Medical Info For Parents

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18/Oct/2023

Antihistamines, especially sedating ones, have the ability to cross the blood-brain barrier and tend to cause more adverse reactions than ‘second generation’ or ‘non-sedating’ antihistamines.

The most common adverse effects with sedating antihistamines are sedation, dizziness and incoordination. However, paradoxical stimulation ranging from excitation through to tremors, hallucinations and convulsions may occur. Excessive doses in children have led to respiratory depression and very critical condition.

With winter approaching, it is important to note that coughs and colds are often self-limiting conditions and may not require pharmacological intervention. Antihistamines (especially in less than 2 year olds) may lead to dryness of secretions which can lead to extreme discomfort and respiratory difficulty. It can lead to worsening of symptoms.
Symptomatic measures, such as increasing fluids, making sure children get enough rest and reducing the spread of the virus (including regular hand washing) should be practiced.


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05/Oct/2023

Flu infections can be troublesome in children especially infants. It can create immense discomfort in the entire family.
Flu like infections can spread easily from one person to other especially in the family.
The following measures can be taken when any child gets flu or flu like infections in family:

Encourage regular handwashing,

Teach proper cough etiquette,

Maintain a healthy diet,

Ensure adequate sleep, and

Consider getting the flu vaccine for children as part of preventive measures against flu infections.

Consult your pediatrician for proper evaluation and avoid any unnecessary medications without proper advice.


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20/Sep/2023

Dry cough in children can be an extremely disturbing factor for child and family members. It can last for as long as 2 to 3 weeks with no medications helping in any way leading to worried parents changing one medicine to other and changing one pediatrician to other. There are few tips that parents can take for optimum care of their loved ones in this scenario.

  1. Stay Hydrated: Ensure your child drinks plenty of fluids, such as water or clear broth, to keep their throat moist.
  2. Avoid Irritants: Keep your child away from smoke, strong odors, and other environmental irritants.
  3. Rest: Ensure your child gets enough rest to help their body recover.
  4. Honey: For children over the age of one, honey (1-2 teaspoons) can be a natural cough suppressant. It should not be given to infants under one year due to the risk of botulism.
  5. Elevate Head: Elevate your child’s head during sleep to reduce postnasal drip.
  6. Over-the-Counter Medications: Over-the-counter cough medicines are generally not recommended for children under four years. Consult your pediatrician before giving any medication.
  7. Treat Underlying Cause: If the cough is due to allergies, asthma, reflux, or an infection, follow the prescribed treatment plan provided by your pediatrician.
  8. Steam Inhalation: For older children, steam inhalation in a safe manner can help relieve congestion and soothe the throat.
  9. Warm Fluids: Warm beverages like herbal tea or warm milk can be soothing for a dry throat.

Always consult a pediatrician if your child’s cough persists, worsens, or is accompanied by other concerning symptoms like high fever, difficulty breathing, or persistent pain. They can provide a proper diagnosis and recommend appropriate treatment based on the specific cause of the cough.


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07/Sep/2023

Perianal itching in children can have various causes, including:

  1. Hygiene: Ensure your child practices good hygiene, especially after using the toilet. Teach them to wipe from front to back to prevent the spread of bacteria from the anus to the genital area.
  2. Diet: Some foods can contribute to anal itching. Make sure your child has a balanced diet with plenty of fiber to avoid constipation, which can exacerbate itching.
  3. Pinworms: Pinworms are a common cause of perianal itching in children. They are tiny worms that can be treated easily with medications.
  4. Allergies: Allergic reactions to certain soaps, detergents, or even toilet paper can lead to itching. Consider switching to hypoallergenic (less allergenic) products.
  5. Skin Conditions: Conditions like eczema or psoriasis can affect the perianal area and cause itching. Consult your pediatrician for proper diagnosis and treatment.
  6. Yeast Infections: Yeast infections can occur in the perianal area. Your pediatrician can recommend antifungal treatments if this is the cause.
  7. Bacterial Infections: Bacterial infections can also lead to itching. Antibiotic creams may be necessary if this is the case.
  8. Irritants: Excessive moisture or friction from diapers or tight clothing can irritate the skin. Ensure your child’s bottom is clean and dry.
  9. Consult your pediatrician: If the itching persists or worsens despite home care.

It’s essential to involve your pediatrician to determine the underlying cause and appropriate treatment for perianal itching in children.


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08/Aug/2023

During a viral cough, there are several precautions children should take:

  1. Hygiene: Teach them proper handwashing techniques to prevent the spread of germs.
  2. Cover Coughs and Sneezes: Encourage them to cough or sneeze into their elbow or a tissue to prevent the spread of respiratory droplets.
  3. Avoid Close Contact: Advise them to avoid close contact with sick individuals to minimize the risk of infection.
  4. Stay Home: If they’re sick, it’s important for them to stay home from school or other activities to prevent spreading the virus to others.
  5. Hydration and Rest: Make sure they drink plenty of fluids and get enough rest to aid in their recovery.
  6. Proper Disposal of Tissues: Teach them to dispose of used tissues properly and wash their hands afterward.
  7. Avoid Touching Face: Remind them not to touch their eyes, nose, or mouth with unwashed hands.
  8. Regular Cleaning: Keep their living space clean and well-ventilated, and regularly clean frequently-touched surfaces.
  9. Healthy Diet: Encourage them to eat a balanced diet to support their immune system.
  10. Consult your pediatrician: If the cough persists, worsens, or is accompanied by other concerning symptoms including fast breathing or noisy breathing

Remember, these are general precautions. It’s important to follow guidance from your pediatrician for specific situations.


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29/Jul/2023

Ear piercing in children is a common practice in many cultures. If you are considering getting your child’s ears pierced, there are a few things you should keep in mind:

1. Age: The age varies, but generally, children after 6 months of age are considered better candidates for ear piercing. In some regions, it’s considered at a much younger age. However, it’s safer to get ear piercing done at least after the 1st dose of the DPT vaccine (which is after 6 weeks of life).

2. Safety: Safety should be a top priority. Ensure that the piercing is done by a trained professional in a hygienic environment. They should use sterile equipment and follow proper aftercare procedures to minimize the risk of infection.

3. Aftercare: After the piercing, proper care is crucial to avoid infections and complications. Follow the aftercare instructions provided by the professional, such as cleaning the piercings regularly with a saline solution or prescribed antiseptic.

4. Healing time: It’s important to understand that ear piercings take time to heal, especially in children(usually 3 to 4 weeks). Be prepared for potential discomfort or sensitivity during the healing process, which can take several weeks to a few months.

5. Considerations: Take into account your child’s individual preferences and willingness to have their ears pierced. It’s important to have a discussion with them and ensure they are on board with the decision.

Remember, every child is different, so it’s important to evaluate what is best for your specific situation. If you’re unsure, you can consult with a pediatrician or a professional piercer for personalized advice before proceeding.


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21/Jul/2023

Dengue is a viral infection transmitted through the bites of infected mosquitoes, primarily the Aedes aegypti mosquito. Children, especially those under the age of 10, are at a higher risk of severe complications from dengue. To protect children from dengue, it’s important to take the following precautions:

  1. Use mosquito repellents: Choose repellents that are safe for children and contain ingredients such as DEET, picaridin, or oil of lemon eucalyptus.
  2. Dress appropriately: Dress your child in light-colored, long-sleeved shirts and long pants to minimize exposed skin during peak mosquito activity times, which are early morning and late afternoon to evening.
  3. Use mosquito nets: If your child sleeps during the daytime or in areas where mosquito exposure is likely, use mosquito nets over their beds or cribs to provide an extra layer of protection.
  4. Eliminate breeding sites: Ensure that there are no stagnant water sources around your home, as these are potential breeding grounds for mosquitoes. Regularly empty and clean containers such as flower pots, water buckets, and discarded tires where water can accumulate.
  5. Stay indoors during peak mosquito activity: When possible, keep children indoors during times when mosquitoes are most active, especially in areas with a high incidence of dengue.
  6. Screen windows and doors: Install screens on windows and doors to keep mosquitoes out while allowing air circulation.
  7. Seek medical attention: If your child shows symptoms of dengue, such as high fever, severe headache, pain behind the eyes, joint and muscle pain, rash, or bleeding, consult your pediatrician immediately. Early diagnosis and treatment can prevent complications.
  8. Stay hydrated: Encourage your child to drink plenty of fluids to prevent dehydration, especially if they have a fever.
  9. Avoid self-medication: Do not give your child aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen unless prescribed by your pediatrician. These medications can increase the risk of bleeding in dengue cases.
  10. Educate your child: Teach your child about the importance of preventing mosquito bites and the risks associated with dengue. Encourage them to use repellents and wear protective clothing when outdoors.

By taking these precautions, you can reduce the risk of your child contracting dengue and experiencing severe complications if they do become infected. If dengue is prevalent in your area, it’s crucial to stay informed about local health advisories and follow any additional recommendations from health authorities.


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15/Jul/2023

Mosquito bites are a common occurrence in children, especially during warmer months or in areas where mosquitoes are prevalent. While most mosquito bites are harmless and only result in temporary discomfort, they can occasionally lead to more serious complications. Here are some key points to keep in mind regarding mosquito bites in children:

  1. Symptoms: Mosquito bites typically cause redness, swelling, and itchiness at the site of the bite. Some children may also experience a small, raised bump. The itching can be quite intense, leading to scratching, which can increase the risk of infection.
  2. Prevention: It’s important to take steps to prevent mosquito bites in children. Use mosquito nets or screens on windows and doors, dress your child in long sleeves and pants, especially during peak mosquito activity times (dusk and dawn), and apply insect repellent that is specifically formulated for use on children. Avoid using repellents containing DEET on infants younger than two months old.
  3. Treatment: For mild mosquito bite symptoms, you can provide relief by washing the affected area with mild soap and water, applying a cold compress, and using over-the-counter anti-itch creams or lotions. Avoid excessive scratching to prevent further irritation or infection.
  4. Infection: Although uncommon, mosquito bites can become infected if the child scratches the bite excessively or breaks the skin. Signs of infection include increasing redness, swelling, pain, warmth, or pus formation. If you suspect an infection, consult a healthcare professional for appropriate treatment.
  5. Allergic Reactions: Some children may have an allergic reaction to mosquito bites, resulting in more pronounced symptoms such as hives, severe swelling, or difficulty breathing. In such cases, seek immediate medical attention.
  6. Mosquito-borne Diseases: While mosquito bites themselves are generally harmless, mosquitoes can transmit certain diseases like malaria, dengue fever, chikungunya etc. These diseases are more prevalent in specific regions, so it’s important to be aware of any local health advisories and take appropriate precautions when traveling to high-risk areas.

If you have concerns about mosquito bites or notice any unusual symptoms or reactions in your child, it’s always best to consult your pediatrician for proper evaluation and guidance.


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10/Jul/2023

Iron is an essential mineral for toddlers as it supports their growth and development. Here are some iron-rich foods that you can include in your toddler’s diet:

  1. Lean meats: Lamb, pork, sea food and poultry (such as chicken) are excellent sources of iron. Ensure that the meat is cooked well and cut into small, manageable pieces for your toddler.
  2. Beans and legumes: Kidney beans, chickpeas, lentils, and black beans are great sources of iron. You can offer them in various forms like soups, stews, or mashed and seasoned as a side dish.
  3. Iron-fortified cereals: Look for iron-fortified breakfast cereals specifically made for toddlers. These cereals are usually enriched with iron and other essential nutrients.
  4. Dried fruits: Raisins, apricots, and prunes are iron-rich dried fruits that can be given to toddlers. Ensure that they are cut into small, bite-sized pieces to prevent choking hazards.
  5. Leafy green vegetables: Spinach, kale, and broccoli are rich in iron. Steam or sauté them until they are tender and serve them as a side dish or incorporate them into soups, stews, or pasta dishes.
  6. Eggs: Egg yolks are a good source of iron. Scrambled eggs, boiled eggs, or omelets can be a nutritious addition to your toddler’s diet.
  7. Fortified bread and grains: Look for bread and grains that are enriched with iron. Whole grain bread, fortified pasta, and fortified rice are some options to consider.

Remember that iron absorption is enhanced when paired with vitamin C-rich foods. So, you can serve iron-rich foods with fruits like oranges, strawberries, or tomatoes, which are high in vitamin C.

If you have concerns about your toddler’s iron intake, it’s always a good idea to consult with your pediatrician who can provide personalized advice based on your child’s specific needs.


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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