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Question
QUESTION: Dear Doctor,
My daughter is 4 month old. She takes milk only when she is fallen asleep. The doctor gave medication for ear infection. She has completed the course. Again the result is negative. Is she is having any other problem. Any infection in stomach? She is passing greenish yellow stool.

ANSWER: Hi Dinsha,

Green coloured stools are normal in a 4 month old baby, especially if baby is looking wel otherwise.

Baby should be fed whenever baby is hungry and NOT in sleep. If you still have problems, please discuss about feeding technique with your pediatrician.

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

www.KumarChildClinic.com

+91-9818356846

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

QUESTION: Dear Doctor,
My daughter is 16months old. Her weight is 8kg. She likes only breastmilk and refuses to eat other solid foods. During night time she wokes 4 to 5 times to have milk. How to make interest in other foods or I should stop breastmilk?

Answer
Hi Dinsha,

I hope you started introducing solid foods at 6 months of age, since that is the best time to start. It is more difficult to start solids once baby is older and is habituated to take only milk.

You should not stop breastfeeding, but always try to give solids whenever baby is hungry. Give mashed, soft diet first and gradually move towards more solid diet. Whatever you give has to be rich in fat (i.e., it should have extra oil/ ghee/ butter) so that baby gets lots of calories even with intake of small amount of food. You  would need lot of patience and consistent efforts to achieve this.

In case you are unable to succeed, please try to consult an occupational therapist who can help further in such cases.


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

www.KumarChildClinic.com

Pediatrics

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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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