Tag Archives: best child doctor in ghaziabad

Holi safety tips

Few tips for safer holi with your loved ones



  • Common issues happens with Skin, eye
  • Organic and natural colors, skin friendly colors ( avoid strong chemicals, not good for your skin )
  • Can use oil or  creams for skin and hair before starting holi to avoid long term damage and easy removal of colors later on.
  • Protect your eyes: wash eyes frequently, can even use sunglasses to protect but if significant burning or redness better to consult eye doctor.
  • Try to save face and specially eyes from unwanted attack by water balloons or unwanted people coming from behind to color you.
  • Preferably stay indoor to avoid unwanted Hooligans.
  • Car safety: keep windows closed. avoid crowded places ( avoid Mob like situation). Keep your cool , no point in getting into fight with anyone.
  • Stay in groups, do not roam alone , better to be safe.
  • If you have skin allergy, better to consult your skin specialist rather than self medication
  • Wet floors can lead to injury, so avoid running around water.
  • Avoid alcohol or bhang.. even over indulgence in food can be bad, which you might regret later.
  • Drinking and driving is absolute  NO NO.
  • Think about your loved one before doing anything silly.

This is a festival to spread happiess, do not be the reason for someone’s saddness. do not push people to play holi , if they do not want.


Dr Rahul Varma

Erb’s palsy ( common injury to baby during birth)


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

  1. Large size baby/ good weight of baby.
  2. Assisted delivery .eg use of forceps or vacuum
  3. Excessive pulling/ traction on shoulders during delivery
  4. Gestational diabetes mellitus
  5. Prolong labour



  • Not able to move upper limb well. Especially shoulder joint. Affected arm is hanging by side of body and may be bent at elbow.
  • If not able to move even fingers; (not able to grip , your fingers properly) then it suggests severe injury and involvement of lower plexus of nerves too.
  • Can have collar bone fracture along with it, which might be worsening the movement of that side.
  • It often looks like that baby has paralysis of the affected side



Types of Nerve Injuries

There are four types of nerve injuries.

  1. Neurapraxia: nerve is stretched, not complete tear. (so recovers early within 3 months).
  2. Neuroma: more serious damage to nerves
  3. Rupture: nerve is torn; will need intervention(as it will not heal on its own)
  4. Avulsion: is complete tear and most serious of all. ( luckily it is very rare)



  • Multidisciplinary approach will decide the plan of care for baby: will include pediatrician, need help from neurologist, orthopedic and neuro physiotherapist.
  • Intermittent immobilization and positioning to prevent contractures
  • Gentle massage (as advised by physio)
  • Surgery if severe damage to nerve or complete tear of nerve.
  • Electric stimulation may help

erb's palsy-mayaclinic.in


  • It depends on degree of damage: likely most of the cases are mild.
  • If the hand grasp/ grip is good and finger movement is present: it suggests good prognosis.
  • It may take few months to few years to recover.

Be in regular follow and adhere to advice of your doctor.


Dr Rahul varma

Why Doing Away With the Gadgets Is Important for Your Kid


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.

Distorted sense of reality:

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

Co-ordination and dexterity:

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.

Concept of space:

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.

Social Skills:

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.

Emotional skills:

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.

Maths and Science:

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.

Few Home Hacks That Can Help You Monitor Your Child’s Health Like a Hawk

child reading_maya clinic

As a parent, one of your topmost concerns is that your child’s physical as well as mental health is in the right direction. Your child’s health and development needs to be monitored and reassessed regularly. Development is a continuous process, but changes from time to time depending on new demands.

Learning skills in a child need to be evaluated periodically especially because they are seen only when the child is asked to perform a certain function. Generally, health clinics and schools keep a check on children’s growth, but it is crucial that you too monitor your child’s health regularly.

1. Physical health

  • Height and weight – Measure your child’s height and weight at home each month and note it in a logbook. Take this logbook along with you during your child’s health visit at the doctor’s office. Each child is different in a way that while some kids grow fast, others do not grow tall or gain weight as they should. If your child is not growing as fast as his/her peers, do not panic. Some children have a late growth spurt, but make sure that your pediatrician is aware of it during the health visits. If it’s a drastically off the normal limits, early interventions could be put in place.
  • Skin changes – Look for any changes in your child’s skin from time to time including changes in the thickness, acne or rashes, pigmentation. Medical conditions are often presented as changes in the skin to begin with.
  • Sleep cycle – Children generally need approximately 10 to 11 hours of sleep per night. Any changes in sleep patterns, such as too much or too little sleep, should be noted and reported to the pediatrician. In addition, a lack of sleep will make it difficult for your child to function well throughout the day, especially in school. Try to set a bedtime for your child to ensure adequate amount of sleep.

2. Mental health

Parents are recommended to get their child evaluated at 9 months, 18 months and then every 24 months thereafter. Evaluate for any learning or memory disabilities. Pediatricians may also examine them at health visits by asking them a series of questions and seeing how they respond to them.

  • Diet: Fresh fruit and vegetables contain essential vitamins and nutrients for growth that our body cannot produce. Although, many kids are picky eaters, keep a track of any major changes in their eating pattern. Too much or too less food, both, can be unsafe and must be corrected. Importantly, iron, calcium and vitamins A, B, C, D and E are essential for your child’s optimal growth. Offer your child at least three cups of milk and four to five servings of fruits and vegetables a day. On precautionary side, limit food that is high in added sugar.
  • Exercise: Physical activity is extremely important for your child’s growth. Usually, a child requires at least an hour of exercise or any physical activity daily. However, keep your child away from too much sun. Furthermore, limit television, video games, smartphones, tablets or computers to no more than 2 hours a day. Make a note, if your child wants to be sedentary all day, this could be a sign of a problem or lead to obesity in the long run.

In conclusion, your participation in your child’s development and growth plays a crucial role and sends a strong message that you will stand next to them for support. Taking your child to a pediatrician for routine health check-ups, getting them immunized and looking out for any changes in habits, such as delayed speech, throwing tantrums at bedtime, crippling shyness with friends and family, difficulty in toilet training and finicky eating habits, will help you recognize and seek early inventions to keep their development in check.

Common Feeding Problems

Feeding problems occur for a number of reasons, many of which vary according to age. Most of these challenges can be met through proper breastfeeding instruction from your doctor. It may come as a surprise, then, if your baby develops a resistance to feeding weeks or even months after you thought this was no longer a problem.

Tastes Change

One thing to consider when this happens is whether the taste of your breast milk has changed. Breast milk taste can change for a number of reasons, including the following:

  • New or different food in your diet
  • Medication you are taking
  • Pregnancy in the mother, which sometimes causes nursing babies to wean themselves a few weeks or months after the mother conceives
  • Strenuous exercise, which can lead to a temporary buildup of lactic acid
  • Breast infection, such as mastitis
  • Change in the taste of your skin caused by using lotion, cream, or oil on your breasts

Avoiding the new food, changing or stopping your medication if possible, exercising less strenuously, or refraining from applying oil or lotion to your breasts may be all that is necessary to encourage your baby to breastfeed at his normal rate again. If you have mastitis, seek treatment from your doctor right away and encourage your baby to breastfeed in order to drain your breasts. Once the infection has been treated and has passed, the taste of your breast milk will return to normal. You may be able to help your baby adjust to the new taste of your breast milk during pregnancy if you are persistent and patient and hold off on offering formula as an alternative.

If your baby starts to engage in frenzied short feedings that seem to signal frantic hunger, it may simply mean that your let-down reflex is occurring more slowly than she would like. If this is the case, try massaging your breast and expressing a little milk before you begin a feeding. This way, your milk will flow faster from the very beginning of the feeding and your baby will feel more satisfied.


If you do not believe that the taste of your breast milk has been altered or that your let-down reflex is causing the problem, consider whether you are experiencing a high level of tension or stress. Such emotional discomfort can be communicated to your baby, preventing her from settling down to feed well. Of course, we cannot always eradicate stress from our lives, but for the moments preceding breastfeeding, do your best to put upsetting thoughts out of your mind. Relaxed sessions not only will help your baby get more milk but may decrease your own stress level. Breastfeeding your baby and holding her skin to skin often promote a sense of well-being. Meanwhile, consider ways in which you might improve the general tenor of your day-to-day life.


It is also possible that your baby’s own condition may be making it harder for her to breastfeed. Decreased interest in feeding—possibly accompanied by lethargy, fever, vomiting or diarrhea, cough, or difficulty breathing—may indicate an illness. Consult your pediatrician or family physician if your baby resists feeding or you have any concerns that your infant may be sick.

Illness in your infant may affect your baby’s feeding pattern and desire to nurse, thus decreasing the amount of breast milk she receives. If she has a cold, clogged nostrils may make it difficult for her to breathe while feeding, or an ear infection may make nursing painful. Clearing the infant’s nasal passages with a bulb syringe prior to feeding may help with temporary nasal congestion. Teething can cause gum pain when nursing. Thrush can make nursing painful and requires a pediatrician’s attention.

Spitting Up

Some babies take in a great deal of milk but then spit up what appears to be a large part of it after each feeding. Spitting up is common during or after feeding, and some babies spit up more easily than others. There is generally no need to be concerned, however, that your baby’s spitting up is preventing her from getting enough milk.

Spitting up (as well as hiccups) can be minimized by keeping your breastfeeding sessions as calm, quiet, and leisurely as possible. Avoid interruptions, sudden noises, bright lights, and other distractions. Try to hold your baby more upright during and right after feedings, and attempt to burp her after she finishes each breast. Don’t jostle or play vigorously with her immediately after she has breastfed.

If she vomits forcefully a number of times or if you notice blood or a dark green color when she vomits, call your pediatrician right away.

Occasional small spit-ups or wet burps are generally more a laundry problem than a medical one. Fortunately, spit-up breast milk is less likely to smell sour or cause clothing to stain than infant formula. If you are worried that she is spitting up too much, consult your pediatrician, who will monitor her weight and check for any signs of more serious illness.


As always, the best way to be sure your baby is getting enough milk is to monitor her physical condition, her weight gain, and the content of her diapers. It is very important to call your pediatrician if you notice that your child is not showing usual interest in feeding, she has a dry mouth or eyes, or she is producing fewer wet diapers than usual. These may be signs of dehydration. Severe dehydration, while uncommon in adequately breastfed infants, can be extremely dangerous or even life-threatening and is most likely to occur when a young baby refuses to feed or is experiencing frequent vomiting or diarrhea.



Dr Rahul

stay healthy

constipation in children

Constipation is an extremely common childhood condition. One I deal with almost on a daily
basis in clinic and one that can be surprisingly hard to get control of..

Parents are often at a loss on what to do about something that is causing their child significant
discomfort, but also something they feel should be relatively easy to treat.

The trick is to always be one step ahead of constipation when it comes to your child.

Here are some surprising truths about constipation:

  • It can really hurt and be a source of significant, recurrent abdominal pain. After a
    thorough history and physcial exam (sometimes even an x-ray, depending on the
    situation), parents are shocked to find out, that, yes excess and blocked stool is the culprit
    for the tears and complaints of pain.
  • A child can be constipated in spite of reported daily bowel movements. Often, parents
    will discount constipation as a cause of their child’s stomach pains because the child will
    report having a somewhat “normal” bowel movement. However, if the stools are small,
    hard, and difficult to pass; this could be a sign that your child is not completely emptying
    his bowels. Having abnormally large and infrequent stools is another sign of constipation.
    In both instances, stools are typically hard to pass and the child may start withholding
    which will only worsen the condition.
  • On the flipside, your child may only have bowel movements every 2-3 days and not be
    constipated. The defining features are not necessarily based on frequency but more on
    symptoms such as abdominal pain, hard and difficult to pass stools, blood streaked stools,
    or a fear of going to the bathroom due to the anticipated pain.

When children are most prone to it:

  • Transitioning to solid foods and whole milk.
  • Potty training
  • School entry

Stay one step ahead with these tips:

  • Make your child’s daily meals full of fiber rich foods. Think whole fruits, whole grains,
    fiber cereals, and green/leafy vegetables.
  • Water, water, and more water. Keep a refillable water bottle on hand and encourage your
    child to drink frequently.
  • Moderate milk intake. Too much of a good thing can be bad for your child’s digestion.
    Instead of filling up on fiber rich foods, she is filling up on this. After the age of 1 year, 500 ml per day is more than enough.
  • Make a smoothie: if you have a picky eater…have her drink her fiber. Add whole fruits,
    some skim milk, yogurt, and a splash of juice.
  • Try a daily “P” juice (prune or pear) for breakfast to get things back on track.
  • A daily fiber supplement can help fill in the fiber gap.
  • Exercise. Get your kids outside (or inside) and moving for a good hour per day.


Sometimes, your child just needs a laxative to get back on track. Discuss this possibility with
your child’s pediatrician. Once the cycle of constipation has set in, dietary changes alone may
not turn it around. Be sure to adhere to the plan outlined with your pediatrician and continue with
the constipation fighting foods above.

Discuss with your doctor and follow instruction carefully.. Incomplete treatment can lead to poor growth.


Dr Rahul Varma


What newer Vaccines are there for my child ?

Good day parents

As a parent u all must be aware of vaccines which u all must be giving to your child. There are various newer vaccines which keep coming in market after research and development. there are some painless vaccines too. It is your right to get information  regarding various new vaccines available for your child for better growth and prevention of infections.

traditionally following vaccines were given by govt of India in Delhi NCR:  BCG, polio drops , DwPT/DTwP (which causes pain and fever , usually lasting for 24 to 48 hours ),Hepatits B,  measles, MMR, typhoid.

Latest Immunization schedule as per Indian academy of pediatrics have added few more vaccines which are gentle DTaP along with Hib and IPV( Injectable polio vaccine) , Rotavirus, Pneumococcal, Hepatitis A, chicken pox . and in high risk children Flu, Meningococcal.


One important thing which I wanted to emphasis that whether U give traditional DTP or gentle DTaP both has equal efficacy in Indian circumstance, only difference being in the side effects. So the huge amount of difference in cost is to prevent side effect only( these sypmtoms of fever and pain can be managed easily by giving crocin/ paracetamol). So its for u to decide which one to go for as medically both are equally potent. It all depends on your abilities to handle a baby who is cranky .


injectable polio vaccine is the best option for complete protection of your baby in present circumstances. In countries where polio has been eradicated IPV is the only option available.


This vaccine helps in preventing against diarrhea / loose motion. But giving this vaccine does not mean that your baby will not have diarrhea ever in life. This vaccine only prevent against Rota Virus, which is a virus which causes serious diarrhea usually needing admission in hospital and IV fluids. .And this being a viral illness is difficult to prevent.

Hepatitis A:

Jaundice is very commonly seen in India through out calender year with peak in rainy season. This vaccine prevents against jaundice, as no matter how cautious you are, once in a while we all dine out and drink water from unreliable sources which can cause jaundice. So this vaccine is strongly recommended.

Chicken Pox:

regarding this disease you all know that it can cause rashes on face with permanent scaring. when this disease occurs in adult age group , it is much more severe, so this vaccine is also recommended by IAP.

Pneumococcal vaccine:

This organism causes , serious infections, which include ASOM (ear infection), Pneumonia, Meningitis (brain infection). And once child gets infection due to this pneumococcal , it invariably needs IV antibiotic ( ranging from 7 to 14 days). Some people promote this vaccine as vaccine against Pneumonia, but again it does not means that if U give this vaccine your child will never have Pneumonia (as there are many organism which can cause Pneumonia). The main problem with this vaccine is huge cost, if cost is not an issue then this vaccine must be given , atleast before your child starts going to play school.


Haemophilus influenzae type B:

This vaccine is being given along with DTP universally these days, now even govt of India has introduced this vaccine in pilot project in Delhi, so it is being given along with DTP and Hepatits B. A must vaccine for your child.


Its a seasonal vaccine which needs to be given every year in high risk group. Flu keeps changing its structure every few year. eg you must have heard of Bird flu many years back, later swine flu few years back (latest vaccine covers against swine flu ) but few  year down the line some new virus will come.

Meningococcal :

Latest vaccine against this disease is Menactra, which is highly efficacious vaccine but the most expensive vaccine in children till date with MRP of 4500Rs. But this disease has very high mortality (can cause death within 24 hours), 2nd only to Rabies. Although incidence of this disease is low, but considering its high mortality , it can be given if cost is not an issue. Delhi had lots of cases in out break few years back.

you can send in your queries regarding any vaccine to me  and I will try to give you unbaised opinion about it.

Stay Healthy and prevent Diseases

Dr. Rahul

Croup or LTB: respiratory illness of infant and young children

  • Croup or LTB (Laryngo tracheo bronchitis) is respiratory illness of infants and young children which starts just like any other viral illness but can be life threatening if danger signs are ignored.
  • Croup is a respiratory illness usually caused by a virus. As the illness progresses, windpipe becomes swollen, which narrows the space available for air to enter the lungs.
  • The viruses that cause croup can be spread easily through coughing, sneezing, and respiratory secretions (mucus, droplets from coughing or sneezing).
  • Croup is usually mild, although it is possible for symptoms to become severe and life-threatening. Symptoms usually start gradually, beginning with nasal irritation, congestion, and a runny nose, which may worsen after 12 to 48 hours to include difficulty breathing, a “barking cough”, and hoarseness. Symptoms of croup usually resolve within one week.
  • If, at any time, a child develops features of worsening or severe croup, the parent should seek immediate medical attention. Danger signs include:
  1. Difficulty breathing
  2. Pale or blue-tinged skin, especially in the lips, fingers, toes, or earlobes
  3. Severe coughing spells
  4. Drooling or difficulty swallowing
  5. Inability to speak or cry due to difficulty taking a breath
  6. A whistling sound with breathing or noisy-high pitched breathing while sitting or resting(stridor)
  7. Sucking in of skin around the ribs with breathing (retractions)
  • Mild croup can usually be treated at home. Home treatment includes using mist from a humidifier or by sitting with the child in a bathroom filled with steam generated by running hot water from the shower. Hot steam humidifiers should be avoided because of the risk of burns.
  • Severe croup is a life-threatening illness and treatment should not be delayed for any reason and opinion of child specialist doctor should be taken immediately (as oxygen and need to secure the airway is needed).
  • Clinical Diagnosis: No investigation is needed.
    • Child may be given mist treatment (humidified air) in addition to a single dose of a glucocorticoid medication. The most frequently used glucocorticoid is dexamethasone.
    • Coughing can be treated with warm, clear fluids to loosen mucus on the vocal chords. Warm water, apple juice, or lemonade is safe for children older than six months.
    • Smoking in the home should be avoided; smoke can worsen a child’s cough.
    • Keep the child’s head elevated. A child may be propped up in bed with an extra pillow. Pillows should not be used with infants younger than 12 months of age.
    • Other therapies, such as antibiotics, cough medicines, decongestants, and sedatives, are not recommended for children with croup. Antibiotics do not treat viruses, which cause most cases of croup.
    • Parents should not leave child unattended for long time especially during night so that they will be immediately available if the child begins to have difficulty breathing.

Unfortunately, there is no way to prevent croup. There are no vaccines against most of the viruses that can cause croup.

Simple hygiene measures can help to prevent infection with the viruses that can lead to croup. These measures include:

  • Frequent hand washing with soap and water.
  • Use of alcohol-based hand rubs.
  • Avoid close contact with other adults and children with upper respiratory infection when possible. This may be difficult, especially when in public, but parents can try to limit direct contact. In addition, infants or children who are sick should not be sent to day care or school as this can potentially cause others to become ill.
  • Yearly vaccination for the influenza virus is recommended for individuals older than six months, who are having repeated respiratory illnesses.

Whenever in doubt its always better to consult your child specialist/ Pediatrician.

stay healthy


Dr Rahul Varma

What does father go through once baby is born?



Being a father is never easy.

No doubt Mothers go through a lot in upbringing of child (and that is incomparable), but father is always caught in a dilemma how to react to this new situation at home.


They have mixed feelings, they want to help and take care of child but they are also scared regarding how to go about it. Dealing with small baby is never easy. Fathers are anxious (as they might hurt the child).

What need to be done is spend time with newborn and mother. Observe closely and help mother in daily routine of baby care. Which include changing diaper, burping the child, keeping the child in your lap, bathing , clothing etc.

fathe rcartoon

As you will spend time and start helping, you will grow in confidence and will start enjoying child care.

Trust me, the joy and happiness which a child brings with him is awesome. The smiling face of your child can make you forget all the tension of life.

So relax and enjoy the next phase of your life.


For any queries feel free to contact your child specialist or meet us at Maya Clinic.



Dr Rahul Varma

“Healthy kids, Happy Family”

How to prevent tooth decay in children ?


Tooth decay is common illness in children and a cause of worry for most parents.


It develops in mouth when acid producing bacteria infects the tooth. Also seen when prolong exposure of sugar containing food or liquid occurs.


Things which can be done to prevent tooth decay:

  • Gently wipe the mouth of child with a wet cloth after every feed.
  • Clean teeth and gums after at regular interval.
  • Do not put the child to bed with a bottle.
  • Give sips of water after every meal.
  • Do not give snacks or meals which are high in sugar or starch containing food.
  • Brush tooth twice daily.


Always consult your Dental doctor in case of any query


Dr Rahul Varma