Read on the below link for details regarding DENGUE FEVER
Read on the below link for details regarding DENGUE FEVER
Definition of urinary tract infection (UTI) is growth of significant number of organisms of single species in urine sample along with Symptoms. ( First aid for urinary pain in children. )
Types of UTI and common symptoms
Simple UTI: mild fever, irritable, Pain during urination, increased frequency and urgency
Complicated UTI: High grade fever, vomiting, stomache, dehydration and toxic looking child
Symptoms present less often are: heamturia, voiding issues, bed wetting , failure to thrive may also be present
Risk factors: Girl child , poor hygiene, Vesicoureteral reflux (VUR), Voiding dysfunction, obstruction in urinary tract
Urine collection: mid stream clean catch sample gives most accurate report in home settings
Urine routine , microscopy s/o UTI: pus cells in urine sample, along with positive nitrate and leucocyte esterase .
Gold standard test is urine culture.. as its report takes aroung 48 hours to come, we can start antibiotics after sending urine sample for culture in consultation with doctor and wait for culture report for further plan of action.
Plenty of fluids, oral antibiotics and other supportive care as advised by your doctor
Plan of action as per age ( preferably in consultation with pediatric nephrologist)
In high risk cases ,we might need prophylaxis to prevent repeated episode of urinary infection.
Whenever in doubt consult pediatric nephrologists
Dr Rahul Varma
Erbs palsy ( brachial plexus injury)
One of the common type of birth injury which happens in newborn baby while delivery. (happens mostly in assisted deliveries like vaccum or forceps). In this injury there is damage to nerves supplying shoulder and arm; which in turn leads to decrease in movement of that shoulder. Nerves are 5th and 6th cranial nerve (part of brachial plexus nerves) , which are damaged while passing through a point called Erb’s point.
One way that the brachial plexus nerves are affected is when the baby is passing through the birth canal at an awkward angle, with the head being turned to one direction while the arm is being pulled in the opposite direction.
1-2 babies per 1000 newborn delivery worldwide are affected.
Various risk factors involved in this condition are
Types of Nerve Injuries
There are four types of nerve injuries.
Be in regular follow and adhere to advice of your doctor.
Dr Rahul varma
Anemia is very commonly seen in young children who are mainly on milk based diet (As milk is poor source of iron). Breast milk has small quantity of iron but it is readily absorbed in body; so for first 6 months of life iron deficiency is not prominent. But after 6 months, when top milk is started, it can lead to anemia if proper iron supplementation or appropriate weaning food is not given.
That is the very reason you will see all the infant formula feeds and cereals fortified with iron these days. As iron is needed to make Hemoglobin; which is oxygen carrying component of red blood cells (RBCs).
What is the right Quantity of Iron needed by my Kid?
How deficiency develops?
What are Effects of iron Deficiency?
If any of the above symptoms is there in your child, consult your child specialist / Pediatrician and discuss regarding iron deficiency and need for supplementation. Excess of iron is also bad, so it should be taken in appropriate doses only after consulting your child doctor.
Common source of Iron in Diet
Both animal and plant source foods are available which are rich in Iron
How to avoid Iron Deficiency in your child
Once Iron is started in Iron deficient child; within 2 -3 days you will see significant improvement in diet.
Dr Rahul Varma
Steve Jobs did not allow his kids to own and use an iPad at home. He feared that the iPad would turn his kids into addicts of the device. He should know. After all, he was the founder of Apple Inc. and the father of the digital revolution. Most, if not all, Silicon Valley techs and engineers limit and shield their kids from technology and prefer to send their kids to schools where the focus is on hands on learning and computers are not easily accessible.
Why do the people at the pinnacle of digital change shield their kids from this technological marvel? The reasons are too many and varied, but everyone agrees on some common pitfalls of early exposure to technology.
Children learn better from real life experiences rather than screen time. It is more so if activities involve moving and doing. Various surveys and studies show that on an average 12-month-old baby is exposed to up to 2 hours of screen time a day.
Young age (< 2 years) is very critical for learning of new concepts. Most of the learning involve 3 dimensional Sensory- motor experiences which cannot be replicated on a 2 dimensional screen. Active play involves better hand – eye coordination , fine motor skill development.
Example: Compare a ball in real life and a ball on Screen.
Infants are still developing concept of 3 dimensional vision. For a small baby watching on screen a BALL is just a flat, shaded circle. In real life if we roll a ball across floor it proceeds in a single motions and gradually slows and stops finally. But on Screen same action cannot be done; it will be broken up. Small babies may stare at bright colors and motions on screen but their brain is not capable of making sense or meaning out of these amazing pictures. By the age 2 years brain has developed enough and baby can understand things better. Due to all this confusion it is better to avoid screen time in small babies.
Early exposure to technological marvels such as tablets, smart phones and computers are detrimental to the physical and mental growth of children. They give children a distorted view of reality and interfere with the natural development of the child’s brain
Children as young as 3 and 4 when exposed to the iPad may become experts at swiping the screen, but lag behind in developing dexterity in their fingers that comes by playing sports or musical instruments.
Young children have still not developed a sense of space and each new walking, bending and climbing experience helps to develop a sense of space. Early exposure to the iPad interferes with this development and gives children a distorted sense of depth and space.
Various studies have shown that children growing on iPads or other similar screen devices tend to lag behind in development of real time social skills. Regular activities such as developing social skills and making friends become a task for such children. Such children do not spend time with their own thoughts and imagination and require constant stimulation.
Development of internal mechanism of self-regulation is an important milestone in a child’s emotional development. Constant and continuous use of such devices to distract and control the behavior of children impedes their ability of self-regulation.
Playing with blocks in real time develops visual-motor skills and sensorimotor skills in children that are the base of all learning. Application of maths, science and logic in the classroom and outside comes naturally for kids whose basic skills are well – development. Playing with real blocks and puzzles is frustrating for young minds who are used to manipulating objects by swiping the screen.
The list of the evils of early exposure to screen only gets longer with time. There has been very little systematic research and the technology is still quite new to fully understand its complete effects. For now, the safest thing to do is keep that tablet away from your kids or at least stop using it as a baby sitter.
As uncommon and abnormal as it may seem, snoring in babies is not always a red flag for your baby’s health. Many babies produce noises like whiffing, snuffing and snoring while sleeping. If your baby snores rarely or occasionally, then it’s not a cause of concern. But if it has become a chronic habit of your little angel to snore, then consulting your Pediatrician is always advisable.
But before you start panicking, let’s understand the causes of snoring in babies.
Once you have identified the cause of snoring in your baby, in consultation with her pediatrician, you can start with the corrective measures to alleviate your baby’s snoring.
You can take the following steps to correct snoring:
If your baby is suffering from cold, flu or allergies; use a humidifier in your baby’s room and put saline nasal drops in your baby’s nose to help her breathe better while sleeping.
Also remove any allergens or allergy-causing agents from your baby’s room to avoid any breathing obstructions.
Change your baby’s position or put a pillow under her head when she’s asleep to help keep her airways open.
If your baby is suffering from sleep apnea, enlarged adenoids and tonsils may be responsible. You can either reduce this enlargement with medicines or can even get them surgically removed once your baby is a little older.
Throat abnormalities and deviated nasal septum can only be corrected surgically and you should consult your Pediatrician/ ENT specialist for complete corrective action.
Thus, if your little one snores, the next time she dozes off, rest assured that it’s nothing to worry about. With proper care and as she grows, this problem can be easily resolved.
Dr Rahul Varma
You might have experienced this- you are reading aloud a book to your 15-month- old kid and halfway through she wanders away across the room towards the bookshelf. Well! This is a perfectly normal behaviour for her. Psychologists explain that toddlers are innately distractible. They cannot stick on with one thing as long as an older child or adults can. After a couple of minutes, they venture in search of other things. Besides, another reason for your toddler to not comply with your instructions is that she is taking the first step towards becoming her own person. She is walking her way to independence and may tend to do exactly the opposite of what you might have suggested to her.
Read on to find simple ways to get attention of your toddler and have them be seated for a couple minutes to play with a toy or draw etc.
Children enjoy games. Engage with them in fun-filled games so that they learn to pay attention. Here are few games you can play with your children:
A long attention span is vital for creative, athletic and academic achievement. Attentive listeners make the best friends, spouses and parents. The basic skills of focusing and concentrating learnt in the first few years of life go a long way to help them deal with difficult problems of life and pursue their dreams.
Childhood Obesity is on the rise! As a parent, it is not easy to accept the fact that your child might be obese or even overweight. The body mass index (BMI) uses height and weight to calculate whether a child falls into underweight, average, overweight or obese categories. Even if your child is a little overweight, it is easier to shed the extra pounds as compared to adults. (Moreover in young kids we just want baby to maintain that weight and do not allow the child to gain weight further and with time as the age grows child will fall in normal weight category)
Obesity, be it in children or adults, has multiple risk factors associated with it. It affects the entire body and causes our body functions to go haywire.
Most common associated risks with obesity are:
In current time, childhood obesity is spreading like an epidemic through all the cultures. The action plan to get rid of this menace includes:
Avoid giving your child extra calories such as chocolates and fried chips for snacks. Instead try fresh fruits or vegetables with dips for snacking.
Try not to put extra sugar in milk or any other food that you might serve to your child.
Having small meals and snacks in between the meals decreases production of fat and increases metabolism. Try child-size servings instead of adult-size. Add juices, smoothies, beans, pulses, five portions of fruit and vegetables.
Outside food might contain too much oil, butter, salt and sugar. Basically, nothing beats homemade food! So avoid eating out.
Exercising is the best way to lose weight. Make it interesting for your kids. Play sports with them, go bike riding or on any other activity they like.
Children’s life these days has become sedentary because of increased use of electronic devices such as TV, iPads, Tablets, etc. Lifestyle surrounding these gadgets must be avoided.
Be the change you want to see in your child. Behave like you want them to in front of you. This is true especially for diet and exercise. If your kids see you eating healthy food and exercise regularly, they will try to follow your footsteps.
So, kick start these above mentioned activities and watch your kids transform from being overweight to being healthy and fit.
Although the makers of the video game industry claim that video games are nothing but fun and entertainment, most pediatrician and health researchers attribute increased incidences of violence as well as childhood obesity to the rising exposure to video games.
Most video games contain graphic imagery and direct or indirect violence. In fact, the top preferred games are loaded with violence and objectionable content like shooting people, stealing stuff, running over objects, destroying objects, etc. What should you do as a parent if the only thing your child want to do all vacation is shoot down people in Counter Strike?
When young and impressionable minds of children are subjected to such content, they are invariably influenced and conditioned. The soaring numbers of violent incidents, such as gun violence, bullying and other forms of violence prevalent in schools, are believed to have been inspired from mind-numbing hours of video game playing. Child psychologists believe that prolonged exposure to such games leads to the child developing an indifference to violence.
Several studies conducted indicate that children who spent hours on video games in their childhood grew up to indulge in various forms of violence or had some criminal charges against them. Parents give in to their child’s demands and pamper them with the state-of- the-art gaming devices such as Play stations, X Box, etc. Evidently, such games hamper real life activities, like studying, playing outdoors, making new friends that seem dull in comparison to the colorful gaming world. Children develop a need for immediate gratification and become restless and cranky if things do not turn out the way they planned.
Other physical effects include poor eyesight from staring at screens for so long, laziness, obesity and many more. Bring a radical change to the video game trend and invest in a bicycle for your child instead.
Children are living a couch potato lifestyle and are rarely stepping out to play and they do not get enough physical exercise. A bicycle will ensure that your child gets plenty of fresh air and exercise. Indeed, parents should encourage their children to play outside daily for a fixed amount of time. This is vital for a child’s complete growth and development, as regular cycling is proven to activate muscle growth and increase stamina.
Some studies also indicate that cycling works positively to boost mental health by reducing stress and anxiety. Cycling for as little as half an hour improves blood circulation, aids in weight loss and leaves you feeling happier and less tensed. Incorporate cycling breaks, even during exam time, to help your child relax and grasp better. It helps improve muscle strength, stamina and bone strength. It also helps them grow taller!
Physical activities done outside of home are going to do wonders in over all growth of your child.
Additionally, several research studies conclude that riding a bike can protect one from serious conditions like cardiovascular diseases, stroke, some cancers, depression, diabetes and so on.
So, gift your child a bicycle and help him create real-life memories with a real social network!
The idea of offering pocket money to children, especially teenagers, has been going on since ages. Many parents wonder whether or not it will be beneficial to provide pocket money to their kids and how much is the right amount. Are you also puzzled whether you should give your child pocket money? If your answer is yes, then we have some reasons as to why it makes sense to give your teen pocket money even today!
Different parents have different opinions regarding pocket money. But if done correctly, pocket money can prove to be a good thing for your teen.
Here are some advantages of giving pocket money:
Teenagers are ‘mini adults’, so considering them grown up, in this case, will make them feel independent. In addition, this will teach them to manage their own money. Generally, most teenagers love the opportunity of managing their finances independently and do learn to handle their money wisely.
A lot of teenagers these days do not realize the value of money, as their parents buy almost everything for them. By offering monthly pocket money, they would have to purchase items on their own. This will encourage them to buy their desired items by themselves, the preparation of which will give them a real-life experience, thereby making them aware that things do not come for free. Hence, they will value money.
In the beginning, your teen might get overwhelmed by the money and spend it all right away. If the money is over in a week, then he/she will have to stay broke until it is time for the next payment.
Educate your teenagers to save a fraction of their pocket money each time and put it away for future or emergency use. If this is done each month, then by the end of the year, they will have a lump sum of money on hand, which they can use to treat themselves.
It is vital for you to understand the consequences of giving pocket money to your teenagers. No matter how well your teen manages the money, it is crucial for you to track and intervene when needed. How much to give??? and from when to start?? Only you as a parent know the answer. Finally, it is important that the money is not just given away but is earned. Ask other parents their opinion and how much they offer and lastly be consistent as you are the one they learn from.