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Medical Info For Parents

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Dr. Vibin KV
12/Apr/2025
Abdominal painFever/InfectionInfectionNutrition0

Deworming in children

Deworming is an important part of keeping children healthy, especially in areas where parasitic worm infections are common. Here’s what parents should know:

What Is Deworming?

Deworming is the process of getting rid of intestinal worms (like roundworms, hookworms, and whipworms) using medication. These parasites can affect a child’s growth, nutrition, and overall health.

Why Is Deworming Important?

  • Improves nutrition: Worms can steal nutrients from food.

  • Boosts immunity: Less parasite burden allows the immune system to function better.

  • Enhances growth and development: Helps prevent malnutrition and anemia.

  • Improves school performance: Fewer health issues mean better focus and attendance.

Common Signs Your Child Might Need Deworming

  • Frequent stomach pain

  • Unexplained weight loss

  • Fatigue or weakness

  • Itchy bottom (especially at night)

  • Visible worms in stool

  • Poor appetite

When Should Children Be Dewormed?

  • Routine deworming: WHO recommends:

    • Once every 6 months in high-risk areas

    • Ages 1 to 14 are the target group

  • As prescribed: If symptoms suggest a worm infestation, a doctor may recommend deworming even outside of the schedule.

Which Medicines Are Used?

  • Common medications: Albendazole and Mebendazole

  • Safe, single-dose treatments

  • Available as chewable tablets or syrups for younger kids

Is Deworming Safe?

  • Yes, it’s generally safe with few side effects (like mild nausea or abdominal discomfort).

  • Always follow the correct dosage for your child’s age and weight.

  • Give medication under medical supervision, especially for kids under 2 years old.

How to Prevent Worm Infections

  • Practice good hygiene: Handwashing with soap

  • Keep nails short and clean

  • Wash fruits and vegetables thoroughly

  • Drink clean, boiled or filtered water

  • Wear shoes outdoors

  • Avoid open defecation

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Dr. Vibin KV
01/Apr/2025
Abdominal painNutrition0

Fussy eating toddler – what parents should do?

Dealing with a fussy-eating toddler can be frustrating, but it’s a common phase. Here are some practical strategies to help:

1. Stay Calm and Patient

  • Avoid pressuring or bribing them to eat.

  • Make mealtimes relaxed and stress-free.

2. Offer Variety Without Forcing

  • Introduce different textures, colors, and flavors.

  • Keep offering new foods alongside familiar ones—exposure takes time.

3. Make Food Fun

  • Use cookie cutters for fun shapes.

  • Create colorful plates with different food groups.

4. Let Them Help

  • Involve your toddler in meal prep (e.g., washing veggies, stirring).

  • Giving them choices (e.g., “Would you like carrots or peas?”) makes them feel in control.

5. Stick to a Routine

  • Serve meals and snacks at regular times to prevent grazing.

  • Offer small portions to avoid overwhelming them.

6. Limit Distractions

  • Turn off screens during meals.

  • Eat together as a family to model good eating habits.

7. Avoid Short-Order Cooking

  • Serve the same meal to the whole family with slight modifications if needed.

  • If they refuse, don’t rush to offer an alternative—hunger will eventually encourage them to eat.

8. Be a Role Model

  • Eat a balanced diet yourself—toddlers mimic what they see.

9. Don’t Use Food as a Reward

  • This can create unhealthy associations with food. Instead, praise them for trying new foods.

10. Check Growth & Health

  • If your child is growing well and energetic, don’t stress too much about fussy eating.

  • If concerned, consult a pediatrician or dietitian for guidance.

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Dr. Vibin KV
25/Mar/2025
InfectionNutrition0

Poor appetite in toddlers

A poor appetite in toddlers can be concerning for parents, but it is often a common phase that many children go through. There can be several reasons why a toddler may have a poor appetite:

  1. Growth Spurts: Toddlers’ appetites often fluctuate depending on their growth rate. During periods of slower growth, they may not feel as hungry.

  2. Picky Eating: Around this age, children start to develop their food preferences and might refuse certain foods or become more selective.

  3. Teething: Teething can cause discomfort or pain in a toddler’s mouth, which may make eating less appealing.

  4. Illness or Infection: Minor illnesses like colds, stomach bugs, or ear infections can reduce a child’s desire to eat.

  5. Distractions: Toddlers can become easily distracted and may not focus on eating, especially if they are interested in playing or other activities.

  6. Emotional Factors: Changes in routine, stress, or emotional upset can affect appetite.

  7. Health Conditions: Rarely, an underlying health issue (e.g., food allergies, gastrointestinal problems, or anemia) might contribute to poor appetite.

What Can You Do?

  • Offer Small, Frequent Meals: Instead of three large meals, offer small meals and snacks throughout the day.

  • Create a Positive Mealtime Environment: Avoid pressure to eat, and make meals fun or interactive.

  • Be Patient with Picky Eating: Offer a variety of foods and respect their preferences, but keep introducing new options.

  • Monitor for Signs of Illness: If there are other signs like fever, vomiting, or a lack of energy, it’s important to consult a pediatrician.

  • Consult a Pediatrician: If the poor appetite persists or is accompanied by other concerning symptoms, it’s always best to seek professional advice.

If you’re worried or the lack of appetite persists, it’s worth discussing with your pediatrician to rule out any underlying health concerns.

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Dr. Vibin KV
25/Feb/2025
dentalInfectionNutritionSkinsleep0

Teeth grinding in children

Teeth grinding, or bruxism, is common in children, especially during sleep. Here’s what parents should know:

Causes of Teeth Grinding in Children

  1. Teething & Misaligned Teeth – Young children may grind due to discomfort from new or misaligned teeth.
  2. Stress & Anxiety – Emotional stress, changes in routine, or anxiety can trigger bruxism.
  3. Sleep Disorders – Conditions like sleep apnea may contribute to teeth grinding.
  4. Hyperactivity & Medical Conditions – ADHD and some neurological conditions may increase the risk.
  5. Response to Pain – Ear infections or other discomforts may lead to grinding as a coping mechanism.

Signs & Symptoms

  • Grinding noises during sleep
  • Worn-down or sensitive teeth
  • Jaw pain or headaches
  • Disrupted sleep patterns
  • Complaints of sore jaw upon waking

Possible Complications

  • Tooth damage or enamel erosion
  • Increased tooth sensitivity
  • Jaw disorders (e.g., TMJ issues)
  • Poor sleep quality

What Parents Can Do

  • Monitor Stress Levels – Help manage anxiety with relaxation techniques.
  • Maintain a Bedtime Routine – Establish a calm pre-sleep routine to improve sleep quality.
  • Ensure Proper Dental Care – Regular dental visits can help detect and manage bruxism early.
  • Check for Underlying Conditions – If sleep disorders or other health issues are suspected, consult a doctor.
  • Use Mouthguards (If Necessary) – For severe cases, dentists may recommend a nightguard to protect teeth.

Most children outgrow teeth grinding, but if it persists or causes problems, consult your paediatrician.

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Dr. Vibin KV
01/Feb/2025
InfectionLoose stoolsNutrition0

Bottle feeding in children

Bottle feeding is not advised for any infant or a child as it can be a source of infection. However, it is a common practice as feeding is comfortable for the child and a parent. In such cases, it would be advisable to follow certain precautions and maintain an appropriate feeding practice. It can be used to give formula or expressed breast milk. Here’s what parents need to know:

1. Choosing the Right Bottle and Nipple

  • Select a BPA-free bottle with a slow-flow nipple for newborns.
  • Anti-colic bottles can help reduce gas and spit-up.
  • Try different nipple shapes and flow rates if your baby struggles with feeding.

2. Preparing the Formula Safely

  • Use only infant formula recommended by your pediatrician.
  • Follow the instructions on the formula packaging for proper mixing.
  • Use boiled, cooled water if needed, and ensure all equipment is sterilized.
  • Never dilute formula beyond instructions, as it can be unsafe for the baby.

3. Safe Bottle-Feeding Practices

  • Hold your baby in a semi-upright position to prevent choking.
  • Always support the bottle and avoid propping it up.
  • Let the baby control the pace of feeding—watch for signs of fullness.
  • Burp your baby after every feeding to reduce gas.

4. How Often and How Much to Feed

  • Newborns usually feed every 2–3 hours, with about 1.5–3 ounces per feeding.
  • By 2–4 months, they may take 4–6 ounces per feeding, every 3–4 hours.
  • Watch for hunger cues like sucking motions, hand-to-mouth movements, and fussiness.

5. Signs of Feeding Problems

  • Persistent spit-up or vomiting may indicate reflux or intolerance.
  • Gassiness, constipation, or diarrhea could mean formula sensitivity.
  • Excessive fussiness during feeding might indicate nipple flow issues or digestive discomfort.

6. Cleaning and Storage

  • Wash bottles and nipples with hot, soapy water after every use.
  • Sterilize bottles before the first use and regularly if your baby is under 3 months.
  • Prepared formula should be refrigerated and used within 24 hours.
  • Discard any leftover milk or formula after feeding—never reheat or reuse.

7. Weaning from the Bottle

  • Start introducing a sippy cup around 6 months.
  • Begin weaning off the bottle between 12–18 months to prevent tooth decay.
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Dr. Vibin KV
12/Dec/2024
InfectionNutritionSkin0

Dry skin in children – what parents must know

Dry skin in children is a common concern, especially during colder months or in areas with low humidity. It can cause discomfort, itching, and irritation. Here’s what parents need to know:

Causes of Dry Skin in Children

  1. Weather Conditions: Cold, dry air in winter or excessive heat can strip moisture from the skin.
  2. Frequent Bathing: Over-bathing or using hot water can remove natural oils from the skin.
  3. Harsh Soaps: Soaps or cleansers with strong fragrances and chemicals can dry out the skin.
  4. Environmental Factors: Low indoor humidity due to heaters or air conditioning.
  5. Underlying Conditions: Eczema, psoriasis, or allergies can lead to chronic dryness.

Signs of Dry Skin

  • Flaky or scaly patches, especially on arms, legs, and cheeks.
  • Itchiness or discomfort.
  • Redness or cracking in severe cases.

Prevention and Care Tips

  1. Limit Bath Time: Keep baths short (5–10 minutes) and use lukewarm water.
  2. Use Gentle Cleansers: Opt for mild, fragrance-free soaps designed for sensitive skin.
  3. Moisturize Regularly:
    • Apply moisturizer immediately after bathing to lock in moisture.
    • Choose products with ingredients like ceramides, glycerin, or hyaluronic acid.
  4. Avoid Irritants:
    • Use unscented laundry detergents.
    • Dress children in soft, breathable fabrics like cotton.
  5. Maintain Indoor Humidity:
    • Use a humidifier during dry seasons.
    • Keep the home temperature moderate to prevent skin dehydration.
  6. Hydration: Ensure your child drinks enough water daily.
  7. Sun Protection: Use sunscreen even in winter to protect the skin from UV damage.

When to See a Doctor

  • Persistent dry patches that don’t improve with home care.
  • Signs of infection, like redness, swelling, or oozing.
  • Severe itching or discomfort.
  • Suspected eczema or other underlying conditions.

By taking preventive steps and using gentle products, most cases of dry skin can be effectively managed at home. If symptoms persist, consult a pediatrician

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Dr. Vibin KV
26/Oct/2024
NutritionSkinsleep0

Massage in a Newborn Baby

  • Massage can be incredibly beneficial for newborn babies, promoting relaxation, bonding, and overall well-being. Here’s what parents should know:

*Benefits of Massage for Newborns:*

1. *Relaxation and stress relief*: Massage helps regulate the baby’s nervous system, reducing stress and promoting relaxation.

2. *Improved sleep*: Regular massage can help establish a healthy sleep routine and improve sleep quality.

3. *Bonding and attachment*: Massage enhances the emotional connection between parent and baby.

4. *Pain relief*: Massage can help alleviate discomfort from gas, colic, or teething.

5. *Increased circulation*: Massage stimulates blood flow, promoting healthy growth and development.

6. *Enhanced sensory awareness*: Massage helps babies develop awareness of their body and surroundings.

7. *Supports digestive health*: Massage can aid digestion and relieve constipation.

 

*Tips for Massaging Your Newborn:*

1. *Choose a quiet, warm space*: Ensure the room is free from distractions and comfortable for your baby.

2. *Use gentle, oil-based lubricants*: Opt for baby-friendly oils or lotions to reduce friction.

3. *Start with gentle strokes*: Begin with light, soft touches, gradually increasing pressure as needed.

4. *Watch for cues*: Pay attention to your baby’s body language; if they seem uncomfortable or fussy, stop.

5. *Massage in small sections*: Focus on one area at a time, such as the head, arms, or legs.

6. *Be mindful of sensitive areas*: Avoid massaging the spine, joints, or sensitive areas like the eyes or mouth.

7. *Keep sessions short*: Begin with 5-10 minute sessions, gradually increasing duration as your baby becomes accustomed.

 

*Best Massage Techniques for Newborns:*

1. *Head and Face Massage*:

– Gently stroke from forehead to chin.

– Massage temples and ears.

2. *Arm and Hand Massage*:

– Hold the arm and gently stroke from shoulder to wrist.

– Massage each finger individually.

3. *Leg and Foot Massage*:

– Hold the leg and stroke from thigh to ankle.

– Massage each toe individually.

4. *Back and Chest Massage*:

– Gently stroke from shoulders to lower back.

– Use gentle, circular motions on the chest.

 

*Precautions and Contraindications:*

1. *Premature or fragile babies*: Consult your pediatrician before starting massage.

2. *Infectious illnesses*: Avoid massage if your baby has a fever or contagious illness.

3. *Open wounds or injuries*: Avoid massaging areas with open wounds or injuries.

4. *Congenital conditions*: Consult your pediatrician if your baby has a congenital problems.

By incorporating massage into your newborn’s routine, you can foster a deeper connection, promote relaxation, and support overall well-being.

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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.

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