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QUESTION: Hello doctor,
My 7 mnth old daughter (first of twins)was born with low weight (1.5)
After 7 mnth also her weight is only 5 kg. My son(second baby of twins) is showing good weight gain.He has also started crawling .But my daughter is neither showing any progress towatds
crawling or roliing from back t o stomach.Is it because of her low weight? What can i include in
her diet ?She takes 90-100 ml simyl mct twice a day, breastfeeding twice a day, soft rice, nachni khir with cow milk once in a day.

Waiting for your comments.
Thanking you,
Jyotsna

ANSWER: Hi Jyotsna,

Relax! There is nothing to worry!

Normally babies triple their birth weight by 9 months of age. Your baby has more than tripled in 7 months...

I don't think baby requires Simyl MCT....continue with breastfeeding, soft diet, iron & multivitamin supplements...


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

+91-9818356846, +91-11-45535647

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

QUESTION: Thank you doctor for your instant reply. We were so worried about her weight.
Her pediatrician suggested simyl mct as to provide sufficient breast milk to both of my babies
If I am breastfeeding one baby, another baby takes formula milk.

Can I start cow milk in their diet?

Also my daughter have some black spots on her knees and buttockos. Initially they were so dark but now they have become less darker. Is it something thay we need to consult skin specialist?

Answer
Hi Jyotsna,

First, Simyl MCT is NOT a regular "infant formula"... It is to be used only in specific conditions: There are number of infant formulae available in market: Nan-2, Lactogen-2, Lactodex-2, Dexolac-2, Dexolac Premium-2, Enfamil 2, Similac-2, Similac Advanced 2, Farex-2, etc. You can choose any one.

NO, Animal milk is harmful for baby's health. Should not be used preferably till 2 years of age and strictly till 12 months of age. However, small amount of animal milk can be used to prepoare milk-ceral, and as curd...but MUST NOT be used as a drink.

I can't comment on skin spots without seeing the baby. What does your pediatrician say?

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

+91-9818356846, +91-11-45535647

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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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