Medical Info For Parents

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12/Sep/2025

Parents should avoid several common mistakes when caring for a child with high fever, as these can worsen symptoms or pose risks to health.

Key Actions to Avoid

Do Not Overdress or Overcover

  • Heavy clothing and thick blankets trap heat and can make fever worse; always use light clothing and a thin sheet.

Never Use Rubbing Alcohol, Ice Water, or Cold Baths

  • Rubbing alcohol can result in poisoning through skin absorption; ice water or cold baths can trigger chills and raise body temperature instead of lowering it.

Do Not Give Aspirin

  • Aspirin can cause Reye syndrome, a rare but potentially fatal condition in children with viral illnesses; stick to acetaminophen or ibuprofen but never aspirin.

Avoid Forcing Food or Excessive Fluids

  • Do not force-feed children who have lost appetite; offer food and fluids, but let them eat what they can comfortably tolerate.

Do Not Use Spicy Foods, Tea, or Very Cold Drinks

  • Spices and tea can raise body temperature and irritate the digestive tract, while very cold drinks can worsen discomfort.

Do Not Combine Multiple Fever-Reducers or Flexible-Dosing

  • Overmedicating or using different fever reducers simultaneously can cause harmful side effects and overdose risk.

Other Common Mistakes

  • Do not focus only on fever; always watch for other symptoms (like rash, repetitive vomiting, or lethargy) and seek medical care as needed.

  • Do not use inaccurate thermometers or fail to check temperature precisely; always confirm fever with an accurate device.

  • Never put objects in a child’s mouth during a seizure caused by fever; this can lead to choking or injury—focus on proper seizure first aid.

When to Seek Medical Attention

  • Never delay seeking a doctor’s help if a child is younger than 3 months with any fever, or if a fever persists, is very high, or is accompanied by concerning symptoms like dehydration or convulsions.

These precautions help ensure safe and supportive care during childhood fevers, preventing avoidable complications and promoting recovery.


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01/Sep/2025

Massage for newborns can offer significant benefits, but it must be done with care, following expert guidelines to ensure safety and maximize positive outcomes for both infant and parent.

Key Benefits of Newborn Massage

  • Promotes bonding: Physical touch during massage enhances emotional attachment, eye contact, and communication between parent and baby.

  • Aids sleep and relaxation: Regular massage can help a baby feel calmer, lower stress hormones, and support restful sleep.

  • Supports development: Massage may promote social, emotional, and cognitive growth, help with motor coordination, and strengthen physiological systems like digestion and immunity.

  • Reduces discomfort: Gentle abdominal massage can relieve colic, gas, or constipation, though tummy massage should only be done after the umbilical cord stump has healed.

Safety Tips and Guidelines

  • Timing and environment: Choose a quiet, warm space and massage the baby when they are calm and alert—typically about 30 minutes after feeding.

  • Use safe oils: Select gentle, baby-safe oils, avoiding anything with fragrance or harsh chemicals.

  • Technique:

    • Use gentle, firm (not rough) strokes, supporting joints like the wrist or ankle while massaging limbs.

    • Massage the tummy only in a clockwise motion (and only after the umbilical cord area is fully healed).

    • Avoid the spine directly—massage alongside it.

    • If the baby becomes upset, uncomfortable, or falls asleep, stop the massage.

  • Precautions:

    • Never apply strong pressure; always use the palm of the hand and soft finger pads.

    • Don’t massage if the baby is unwell, feverish, or immediately after feeding.

    • Never leave a baby unattended after applying oil—babies can slip and fall.

    • Watch for allergic reactions; stop if any redness or irritation appears.

    • After an oil massage, bathe the baby in lukewarm water and ensure the oil is washed off.

Simple Steps and Techniques

  1. Prepare a warm room with a soft towel.

  2. Use gentle strokes from the thigh to ankle and arm to wrist, always supporting the baby’s joints.

  3. Use gentle circles for the tummy (if appropriate), and a soft touch for the cheeks, forehead, and back of the baby’s neck and shoulders.

  4. Maintain eye contact and talk or sing to the baby throughout, to enhance bonding and relaxation.

  5. Be patient and keep sessions brief at first, increasing time as the baby gets used to massage.

When to Avoid Massage

  • If the baby is sick, has a fever, or is recovering from illness.

  • Immediately after or close to a feed (wait at least 30 minutes).

  • On or near wounds, rashes, or unhealed umbilical cord area.

Summary Table: Do’s and Don’ts

Do’s Don’ts
Use gentle, firm strokes Apply strong pressure
Massage when baby is calm Massage when baby is sick or post-feed
Use baby-safe oil Use harsh or scented oils
Support joints during massage Leave baby unattended or oily
Wash hands before start Massage unhealed umbilical area

Giving a newborn a gentle massage provides nurturing physical contact and developmental support, but always follow professional guidelines for safety and comfort.


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25/Aug/2025

Refractive error in toddlers is a common, correctable condition that can impact visual development, learning, and quality of life if left untreated. Parents should be aware of typical symptoms and the importance of early diagnosis.

Key Points for Parents

  • Refractive error means the eye cannot focus light precisely on the retina, resulting in blurry vision at various distances.

  • The three main types in children are myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.

  • Early detection is crucial; untreated refractive error can cause developmental delays, poor academic performance, and amblyopia (lazy eye).

Recognizing Symptoms

  • Toddlers may not articulate vision problems directly; watch for signs such as:

    • Squinting or frowning

    • Frequent eye rubbing or blinking

    • Lack of interest in school, books, or coloring

    • Moving closer to objects to see them clearly

    • Trouble reading or following visual tasks.

Causes and Risk Factors

  • Refractive error can result from abnormal eye shape, family history, or associated genetic syndromes.

  • Environmental factors like reduced outdoor activity and increased screen time may also contribute.

Diagnosis and Screening

  • Regular pediatric eye exams starting at age 3-4 are recommended, with vision testing for each eye.

  • School screenings help but only an eye doctor can diagnose accurately.

Management and Treatment

  • Eyeglasses are the most common and effective solution for children, providing clear vision and reducing symptoms like headaches and eye strain.

  • Severe or specific cases may be managed with contact lenses, vision therapy, or myopia control treatments (special lenses, atropine drops).

  • Early and correct intervention supports normal development, academic success, and social confidence.

Parental Guidance

  • Observe and report any vision-related behaviors to healthcare providers.

  • Ensure follow-up visits if eyeglasses are prescribed—children’s prescriptions can change with growth.

  • Encourage outdoor activities and limit excessive device use as part of preventive strategies.

Parents play a vital role in spotting visual problems early and supporting children with proper correction and follow-up care.


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19/Aug/2025

Screen Time in Children – What Parents Need to

Know

Why Screen Time Matters

• Affects brain development, especially in under-5s

• May disturb sleep and daily routine

• Can cause eye strain and vision issues

• Reduces outdoor play → risk of obesity

• Can affect mood, focus, and social skills

Recommended Screen Time by Age

Age Recommendation

< 18 months Avoid screens (except video calls)

18–24 months If introduced, only high-quality content, with parent

2–5 years Up to 1 hour/day, supervised

6+ years No strict limit – focus on balance (sleep, play, school)

Healthy Screen Habits

• Watch together and discuss content

• Choose educational, age-appropriate programs

• Keep tech-free zones (meals, bedrooms, before bed)

• Encourage outdoor play, reading, and hobbies

• Use parental controls when needed

• Model healthy screen use yourself

Warning Signs of Too Much Screen Time

• Child gets angry when screen is removed

• Prefers screens over play and social interaction

• School performance declines

• Poor sleep or constant tiredness

• Frequent headaches, eye strain, or poor posture

■ Key Takeaway

Screens are not harmful if used wisely and in moderation. Balance is the key – quality content +

parental involvement + healthy routine make screen time safe and educational


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06/Aug/2025

Excess ORS (Oral Rehydration Solution) Intake in Children – What Parents Need to Be Cautious About

Oral Rehydration Solution (ORS) is lifesaving in cases of dehydration due to diarrhea or vomiting. However, excessive intake without proper need or guidance can lead to complications. Here’s what parents should know:


⚠️ Why Too Much ORS Can Be Harmful

  1. Electrolyte Imbalance

    • ORS contains salts like sodium and potassium. Too much can cause hypernatremia (high sodium levels), especially in infants and small children.

  2. Overhydration (Water Overload)

    • Giving large volumes of ORS unnecessarily may lead to fluid overload, which can burden the kidneys and, in rare cases, cause swelling (edema) or low sodium (hyponatremia) if diluted improperly.

  3. Masking Ongoing Illness

    • Relying solely on ORS without addressing underlying causes (e.g., infections) can delay proper medical treatment.


When and How to Use ORS Safely

  • Only Use When Needed:
    Primarily during diarrhea, vomiting, or signs of dehydration (dry mouth, sunken eyes, decreased urine, lethargy).

  • Follow Age-Appropriate Dosages:

    • Infants (<1 year): ~50–100 ml after each loose stool

    • Children (1–5 years): ~100–200 ml after each loose stool

    • Older children: As much as they want, but spaced out gradually.

  • Do Not Force ORS:
    Let the child sip slowly. Forcing large amounts can cause vomiting.

  • Do Not Use as a Routine Drink:
    ORS is not a substitute for water, juice, or milk in a healthy child.

  • Avoid Diluting Commercial ORS:
    Mixing it incorrectly (too much water or too little) changes its effectiveness and safety.


🚨 When to Seek Medical Help

  • If your child refuses to drink

  • Vomits everything, including ORS

  • Shows worsening signs of dehydration

  • Has blood in stools, high fever, or drowsiness

  • If you’re unsure about how much ORS to give


💡 Summary for Parents:

  • Use ORS wisely—only when there’s fluid loss

  • Stick to the recommended amount based on age

  • Do not overuse or make it a routine drink

  • Monitor for signs of overhydration or worsening condition

If in doubt, always consult your pediatrician.


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29/Jul/2025

Exclusive Breastfeeding in Newborns – What Parents Should Know

Exclusive breastfeeding (EBF) means giving your baby only breast milk for the first six months — no water, other liquids, or food. This is the ideal way to nourish a newborn, and the World Health Organization (WHO) and UNICEF strongly recommend it.


Key Benefits of Exclusive Breastfeeding

1. Best Nutrition for Baby

  • Breast milk has the perfect balance of nutrients — proteins, fats, vitamins, and minerals.

  • It adapts to the baby’s growing needs.

2. Immunity Boost

  • Rich in antibodies, especially secretory IgA, that help fight infections.

  • Reduces risk of:

    • Respiratory infections

    • Diarrhea

    • Ear infections

    • Meningitis

    • Allergies and asthma

3. Supports Healthy Growth & Development

  • Promotes better brain development due to essential fatty acids (like DHA).

  • Supports healthy weight gain and gut development.

4. Emotional Bonding

  • Skin-to-skin contact during breastfeeding enhances bonding and emotional security.

  • Helps regulate baby’s heartbeat, breathing, and temperature.

5. Lower Risk of Chronic Diseases Later

  • Reduces risk of obesity, type 1 and type 2 diabetes, and certain cancers in later life.

6. Protects Mothers Too

  • Lowers mother’s risk of:

    • Breast and ovarian cancers

    • Postpartum depression

    • Type 2 diabetes

  • Helps uterus contract after delivery and reduces postpartum bleeding.

  • Acts as a natural contraceptive (lactational amenorrhea method) under specific conditions.


❗ What Parents Must Avoid

  • No water, juice, or formula unless medically indicated.

  • Avoid giving honey or gripe water — can be dangerous.

  • Do not delay feeding — respond to baby’s early hunger cues (rooting, sucking hands).


🍼 Common Myths Debunked

  • “I don’t have enough milk” – Colostrum (the first milk) is enough in the first few days; frequent feeding helps increase supply.

  • “Baby cries, so milk isn’t enough” – Crying is not always due to hunger.

  • “Formula is just as good” – Formula lacks live immune factors found in breast milk.


📌 Final Tips for Parents

  • Initiate breastfeeding within 1 hour of birth.

  • Feed on demand, not on a strict schedule.

  • Ensure proper latch and position to avoid pain and ensure effective feeding.

  • Seek help from a lactation consultant if you face challenges.


Breastfeeding is a gift only you can give your baby. It lays the foundation for a healthy start to life — physically, emotionally, and mentally.


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24/Jul/2025

What is Typhoid Fever?

Typhoid fever is a serious bacterial infection caused by Salmonella typhi. It spreads through contaminated food and water, especially in areas with poor sanitation.


⚠️ Common Symptoms in Children:

  • High, sustained fever (often 102–104°F / 39–40°C)

  • Weakness, tiredness

  • Abdominal pain or discomfort

  • Poor appetite

  • Headache

  • Diarrhea or constipation

  • Coated tongue

  • Rash (rose spots) – flat, rose-colored spots on chest/abdomen (less common in children)


🧪 When to Suspect Typhoid:

Seek medical attention if your child has:

  • A fever >3 days with no clear cause

  • Travel history to or living in a high-risk area

  • Known exposure to someone with typhoid


🩺 Diagnosis:

  • Blood tests: Widal test, TyphiDot, or blood culture (most accurate)

  • Stool/urine culture (sometimes used)


💊 Treatment:

  • Antibiotics prescribed by a doctor (complete the full course)

  • Hydration and nutrition are key

  • Avoid over-the-counter medicines unless advised


⚠️ Warning Signs (Seek urgent care):

  • Vomiting everything

  • Altered consciousness

  • Severe weakness

  • Abdominal distension

  • Bleeding from nose/gums

  • Blood in stool


🛡️ Prevention Tips:

  1. Typhoid vaccine (available for children above 6 months–2 years depending on vaccine type)

  2. Safe drinking water (boiled, bottled, or filtered)

  3. Proper handwashing before eating and after using the toilet

  4. Avoid:

    • Street food

    • Raw fruits/vegetables not washed properly

    • Unpasteurized milk or dairy


🕒 How long does it last?

  • With treatment: Usually 7–14 days

  • Without treatment: Can last 3–4 weeks or lead to complications


✅ Summary for Parents:

  • Typhoid is preventable and treatable

  • Maintain good hygiene and sanitation

  • Complete the antibiotic course

  • Watch for complications

  • Get your child vaccinated if living in or visiting an endemic area


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19/Jul/2025

Dengue Danger Signs in Children: What Parents Need to Know

Dengue fever is a mosquito-borne viral illness common in many tropical and subtropical regions. While most cases are mild, children can develop severe dengue, which may be life-threatening if not identified and treated early. Here’s what parents should watch for:


🧒 Early Symptoms of Dengue in Children

These occur in the first 2–5 days:

  • Sudden high fever (up to 104°F or 40°C)

  • Severe headache (especially behind the eyes)

  • Muscle and joint pain (“breakbone fever”)

  • Nausea, vomiting

  • Skin rash (may appear on day 3–5)

  • Weakness, irritability, or drowsiness in younger kids


🚨 Warning Signs of Severe Dengue (Usually after Day 3)

If your child had dengue fever and then fever starts to come down, stay alert — this is when complications can begin. Look out for these danger signs:

1. Severe abdominal pain or continuous vomiting

  • Can indicate internal bleeding or organ involvement.

2. Bleeding signs

  • Bleeding from gums or nose

  • Blood in vomit or stool (black, tarry stools)

  • Easy bruising or skin petechiae (tiny red/purple spots)

3. Excessive tiredness or restlessness

  • Lethargy or irritability can suggest poor blood circulation.

4. Cold, clammy skin or weak pulse

  • Sign of shock, which is a medical emergency.

5. Difficulty breathing

  • May indicate fluid accumulation in lungs or chest.

6. Sudden drop in urine output

  • Less urination or no wet diapers could suggest dehydration or kidney involvement.


✅ What Parents Should Do

  • Seek immediate medical care if any warning signs appear.

  • Monitor temperature, fluid intake, and urine output.

  • Give only paracetamol for fever (avoid ibuprofen or aspirin—they can worsen bleeding).

  • Ensure good hydration with ORS, coconut water, soups, or electrolyte drinks.


❌ What Parents Should Avoid

  • Do not delay hospital visit if warning signs appear.

  • Avoid over-the-counter medications like ibuprofen or aspirin.

  • Don’t assume recovery just because fever drops—this is when danger can peak.


🦟 Prevention Tips

  • Use mosquito nets and repellents.

  • Eliminate stagnant water around the home.

  • Dress children in full-sleeved clothes.


If you’re unsure whether your child is improving or worsening, it’s safer to consult a doctor early. Dengue can worsen quickly, but with timely treatment, children usually recover well.


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05/Jul/2025

Umbilical Stump Care in Newborns: What Parents Need to Know

Caring for your baby’s umbilical stump is simple but important. Proper care prevents infection and promotes natural healing. Here’s what parents should know:


🍼 What Is the Umbilical Stump?

  • After birth, the umbilical cord is clamped and cut.

  • A small stump (about 1–2 inches) remains, which dries up and falls off usually within 1–3 weeks.


Do’s for Umbilical Stump Care

  1. Keep it clean and dry:

    • Clean with plain water if dirty.

    • Gently pat dry with a clean cloth or let it air-dry.

    • No alcohol swabs unless advised by your doctor.

  2. Fold diaper away from the stump:

    • This prevents moisture and rubbing.

    • Many newborn diapers have a special cut-out for the stump.

  3. Dress your baby in loose clothes:

    • Allows air circulation and prevents irritation.

  4. Give sponge baths only until the stump falls off:

    • Avoid submerging in water.

  5. Let it fall off naturally:

    • Do not pull or try to remove it even if it’s hanging.


Don’ts for Umbilical Stump Care

  • Don’t apply powders, ointments, or antiseptics unless prescribed.

  • Don’t tug at the stump.

  • Don’t cover it with tight clothes or bandages.


⚠️ When to Worry – Call a Doctor If You Notice:

  • Redness or swelling around the base

  • Foul-smelling discharge or pus

  • Fever in your baby

  • Bleeding that doesn’t stop after gentle pressure

  • Stump hasn’t fallen off after 3–4 weeks


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25/Jun/2025

Vomiting in infants is quite common and often not serious. However, parents should worry and seek medical attentionif the vomiting shows certain warning signs or is accompanied by other symptoms.


🚼 When Vomiting is Usually Not Serious

  • Happens occasionally after feeding (likely spit-up or reflux)

  • Baby is otherwise active, feeding well, and gaining weight

  • Vomit is small in amount, milky, and not forceful


⚠️ When Parents Should Worry

Seek medical care immediately if any of the following are present:

1. Vomiting is Forceful (Projectile)

  • Especially in babies younger than 3 months

  • Could indicate pyloric stenosis, a condition requiring surgery

2. Green or Yellow (Bilious) Vomit

  • May indicate intestinal blockage or twisting (volvulus)

  • Needs urgent medical evaluation

3. Blood or Coffee Ground Appearance in Vomit

  • Suggests possible bleeding in the stomach or esophagus

4. Signs of Dehydration

  • Dry mouth or lips

  • No tears when crying

  • Sunken eyes or soft spot (fontanelle)

  • Fewer than 6 wet diapers/day

5. Vomiting with High Fever or Lethargy

  • Could signal infection like meningitis or a serious illness

6. Persistent Vomiting (>24 hours)

  • Especially if baby is unable to keep fluids or feeds down

7. Seizures, Bulging Fontanelle, or Abnormal Movements

  • Could indicate brain or neurological issues

8. Poor Feeding and Weight Loss

  • May be a sign of chronic underlying issues

9. Recent Head Injury

  • Vomiting could be a sign of concussion or brain injury


What Parents Can Do at Home (If Mild and Baby is Well)

  • Offer smaller, more frequent feeds

  • Burp the baby during and after feeding

  • Keep baby upright for 20–30 minutes after feeds

  • Avoid overfeeding


📞 Call a Pediatrician If You’re Unsure

Always better to get a professional opinion, especially in infants under 3 months.


Dr. Vibin KV

Dr. Vibin KV is best pediatrician in south Delhi, near safdarjung enclave. He has over 14 years experience in managing sick children from newborn to 18 years of age.
Conditions treated and services provided at the clinic include:
1) Respiratory illnesses with cough or noisy breathing- bronchiolitis, bronchitis, pneumonia, wheezing, asthma, foreign body, Inhaler therapy etc.
2) Vaccinations in all age groups.
3) New Born baby care.
4) Diarrhea, dysentery, dehydration.
5) Liver and Kidney Failure.
6) Brain infection including meningitis, encephalitis etc.
7) Urinary problems like Urinary tract infection, poor urine stream, painful urine, tight skin of the penis (phimosis) or paraphimosis, redness or pus at penis area.
8) Nephrotic syndrome and other Kidney related problems.
9) Jaundice, Hepatitis.
10) Poor growth, short stature, overweight, obesity.
11) Childhood diabetes and other endocrine problems in children.
12) Colic in infants.
13) Constipation in infants and older children.
14) Skin conditions like allergies, eczema, dermatitis, herpes, Rashes, dry skin, Dandruff, white patch over face, hair fall, dry scalp, diaper rash, nail problems etc.
15) Hernia or hydrocele- swelling in umbilical, swelling in testis, swelling in inguinal region.
16) Fever and Infections (bacterial, viral, fungal etc)
17) Seizures - Epilepsy, Febrile seizures.
18) worm infestations
19) Fall from height, head injury, Trauma, fractures (bone injury) etc.
20) PICC line and central line insertions.
21) Day care and Inpatient care facilities.
22) Adolescent care - emotional, psychological health.
23) Autism, ADHD, hyperactivity, learning disabilities, Developmental delay.
24) Short surgical procedures needing IV sedation.

Copyright by Dr. VibinKV 2023. All rights reserved.