Tag Archives: Best Pediatrician in Indirapuram

How to be safe in this season of viral infection ?

We all have gone through these viral infections whenever season is changing. But when it comes to your child, u want to be double sure that nothing serious is missed. As these infections mostly are viral , so antibiotics  medications have no role ( and we do not have any anti viral medication). Things gradually improve with time with supportive and symptomatic management.
Antibiotic as name suggests is against bacteria ( anti – biotic ).
So giving unnecessary antibiotics,  will not make any difference in total duration of illness rather it can cause more harm in form of antibiotic resistance and side effects.

Proper hand washing and maintaining hygiene is best way to protect your child.

Danger signs which we should be careful of are

1. Fast breathing 
            ?   > 60 /minutes in children less than 2 months of age
?   > 50 in 2 to 12 months
?   > 40 in children > 2years

2. Chest indrawing (means to get adequate oxygen into the lungs , child has to put extra efforts andnuse accessory muscles for breathing).

3. Poor oral feeding by child ( apetite in general is decreased in any illness but if not taking even sips of water warrants immediate attention)

4. Poor activity/ lethargy (a child who is irritable and cranky is still better than child who is totally exhausted and not interactive and is dull )

So if above danger signs are present, they are suggestive of severe chest infection. Do not wait and show to your pediatrician immediately.
Another  point which I wanted to highlight is that intensity of fever is not always in co relation with severity of illness i.e. severe pneumonia can have low grade fever and simple viral fever can have high grade fever.

But whenever in doubt , it is always better to visit your pediatrician early rather then regret later.

Stay healthy

Regards
Dr. Rahul varma

“Healthy kids, Happy family”

Donate Blood: It feels nice and you can save upto 3 lives

 

Donating blood is one of the best things anyone can do. Anyone of us adults can donate blood. Proper checkup of the person is done prior to blood donation.

Invitedtodonate 

Advantage of blood donations are

  • Our bone marrow is stimulated and new red blood cells are produced.
  • It helps our heart to function more effectively.
  • Due to flow of new red blood cells our body feels rejuvenated and strong.
  • It also burns few calories
  • You get to know your blood group. And also few screening tests are done.
  • Best is “Acchha lagta hai”. It feels really good to know that you could possibly save 3 lives.

So Are You All Set to – DONATE BLOOD

DOnate-Blood (1)

Facts you should know:

  • There is No alternative for blood. (It cannot be artificially made, so in case of emergencies the blood which we donate can be used)
  • Anyone  between 18 to 65 years of age can donate blood.
  • Proper blood tests are done prior to taking blood, and if the donor is unfit or has low Hemoglobin, donation will not be done.
  • We can donate blood every 3 months.
  • Actual blood donation takes 6 -10 minutes. And whole procedure from registration to post donation refreshments take 25 to 35 minutes.
  • It takes 24 hours to replenish blood volume.
  • Donor’s blood will be tested for various diseases before it is deemed fit for transfusion.
  • You get a free mini health check up in form of weight, height, BP monitoring and various blood tests absolutely FREE.
  • You can donate anytime at any authorised blood bank or at various donation camps.
  • Please Donate because Your Blood can ‘SAVE LIFE’

Blood for humans comes only from humans; "DONATE BLOOD ,SAVE LIVES"

Blood for humans comes only from humans;
“DONATE BLOOD ,SAVE LIVES” 
List of Blood Banks in DELHI-NCR
AIIMS : 011-26594874, 09868397040
AIIMS TRAUMA CENTRE : 011-26731168,09868397275
Apollo Blood Bank : 011-26825707
Central Polyclinic 3, Gagan Vihar, Karkari Morh, Delhi : 011-22526347
G B Pant Hospital : 011-23234242, 011-23235059, 09718599003
Guru Teg Bahadur Delhi :011-22586262, 011-22130973
Indian Redcross Society 011-23711551, 09313999748
LHMC 011-23408271, 09818359888
Lifeline Nehru Nagar Ghaziabad 0120-6568739
Lions Blood Bank: 011-42258080, 011-42258494
LNJP Hospital (Irwin): 011-23231471, 011-23231023
Moolchand Blood Bank: 011-42000476
Narender Mohan Hospital: 0120-2733435
Pushpanjali Hospital: 0120- 4188000
R M L Hospital: 011-23348033, 09810626226
Safdarjung Hospital: 011-26168470, 9810850998
Yashoda Hospital: 0120-2777841-44, 0120-2750001-05

 

Regards

Dr Rahul Varma

New born Babies: What to expect during first year of Life

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With the arrival newborn babies, all eyes are on baby. Your whole world now revolves around him/her.

Once the initial period of anxiety and fatigue is over, real test of characterstarts. Sleepless nights, doing things which you have never done before (cleaning potty, changing diapers, preparing feeds for babies, giving bath to the little one, making baby sleep in your lap etc) can be really demanding as well as pleasurable.

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Parenting Tips:

·         Talk to your baby as much as you can, your smile means a lot to your baby. Sing to your baby, read stories, play light music. React positively to every sound baby makes.

·         Babies want your attention all the time. You keep playing with them and they will be happy but the moment you leave them alone they will start howling.

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·         They are part of you only (baby is made from genes of both the parents); so they have all the emotions which you have. They feel happy, sad, agitated, and anxious, want your love and attention and feel secure in your arms. But they have only one way of expressing their feelings and that is crying (more so in younger kids less than 3 months).

·         So every crying baby is not necessarily hungry or in pain. They might just want your attention and love and the moment you cuddle and hold them they will stop crying.

·         Once the child start moving it is important to keep child in safe environment i.e away from sharp objects and prevent from falling down from bed.

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·         Do not shake the baby; slow rocking movements are better to calm the baby.

·         It is better to make sure your baby sleep with back to bed (especially when unsupervised).

·         Use car seats while travelling; believe me they are much safer (especially with the rapid increase in road traffic accident in India).

·         Avoid warm fluids (water, milk, tea, coffee etc) near child and prevent burn injuries (hot cup of tea is common cause of burn in small children).

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·         After 6 months of age; when you start giving food, make sure it is properly mashed and give in small bites only to prevent choking.

·         Vaccinate your child on schedule. Prevent from infections as much as possible; wash hands regularly.

·         Most important is to take care of your health as a parent. Because you can give your 100% in baby care only when you are physically, mentally and emotionally fine.

paternity-presumption

·         Have faith in your abilities and listen to your inner feeling.

 

Feel free to contact your pediatrician and discuss in detail all your queries related to babies (never think your question might be silly).

We at MAYA CLINIC will be more than happy to answer any of your queries.

 

Regards

Dr Rahul Varma

Antibiotic resistance: Big concern in present scenario

antibiotic_misuse (mayaclinic.in)

Antibiotic Resistance is a big issue nowadays with indiscriminate use; more so because in India it is easy to get it over the counter from most of the medical shops.

Most of the infections occurring in children during seasonal change are viral infections. Most common symptoms are cold, cough, loose motions along with fever and any amount of antibiotics will not lead to early recovery if it is an viral infection.

Antibiotics, (anti-biotic) means ” against Bacteria” and for viral infections we need “anti-viral medications”. And unfortunately there are no antiviral medication routinely available.

In Viral Infections ,there is no need of antibiotics, as they are not effective  and causes resistance in long term. And when we will be really needing it , then they might not work as resistance has developed.

Another reason of antibiotic resistance is not completing full course of antibiotic i.e. leaving medicines in between once patient starts feeling better.

 

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Need of hour is to create awareness regarding ” Judicious Use of Antibiotics”

  • in community
  • among medical fraternity
  • Avoid self medications/ taking medicines from chemist directly without proper prescription.

Regards

Dr Rahul Varma

Do you read to Your Child? Reading is a must for healthy mind

Reading is one of the best habits. And when you read to your child not only it increases a bond between two of you but also have lots of other benefits. It can be started at any age , younger the better.

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Your children will thank you later for this habit. Books are the biggest source of knowledge, developing skills, knowing about personalities from world over and what not. The list of benefits is endless, I will highlighting a few of them.

 

Following are the benefits of Reading to your kid.

  1. It Stimulates your child’s senses in positive way
  2. Reading improves Imagination of your child. Various story books, fairy tales, and other cartoon character will become part of their lives.
  3. Thinking capacity of your child increases. Improves memory of your child. Cognitive development is better.
  4. You spend quality time with your kids. Your children will love you for it.
  5. Faster brain development due to proper stimulation of vision, hearing and imagination. Child recalls colors and shape, better than child who is not reading.
  6. Faster learning in children. As your child will be reading different books, it will help in developing good habits, social skills, moral values and they will know about the world.
  7. Child will have a head start in schooling over other kids
  8. Increase knowledge base of your child. Child will have better analytic skills.
  9. It increases vocabulary as well as writing skills of children as they understand letters better.
  10. Reading will help making a strong bond between two of you.                                                           reading 2
  11. You are Inculcating good habit which reaps big dividend in future
  12. Reading just before bedtime will help in inducing good sleeping habit.
  13. Keeps child away from bad effects of watching TV for long hours. It will decrease screen time and will aid in over all better health.
  14. If you read out loud and act play with them it can even be better.     reading-aloud
  15. It will be a memorable experience and you too will enjoy. You will love the smile on your child’s face; which in turn brings happiness to you. It takes away all the stress of life from you for that moment.

kids reading 2

 

If I have to summarize in one line I would Say ” Reading to Mind ,what Food is to Body”. Make it a habit and reap benefits all your life.

nothing like reading

Regards

Dr Rahul Varma

“ Healthy kids, Happy Family”

Newer Guidelines with few changes in IAP Immunization Schedule, October 2014

travel_clinic_vaccinations

“Few Changes in Immunization schedule for 2014″

1. at 9 months MMR in place of Measles, 2nd dose @ 15 months, no dose @ 5 years
2. Live Hep A single dose only , Killed to have 2 doses
3. Rotavirus, DTP vaccine , same stand as before
4. Typhioid-TCV cojugate can be started @ 9months with booster @ 2 years (No need to re vaccinate every 3 years).
5. Cervical Vaccination in 9-14 years, only 2 doses 6 months apart.

New IAP Vaccination Guidelines as per october 2014

For Parents , it is best to discuss with your child specialist. Your doctor is in best position to prepare vaccination schedule for your child as per latest recommendation.
 http://indianpediatrics.net/oct2014/785.pdf

Regards

Dr Rahul varma

 

You can save a life by giving Hands-only CPR !

 

  CPR (mayaclinic.in)

“Anyone can learn CPR and everyone should”

  • Sudden cardiac arrest is one of the leading causes of death worldwide. Many of these lost lives can be saved if a person nearby knew how to do CPR (cardiopulmonary resuscitation) or simply hands- only CPR.
  • You will be surprised to know that it is easy to perform and can be done by anyone. There is no need for any knowledge reading science i.e.  it can be done even by an illiterates . It just need strong will on your part to know it.
  • Sudden cardiac arrest is not the same as a heart attack.
  1. Sudden cardiac arrest occurs when electrical impulses in the heart become rapid or chaotic, which causes the heart to suddenly stop beating.
  2. A heart attack occurs when the blood supply to part of the heart muscle is blocked. A heart attack may cause cardiac arrest.

 hands-only-cpr

Reasons why you should know it

  • It saves many lives should be a good enough reason for you to learn it. Chances of a person surviving a sudden cardiac arrest increase significantly if CPR is started early. Effective bystander CPR provided immediately after sudden cardiac arrest can double or triple a victim’s chance of survival, but unfortunately very few cardiac arrest victims get CPR from a bystander in India.
  • More than 80% of heart attack occurs at home, so chances are you will be saving a person’s life that you love. Put very simply: The life you save with CPR is mostly likely to be someone you love.
  • CPR is not done by many due to various concerns like doing harm to person, doing harm to oneself, reason of hygiene, chances of getting infected or getting into legal hassles. But once you know the proper technique you will realize, you can only do well to a dying person without risking your health. Don’t be afraid; your actions can only help.
  •  Giving mouth to mouth resuscitation is not necessary: Most common reason why people are afraid of giving CPR is that they might have to give mouth to mouth breath. Guidelines in 2010 changed which clearly says that without formal training you should attempt hands-only CPR.  I strongly feel, all of us should know how to do chest compression even without mouth breathing. In many adults hands-only CPR has been found to be equally effective. (Although in children it is different and reasons of sudden cardiac arrest are different)
  • Hand-only CPR is very easy to learn: It can be easily performed
  • Unnecessary deaths can be prevented which occur due to poor response to cardiac emergency.
  • You can learn how to give Hands-Only CPR by watching a simple one-minute video at heart.org/cpr. (In India, call 102 instead of 911)

cpr

Once you have learned CPR, You can teach others too. Give 5 people you care about the power to save lives by equipping them to act quickly in a crisis.

Don’t be afraid; your actions can only help.

mayaclinic.in

If you see an unresponsive adult who is not breathing, call 102(call for help from others nearby) and push hard and fast on the center of the chest.

But before starting CPR make sure your life is not in danger (eg. No moving vehicle nearby, no chances of accident)

SEE A VIDEO, SAVE A LIFE
You can prepare yourself to act in an emergency by simply viewing the Hands-Only™ CPR instructional video(In India, call 102 instead of 911)

correct posture while CPR

The American Heart Association has recommended Hands-Only  CPR for adults since 2008.

Feel free to contact any nearby hospital to learn CPR.

Regards

Dr Rahul Varma

 

Congenital Hypothyriodism

Can my child have thyroid related problem at birth? YES, read on.

Congenital Hypothyroidism (CH)

Congenital Hypothyriodism    

Hypothyroidism is condition in which thyroid gland does not produce thyroid hormone in sufficient quantity. And if this condition is present right from birth, it is called Congenital Hypothyroidism (CH).

Congenital Hypothyroidism (CH) is most common preventable cause of Mental retardation in children.

It is also known as Cretinism, Endemic Cretinism (Iodine Deficiency), Congenital Myxedema.

Hypothyroidism is usually an age related change seen in older people, especially ladies. However its incidence is on a rise in younger population too.

physiology of CH

Newborn babies are also vulnerable; more so because there are no specific symptoms which can lead to early diagnosis. Because of this reason most of the private hospitals are now doing cord blood testing (Newborn Screening) to rule out thyroid related illnesses.

Good news for parents is that it can be diagnosed easily by testing (Newborn screening) and can be treated comfortable; so that child can live a normal life just like any other baby.

Hypothyroid in children

Signs and symptoms

Most of the children are asymptomatic (due to trans-placental transfer of maternal thyroid hormones)

If symptomatic; then following are the features

  • Prolong Jaundice during first few weeks of life (earliest sign)
  • During first month of life there is feeding difficulties (Sluggishness , sometimes even choking spells during nursing)
  • Lack of interest, Somnolence (sleepy all the time), large head size (due to myxedema).
  • Breathing difficulties due to large protruded tongue, also noisy breathing, nasal obstruction
  • During 1st year of life babies are sleepy all the time, have poor appetite, cries very little and sluggish most of the time.
  • Large protruded abdomen mostly has umbilical hernia.
  • A puffy appearance to the face. Dull looking
  • Cold to touch and mottled skin, edema of genital region and extremities
  • Constipation not responding to treatment
  • Poor muscle tone
  • Anemia can be there
  • Developmental delay
  • Slow heart rate

CH-mayaclinic

In children and teenage it can lead to

  • Poor growth leading to in short stature
  • Delayed eruption of teeth
  • Delayed puberty
  • Poor mental development

anatomy of thyroid gland

Thyroid gland is a butterfly- shaped organ at base of the neck.

 Hypothyroid

Causes:

  • Absent (agenesis) or (abnormal location) ectopic in location or underdeveloped
  • Genetic causes:  about 15% of cases are thought to be inherited
  • Iodine deficiency in mothers
  • Use of anti thyroid medicines in mothers

 Diagnosis: It is done by newborn screening in most cases

newborn screening

 Management:

  • Hormone replacement is the treatment (Safe and easy in children too)
  • L-thyroxine tablets are small and can be crushed into food or dissolved into a small amount of formula, juice or other liquid. No liquid formulation is available.    thyroid_treatment
  • Child specialist along with Pediatric Endocrinologist will treat children with thyroid or any other hormonal problems
  • Treatment to be started as soon as diagnosis made; since damage to brain once done can never be reversed
  • Overdosing of L-thyroxine in children can lead to
    • Faster heart rate
    • Loose motions
    • Poor sleep
    • Shakiness or tremors
    •  Soy-based formulas and Iron supplements can reduce the absorption of thyroid hormone.
    • Regular monitoring of child every few months
    • Developmental assessment

Congenital Hypothyroidism, before and after treatment (mayaclinic.in)

FAQ

Q. My child is too small? What if I do not treat my child?

Ans. It can lead to Mental retardation and developmental delay in children. Damage once done can never be reversed.

Q. Is it genetic disease?

Ans. About 15% cases are inherited and genetic counseling need to be done. Genetic testing can be done using blood sample.

Q. What are the tests need to be done to confirm it?

Ans.  If newborn screening is positive:

  • then blood tests are repeated after 72 hours of life which includes TSH, T4,T3.
  • Thyroid Ultrasound and Scan need to be done in certain cases

diagnosis of CH

Q. Can it be diagnosed during pregnancy?

Ans. NO

Q. Can elder siblings also have it?

Ans. If elder siblings are growing well, healthy and developmentally normal. Most likely the answer is NO.

For Any queries related thyroid disease or you want to discuss any other health related issues feel free to contact MAYA CLINIC. Or discuss with your child specialist.

Regards

Dr Rahul Varma

 

Fever, chills, headache during rainy Season? It could be Leptospirosis!

 

 Fever, chills, headache during rainy Season? It could be Leptospirosis!

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Leptospirosis is most common zoonotic (Spreading from animals) disease worldwide. It is still widely overlooked and under reported.

Without treatment, Leptospirosis can lead to kidney damage, meningitis (inflammation of the membrane around the brain and spinal cord), liver failure, respiratory distress, and even death.

It spreads via urine of infected animals which can get into water and soil and survive there for weeks.

 Leptospira_interrogans_strain_RGA_01

Animal which commonly causes this disease are cattles, rodents, dogs, horses, pigs etc. Animals might be asymptomatic and continue to excrete the bacteria into environment.

EID_Leptospirosis_AcsB_1

It Spread to Human via

  • contact with urine (or other body fluids except saliva) from infected animals
  •  Ingestion of contaminated food or water
  • Direct contact over cut or wound (eg splash of infected water over eyes, nose or broken skin & mucus membrane)

 

Symptoms

Leptospirosis has a wide range of symptoms which could be similar to other illness as well. But common ones are:

leptospirosis

  • High fever, with or without chills
  • Headache
  • Muscle aches, body ache
  • Vomiting
  • Jaundice (yellow skin and eyes)
  • Red eyes
  • Abdominal Pain, Diarrhea
  • Rash

Incubation period ranges from2 days to 4 weeks. Can occur in 2 phases: 1st with acute febrile illness followed by more severe involving multi organ dysfunction “Weil’s Disease”

 model_lepto

Who is at Risk?

  • Occupational hazard eg farmers, mine workers, sewer workers, slaughterhouse workers, veterinarians and animal caretakers
  • Recreational hazard eg swimming in contaminated water , camping outdoor sports. More common in tropical and temperate climate
  • Incidence of Leptospirosis infection among urban children appears to be increasing.

 lepto-infection

How to diagnose?

It is completely curable if diagnosed early and treatment started on time.

Consult your doctor immediately. Doctor will order few tests which may include dark field microscopy, Culture, leptospirosis Serolgy (IgG& IgM) and PCR.

How to manage?

Avoid self medication

Leptospirosis is treated with antibiotics, such as doxycycline or penicillin, which should be given early in the course of the disease. It should be taken only after consulting doctor, in appropriate doses and for proper duration.

Intravenous antibiotics may be required for persons with more severe symptoms.

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How we can prevent it?

  • Clean Water (boiled, RO )
  • Protective gears: while swimming
  • Protective clothing or footwear
  • Cover your would properly and avoid contact with contaminated water, taking shower in monsoon rain, going to river banks
  • Take care of pets. Consult vet doc
  • Clean your home regularly of rats and other animals

For further reading click on the link below

http://www.searo.who.int/entity/emerging_diseases/topics/Communicable_Diseases_Surveillance_and_response_CDS_leptospirosis-Fact_Sheet.pdf?ua=1

Feel free to discuss with your doctor or call us at MAYA CLINIC. we will be happy to respond back.

Regards

Dr Rahul Varma

 

How to manage Motion Sickness ?

Motion sickness

 

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Motion sickness as we all know happens while traveling. It is more common in young children.

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Motion sickness is very common while traveling especially to hilly areas. It can happen in any mode of transportation.

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Symptoms can start suddenly or gradually. Most common symptoms are Nausea, Vomiting, dizziness, sweating etc.  It usually stops as soon as we journey is completed. More frequent travelers have less of these symptoms.

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How to prevent it

  • Try to occupy the seat where minimum motion will be felt
  • Road Trip: better to sit in front seat or drive yourself
  • Train travel: Window seat and face forward
  • Plane travel: Seat over front edge of wing is better. Direct the air vent flow towards your face
  • By water (Ship): try to get front or middle cabin which is near the water level.

 motion-sickness-prevention-and-treatment-pyramid

Treatment options:

  • Focus on distant stationary object. Do not stress yourself and avoid reading.
  • Try to keep your head still
  • Avoid smoking
  • Avoid spicy food or heavy meals
  • Avoid Alcohol
  • Drink carbonated beverage to help settle stomach or Eat dry crackers

 

motionsickness

  • Drugs:
    • Antihistaminics: 30 to 60 minutes prior to journey
    • Transdermal Patch
    • Hyosine (Buscopan)
    • Phenergan (Promthazine)

These drugs should be given only under medical supervision after advice from your doctor.

Scopoderm_Patches_1.5mg-1       patch MS

For detail reading log on to below mentioned link

http://motionsickness.org/

 

Dr Rahul varma