About Experts Sitemap - Group 40 - Page 67 2015-02-24

Pediatrics: Polio Vaccine, pulse polio, polio virus
pulse polio, polio virus, pediatric vaccination schedule: the pulse polio drives have started cos someway the routine immunisation was not effective as a community measure so its recommended to take it. no harm. also these pulse polio drives are usually containing single type of polio virus which is more prevalant....

Pediatrics: Polio vaccination, polio, pulse
polio, pulse: no issues with repeated doses. the vaccine in pulse polio is different (monovalent) than the one for routine (trivalent). so when u miss it, go to an nearest booth and ask if tehy can provide. so many drives are conducted so that no child will be unimmunised....

Pediatrics: petechiae, hip food, petechiae
hip food, petechiae, food allergy: Hi, Amber, Glad everything turned out OK. I m not sure what this area is on her hip. Food allergies don t, as far as I know, cause petechiae. I would watch this and be sure it goes away and you don t all of a sudden see a lot more. I wouldn t go...

Pediatrics: Query on Tourette Syndrome, ocd, tourette
ocd, tourette: if its affecting day to day life.. it surely needs evaluation. a neurologist will be better for tourette. but i feel one should evluate only if the problem is daily , a good number per day. this need not be like an OCD, in OCD there is compulsion to do...

Pediatrics: Question Regarding my Son, child psychiatrist, rectal area
child psychiatrist, rectal area, demeanor: Hi, sofia, If you feel he is being sexually abused, then by all means don t wait a month. Go to his pediatrician and have a good history and good exam done. I would call the police, and have them investigate. You need to do this. I would allow...

Pediatrics: Rashes, dusting powder, keratosis
dusting powder, keratosis, rashes: Hi, Maureen, Rashes are visual and tactile phenomena and are therefore hard to diagnose in this format. I would think most of an allergic or heat related response, but this could include a number of causes. It would be reasonable, especially if it is...

Pediatrics: reccurent bronchiolitis after RSV, pediatric pulmonologist, pulse ox
pediatric pulmonologist, pulse ox, wheezer: Hi, I think that he has asthma. He might have some GERD. GERD is a common cause and trigger of asthma, and I think personally, from my distant look at things, that the asthma should be treated and GERD, if present, should be treated aggressively. This...

Pediatrics: recurrent bronchitis, stridor, laryngotracheomalacia
stridor, laryngotracheomalacia: what is his height headsize and weight? if he is failing to thrive then its a serious concern. The hideen conditions in such situations may be: 1. anomalous vessels, TE fistula, diaphragmatic hernia etc get a Ct chest, persistant runny nose is often...

Pediatrics: recurrent vulvovagintis, e coli bacteria, neo sporin
e coli bacteria, neo sporin, acidophilous: Hi Gina: If this is MRSA it is difficult to eradicate and can reoccur. I don t think it is unsafe to continue the bleach baths and the antibiotic cream but it would be good to stop all that and wait a few days and ask the doctor to reculture that yellow-green...

Pediatrics: reg. usage of cerelac for 6 months baby, infant food, cerelac
infant food, cerelac: Dear Saradha, Ceralac has an advantage of ease of storage, carrying somewhere and preparing. Home cooked food has an advantageous in terms of helping the little one in development of taste from very beginning, and ease in transition from infant food to...

Pediatrics: romilast 5 mg, runny nose, romilast
runny nose, romilast: pls detail me after reading articles on cough, cold, wheezing at www.pediatricianonline.in how often is the runny nose? watery? sticky yellow? with sneeze ? every night? since how long? how often is the cough? more in night? more in day? with discomfort...

Pediatrics: Scarlet Fever Relapses., viral rash, scarlet fever
viral rash, scarlet fever, empty stomach: Hi, Geraldine, I have found that in conditions of persistent strep, despite antibiotics like amoxicillin, a third generation cephalosporin like Omnicef, usually works. Amoxicillin twice a day usually does the trick and is quite palatable. This should...

Pediatrics: My Sons' growth is poor, exam history, obscure reasons
exam history, obscure reasons, oral intake: Hi, Chinwe, I m not sure what an adenoid problem actually is. If the adenoids are huge and the tonsils equally huge, then this can interfere with oral intake. Most small kids are healthy and develop fine. They generally are small due to small parents...

Pediatrics: Sore throat/ scarlet fever, swollen glands, scarlet fever
swollen glands, scarlet fever, good medicine: Hi, Bozena, Someone who does three strep screens in one week on one kid is not practicing good medicine. One should be sufficient. All negative strep screens should be confirmed by a negative strep culture, since all the screens are only 85-90 accurate...

Pediatrics: Spontaneous Brain Bleed, brain hemorrhage, anuerysm
brain hemorrhage, anuerysm, health background: Dear Cami: Spontaneous brain bleed means it just happened for no apparent reason. Was an autopsy done? If so this could have explained a brain anomaly that would have been visible or an anuerysm in a blood vessel in the brain that could have burst....

Pediatrics: Stuffy nose, little noses, bulb syringe
little noses, bulb syringe, noisy breathing: Hi, vanessa, Kids until 4-6 months old are obligate nose breathers. This means they have to breath through their noses and can t really do open mouth breathing. When your nose is stuffy, this is a problem. I suspect the stuffy nose from birth is probably...

Pediatrics: SUA, single umbilical artery, isolated case
single umbilical artery, isolated case, syndromes: Hi, Melissa, If he has a normal heart and kidney exam, then SUA requires no further evaluation, in the minds of most experts. His gassy nature is not related to the SUA and may be due to forumula intolerance or a variety of other problems. Good luck,...

Pediatrics: smellie pooh!, frequent bowel movements, gas producing foods
frequent bowel movements, gas producing foods, food diary: Dear Ilse: Breast fed babies have very frequent bowel movements and it can squirt out but it should look like it has seeds in it. Yellow green can be normal color. If the baby is cramping and uncomfortable you should keep a food diary of the foods you...

Pediatrics: my son, squamous epithelial cells, pus cells
squamous epithelial cells, pus cells, bile pigments: your doc will initially treat him for urinary infection. as urinary infection in boys is not otherwise common, yoru doc may ask for some more tests to rule out following conditions: say 1.VCu for valve in urethra (PU Valve), Vu reflux and its sequalae. ...

Pediatrics: my son growing thinner, puneet kumar, inadequate dietary intake
puneet kumar, inadequate dietary intake, dwarka new delhi: Hi Lawrence, Yes, he needs thorough evaluation to find out the cause. First, it needs to be checked whether he appears thinner, or is losing weight or is not gaining enough weight. A quick look at his growth chart gives a lot of information. Then, it...

Pediatrics: Should she spank?!, temper tantrums, curious kid
temper tantrums, curious kid, tiny apartment: Dear Shannon: Spanking should never be used as a method of disciplining a child especially a 17 month old. One should use a time out approach by firmly looking the child in the eye and stating no-no, time out . The child should then be placed in a...

Pediatrics: stomach virus and constipation, constipation, vomiting
constipation, vomiting: well i m not worried about stomach virus. vomiting is more likely due to acidity or constipation in this case. if vomiting persists for more than a day with constipation, pls visit a doctor urgently. constipation in newborn or infant although more common...

Pediatrics: stops breathing, bretah holding spell, cry spell
bretah holding spell, cry spell, cyanotic spell: stopped breathing,= breath holding, as it comes in a spell, its a breath holding spell. its a subconscious behaviour, so surely he is helpless in this. well, occasionally otherwise asymptomatic ASD is associated with some cyanotic heart disease, which...

Pediatrics: Teaching techniques, stimulating infant speech and language development
stimulating infant speech and language development: Hello Dunga, Play with your child, sing to him, hold him, enjoy him! Speak to your son using one and two- word phrases, make lots of speech sounds and animal noises, be sure to elicit his attention and use facial expression and changes in your vocal pitch...

Pediatrics: Tummy Bug, signs of dehydration, liquid stools
signs of dehydration, liquid stools, wet diapers: Dear Nicola: Your infant will dehydrate if his fluid intake is not adequate to replace what he loses by vomiting or passing liquid stools. If he is still vomiting use only an infant oral rehydrating solution (Pedialye is available in the States). Hold...

Pediatrics: Why toddler gets puffy eyes in the morning?, protein in the urine, puffy eyes
protein in the urine, puffy eyes, swollen eyes: Hi, Eric, It is common for people to wake up in the morning with swollen eyes (I sometimes look in the mirror myself and it is absolutely horrifying!). It is more common for infants to look like this and then have this resolve during the day. The only...

Pediatrics: Is it true most twins have at least a mild speech delay, and more than 50% of kids with delay are mentally retarded?, uq edu au, developmental pediatrician
uq edu au, developmental pediatrician, low birth weight: Hi Josephine, Words come and go in infant/toddler language development, and I would not worry that what you hear your toddler say today disappears suddenly and possibly even for many moons. One of the children I worked with had learned to say dog early...

Pediatrics: underweight, general immunity, pediatrician
general immunity, pediatrician, cough: Hi, Uzma, A child like this, who is frequently sick and underweight, needs a full workup by a pediatrician, to assess his ability to fight off infection and to check for a number of diseases that can cause what we term failure to thrive . Good luck,...

Pediatrics: Milk, infant feeding, formula milk
infant feeding, formula milk: Hi Alex, As you know, breastfeeding is the best. There is really really no substitute for that. In the unfortunate circumstance of a baby requiring top feeding, formula milk (like Lactogen or Nan) is definitely better than cow s milk. Cow s milk s composition...

Pediatrics: Vaccines, aborted fetuses, local public health
aborted fetuses, local public health, religious exemption: Hi, Elisha, There are no alternatives, at least in the USA. Your doctor is an advocate of all vaccinations, just like I am, but we have to respect your decision based on your beliefs. I do not, and can t think of any doctor that does, give this information...

Pediatrics: Weight Gain, umich edu, well baby
umich edu, well baby, ordeal: Hi, Karen, My daughter weighed 29 pounds at nearly 5 years old. She was indeed less than 5 then. She was healthy and active and completely well, just smaller than usual. The picky eating may be somewhat the cause, but probably this is just the way she...

Pediatrics: Weight Gain, growth chart, meal time
growth chart, meal time, well baby: Hi Karen: Your soon to be 5 year old little girl is considerably underweight. Is her height appropriate for age or is that off the growth chart as well. Her lack of interest in eating concerns me also . When meal time becomes an ordeal a child with...

Pediatrics: Weight Gain, feeding, weight
feeding, weight: you may find some tips at www.infantfeeding.blogspot.com you need to chart last serial weights on age appropriate charts on standard growth charts. if the serial weight falls below two centile, the doc will be concerned. adjust the diet the way kids...

Pediatrics: Willful 4-year-old son refuses to poop on the toilet! HELP!, johnny appleseed, pull ups
johnny appleseed, pull ups, child potty: Hi, Candace, All I can further recommend is to follow the handout precisely, have both of you not comment at all about this for a couple of weeks, clean him up wordlessly and in a clinically bland way, don t be too quick to clean up an accident (of course...

Pediatrics: Yes or no?, home pregnancy test, puneet kumar
home pregnancy test, puneet kumar, hormone progesterone: Hi Ashwini, Answers to your questions: Answer-1: No, this is the time (around 6 weeks) when first ultrasound is done. Answer-2: No, not at all. Answer-3: This will be better answered by a gynecologist. Best wishes, Dr. Puneet Kumar, Kumar...

Pediatrics: yellow diarrhea, diarhea, hydration status
diarhea, hydration status, regular diet: Hi, k, Hydration techniques depend on age of the kid, amount of diarrhea, and generally if they are sick or well. Fever, reduced intake and vomiting make things worse. If they are having tears and wetting appropriately, then just a regular diet at 5...

Pediatrics: young boy coughing and fever, chronic tonsilitis, chest x ray
chronic tonsilitis, chest x ray, blood esr: i would be happy to know the weight, low weight is often seen in both these conditions. In children , teher is no single confirmatory test for TB, the diagnosis is clinical on examination and soem evaluation to support it. if afamily member had TB sometime,...

Pediatrics: 1 year old, puneet kumar, first time mom
puneet kumar, first time mom, dwarka new delhi: Hi Alicia, Relax! There is nothing to get so much upset! These ups and downs are just part of growing up!! There is no problem with zyrtec and albuterol. It can be prescribed even in infants much younger than you little one. The illness is most likely...

Pediatrics: 10 month old feedings, sheer desperation, whole meals
sheer desperation, whole meals, wits end: Hi, Kara, Please don t do things like chasing her around with a spoon. This will cause things to be worse and may cause and increasingly common condition called feeding aversion . Give her table foods if this is what she likes. As long as she is getting...

Pediatrics: 11 mo not babbling yet, vowel combinations, speech pathologist
vowel combinations, speech pathologist, twin girls: That s wonderful to hear Stephen! I haven t read it myself, but have heard good things about The Late Talker: What to do if Your Child Isn t Talking Yet by Dr. Marilyn C. Agin, Lisa F. Geng and Malcolm Nicholl. I wish your daughters a very happy 1st...

Pediatrics: my 11 month old is suddenly no longer wanting to breastfeed, molars, disinterest
molars, disinterest, baby boy: Dear Sidonie: Your son may be beginning to cut his molars thus the disinterest in sucking and biting. I would express your milk and offer it by cup or try a straw (amazing how they learn to use a straw so early) in the event he decides he wants to nurse...

Pediatrics: 13 month old not gaining in weight or height, not gaining weight, weight gain
not gaining weight, weight gain, failure to thrive: Hi Christi, Your son s weight has fallen from 97th centile at birth to about 10th centile now. His height has fallen down from 50th centile to 3rd centile. This means that he is not growing well and is of concern. However, as his appetite is normal, is...

Pediatrics: 13month old son tan colored bowels, viral illnesses, loose stools
viral illnesses, loose stools, viral illness: Hi, Tiffany, Lots of kids this age, after a viral illness, have a condition we call toddlers diarrhea . This is benign, self-limited and we treat with regular diet, perhaps jacking up the fat content. Viral illnesses also can temporarily cause a lactose...

Pediatrics: 15 month with no words, 15 month old's with no speech, 15 month old stopped talking
15 month old's with no speech, 15 month old stopped talking: Hi Mary, Thank you for the thoroughness of your note. I m glad to read that you are monitoring your son s speech and language development. I m also happy to read that your son enjoys children. plays hide and seek, and is imitating some of your actions!...

Pediatrics: 19-month old wakes screaming, solid sleep, 19 month old
solid sleep, 19 month old, night terrors: Hi, Kim, You might want to discuss with your doctor the possibility that these night wakings are actually something called night terrors . This can be solved by a technique called prompted awakening , if this is what is going on. If not night terrors,...

Pediatrics: My 1yr 7mths old daughter dosen't eat, calcium carbonate, liquid diets
calcium carbonate, liquid diets, boiled potato: well, you need to reduce the duration and frequency of breast feeding. get soem tips at www.infantfeeding.blogspot.com also learn about complementary feeding. do start on calcium carbonate supplementation. increase thicker liquid diets and easy to...

Pediatrics: 2 1/2 year old not eating, distraction techniques, introducing solids
distraction techniques, introducing solids, facial muscles: check her weight, if it is normal for age, no worry. children are known to require pureed feeds for a longer phase especially when the child gets frequent throat infections. avoid bottle feeds.. switch to spoon feeds with smaller spoon. they surely will...

Pediatrics: 2 year old picks at his face, emolient, iron supplements
emolient, iron supplements, compulsive behavior: apply an emolient over phase that will make his hands sticky or wet to avoid picking. trim his nails. continulously divert attention during day time by giving him some activity. check hemoglobin, add iron supplements if needed. www.doctorchild.co...

Pediatrics: My 2yr. old, emotional problem, bowel movement
emotional problem, bowel movement, two year olds: Hi, Alberto, The concept of poop jail whatever that is, sounds very counter-productive. Don t do it. This kid is only two years old. Most two year olds aren t potty trained, especially boys. More emotional problems will be caused by forcing the...

Pediatrics: my 3 and half yr old daughter (potty training), dr graham smith, proper assessment
dr graham smith, proper assessment, play school: You will need to be patient. You need to start with the bowels and firstly make sure she is not constipated. I would suggest trying to get her in a routine to have her bowels open after a meal each day. If you remain concerned, you should speak to your GP...

Pediatrics: My almost 3 year old triplets won't go to sleep., white noise maker, bedtime rituals
white noise maker, bedtime rituals, lullaby music: Hi, Amanda, They are at an age where they may very well chat, discuss the day and generally will keep each other up. If they are staying in their rooms, if you are consistent with the bedtime rituals, and if you leave the room when they are awake and...

Pediatrics: 3month old baby, old baby, losing weight
old baby, losing weight, good luck: Hi, jennifer, Come on! I can t answer a question like this without a bit more information. Is she sick? Is she losing weight? Is she a normal kid? Has this gone on for a long time? Glad to help you if you help me a bit. Good luck, Dr. Olso...

Pediatrics: 4 year old with swollen tonsil, tonsil enlargement, enlarged tonsils
tonsil enlargement, enlarged tonsils: Hi Karolina, I don t think there is anything substantial to think of malignancy/lymphoma. Tonsils are enlarged in most of the kids at this age. Small lymph nodes are non-significant. Fluid in ears is not uncommon secondary to ear infections and can be managed...

Pediatrics: 5 mo old waking up frequently, lb 15, old routine
lb 15, old routine, medical problems: Hi, Rei, sleep issues like this are always behavioral. They virtually never are due to medical problems. Your baby doesn t know how to fall asleep on his own. You need to teach him this. Your need to have his last waking memory be of the crib, and...

Pediatrics: 5 year old headaches, severe headache, migraine
severe headache, migraine: Hi Meagan, Some irrilability, with mild headache, might be due to changing season... However, severe headache shoud not be ascribed to this. There are several causes of severe headache, including migraine. Your son needs careful evaluation. Please get...

Pediatrics: 5-year-old still wetting pants, ultrasound scan, wetting pants
ultrasound scan, wetting pants, urine infection: The problem needs review by a paediatrician. Urine infection needs excluding. An ultrasound scan would be worth doing, looking at bladder emptying. A regular voiding regime would be useful ie asked to go to the toilet at regular intervals to preempt the wetting....

Pediatrics: 6 y/o behavior, misbehaving, behavior problems
misbehaving, behavior problems: Dear Bob, It is not unusual for children to either misbehave or act indifferent when parents are gone for more than 24 hours, at this age. I child this age does not have what is called object constancy. In other words in a way you somewhat disappear in...

Pediatrics: 6 yr old with diarrhea, diarrhea
diarrhea: Hi Caitlin, Your child needs to be examined to advise most appropriate treatment. Please consult your doctor. Till that time only thing you have to do is to prevent dehydration by giving enough ORS (oral rehydration solution, e.g. Pedialyte) or clear fluids...

Pediatrics: 9 month not eating, finger food, nutritional status
finger food, nutritional status, mouthfuls: Annie: It depends on how long this has been going on whether it is adversely affecting your child s hydration and nutritional status. It could be related to teething and will pass as soon as the teeth come thru so keep trying to feed her or she may not...

Pediatrics: ADHD Adderall, hyperness, adderall
hyperness, adderall, pediatrician: Hi, Michelle, I don t know what C.I. is. I am a pediatrician and have prescribed meds like this to a four year old, after the diagnosis has been confirmed by a pediatric psychologist. Your pediatrician can prescribe this. If he didn t do well...

Pediatrics: Amoxicillin, throat infections, maximum dose
throat infections, maximum dose, flu like symptoms: Tanya- Thanks for the question. Your son weighs 27.3 kilograms. The maximum dose of amoxicillin (depending on the location of the infection) is 80 mg/kg/day. 80 x 27 = 2160 mg/day given twice a day is 1080 mg twice daily (the closest and easiest dose to measure...

Pediatrics: anitbiotics, cephelexin, co-amoxyclav
cephelexin, co-amoxyclav: Hi Alisa, Not all medicines are tolerated equally well by all children. First, since you know that your daughter tolerates amoxicillin well but not amoxy-clav and cephelexin, I hope you yoy remind her pediatrician/family physician regarding this at...

Pediatrics: Bed wetting, pull ups, bladder control
pull ups, bladder control, rubber sheet: Dear Gina: If your 5 year old child is wearing a pull up diaper to bed at night it is like giving her permission to not have bladder control overnight. She knows it is safe to urinate during the night and has gotten in the habit of doing so. My suggestion...

Pediatrics: Bleeding in loosemotions of 6month baby boy, loose motion, dysentery
loose motion, dysentery: bleeding from motion can be a sign of seriou symptom at times so one cant manage it unless a doc sees the child. (example : in some time of intestinal obstruction called intussusception, the bleeding can be with loose motions looking like current gelly .....

Pediatrics: Blood in stool, milk protein allergy, milk allergy
milk protein allergy, milk allergy, calcium supplement: Hi, Lan, It is probably most likely that this is a milk protein allergy and you need to really eliminate all the milk and dairy completely from your diet to test this hypothesis. Do it completely for a couple of weeks, take a calcium supplement, and also...

Pediatrics: BUN/ height & weight followup, not gaining weight, weight gain
not gaining weight, weight gain, failure to thrive: Hi Rachel, Your daughter s growth chart will give the correct answer. If your daughter was small at birth and is growing normally (her growth curve is parallel to the normal growth curve, even though it is not in normal range) and is active, there is no...

Pediatrics: baby diet chart, not gaining weight, weight gain
not gaining weight, weight gain, failure to thrive: Hi Sukhada, Your baby, as you know, is not growing well. It is very important for you to discuss in detail with your pediatrician. It is extremely important that we rule out any underlying cause (other than poor dietary intake) for this failure to thrive....

Pediatrics: My baby not eating, medicine dropper, breast milk
medicine dropper, breast milk, ear infection: Dear Sunitha: I don t know what is available to you in India but you will get into trouble if you continue to feed the baby only water. She should be fed oral rehydrating solution for babies. I would seek medical advice as it is not normal for a baby...

Pediatrics: baby growth, normal head circumference, rapid head
normal head circumference, rapid head, growth spurt: Hi, Will, The vast majority of kids with autism have a normal head circumference. However, with this increase in head size, if the soft spot is open, then why not do an ultrasound to make sure that everything is structurally intact. I don t have with...

Pediatrics: baby growth, head circumference, rapid head
head circumference, rapid head, growth spurt: If he was born at term, his head circumference was on the 91st centile at birth and is now just above the 98th centile. This may just be normal growth but I cannot make a proper assessment from here. You need to speak to the doctor looking after your son....

Pediatrics: blood and mucous in toddler stool, half cap, miralax
half cap, miralax, constipated: Hi, Jamie, It would be reasonable in an otherwise healthy child to give something consistently daily to keep the stools from getting constipated and then see if the blood/mucous goes away. If one is constipated, blood is common. I would try a half cap...

Pediatrics: blood and mucus in stool, dysentery, blood in stools
dysentery, blood in stools, blood and mucus in stools: Hi Ana, Blood and mucus in stool indicates infection of gastrointestinal tract with some invasive bacteria. Withholding breast feeding is not required/advisable. It is not related to your diet. Please consult your doctor/pediatrician immediately for...

Pediatrics: breastmilk to formula, pedia care, nicu
pedia care, nicu, multi vitamin: Hi, Renee, The best water to us is what comes from your tap, assuming this is what you drink. I would continue the vitamins and iron until your doctor tells you otherwise. These are preemies and they still need extra vitamins and iron. How long? ...

Pediatrics: Concern about cough, cough suppressant, cough syrup
cough suppressant, cough syrup, peculiar manner: did you read article on cough at www.pediatricianonline.in? to understand in a simplest way, day time coughs are often associated with past infections and only night coughs are associated with asthma and other issues. check for tonsils, start throat...

Pediatrics: Concern about toddler's growth, diaper area, toilet training
diaper area, toilet training, 21 months: not growth, but it can cause sores in his diaper area. So please insist to change whenever soiled. many parenst habituate themselves to open the diapers 3-4 hourly till 3 year age. start toilet training. take off diapers and encourage cgild to go to toilet...

Pediatrics: Covering baby's body after giving her paracetamol, febrile child, body temperature
febrile child, body temperature, fever: The recommendatiosn now are not to routinely give paracetamol for fever, as there are probably benefits from raising the body temperature to help deal with infection. There is no sense wrapping a febrile child up in a blanket as they will just be more uncomfortable....

Pediatrics: ?cerebral palsy, cerebral palsy, CP
cerebral palsy, CP: Hi Kwabena, I think your doctor is doing a perfect job. Just continue with it religiously. There is no magic solution here and you will have to continue with physiotherapy and have lots of patience. Surgery is rarely required if she has or develops any...

Pediatrics: child behaviour, calm atmosphere, good manners
calm atmosphere, good manners, child behaviour: i think you may consult a behaviour therapist. what they do is, repeatedly talk t6o the child counselling him with repeated reinforcement of good manners in a cool and calm atmosphere. we need to talk to the child without getting angry 10-12 times a day, 2-3...

Pediatrics: My child is out of control, couple times, full speed
couple times, full speed, babysitters: adhd may be a remote possibility. but ocasionally same behaviour si also seen normally as a variation. what one needs is to repeatedly talk and counsel child, telling him stories reinforcing the behaviour that will be appreciated most. do the same repeatedly...

Pediatrics: childs lab work, red blood cells, normal platelet count
red blood cells, normal platelet count, rhuematoid factor: Hi, Platelet counts mean nothing in this situation. High OK. Low creatinine is never bad. I don t have any of the blood cell indices, but it sounds like the anemia was due to iron deficiency and is not resolved. I suspect that with the RSV...

Pediatrics: concerned grandmother, excessive salivation
excessive salivation: Hi Lynda! It is very rare for a 3 year old child with excessive salivation to have anything significant. Just mention it during his next routine check up, so that we are doubly sure. Best wishes, Dr. Puneet Kumar Kumar Child Clinic, dwarka, New Delh...

Pediatrics: convulsions in child, mild hydronephrosis, fever convulsion
mild hydronephrosis, fever convulsion, low calcium: the common causes of covulsion at this age too being low calcium, the other common cause is like say febrile(with fever) convulsion.the treatment is in right direction. If EEG or MRI/Ct scan brain shows any issue, teh child may be continued on seizure medicine...

Pediatrics: convulsions in child, convulsions
convulsions: Dear Amanbhat, The tests and treatment would depend upon many factors such as: was this convulsion associated with fever, duration of convulsion, type of convulsion (whether it involved whole body or one limb/one half), any history of fall/head trauma preceeding...

Pediatrics: cooing has stopped, 5 month old infant with little vocalization, 5 mo old's vocalizations have regressed
5 month old infant with little vocalization, 5 mo old's vocalizations have regressed: Hi Sabrina, I m so glad to read that your daughter is alert, engaging, responsive and happy! However, I do hear and understand your concerns for some of the unevenness in her skills. If your daughter is already pulling herself to standing when holding...

Pediatrics: cough, nasty cough, diahrea
nasty cough, diahrea, hrough: Hi, Jessica, Most illnesses like this in a 5 month old will be virus caused and do not need meds like antibiotics to treat. We generally recommend using humidity, giving her extra fluids and tylenol if needed for discomfort. If she has something serious,...

Pediatrics: cough and runny nose of a 10 month old baby, puneet kumar, month old baby
puneet kumar, month old baby, dwarka new delhi: Hi Luvin, Why do you think your doctor will prescribe medicines that will be dangerous for your baby? For eliminating illness, just follow what your doctor says! If you are not satisfied by the response of the medicines, do talk to your doctor frankly....

Pediatrics: Delayed speech in 27 mo old, 18 year old stops speaking after minor surgery, 2 year old is able to speak clearly but only mumbl
18 year old stops speaking after minor surgery, 2 year old is able to speak clearly but only mumbl: Hi Angie, Thank you for providing all of the detail you ve provided in your note. It does sound like your son has capabilities to speak but at this stage is unable to and rather mumbles, just as you write. I m glad to read that he is responsive,...

Pediatrics: DTAP vaccines, dtap vaccines, half dollar
dtap vaccines, half dollar, welts: Kristen- Yes, this is common with vaccines. As long as she is showing no signs or symptoms of a reaction (fever, difficulty breathing) the welts will subside in a few days. They will also be tender to the touch so if she bumps that area into something it...

Pediatrics: ear ache, azithromycin, ear canal
azithromycin, ear canal, antibiotic: Hello Shawn: You have to give the antibiotic a chance to work. Azithromycin is given for 5 days but continues to work for another 5 days after you finish all of the medicine. If she still has fever after the 10 days she should return to the doctor. ...

Pediatrics: encopresis, cod liver oil, appetite loss
cod liver oil, appetite loss, unsuccessful treatment: If there has been a formal transfer of care to your mother-in-law I am surprised that a medical assessment has not taken place. Given the problems you describe I certainly think that a formal assessment should take place and expert opinion sort. Help such...

Pediatrics: Fever?, fever
fever: well, i m sorry for late but all your queries are answered at a fever post on www.doctorchild.com ER queries should not be presented in email/post queries as emergency cant be assessed online. also do read danger/serious signs at www.pediatricianonline.in...

Pediatrics: Fever, cough and cold, URI
cough and cold, URI, febrile seizures: HI Salih, There is absolutely nothing to be so upset about... as these fevers are just part of growing up that occur in every child of this age-group (1-5 years). These infections are more common during change of season. Most of these cough and cold...

Pediatrics: Flonase, obstructive sleep, airway disease
obstructive sleep, airway disease, bronchiolitis: I am not sure how it will help these problems but you really need to speak to the doctor who has prescribed it and is managing the problem. If you are not happy with the treatment you may want to get a second opinion. The doctor should have explained that...

Pediatrics: high reccurring fevers, google search, strep tests
Pediatrics: high reccurring fevers, google search, strep tests, high fever

Pediatrics: Necrotizing Enterocolitis, girth measurements, abdominal girth
Pediatrics: Necrotizing Enterocolitis, girth measurements, abdominal girth, incease

Pediatrics: Newborn Xray, soft spot, sutures
Pediatrics: Newborn Xray, soft spot, sutures, pediatrician

Pediatrics: fecal digestion, diarrhea, digestion
diarrhea, digestion, bacteria: Hi, Yvonne, Families share bacteria. It is highly unlikely she will have any consequence of this. I would be more concerned of the possibility of a child this age tipping over into the toilet and not getting out. The diarrhea may be due to this, but...

Pediatrics: feeding and nutrition, GER, GERD
GER, GERD, Gastroesophageal reflux: Hi Claire, There is nothing to worry. Your guess is right: it is just because of rice in the formula. And your approach of waking her after 6 hours is also correct. Just keep a tab on her weight gain: that will reassure you. Best wishes, Dr....

Pediatrics: feeding schedule 5 month old, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, transitional object: Hi Rei, Nutritionally, your son doesn t need milk at night at this age. It is just a habit . To break this habit, you have to see to it that he doesn t fall asleep while feeding (bottle or otherwise). If he falls asleep while feeding, he has to be...

Pediatrics: fever, viral illnesses, motrin
viral illnesses, motrin, fever: Dear Ginger: Assuming your doctor feels your son s illness is a virus then there is no treatment other than to support him with fever reducing medicine and provide rest and plenty of fluids and ride it out. It is not unusual for viral illnesses and the...

Pediatrics: fever on andoff, febrile seizure, febrile convulsion
febrile seizure, febrile convulsion, recurring fevers: Hi Ugomma, There are several causes of fever. Viral infections (with or without cough and cold) are very common in 1-5 year age group. Since your daughter has had convulsion with fever (febrile convulsion), you have to be very careful that she never...

Pediatrics: Hard blinking 2.6 year old girl, tics
tics: Hi Alexendra I think your pediatrician is on the right track. Tics may not be related to any infection/ illnesses and can start without any apparent reason. The medicines used in tics do have sedative action also: that is why they are usually taken at night....

Pediatrics: HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!, upper respiratory infection, respiratory tract infection
upper respiratory infection, respiratory tract infection, chest congestion: Hi, Philip, To me an upper respiratory infection means a cold. Kids get these a lot and they generally are no big deal unless complications like a pneumonia develops. Colds are not a lifelong issue. I can t think of how your exposure to Agent Orange...

Pediatrics: Heart Problem, asd, cough
asd, cough: as your doc may have told you, the kid is having a congenital heart defect in the form of a ASD. most ASDs don t be symptomatic at this age. in India in infants, having 6-8 episodes of simple viral infections in first 2 years of life isn t uncommon. so...

Pediatrics: High ESR, ESR, sed rate
ESR, sed rate: Hi Rhonda, Elevated ESR (Erythrocyte sedimantation rate) is a non-specific marker of inflammation. It will be raised in any inflammation any where in the body, including Crohn s. We can t reach any conclusion just on the basis of ESR and counts. However,...

Pediatrics: Hydronephrotic Left Kidney, left kidney, prolonged fever
left kidney, prolonged fever, ultrasound test: Hi, mrinal, I think you are at a point where you need to trust your doctors a bit more. They are doing appropriate testing. This is typical of UPJ obstruction. This can be handled by observation, preventative treatment to avoid infection or by surgery....

Pediatrics: head scalp is very dedecte, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, breast feed: Hi Imroz, (A) Veins are commonly visible on scalp of infants. If they are unduly prominent, discuss with you pediatrician (B) The drops are safe.. however they may not be required if the baby was born full-term with normal birth-weight and is breast...

Pediatrics: high reccurring fevers, PUO, fever
PUO, fever: Hi Sheena, Such high fever is very very unusual. The diagnosis would require complete medical history (associated symptoms, growth and development, investigations/treatment taken) careful thorough physical examination and appropriate investigations. The...

Pediatrics: hurt knee, black and blues, hands and knees
black and blues, hands and knees, would like your opinion: Dear Gia: A small broken bone would still be causing pain and perhaps a limitation in mobility. If she is fine now then it was probably just a soft tissue or muscle pull and it resolved on it s own. If she is no longer complaining or limping treat her...

Pediatrics: hydronephrosis, ureter, kidney
ureter, kidney, 6 years: There are lots of people with just one kidney and if it is healthy there is unlikely to be a problem in the long term. However, I do not have all the information about your daughter and if you are worried you need to speak to the doctors looking after her...

Pediatrics: Infant bowel Movement, infant bowel movement, prune juice
infant bowel movement, prune juice, stool consistency: Dear Irizarry: It is not unusual for infants who are breast fed to not tolerate milk base infant formulas. Have you tried a soy formula I beleive Nestle Good Start has a soy milk formula. If you haven t tried it why don t you and see how that works....

Pediatrics: Infant refused to eat and drink milk, water switch, throat infection
water switch, throat infection, plain water: its likely that you are feeding the baby with bottle. it takes longer time at growing ages to drain the amount of feed from bottle, and its really frustrating and thast why the kid is asking for water. switch over to supervised small spoon feeding and you...

Pediatrics: illness and teething, cool mist humidifier, little noses saline
cool mist humidifier, little noses saline, cold viruses: Dear Dana: Your infant has a cold. She may be teething too but teething does not cause a cold, viruses do. There is no treatment for a cold so just monitor and support her thru it. Aspirate the mucous out of her nose so she is not gagged by so much dripping...

Pediatrics: Late speech development, help your toddler learn to talk, strategies for teaching toddlers to communicate
help your toddler learn to talk, strategies for teaching toddlers to communicate: Hello Thuralya, Thank you for your note. I m glad to read that your daughter understands all that is said to her and that she is responsive when addressed. As for delays in expressive language, it s when toddlers say around 50 words that they usually start...

Pediatrics: Light Colored Stools, light colored stools, stomach flu
light colored stools, stomach flu, liver condition: Hi, Prafulla, Normal doses of tylenol are safe. Light stools can be seen with a lot of conditions that have nothing to do with bile production and liver problems. If you feel she is not getting better, then by all means see your doctor. This almost...

Pediatrics: lamia, giardia, giardiasis
giardia, giardiasis: Hi Fred, Your pediatrician is right. If cysts of giardia are seen in stools, it is not treated with medicines. Medicines are given only when larva form (trophozoite) of Giardia are seen in stool examination. Best wishes, Dr. Puneet Kumar, Kumar Child...

Pediatrics: language problem, 2 year old with sudden stuttering, stuttering in 2 year old child
2 year old with sudden stuttering, stuttering in 2 year old child: Hi Ida, It sounds like your son has had a strong reaction to his sudden onset of stuttering, and that it has left him as concerned as it has you. I m sorry to read of the intensity of the dysfluency, and can certainly understand both your son s and your...

Pediatrics: lead in water, puneet kumar, loose motions
puneet kumar, loose motions, dwarka new delhi: Hi Julie, Relax, there is no reason for you to get paranoid. Such one time small exposure to lead, even if occurred, should not be of much concern. However, please note that the risk of using such water is less to do with lead and more with infections,...

Pediatrics: loose motions, loose motions, gastroenteritis
loose motions, gastroenteritis, not growing well: Hi Sudhir, Your son s weight is normal for age (at 50th percentile). His growth chart can give more information on his growth. Comparing any attribute with other children is never advisable. To see one s progress one has to compare one s past with present.....

Pediatrics: mucus in stool, mucus in stool, slow weight gain
mucus in stool, slow weight gain, stool test: it would ahve eben better if i were knowing weight at birth and now in Kg. the type of poop you describe is seen on formulas rich in fat. you may just confirm same by sending stool test for fat. if teh weight falls below the third centiel for expected for...

Pediatrics: Necrotizing Enterocolitis, pain medicine, lazy sunday
pain medicine, lazy sunday, ncu: hi! its sad to know that docs could not make it. This is not an unusual scenario for us, in the sense that we as docs put our heart in to understand and the treat illness in a premature baby and efforts dont turn positive, its all a part of luck. I had...

Pediatrics: Newborn with seizures, newborn seizures, neonatal seizures
newborn seizures, neonatal seizures, convulsion in newborn: Hi Richard, I understand your concerns. The damaged areas seen in MRI may be related to low blood sugar levels. Since the EEG is normal and baby is looking okay (even on meds), it is likely that the seizures were just because of low blood sugar and...

Pediatrics: Newborn Xray, runaway freight train, emergency c section
runaway freight train, emergency c section, skull fracture: Hi, Christy, I m glad the brakes are working on the train! Yeah, background radiation includes the sun, natural mineral sources and all the things we are exposed to in our daily lives. We are obviously concerned about limiting extra exposures. This...

Pediatrics: Night coughing, fever medicine, airway disease
fever medicine, airway disease, question thanks: dont you think its doctor s job to to worry about risks and warn you if any risks? so if there is need for steroids, the doc may start it. If there is any risk that he may feel you should know, he should inform you. There are many ways of administering a steroid...

Pediatrics: Back and neck pain, back ache
back ache: Hi Heidi, I understand your concern as well as limitations of the American health system (In India, a patient can consult any specialist and can get any investigation any day... of course on payment. Anyway...) It appears that her back muscles are in...

Pediatrics: Occasional Bone pain in 7 yr old, loose motions, occasional bone
loose motions, occasional bone, calcium deficiency: if it ais present early morning or wakes the child from sleep at night, it surely needs an evaluation. other common reasons being vitamin c and calcium deficiency. you may add them and see the difference over 2 weeks. reduced water intake, loose motions...

Pediatrics: Perobronchial Thinckening, chest xrays, diagnosis of asthma
chest xrays, diagnosis of asthma, respiratory specialist: Hi, naivy, This is a great example of why doing an xray can cause more trouble than clarity. Please consider this: discuss this finding with your pediatrician before seeing any respiratory specialist. This is a commonly seen finding on normal chest...

Pediatrics: Pls help, question words, professional therapy
question words, professional therapy, echolalia: Dear GLT: I can understand your frustration with the specialist at the hospital telling you it is up to you to your questions about MMR vaccine and diet. I am afraid because there is no scientific proof that diet or the MMR vaccine is a cause for autism...

Pediatrics: Potty training a 5 year old, daycare, control behavior
daycare, control behavior, naptime: Hi, Lisa, This is completely, absolutely control. You will not win by playing his game. Don t play at all. Tell him once, calmly, that it is up to him. You will not use charts, not comment on this at all. You will appropriately praise him for success...

Pediatrics: painful bowel movements, constipation, hard stools
constipation, hard stools: Hi Aimee, The bowel movements should not be painful. You have to increase amount of fibre AND fluids to keep it soft. Also please note: 1. If he passes stool once in 2 or even 4 days and is not painful and no blood, it would be of no concern. 2....

Pediatrics: pale yellowish-green stool in 4 yr. old, excessive flatulence, green stool
excessive flatulence, green stool, color changes: Hi, staci, Most stool color changes in this age group are due either changes in diet or low grade viral infections. I would simply keep an eye on things and wait for everything to return to normal. I doubt this has anything to do with his prior formula...

Pediatrics: prolonged fever, prolonged fever, viral fever
prolonged fever, viral fever, runny nose: Hi, ahmad, It is interesting to me the definition people have for a prolonged fever. Six days, to most of us, is pretty routine. If she seems to be sick or if the fever goes for 10 days or more, then having your doctor look is recommended. Good...

Pediatrics: Question on lung xray - perihilar infiltration, xray
xray: all investigations need to be clinically correlated by teh treating doctor. some findings which may otehr wise be abnormla may eb normal in some given clinical setting and vice versa. So if your doctor has interpreted the xrays as no pneumonia, he ahs taken...

Pediatrics: Recurrent fevers with no source..., Fever, PUO
Fever, PUO, pyrexia of unknown origin: Hi Mindy, As you can understand, your son needs thorough evaluation to find out the cause of his fevers and it is difficult to offer much help online. However, I have folowing thoughts to share: 1. Collagen vascular diseases (also called Rheumatic...

Pediatrics: re: infant feeding schedule, infant feeding schedule, wet diapers
infant feeding schedule, wet diapers, percentile: Hi Jennifer: As long as your baby continues to gain weight, is happy, sleeps well, nurses well and is giving you at least 5 to 6 wet diapers a day he is getting enough to eat. He should want to nurse anywhere from every two hours to every 4 to 5 hours....

Pediatrics: reccurent bronchiolitis after RSV, pediatric pulmonologist, pulse ox
pediatric pulmonologist, pulse ox, wheezer: Hi, He has asthma that is triggered by viruses. This is common. It shouldn t be a big secret. This is an easy diagnosis, unless I really am missing something and I doubt it. Chronic lung disease could be asthma, but the common pediatric definition...

Pediatrics: regarding vaccines, world health organisation, oral polio vaccine
world health organisation, oral polio vaccine, vaccines: one has to complete a minimum vaccines recommended by world health organisation or the national program of respective country. pls visit http://www.whoindia.org/EN/Section6/Section284/Section286_508.htm easy five etc are trade names for basic plus some optional...

Pediatrics: removing clothing while sleeping, pajama pants, dear kelly
pajama pants, dear kelly, underwear: Dear Kelly: Regrettably I cannot get into your son s head to determine why he is removing his underwear and his PJ pants during the night. Children sometimes do things while still asleep and this could be why he doesn t recall doing it. Some children...

Pediatrics: resisting for meal, healthy snacks, fish one
healthy snacks, fish one, lean meat: Parminder: Your 10 month old should be eating mashed, soft table foods by now. She needs at least 24 ounces of milk a day; two to three fruits a day, two to three vegetables a day, lean meat,chicken or fish one serving a day, cereal, rice, pasta, potatoe...

Pediatrics: Sleep, google search, biological clock
google search, biological clock, david olson: Hi, Erin, This is a question that be best answered by you doing a google search for teenage sleep requirements . I could give you a ton of my thoughts, but why don t you do a bit of exploring? Is this perhaps information needed for a project or report?...

Pediatrics: Snoring of my 2 year old, sleep apnea, sleep study
sleep apnea, sleep study, gurgle: Dear Jessica: To be on the safe side you may want to talk to your son s doctor about the snoring to insure he does not have sleep apnea. That can be determined by a sleep study test in a sleep study lab over night. I am not concerned about the gurgle...

Pediatrics: Speech, teaching your toddler to say k and g, speech therapy for k and g sounds
teaching your toddler to say k and g, speech therapy for k and g sounds: Hi JA, It is common for children who are under the age of 3 years to have difficulty pronouncing some sounds, and in the English language, r is the speech sound that typically develops later than the others. In fact, there are many children who can t...

Pediatrics: Speech delay and drooling/lowmuscle tone, 3 1/2 yr. old drools and has speech difficulties
3 1/2 yr. old drools and has speech difficulties: Hi Heather, Low muscle tone, drooling, clumsiness and reduced speech clarity are not in themselves indicative of any syndrome that I m aware of, though if there are other characteristics --physiological or cognitive -- that also exist, you might discuss...

Pediatrics: Speech problem, 3 year old with tongue tie has difficulty pronouncing 'k'
3 year old with tongue tie has difficulty pronouncing 'k': Hi Vinayak, Thank you for your note about your 3-year old son. It is common that 3-year old children have difficulty pronouncing some of the speech sounds, and L for R substitution is a common speech substitution error, even for children who are...

Pediatrics: Stomach bug help, stomach flu symptoms, severe stomach cramps
stomach flu symptoms, severe stomach cramps, stomach bugs: Hi, Cindy, Way too much time, money and concern is spent doing lab studies to identify what virus is causing stomach flu symptoms. It makes no difference whatsoever. The treatment for this is fluids and time. There are no specific treatments for the...

Pediatrics: Stomach Infection and loss of appetite, loose motions, gastroenteritis
loose motions, gastroenteritis: Dear Subhash, Such a course is not unusual in cases with gastroenteritis (infection in stomach and intestines). Please revert back to your doctor who will prescribe some medicine for vomiting and pain abdomen. Appetite will improve gradually. Best wishes,...

Pediatrics: Stringy Baby Stool and vomiting., vanilla yogurt, sweet potatoe
vanilla yogurt, sweet potatoe, intestinal virus: Christine: Sounds like your baby may have an intestinal virus. If she isn t vomiting continue formula but get some Pedialyte and have it on hand if she starts to vomit again. I would avoid fried foods. Their immature systems cannot digest fried foods...

Pediatrics: sleeping issues, hello doctor, living in germany
hello doctor, living in germany, rehydrate: 1. motions following feeds are normal in infants at this age unless it is with mucus or blood or watery. also read wwww.rehydrate.org 2. such cry is seen in evening colic. u may use a pacifier but get it boiled and cooled. if it is colic it wont respond to...

Pediatrics: my son keeps pottying on my flooring and carpets...HELP please!, right my wrongs, attention span
right my wrongs, attention span, emotional problem: Hi, Crystal, Please get linked up with a good pediatrician and then probably a referral to some specialist who can teach you some good and effective parenting skills to get this ever increasing problem under control. He is manipulating everyone and needs...

Pediatrics: speach and hearing, 2 month old preemie doesn't coo or startle
2 month old preemie doesn't coo or startle: Hi Jessica, Congratulations to you on your newborn! Although some babies are sensitive to noise, others are not, and that your baby isn t reacting to loud noses is definitely not atypical or anything to worry about. It is true that not all hearing...

Pediatrics: stomache ache with bad breath for 31/2 yr old, pain abdomen
pain abdomen: Hi Rajni, I understand your concern. However, since a large number of conditions can cause pain abdomen, it is difficult to point out the cause without through evaluation. Nevertheless, I have following thoughts to share: 1. Although stomach flu is...

Pediatrics: swine flu, swine flu, influenza A
swine flu, influenza A, flu: Hi Linda, There is no problem if you get both vaccines. Please do note that flu virus keeps mutating (changing) and a fresh batch of flu vaccine is released every year based on currently circulating virus type. The vaccine is given just before the flu...

Pediatrics: Toddler Bad Eating Habits, puneet kumar, bad eating habits
puneet kumar, bad eating habits, dwarka new delhi: Hi Sheri, I am happy to know that you, as a nanny, is so much concerned for the baby! You are doing a good job!! Sheri, toddlers at this age often need to be distracted to be fed. There is nothing wrong about it. Just see it as a distraction and not...

Pediatrics: Toddler feeding, meat grinder, finger foods
meat grinder, finger foods, different foods: Dear Nagda: Your son sounds like he gags on certain foods and then vomits. Meats can be difficult for a toddler to chew and swallow so I would sugges a meat grinder so you can grind up his meats for now, add a little broth or gravy to them and try that....

Pediatrics: Twins not talking properly., how to help toddlers learn to speak, two year old twins with delayed speech
how to help toddlers learn to speak, two year old twins with delayed speech: Hi Stacey, The most important thing you can do is talk to your boys -- single and two- and some three-word combinations, to model for them the speaking abilities that you are wanting them to learn. As much as possible, try to elicit their attention before...

Pediatrics: three year old daughter, pediatric gastroenterologist, stomach pains
pediatric gastroenterologist, stomach pains, stomach pain: Hi, cheryl, Generally this is the realm of a good pediatrician. If you can t find such a person, a pediatric gastroenterologist is the best bet. Usually this is something that, the vast majority of the time, we can handle in our office. Good luck,...

Pediatrics: tic disorder and writing getting worse, mri brain, neurologist
mri brain, neurologist, tics: occasionally they may be related . If the handwriting is serious concern, do check his walking and running. I request you to visit neurologist again and ask for a MRI brain. These may be early signs of possibility of something alarming in future. are the...

Pediatrics: toddler voice change, 2 yr old with raspy voice, raspy voice in toddlers
2 yr old with raspy voice, raspy voice in toddlers: Hi Daniel, There can be various reasons for a raspy voice in a toddler, and allergies or colds that cause laryngitis like symptoms are a common culprit. A raspy vocal quality could also indicate misuse/abuse of the voice caused by screaming or yelling,...

Pediatrics: Upset Tummy, fussy eater, picky eater
fussy eater, picky eater: Hi Alison, It can be a combination of factors (teething, runny nose). Often, it is without any specific reason: there is decreased appetite for a few days, only to return as suddenly as it went. However, it is very important that you don t try to force-feed...

Pediatrics: ulcers on tongue and in mouth, oral ulcers, aphthous ulcers
oral ulcers, aphthous ulcers: Hi Mary, Oral ulcers can be due to several causes. Most common causes are vitamin deficiencies, trauma (e.g., by sharp tooth), viral/bacterial/fungal infections, allergy, etc. Less commonly, they are manifestation of some systemic disease, like auto-immune...

Pediatrics: undecended testis, undescended testis
undescended testis: Hi Kehinde, Relax, there is no need to panic. Undecended testis can have malignancy (cancer) only if it does not decend and remains inside abdomen for years. Hence, if the testis doesn t decend on its own, you will have to get it corrected surgically (orchidopexy:...

Pediatrics: VCUG radiation danger to children, radiation exposures, radiation risk
radiation exposures, radiation risk, medical radiation: An MCUG does use quite a lot of radiation and that is why we do relatively few such investigations and very rarely would repeat it. I know practice in the US is slightly different. If you want more information about the radiation doses and relative risk you...

Pediatrics: vomiting, rice crackers, going through the motions
rice crackers, going through the motions, high fever: Dear Shanae: It sounds as though your daughter may have a gastrointestinal viral infection. If she is still vomiting give her Pedialyte oral rehydrating solution. She can have as much of that as she wants as often as she will take it. Once she stops...

Pediatrics: vomiting habit, 3 year old with projectile vomiting
3 year old with projectile vomiting: Hello Chirag, Definitely follow up medically with your pediatrician as projectile vomiting is not a psychologically-based disorder. Your next step would be to have your daughter tested by a gastroenterologist. If your daughter vomits frequently when...

Pediatrics: watery, yellow discharge from eye, conjuntivitis
conjuntivitis: Hi Haen, Your son has possibly conjunctivitis. Your doctor will prescribe most appropriate treatment after examining him. You can give him tynelol for pain-relief and ask him to wash hands frequently to avoid spreading it to other family members. ...

Pediatrics: wet cough, sinus drainage, sinus cold
sinus drainage, sinus cold, sinus infection: Dear Gia: Those persistent wet coughs can last a few weeks so I would just watch your child for now. If there is heavy nasal congestion going on still she should see the doctor to rule out a sinus infection. I don t think she needs to see the doctor at...

Pediatrics: 1 Month old., saline drops, laryngotracheomalacia
saline drops, laryngotracheomalacia, bulb syringe: Hi, Cheyenne, Of course puffy watery eyes aren t normal in a healthy kid but they are a normal part of a cold in a lot of kids. We usually don t do anything about this unless the discharge from the eyes is thick. Extra fluids, extra humidity and using...

Pediatrics: 1 month old congested and sneezing, difficulty sleeping, mucus
difficulty sleeping, mucus, congestion: Hi, Meghan, It is hard to tell, without looking at him, whether this is congestion in the nose or if he indeed has something going on in his chest. If he is breathing hard and fast, if he seems to be getting worse then he needs to see someone. I especially...

Pediatrics: a 1 wk old infant not eating, red flags, blood count
red flags, blood count, c section: Hi, Tasha, It is unusual for a baby to go from feeding well to being sleepy and not doing well. This should raise red flags of possible illness. I would recommend another check at the office, have them listen carefully to your history, do a thorough...

Pediatrics: 1 year old wont stop crying, excessive cry
excessive cry: Hi Jim, I am sorry, I would no be able to help much without seeing him. Some irritability could be because of teething... A dose of acetaminophen can help when he is too irritable. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka New Delhi...

Pediatrics: My 10 month old won't sleep anymore, single mom, step foot
single mom, step foot, soft music: Hi, Heather, He s pretty cute! Be sure that every time he goes to sleep, his last waking memory is of the crib, not of you. Don t let him fall asleep in your arms. I am an advocate of the cry it out theory, providing you are doing it with the last...

Pediatrics: My 11 month old wont sleep through the night, not sleeping
not sleeping: you may replace the night milk by water. another way to pacify an 11 month old is by telling stories and playing audio visuals. common reason for restlessness at this age is also constipation. you may read about it at www.pediatricianonline.in let em know...

Pediatrics: 12 month old questions, sources of dietary fiber, consistent shape
sources of dietary fiber, consistent shape, fruits and veggies: Dear Lia: There is no harm in giving your child prune juice every day. One of the best natural foods to relieve constipation is Kiwi fruit. One Kiwi a day if he will eat it. Also a fresh ripe banana or half a banana may help to give his stool a consistent...

Pediatrics: 15 month old with high fever and large welt, high fever, viral illness
high fever, viral illness, mmr vaccine: Hi, Christine, It is possible for the MMR vaccine to cause a fever about ten days after a shot. In my experience it usually isn t this high, but could be. If the welt is at the spot of a vaccination, it is probably due to that. If the fever is gone...

Pediatrics: my 17 month old daughter won't eat and she drools all the time, poor appetite, iron deficiency
poor appetite, iron deficiency, solid food: Hi, Angela, It is possible that the iron is having this side effect. I doubt the drooling is due to anything and she just is a kid that drools. Ask the doctor about trying another iron preparation to see if it might be better tolerated. Good luck,...

Pediatrics: 2 1/2 year old and a penny, stomach ache, x ray
stomach ache, x ray, pennies: Hi, Linda, Pennies go through nicely. They seldom, if ever, cause any problems. I generally tell people this and tell them to call if there is stomach ache or vomiting. I never have them check stools and seldom do xrays. I think this approach is supported...

Pediatrics: 2 yr old hard stools and a bit of blood, streaks of blood, prune juice
streaks of blood, prune juice, goats milk: hi ms. buchanan, a small tear of the anus or rectum may occur in children who are constipated. this should heal once her constipation is addressed. my advice would be to carefully observe the color of her blood. if it is bright red/pink, then it is most...

Pediatrics: 20 Month olds nutrition, fussy eater, picky eater
fussy eater, picky eater, poor eating: Hi Katherine, I am so sorry I could not reply quickly as I was busy with some other engagements in last few days. 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,...

Pediatrics: 23 Month Old with Language Delay?, 2- year old speaks gibberish, help your 2-year old's speech skills
2- year old speaks gibberish, help your 2-year old's speech skills, 2 year old speech errors: Hi Em, Thanks so much for including all of the information you did in your note. You ve provided me with a lot of the relevant information that I need in responding to your query. Speech substitution and omission errors are common in the speech of...

Pediatrics: 23 month old male toddler, hematuria
hematuria: Hi Karon, There are several causes of such symptoms and microscopic hematuria ( blood in urine ), and it is difficult to say much without having seen him. However, the physician seems to be on right track, as microscopic hematuria is considered significant...

Pediatrics: 25 month old expressive language, speech intelligibility in 2-yr olds, single word utterances in 2-year old; 2-yr old speech/languag
speech intelligibility in 2-yr olds, single word utterances in 2-year old; 2-yr old speech/languag: Hi Jane, Thank you for the completeness of your description of your son s skills. You ve provided alot of helpful information in just afew sentences! The range of what is typical in child language development is quite wide and can be confusing. I...

Pediatrics: 3 Yr old sleep schedule, sleep
sleep: Hi Jessica, It is not necessary for a child to have a fixed amount of sleep everyday. Thus, if he wakes up early, you can try putting him back to bed ONLY if he is cranky, as if he has not slept well. Amount of sleep varies with the baby and from day to...

Pediatrics: 3 yr old squeezing legs, squeezing legs, cycel
squeezing legs, cycel, behavioural issues: well i dont find it abnormal unless it is 10 times a day or is associated with roxking hip movements. rather this cycel can be broken by not giving a blanket to her. this looks liek behavioural issues that settle with counselling and not paying attention...

Pediatrics: 3 yr old with stomach bug, diarrhea stomach cramps, stomach bugs
diarrhea stomach cramps, stomach bugs, mild dehydration: Hi, Dawn, He will do fine as long as he is getting in liquids. The loss of appetite for solids is especially profound in kids with this type of illness. He clearly is getting better. He will gain the weight he lost quickly as he starts feeling better....

Pediatrics: 4 month old, psycho babble, naps
psycho babble, naps, adn: Hi, sally, I often see normal kids this age and other ages go on brief food strikes, either bottle or solid foods. I don t know why they do this, but guess that it is some behavior that helps them assert their control over you and their life. That may...

Pediatrics: My 5 year old with an odd gastro problem, abdominal distention, upper endoscopy
abdominal distention, upper endoscopy, stomach virus: Hi, Tanya, I would refer a kid like this to a peds gastroenterologist. If they can t give you an answer, I would seek a second opinion from another peds gastro. I m confused about the celiac disease. I assumed the blood tests, which are quite definitive,...

Pediatrics: 5 yr. old fever for a week, chest xray, negative culture
chest xray, negative culture, viral illness: Hi, cindy, Albuterol syrup, to most pediatricians, is a useless medicine. Inhaled albuterol is the formulation of choice. Be sure that the negative strep screen was confirmed by a negative culture. This is probably a viral illness. If the coughing...

Pediatrics: 7 year old Wrist injury, distal radius, point tenderness
distal radius, point tenderness, impact activities: Hi, Abby, Sounds like everything proceeded as it should. If there was any significant fracture, growth plate or not, some sign of this would have been seen, either initially or especially on the followup xray. An impact fracture of the growth plate,...

Pediatrics: 8 Month Old No cooing/babbling/mouthing, 8 month old doesn't vocalize, 8 month old makes no sounds and avoids mouthing toys
8 month old doesn't vocalize, 8 month old makes no sounds and avoids mouthing toys: Hi Krista, You ve provided lots of helpful information to me in describing your 8 month old son, as well as some family history. I m glad to read that your son seems to be on target developmentally in gross and fine motor skills -- crawling, almost pulling...

Pediatrics: 9 month old with a lingering cough, cough, persistent cough
cough, persistent cough: Hi Karra, Here are the answers: 1. Some viruses do cause this kind of prolonged cough; antibiotics do not act on viruses and other medications help in providing some relief but may not, unfortunately, reduce duration of illness. Coughing at night is...

Pediatrics: Acorns, acorns, acorn
acorns, acorn, intestines: Dear Al: I would think that eating acorn caps is not very good for a young child. I would do all possible to prevent your son from picking them up and chewing on them. Perhaps frequent lawn raking would eliminate the problem in your yard. If he swallows...

Pediatrics: Anemia in Toddler, hemoglobin level, iron containing foods
hemoglobin level, iron containing foods, supplemental iron: Hi, Mindy, It is ridiculous to me to have a doctor engender concern about leukemia in this situation. The otherwise normal CBC pretty much rules this out. The normal range is 11-14 in this age group. I would personally give iron containing foods,...

Pediatrics: Aspirin during chicken pox, kawasaki disease, state of panic
kawasaki disease, state of panic, chicken pox: Hi, Interesting question. We have pretty good evidence that Reyes syndrome was caused, in part, by aspirin use. Thousands of kids took aspirin with influenza and CPox and did fine. One dose won t hurt things at all. Please start your meds. The risk...

Pediatrics: Baby Coughing, cough, persistent cough
cough, persistent cough: Hi Niraj, I really wish I had some magic wand (Jadoo) or something to help scores of patients and parents alike.... Nevertheless, I would sincerely request you not to try all syrups for the cough she is having. This approach would be counter-productive....

Pediatrics: Baby eating problems, growth curve, fraternal twins
growth curve, fraternal twins, mrsa infection: Hi, Dee, I doubt if anything is wrong. He is different than his sister, who seems much more laid back. This is what we call temperment , that quality that, from birth and even before, makes us act like we do. Why don t you try a cup. I m not sure,...

Pediatrics: Baby's growth, question thanks, mths
question thanks, mths, altho: Hi, You are small and slender and he is too. It sounds to me that you are doing better than most Moms to try to give your son a well balanced and satisfactory diet. Keep up the good work and be pleased he is healthy and slim. Good luck, Dr. Olso...

Pediatrics: Baby : Loose Stool and Loss of Apetite, stomach infection, loose stools
stomach infection, loose stools, quality diet: :a) If i can use a hand sanitizer to prevent the baby getting stomach infection? == yes you can. wash hands before and after everything related to baby. common reasons for losoe motions at thsi age and thsi season are dysentry, giardiasis following water...

Pediatrics: Baby Powder, talcum
talcum: Hi Kalyan, No powder (talcum is actually recommended for use in babies/infants: the risk is inhalation of the talcum. For prevention of prickly heat, bathing/sponging twice a day is enough. In case the prickly heat is very severe, please consult your...

Pediatrics: Baby with a watery eye, watery eye, salt water
watery eye, salt water, good luck: Hi, Rhonda, If the eye is having pus coming out of it see your doctor. If it is just red and watery and he is otherwise well, getting some salt water eye drops (not medicated) might help. If the eye is getting swollen, having a thicker discharge or he...

Pediatrics: Bovine Protein Intolerance, soy proteins, nutramigen
soy proteins, nutramigen, reason kids: Hi, Nellie, If he vomited only once, don t be discouraged and try again. If he is persistly vomiting on this, then an elemental formula like Neocate might be indicated. This is kind of a big (and expensive) step, so be sure your doctor has input on this...

Pediatrics: babbling/ imitating, american speech language and hearing association, american speech language
american speech language and hearing association, american speech language, clap wave: Hi Rebecca, Many babies between the ages of 4 and 6 months have started to use consonants -- especially the consonants produced around the front of the mouth, like p, b and m -- and are making babbling vocalizations. If your daughter is engaging for peek-a-boo,...

Pediatrics: baby eating problem, tiny chunks, hi lauren
tiny chunks, hi lauren, finger foods: Hi, Lauren, The relationship between age and tolerating or liking various textures of food, varies widely. She will eventually like regular food, just like anyone else. To try to force her (and I know you re not doing this) to eat things she doesn...

Pediatrics: baby open mouth, open mouth, saliva
open mouth, saliva, heather: Dear Heather: Considering the fact that your child has issues eating food with texture I would mention her constant drooling and perhaps a difficulty with swallowing textured foods. She may have a swallowing dysfunction disorder. Have it checked out....

Pediatrics: i cannot get my baby to sleep in his crib, wits end, good luck
wits end, good luck, sleep: Hi, keli, You will need to be brave and let him cry it out. That may sound cruel to you, but it won t hurt him in any long or short term way and after realizing you will not come again to rescue him, everybody will have blissful sleep. Usually takes...

Pediatrics: baby sleep fighter, ferber method, baby sleep
ferber method, baby sleep, gentle music: Hi, Meghan, Most sleep problems are behavioral in nature and can be solved by realizing a few truths: 1. Healthy kids need nothing to eat at night after 4 months old 2. Most kids who wake up at night have never learned how to fall asleep on their...

Pediatrics: babys poop., green stools
green stools: Hi Obdulia, A 2-month infant often passes green colored semi-formed stools. It is normal. If the baby is active, not vomiting and passing urine regularly, then it is of no concern even if baby passes poop once in 5 days! The brands you have mentioned...

Pediatrics: about blood culture report, septicemia
septicemia: Hi Nitin, For a 45-day baby with positive blood culture report (septicemia), duration of antibiotics is 2-3 weeks or 7-10 days after blood culture becomes negative, whichever is later.. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New...

Pediatrics: how much breastmilk?, finger foods, breast milk
finger foods, breast milk, differe: Hi, Trish, I think we as parents and particularly nursing moms, spend too much time worrying about their basically healthy kids. If she seems healthy, she is. I suspect that you may be thin and perhaps your babies father is as well, making it likely...

Pediatrics: breathing difficultys when feeding, direct observation, voice box
direct observation, voice box, newborns: Hi, nicola, Lots of newborns and infants have a condition called tracheomalacia, where the structures supporting the voice box are soft and floppy and can collapse with a deep inspiration. The chest would always be clear. This tends to go away by 4-6...

Pediatrics: bronchitis and sinusitis, old baby girl, sinus cavities
old baby girl, sinus cavities, viral illness: Hi, Rose, I think that the diagnosis of bronchitis and sinusitis in an infant this age is questionable. These infants barely have sinus cavities big enough to be infected. We usually consider bronchitis to be a viral illness in kids this age. So...I...

Pediatrics: bump on the head, fall from height, swelling
fall from height, swelling, injury: Hi Nicole, I am so sorry I could not reply quickly, as I was busy elsewhere. The swelling can remain for 2-3 weeks. If he appears to be normal, there is no need to rush for X-ray/consultation. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka,...

Pediatrics: Child Sucking on Food, piece of candy, rare piece
piece of candy, rare piece, conscious effort: Hi, Michele, If he is is Difficult Child and is doing this to bug you, which is probably the case, either do one of two things. I would first totally ignore the behavior. Everyone make a conscious effort to continue the meal without comment. This...

Pediatrics: Child weight, overweight, obesity
overweight, obesity: Hi Jan, Your daughter is definitely overweight. The upper limit of normal (97th Centile) is 47 pounds at 5 years. Please consult her pediatrician to find out the cause and its management. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka,...

Pediatrics: constipation in babies, constipation
constipation: Hi Humera! It is common for young infants not to pass stools for 3-4 days and remain happy and healthy otherwise. However, since your baby appears to be in pain, is not feeding and home-remedies have failed, it would be best get her examined by her pediatrician,...

Pediatrics: continuing picky eating habits, blood sugar levels, sheer terror
blood sugar levels, sheer terror, french toast: Hi, Lori, Good to hear from you again. Clearly there is some sort of psychologic overlay to his eating habits. I m sure you are aware of this. This is not normal for this age or really any other. I suspect he has some sort of anxiety disorder/OCD/panic...

Pediatrics: Drooling and related issues, respiratory issues, breastmilk
respiratory issues, breastmilk, chest area: Hi, Renee, I think you are analyzing the situation as you should. The symptoms she is having could very well be due to some reflux. The question that you have to decide is whether to have a trial of reflux meds in someone who is really doing quite well....

Pediatrics: getting my daughter to communicate her feelings, stay at home mom, thoughts and feelings
stay at home mom, thoughts and feelings, true joy: Hi, Kids need their private spaces and thoughts just as much as adults do. She will shut you off if you continue to probe (I do appreciate that you are not doing much probing or badgering). Do what you are doing, express interest in her life, and respect...

Pediatrics: daughters ears, assymetry, assymetric
assymetry, assymetric, pediatrician: Hi, Linda, Most ears and other dual body parts are not symmetrical. The ear assymetry may be due to pressure exerted on them as they develop. They will probably be always a bit assymetric, but should improve over time. This is very common. Hope this...

Pediatrics: all over development, pica
pica: Hi Hamsini, Baby born 10 days prior to EDD is not considered as a premature: any baby born more than 3 weeks before EDD is preterm. I am not aware of any correlation of prematurity with pica (eating of non-nutritive substances) There are no medicines...

Pediatrics: diarrhea, diarrhea
diarrhea: Hi Michelle! I am sorry, I couldn t clearly understand what exactly you want to know... If you wish to know what is diarrhea: it is the term used to denote change in consistency AND/ OR frequency of stool. If you want to know, whether you should be...

Pediatrics: diarrhea, dirty diaper, viral illness
dirty diaper, viral illness, molars: Hi, Chrystal, This sounds more like a viral illness than anything else. She may have a problem with milk, or perhaps the milk has been given at a time she was coming down with something. If this was only a problem with the milk, it should be long gone...

Pediatrics: discoloration to feet, acrocyanosis, circulatory system
acrocyanosis, circulatory system, extremities: Hi, Frances, This is almost certainly a condition that is normal called acrocyanosis or blueness of the extremities, often seen in kids under a year of age. As long as the rest of her is pink, then we don t worry at all and is, as you state, probably...

Pediatrics: drooling, strategies to reduce drooling in 6-year old, why does my 6 year old drool?
strategies to reduce drooling in 6-year old, why does my 6 year old drool?: Hi Kamis, Low muscle tone can definitely contribute to prolonged drooling, though there may be other contributing factors to this problem as well, including oral breathing, distractibility, and sensory processing problems. I m wondering if your son...

Pediatrics: Eatting problems, month old baby, pureed foods
month old baby, pureed foods, baby food: Dear Sara: The baby should be taking about 24 ounces of formula a day divided into 3 to 4 bottles. You can t force her to take more but you could mix more formula in cereal and give it twice a day and count that amount in her daily intake. Also I would...

Pediatrics: Excessive Drooling, 5 year old with excess drooling, strategies to reduce drooling in preschooler
5 year old with excess drooling, strategies to reduce drooling in preschooler: HI June, I m sorry to hear of the excessive drooling your son is having to deal with! Does he have sinus congestion or allergies, and is he breathing through his mouth? These, paired with the hemiparesis, would increase the likelihood of drooling. Is...

Pediatrics: erection in an infant, prenatal exposure, pediatrician
prenatal exposure, pediatrician, erection: Hi, shaz, To say he will grow out of it is kind of silly, don t you think? It would be better to say that this will, naturally, occur more frequently. This is normal in boys and has nothing to do with prenatal exposure to anything. This is the way of...

Pediatrics: excessive drooling, proton pump inhibitor, acid reflux
proton pump inhibitor, acid reflux, secretions: Hi, Nyree, Acid reflux can cause such a picture. Acid reflux can also be a precipitating factor for asthma. I know of no good natural treatments. Positioning, small feeds and the like can help, but in this situation I would probably consider and use...

Pediatrics: Failure to Thrive, thyroid function, growth curve
thyroid function, growth curve, thyroid disease: Hi, Ashleigh, To me, FTT means someone who is small and unhealthy. If he is healthy, the next thing I would look at would be his size at birth (was he appropriate for his gestational age, ie. AGA) and the size of his parents. Small parents have, generally,...

Pediatrics: Feeding Issues with a 2 year old, barium swallow study, pediatric occupational therapist
barium swallow study, pediatric occupational therapist, pint milk: Hi, Nikki, Lots of kids develop feeding aversions at this age and use it as a power struggle to keep their parents occupied feeding them. You might wish to consult a local pediatric occupational therapist to discuss feeding techniques and ways to help...

Pediatrics: Feeding schedule of baby, loose patience, breakfast cereal
loose patience, breakfast cereal, sleep 2: Hi, Pavithra, What does your doctor say? I have no idea how much formula she is taking in a 24 hour period. Give me some additional thoughts about what your doctor says and how much she is taking in each day (formula) and I ll try to help. Good luck,...

Pediatrics: Fever, high fever
high fever: Hi Lesile, You could also sponge his body with tepid water if fever is this high or when temperature does not immediately with tynelol or when fever returns in less than 4 hours from last dose. Keep on giving plenty of clear fluids. If he is appearing...

Pediatrics: Fever, bacterial illness, good medicine
bacterial illness, good medicine, minimal side effects: Hi, Sageda, I always find it interesting that so many euphemisms, like chest allergies are used to describe kids who have asthma. Treating a kid this age with a red throat without doing a strep test is silly and not good medicine. Now the whole...

Pediatrics: Fever after eating ice-cream, stomach ache, gastrointestinal symptoms
stomach ache, gastrointestinal symptoms, lactose intolerance: Sarita, If by fall ill you mean a fever, then I really don t have a good explanation for this. If she had diarrhea, stomach ache or other gastrointestinal symptoms, then this could be a lactose intolerance. Fever as a symptom of some intolerance to...

Pediatrics: Fever and rash after vaccines, viral rash, vaccine reaction
viral rash, vaccine reaction, viral illness: Hi, Jamy, It is unlikely it is reaction to both the vaccines. It is impossible for me, without seeing the rash, to tell you if this is a vaccine reaction, presumably due to the Cpox vaccine based on your description of the rash, or an unrelated viral...

Pediatrics: Fever related to fall, fall
fall: fever related to injury, wont come within 24 hours of injury. if the fever is related to injury, even today the would will be very painful swollen and showing pusin such case he will surely need antibiotics. fever followed by rash is very common in viral...

Pediatrics: Follow up on Twins, Possible speech delay in ID 18 month old twins, questions about auditory processing disorder?, 18 month old with speech errors, is my 18 month old at risk for auditory processing disorder?
18 month old with speech errors, is my 18 month old at risk for auditory processing disorder?: Hi Josephine, I m glad that you followed up with the hearing assessment for your son, and appreciate the follow up information. Do know that you can certainly follow up with the audiologist yourself if you re wanting more information about her/his assessment....

Pediatrics: 23 Month Old with Language Delay?, answe
Pediatrics: 23 Month Old with Language Delay?, answe

Pediatrics: how much breastmilk?, breastfed babies, formu
Pediatrics: how much breastmilk?, breastfed babies, formu, genes

Pediatrics: Loose Motion, todlers, curd
Pediatrics: Loose Motion, todlers, curd, diarrhoea

Pediatrics: Lump on baby's spine area, instincts, ultrasound
Pediatrics: Lump on baby's spine area, instincts, ultrasound, pathology

Pediatrics: Vomiting and Diarrhea in 20 month old, waffles, bowls
Pediatrics: Vomiting and Diarrhea in 20 month old, waffles, bowls

Pediatrics: feeding-8 month old, fruits and veggies, power nap
fruits and veggies, power nap, lunch meal: Sarah: Your baby should have three meals a day and 3 to 4 bottles a day and hopefully about 24 to 28 ounces of formula a day. It seems you are feeding your baby every 2 hours and I wonder when he sleeps. He should not be hungry until about 4 hours from...

Pediatrics: fever lasting 10 days and more, fever, URI
fever, URI, viral fever: Hi Elzana, Viral infections often have biphasic clinical course: fever resolves for a few days, only to return again for a few days. I believe there is no reason for you to get panicky; your doctor s approach seems to be fine. If fever persists for more...

Pediatrics: formula, gaining weight, bowel movements
gaining weight, bowel movements, stools: Hi, Bertha, If she is gaining weight and the BM are not frequent, please stay with the soy. No formula reliably produces soft or hard stools. If the stools are soft and a few a day, stick with it as long as she is gaining weight and is generally healthy....

Pediatrics: foul odor coming from my 3yr old, yeast infection, bubble baths
yeast infection, bubble baths, proper diagnosis: Hi kendra, It sounds like she has vaginitis. The most common cause in toddlers is feces contaminating her vaginal region. My best advice would be to give her bubble baths with non-fragrant soap and to keep her genitals clean and dry. Dress her in loose...

Pediatrics: frequent motion, stool cultures, c t scan
stool cultures, c t scan, treatment advice: Hi, rpshukla, It seems to me that a CT scan is the least valuable test in this situation. What about stool cultures or examination of the stool for ova and parasites? A CT scan is a very poor test to determine the cause of diarrhea. See your doctor...

Pediatrics: green mucoid stool, green stools
green stools: Hi Haq, Green coloured stool is not because of bacteria, but because of bile (bile is thick digestive fluid produced by the liver and stored in the gallbladder and then released into small intestines to aid in digestion). Stool is green because of...

Pediatrics: green stool in 5 months old, green stools, infant feeding
green stools, infant feeding, breast feeding: Mrs.Manju Saravana, It is normal for a 4 month old infant to pass green stools off and on. If all the stools he passes are green, with mucus and/ or he appears to be sick, please consult his pediatrician for appropriate treatment. As you may be knowing,...

Pediatrics: High Fever, high fever, PUO
high fever, PUO, fever of unknown origin: Hi Hollie, I am so sorry I could not reply quickly as I was busy elsewhere. I do understand your difficult situation. Actually, the questions that need to be asked would depend upon his symptoms other than fever, the findings on clinical examination...

Pediatrics: What health problems would make a child too ill to travel?, writing a short story, developmental delays
writing a short story, developmental delays, health problem: Hi, Carter, Kids healthy enough to go to school, to play sports, and to do the stuff normal kid do are healthy enough to travel. Kids who require chemotherapy frequently for cancers might not be able to travel. The kids unable to travel are usually the...

Pediatrics: hemifacial spasm, facial plastic and reconstructive surgery, american academy of facial plastic and reconstructive surgery
facial plastic and reconstructive surgery, american academy of facial plastic and reconstructive surgery, facial reconstructive surgery: hi alec, hemifacial spasms are managed by both a neurologist and a facial plastic and reconstructive surgeon. facial plastic and reconstructive surgeons are ent (ear, nose, and throat) physicians with subspecialized training in facial reconstructive surgery....

Pediatrics: Infant Breathing Rate, infant breathing, respiration rate
infant breathing, respiration rate: Hi Anne, Normal breathing rate of a 2-week old baby is 40-60/min when the baby is quiet. The rate normally increases during/after feeding, crying and intermittently during sleep. Rate persistently increases due to several medical conditions including fever,...

Pediatrics: infant eating issues, growth curve, fraternal twins
growth curve, fraternal twins, mrsa infection: Hi Dee, When their ped says always say they re both super healthy and fine , then just take it easy!! They are, just fine. After 6 months of age, you have to in any case focus more on varied diet rather than milk. Milk is just a supplement. As his solid...

Pediatrics: Liver Laceration in a child, blunt force trauma, liver laceration
blunt force trauma, liver laceration, good afternoon: Hi, Donna, The childs abdomen is generally so soft that a hard blow can rip apart underlying structures and not leave any surface marks. The hepatitis may make this more likely, but we are talking about pretty serious force here and if the force is unexplained,...

Pediatrics: Loose Motion, diarrhea, lactose intolerance
diarrhea, lactose intolerance: Hi Sanjit, Your daughter needs to be examined in detail to find out the cause. I am sure your doctors must be doing the same. In many cases, diarrhea is followed be lactose intolerance and in these cases milk needs to be restricted (or replaced with lactose-free...

Pediatrics: Loose motions and vomiting, loose motions, stool culture
loose motions, stool culture, yellow water: Hi, Ruchi, I practice here in the USA and our approach to vomiting and diarrhea is different than in other countries. In the USA we don t treat a child like this with any medicine, for most of this type of illness is viral caused. I don t know what these...

Pediatrics: Lump on baby's spine area, lump over spine, meningocele
lump over spine, meningocele, lipoma: Hi Bree, Yes, it needs to be examined to find out what kind of lump is it: is it a swelling/mass in skin/soft tissue (like lipoma, etc.) or has a connection with spinal canal (e.g., small meningocele), whether it is associated with some defect in spine...

Pediatrics: large soft spongy spot on side of 9 month olds head, von willebrand disease, bleeding under the skin
von willebrand disease, bleeding under the skin, childrens hospital: Hi, Tina, I have seen several babies with a broad spongy spot on the side of the head. Invariably it is due to some type of trauma. This of course could be accidental or could be intentional, as difficult as this is for anyone to contemplate. I m sure...

Pediatrics: laxative, miralax, bowel movement
miralax, bowel movement, laxative: Hi, Michelle, Nothing happened either because the last BM emptied her colon and nothing was there, or the dose wasn t high enough. The doses recommended for these OTC agents are generally lower than one actually would use. The six was probably more appropriate....

Pediatrics: missed dose of antibiotic for UTI, culture report, medicne
culture report, medicne, cefuroxime: Hi, jinny, I think the issue here is not a missed dose of antibiotics, which is probably OK, but making sure your doctor is doing tests to find out why she is getting these infections. She needs a complete evaluation of her urinary tract, usually with...

Pediatrics: Night time bladder control for 3-4 year olds, bladder control, 4 year olds
bladder control, 4 year olds, time training: Hi, Alexa, Safety is really not an issue and if he can go the 11-12 hours, great. If not, the plan of continuing to wake him at 10 is certainly OK. He will not be hurt by this. Lots of kids at his age can wake up, walk to the bathroom and go. Lots...

Pediatrics: I need advice, involuntary muscle twitches, myoclonic jerks
involuntary muscle twitches, myoclonic jerks, breast area: Hi, Tamara, I would also be reluctant to do any radiology scans, not knowing at all what to look for. I think your pediatrician is wise not to Xray all over the place. If this is a stable situation and not getting dramatically worse, then wait. ...

Pediatrics: new born/ 1 week old baby diahrrea, diarrhea
diarrhea: Hi Shane, The diarrhea you are describing is actually normal stools for a newborn. There is no need to feed water. Your baby sounds fine to me. If baby becomes lethargic, refuses feeds, does not pass urine for 8 hours, you need to consult your doctor....

Pediatrics: Paint danger to babies, puneet kumar, new born baby
puneet kumar, new born baby, dwarka new delhi: Hi Stuart, I don t think paint per se is a potential threat. However I would, if possible, avoid maintenance work when I have a newborn at home. This is because of likelihood of dust/fumes, noise, etc during any such work could disturb the little one....

Pediatrics: Pediatricians, private group practice, public health practice
private group practice, public health practice, private practitioners: hi, it depends on whether the pediatrician is in private practice, private group practice, public health practice, non-profit practice, or academics. it can range from part-time to 100 hours per week. vacation time is based on the type of practice. if...

Pediatrics: Persistant Cough- 3 year old, chronic coughs, asthma allergies
chronic coughs, asthma allergies, singulair: Hi, A recent study showed that the vast majority of chronic coughs in kids are either asthma, allergies, or gastroesophageal reflux. This sounds a lot like a child with asthma, with the type being cough variant. Please discuss this with your doctor....

Pediatrics: Persistant low grade fever, pediatric age group, low grade fever
pediatric age group, low grade fever, fever 99: Hi, Faisal, When we define fever in the pediatric age group, usually 100.4 and above is a fever. This is, if anything, a very mild fever. If his exam is normal over several visits and no clinical source is found, your doctor can either watch things,...

Pediatrics: Petechiae, pediatric hematologist, degree fever
pediatric hematologist, degree fever, style swing: Hi, Susan, I am but a lowly general pediatrician. I don t profess to know more than pediatric hematologists, especially ones that might be at a major medical center. I would recommend that, if there is a need to know truly what she has, a visit to a...

Pediatrics: Piercing baby's ears, ear piercing
ear piercing: Hi Barbara, Any intervention has a potential to cause complication, however miniscule the risk may be. The commonest complication of ear-piercing is infection and there are two sources of infection: 1. Related to the instrument/jewellery and piercer:...

Pediatrics: Possible Connections or Future Concerns, superior oblique muscle, genetics team
superior oblique muscle, genetics team, trigger thumb: Hi, John, I can t think of any unifying theme here. What does your doctor say? If you wanted a definitive answer, an evaluation by a pediatric genetics team might help. This approach often will ferret out relationships that I, as an individual and a...

Pediatrics: Potty-Resistance, temper tantrums, pee pee
temper tantrums, pee pee, pull ups: Hi, Vanessa, Wow! You have one stubborn, manipulative, smart kid! He ll undoubtedly go far in life....politician or something like that. You are doing everything you should. I have no good advice for you. My suggestion is that everyone cease to...

Pediatrics: Prevacid for Acid Reflux, symptomatic gerd, erosive esophagitis
symptomatic gerd, erosive esophagitis, adult med: Hi Karen- Yes, it is not unusual for infants and children to use this class of medication. Since she is close enough to being a year old, your doctor has prescribed a dose that a one year old would use. The usual course of therapy is about 12 weeks, so...

Pediatrics: what to pack for flight before newborn arrival, high risk pregnancies, socks and slippers
high risk pregnancies, socks and slippers, unwanted germs: hi abby, i am unsure why you need to fly to another region to deliver unless your ob has detected an abnormality. in any event, these sugggestions are based on normal delivery and not preemies or high-risk pregnancies. 1. always carry your photo id ...

Pediatrics: back pain, swollen lymph node, viral illnesses
swollen lymph node, viral illnesses, pediatrician: Hi, Denise, I can t think of anything that rings any bells here. A lot of viral illnesses have aches as a prominent symptom and this may be the case. The nodes should be examined carefully. Most pediatricians do a great job separating out the normal...

Pediatrics: possible increased estrogen level in toddler, physical abnormality, fragrant soaps
physical abnormality, fragrant soaps, estrogen levels: Hi donna, An active toddler may produce grundgy malodor just like an adult. Majority of the time, its a mixture of fragrant soaps, types of food intake, and/or normal bacterial overgrowth in that area. This does not have any correlation with an increase...

Pediatrics: potty training/bm refusal, changing clothes, respiratory issues
changing clothes, respiratory issues, hydroseal: Dear Lourdes: At this age this becomes a power struggle between child and parent. I would have one last discussion with him and tell him he should be having his bowel movements on the toilet. If he doesn t tell your son he will have to be involved with...

Pediatrics: problem with sleeping, seperate room, houres
seperate room, houres, good luck: Hi, sara, Sleep is a tenuous behavior in kids and lots of stuff can disrupt it. Changes in household dynamics, vacations, illness or almost anything can do it. If you know he is healthy (if not see your doctor), go back to the basics: last waking memory...

Pediatrics: proteins, Milk allergy, cow milk allergy
Milk allergy, cow milk allergy: Hi Mumbi, I am so sorry I couldn t reply quickly, as I was busy elsewhere. If he is getting pimples even after having milk other than breast-feeding, it is possible that he is allergic to milk protein and not egg. Please discuss this with his pediatrician,...

Pediatrics: rash in an 8 year old, red blotches, sudden rash
red blotches, sudden rash, benadryl: Hi, Erin, These sound like hives, usually an allergic phenomena. If she isn t sick and is doing well with only the hives as a problem, feel free to continue the Benadryl as needed. If she is getting worse or the rash is persisting for more than a few...

Pediatrics: recommended blood work, blood work, routine blood
blood work, routine blood, twin girls: Hi, christine, I don t routinely draw any blood on kids these ages who are healthy. The AAP doesn t recommend routine blood work at these ages and therefore I feel this is unnecessary. Blood work can be done, of course, but often the motivation is financial...

Pediatrics: reduced eating in 3 month old, viral illness, twin boys
viral illness, twin boys, yuki: Hi, yuki, It is unusual for a completely healthy kid to have such a drop in intake. It may be a low grade viral illness. If he is recovering with his appetite, is feeling otherwise well, and is doing fine, then nothing to check. If he is getting worse,...

Pediatrics: Scarlet Fever/Strep 2 year old, chest xrays, dry heaves
chest xrays, dry heaves, viral illnesses: Hi, Rachel, First, it is quite unusual for a two year old to have strep. I suspect that, unless a strep test was done to confirm the diagnosis, this first illness wasn t really strep and was probably a viral illness. I would never make the diagnosis...

Pediatrics: Seasonal Allergies and Rashes, seasonal allergies, atopic dermatitis
seasonal allergies, atopic dermatitis, contact dermatitis: Hi, Kim, I think this happens but is really hard to separate out from a contact reaction. If the rash is due to the seasonal allergies, it would make sense that techniques to treat the SARhinitis would help the rash. The fact the rash responded to prednisone...

Pediatrics: Slow Speech Loss, Is a child who hears stuttering more at-risk for stuttering themself
Is a child who hears stuttering more at-risk for stuttering themself: Hi Frederick, I m glad you followed up with this additional information. I posed your question to a colleague, who asked another colleague, who got in touch with Dale Williams, a speech/language pathologist who specializes in fluency disorders and who...

Pediatrics: Stomach/movements, milk magnesia, milk of magnesia
milk magnesia, milk of magnesia, fiber drinks: Hi, It sounds like she is constipated and needs to have an enema if the current approach doesn t produce a stool. This is a guess based on constipation being at the top of the list in this situation. If this doesn t work, and I would use an adult Fleets...

Pediatrics: Stools, apple bananas, carrotts
apple bananas, carrotts, intestinal infection: Hello: If the stools are normal in consistency I would not worry. If the stools are liquid and very frequent he probably has an intestinal infection so feed him plenty of fluids and binding foods such as rice, carrotts, applesauce, scraped apple, bananas,...

Pediatrics: Sugar and water intake allowed for 8 month old baby, calcium supplements, month old baby
calcium supplements, month old baby, sitting posture: tehy are better started with consultation with a doctoe. the various preparations available in indian market that contanin calcium and vitamin D are syrups like say calcimax,macalvit,gemcal,shelcal etc discuss teh dose with your doctor. fluid requirement...

Pediatrics: My seven yrs old does not eat, power struggle, milk water
power struggle, milk water, pediatrician: Dear Maria: If your daughter is filling up on milk and juice then she may not be hungry. Why not stop both of those fluids for 24 hours and see if she then becomes hungry. Just allow water. If the doctor found nothing wrong then this could just be a...

Pediatrics: side effects of nasal coricosteroid sprays in children, d snore, inhaled corticosteroid
d snore, inhaled corticosteroid, nasal allergies: Hi, kebhisha, He probably has nasal allergies and asthma, and probably needs to be on an asthma controller medicine, such as a daily inhaled corticosteroid, to help with the night symptoms. Appropriate use of nasal or inhaled steroids won t cause...

Pediatrics: skin problem, puneet kumar, shalimar bagh
puneet kumar, shalimar bagh, dwarka new delhi: Hi Ritu, I am so sorry I couldn t reply quickly because of some other engagements. I am sure you must have consulted her pediatrician by now. Even otherwise, it is not possible to manage such cases without examining. Whenever you see a wound/pus discharge,...

Pediatrics: sleeping through the night!, daytime naps, sleeping through the night
daytime naps, sleeping through the night, learned behavior: Hi, claudia, You need to talk to your mother and convince her that unless she stops sleeping with her granddaughter, the little one will never learn how to fall asleep on her own. What happens in the day will carry over to the night. Your daughters last...

Pediatrics: my son, viral stomatitis, front teeth
viral stomatitis, front teeth, viral illness: Hi, alyse, This is probably a viral illness with a viral stomatitis. I would be more comfortable if you saw your doctor to confirm this. The fact there is some gunk there worries me a bit. Best to run him by your doctor to be sure. Good luck, Dr....

Pediatrics: speech and language - echolalia, rule out autism in 3 year old, 3 year 4 month old with echolalia
rule out autism in 3 year old, 3 year 4 month old with echolalia: Hi Tracy, Please be assured that echolalia in itself does not make for a diagnosis of autism, which is a developmental disorder impacting pervasively on communication, social, play and behavioral development. I trust that your daughter is doing well in...

Pediatrics: stool re of my new born baby, yellow mucus, new born baby
yellow mucus, new born baby, stool culture: Hi, sudipta, If she is growing well and doing fine, this stool pattern and tests probably don t mean much. I appreciate that doctors in other countries have different ways of treating stools than I do. I suspect this is because of different bacteria/parasites...

Pediatrics: stool re of my new born baby, loose motions, gastroenteritis
loose motions, gastroenteritis: Hi Sudipta, Treatment depends not only on test results but also on history & clinical examination and it is not possible to prescribe medicines online. If you think baby is apparently healthy and you are not satisfied with your doctor, please take a...

Pediatrics: strep throat, check ups, culture kids
check ups, culture kids, ear infections: Hi, Susan, I personally wouldn t go to a doctor who treats a one year old for strep throat , especially without a culture. Kids this age really don t get strep. I sincerely hope this is not a pediatrician. Please have her seen by someone who understands...

Pediatrics: swollen breast n 10 month old, breast enlargement
breast enlargement: Hi Billie, Swelling of one/both breasts is common in 1st month of life (due to effect of maternal hormones in fetal life) and may persist for a few weeks. However, since your baby is now 10 moths old, it is best to get her examined by her pediatrician....

Pediatrics: Talk, 2 yr old with language delays, jumpstarting the speech of 2-year old
2 yr old with language delays, jumpstarting the speech of 2-year old: Hi Natasha, If your 25 month old is saying only afew words, than he may be evidencing an expressive language delay. I wonder exactly how many your son says, and I wonder too how much your son understands, as language comprehension is another important...

Pediatrics: No Teeth, puneet kumar, vitamin d deficiency
puneet kumar, vitamin d deficiency, dwarka new delhi: Hi Pooja, Many normal babies don t have teeth even by one year. However, it can be also a sign of calcium or vitamin D deficiency also. Please get your son evaluated by his pediatrician to see if he needs any treatment. Regarding white patch also, you...

Pediatrics: "Toddler Fracture", non displaced fracture, blood cell count
non displaced fracture, blood cell count, white blood cell: Hi, Summer, A toddler fracture is a fairly specific fracture of the tibia, the weight bearing bone in the lower leg. By definition it is a spiral non-displaced fracture of the distal (foot end) of the tibia, and is really no where near the knee. So...I...

Pediatrics: Toddler heading his head, charlie horse cramp, loss of consciousness
charlie horse cramp, loss of consciousness, vapor rub: Hi, Rocio, My suggestion is to believe what your pediatrician says about this. The numerous small, normal falls kids make do not damage them. Those with loss of consciousness can. If he never has lost consciousness with a fall, he should be fine and...

Pediatrics: Toilet training BM issue, toilet training, bowel control
toilet training, bowel control, constipated: Hi, Michele, I like your approaches to this. The only problem might be that he is getting constipated and this can cause some temporary bowel control issues. If he is starting to leak stools in his underwear, then I would discuss with your pediatrician...

Pediatrics: Travel with toddler, takeoffs and landings, ear pain
takeoffs and landings, ear pain, pressure changes: Hi, Michelle, Generally giving something for the child to swallow and open up the estachian tubes to relieve pressure changes will work fine. If he is congested at the time of the flight, discuss with your doctor the possibility of using a decongestant...

Pediatrics: talkin funny with excessive drool, toddler with increased drooling and change in speech
toddler with increased drooling and change in speech: Hi Misty, I wonder if your daughter s teething. The upper second molars are the last teeth to emerge -- usually between 25 and 33 months, and sore gums and drooling are symptomatic. You might want to consult with your daughter s dentist to see if this...

Pediatrics: toddler blood work, routine blood tests
routine blood tests: Hi Donna, Routine blood tests in apparently healthy children are NOT recommended by Indian Academy of Pediatrics/ American Academy of Pediatrics. I have never done routine blood tests in any of my patients. Best wishes, Dr. Puneet Kumar, Kumar Child...

Pediatrics: toddler with watery, yellow poop, stomach flu, loss of appetite
stomach flu, loss of appetite, desitin: Hi, Michelle, This is probably a viral caused stomach flu. The diarrhea and loss of appetite sometimes are the only symptoms we see. If the stools are burning the skin, use a good barrier product like Desitin to protect the skin. If the stools aren...

Pediatrics: trapped mucus., nasal passages, nose drops
nasal passages, nose drops, rapid breathing: Hi, Lilly, Most babies this age have a combination of mucous that is in the nose coupled with normal small, pliable, easily collapsible nasal passages. If the anatomy is such that things are just a bit small and flexible, then really nothing can be done...

Pediatrics: Vomiting and Diarrhea in 20 month old, stomach flu, loose stools
stomach flu, loose stools, watery diarrhea: Hi, Lisa, Try a regular, but milk-free diet for a few days. Pedialyte could be the liquid, but make sure she gets carbs and protein to rebuild the temporary damage that is done to the bowel wall with this type of illness. Limiting calories and protein...

Pediatrics: vaccine, Vaccination, immunization schedule
Vaccination, immunization schedule, vaccine: Hi endla, You can log on to www.iapcoi.com (official site of Committee on Immunization of Indian Academy of Pediatrics)for authoritative, unbiased information on vaccine schedule and any other information on any vaccine. Best wishes, Dr. Puneet Kumar,...

Pediatrics: Walking on toes, walking on toes, toe-walking
walking on toes, toe-walking: Hi Neha, This is perfectly normal for a 2-year old to do. You don t have to do anything...it will be fine on its own within a few months. Just enjoy your bundle of joy!! Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delh...

Pediatrics: Weaning challenges with 6 month old, online feeding consultant
online feeding consultant: taking one hour for feeding is normal for this age, in fact that is a better way to help him digest well. occasional throwing out is fine and may eb duwe to various issues. try tasting semisolids bit by bit... may be say 10 times .. he will learn soon. add...

Pediatrics: weird symptoms, viral exanthems, viral illnesses
viral exanthems, viral illnesses, vomiting and diarrhea: Hi, Lots of viral illnesses, and this is probably what is causing the vomiting and diarrhea, have rashes, viral exanthems , that accompany the other symptoms. This is probably what you are seeing. They are benign and self-limited. Good luck, Dr. Olso...

Pediatrics: How many words should 17-18 month olds say, and what hearing tests should we push for?, language skills of 17-month old twins, determining need for repeat hearing assessment in toddlers
language skills of 17-month old twins, determining need for repeat hearing assessment in toddlers: Hi Josephine, I m glad to read that the doctor gave you a good report on your twins as far as their relatedness and play, and in answer to your question about imaginative play, pretending to talk on the phone or pretending to eat definitely qualifie! ...

Pediatrics: XOPENEX DOSAGE
Hi, Mary, Xopenex is a good drug, but in my opinion, is about the same as albuterol. The dosing can be all over the place, depending on the severity of the childs asthma and their responses to lower doses. I am assuming someone thinks she has asthma,...

Pediatrics: 11 month old texture sensitive, grilled cheese sandwiches, goldfish crackers
grilled cheese sandwiches, goldfish crackers, egg yolk: Hi, Gabby, Certain infants are texture sensitive in unusual ways. I don t think this has any real long term significance. Often one has to gently shape the textures in a gradual way to suit the needs of the individual baby. Go with what she likes. ...

Pediatrics: 11 week old breastfed baby reduced feeding, breastfed baby, diaper change
breastfed baby, diaper change, percentile: Hi, Marisa, Generally pooping more and eating less in an otherwise healthy infant is sign of a mild viral stomach illness. I would watch things carefully. If he develops a fever, is consistently eating less and less, or you feel he is losing weight,...

Pediatrics: 15 month old vomits atfter asleep, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, viral infection: Hi Dawn, Your daughter is possibly suffering from some viral infection and possibly has some component of gastroesophageal reflux. She needs to be examined to find out the cause and manage appropriately. Please consult her pediatrician. Best wishes,...

Pediatrics: 16 month old with frequent loose stools, puneet kumar, loose stools
puneet kumar, loose stools, dwarka new delhi: Hi Arsala, Pediasure, as available in India, is a supplement for children in age group of 2-10 years of age. It is NOT an infant formula. Please re-check the formulation you are using. At 16 months of age, your son should be eating from family pot :...

Pediatrics: My 19 month old is obsessed with sticking things in his ears and nose!, clinical psychologist, 19 month old
clinical psychologist, 19 month old, power struggle: Hi April, This is just a power struggle between you and your son. He wants to assert his autonomy by doing what is forbidden. He is enjoying your reaction when he does it. Think about it...To tackle this: 1. Be very very careful that small objects...

Pediatrics: 2 year old behavior, controlled painting, painting the wall
controlled painting, painting the wall, learning disabilities: Hi, Sherri, At two, we really don t expect him to be trained. This is behavior that needs to be stopped by someone, you if you are the primary care-taker, watching him consistently and constantly to stop this before it stops. One might also try to get...

Pediatrics: 20 mos. old cough, coughs, allergen
coughs, allergen, cough: Hi, Ryan, If she coughs and is generally well, without fever and eating well, this most likely is an allergic or asthmatic related cough. It is doubtful, if she basically seems well, that she has something worse. Have her doctor take a look and listen...

Pediatrics: 26 month old baby hitting herself, month old baby, mobile light
month old baby, mobile light, utter words: Hi, Anshika, This story is a bit confusing for me. I would be sure that you don t perpetuate the hitting behavior by telling her to stop it or by intervening at all. This may not make sense to you, but think about this. Is she smart? Yes. Would she...

Pediatrics: 26 month old speech problem, toddler speech/language development, 2 year old with unintelligible speech and head hitting
toddler speech/language development, 2 year old with unintelligible speech and head hitting: Hi Anshika, You ve provided alot of detailed information in your note, and that is helpful to me in trying to understand your daughter -- her skills, as well as her needs. My primary concern is for your daughter s self-injurious behavior. Head hitting...

Pediatrics: 3 year old hitting, persistent approach, family gatherings
persistent approach, family gatherings, aggressive behavior: Hello Elaine: This can be normal behavior for a three year old but aggressive behavior should not be tolerated. If a child hits or pushes that action should be dealt with promptly by a consistent, persistent approach to discipline provided by all caretakers...

Pediatrics: 3 years daughter refuses to listen and Eat, dining table, 3 years
dining table, 3 years, dish: Hello: Your three year old daughter needs to be seated at the dining table for 3 meals a day. What you prepare for her should be placed in front of her and encourage her to eat her meal. She should be made to remain there for at least 20 minutes. If...

Pediatrics: 4.5 year old w/ frequent bowel movements, crohn s disease, frequent bowel movements
crohn s disease, frequent bowel movements, loose bowels: Hi, Raquel, There really is no specific test for Crohn s disease. If the stools aren t bloody, if she is healthy and gaining weight, then she probably is fine and this is her normal pattern of stools. A parasite, unless you live outside the USA, is...

Pediatrics: my 4 year old is out of control with his attention seeking behavior, parenting practices, incident at school
parenting practices, incident at school, floor register: Hi, Suzanne, Please first see your pediatrician for a good consultative physical. He/she will obtain a good history, a good family history, get some idea about parenting practices and then decide what to do. This is not the type of question I can answer...

Pediatrics: 4 year old fell and hit his head, traumatic brain injury, attention deficit problems
traumatic brain injury, attention deficit problems, mild traumatic brain injury: hi kim, i am sorry to hear of your son s situation. there s absolutely no way to determine the extent of a mild traumatic brain injury from a fall with further examination of the child. there is a common criteria pediatricians use. we generally ask parents...

Pediatrics: my 5 month old baby has a cold for over one month, month old baby, congested nose
month old baby, congested nose, david olson: Hi, yaleny, I doubt she has any congestion that really is in the chest. Usually the sounds are from the congested nose and seem to originate in the chest, due to the transmitted breath sounds. Other than saline nose drops, lots of fluids, nothing much...

Pediatrics: 6yr old cough, pain med, sore throat
pain med, sore throat, cough: Hi, linda, For a six year old, any of the OTC cough/cold meds are safe and probably, if any work at all, none will work better than another. Buy the cheapest. Use extra liquids, a pain med, and if things get worse, or especially if there is a fever with...

Pediatrics: 9 year old headaches etc, sinus infection, chronic headaches
sinus infection, chronic headaches, sinusitis: Hi, Sandra, I think she may have a sinusitis and the antibiotics were probably appropriate. I don t know if the headache for weeks is due to this. Usually chronic headaches in kids have a migraine basis. If the headache persists after the antibiotics,...

Pediatrics: My 9 year old son, behavioral difficulties and language /literacy delays in 9 year old child; child language assessme
behavioral difficulties and language /literacy delays in 9 year old child; child language assessme: Hi Tracy, Speech/language and (neuro)psychological assessment is an art in itself, and unfortunately, some evaluation reports are written in a way that make them difficult if not impossible for parents to understand. It takes an experienced evaluator to...

Pediatrics: ADHD ot Tourettes Syndrome?, motor tics, pediatric neurologist
motor tics, pediatric neurologist, tourettes syndrome: Hi, Janis, Generally Tourettes is differentiated from common motor tics by vocalizations. Grunts, sniffs or coughs are usually not considered vocalizations in this sense. It sounds like he has, at times, minor motor tics. These generally will abate...

Pediatrics: Anasthesia, dental cavities, anesthesia in infant
dental cavities, anesthesia in infant, anesthesia in toddler: Hi Neha, Modern anesthesia is very safe for use even in newborns in experienced hands. For any procedure in local anesthesia, cooperation is must from the patient, which is not expected from a 2-year old. Hence, all surgical procedures in young children...

Pediatrics: appendicitis in 2year old, month old baby, nephew
month old baby, nephew, carrie: Carrie: It is less likely for a two year old to develop appendicitis but it does happen. I have seen it occur in toddlers and an 8 month old baby! It is serious if the appendix ruptures inside. If that does not happen, and the appendix is removed before...

Pediatrics: asthma/allergies...other?, codeine cough syrup, asthma allergies
codeine cough syrup, asthma allergies, allergy testing: Hi, Dawn, Croup isn t really the same thing as asthma. Some kids can have allergies that trigger off croup and can also trigger off an attack of asthma. If this really is croup, that implies an upper airway, rather than lung problem, then I would perhaps...

Pediatrics: asthma and coughing, augumentin, orelox
augumentin, orelox, chest infection: Hi, heidi, If he is not responding to the two antibiotics, this is probably a viral illness that is triggering off the asthma. Ask your doctor if he needs a short oral steroid burst to relieve the inflammation and make him better. Good luck, Dr. Olso...

Pediatrics: Babbling, speech development: babbling around 7 months of age
speech development: babbling around 7 months of age: Hi Cynthia, I m glad to hear that your son is using different vowel sounds in his utterances, though it does sound like he s abit slower in his use of consonants. Not to worry -- you can t make babbling happen if a child s not ready, and there is a wide...

Pediatrics: Benedryl, sleep problems, scary things
sleep problems, scary things, benadryl: Hi, Shannon, Clearly letting someone swig Benadryl out of a bottle is not the way the medicine should be used. We tend not to treat sleep problems in pediatrics by medication, although if I do, for a brief period of time, Benadryl is quite safe and usually...

Pediatrics: My baby can have menstruation, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, baby girls: Hi Alina, Normal, healthy newborn baby girls can have bleeding from vagina on day 2-4 of life and can persist for 3-4 days only. It is normal and there is no cause of worry. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New Delh...

Pediatrics: Why are the below two 'speech patterns' cause for evaluation?, Does my 18 month old have echolalia?, toddler vocabulary development
Does my 18 month old have echolalia?, toddler vocabulary development: Hi Josephine, I m happy to read that you ve had the twins seen by a developmental pediatrician and that you ve gotten a good report from her/him! And given that your pediatrician and developmental pediatrician concur that there s no need for an EI assessment...

Pediatrics: Chewing and eating, speech pathologist, breakfast cereal
speech pathologist, breakfast cereal, finger foods: Hello Evelyn: If your son is not able to chew his food 1)his doctor should be informed and 2)he should undergo therapy by a speech pathologist who works with swallowing and chewing disorders. He could have a physical problem why he does not chew his food...

Pediatrics: Child Health, not gaining weight, weight gain
not gaining weight, weight gain, failure to thrive: Dear Mahendran, Your daughter s weight gain is below average. I am happy to know that one significant cause (hypothyroidism) has been ruled out. Since she is less active and has gained less weight, she needs to be thoroughly evaluated. Mahendran, it...

Pediatrics: Chronic ear infections, chronic ear infections, infectious disease specialist
chronic ear infections, infectious disease specialist, graph paper: 22 inches HC that is 55 cm head size. if true doesnt appear to be normal at 4 year age.Means eh may be developing hydrocephalous too, just confirm with your doctor. from the given description it appears that child has propensity to catch serious infections...

Pediatrics: clearer speech, teaching a 5 yr old to say s-blend words, is this stuttering?
teaching a 5 yr old to say s-blend words, is this stuttering? : Hi Iree, If your daughter is stuttering only on the s sound when preceding another consonant, then her dysfluency is likely not something to be concerned about. That said, if you notice stuttering increasingly prevalent and occurring not just on the...

Pediatrics: cold sore, initial lesion, strep bacteria
initial lesion, strep bacteria, impetigo: Hi, Helen, Make sure it is a cold sore. In this situation, it may be a lesion of impetigo, caused by the staph or strep bacteria. If it is a cold sore, it will get better on its own and really no treatment works very well. If it is impetigo, it will...

Pediatrics: cough, puneet kumar, cough syrups
puneet kumar, cough syrups, frequent cough: Hi Jumita, In a child under 4 years of age, most cough syrups are avoided as far as possible. Ironically, this is the age when the kids suffer from cough and cold the most. Cough syrups are very occasionally used in this age when cough is really bad...

Pediatrics: Daughter has had a fever for 7 days now, first mistake, hi jill
first mistake, hi jill, dtap: Hi, Jill, The first mistake was to assume a UTI without a urine culture. The second culture probably will be negative, even if she had a UTi, because she is on the Bactrim The vaccines she had can cause fever within a day or two (DTAP) or ten days...

Pediatrics: Daughter hitting herself, insistance, job
insistance, job: an easy way out is to take her out for a weekend, spend a day with family and without probing her in details, tecah her to scratch her head when she gets angry.. she will be able to change her behaviour with repeated insistance to follow. www.doctorchild.co...

Pediatrics: Degenerative Disk Disease in my 10 year old., degenerative disk disease, mild scoliosis
degenerative disk disease, mild scoliosis, l4 l5: Hi, Melissa, Second opinions are always interesting but I really think here, that a watch and follow attitude is best. No one would ever do surgery in this situation. If any other opinions are needed, a visit to a skilled PT person would be recommended....

Pediatrics: Diarrhea in 4-year old, light gray color, viral illness
light gray color, viral illness, diarrhea: Hi, Cindy, Unless the stool is pure white, blood red or black, the color really is not worrisome. This is probably a viral illness. If he is getting sick, see your doctor. Otherwise feel free to feed him regular food, give lots of liquids and just follow...

Pediatrics: dangerous or not?, right foot, pediatrician
right foot, pediatrician, nails: Hi, Ashley, Most abnormal nails can be shaped over time by progressive trimming to bring the offending edges out. It is hard to think this is anything that will cause future problems. Keep it trimmed, filed to keep the edges smooth, and she should...

Pediatrics: diarrhea, sugar lactose, milk sugar
sugar lactose, milk sugar, whole milk: Hi, Alana, He probably is lactose intolerant, like the majority of the world. Try the soy milk or try lactaid, a regular milk that is treated to break down the double milk sugar lactose into two simple easy to digest sugars. Good luck, Dr. Olso...

Pediatrics: diet of a 16 month baby, empty calories, meat protein
empty calories, meat protein, fruits and vegetables: Hi, Cholette, We like, ideally, for babies to have no juice at all. Juice is full of empty calories and is recommended only in small 2 oz per day quantities. I like kids to nurse/milk or water for fluids. I would like to see a bigger emphasis on...

Pediatrics: dog bite and fever??, focal infection, dog vaccines
focal infection, dog vaccines, dog bite: Hi, Michele, Your dogs vaccines will not cause a fever or illness in your son. Your son s fever should be looked at in exactly the same way you would do without the dog vaccines clouding the picture. Use TLC, make sure he is not having focal infection...

Pediatrics: Ehlers Danlos Syndrome, mitral valve prolapse, ehlers danlos syndrome
mitral valve prolapse, ehlers danlos syndrome, medi alert bracelet: hi lisa, as you may have been made aware of, ehlers-danlos sx is a genetic disorder. it is a lifelong condition with no present cure. my advice would be to ask your pediatric geneticist for her type of ehlers-danlos and to have genetic counseling. second,...

Pediatrics: Excessive blinking/Stinging eyes, tics, eye-twitching
tics, eye-twitching: Hi Megan, Yes, it appears to be tic only. I don t think eye-drops have a role. Most tics go away after a few months. Calling the child s attention to a tic may make it worse or cause it to continue. A non-stressful environment can reduce the frequency...

Pediatrics: Excessive Drooling, helping a 2 year old manage drooling, helping teach kids to manage drooling
helping a 2 year old manage drooling, helping teach kids to manage drooling: Hi Ashleigh, There can be several contributing factors to drooling, and it may just be that your son produces a lot of saliva. Your son s dentist would be able to tell you if that s the case for him. I m glad to read that your son does not have a persistent...

Pediatrics: ear size
Hi Mr. Dildar, You may be surprised to know, but it is true that such minor differences are not uncommon. It is not related to prematurity and/ or being twins. Nothing needs to be done.. just accept it as Nature s play and enjoy bringing up your babies....

Pediatrics: Foul smelling gas/changes in bowel movements, rotavirus vaccine, changes in bowel movements
rotavirus vaccine, changes in bowel movements, mucousy stools: Hi, Nicki, I would agree with your doctor. The live vaccine is able to and really always does, set up a low grade infection, that causes stool changes such as you describe. It may be another virus illness entirely also. Should be fine at any rate. ...

Pediatrics: FTT diet, signs of an eating disorder, high cholesterol levels
signs of an eating disorder, high cholesterol levels, known presence: thank you for a more detailed response. one of the most important factor in this is support from your pediatrician. if your son demonstrates an abnormal facial condition, i would have demanded a referral to a pediatric ent for consultation and a series of...

Pediatrics: Degenerative Disk Disease in my 10 year old., puneet kumar, dwarka new delhi
Pediatrics: Degenerative Disk Disease in my 10 year old., puneet kumar, dwarka new delhi, gymnastics

Pediatrics: food pipe problem in a 17 days baby, puneet kumar, right lateral position
Pediatrics: food pipe problem in a 17 days baby, puneet kumar, right lateral position, dwarka new delhi

Pediatrics: Pale Stools, alkaline phosphate, pale stools
Pediatrics: Pale Stools, alkaline phosphate, pale stools, sonogram

Pediatrics: feeding, physical reason, finger foods
physical reason, finger foods, speech therapist: Dear Andrea: There could be a physical reason why your son will not eat food with texture. If he has not been evaluated for a swallowing disorder he should be. Otherwise he should be evaluated by a pediatric speech therapist who deals with chewing and...

Pediatrics: fell in to floor, month old baby, neurological symptom
month old baby, neurological symptom, hemorhage: often there are no issues if the child didnt fall from more than 2 feet or on sharps or was not dropped with force. if there are no issues for 48 hours usually all is ok. but very rarely some issues creep if some internal damage like say chronicn subdural...

Pediatrics: fever and vomiting in 1 year old, malaria, fever
malaria, fever: Hi Jaya, Since malaria is very common in India, often treatment is justified if it is strongly suspected, even though the test is negative. I am sorry, can t help you much without having your son examined. Best wishes, Dr. Puneet Kumar, Kumar Child...

Pediatrics: too much food?, dry cereal, pediatrician
dry cereal, pediatrician, carrots: Dear Dee: My first reponse to you may not have gone thru so I am resending it. I don t think you have any immediate concerns with your son. I would count your blessings that he enjoys eating as much as he does but you don t want him eating foods between...

Pediatrics: food pipe problem in a 17 days baby, food pipe, pipe problem
food pipe, pipe problem, puddles: Dear Prajakta: The valve problem in a young infant is of concern. Sometimes a young infant has a problem called reflux and they spit up repeatedly after a feeding and this is not harmful to the baby. Another condition exists called pyloric stenosis where...

Pediatrics: hi mary, viral illnesses, nasal congestion
viral illnesses, nasal congestion, stuffy nose: Dear Obiageri: Unfortunately that nasal congestion will have to run it s course. There is nothing you can do to really get rid of it. We do not recommend decongestant medications any longer for babies or children under 4 years. The best thing to do for...

Pediatrics: Immunization, Vaccination, immunization schedule
Vaccination, immunization schedule, vaccine: Hi Arman, I have answered a similar query sometime back: Please log on to http://en.allexperts.com/q/Pediatrics-1429/2010/2/Vaccination-3.htm for the answer. Please do feel free to ask for any further clarification. Best wishes, Dr. Puneet Kumar,...

Pediatrics: Infant Reflux Prilosec Question, sodium bicarbonate, infant reflux
sodium bicarbonate, infant reflux, salty flavor: Katie- I have not used it or compounded with it myself but it sounds reasonable to try. The way we made prilosec in the hospital was to dissolve it on sodium bicarbonate which gives it a salty flavor. The problem with OTC Prilosec is that it is in caplet...

Pediatrics: Letter F, teaching a child to say F
teaching a child to say F: I must have misread your last note Sam. I apologize. Your wife s suggestion -- having your daughter imitate upper teeth to lower lip placement -- is right on target. Emphasize the gentle contact --we re not biting our lip when we say F, just making contact...

Pediatrics: Leucopenia, drinking too much water, leukocyte count
drinking too much water, leukocyte count, leukopenia: Hi, Naz, I practice in the USA and leukopenia can mean anything from an infection, usually viral, to leukemia. I would never do the two tests here, for I never see these diseases. Most leukopenia in the USA is viral caused and no reason for concerns....

Pediatrics: Lymph nodes behind ear and just under skull, ear tubes, lymph nodes
ear tubes, lymph nodes, ear infections: Hi, Gina, Most of us pediatricians are very proficient at telling the difference between benign reactive nodes and ones that are worrisome. Nodes like this that are up and down and are examined by your pediatrician and said to be normal, are almost...

Pediatrics: Med. Fever?, ear lobes, fingers and toes
ear lobes, fingers and toes, slit lamp: hi danielle, based on your description, i would definitely advise you to return to your pediatrician or an pediatric emergency room to treat for scarlet fever. in the old days, we call it scarlatina because of its distinct characteristics. just the mare...

Pediatrics: Mefenamic Acid dose for my baby, anti inflammatory drugs, viral fever
anti inflammatory drugs, viral fever, non steroidal anti inflammatory drugs: Hi, A G, This all depends on the status of the child at this age. If you have a 103 fever and are feeling fine, nothing really needs to be done. If you have a 101 fever and feel terrible, give some fever reducer. Fevers don t hurt kids; sometimes the...

Pediatrics: Newborn crying, good luck, twins
good luck, twins: Hi, Michaela, See your doctor. Unexpected, new crying needs to be evaluated, at least with a good history, a good exam and a plan formulated by your doctor based on the assessment. Sorry I can t give you an answer better than this, but someone needs...

Pediatrics: Pale Stools, liver function test, alk phos
liver function test, alk phos, recurrent pneumonia: Hi, Kim, This liver function test is extremely high and needs further evaluation. He needs to see a good pediatrician and have a thorough exam, other blood testing and possibly some imaging tests of the liver. This is a significant finding and someone...

Pediatrics: Potty Training Problems, stomach ache, reverse psychology
stomach ache, reverse psychology, control game: Hi, Tracy, She is actively resisting toilet training. This is a behavioral problem. By taking her to the bathroom, this ruins the power/control game she is playing with you and she bursts into tears. You need to use some reverse psychology. Here...

Pediatrics: Did not pass meds class in clinicals, remedial education, eastbay
remedial education, eastbay, nursing school: Hi, Jerry, I have no idea in any official sense. I suspect they will spruce up her knowledge of meds in general, give her the test again, and pass her. I am assuming she is a good, competent, and caring student and this mistake does not reflect a general...

Pediatrics: query on what brand of formula milk, cows milk, formula milk
cows milk, formula milk, bebelac: Dear Miaka lee: Often exclusively breast fed babies may not tolerate cows milk based infant formula. Here in the states we recommend using soy milk infant formula but I don t know if that is available in your country. Also, the baby may not like formula...

Pediatrics: Regarding Prevnar Vaccine, pneumococcal vaccine, dwarka new delhi
pneumococcal vaccine, dwarka new delhi, puneet kumar: Mr. Ravikumar, Prevenar is the brand name for pneumococcal vaccine. Pneumococcus causes severe pneumonia in young children. 3 doses followed by booster at 18 months is recommended. Best wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New...

Pediatrics: Regarding Vaccines, indian academy of pediatrics, puneet kumar
indian academy of pediatrics, puneet kumar, dwarka new delhi: Dear Mr. Ravikumar, Rotarix, as you know now, is an ORAL vaccine. It is NOT injected. Hib and Prevenar are separate injections and cannot be mixed together. However, it is better if these are given on same day, but on different sites (both thighs). You...

Pediatrics: Reoccurring Diarrhea 19 month old, diet diary, hospital affiliations
diet diary, hospital affiliations, milk allergy: Hi, Christina, I don t have any great ideas. Keep a diet diary, just to see if you can locate something, maybe a food item that he has become allergic to. Consider a condition called cyclic vomiting, although I have not heard of this having diarrhea....

Pediatrics: regarding my baby, fussy eater, poor eating
fussy eater, poor eating, failure to thrive: Hello Mrs. dharmeshwari, Your daughter is below 3rd centile in weight for age. The cause can be anything from poor eating habits (and force-feeding is no. 1 cause of food-aversion in toddlers), food allergies (like celiac disease) or malabsorption, underlying...

Pediatrics: Skin condition, pimples on toddler, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, wholesome foods: Hi Jeanine, Relax, there is nothing to get crazy about! Pimples are common in this age group, especially those with oily skin. If they are very messy or are not improving, it is important to see your doctor. The area below nose is especially crucial,...

Pediatrics: Sleeping Pattern, exposure levels, delhi india
exposure levels, delhi india, simple stuff: Hi, namrata, I m not sure being 2 kilos less than something is a weight problem. I ll bet you are slender. My three kids were all well below the weight standards and they were healthy. So...low weight alone doesn t mean anything. Your son needs...

Pediatrics: Suitable milk for children, milk, formula
milk, formula, complementary feeding: children donot need milk after 1 year age. switch over to complemenatry feeding. gradually introduce nonmilk solids. milk should not be major part of diet after 1 year age. it may cause iron deficiency and rickets.also read links at www.infantfeeding.blogspot.com...

Pediatrics: Switching Formulas, lactogen, thuso
lactogen, thuso, nan: Dear Thuso: I am not familiar with either formula here in the States but I will tell you the nutritional contents should be the same ibn the Lactogen 2 formula as it was in the Nan HA 2 formula especially in the first year of life. Regards, Mary Pa...

Pediatrics: my son.., gas producing foods, flatulance
gas producing foods, flatulance, breast feeding: Danine: I do not recommend any medications. The baby may have severe flatulance because of your diet if you are breast feeding. Or he may not be tolerating his infant formula. If nursing him yourself, avoid dairy intake and gas producing foods such as...

Pediatrics: Our son is 4 and isn't talking or walking., global development delay, speech therapy program
global development delay, speech therapy program, mowat wilson syndrome: Hi Hughlynn, I am so sorry to hear of all your son has been through -- the medical challenges and developmental delays that he has had and continues to grapple with! I can only begin to imagine how hard this is for you as well! It sounds like you are...

Pediatrics: My son may have swallowed the bulb of a pacifer, safety pins, pacifer
safety pins, pacifer, viral illness: Hi, April, Most things like this and a lot of things a lot more dangerous, like open safety pins!, will pass easily. This is a soft, small object and he should have no difficulty at all. If he has severe stomach ache, prolonged vomiting, then he should...

Pediatrics: speech substitutions, how to teach kids to say a speech sound that is hard for them, speech articulation training for ki
how to teach kids to say a speech sound that is hard for them, speech articulation training for ki: Hi Lindsay, I m so sorry for my delayed response to this other question! In fact, I answered this question immediately -- just as soon as it appeared on my computer screen -- but just now, in checking Allexperts, found that apparently it never went through....

Pediatrics: steven johns syndrome, sulfa allergies, co trimoxazole
sulfa allergies, co trimoxazole, urine infections: Co-trimoxazole is associated with such reactions and for that reason I (and most colleagues in the UK) do not use the drug except in the treatment of Pneuomocystis pneumonia. We would use trimethoprim on its own for the treatment of urine infections. I am...

Pediatrics: stomach pain and fever in 3 yr. old, stomach ache, stomach flu
stomach ache, stomach flu, stomach problem: Hi, Lisa, Probably this is a stomach flu a viral illness that is self-limited. If the stomach ache gets worse, she should be seen and urine tested and a good exam done to assure that she doesn t have a more serious stomach problem. Good luck, Dr....

Pediatrics: stool color, blueberry yogurt, stomach flu
blueberry yogurt, stomach flu, large intestine: hi amanda, as it seems like she s getting better, there is only a need to observe her. the colorful stools like green are a remnant of the products she ate. it is usually due to a faster transit of the bowel after a viral infection and tends to go away...

Pediatrics: suffering from loose motion, breast milk, medical care
breast milk, medical care, anus: Moin: You must keep your young infant well hydrated by giving him plenty of fluids by mouth--either breast milk, infant formula and any oral rehydrating solution suitable to feed to an infant. If the baby is acting ill, has fever or shows blood in the...

Pediatrics: suffering from loose motion, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, excess fluid: Hi Moin, Feed him more frequently to replace the excess fluid-loss. Get him examined by your pediatrician for appropriate management. rush to hospital immediately in case he becomes drowsy, does not accept anything orally, vomits everything or is...

Pediatrics: Teething and facial spasm, 7 month old has facial twitch when teeth emerge, sudden thumb sucking in 7 month old
7 month old has facial twitch when teeth emerge, sudden thumb sucking in 7 month old: Hi Dee, I m sorry to say that I m not really knowledgeable enough to answer your question about your son s right-sided facial twitch that seems to have resulted from his newly emergent teeth. I imagine that it may be that one (or both) of the teeth is...

Pediatrics: Thyroid, thyroid disorder, paternal grandmother
thyroid disorder, paternal grandmother, blood testing: Hi, Katie, Do we really know, by appropriate blood testing, that she has hypothyroidism? If she really does, then clearly medicine, thyroid supplements, need to be used. Obesity adversely effects heart and lung function. Please check carefully to...

Pediatrics: Tip of Penis, going potty, sitz bath
going potty, sitz bath, baking soda: Dear Angelica: If your son complains of discomfort while he is passing urine I would take him into see the doctor. Otherwise you can try a sitz bath (sit in the tub of warm water with 2 ounces of baking soda mixed in the water) and allow him to sit in...

Pediatrics: Toddler erections, penises, testicles
penises, testicles, erection: Hi, Cara-Anne, It is fascinating to me the concerns parents have about their kids penises and erections. By far the greatest concern is of kids having a lot of erections. This is normal. It also is normal not to see erections until a later age. As...

Pediatrics: Toddler swallowed a paper clip, stomach ache, respiratory difficulties
stomach ache, respiratory difficulties, strange objects: Hi, Eric, Paper clips, like all sorts of strange objects, go through nicely and require no special care or observation. Aspiration would be immediate and obvious, with coughing and other significant respiratory difficulties. As George Harrison so eloquently...

Pediatrics: Tracheomalacia in infant w/ asthma & now silent aspiration, modified barium swallow, asthma exacerbations
modified barium swallow, asthma exacerbations, asthma exacerbation: Hi, Violet, Complex issues like this are not best handled in this fashion but here are some thoughts: 1. It appears that his reflux symptoms are not being treated medically to the maximum. He needs to be on good, high doses of meds we call PPI s and...

Pediatrics: I can't get my 4 year old to give up her pacifier!, power struggle, cold turkey
power struggle, cold turkey, pacifier: Dear April: You will never break this habit because she knows you will give in to her crying. I would throw it in the trash, take the trash outside and tell her it is all gone. She has to know it is no longer an option to retrieve it when she carries...

Pediatrics: Urogenital Pthology, urine cultures, micturition
urine cultures, micturition, adequate water: if it is happening each time and isnt corrected by adequate water intake, one needs to examine the part for any trauma or infection ofn urethra. internal anomalies wont cause issues so late. check with a dermatologist to rule out local infection or any fungal...

Pediatrics: Urogenital Pthology, posterior urethral valves, urine cultures
posterior urethral valves, urine cultures, obstructive symptoms: Hi, Mujeeb, Please discuss this with your doctor. I doubt he has PUV, but they can cause pain, obstruction and blood. The test is a special type of VCUG, a catheter study, so be sure it is, in your son s situation, indicated. Your doctor would be the...

Pediatrics: under weight, feeding tb
feeding tb: yes you should bath her daily. I would like to know at what age she acquired Tb and what part of body part from lungs was infected with TB. ALso let me know how many months she has completed TB medicines. QAlso let me know if her wqeight gain was poor since...

Pediatrics: Not Walking or Talking, how to help 3 year old who rarely speaks, speech therapy for 3 year old with developmental delays
how to help 3 year old who rarely speaks, speech therapy for 3 year old with developmental delays: Hi Mary, Given the delays you mention in both your son s speaking and walking, I m glad that you ve taken him to Children s Hospital in Columbus, Ohio to be evaluated . I m wondering if he was seen by a team of specialists -- including a speech/language...

Pediatrics: Weight gaining, egg yolk, fish powder
egg yolk, fish powder, rice noodles: Dear Rachel: Your son may be in a period of diminished appetite due to his age and slowing of his growth rate. I thank you for sending me information on the foods he does eat. For his weight to be maintaining he has to be getting enough calories. I would...

Pediatrics: White stool, stomach flu, weird virus
stomach flu, weird virus, mild diarrhea: hi beth, a change in stool color to grayish-white is normal after a flu. it is due to an abnormal fast colonic transit. whatever goes in the mouth comes out quicker than it should. therefore, it does get combined with certain enzymes excreted by the liver...

Pediatrics: ?, temper tantrum, prune juice
temper tantrum, prune juice, tippy toes: Hi, Dee, If she has hard stools, then do things, like daily prune juice, to keep them soft. If they are rather soft all the time, then this is something that you can t do much about. Biting and hitting herself should be looked at as a temper tantrum...

Pediatrics: 10-month old sleeping habits, family strife, sleep patterns
family strife, sleep patterns, sleeping habits: Hi, Marissa, I m assuming that prior to this he was sleeping 8-10 hours without awakening and I m also assuming he is not sick. If he is changing sleep patterns suddenly, I would wonder about recent changes at home; new schedules, new jobs, family...

Pediatrics: 18 month old not sleeping, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, oral intake: Hi Cherry, It is often difficult to explain such behavioral outbursts in a toddler. If she does not show signs of any sickness and her oral intake and other activities are fine, it is unlikely that she has anything significant underlying such behavior....

Pediatrics: 20 month old sleeping issues, nap time, slamming doors
nap time, slamming doors, sleep patterns: Hi, Tania, Lots of people toss and turn and get a very good nights sleep. I personally am one of these who moves around a lot but wakes up refreshed. It is possible that her sleep patterns where upset by the situation she unfortunately was exposed...

Pediatrics: 22 month son not eating food, birthday cd, 21 months
birthday cd, 21 months, hemoglobin: check his hemoglobin and visit a doctor to rule out any throat or ear infection. these a re common causes apart from the need that these children need more attention and efforts to feed. also read links at www.infantfeeding.blogspot.com www.doctorhcild.co...

Pediatrics: My 3.4 years old son's having language disorder/delay, language delay/disorder: 3 year old with spotty conversational skills
language delay/disorder: 3 year old with spotty conversational skills: Hi, Thanks very much for this additional information about your son and for including a conversational sample. This all definitely helps to give me a better sense of his language skills! Now, I am able to realize that your son is verbally engaging,...

Pediatrics: my 3 year old daughter, viral rash, stomach flu
viral rash, stomach flu, diagnostic possibilities: Hi, heather, You have given me little real information to develop an idea of what she has. Certainly a condition like Henoch-Schonlein purpura is in the diagnostic possibilities and since I have little idea about the rash, the course of the illness or...

Pediatrics: 3 yr old always thirsty and hungry, among other things, innocent heart murmur, cardiac echo
innocent heart murmur, cardiac echo, diabetes insipidus: Hi, Anna, Be sure he has been tested for diabetes insipidus, a condition where one also excretes large amounts of urine, very dilute. The condition can cause a lot of the symptoms you describe. Also be sure, by a cardiac echo, that the murmur is indeed...

Pediatrics: 4 month old - eye issues - not focusing/tracking, intensive care nursery, nerve pathway
intensive care nursery, nerve pathway, colourful objects: Hi, Jodie, Your description of what she can do doesn t jibe with the descriptions of the doctors and since this is largely observational stuff, your opinion means a lot to me. Following and tracking are, to me, the same. Tracking in a baby this...

Pediatrics: 4 year old, scrotum, testicles
scrotum, testicles, good luck: Hi, erica, Please have both of them checked at the next scheduled physical or acute exam. Testicles at age 6 months should be uniformly there and felt. They can be, at 5 and 7 years old, very retractile, and can jump up back into the scrotum. Please...

Pediatrics: my 5-month old son, low muscle tone, month old baby
low muscle tone, month old baby, brain abnormality: Dear Mehrdad: The CAT scan will not harm your son and does seem medically indicated to determine if there is a brain abnormality causing the low muscle tone on your baby s left side. I don t think the weakness in the left side is due to his being in...

Pediatrics: 9 y/o ankle pain, ankle pain, pediatrician
ankle pain, pediatrician, ankles: Hi, Deanna, I would agree with your pediatrician. If he has brief pain, no swelling and this goes away, I can t think of any real problem this could be. If things change in duration or intensity, then something else needs to be done to explore this....

Pediatrics: 9 year old wirh extreme pain in abdomen, pervasive development disorder, anxiety clinic
pervasive development disorder, anxiety clinic, pain in abdomen: Hi, Joanne, If he is still constipated and having encopresis, then this pain is almost certainly due to that. I have seen kids with so much pain I thought they had appendicitis, until we gave them an enema and they were fine. I am not sure how anyone...

Pediatrics: Abt CSF Leak, csf leak, spell of words
csf leak, spell of words, running nose: csf leaks will never be yellow and wont come without fever if it lasted so long. she surely needed antibiotics if runny nose lasts more than 2 weeks, its likely to be adenoiditis. handkerchief test may guide towards csf leak. read here http://www.drtbalu.co.in/csf_rhino.html...

Pediatrics: Abt CSF Leak, csf leak, spell of words
csf leak, spell of words, running nose: Hi, Jaya, A CSF leak would be very unlikely in face of the normal CT scan. She currently is recovering from an unrelated respiratory infection, probably viral. This is not a CSF leak. The radiologist uses specific parameters for CT scans for people...

Pediatrics: Allergies??, dry winter air, morning cough
dry winter air, morning cough, allergy asthma: likely allergies donot respond to fluconazol. morning cough is classical for allergy asthma complex. nose bleeds can also be due to nose picking following allergic rhinitis or with infcetions in nose. get your child s peak exp flow rate tested....

Pediatrics: amoxil, sinus pain, adult dose
sinus pain, adult dose, ear pain: Hi, Bryna, I m not sure why they did the strep test and treated him anyway, but whatever. This is more than we would usually give. It is not probably harmful, but most of us would use 800 mg two times a day. This dose they gave is more than the usual...

Pediatrics: autism, language delay: large head and delays in talking
language delay: large head and delays in talking: Hi Miriam, I am sorry to hear of the challenges that your son has, and I understand your concerns! I m sorry to say, though, that I m unable to diagnose your son s problems -- even just his delays in talking -- without evaluating his communication skills...

Pediatrics: Bottle feeding, old baby girl, 3 month old baby
old baby girl, 3 month old baby, oral thrush: Dear Megan: I can feel your frustration and concern. Believe it or not, I think young infants have a unique way of telling us when they do not like something we are trying to feed them. My feeling is that your infant is disliking Similac, which I find,...

Pediatrics: Bowel Movement, calcium supplement, calcium carbonate
calcium supplement, calcium carbonate, breast feed: yes, keep a watch if she strains a lot or tummy is full or is growing in size or if stols are very hard. if any of these are there, see may need bowel evacuation and stool softeners. if mothers diet is nonvegeterian it may be likely that high phosphates in...

Pediatrics: Breasfeeding Problems, euthyrox, breast milk
euthyrox, breast milk, milk supply: I can only advise you to continue to try and nurse the baby but if he resists your milk you will have to feed him infant formula. It sounds to me as though you have tried your very best to breast feed your baby. He needs nourishment but if he refuses to...

Pediatrics: Bump on Newborn's Head, puneet kumar, skull bones
puneet kumar, skull bones, dwarka new delhi: Hi Tracy, Babies often tend to sleep in one posture and the skull being soft becomes a bit flat. To preven/ manage this, it is essential that you keep changing baby s posture every few hours. You would need to use small pillows/ rolled-up towels along her...

Pediatrics: baby constipation, ripe kiwi fruit, prune juice
ripe kiwi fruit, prune juice, carrotts: Hi Margi: First thing to try is to reduce his milk intake to 16 to 20 ounces a day. Milk can be binding and he needs only that amount over the age of one year. Avoid the following foods: raw apple, applesauce, carrotts and rice. Try apple juice...

Pediatrics: baby doesnot drink milk, glycerine suppository, thumb sucking
glycerine suppository, thumb sucking, inadequate diet: ,can i start solid food for my baby ---preferably no. and what all food can be given at 5 months === soups, juices, rice water, breastmilk .My baby has one more problem whitch i forgot to mention she passes bowel once in ten days === read constipation...

Pediatrics: baby underweight, weight gaining products, amswer
weight gaining products, amswer, mail: she dont crawl dont walk.and not say anything mamma papa nothing. I am more worried about this please detail me. visit a developmental specialist to assess delay in milestones. feeding issues are related to topfeeding so is constipation. you need...

Pediatrics: baby underweight, baby underweight, poor weight gain
baby underweight, poor weight gain, cause weight gain: please detail me her feeding schedules last year there lies the clue for poor weight gain. calcium and iron are supplements, they cant cause weight gain. weight gain is best caused by balanced diet. Weight of 7 kg is on lower side and child feeding needs...

Pediatrics: baby walker, infant walkers, 7 months
infant walkers, 7 months, couches: Dear Miaka: Infant walkers are very dangerous and should be taken off the market. In the USA there are 17,000 walker related injuries to infants annually, some leading to death. They can easily topple over and babies have been known to propel them toward...

Pediatrics: balance issues, balance issues, trigon
balance issues, trigon, pcp: Hi, erica, If the balance issue is new or increasing in intensity, then a test is warranted. Some kids are just a bit clumsy at this age. Chiari malformations or almost anything else in the head that isn t supposed to be there can cause balance issues....

Pediatrics: behaviour, month old baby, kay
month old baby, kay, good luck: Hi, Kay, This is normal. He might even be smart enough to appreciate that this behavior (I ll use the real spelling!) bugs you. You are the mom (again, this spelling stuff) and she knows this and loves you and you do the mothering better than anyone...

Pediatrics: birth control, birth control pills, irregular periods
birth control pills, irregular periods, planned parenthood: Hi, Sarah, Be sure your doctor is one who does prescribe birth control pills. Some pediatricians don t and refer to GYN doctors. Things you tell us as doctors are confidential, even though you are 17. You are what we call an emancipated minor. You...

Pediatrics: bowel and bladder problem, puneet kumar, bladder problem
puneet kumar, bladder problem, dwarka new delhi: Hi Sajith, Most babies at this age feel uncomfortable when they feel pressure in bladder/ bowel and so they often cry. A typical pattern of passing urine is: baby cries just before passing urine, then often calms a little while passing urine (as they...

Pediatrics: Colds n flu, runny noses, normal saline
runny noses, normal saline, pharmasist: Dear Katie: Paedamin is a decongestant/antihistamine used to dry up mucous in the nose. Here in the states decongestant products are not recommended any longer for children and infants because some of the babies have been given overdoses and doctors feel...

Pediatrics: Confused, home pregnancy test, lower abdomen
home pregnancy test, lower abdomen, varsha: Hi, Varsha, I am not an OB-GYN doctor, but this is what I would do. See you doctor and they will probably do a blood test to prove whether you lost the pregnancy. The pain you are having could be due to the pregnancy, but also, obviously, could be due...

Pediatrics: Confused, home pregnancy test, lower abdomen
home pregnancy test, lower abdomen, cramps: well, test doesnt come positive unless one week past the coneption and it may not be negstive so soon. at times implantstion bleeding is known the way you described, but posibility of infection or miscarriage needs to be ruled out by an ultrasonography....

Pediatrics: .Constipation, kiwi fruit, milk and cheese
kiwi fruit, milk and cheese, stool softener: Hello Jack: It sounds like your son has constipation. In order to try and help him I need to know his age. Mary Pat Well your son is old enough to take a stool softener daily. He should take two Colace pills once a day and change his diet around....

Pediatrics: Continuous crying of my daughter, loose motions, stomach cramps
loose motions, stomach cramps, home remidy: its common to have stomach cramps with loose motions. child needs to be comforted only unless the pain/cry lasts for morethan 3 hrs . otehr common causes of cry are colic, nose block or constipation. you may read detailed amanagement of colic or nose block...

Pediatrics: Cough due to seasonal changes as well as allergic coughs, cough and colds, chest congestion
cough and colds, chest congestion, immunity system: Hi Genevieve, Cough and colds are common in young childhood.. every child goes through it (6-8 episodes/ year, with or without fever in age group of 1-5 years). As she grows older, the frequency is likely to decrease. I am not worried, as your daughter...

Pediatrics: Cracks at the corner of the mouth in 2.5 years old, angular cheilitis, herpes infection
angular cheilitis, herpes infection, cold sores: it can be oral herpes infection but surely it can eb due to vitamin deificiency like riboflavin or at times the cold sores. doctor may make it painless by applying analgesic gels like say orasep etc it may automatically heal in 7 days. read below http://en.wikipedia.org/wiki/Angular_cheilitis...

Pediatrics: CYP-L Drops, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, ur suggestions: Hi Jayanthi, Change in daily routine and weather conditions can affect child s appetite temporarily. You just have to wait and watch, offer her a variety of foods, enrich diet with added oil/ fat and not try to force-feed. She is going to recover soon without...

Pediatrics: chicken pox, incubation time, daycare
incubation time, daycare, lesions: Hi, amanda, The word host is confusing to me. If you mean, could she carry the virus to the daycare, the answer is yes. CP is contagious for a couple days before you even know you have it. I have always told my patients not to worry about that. If...

Pediatrics: my child, problem asap, bowel control
problem asap, bowel control, mths: It is not easy to advise you without knowing more details. The timing may be causing stress. Where is the school? If it is far away that may be another factor causing stress. It is necessary to know about his development. Did he attain bowel control before...

Pediatrics: distress during sleep, organic milk, karo
organic milk, karo, granddaughter: Hi, Alberta, If she is constipated, the karo might help, although if she is not, then it will do no good. Does she fall asleep on her own? Do you put her to bed awake and is her last waking memory the bed, not somebodies arms? Does she fall asleep...

Pediatrics: Excessive Sweating, congenital heart diseases, nan formula
congenital heart diseases, nan formula, calcium source: sweating is a part of sympathetic activity, which can be seen in many conditions including normal fright response, anxiety, fear,nightmares, anemia, low calcium and at times in some congenital heart diseases with pulmonary hypertension, also thyrotoxicosis....

Pediatrics: not eating enough, birth wt, calcium carbonate
birth wt, calcium carbonate, question thanks: discus with your doctor as you may not need premie formulas at this age. also you need to start training with spoon or dropper feeding. try with test feeds and then lubricate with water or milk.growth iss fine, if they are constipated, it can be resolved by...

Pediatrics: exessive swet in palms and feet, dermotologist, excess sweating
dermotologist, excess sweating, swet: Hi, Singhage, Hyperhidrosis, or excess sweating is generally treated with potent anti-sweating lotions. If these don t work, then the treatment is very difficult and may even involve severing some of the nerves that control this function. Obviously this...

Pediatrics: eye contact in infants, signs of autism, black marker
signs of autism, black marker, developmental evaluation: Dear Rachel: It is understandable that you would be anxious about this baby but give him more time. His ability to focus at all on one thing lasts about 5 seconds. Doctors find signs of autism can present as early as 6 months of age. Babies with suspected...

Pediatrics: eye infection, puneet kumar, causative organism
puneet kumar, causative organism, dwarka new delhi: Hi Crystal, It is contagious till there is discharge from the eyes. How long? It would vary with the causative organism and can take from 2 to 5or even 10 days. Eye manifestations normally begin within 48-72 hours at the most after the contact. Best...

Pediatrics: Fevers on and off for a month., high fever, unknown source
high fever, unknown source, motrin: Hi, Shirley, Fevers, even ones in the 104-106 range, don t hurt kids. Some kids just have high fevers. I think any girl with a high fever of unknown source (most are viral caused) needs to have a urine checked for infection. Good luck, Dr. Olso...

Pediatrics: Formula, lactose intolerance, old baby
lactose intolerance, old baby, baby boy: Hi, Katie, Of course, you always can try a formula change. They all are nutritionally sound. The Sensitive formula is lactose free and these symptoms may be partly due lactose intolerance. If you change to soy and this doesn t improve things, discuss...

Pediatrics: Formula feeding., sodium alginate, oral thrush
sodium alginate, oral thrush, ml milk: Some reflux is common up to six months and treatment is usually not needed. I have never used Sodium Alginate. You have not mentioned the current weight. The amount consumed may vary slightly at different times. This by itself need not cause any alarm. If...

Pediatrics: 4 month old - eye issues - not focusing/tracking, paediatrician, grandmother
Pediatrics: 4 month old - eye issues - not focusing/tracking, paediatrician, grandmother

Pediatrics: my 5-month old son, signs
Pediatrics: my 5-month old son, signs

Pediatrics: baby underweight, liv52, buffalo milk
Pediatrics: baby underweight, liv52, buffalo milk, cow milk

Pediatrics: polio drops, hello doctor, janam
Pediatrics: polio drops, hello doctor, janam

Pediatrics: Schedule, hepb, hib
Pediatrics: Schedule, hepb, hib, epithelial

Pediatrics: thumbsuking, sonic the hedgehog, bad taste
Pediatrics: thumbsuking, sonic the hedgehog, bad taste, gloves

Pediatrics: ferritin, hematacrit, body iron
hematacrit, body iron, iron deficiency: fertin may be low in early iron deficiency . It is a form of body iron store. Normally it should be above 50 to prevent of iron deficiemcy anemia. ferritin stores are also affected by dietary fluctuations of iron. (The Thalassemia Major patients ferrtin...

Pediatrics: fever, due date, fever
due date, fever, duration: please detail the efevr in severitry duration and days. if any treatment taken and any other associated features. i only understood that she has fever again and again. theer are 1000 causes of it. i want you to describe more so i can eb precise. www.doctorchild.co...

Pediatrics: fever, puneet kumar, dwarka new delhi
puneet kumar, dwarka new delhi, satisfactory conclusion: Hi Urooj, Your anxiety is understandable. Your daughter needs through evaluation to find out the cause and it is difficult to comment much without having examined her and see the investigation reports. If your doctor is not able to reach satisfactory conclusion,...

Pediatrics: fever, puneet kumar, low grade fever
puneet kumar, low grade fever, fever 99: Hi Shivani, You can give PCM (Paracetamol) in the dose prescribed by your doctor whenever temperature rises above 100F (oral). Keep record of fever spikes and get back to your doctor who can re-look at her and decide if any further investigations are required....

Pediatrics: fever &rash, differential diagnosis, skin rash
differential diagnosis, skin rash, sorethroat: Hi, emad, With the sore throat and the fever and then the rash, strep needs to be ruled out. In the USA we would generally do a strep test before using the antibiotics and would use a penicillin unless there is an allergy. Mononucleosis needs to be considered,...

Pediatrics: formula allergy, poops, wks
poops, wks, 5 months: Hi, Kristin, I would expect that with a reaction to the formula, you would see almost immediate problems. The fact that these symptoms are occurring a month after suggests another cause for the diarrhea, possibly a virus illness. Good luck, Dr. Olso...

Pediatrics: rashes around the anal region, indian academy of pediatrics, puneet kumar
indian academy of pediatrics, puneet kumar, new delhi india: Hi Sajith, It is essential to keep the area as dry as possible. Don t use any kind of diapers. Leave the area open (not even cloth nappies) for a few hours everyday. Please review with your pediatrician for medicines (ointment and/ or Zinc supplement)....

Pediatrics: Hi Dr.Sharon, 4 year old with impulsivity and difficulty sitting still, Does my 4 year old have ADHD?
4 year old with impulsivity and difficulty sitting still, Does my 4 year old have ADHD?: Hi Bianca, I am sorry to read of the behavioral challenges your son is having! You are right in noting that impulsivity, anger, and difficulty sitting still may be indicative of ADHD. However, there can be an array of possible influences on a child s...

Pediatrics: help, gamma globulin, iv gamma
gamma globulin, iv gamma, low platelet: Hi, BLESSING, Lots of babies are born with CMV and do fine. A few are badly damaged by the effects of the virus. If a mother who is CMV sero-negative develops the infection in pregnancy and passes it on to the newborn, this is generally a more serious...

Pediatrics: Imagination/Hallucionation?, imaginary worlds, imaginary places
imaginary worlds, imaginary places, gestures: Hi, Hahum, I worry when people describe to me a break with reality. Some people with this history have been abused physically or emotionally in the past. Is this the case with you? You need to discuss this with your doctor, make sure everything...

Pediatrics: Indent in forehead, depressed skull fracture, scar tissue
depressed skull fracture, scar tissue, question thanks: Hi, Jodi, My guess is still valid, but really unless someone can see this, it is only a well educated guess. I guess I would look at it this way. If your doctor examined her and said, lets get a skull xray and find out , please ask him/her what he would...

Pediatrics: Infant not eating, energetic personality, stomach acid
energetic personality, stomach acid, question thanks: Hi, Deeji, With this additional information, this could be GERD. We would tend to treat with a PPI medicine, like prevacid, or an anti-acid like ranitidine. Discuss this possibility with your doctor. Generally GERD is not bad enough to cause weight...

Pediatrics: Can we take IPV & OPV both, indian academy of pediatrics, puneet kumar
indian academy of pediatrics, puneet kumar, oral vaccination: Hi Shaveta, Indian Academy of Pediatrics recommends that IPV and OPV both should be used, wherever possible. For further details (and authentic, unbiased information on any vaccine), you can log on to: www. iapcoi.com Best wishes, Dr. Puneet Kumar,...

Pediatrics: Letter F, speech delay: teach your child to say words starting with F
speech delay: teach your child to say words starting with F: Hi Alan, I m not sure how old your son is but if he s older than 3 years old, you should be able to help him say the F sound. Be aware that, if your son has an overbite, where his upper jaw protrudes far beyond the lower, it will be harder for him to make...

Pediatrics: Loose motions, puneet kumar, loose motions
puneet kumar, loose motions, irregular motions: Hi Sandeep, You should give him plenty of fluids to replace the fluid losses and prevent dehydration. There is no need to restrict milk. If loose motions persist, do consult your pediatrician who can evaluate him and prescribe appropriate treatment. ...

Pediatrics: Motor delay in child, hand eye coordination, low birth weight
hand eye coordination, low birth weight, mri of the brain: Hi, Generally babies born prematurely will have complete catchup growth and development by 18 months. However, this is the norm and not all preemies are this lucky. With the normal MRI, the chances for normal development are increased. For anyone to...

Pediatrics: Neonatal CMV, puneet kumar, congenital cmv
puneet kumar, congenital cmv, low platelet: Hi Blessing, I understand your anxiety and share your concern. As you might be knowing, neonatal CMV (Cytomagalovirus) is a viral infection transmitted by mother to baby during pregnancy, during delivery or even after birth. The chances of transmission...

Pediatrics: Overmedicating of twins., going through puberty, slippery one
going through puberty, slippery one, overmedication: Hi, Elaine, Again, the notion of overmedicating is a slippery one. One always could get a lawyer to look at anything and they will jump at the chance, even if the case doesn t have a great deal of merit. I don t give people legal advise. Good luck,...

Pediatrics: Pain under ribcage or diaphragm, pain under ribcage, agonizing pain
pain under ribcage, agonizing pain, family dr: Hi, Jackie, The fact that a physical exam is normal in no way means that everything is fine. Someone needs to take this seriously and do the appropriate evaluation to find out why she is having this pain. If you family doctor isn t helpful, find someone...

Pediatrics: Pediatric Confidentiality, first pelvic exam, sex drugs
first pelvic exam, sex drugs, pediatrician: Hi, Danielle, Your pediatrician should always keep anything you tell her absolutely private and confidential with two generally accepted exceptions. If you are going to kill yourself or someone else, most would feel she would be morally obligated to tell...

Pediatrics: Persistant fever, chest xray, kawasaki disease
chest xray, kawasaki disease, coronary arteries: Hi, Danielle, The main thing to rule out, for this can have some long term complications, is a condition called Kawasaki disease. Ask your doctor about this. If untreated, some kids can develop aneurysms of the coronary arteries and have problems later...

Pediatrics: Potty resistance, brain abnormality, left temporal lobe
brain abnormality, left temporal lobe, reward charts: Hi, Misty, The brain abnormality may have some bearing on his ability to potty train, but my guess is that this is not affecting things. This is a pretty basic skill, and if he does other stuff well, he should do fine following the TTResistence advice....

Pediatrics: Pregnancy, obstetrician gynecologist, home pregnancy test
obstetrician gynecologist, home pregnancy test, puneet kumar: Hi Varsha, I understand your anxiety. Being a pediatrician, I am not the best person to answer this question. Please discuss with your obstetrician or ask an obstetrician/ gynecologist on this site: http://www.allexperts.com/el/ObGyn-Pregnancy-issues/...

Pediatrics: pooping and eating habbits, ounce bottles, o clock
ounce bottles, o clock, snacker: Hi, Veronica, Some kids are born to be grazers, reverting back to a kind of eating our early ancestors used, to get food constantly. If she is healthy, developing normally and the stools don t hurt, I would accept that she is a snacker and needs...

Pediatrics: potty training, toilet training, power struggle
toilet training, power struggle, practical solutions: Hi, lesley, Toilet training resistance is a power struggle type of issue. It is seen in many children. This is a complex issue and here is a handout that will explain and suggest practical solutions. http://www.cpnonline.org/CRS/CRS/pa_btrainin_hhg.htm...

Pediatrics: premature baby - air travel, commercial airliner, commercial plane
commercial airliner, commercial plane, recycled air: Hi, farooq, Thanks for the clarification. Pressure changes can be uncomfortable and a dose of tylenol might be appropriate to lessen discomfort. Also make sure he is eating and swallowing to relieve pressure on descent. Germs are not a big concern to...

Pediatrics: premature thelarche, bone age, misinterpretation
bone age, misinterpretation, thelarche: Hi, tina, Generally in kids this age with isolated thelarche I seldom do any studies. I virtually never do a bone age, for I find it not helpful in the least. It is not a bad thing to do, just not needed. A difference like this between bone and chronologic...

Pediatrics: question regarding my 1 month old baby girl's constipation, old baby girl, month old baby
old baby girl, month old baby, calcium carbonate: this may occur occasionally. if lasts for 7 day long, she will need evaluation. currently start the baby on calcium suplementation after consulting a doctor. calcium carbonate apart from strengthening bones will help keep the stools loose. do read constipation...

Pediatrics: Recommended Daily Intake of Formula, baby cereal, recommended daily intake
baby cereal, recommended daily intake, lunch time: Hi Amy: You can start to wean to whole milk at 11 mos and do it gradually. You can make his bottles half cow s milk and half formula starting with one bottle a day. If he tolerates it after 24 hours then mix two bottles a day that way and if tolerated,...

Pediatrics: rash, heat rash, high fever
heat rash, high fever, viral illness: Hi, Stephanie, Anyone who says could she be allergic to Amoxicillin and says no really isn t correct. One can be allergic to anything. The fact you are allergic to it probably increases the chance she is, but not to the point where I would not use...

Pediatrics: rbs in infant's stool, puneet kumar, green stools
puneet kumar, green stools, blood in stools: Hi Avantika, A baby at this age, despite being exclusively breast fed, can acquire infection as this is his oral stage of development whereby he takes anything and everything to the mouth. Presence of pus and RBCs (Blood) in stools is a definite indication...

Pediatrics: With regard to C.P. Child, caster oil, thumb sucking
caster oil, thumb sucking, fingures: you did specify that your child is CP, which says that he may have some motor abnormality. Even Eye contact needs detailed eye evaluation.visit a therapist for modulating chold performence.higher the age , difficult to modulate. as you said he has thumb...