Tag Archives: best Pediatrician vasundhara Ghaziabad

Avoid use of video games: Buy a Bicycle instead


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!


Teen Talk: Do ‘The Talk’ Without Being Embarrassed

Teen Talk-mayaclinic

In this age of the Internet and information at our fingertips, most parents find it easy to shrug off or completely avoid responsibility of talking about physical intimacy (read: sex) with their children, thinking that the teenager probably knows more about it than they do.

This train of thought is completely incorrect. It is your responsibility as a parent to talk to your kid and make them understand that any visually graphic content that they may or may not be exposed to is not the complete truth.

Talk about the monthly cycle

The first and foremost rule is to have ‘the talk’ early. There is nothing wrong in letting your child know the reason why you do not enter a temple on certain days etc. You may explain that a mother’s body prepares itself to have a baby every month by producing an egg. When mother does not have a baby, the egg falls off from the area where we pass urine. This process takes a couple of days and we do not enter holy places during those days.

Always be open to questions and truthful. This will ensure that your children will trust you and listen to you when they are older.

Skip the sermon

Never give a sermon or lecture to your children or they will tune out before you blink. Try to start a conversation by asking neutral open-ended questions such as whether they discuss about sex with their friends or they have friends who talk about sex. Understand that their curiosity is natural and do not make them feel embarrassed about it. Most importantly, listen to them and let them know that you are always available for them. A conversation is a two-way process.

Prepare in advance

The worst thing that can hamper an open and friendly dialogue about sex is not being prepared when, and if, your teen approaches you about it. Prepare yourself in advance about how to approach the conversation and answer possible upcoming questions. Do not show embarrassment even if you feel embarrassed. Be composed and calm at all times.

Do not judge

While having a conversation, simply keep in mind that your teen is much more exposed and aware and has more knowledge about sex than you had at their age. Therefore, arm them with adequate information about the pitfalls of pre-marital sex, and the dangers of an unexpected or early pregnancy. If you are the parent of a boy, your responsibility doubles itself. The last thing you would want for your young ‘innocent’ boy is to be responsible for emotional trauma and pain for someone he might care a lot about.

Tell them that sex is a natural act of expression of love and respect and not a tool for displaying ‘cool attitude’.

Burn injury in children

burn 33

  • Hot water burns like fire
  • A scald is the most common form of burn seen in children, caused by hot water or liquid. The hotter the liquid and the longer the time the skin is exposed to it, the more severe the injury.
  1. Keep all hot liquids out of reach of young children.
  2. Keep young children out of the kitchen when cooking.
  3. Check bath temperature before placing your child in it.
  4. Never leave your child unattended by an adult in the bathroom.
  • First aid for all burn injuries
  1. Remove any clothing.
  2. Apply 20 minutes of cool running water.
  3. Cover with a clean cloth or clean plastic cling wrap.
  4. Seek medical advice if the skin is broken or the burn area is larger than a 20 cent piece.


Dr Rahul varma

What we need to know regarding Stuttering or Stammering?


 22nd October every year is celebrated as ISAD (International stuttering awareness Day). main purpose of this day is create awareness among general population regarding need to involve people who stammer/ stutter into mainstream and give them opportunity to excel by listening to them patiently.


  • It is not caused due to nervousness.
  • It is not caused by Parents.
  • Stuttering is not associated with low intelligence.
  • Severity of stuttering varies from situation to situation.
  • It cannot be caused by someone trying to copy someone who stutter.
  • Stuttering severity often varies from situation to situation.
  • It is not caused due to adverse life events like parental separation, operation in childhood etc.
  • NO CURE for it. Various treatment options available helps children and adults to manage it better.


What we can do to help?

  • Listen patiently.
  • Do not interrupt the person who is stuttering; do not try to complete their words and sentence.
  • Try to hear the content rather than how it is being said
  • Normal eye contact with the speaker who stutter is helpful.




Dr Rahul Varma

Swimming pool safety tips for kids to prevent water borne diseases

Water illnesses can happen when someone has contact with, swallows, or breathes in water that is contaminated with germs. This can happen in a swimming pool, hot tub, water fountain, water park, lake, or ocean.

Most such infections are diarrhea-related and often are caused by the parasite Cryptosporidium, which normally lives in the gastrointestinal tract and is found in feces (poop). Other infections can affect the skin, eyes, ears, and respiratory tract. Kids, pregnant women, and people with weakened immune systems can be the most affected by these infections.

A few tips to protect against recreational water illnesses:

  • Kids with diarrhea should not swim.
  • Take kids on bathroom breaks often and change swim diapers often (not at the poolside).
  • If you are taking a baby in the water who is not potty trained, use a swim diaper.
  • Wash hands after using the bathroom or changing diapers.
  • Avoid swallowing or getting water in your mouth.
  • Keep a pool’s water clean by showering before entering the pool.
  • After swimming, dry ears well with a towel/washcloth, tilting each ear down to help water drip out of the ear canal. This can help prevent swimmer’s ear (an ear infection due to trapped water in the ear canal).



Dr Rahul Varma

Coping with Stress in Kids


How to cope with stress in Kids?

Question: To many of us, childhood might seem a very carefree time without any stress. Kids do not have to pay bills, think about job, relationship etc. SO what could kids be worried about?

Answer: Plenty!!!

Every kid worries a lot and has plenty to stress about.

Source of Stress for kids:

  • Sepration Anxiety: When starts going to day care to preschool
  • Too busy a schedule for kids: Many parents overschedule their kids with lots of extracurricular activities (many a times to fulfill their dreams rather than kids)
  • Parental discord or distress: Parents should watchful when they discuss their professional issues or personal issues at home when kids are nearby (as kids are always watching or listening).
  • Media/ TV Screen: media can provide disturbing videos or images which can cause distress to the child.


Let your kids know that you understand they’re stressed and don’t dismiss their feelings as inappropriate.

As a parent, you can’t protect your kids from stress — but you can help them develop healthy ways to cope with stress and solve everyday problems.

Signs/ Symptoms:

  • Change in moods, change in sleep pattern, bed wetting, thumb sucking , change in academic performance etc
  • Some kids might even complaint of stomachache or bodyache too


Kids deal with stress in both healthy and unhealthy ways. And while they may not initiate a conversation about what’s bothering them, they do want their parents to reach out and help them cope with their troubles.

How to manage stress in kids?

It’s not always easy for parents to know what to do for a child who’s feeling stressed.

Most important is to spend Quality time with your kids. By quality time I mean doing what kids want, rather than making them do what is easier for you.

Proper rest and good nutrition will help in coping with stress better.

Some of the things which you can try are:

  • Notice out loud.Tell your child when you notice that something’s bothering him or her. If you can, name the feeling you think your child is experiencing. (“It seems like you’re still mad about what happened at the playground.”) This shouldn’t sound like an accusation (as in, “OK, what happened now? Are you still mad about that?”) or put a child on the spot. It’s just a casual observation that you’re interested in hearing more about your child’s concern. Be sympathetic and show you care and want to understand.
  • Listen to your child.Ask your child to tell you what’s wrong. Listen attentively and calmly — with interest, patience, openness, and caring. Avoid any urge to judge, blame, lecture, or say what you think your child should have done instead. The idea is to let your child’s concerns (and feelings) be heard. Try to get the whole story by asking questions like “And then what happened?” Take your time. And let your child take his or her time, too.
  • Comment briefly on the feelings you think your child was experiencing.For example, you might say “That must have been upsetting,” “No wonder you felt mad when they wouldn’t let you in the game,” or “That must have seemed unfair to you.” Doing this shows that you understand what your child felt, why, and that you care. Feeling understood and listened to helps your child feel supported by you, and that is especially important in times of stress.
  • Put a label on it.Many younger kids do not yet have words for their feelings. If your child seems angry or frustrated, use those words to help him or her learn to identify the emotions by name. Putting feelings into words helps kids communicate and develop emotional awareness — the ability to recognize their own emotional states. Kids who can do so are less likely to reach the behavioral boiling point where strong emotions come out through behaviors rather than communicated with words.
  • Help your child think of things to do.If there’s a specific problem that’s causing stress, talk together about what to do. Encourage your child to think of a couple of ideas. You can start the brainstorming if necessary, but don’t do all the work. Your child’s active participation will build confidence. Support the good ideas and add to them as needed. Ask, “How do you think this will work?”
  • Listen and move on.Sometimes talking and listening and feeling understood is all that’s needed to help a child’s frustrations begin to melt away. Afterward, try changing the subject and moving on to something more positive and relaxing. Help your child think of something to do to feel better. Don’t give the problem more attention than it deserves.
  • Limit stress where possible.If certain situations are causing stress, see if there are ways to change things. For instance, if too many after-school activities consistently cause homework stress, it might be necessary to limit activities to leave time and energy for homework.
  • Just be there.Kids don’t always feel like talking about what’s bothering them. Sometimes that’s OK. Let your kids know you’ll be there when they do feel like talking. Even when kids don’t want to talk, they usually don’t want parents to leave them alone. You can help your child feel better just by being there — keeping him or her company, spending time together. So if you notice that your child seems to be down in the dumps, stressed, or having a bad day — but doesn’t feel like talking — initiate something you can do together. Take a walk, watch a movie, shoot some hoops, or bake some cookies. Isn’t it nice to know that your presence really counts?
  • Be patient.As a parent, it hurts to see your child unhappy or stressed. But try to resist the urge to fix every problem. Instead, focus on helping your child, slowly but surely, grow into a good problem-solver — a kid who knows how to roll with life’s ups and downs, put feelings into words, calm down when needed, and bounce back to try again.


Parents can’t solve every problem as kids go through life. But by teaching healthy coping strategies, you’ll prepare your kids to manage the stresses that come in the future.

Most parents have the skills to deal with their child’s stress. The time to seek professional attention is when any change in behavior persists, when stress is causing serious anxiety, or when the behavior causes significant problems at school or at home.


(Many of the above lines are copied from various other website. The purpose of this article is to create awareness among parents).



Dr Rahul Varma

Fussy eater/Picky eater: What to do?

Almost every mother has one complaint that her baby does not eat well. What can be done?

Meal time is a stressful time for most parents nowadays. Kids just seem to resent routine home based food, and at the same time relish junk food and eating out. So in most cases fussy eating is more of a habit/ behavioral problem, rather than a medical cause.

So how do we get our fussy eaters to eat healthy ?

Here are few ideas as to how you can make meal time interesting for kids. Ask your kids to help you when you are preparing meals. Even little ones can help you with sorting vegetables, carrying small utensils etc.  Try to make food look appealing to kids. Experiment with variety, colors, size , shapes and texture.

picky eater

Meal time should be a family affair, with no distractions. Switch off the tv, and put down your phones and i-pads.  Set an example for kids by eating healthy yourself.

Offer fussy eaters a choice of foods from which they can choose. Encourage them to try new foods. Serve small portions initially and offer more later.

Discourage all-day snacking, though it may be tempting for you to keep offering your child snacks in between meals.

It is of utmost importance to have patience. Never force feed your child, it will create aversion for food. Imagine how you would feel if someone puts food forcefully in your mouth , kids hate it equally. Don’t worry much if your child misses a meal of two. Chances are that your child will eat once he/ she is hungry.

poor eater
If problem persists, Consult your child specialist. we need to rule out some nutritional deficiency as well. sometimes adding supplements like Iron can increase appetite (if the baby is anemic).

There is no magic medicine or tonic which can be given and your baby will start eating. We have to make effort, do things differently and be patient and most importantly do not be over obsessed with feeding of your child.

Read on the below link to know more.



Dr Rahul Varma / Dr Smitha Sairam

Feeding problems commonly faced by parents of young children

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

How to take care of your child’s EAR

Q.How to clean EAR?

Ans. No active cleaning is required as there are glands in the ear which cleans it naturally. No object should be inserted inside the ear canal, only the outer part of ear to be cleaned. No oil or any other liquid to be instilled; give medication ear drops only after consultation with doctor.

Q.What are common causes of pain in the ear in children?

Ans. Common causes are

  • Impacted wax (Cerumen)
  • Infection in ear canal
  • Infection in ear drum or middle ear
  • Trauma due to insertion of foreign objects like caps of pen, hair pin etc.

Ear pain should not be ignored and opinion of child specialist or ENT specialist should be taken.

Q.How to prevent ear infections?

Ans:Common measures to prevent ear infections are

  • Avoid Trauma: Educate children about not to insert anything in the ear
  • Do not let dirty water enter ear canal
  • Avoid feeding with bottle in lying down position
  • Do not Slap the child as it can damage the ear drum
  • Early diagnosis and treatment helps the spread of infection

Q.When to visit doctor?

Ans:ENT specialist opinion should be taken if

  • Persistent pain in ear
  • Ear discharge
  • Suspicion of hearing loss
  • Delayed speech
  • Difficulty in understanding of spoken language by child
  • Whenever in doubt, its better to consult rather than feel sorry later

Q.How long can a child listen to loud music safely?

Ans:Hearing hazard depends upon both level of noise and duration of exposure. It is best to avoid such situations and use well fitted ear plugs especially for babies.

Q.I enjoy listening to loud music through ear/headphones. Will it harm my hearing ability?

Ans:The risk of hearing loss increases as sound is played at high intensity (volume) and for long durations. It has been shown that listening through earphones at 95% of maximum sound volume for 5 minutes (with most devices) continuously will damage hearing. To protect hearing, volume should be minimized and breaks should be taken while listening through ear/headphones

Q.Is there any other function which ear has besides hearing?

Ans:Yes. Balancing and for maintaining posture. Inner ear is responsible for it.


Dr Rahul Varma