tightly bound to the underlying bone. A bump can assume a remarkably large size due to bleeding under the tissues. The front of the skull is also very...

Pediatrics: left upper abdominal cramping, descending colon, upper abdomen
descending colon, upper abdomen, mild asthma: Hi, Jennifer, L sided abdominal pain in a healthy boy this age is almost always benign and usually related to stools and bowel habits. Gas can get caught in the area of the transverse and descending colon, sometimes due to a relative amount of constipation....

Pediatrics: Vaginal bleeding/vaginal discharge 5 year old, pin worm, black discharge
pin worm, black discharge, final diagnosis: Hi, Kylee, If it stopped and nothing was done and she is due to another invasive procedure, especially under general anesthesia, I would do nothing, cancel the appointment and watch. I don t know what caused this, but if all of a sudden it is gone, I...

Pediatrics: 18 month on swollen glands and worsening eczema, swollen lymph glands, red blood cells
swollen lymph glands, red blood cells, benign cyst: Hi, Channa, The nodes (or whatever they are) will not cause eczema. Eczema is a visual diagnosis and there is no testing that is routinely done to confirm that this is what it is. There are rare cases of conditions like the histiocytosis spectrum of...

Pediatrics: 19wk old fussy eating, gastroesophageal reflux, stomach contents
gastroesophageal reflux, stomach contents, screaming baby: Hi, Stephanie, Babies who scream and fuss with feedings should be checked for two major things: 1. GERD, or gastroesophageal reflux, the movement of acidic stomach contents from the stomach to the lower end of the esophagus. This is something that...

Pediatrics: 22months old having fever, widal test, routine microscopy
widal test, routine microscopy, typhoid fever: This type of fever is called continuous high fever. Often this is seen in conditions like typhoid fever, so most doctors usually start therapy matching with typhoid fever. At times it may take 4-5 days to show response with antibiotic. It is important in...

Pediatrics: 3 month old infant loose motion, puneet kumar, new delhi india
puneet kumar, new delhi india, loose motions: Hi Parul, A 3 month old baby can often pass such stools normally..If the baby does not appear to be sick, no treatment is usually required. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com ...

Pediatrics: 8 year old son, polyethylene glycol, mild abdominal pain
polyethylene glycol, mild abdominal pain, stomach virus: Hi, Jessica, If he really has a stomach virus, then his stools will be plenty loose and unless you tell me he has a really definitive case of constipation when he is well, I would avoid the PEG until you see what resolves with this illness. The Zofran...

Pediatrics: Abnormal labs/ chronic complaints, bun creatinine ratio, anion gap
bun creatinine ratio, anion gap, alkaline phos: Hi, Jackie, The abnormal labs have no pediatric significance and are ratios we don t even bother checking. All these labs are normal. I find no evidence in the labs that explain his symptoms. His symptoms are hard to pin down and could range from depression...

Pediatrics: acne or eczema, protein hydrolysate formula, infant eczema
protein hydrolysate formula, infant eczema, milk proteins: Hi, clement, If your pediatrician states that this is not eczema because it is not in the elbows or behind (I think you mean neck), then he/she is mistaken and not informed regarding the difference between infant eczema and that in older kids. The body...

Pediatrics: asthma problem for my 4 month born baby, clinic address, gajjar
clinic address, gajjar, born baby: you have not mentioned his age. Asthma is not common below 3 year age. you can visit me in Mumbai, my free clinic address and details are at a href= http://www.breathingdiary.com www.breathingdiary.com /a A good number of cases from Surat visit me...

Pediatrics: Baby's Head, anterior fontanelle, thyroid abnormalities
anterior fontanelle, thyroid abnormalities, head circumference: Hi, Grace, You are throwing around a lot of medical terms. Are you a medical professional? Anyway, some kids just have really large fontanelles at birth. They close therefore slowly. As long as her head circumference is normal and she is developing...

Pediatrics: baby rash, baby rash, supplementing with formula
baby rash, supplementing with formula, atopic dermatitis: Currently, this just looks like erythema toxicum neonatorum . which fades on its own in 3 weeks. if not so, then only i may think of allergy related to atopic dermatitis or food allergy. till then you may get phadia top infant test and skin allergen...

Pediatrics: Baby Vaccination ( Rota virus ), rota virus vaccine, puneet kumar
rota virus vaccine, puneet kumar, baby vaccination: Hi Ratikant, There is a risk of a condition called intussusception if the vaccine is given after 15 weeks of age. It presents with repeated vomiting. If repeated vomiting occurs within next few days, please visit nearest hospital at the earliest. Please...

Pediatrics: Becoming a Pediatrician, becoming a pediatrician, getting into med school
becoming a pediatrician, getting into med school, freshmen year: Hi, Sara, I am far away from the current struggles to get into med school and become a doctor. Scores on standard tests, like it or not, are important. I think everyone would look favorably on someone who improves substantially over time, indicating...

Pediatrics: Blood in stools and abdominal pain., pediatric gastroenterologist, bowel motions
pediatric gastroenterologist, bowel motions, chronic abdominal pain: Hi, Samantha, If the BM is soft and there is blood and pain consistently, the evaluation needs to proceed farther. I suspect the stool has been sent for a number of bacterial pathogens. If this is negative, then a full panel of blood work looking for...

Pediatrics: Blood in toilet, pediatric gastroenterologist, hemmorhoids
pediatric gastroenterologist, hemmorhoids, toilet bowl: Hi, tammy, Unexplained rectal bleeding in kids this age is seldom due to cancer. It is far more likely this is a polyp or possibly something like Crohns disease. A good exam by a skilled peds gastroenterologist should discover the cause. Cancer would...

Pediatrics: Brancial cleft cysts, cleft cysts, ent surgeon
cleft cysts, ent surgeon, pediatric surgeon: Hi, Kim, I have not heard that these become cancerous later in life. I doubt this is the case, but to be sure, check with an ENT surgeon. My take on this is that these can be watched and even if blocked once or twice, can be treated and still followed....

Pediatrics: Care of genitals, morning erections, bath time
morning erections, bath time, pediatrician: Hi, Lala, I tell parents to not pull it back. He will do enough pulling with his normal exploration. Leave his foreskin alone. Pulling it back by the pediatrician is not needed, is painful, and if done repeatedly could scar and cause the need for a circ....

Pediatrics: chronic diarrhea in 10 month baby, chronic diarrhea, routine test
chronic diarrhea, routine test, frequency increases: Hi Deepak, There is nothing to panic. Such weight loss during loose motions is temporary and baby gains weight in a few days. That is why she is gaining weight overall in last 4 months. No formula should be given. Breastfeeding is the best..and more...

Pediatrics: Cleaning a boys penis, puneet kumar, new delhi india
puneet kumar, new delhi india, morning erections: Hi Lala, Relax! There is nothing to worry. You should not pull back foreskin, especially if he screams. It can cause injury and scarring in the process of healing can lead to phimosis, necessitating circumcision. Nevertheless, GENTLY pulling back...

Pediatrics: coffee ground stool, dietary factors, giardia
dietary factors, giardia, tonsil: when you us ethe word coffee ground.. a doctor has to understand it as blood.. ifits not it can be due to various dietary factors including black coloured medicines. i wish you can post the picture of the colours to make understand better. salivary streaking...

Pediatrics: Current cost price of Rotavirus Veccine, puneet kumar, new delhi india
puneet kumar, new delhi india, imunization: Hi Gouri Shankar, There are two brands available: One Rotarix: costs Rs. 1199 per dose and 2 doses are required to complete the immunization. The otherone is Rotateq, costing Rs. 960 per dose, and 3 doses are required to complete the imunization. Best...

Pediatrics: diarreha, routine test, benign condition
routine test, benign condition, frequency increases: This may just be toddler diarrhoea , a benign condition associated with the passage of undigested food. The key feature is that there is normal weight gain. The figures you give suggest she is gaining weight normally. However toddlers diarrhoea usually presents...

Pediatrics: dietry, problem increases, fussy eater
problem increases, fussy eater, kheer: Most toddlers are fussy about food. Why? First, babies grow very fast in first year of life. Growth rate falls after one year of age. Thus, a 3 kg baby at birth would be close to 10 kg (3 times the birth weight) at one year of age; however, he would gain just...

Pediatrics: Dig in poop diaper 3 year old, strong smelling orange pee, toilet training, dtr
toilet training, dtr, couple days: Hi, Sheri, Assuming she is healthy and developmentally normal, she has toilet training resistance. She knows what to do, but doesn t want to. If you have concern regarding her stool or urine, see your doctor. It probably will be fine. Here is a handout...

Pediatrics: baby rash, milk protein allergy, puneet kumar
Pediatrics: baby rash, milk protein allergy, puneet kumar, new delhi india

Pediatrics: Fever in 22month old, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Nishi, Getting blood tests blindly usually doesn t help, and rather adds confusion. The tests need to be decided on the suspected diagnosis based not only on detailed history but also findings of physical examination of the child. Hence, the treating...

Pediatrics: fingers in mouth, gum pain, 4 months
gum pain, 4 months, mouths: Hi, bachu, Why would you want to stop something that kids have been doing ever since kids existed? They put their fingers in their mouths because it is soothing and helps with gum pain for teething. It is comforting. It is not bad in any way. Good...

Pediatrics: Frequent colds, adenoids, cold
adenoids, cold, runny nose: b How can i prevent my child from cold? /b == by regular hand hygiene, handwashing, spitting manners and avoiding contact with kids with similar issues. b Is there any vaccine against this. /b === no vaccine, but good diet will keep you healthier....

Pediatrics: Growth and lack of sleep in teenagers, high school sophomore, substantial impediment
high school sophomore, substantial impediment, growth spurt: Hi, John, While sleep is important, there is little evidence that lack of it is a substantial impediment to growth. It is unlikely that one will have a secondary growth spurt. It is likely that this will be your ultimate adult height, unless you tell...

Pediatrics: hair lose, coconut oil, hello doctor
coconut oil, hello doctor, hair fall: stop using oil. it may cause rash,allergy , dermatitis and at times loss of hairs. to a great extent losing hairs in children below 6 months is very common and may not need therapy. but if they are lost only from a select part of head .. then therapy and...

Pediatrics: Help, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Kash, Yes, there is high risk of genetic problems in children born out of blood relatives. You are marrying your cousin sister.. It definitely carries high risk. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www,kumarChildClinic.com...

Pediatrics: help, old baby, electrophoresis
old baby, electrophoresis, liquids: Hope you mean sickle cell. earliest finding may be low Hb, earliest age of crisis can be 4-6 months. diagnosis can be confirmed by Hb electrophoresis test, if it is normal; no SS. temperature is usually not an issue. key in management is giving enough...

Pediatrics: High fever, loose motions, diarrhea in children
loose motions, diarrhea in children, high fever: have you read the following article by me on loose motions? a href= http://kondekar.weebly.com/diarrhea-in-children.html#.Uej8SDvfAhQ http://kondekar.weebly.com/diarrhea-in-children.html#.Uej8SDvfAhQ /a also read a href= http://www.rehydrate.org...

Pediatrics: Low grade fever after swimming, low grade fever, water in ear
low grade fever, water in ear, glue ear: This is surely not allergy but like an infection. ear ache and head pain following swimming can be related to accidental entry of water in ear and nose, making them stuffy,under pressure and likely to get infected; commonly by a virus. Allergic kids wont...

Pediatrics: Lower limbs muscle pain, palma gil, high fever
palma gil, high fever, sheryll: Hi, Maria, You mention this happened last June 5. What has happened to him over the past year. Did he get better? Is he left with any deficits? I would be happy to answer your question if there is more information. Even if you mean this June 5 ,...

Pediatrics: lymph nodes, lymph nodes, ear infection
lymph nodes, ear infection, germs: Hi, Mandy, Kids all the time, even healthy ones, develop benign reactive nodes, a response that a childs immune system directs against germs. They may last a couple months. If she isn t sick, keep an eye on them. If she is sick or they are getting progressively...

Pediatrics: Nose bleed in a ten yr old...., nasal septum, cautery
nasal septum, cautery, nose bleeds: Hi, Pablo, Cautery is an accepted means of stopping nose bleeds that are frequent. I like to have good humidity in the house, use nightly nasal neosporin for a couple weeks, be sure parents know the proper way to stop bleeds, and if this doesn t work,...

Pediatrics: Nose bleed in a ten yr old...., world health organization, spiritual dimension
world health organization, spiritual dimension, thin wall: Nose bleed is common is children and is usually not due to any disease. It is usually due to nose picking. Make sure they get enough of Vitamin C. If there is family history of bleeding disorder they may have to be investigated. Otherwise the problem usually...

Pediatrics: Nose bleed in a ten yr old...., recurrent nosebleeds, nosebleeds in children
recurrent nosebleeds, nosebleeds in children, nasal mucosa: Hi Pablo, Nosebleeds in children are fairly common. Common underlying factors are vascular nasal mucosa (i.e., high density of blood vessels in that area), crusting (due to dry, hot weather, less intake of liquids)and thin mucosa. In some cases, additional...

Pediatrics: Pale yellow stools, liver problem, liver problems
liver problem, liver problems, dairy products: Hi, Scott, It would be highly unusual for a kid this age who is healthy to all of a sudden have a liver problem . Most likely this is a virus illness and/or the combination of a lot of dairy products. If the stool eventually doesn t change back, have...

Pediatrics: How to Potty Train My Stubborn Toddler?, potty seat, hello doctor
potty seat, hello doctor, power struggle: Hi, shariqua, Stop trying so hard. He is in control in this power struggle and more effort will make it worse. Here is a handout I use in resistance like this: http://www.cpnonline.org/CRS/CRS/pa_btrainin_hhg.htm Hope it helps. Good luck, dr. Olson...

Pediatrics: poty problem, high protein diet, prune juice
high protein diet, prune juice, kiwi fruit: this kid will need dietary modification. there will be a day when lactulose will stop working for her. please read a constipation article at following link. a href= http://kondekar.weebly.com/constipation-in-children.html http://kondekar.weebly.com/constipation-in-children.html...

Pediatrics: Prevnar Vaccine, puneet kumar, new delhi india
puneet kumar, new delhi india, prevnar vaccine: Hi Madhavi, It should be given as soon as possible. Pneumonia is a disease of young children. Younger the child, higher the risk. Younger daughter should be given 2 doses at 6 months interval. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka,...

Pediatrics: Re: Infant Mealtime, suji halwa, curd rice
suji halwa, curd rice, mix veg: here are answers whether it is ok for her to take so much time to eat at home considering other habits as mentioned or should I adopt any other strategy? == this is absolutely fine and no change needed, as her weight gain is better compared to her birth...

Pediatrics: rotavirus vaccine, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Dear Mr. Sharma, It is not safe to go for rotavirus vaccination after 15 weeks of age. There is risk of a serious side effect called intusussception if the vaccine is given to an older infant. Please remain watchful for next few days..and rush to nearest...

Pediatrics: shingles and newborn, chickenpox virus, protective antibodies
chickenpox virus, protective antibodies, airborne transmission: Hi, sunny, Shingles is a reactivation of the chickenpox virus. You had chicken pox in the past. You have given your son protective antibodies against this virus all during the pregnancy. It would be highly unlikely that your would give your son chickenpox...

Pediatrics: Sickle cell (SS), fetal hemoglobin, ss disease
fetal hemoglobin, ss disease, old baby: Hi, Blessing, I am not an expert on SS disease, for in my area we have few black people and other people of color. Babies have plenty of fetal hemoglobin that tempers the effects of this problem until later in life. My suggestion is to go to any of a...

Pediatrics: Thank you for any help, milk protein allergy, puneet kumar
milk protein allergy, puneet kumar, new delhi india: Hi Samantha, In Colitis, there can be some tenderness of abdomen, but can be normal ( unexplainable ). In all other conditions, abdominal examination would be normal. Polyps can sometimes be suspected on digital rectal examination. Best wishes, Dr....

Pediatrics: ABOUT VACCIN, vaccination schedule, vaccine schedule
vaccination schedule, vaccine schedule, hepb: You can download a vaccination schedule from a href= http://www.kondekar.com www.kondekar.com /a Every needle causes pain, a specific combination that causes less pain comes with brand name pentaxim. from the schedule mentioned at above site, follow...

Pediatrics: vaccination, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Smriti, Yes, they can be given on the same day: but as separate injections (not in same syringe) on different sites (opposite thighs). Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com ...

Pediatrics: Vaccination at 6th month, hepatitis b vaccine, puneet kumar
hepatitis b vaccine, puneet kumar, new delhi india: Hi Lidia, There is lot of confusion/ mistakes here...If 3 doses of Pentaxim were already given (which contains IPV), there is absolutely NO NEED to give IPV at 6 months. After 3 doses of IPV, OPV only has to be given at 6 months and 9 months of age. IPV...

Pediatrics: Vigamox vs tobradex and breastfeeding, corneal ulcer, vigamox
corneal ulcer, vigamox, corneal ulcers: Hi, Michelle, Yes, you can safely as a nursing mother use the drops. Vigamox may not be as effective for staph as the tobramycin, but I m not sure. Why not just use what has been prescribed for you and if this is not acceptable, ask the prescribing doctor,...

Pediatrics: Vitamin A drops, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Archna, Vitamin A drops are NOT routinely recommended now. They are recommended only i certain rural areas with high prevalance of Vitamin A defeciency. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com...

Pediatrics: 4 year old cough, for one year, nasonex nasal spray, chest xrays
nasonex nasal spray, chest xrays, ear nose throat: You have not mentioned his weight and height and investigations. Is there family history of cystic fibrosis? You should also get him checked by an ENT surgeon. As you are a nurse it is quite likely you are imagining some things. Only examination by a pediatrician...

Pediatrics: 4year Old Ear Pain, middle ear infections, middle ear infection
middle ear infections, middle ear infection, ear ache: Hi, Siddhartha, He probably has a middle ear infection as a result of the cold type of illness that started things. You can t see this type of infection unless you have an otoscope. I would use pain meds and keep an eye on things. If it doesn t get...

Pediatrics: Ants around urine of my baby, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Prabhat, Relax! It is of usually of no significance. If you want, at the most you can get his urine tested once (Urine routine and microscopy) Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com...

Pediatrics: azithromycin, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Rasheed, Ususal dose of Azithromycin is 10-20 mg/ kg/ day (NOT 5 mg/kg)depending upon clinical condition. Thus 250 mg for a 6 year old cannot be termed as high . Do, relax! There is nothing to worry on that count. Best wishes, Dr. Puneet Kumar,...

Pediatrics: body worm, mebendazol, pinworm
mebendazol, pinworm, 1cm: Hi,nina, This might be a pinworm, but to be sure, take the worm to a local hospital and see if the lab can identify it. The meds you took should be good to treat this type of thing, but you need someone in a lab to look at it and tell you what it is and...

Pediatrics: breast feeding issue, breast feeding
breast feeding: Make sure you ho9ld the baby properly. If you have retracted nipples you can try nipple shield and also try to pull out the nipples daily. Make sure therei8s no problem in the mouth of the baby like thrush. http://www.homebusinessandfamilylife.com...

Pediatrics: CBC results for toddler, bun creatinine ratio, celiac disease results
bun creatinine ratio, celiac disease results, eosinophilic gastritis: Hi, Holly, Blood studies need to be evaluated in the context they were drawn. What was the reason for all this blood being done? Was it due to him being slender? Was it due to abdominal pain? The BUN is slightly high, but is a poor marker for kidney...

Pediatrics: CPC at 20 weeks, choroid plexus, gynea
choroid plexus, gynea, incidental findings: Hi, uzmeed, Most choroid plexus cysts are benign, incidental findings that resolve over time or even if they don t, cause no problems. They are a benign variant that are seen more since everyone does prenatal ultrasounds. Good luck, Dr. Olso...

Pediatrics: cured spray foam, teeth marks, spray foam
teeth marks, spray foam, good luck: Hi, jessica, Not knowing exactly what this is, I would defer to your husband who knows more about this stuff than I. It is doubtful that that type of exposure would be harmful, but depends completely on what the material is. I would be a bit surprised...

Pediatrics: dark red marks on baby leg, capillary hemangioma, old baby girl
capillary hemangioma, old baby girl, circulation problem: Hi, Janeth, These sound like some sort of vascular mark, like a capillary hemangioma or something in the category of cutis marmaratus. I m not sure I spelled it right either. Either category of mark would be benign and most likely over time would go...

Pediatrics: dehydration?, time breathing, happy baby
time breathing, happy baby, fontenelle: Hi, Billie, I don t find much in your description to be worried about. It sounds like she is well hydrated, especially if you are giving her all that she wants. A sunken fontenelle is a very late sign of dehydration and other signs would be much more...

Pediatrics: Diet soda for kids, diet sodas, artificial sweeteners
diet sodas, artificial sweeteners, diet soda: Hi, Marisa, I personally and after some educated thought, have no concern about the use of artificial sweeteners in soda, or pop as we say in the Midwest. My suggestion is that people do what they want with this. I can t find compelling information...

Pediatrics: episodes, connected to fever., wisdom teeth, central nervous system
wisdom teeth, central nervous system, viral illness: Hi, Mark, This sounds like a viral illness and possibly a condition called aseptic meningitis, a viral caused infection of the central nervous system. This sounds bad but is usually self-limited. It would be unusual, but not impossible, for a seizure...

Pediatrics: Feeding for 9 month old, family diet, sweet potatoes
family diet, sweet potatoes, baby foods: It is better not to be very rigid in this matter. Till completion of six months baby needs only milk. After that there should be gradual transition to family diet by about one year of age. Do not force the baby to eat any particular item. http://www.homebusinessandfamilylife.com/baby_foods.htm...

Pediatrics: Grandaughter and friend, friends place, little friend
friends place, little friend, grandaughter: Very difficult. I assume that your daughter must know this other child and her family quite well. It may be worth her speaking to the other girl s mother. I assume she has no other concerns but obviously that does not exclude a problem. Need to just keep...

Pediatrics: help, congenital megacolon, supplementing with formula
congenital megacolon, supplementing with formula, hypothyroidism: Occasionally normal babies do not pass stool for two or three days. If the baby is comfortable and feeding well there is no need to worry. If the baby is vomiting frequently you need to get the baby examined immediately. If the problem persists some diseases...

Pediatrics: High Fever and Crying after Pneumococcal+DTP Injection+OPV, puneet kumar, hib vaccine
puneet kumar, hib vaccine, new delhi india: Hi Vimal, He would need one injection (3rd dose) now followed by booster (along with DTP/ DTaP and Hib booster at 16-18 months of age. In addition, OPV should be taken at 6 month, 9 month and 4.5-5 years of age and also at all Pulse Polio rounds till 5...

Pediatrics: Infection, cell immunity, culture sensitivity
cell immunity, culture sensitivity, sensitivity test: You may get antibiotic culture sensitivity test done and complete at least a ten day antibiotic course ! Its also likely that child may need a workup for b cell immunity deficiency. Also check for retropharyngeal x ray to rule out abscess or confirm adenoids...

Pediatrics: pediatric pneumonia, mild fever, day care center
mild fever, day care center, high fever: Hi, Anu, 1. The risk of a URI in an immunologically normal kid leading to a LRI is small and generally a multi-factored issue. All URIs in your child will not lead to pneumonia. This was bad luck and not preventable. 2. Depending on what bacteria/virus...

Pediatrics: Pediatric pneumonitis, spectrum antibiotic, mild fever
spectrum antibiotic, mild fever, high fever: Hi, Anu, The only way pneumonias are potentially preventable is by ensuring vaccination to the various bacteria that can cause this type of infection. A high fever with a resp. infection does not always mean pneumonia; it just is on the long list of...

Pediatrics: Recurring blinking, motor tics, neurologic dysfunction
motor tics, neurologic dysfunction, stress anxiety: Hi, Jacqui, Minor motor tics are common in kids and often recur, sometimes without an obvious precipitant. Tics without vocalization can last many days, in one form or another. Generally, without other signs of psychologic or neurologic dysfunction,...

Pediatrics: Regarding Pneumococcal infection, frequent colds, invasive disease
frequent colds, invasive disease, pneumococcal infections: Hi, Ashish, I am a guy living in northern Michigan! Your doctor is wrong. This is an ideal vaccination for normal healthy kids, who get the vast majority of potentially fatal pneumococcal infections. It substantially reduces, but not eliminates the...

Pediatrics: Regarding thyroid test of my baby boy, puneet kumar, new delhi india
puneet kumar, new delhi india, boarder line: Hi Divya, The test that has been done CONFIRMS that your baby does NOT have hypothyroidism. So relax and enjoy parenting!! Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-981835684...

Pediatrics: Regarding vaccinations IPV and OPV, puneet kumar, new delhi india
puneet kumar, new delhi india, pedeatrician: Hi Sravanti, If your baby has been given IPV on 13th of August, next dose should be around 13 of NEXT month (September)..not on 15th of THIS month...I hope it was a typing error!! DTP can be taken even if DTaP (Pentaxim) has been taken initially: no...

Pediatrics: my son, reflex anoxic seizures, loose stools
reflex anoxic seizures, loose stools, elecare: Hi, kristi, This forum is not the greatest to help with problems this complicated. Please ask your endocrinologist to explain this delay, especially as it pertains to your unfortunate son s global medical problems. Sorry I can t be of more help to you,...

Pediatrics: Toddler belly pain, viral syndrome, belly pain
viral syndrome, belly pain, two and a half years: Hi, fellow Michigander! The Traverse City sun is shining brightly today. This is lasting a bit longer than the conventional viral syndrome that we see. It would be reasonable to call your doctor and explain the situation as it is today. I would be a good...

Pediatrics: vaccination query, puneet kumar, new delhi india
puneet kumar, new delhi india, septecemia: Hi Priya, No, IPV is a better vaccine than OPV. As per current recommendations, OPV is given at birth, 6 months, 9 months and 5 years of age. IPV at 6, 10, 14 weeks and at 15-18 months. Your baby needs 2 doses of IPV followed by booster of IPV (along with...

Pediatrics: vomiting and then excessive thirst, milk protein allergy, wet diapers
milk protein allergy, wet diapers, saltine crackers: Hi, alyssa, If she has wet diapers and pretty clear urine, she isn t dehydrated. This is probably a viral illness, with vomiting and then the natural response of making up for lost fluids by drinking more. I m not sure what caused the jaw movements....

Pediatrics: Vomiting and Weight loss, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Sravanti, You are simply overfeeding your baby. He is NOT underweight. Avoid force feeding...feed only when baby demands: baby may not demand upto many hours!! He does not wake up as he is satisfied and full! Please discuss about it with your...

Pediatrics: 5 year old vocal tic, vocal tic, daycare
vocal tic, daycare, changing rooms: Hi, Samantha, Tics are common in this age group and are usually precipitated by events that are new, different or anxiety provoking. I consider this type of tic not to be a true vocal tic, like Tourettes syndrome, but a form of a common motor tic. Here...

Pediatrics: 7 Year Old Behavioral Issues, stay at home mom, parenting time
stay at home mom, parenting time, long periods of time: Hi, Clearly she and you all have been through a lot over the years. Please discuss with your pediatrician getting her in to see a good counselor and get these issues reined in before they consume the whole family. I have no special tricks to help you...she...

Pediatrics: Baby Gas Discomfort?, milk formula, poops
milk formula, poops, zantac: Hi, Eva, It would be reasonable to try a change to a non-milk formula, like a soy formula. It would also reasonable to explore again the notion of reflux. Zantac sometimes needs to have the dose pushed up to 5-10mg/kg/ day before it works. Crying with...

Pediatrics: BMI, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Leena, This does not mean that she is underweight (as weight for age is normal), but is tall and thin . Please get her examined in by her pediatrician to find out if it is significant. I cant say much about this without seeing the child. Best wishes,...

Pediatrics: BMI, puneet kumar, bmi charts
puneet kumar, bmi charts, new delhi india: Hi Leena, Thanks for your kind words BMI charts are different from weight for age chart. BMI chart has BMI on one side and age on other side. These charts are very much accurate. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New...

Pediatrics: Challenging condition, epstein barr virus, viral encephalitis
epstein barr virus, viral encephalitis, mild confusion: Hi, Harrison, Sounds like you have seen a bunch of people smarter than me and they have ruled out many things and not found anything. Other conditions such as Lyme disease come to mind, but of course this would be a very atypical presentation. There...

Pediatrics: change of medicine, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Victor, It was unfortunate incident, but luckily it does NOT have any long term consequences. So, relax and enjoy parenting!! Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-981835684...

Pediatrics: chicken pox, plastic trash bags, preschool age
plastic trash bags, preschool age, inanimate objects: Hi, Catherine, This virus doesn t live very long on inanimate objects. It is very unlikely to be spread by this route. I think the advice you were given is a bit silly. There is no way you can stop chickenpox from being spread in a classroom, for kids...

Pediatrics: Child passed out, congenital condition, baseball game
congenital condition, baseball game, recurring event: Hi, Pat, Kids who pass out with any type of activity, in my mind, need to be seen by their doctors. At least a good history of the event, a careful exam and probably an ECG needs to be done, at the minimum. Was this a seizure? Who knows, but he would...

Pediatrics: Chronic constipation in 12 y.o boy., gastrocolic reflex, liquid paraffin
gastrocolic reflex, liquid paraffin, chronic constipation: Hi, Lily, Constipation w encopresis (stool incontinence) generally is treated by a consistent cleanout, softening and engaging the gastrocolic reflex. This is something that most experienced pediatricians know how to do. If this is a problem from birth,...

Pediatrics: COMVAC 4 / EASY 4, new delhi india, dwarka new delhi
new delhi india, dwarka new delhi, puneet kumar: Dear Saurabh, COMVAC 4 is a combination of DTwP and Hib. Your pediatrician is the best person to tell you the brand that is available in your area and he/ she uses. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India ...

Pediatrics: concerned mom, mucocele, first encounter
mucocele, first encounter, oral surgeon: Hi, Princess (my first encounter with royalty today!), This is probably a mucocele, a benign (not cancerous) lesion of the inside of the mouth. They develop over time and are harmless. Some go away and some don t. They can, if needed, be easily removed...

Pediatrics: Craking bone sound, puneet kumar, new delhi india
puneet kumar, new delhi india, wrist elbow: Hi Sheetal, Although it can be insignificant finding, it would be wise to get your child examined by her pediatrician to find out underlying cause and treatment, if needed. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India...

Pediatrics: diarrhea, gaining weight, diarrhea
gaining weight, diarrhea, motions: Hi, maha, If he is having diarrhea and not gaining weight, he needs to see his doctor for a good history, a careful exam and perhaps some stool studies. Please do this you can find out why he is having the diarrhea and do something to stop it and hopefully...

Pediatrics: duet for lean babies, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Leena, I always tell my patients: Supplements are supplements , NOT replacement of good diet. Focus more on ways of giving good natural diet rather than on these drinks. Discuss in detail with your pediatrician when you visist him/ her nesxt time. ...

Pediatrics: Excessive push-ups on 11 year old
Hi, Nita, First of all, a child will not be physically hurt in any permanent way by this punishment . Punishment in and of itself is another issue that you need to address to the person who is punishing your kid. Sounds a bit extreme to me, but I...

Pediatrics: Chronic constipation in 12 y.o boy., puneet kumar, new delhi india
Pediatrics: Chronic constipation in 12 y.o boy., puneet kumar, new delhi india, dwarka new delhi

Pediatrics: hairloss aftwr measkes and high fwver, puneet kumar, new delhi india
puneet kumar, new delhi india, measeles: Hi Leena, I didn t understand mild measles and high fever Your doctor seems to be right. There can be hair loss because of fever. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-981835684...

Pediatrics: health matters, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Fiona, I don t think there is any harm in giving these edible items to your child. But never try these when child is sick/ breathless or is not improving on these. Please do consult your doctor in such cases. Best wishes, Dr. Puneet Kumar, Kumar...

Pediatrics: High Fever, puneet kumar, new delhi india
puneet kumar, new delhi india, tepid sponging: Hi Sanjeev, Sumo (Nimesulide) is BANNED for use in children. Ibugesic plus should also be avoided. Use Paracetamol suspension (Calpol/ Crocin/ Dolo/ Sumo-L/ etc.) Combine it with tepid sponging of whole body, if required.. Consult your doctor if...

Pediatrics: lymph node, normal body weight, loose weight
normal body weight, loose weight, lymph nodes: Hi, klaas, First of all, my second opinion is without the advantage of having him here in my office. This sounds very normal. Most pediatricians are very good about separating out benign reactive nodes (this is what he has) from bad ones. I would...

Pediatrics: Missed one vaccination in the regular schedule
Hi, Tulasi, The fact that you feel she is too young for all these vaccines is your opinion, but not based on the recommendations of pediatricians. We have a catch-up schedule that gives a bunch of vaccinations at once in a recommended fashion. Discuss...

Pediatrics: Night Terror?, nighttime event, night terror
nighttime event, night terror, freak out: Hi, Kevin, These sound like night terrors. If they are, then try a technique called prompted awakening. This will be included in the hand out I will attach. If they don t respond to this type of technique, it might be reasonable to discuss with your...

Pediatrics: Pediatrics, puneet kumar, new delhi india
puneet kumar, new delhi india, dwarka new delhi: Hi Nazar Shariff, Yes, Ibuprofen and Paracetamol can be given (after meals). Ice fomentation would also help. Please get him examined by his pediatrician for further management. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi,...

Pediatrics: question, tonsils and adenoids, high fever
tonsils and adenoids, high fever, curd: you need to rule out: 1. tonsillitis 2. adenoditis before concluding as asthma. you may get allergy test done too. for more detailed info on different causes and patterns of cough, visit a href= http://www.breathingdiary.com www.breathingdiary.com...

Pediatrics: Red bubble, insect bites, bronchodilators
insect bites, bronchodilators, dear doctor: Hi, Nanjappa, These are meds that we seldom use in the USA in a child this small. The steroid is potent and we would not use it 3-4x a day. The oral bronchodilators, Ascoril, are virtually never used in children in the USA, and unless there is a clear-cut...

Pediatrics: Regarding Easy 4/comvac 4, hepatitis b vaccine, puneet kumar
hepatitis b vaccine, puneet kumar, new delhi india: Hi Saurabh, You can take another dose of hepatitis B vaccine at 6.5 months (ignoring the dose at 10 weeks): Extra dose of vaccine has NO HARM. As I informed earlier, Rotavirus vaccine CANNOT be given. If is NOT SAFE to give this vaccine after 3 months...

Pediatrics: Regarding Measles Vaccination, puneet kumar, new delhi india
puneet kumar, new delhi india, immunization chart: Hi Anshul, There is only one brand of Measles vaccine in India: M-Vac. By the way, your baby has missed Pneumococcal (PCV) vaccine: Pl get your child vaccinated as soon as possible. You can see the latest immunization chart at: http://www.iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf...

Pediatrics: reoccurring illnes, cat scratch fever, tonsils and adenoids
cat scratch fever, tonsils and adenoids, ears nose and throat specialist: pleasew get back with detailed past reports and xray nasopharynx for adenoids. do read a href= http://kondekar.weebly.com/1/post/2013/04/high-fever-tonsils-and-adenoids-repeated.html#.UkJvQTvfAhQ http://kondekar.weebly.com/1/post/2013/04/high-fever-tonsils-and-adenoids-repeated.html#.UkJvQTvfAhQ...

Pediatrics: Sleep and siblings, 10 months, siblings
10 months, siblings, good luck: Hi, Maria, It will be very difficult to get both of them to fall asleep at the same time. Do you have a separate room for both of them? If so, have them sleep in different rooms. If not, then I would stagger the sleep times, even if this is not the...

Pediatrics: Sma syndrome
Hi, lynn, I am not a peds surgeon, the experts on this type of problem. You doctor, hopefully a surgeon is involved in this, can give you an idea of the length of time it will take to nourish her to the point were the artery is not pinched off. I have...

Pediatrics: small pimples on toddler, outer thighs, malado
outer thighs, malado, skin condition: Hi, Patricia, These are probably keratosis pilaris, a benign skin condition that generally runs in families. These are hard little bumps, don t itch and generally need no treatment except daily moisturizers to keep them soft. There is no effective treatment...

Pediatrics: son pee standing up and at urinals, toilet tissue, urinals
toilet tissue, urinals, little pieces: Hi, Michael, When I taught my son to pee upright, we usually made a game of it. Crossing streams, aiming for little pieces of toilet tissue targets, and the like. Fun for all and generally helps. Make sure he is tall enough or has a booster to get above...

Pediatrics: Toddler social behavior, behavior question, playful manner
behavior question, playful manner, social behavior: Hi Papiya, If such behaviour is really consistent (i.e., the behavior of not communicating verbally much in different settings : home, school, neighbourhood) AND doesn t seem to improve, it would be worthwhile to consult a child psychologist once. However,...

Pediatrics: underwight and fusssy child, good vibrations, science of spirituality
good vibrations, science of spirituality, fussy eater: Her weight is only slightly below average. If she is active you need not worry ;about this. Avoid food forcing. http://www.homebusinessandfamilylife.com/normal_child_development.html http://www.homebusinessandfamilylife.com/baby_not_eating.html http://www.speakingtree.in/public/spiritual-blogs/seekers/science-of-spirituality/ensure-children-are-exposed-to-good-vibration...

Pediatrics: Vacination
Hi Tulasi, There is no need to wait for a month. The missed vaccinations can be safely given within a week of Rotarix. There is no problem. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.kumarChildClinic.com ...

Pediatrics: VCUG, dmsa scan, kidney scarring
dmsa scan, kidney scarring, recurrent infections: There are 2 tests available - one where dye is put in the bladder via a catheter - this is quite invasive and involves quite a lot of X rays. The other involves an injection of some radioactive dye which is followed thru the kidneys. This is less invasive...

Pediatrics: watery stool in baby, puneet kumar, new delhi india
puneet kumar, new delhi india, watery stools: Hi Tazeens, Yes, you should DEFINITELY breastfeed. Breastfed babies pass such semi-formed to watery stools since breastfed is totally digested: leaving only water and gases...Top milk (of any type) is not so well digested: thus there is solid undigested...

Pediatrics: weight, food diet, breast feeding
food diet, breast feeding, birth weight: You have not mentioned her birth weight. Every child is unique. If she is active and otherwise healthy do not worry. I hope you are still breast feeding. Start giving her what you eat-one new food at a time. Keep a watch on her weight. http://www.homebusinessandfamilylife.com/normal_child_development.htm...

Pediatrics: weight of child, underweight, kgs
underweight, kgs, bmi: Hi,leena, I m not sure what your question is. If she is 3 and weighs 12 kg, she is slender. If she is healthy, then why worry about it? If she is healthy and slender, that usually is a good thing. Being active at three is a good thing, too. Good...

Pediatrics: no weight gain no hunger, medical reason, gaining weight
medical reason, gaining weight, healthy food: Hi, mohd, First, see your doctor and be sure there is no medical reason/problem that they are not gaining weight. How much they should weigh depends on how big parents are, so a general statement is not applicable here. If they are slender and healthy,...

Pediatrics: Wheezing with cold and Cough, frequent cough, vulnerable age
frequent cough, vulnerable age, montair: Hi Rajat, Every child in 1-6 years of age group suffers from frequent cough/ cold. These children, especially in lower side of this age group can have 6-8 episodes of cough/ cold every year. The frequency of these episodes is even more during change of...

Pediatrics: 10 month old baby eating problems...
Hi Priyanka, Some babies take time to learn to swallow textured food, and we need to be patient. Howwver, it is most important to understand that you have to your best NOT to give in to the temptation of giving liquid food. The more you give that, the more...

Pediatrics: 14 month old Baby growth
Read feeding related suggestions at www.infantfeeding.blogspot.com Milk is not required as dominant feed at this age.. but the child needs to be started on cereal based complementary feeding. Weight is not bad though less but all depends on birth weight....

Pediatrics: 6 Week Vaccine
Hi Mr. Bhanu Pratap, Here are the answers: 1. Your doctor is right. As per latest research, new guideline have been released in November 2013. There are two brands of Rotavirus vaccine that are available: Rotateq and Rotarix. If Roteteq is used, then...

Pediatrics: 6 year old daughter with swollen labias and discharge
Hi, Jewell, First of all, if a doctor thinks this is a UTI and will clear up on its own, that is pretty out there logic. We would always treat a UTI. Some may go away, but this isn t the way we see the world in pediatrics. If she can t give a urine...

Pediatrics: I cant get my 4 year old poop problem under controll
Hi, DeAnn, Constipation from birth is a different entity than acquired constipation. Be sure she has had a lower GI exam to carefully rule out Hirschsprungs disease. If this is ruled out, then a visit to a good pediatrician who is skilled at treating...

Pediatrics: Cod Liver Oil
Hi Sumesh, Yes, you can give Fish (boneless) to him. It is healthy and richest source of DHA and omega 3 fatty acid. It is also rich in Vitamin D and has good quality protein. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India...

Pediatrics: discomfort drinking water
Hi Uma, Your child needs to be examined to find out what s going on. Although it can be simply a behavioral issue, but it can rarely be even due to some neurological issue affecting her process of swallowing. If you can t consult her regular doctor, you...

Pediatrics: Eye Size Issue in a baby.
Hi, Looking at the picture labeled 5, it seems that the light reflex from the camera is not on the same place on each eye. This may indicate an eye muscle problem as well. This is all the more reason to see an eye doctor to find out if this is an eye...

Pediatrics: Eye Size Issue in a baby.
Hi Jahanzaib, Yes, it needs to be seen immediately by an eye specialist. Please don t delay. In fact, sharukh 2 pic is showing ?whitish in pupils (centre of black part of eye) in RT EYE: That is also not good: needs to be seen immediately. Best wishes,...

Pediatrics: I cant get my 4 year old poop problem under controll
Pediatrics: I cant get my 4 year old poop problem under controll

Pediatrics: fraser value in.blood report
Hi Leena, Relax! There is nothing wrong in the report. Actually, the England-Freaser Value has NO SIGNIFICANCE in a normal child. It is a special test useful ONLY in certain type of anemia. In a child without anemia, it has no significance, no meaning...

Pediatrics: Frequent urination
One question is how much urine he is passing which will be reflected in how much he is drinking. If he is drinking a lot a question is whether he has a urine concentrating problem or whether this is just a behavioural thing. I assume he has had his renal...

Pediatrics: eye problem
Hi Vartika, Babies NORMALLY rub their eyes. Tobacin should NOT be used just for that. Usually no treatment is required. Please consult another doctor in your area, if you feel that her eyes are not OK. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic,...

Pediatrics: Immunization delay
Hi Mizanur Rahaman, First, Pneumo 23/ Pneumovax is NOT recommended..it is not effective at all in a child below 2 years of age. What is recommended is Pneumococcal Conjugate Vaccine (PCV) for which there are only 2 brands that are available: PREVENAR...

Pediatrics: Limited babbling in 9.5 month old
Hi, Juls, His speech is fine. As long as you feel he hears well and often this is checked definitively at birth, at least in my state of Michigan, this is within the broad normal range of speech. He is doing what he should be doing. Good luck, Dr....

Pediatrics: multivitamin drops to newborn
Hi, nishu, Normal healthy breastfeeding babies need a multiple vitamin and iron drops, or a vitamin D supplement. Formula fed babies who are healthy need nothing. The other stuff is not needed. Keep things simple and have fun with you baby. Good...

Pediatrics: How often should a child urinate?
Hi, B, Bladder sizes, like anything in a human body, vary in size and functional ability. The 5-10 times at night, presumably waking up from sleep and voiding, is decidedly abnormal. I would discuss this further with your pediatrician. There are bladder...

Pediatrics: really bad tantrums
Hi Amber, While tantrums are quite common in this age-group, and head-banging, rolling over the floor is often associated with these episodes, body going limp is not usually associated with temper tantrums..My suggestion would be to video-graph some of...

Pediatrics: regarding zinc dry powder for suspension
Hi Malavi, The most common uses of Zinc in a 2 month old baby are acute diarrhea and certain skin rash (indicating Zinc deficiency). Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delhi, India www.KumarChildClinic.com +91-9818356846...

Pediatrics: Strange blood work for a 21 month old
Hi, Michelle, Whoa, Michelle, this is well beyond my humble pediatric generalists pay grade! I m sure you have a bunch of pediatric hospital specialists hovering over your child, and questions like this are impossible for me to address, do to the complexity...

Pediatrics: Typhoid
Hi Neeraj, Breastfeeding must be continued, as it gives protection against infections, including typhoid. Typhoid fever is transmitted by food and water. Hence, one should be careful of food and personal hygiene. Everyone in the family should be vaccinated...

Pediatrics: vaccination
Hi Tenzy, Here are the answers: 1. It is preferable to take these vaccines as soon as possible after birth. However, vaccine won t be less effective if given at 10 days of age (There is only one exception: If mother is suffering from Hepatitis B (She...

Pediatrics: watery stool
Hi Shalini, Cow s milk is not good for humans, especially in first 2 years of life. Gaay ka bacchra pehele din is daurta hai, iseeliye gaay ke doodh mei bahut protein hota hai, jo ki human baby ki kidneys ke liye overdose/ overload hota hai..humans ko kam...

Pediatrics: white patches around mouth
Hi Shaheena, Yes, there are several causes. Treatment would depend on the cause. It takes at least 6-8 months to show result in most cases. If baby has received OPV at 6, 10 and 14 weeks of age, then OPV may not be given at 6 and 9 months. However, baby...

Pediatrics: my 2 year old
Hi, regina, You need some help in understanding the proper way to take care of this behavior. First, see your doctor to see if anything is physically wrong. Second, if he is medically well, ask your doctor for some local resources where you can learn...

Pediatrics: 3 Yr baby with low appetite and not started speaking
Hi, KANHAIYA, Please see your pediatrician. Lack of speech at this age is worrisome and your doctor needs be sure that the development is normal in all other respects and that there isn t a global developmental issue. With this scant amount of data,...

Pediatrics: My baby feeling no hunger (1 year)
Hi, Jahanzaib, I have no idea what the cyst is. Without examining her and perhaps doing some studies, I just don t know. You need to take her to her doctor and have them decide if the cyst is something that just can be watched, explain to you what they...

Pediatrics: bald spot on child
Hi,Karina, A bald patch for a couple years that is unchanging is probably fine. Next time you see the pediatrician, please have them look at it carefully. If the skin appears normal and the remaining hair follicles are normal appearing, then just have...

Pediatrics: Behavioural issue
Hi, swapna, I am not sure what is going on with your milk production. Perhaps it is declining. If you and your babies father are both tiny people, maybe this is the way she is genetically programmed to be. You may want to continue nursing her aggressively,...

Pediatrics: Blood in toddlers stool
Hi, Beth, Bloody stools, with red and darkened blood, always need some evaluation. If she is stable, not acutely ill, your doctor visit in a few days would be fine. If she is getting worse, give your doctor a call and see if they can see her sooner....

Pediatrics: calorie output
Hi, James, Kids need more calories on a kcal/kg/day basis to grow than a stable adult does. We tend to need to watch calories so as to not gain weight as an adult, because of changes in hormonal control of metabolism and because, generally, we are less...

Pediatrics: eucalyptus oil side effects
Hi Anita, If eyes are apparently normal, then there is nothing to worry. However, eucalyptus oil (and also things like Vicks , karvol and even steam inhalation) should never be used in small children below 2 years of age. Their lungs/ air passages...

Pediatrics: GI
Hi, Most likely the blood was from a hard stool and not from any other source. However, anything is possible. I think that the GI doctor is right on track. A cleanout, followed by stool testing for blood is an excellent idea. If the blood is negative,...

Pediatrics: grandson-Oliver
Hi, Phyllis, Often in a brief office visit, unless the parents are describing the behavior in a lot of detail, we will say he s fine . We say this in a medical sense. Clearly both Mom and Dad, smart and wise as they are, need some concrete help in how...

Pediatrics: hep A vaccination
Hi, kebhisha, Again, I can t think of any problem that this will cause. It most likely will create greater immunity. Mistakes do happen in all peds practices and personally if you feel the practice is generally good and takes good care of your family,...

Pediatrics: Hoarse Voice in Toddler
Hi, Brooke, It is common for cold viruses to cause hoarse voices in children. They have small airways and a little swelling goes a long way to causing the airway to bang against itself on a deep inspiration. Hoarseness is usually a prelude to croup,...

Pediatrics: IPV & OPV vaccination
Hi, anna, This is an interesting question. The whole reason we changed in the USA to IPV was that in the 2-6 month age group, 6-8 kids yearly in the USA, of the millions of doses given, developed polio from the OPV. These were almost completely kids...

Pediatrics: lactose intolerance in babies.
Hi Somal, A child with lactose intolerance is not able to take milk, but there should be no problem in taking curd, and very less with cheese. Many such babies would even take milk-cereal without any problem. Hence, if your baby is not able to take any...

Pediatrics: low iga and pneumococcal vaccine
Hi, Shannon, I am not an expert in this precise field, but I know that many kids with IgA deficiency fail to mount a supposedly adequate response to the pneumoccocal vaccine. The vaccine won t hurt them, it just may not be fully effective. I don t...

Pediatrics: Peds tendon pain?
Hi, J, Sorry about the late reply. We recently went to Chicago to see two of our kids run in the marathon and I forgot to turn this off. Your godson probably has Sever s syndrome, a disease of growth. See your doctor to be sure. I usually recommend...

Pediatrics: perpaed fromula milk store duration
Hi Zeeshan, Once prepared, the formula milk is to be used within 30 minutes. It should not be reboiled. Although it should not be used for baby after 30 minutes, still, if you need to utilize the left over portion rather than throwing it, you can use...

Pediatrics: Possible TB exposure in toddler
Hi, Hannah, Certainly have your son tested. He has been closely exposed to someone with TB. A test is easy and smart. If it is negative, then it always could be repeated in a few months to be sure. If it is positive, then he needs to be treated....

Pediatrics: About QUADROVAX & Pentavac
Hi Mohd Junaid, Pentavac is a combination of DTP, Hib and Hepatitis B vaccines. Quadrovax is a combination of DTP and Hib. Both are manufactured by same company: Serum Institute of India. The only difference between Pentavac and Quadrovax is that Quadrovax...

Pediatrics: regarding seizures
Dear Preeti, Convulsions need treatment for years, and it is impossible to predict when you will begin to see results and when it may be possible to withdraw the treatment. Four days is too short a period to see changes in your child. Please be patient,...

Pediatrics: regarding seizures
Abnormal EEG means there is some problem with the brain function. This can be due to many reasons. Was there any problem during delivery? Is there any family history of epilepsy or neurological problem? Depending on these and physical examination further investigations...

Pediatrics: regarding seizures in 7.5 month baby
Hi, preeti, A bit is lost in my understanding of your question, but here is the way I see it. An MRI tells us about structure of the brain. It sounds like the MRI is fine and that is good. The EEG tells us a bit about the electrical activity and a bit...

Pediatrics: regarding seizurs
Hi, preeti, Most seizure meds take at least a week, from an oral start, to stop seizures. Most seizures are controllable with meds. Some are very difficult to control with numerous meds. Every child is different. It would be nice to think that the...

Pediatrics: Regarding vaccination at 10th week
Hi Anita, Pentaxim is a combination of DTaP ( acellular DTP gentle or painless DTP ), IPV and Hib. Quadrovax is a combination of DTwP ( whole cell DTP: normal DTP) and Hib. First, I must inform you that as per current guidelines (updated in...

Pediatrics: seizures in 7.5 month baby, seizures, child
seizures, child, fits: Dear Preeti, An MRI is an image study and does not report anything on electrical brain activity, which is the function of an electro-encephalogram or the EEG. As her EEG report does show seizure activity, she must be given anti-seizure medication for up...

Pediatrics: Time gap between vaccines
Hi, Rajesh, No harmful effects from this approach. There are also no harmful effects with giving them all at one time. Our office, like many others, will not due novel approaches like this, due to the increased chance for confusion and inaccurate recording....

Pediatrics: UTI
The treatment your baby is getting now should be given for 7 days. After this the child s urine should be checked again. She will also need an ultrasound exam and assessment of kidney function after 2 to 4 weeks and regular monitoring of urine to detect recurrence...

Pediatrics: vaccination
Hi Anjali, Relax! There is nothing to worry. Extra dose of IPV (Imovax polio) will not harm the baby. Regarding Hepatitis B vaccine, for best effect, 3rd dose of hepatitis B vaccine should be given 5 months after the 2nd dose. So, your baby should be...