Medical Info For Parents

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03/Jun/2025

Fast breathing in an infant can be a normal response or a sign of an underlying health problem. Here’s what parents should know to recognize when it’s a concern and when to seek help.


🚼 What Is Normal Breathing in Infants?

  • Newborns (0–2 months): 30–60 breaths per minute

  • Infants (2–12 months): 20–50 breaths per minute

  • Note: Infants often breathe irregularly, with occasional pauses or bursts of rapid breathing (especially during sleep). This is usually normal.


⚠️ When Fast Breathing Might Be a Concern

Fast breathing (tachypnea) can signal several conditions, especially if it comes with other symptoms:

âś… Common Causes (Non-emergency):

  • Crying or fussing

  • Fever: Increased body temperature can increase breathing rate.

  • Recent feeding: Some babies breathe faster briefly after eating.

🚨 Concerning Causes:

  • Respiratory infections (e.g., bronchiolitis, pneumonia)

  • Asthma (less common in very young infants)

  • Congenital heart disease

  • Sepsis or serious infections

  • Metabolic disorders


🚨 When to Seek Medical Help Immediately

Call your doctor or go to the ER if your baby has:

  • Breathing rate consistently over 60 breaths/min

  • Nostrils flaring while breathing

  • Grunting sounds during exhalation

  • Chest retractions (ribs or sternum pulling in with each breath)

  • Bluish lips, tongue, or skin

  • Poor feeding

  • Lethargy or difficulty waking

  • Persistent cough, wheezing, or high-pitched sounds when breathing


👩‍⚕️ What a Doctor Might Do

  • Check oxygen levels with a pulse oximeter

  • Listen to lungs and heart

  • Order a chest X-ray or lab tests

  • Monitor for dehydration or signs of infection


🏠 What You Can Do at Home

  • Keep baby calm: crying can increase breathing rate

  • Track symptoms: note when it started, how fast they’re breathing, and any other signs

  • Keep baby upright: this may ease breathing

  • Avoid smoke exposure and sick contacts


Summary

Fast breathing in an infant isn’t always a medical emergency, but trust your instincts—if your baby seems unwell or you’re unsure, get checked promptly.


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06/Feb/2025

Nasal congestion (nose block) is common in infants because their nasal passages are small and can easily become clogged with mucus. Here’s what parents should know:

Causes of Nose Block in Infants

  1. Common Cold – Viral infections can cause mucus buildup.
  2. Dry Air – Especially during winter or in air-conditioned rooms.
  3. Allergies – Though less common in newborns, dust, pet dander, or smoke can irritate their nose.
  4. Reflux – Sometimes, stomach acid can irritate the nasal passages.
  5. Teething – Some babies have nasal congestion when teething due to increased saliva production.

Signs of Nasal Congestion

  • Noisy breathing or snoring
  • Difficulty feeding due to blocked nose
  • Restlessness or trouble sleeping
  • Sneezing or mild coughing

How to Relieve Nose Block

  1. Saline Drops & Suction
    • Use saline nasal drops to loosen mucus.
    • A bulb syringe or nasal aspirator can help remove mucus gently.
  2. Steam & Humidifiers
    • A warm steam bath or a cool-mist humidifier in the baby’s room can ease congestion.
  3. Elevate the Head
    • Slightly elevating the baby’s head during sleep (not with a pillow but by tilting the crib mattress slightly) can help with drainage.
  4. Hydration
    • Breastfeeding or bottle-feeding keeps the baby hydrated, which helps thin the mucus.
  5. Avoid Irritants
    • Keep the baby away from smoke, strong perfumes, or dust.

When to See pediatrician

  • If congestion lasts more than 10 days.
  • Baby has difficulty breathing, wheezing, or high fever.
  • Signs of dehydration (fewer wet diapers, dry mouth).
  • If baby refuses to feed due to congestion.

Most nasal congestion in infants is mild and resolves on its own. However, if you’re worried, it’s always best to check with your child’s pediatrician.


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13/Jan/2025

Human Metapneumovirus (hMPV) is a common respiratory virus that can cause infections in people of all ages, but it is particularly concerning for young children, older adults, and individuals with weakened immune systems. Here’s what parents should know about hMPV:

1. Symptoms

  • Mild Cases: Symptoms often resemble those of a common cold, including runny nose, cough, fever, sore throat, and congestion.
  • Severe Cases: In more severe infections, especially in young children or those with underlying health conditions, hMPV can cause bronchiolitis or pneumonia. Symptoms may include wheezing, difficulty breathing, and rapid breathing.

2. Transmission

  • hMPV spreads through respiratory droplets when an infected person coughs or sneezes.
  • It can also spread by touching contaminated surfaces and then touching the face, especially the nose, mouth, or eyes.

3. Who Is at Risk?

  • Young children, particularly those under the age of 2.
  • Older adults, especially those over 65.
  • People with weakened immune systems or chronic medical conditions such as asthma or heart disease.

4. Prevention

  • Good hygiene practices: Encourage children to wash their hands frequently with soap and water.
  • Avoid close contact: Keep children away from people who are sick.
  • Disinfect surfaces: Regularly clean and disinfect frequently touched surfaces.
  • Teach proper cough etiquette: Teach children to cough or sneeze into their elbow or a tissue and dispose of tissues properly.

5. Treatment

  • There is no specific antiviral treatment for hMPV.
  • Treatment focuses on relieving symptoms, such as using fever reducers, staying hydrated, and ensuring the child gets plenty of rest.
  • In severe cases, hospitalization may be required for oxygen therapy or more intensive care.

6. When to Seek Medical Attention

  • If your child shows signs of severe respiratory distress, such as difficulty breathing, wheezing, or a bluish tint to the skin, seek medical care immediately.
  • If symptoms worsen or do not improve after a few days, consult your pediatrician.

Summary

While hMPV is generally mild, it can cause serious illness in vulnerable populations. Parents should be vigilant about hygiene practices, monitor symptoms, and seek medical advice if their child shows signs of a more severe infection.


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17/Dec/2024

Cough syrups are generally not recommended for infants under 6 months of age because:

  1. Immature Immune and Digestive Systems: Infants’ bodies are not developed enough to process the active ingredients in many cough syrups.
  2. Risk of Side Effects: Over-the-counter medications can cause serious side effects in infants, including drowsiness, difficulty breathing, or allergic reactions.
  3. Limited Efficacy: Research has shown that these medications often do not work well for young children and can be potentially harmful.

What to Do Instead:

  • Keep the Baby Hydrated: Ensure they are getting enough breast milk or formula.
  • Use Saline Drops: For nasal congestion, saline drops and gentle suction can help.
  • Humidify the Air: A cool-mist humidifier can ease breathing by keeping the air moist.
  • Frequent Position Changes: Holding the baby upright may provide relief.
  • Consult a Pediatrician: Always check with your pediatrician for safe remedies and to rule out serious conditions.

Never administer medication without professional guidance, especially for infants.


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20/Nov/2024

If a child is choking, it’s important to act quickly. Here’s what parents or caregivers should do:

1. Assess the Situation

  • Mild choking: The child may cough or make wheezing sounds. If they are still able to breathe and cough, encourage them to keep coughing to clear the obstruction.
  • Severe choking: The child may not be able to breathe, cry, or cough. Their face may turn red or blue. Immediate action is needed.

2. For Infants (Under 1 Year Old)

If the infant is choking and unable to cough or breathe:

  • Call for help (call emergency services if needed).
  • Perform back blows:
    1. Place the infant face-down on your forearm, supporting the head and neck.
    2. Use the heel of your hand to give up to 5 back blows between the infant’s shoulder blades.
  • Perform chest thrusts:
    1. If the back blows don’t clear the obstruction, turn the infant over to face-up.
    2. Place two fingers in the center of the chest just below the nipple line.
    3. Give 5 chest thrusts, pushing down firmly.
  • Repeat the back blows and chest thrusts until the object is expelled or emergency help arrives.

3. For Children (Over 1 Year Old)

If the child is choking and unable to breathe:

  • Call for help (call emergency services if needed).
  • Perform back blows:
    1. Have the child bend forward at the waist.
    2. Use the heel of your hand to give 5 firm back blows between the shoulder blades.
  • Perform abdominal thrusts (Heimlich maneuver):
    1. Stand behind the child and place your hands around their waist.
    2. Make a fist with one hand and place the thumb side just above the child’s navel.
    3. Grasp the fist with your other hand and give quick inward and upward thrusts.
    4. Continue the thrusts until the object is expelled or the child begins to breathe.

4. After the Object Is Expelled

  • If the child begins breathing, stay with them and monitor for any further complications.
  • If the child is still not breathing, begin CPR and continue until help arrives.

5. Do Not

  • Do not slap the child on the back or try to retrieve the object with your fingers unless you can clearly see it and can easily remove it without pushing it deeper.
  • Do not perform abdominal thrusts on infants.

It’s crucial to take immediate action, and if you’re unsure, always call emergency services for professional guidance.


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14/Nov/2024

When air pollution levels are high, it’s especially important for parents to take extra precautions to protect their children, as their developing bodies are more vulnerable to the harmful effects of polluted air. Here’s what parents should know about managing care during air pollution:

1. **Health Risks of Air Pollution for Children**
– **Respiratory Problems**: Children are more likely to develop asthma, bronchitis, and other respiratory issues due to exposure to polluted air.
– **Increased Vulnerability**: Young children breathe more air (and more pollutants) relative to their size, and their lungs are still developing.
– **Long-term Effects**: Chronic exposure to polluted air can lead to long-term health problems, including impaired lung development and increased risk of cardiovascular diseases.

2. **Monitor Air Quality**
– **Check Air Quality Index (AQI)**: Stay updated on the Air Quality Index (AQI) in your area, especially during days when pollution is high. Various apps and websites provide real-time AQI data.
– **Know the Pollution Sources**: Pollution may come from traffic, industrial emissions, wildfires, or weather patterns. During high-pollution days (such as during wildfire season or smog), take extra caution.

3. **Reduce Outdoor Exposure**
– **Limit Outdoor Activities**: On days with high pollution, limit outdoor play or sports, especially for children with asthma or preexisting respiratory conditions. If outside activities are unavoidable, try to do them during times when pollution levels are lower (often early morning or late evening).
– **Indoor Alternatives**: Encourage indoor play or exercise when pollution levels are high. Activities like reading, art, or board games can keep children engaged inside.

4. **Ensure Good Indoor Air Quality**
– **Keep Windows Closed**: On high-pollution days, keep windows and doors closed to prevent outdoor pollutants from entering the home.
– **Ventilate When Safe**: If outdoor air quality improves, ventilate your home by opening windows briefly to refresh the air inside.

5. Health Precautions for Sensitive Children**

– **Asthma and Allergies**: If your child has asthma or allergies, follow your doctor’s advice on medication and treatment plans. In some cases, parents may need to adjust or increase the use of inhalers or other medications.
– **Monitor Symptoms**: Keep an eye out for signs of breathing difficulties (coughing, wheezing, shortness of breath) and take appropriate action if symptoms worsen.
– **Hydration and Nutrition**: Encourage children to stay hydrated and eat healthy foods that support immune and respiratory health, like fruits rich in antioxidants (e.g., apples, oranges).

6. **Signs of Trouble and When to Seek Medical Help**
– **Breathing Issues**: If your child shows signs of shortness of breath, persistent coughing, or unusual fatigue during or after exposure to polluted air, seek medical advice.
– **Asthma Attacks**: If your child has an asthma attack, follow the prescribed emergency treatment (e.g., inhaler use) and seek medical help if symptoms don’t improve.

7. **Educate Children About the Risks**
– **Awareness**: Teach older children about the dangers of air pollution and encourage them to avoid outdoor activities when pollution levels are high.
– **Safe Habits**: Explain the importance of avoiding strenuous exercise outside on polluted days and encourage wearing protective masks if necessary (though consult a healthcare provider before using masks for children).

By taking these precautions, parents can help minimize the harmful effects of air pollution on their children’s health, particularly during times of high pollution.


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19/Sep/2024

Managing high fever in children can be distressing for parents. Here are some valuable parental tips:

Assessment

1. Check temperature: Use a digital thermometer preferably axillary temperature.
2. Observe behavior: Monitor for signs of distress, irritability, or lethargy.

Home Management

1. Fluids: Encourage oral fluids (breast milk, formula, or any liquids).
2. Medication:
– Acetaminophen/paracetamol (crocin/ calpol/ t-98 etc): consult pediatrician for dosage.
– Avoid other medicines like meftal (mefenemic acid) or brufen  (ibuprofen) unless prescribed by your pediatrician.
3. Dressing: Dress child lightly to promote heat loss.
4. Bathing: Sponge baths with lukewarm water (not cold water).
5. Rest: Encourage quiet activities.

When to Seek Medical Attention

1. Fever >104°F (40°C) in children <3 months.
2. Fever >102°F (39°C) in children 3-6 months.
3. Fever lasting >72 hours.
4. Signs of dehydration (dry mouth, fewer wet diapers).
5. Difficulty breathing, headache, stiff neck.
6. Vomiting, diarrhea, or abdominal pain.
7. Rash, seizure, or altered mental status.

Additional Tips

1. Monitor for fever spikes.
2. Use fever-reducing medications only as directed.
3. Avoid:
– Aspirin in children <18 years.
– Cold or ice baths.
– Overdressing.
– Overmedicating.
4. Maintain vaccinations to prevent fever-causing illnesses.

Red Flags

1. Infant <3 months with fever.
2. Fever with petechiae (small, purple spots).
3. Fever with difficulty breathing.
4. Severe headache or stiff neck.
5. Altered mental status or confusion.

Consult your pediatrician for personalized advice and guidance.


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27/Mar/2024

Preventing mumps transmission in children involves:

  1. Vaccination: Ensure children receive the MMR (measles, mumps, and rubella) vaccine, typically administered after 9 months, 15 months and at 4-6 years.
  2. Avoiding Close Contact: Encourage children to avoid close contact with individuals who have mumps, especially in settings like schools or daycare centers.
  3. Good Hygiene Practices: Teach children to practice good hygiene, including frequent handwashing with soap and water, covering their mouth and nose when coughing or sneezing, and avoiding sharing utensils or drinks with others.
  4. Stay Home When Sick: Instruct children to stay home from school or daycare if they develop symptoms of mumps or any contagious illness.
  5. Prompt Treatment: Seek medical attention promptly if your child develops symptoms of mumps, such as swollen salivary glands, fever, headache, and muscle aches.
  6. Avoid use of unnecessary medications during the illness. Follow your Pediatricians advice properly.

By following these measures, the risk of mumps transmission among children can be reduced significantly.


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04/Mar/2024

Nebulization is one of a very good modality that is used in children for management of cough or breathing issues.

There is a reservation that most parents have to use nebulizer for their children. However, for younger children especially less than 4 year olds, it is proven as a better modality than using cough syrups.

Medications get administered in a better way.

The dose of medicine delivered is very low when compared to any oral medicine, which helps is lesser toxicity.

There are lesser chances of any unwanted side effects of medications.

The best way to give nebulization in your child is while he or she is calm and playful or sleeping. Forcefully giving nebulization especially while child is crying leads to an ineffective delivery of medicine and ends up being a useless administration.

Please consult your pediatrician for any further query.


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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