Medical Info For Parents

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12/Apr/2025

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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01/Apr/2025

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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25/Mar/2025

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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17/Mar/2025

Ear piercing in children is a personal decision for parents, but there are several important factors to consider before going ahead. Here’s what you need to know:

1. Best Age for Ear Piercing

  • The American Academy of Pediatrics (AAP) states that ear piercing is safe at any age if done properly. However, they recommend waiting until the child is old enough to care for the piercings themselves (usually around 6–8 years old) to reduce the risk of infection.
  • Some parents choose to pierce their baby’s ears early (as young as a few months old) because infants tend to heal faster and are less likely to touch or pull on their earrings.

2. Choosing a Safe Piercing Method

  • Needle vs. Piercing Gun: Professional piercers often recommend a needle over a gun because it’s more sterile, precise, and causes less trauma to the ear. Piercing guns can create more tissue damage and are harder to sterilize.
  • Go to a Licensed Professional: Ensure the piercing is done by a trained professional in a clean and reputable setting. Many pediatricians also offer ear piercing.

3. Choosing the Right Earrings

  • Use hypoallergenic metals such as surgical steel, titanium, or 14K+ gold to reduce the risk of allergic reactions.
  • Avoid earrings with nickel, as it can cause irritation.
  • Opt for small, flat-back earrings to prevent snagging.

4. Caring for Newly Pierced Ears

  • Clean twice a day with saline solution or antiseptic recommended by the piercer. Avoid using alcohol or hydrogen peroxide, as they can dry out and irritate the skin.
  • Do not remove earrings for at least 6–8 weeks (for lobe piercings) to prevent the holes from closing.
  • Rotate the earrings gently while cleaning to prevent them from sticking to the skin.
  • Watch for signs of infection (redness, swelling, pus, or pain) and consult a doctor if necessary.

5. Risks & Potential Complications

  • Infections can occur if proper hygiene is not maintained.
  • Keloids or scars can develop, especially in children with darker skin tones who are more prone to them.
  • Allergic reactions can occur if non-hypoallergenic metals are used.
  • Earring loss or choking hazard—for babies and toddlers, ensure earrings are secure to avoid accidental swallowing.

6. When to Seek Medical Attention

  • If the ear becomes excessively swollen, painful, or has discharge.
  • If the child develops a fever.
  • If the earring becomes embedded in the ear.

Final Thoughts

Ear piercing can be a safe and enjoyable experience for children with proper care. Parents should weigh the pros and cons, ensure a sterile procedure, and follow aftercare instructions carefully to prevent complications.


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10/Mar/2025

An inguinal hernia in an infant occurs when a part of the intestine or abdominal tissue pushes through a weak spot in the inguinal canal, a passage in the lower abdominal wall. It typically appears as a bulge in the groin or scrotum and is more common in premature boys.

Symptoms:

  • A soft lump in the groin or scrotum, more noticeable when the baby cries, coughs, or strains.
  • The lump may disappear when the baby is lying down.
  • If the hernia becomes incarcerated (trapped), symptoms can include pain, swelling, redness, vomiting, and difficulty feeding. This is an emergency.

Causes & Risk Factors:

  • Incomplete closure of the inguinal canal during fetal development.
  • More common in boys, premature babies, and those with a family history of hernias.

Treatment:

  • Surgery is the standard treatment to prevent complications like incarceration or strangulation (cutting off blood supply).
  • If the hernia is reducible (able to be pushed back), surgery may be scheduled electively.
  • If incarcerated, emergency surgery is needed.

When to See a Doctor:

  • If you notice a lump in your baby’s groin.
  • If the lump becomes firm, red, swollen, or painful, or if the baby is vomiting and irritable—this could indicate an emergency.

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25/Feb/2025

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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18/Feb/2025

Earwax (cerumen) in children is normal and usually helps protect the ear by trapping dirt, dust, and bacteria. In most cases, it moves out of the ear on its own. However, sometimes it can build up and cause issues like hearing difficulties, ear pain, or a blocked sensation.

What to Do:

  • Avoid cotton swabs: They can push wax deeper into the ear.
  • Use a warm washcloth: Gently clean around the outer ear.
  • Over-the-counter drops: Earwax softening drops (like hydrogen peroxide or baby oil) can help.
  • See a doctor if needed: If there’s pain, hearing loss, or a suspected blockage, a pediatrician  or a ENT surgeon can safely remove the wax.

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10/Feb/2025

Infant reflux, also known as gastroesophageal reflux (GER), is common in babies and usually not a cause for concern. Here’s what parents should know:

1. What Is Infant Reflux?

Reflux occurs when stomach contents flow back into the esophagus, causing spitting up. This happens because the muscle that keeps food in the stomach (the lower esophageal sphincter) is still developing in infants.

2. Signs of Reflux in Babies

  • Frequent spitting up or vomiting
  • Coughing or hiccups after feeding
  • Irritability or crying, especially after eating
  • Arching the back or stiffening during feeding
  • Difficulty sleeping or discomfort when lying down
  • Poor weight gain (in more severe cases)

3. When Is Reflux a Problem?

Most babies outgrow reflux by 12 to 18 months. However, Gastroesophageal Reflux Disease (GERD) is a more serious condition that requires medical attention. Signs of GERD include:

  • Poor weight gain or weight loss
  • Frequent forceful vomiting
  • Blood in vomit or stool
  • Chronic cough, wheezing, or difficulty breathing
  • Extreme fussiness or refusal to eat

4. Tips to Manage Mild Reflux

  • Feed smaller amounts more frequently – Large feedings can overwhelm a baby’s stomach.
  • Burp often – Burp your baby every few minutes during and after feeding.
  • Keep baby upright – Hold your baby upright for 20–30 minutes after feeding.
  • Use a proper feeding position – Ensure the baby is not lying flat while feeding.
  • Try thickened feeds – If advised by a doctor, thickening formula or breast milk with a small amount of rice cereal may help.
  • Check for formula or food allergies – Some babies react to cow’s milk protein or other allergens.

5. When to See a Doctor

Consult a pediatrician if your baby has:

  • Frequent projectile vomiting
  • Trouble gaining weight
  • Signs of discomfort during feeding
  • Breathing difficulties
  • Persistent cough or wheezing

6. Treatment Options

For severe cases, doctors may recommend medication to reduce stomach acid or, in rare cases, further medical interventions.

7. The Good News

Most babies outgrow reflux as their digestive system matures, usually by their first birthday. Managing feedings and positioning can significantly help reduce symptoms.


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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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01/Feb/2025

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.

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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