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_0065.jpeg
29/Jul/2025

Exclusive Breastfeeding in Newborns – What Parents Should Know

Exclusive breastfeeding (EBF) means giving your baby only breast milk for the first six months — no water, other liquids, or food. This is the ideal way to nourish a newborn, and the World Health Organization (WHO) and UNICEF strongly recommend it.


Key Benefits of Exclusive Breastfeeding

1. Best Nutrition for Baby

  • Breast milk has the perfect balance of nutrients — proteins, fats, vitamins, and minerals.

  • It adapts to the baby’s growing needs.

2. Immunity Boost

  • Rich in antibodies, especially secretory IgA, that help fight infections.

  • Reduces risk of:

    • Respiratory infections

    • Diarrhea

    • Ear infections

    • Meningitis

    • Allergies and asthma

3. Supports Healthy Growth & Development

  • Promotes better brain development due to essential fatty acids (like DHA).

  • Supports healthy weight gain and gut development.

4. Emotional Bonding

  • Skin-to-skin contact during breastfeeding enhances bonding and emotional security.

  • Helps regulate baby’s heartbeat, breathing, and temperature.

5. Lower Risk of Chronic Diseases Later

  • Reduces risk of obesity, type 1 and type 2 diabetes, and certain cancers in later life.

6. Protects Mothers Too

  • Lowers mother’s risk of:

    • Breast and ovarian cancers

    • Postpartum depression

    • Type 2 diabetes

  • Helps uterus contract after delivery and reduces postpartum bleeding.

  • Acts as a natural contraceptive (lactational amenorrhea method) under specific conditions.


❗ What Parents Must Avoid

  • No water, juice, or formula unless medically indicated.

  • Avoid giving honey or gripe water — can be dangerous.

  • Do not delay feeding — respond to baby’s early hunger cues (rooting, sucking hands).


🍼 Common Myths Debunked

  • “I don’t have enough milk” – Colostrum (the first milk) is enough in the first few days; frequent feeding helps increase supply.

  • “Baby cries, so milk isn’t enough” – Crying is not always due to hunger.

  • “Formula is just as good” – Formula lacks live immune factors found in breast milk.


📌 Final Tips for Parents

  • Initiate breastfeeding within 1 hour of birth.

  • Feed on demand, not on a strict schedule.

  • Ensure proper latch and position to avoid pain and ensure effective feeding.

  • Seek help from a lactation consultant if you face challenges.


Breastfeeding is a gift only you can give your baby. It lays the foundation for a healthy start to life — physically, emotionally, and mentally.


IMG_0055.jpeg
27/May/2025

Cephalhematoma in a Newborn is a collection of blood between a newborn’s skull bone and the periosteum (the membrane covering the bone). It occurs due to rupture of blood vessels during delivery, often from pressure on the baby’s head during labor or use of delivery instruments like forceps or vacuum extractors.

Key Features:

  • Location: Always confined to one cranial bone, most commonly the parietal bone.

  • Does not cross suture lines (a distinguishing feature from caput succedaneum).

  • Appears several hours after birth, not immediately.

  • Firm, well-defined swelling on the head.

  • Skin over the swelling is not discolored, unlike in bruises.

Causes:

  • Birth trauma from:

    • Vaginal delivery

    • Prolonged labor

    • Instrumental delivery (forceps or vacuum)

    • Large baby (macrosomia)

Diagnosis:

  • Clinical examination is usually sufficient.

  • Imaging (ultrasound or CT) is rarely needed unless complications or other skull injuries are suspected.

Course and Management:

  • Benign and self-limiting — most resolve on their own over weeks to months.

  • No aspiration is recommended due to risk of infection.

  • Monitor for complications like:

    • Hyperbilirubinemia (due to breakdown of blood in the hematoma)

    • Anemia (rare)

    • Infection (very rare)


IMG_0030.jpeg
28/Jan/2025

Eye discharge in infants is a common concern for parents. Here’s what you need to know about potential causes, symptoms to watch for, and when to seek medical advice:

Causes of Eye Discharge in Infants

  1. Blocked Tear Duct (Dacryostenosis):
    • Common in newborns because tear ducts may not fully open at birth.
    • Symptoms include watery eyes and yellow or white discharge.
    • Usually resolves on its own by 6-12 months.
  2. Conjunctivitis (Pink Eye):
    • Viral: May accompany a cold and cause watery discharge.
    • Bacterial: Produces thick yellow or green discharge, often with crusting.
    • Allergic: Less common in infants, associated with itching and watery discharge.
  3. Eye Infection from Delivery:
    • Newborns may contract an eye infection (ophthalmia neonatorum) during delivery if exposed to bacteria or viruses like gonorrhea or chlamydia. This requires urgent medical attention.
  4. Foreign Body or Irritation:
    • Dust, hair, or other irritants can cause redness and watery discharge.
  5. Dry Eye or Other Conditions:
    • Less common but possible.

When to Seek Medical Attention

  • Discharge is thick, yellow, green, or foul-smelling.
  • Eyes are red, swollen, or baby seems in pain.
  • Discharge persists for more than a few days.
  • Baby has a fever or other signs of illness.
  • Eye infection is suspected after delivery.

What Parents Can Do at Home

  1. Clean the Eyes Gently:
    • Use a warm, damp cotton ball or soft cloth to wipe away discharge.
    • Always wipe from the inside corner outward to avoid spreading infection.
  2. Massage for Blocked Tear Ducts:
    • Gently massage the inner corner of the eye to encourage tear duct drainage.
    • Ask your pediatrician for proper technique.
  3. Avoid Contamination:
    • Wash your hands before and after touching your baby’s face.
    • Use clean cloths or cotton balls for each eye to prevent spreading infection.
  4. Avoid Over-the-Counter Drops:
    • Don’t use eye drops unless prescribed by your pediatrician.

By keeping an eye on symptoms and practicing good hygiene, most cases of eye discharge in infants can be managed effectively. Always consult your pediatrician if you’re unsure or concerned.


IMG_0029.jpeg
20/Jan/2025

Dry skin in children is common and can result from various factors, including environmental conditions, genetics, and certain health conditions. Here’s what parents should know:

Causes of Dry Skin in Children:

  1. Weather: Cold, dry air in winter can strip moisture from the skin.
  2. Frequent Bathing: Overbathing, especially with hot water or harsh soaps, can lead to dryness.
  3. Genetics: Children with a family history of eczema or other skin conditions may be more prone to dry skin.
  4. Dehydration: Not drinking enough water can contribute to dry skin.
  5. Skin Conditions: Conditions like eczema or psoriasis can cause dry, flaky skin.

Symptoms:

  • Rough, scaly, or flaky skin.
  • Itching or discomfort.
  • Red or irritated patches.
  • Cracks or peeling, especially on hands, feet, or lips.

Prevention and Care Tips:

  1. Moisturize Regularly: Apply a thick, fragrance-free moisturizer immediately after bathing and several times a day as needed.
  2. Limit Bath Time: Keep baths or showers short and use lukewarm water. Avoid hot water, which can dry out the skin.
  3. Use Gentle Cleansers: Opt for mild, fragrance-free soaps or cleansers specifically designed for children’s sensitive skin.
  4. Humidify the Air: Using a humidifier in the child’s room can help maintain moisture levels in the air, especially in winter.
  5. Dress Appropriately: Dress children in soft, breathable fabrics like cotton. Avoid wool or synthetic materials that may irritate the skin.
  6. Hydration: Ensure the child drinks plenty of water to keep the skin hydrated from the inside.
  7. Sun Protection: Use a broad-spectrum sunscreen to protect the skin from drying and damaging UV rays.

When to See your paediatrician:

  • If the dry skin is persistent, severe, or accompanied by symptoms like redness, swelling, or oozing.
  • If the child develops signs of infection (e.g., redness, warmth, or pus).
  • If you suspect eczema or another skin condition that may require specific treatment.

Proper skincare and preventive measures can help manage and reduce the occurrence of dry skin in children.


IMG_0471.jpeg
12/Jun/2024

Exclusive breastfeeding means that an infant receives only breast milk and no other liquids or solids (not even water) except for vitamins, minerals, and medications as advised by healthcare providers. It’s recommended for the first six months of life because breast milk provides all the nutrients an infant needs for healthy growth and development. It not only provides nutrition but also immunity of the mother which gets transferred to the baby through breast milk. This will protect the little ones from various infections in the early months of life.


IMG_0329.jpeg
08/Jun/2023

When it comes to weaning, the process of transitioning a baby from a milk-only diet to solid foods, there are several tips and guidelines that can help parents navigate this important stage of their child’s development. Here are some weaning advice for parents:

  1. Introduce solids gradually: Start by introducing a single food item at a time, ideally pureed or mashed, and observe how your baby reacts to it. Mashed seasonal fruits with milk fat (malai) is mostly tolerated well by infants. Change or add on second meal only after a week. Allow time for baby to adjust.
  2. Maintain a relaxed atmosphere: Make mealtimes enjoyable and stress-free for both you and your baby. Create a comfortable environment, free from distractions, where you can sit face-to-face with your child. This helps establish positive associations with food and encourages healthy eating habits.
  3. Follow your baby’s cues: Pay attention to your baby’s signals and readiness for solid foods. Signs that your baby may be ready for weaning include good head control, ability to sit up with support, showing interest in food, and loss of the tongue-thrust reflex (pushing food out of the mouth with the tongue).
  4. Gradually increase textures: As your baby becomes comfortable with purees, start introducing thicker textures and lumpier foods(This normally takes a month of initiation of weaning foods). This helps develop their chewing and swallowing skills. You can also introduce finger foods that are easy to hold and chew, such as soft cooked vegetables or small pieces of ripe fruits.
  5. Offer a variety of flavors: Introduce a wide range of flavors and textures to expand your baby’s palate. Exposing them to different tastes early on can help promote acceptance of diverse foods later in life. However, avoid adding salt, sugar, or other seasonings to your baby’s food till 10 months of age atleast.
  6. Continue breastfeeding or formula feeding: Remember that breast milk or formula will continue to be an important source of nutrition for your baby during the weaning process. Solid foods should complement, not replace.
  7. Be patient and persistent: It may take time for your baby to accept and enjoy new foods. Don’t be discouraged if they initially reject certain foods or make a mess while eating. Keep offering a variety of foods, and let your baby explore and develop their own preferences over time.
  8. Practice good hygiene: Ensure that all feeding equipment and utensils are clean and sterilized to maintain good hygiene. Wash your hands before preparing your baby’s food and encourage them to explore and self-feed when they are ready.
  9. Seek professional advice when needed: If you have concerns about your baby’s growth, nutrition, or weaning process, consult your pediatrician. They can provide personalized guidance and address any specific questions or challenges you may have.

Remember, every baby is unique, and the weaning process may vary for each child. Trust your instincts as a parent, follow your baby’s cues, and enjoy this exciting milestone in their development.


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.