Medical Info For Parents

IMG_0394.jpeg
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.


IMG_0061.jpeg
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.


IMG_0038-1.jpeg
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.


images.jpg
11/Mar/2024

Pain while passing urine in children can be caused by various factors, including urinary tract infections (UTIs), urinary tract abnormalities, irritation from soaps or bubble baths, constipation or even psychological factors like anxiety. It’s important to consult your pediatrician, if a child is experiencing pain while urinating, as it could indicate an underlying medical issue that needs attention.

Urinary tract infections (UTIs) are a common cause of pain during urination in children. Symptoms of a UTI in children may also include frequent urination, urgency, foul-smelling urine, and sometimes fever. UTIs should be promptly diagnosed and treated. Consult your pediatrician immediately.

Urinary tract abnormalities, such as structural problems in the kidneys or bladder, can also lead to pain during urination in children. These abnormalities may require further evaluation and management by a pediatric urologist or nephrologist.

In some cases, external factors like irritation from soaps, bubble baths, or tight clothing can cause discomfort during urination. Ensuring proper hygiene practices and avoiding potential irritants can help alleviate this type of discomfort.

Constipation is another common factor in children that can lead to painful urination and sometimes leading to children holding their urine. Your pediatrician will take a detail history and evaluate to rule out this condition.

Additionally, psychological factors like anxiety or stress can sometimes manifest as physical symptoms such as pain during urination. In these cases, addressing the underlying psychological factors through counseling or therapy may be beneficial.

Overall, any persistent or severe pain during urination in children should be evaluated by a pediatricianl to determine the underlying cause and appropriate treatment.

 


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.