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Pediatrics/Issues with New born´s health

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QUESTION: Hi Sir...

Good day to you.

I have been blessed with baby girl on 16Nov,13 and now is 2 Weeks old approx. She weighs about 6 pounds at the time of birth. She got jaundice on 3rd day after birth and so far its still with her, though its get lighter but as per experienced parents the jaundice had to be gone within this duration.

Another issue is that her naval (naaf) is still remains wet with blood and with some yellow fluid. Can we use pyodine for this???

One more thing that motherfeed is insufficient for her so as per Dr. advise, we started to give her LACTOGEN 1 with the motherfeed but after taking LACTOGEN, she releases the motion within 15 mins.

Need your advise to overcome these issues.

ANSWER: Hi Jahanzaib,

You must consult your pediatrician to get the baby assessed for degree of jaundice. Your pediatrician after assessing would advise further tests and treatment, if required.

Again, for naval problem also, your baby does need to be examined by her pediatrician.

Please don't delay consultation any further for above 2 issues.

By giving formula milk only the mother's feed goes low. You should not give ANY milk other than mother's milk till 6 months of age and even after 6 months, solid diet is added, while continuing with mother's milk ONLY. Mother's milk is BEST: Why give anything else to baby? Please discuss about this also when you consult baby's pediatrician for jaundice/ naval.

Best wishes,

Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

+91-9818356846




---------- FOLLOW-UP ----------

QUESTION: Hi Sir,

Good Day to you.

We went to the Pediatrician and he also forbid us to give anything else other than mother's milk. I told him that her MOM is low on feed. He advised MAXOLIN (tablet) for the MOM to take once in the night for 15 days but my baby remains hungry. She needs more. For this, we do not have any other option but to give her Lactogen to fill her stomach. She is also having Gastric issue. For this, we are giving her DIGAS (colic drops) 4 drops thrice a day but  So many times in a day she releases gas. Also note that whenever she starts to cry, she start in a way like she is having cough but it is not cough. Also we gave her Panadol drops when had fever after first Vaccination. Need your advise please.

Regards

JB

Answer
Hi Jahanzaib,

If mother has less feed, the best way to increase it is: Let mother have lot of water, sufficient milk (1 L/ Day) remain calm (anxiety and pain decreases milk) and FEEDING MORE...By giving Lactogen or any other milk, breast milk will be SUPPRESSED (rather than increase).

Let me explain: If mother feeds the baby and then "tops it" with formula milk, baby will get sufficient milk and will sleep longer. Mother's brain will interpret it as if too much milk was produced by mother: that's why baby is sleeping longer: hence, next time less milk will be produced, and ultimately there will be no choice but to give ONLY Lactogen: baby will be devoid of the golden properties of breast milk.

On the other hand, if mother's milk is less and no formula is given, baby will cry for feed frequently, and mother will have to feed more frequently. By frequent feedings, mesage to mother's brain goes that more and more milk is needed: This will automatically increase milk flow.

Remember, exclusively breastfed babies have lesser infections, higher IQ (by at least 8 points) and even lesser chances of lifestyle diseases (diabetes and hypertension, etc.) in later life.

Yes, MAXOLON tablet (metocloperamide) also helps in enhancing breast milk.

Gas is NORMAL in babies. It is just that breastmilk is 100% digested and only "residue" left is liquid and gases...hence stools are loose in babies and they pass lot of gas. No medicine is required for this normal phenomenon.


Best wishes,

Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

+91-9818356846

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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