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QUESTION: My baby's birthweight is 3kg. She completed 5 months yesterday. Exclusively breastfeeding her. She is quite active. Always keeps making some kind of sound, crawls, uses her knees sometimes, actively identifies me. My family doctor who is a general physician said the baby is perfectly fine and we find it with the baby's eyes if she has problem. But her weight is only 6 kg now (Born on July 9th). Is this fine? I am not sure whether I am producing enough milk. Can I take galact powder (friend suggested me). or is this right time to introduce solids to her? Also she has heat boils here and there. What shall I do for that? Being a winter season she often gets cold. WHat can I do the bring the mucus out? Doctor prescribed Ventorlin and Piriton Syrup for her. I stopped those now. Always has running nose and cough (occssional cough). One more thing doctor. Her face is fairer compared to  her body. Why is it like that?

ANSWER: Hi Swapna,

Your baby's weight is fine. Keep monitoring weight on growth chart: That gives best, yet easiet way to assess growth.

Cough suppressants like Piriton are best avoided in young babies. It s better NOT to give any medicine rather than suppressing cough in these young ones. Moreover, Ventorlin and Piriton work in opposite directions: Ventorlin helps in opening airways, so that it is easier for the baby to cough: and Piriton suppresses cough. So, giving both together doesn't help either way!

My advice would be to preferably consult a pediatrician rather than a family physician, if available in your area.

How to judge adequacy of breastmilk? If the baby is passing urine at least 6-8 times a day, takes feed for 15-20 minutes, leaves breast on her own and then sleeps for 2-3 hours after most feeds: that means baby is getting enough feeds. Ultimate assessment is weight-gain of baby as per the growth chart.

How to increase breast milk? By not feeding anything else; by remaining calm (anger, pain, anxiety, etc. decreases breast milk), by taking good, balanced diet and lot of milk and milk products and lot of water (taking a glass of water before feeding helps in increasing output); Don't forget to take your calcium supplements daily with milk. Products like Galact can also be used.

No, solids should NOT be introduced before completing 6 months.

No issues with complexion: It is just because skin of face is thinner than rest of body.

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

+91-9818356846, +91-11-45535647

www.KumarChildClinic.com




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

QUESTION: Sir, why it should not be given? I have stopped it now. The medicine does harm to the baby or it has side effects? I am worried for giving it.

Answer
Hi Swapna,

Cough, after all is a PROTECTIVE reflex. If there is some irritant in the throat/ chest, body tries to eliminate it by coughing out. Piriton is a cough suppressant. If you suppress cough in a 5 month old baby, who is otherwise also much more fragile than an older child/ adult to cough out the irritant: there is always a chance of harm. That DELAYS recovery. NOT giving any such medicine in MILD cough and cold is always better than giving cough suppressants. This is true for ALL age-groups: more so in younger ones.


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

+91-9818356846, +91-11-45535647

www.KumarChildClinic.com

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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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