Dr Sane's Clinic

03/09/2021

03/08/2021

How much water do children need?

A question often asked by parents.
A child on breast feeds does not need any additional water till six months of age.
And this is irrespective of environmental temperature.
After that it depends on activity, sweating and climate.

How do we know whether the child is taking enough water ?
He / she should pass urine at least four times a day and except the first urine in the morning it shouldn’t be dark in colour.( Exception : some medicines cause dark coloured urine)

21/07/2021

Most people have mild or no side effects after taking a COVID-19 vaccine

16/07/2021

COLIC IN BABIES 😫😩👶
Colic is the frequent extreme fussiness., excessive and prolonged crying for no apparent reason which happens during the same time of the day... usually evenings..
Colic in babies makes the parents overwhelmed, frustrated and resentful since no form of consoling at times seems to pacify the baby.
Things to hence remember are...
1.BABIES tend to have colic from the second week of life till around 3.5to 4months of age.... around..25%of them have severe colic.. which is also definitely going to disappear by the 4to 5months..of age
2.Ensure a good breast feeding position so that the air swallowing during feeding is as less as possible..
3 In top fed or formula fed babies... do maintain the exact dilution of the formula and in case the baby is on bottle feeding due to lactation failure..see that you do not use a bigger measure bottle for small feeds...we have many anti colic valve bottles available too..
3.Always burp your baby after every feed...if the baby goes into deep sleep post feeding.. just carry your baby and walk for 10 mins patting the back gently... this makes them very comfortable..
4.Check your food ( Mother's food) .. like excessive consumption of dairy products specially milk by the mother..may cause colic...try substracting it from the diet n see if it makes a difference...
5.Overstimulation...if it's happening around the
baby...too many loud noises,loads of visitors ( pandemic has decreased the visitors though) ..just try n decrease the overstimulation.
6.Tummy time..once the baby is around 4 wks.. trying tummy time is a good option..but not immediately post feed..after the burp or may be 30 minutes later n should be supervised...
7.Playing soft music could make a change sometimes..good for the baby and the parent 😊
8.Stay cool n calm...easier said than done but that's the key.. your stress sends negative vibrations and if you stay calm as a parent you take actions to console in a better way..Hold the baby as close to you when inconsolable..Take turns of handling the baby.. allocate.it to close family members too
9.The COLIC if makes you frustrated always since the baby is inconsolable...a visit to the paediatrician is must for a thorough check up to rule out any illness... causing the pain..and definitely to allay the anxiety as a parents.
10.The treatment for colic is studied time n again...some medications like... probiotics.. antispasmodic s. have been in use..but always consult your paediatrician before starting them.
11Remember....This too shall pass n COLIC will be gone forever.. It's not a disease just a physiological manifestation of the developing intestinal system of the baby 👍
And once the challenge has surpassed...Pat your back...for surviving...the first challenge of parenthood...😊
THE POST CONTRIBUTED BY DR NEETA SABOO.

13/07/2021

Obesity :'THE OTHER PANDEMIC!

India has the second-highest number of obese children in the world after China, according to a study, which means that 14.4 million kids in the country have excess weight. Healthcare experts have attributed the rise in obesity to unhealthy food choices and lack of physical activities among children and even adults.

Lifestyle diseases like hypertension type 2 diabetes are more commonly on the rise and obesity features predominantly in them.

Is my child overweight?
With the pandemic looming and the inevitable lockdowns , this is now a very common concern among parents especially in city homes with limited moving space and increased screen times.

However, Parents should not make changes to a child's diet based solely on perceptions of overweight. All pre-schoolers exhibit their own individual body structure and growth pattern. Assessing obesity in children is difficult because children grow in unpredictable spurts. It should only be done by a health care professional, using the child's height and weight relative to his previous growth history.
Regular monitoring of his weight and height parameters should be done on non-ill visits or vaccination visits.

How to prevent obesity in children a few tips .

1) AVOID eating in front of a screen.
This includes TV, LAPTOPS ANS MOBILES. Doing this, blunts our sense of satiety and leads to over eating.

2) Moderation is key.
In children, we like to advocate weight maintaince, more than weight loss.
Very heavily restrictive diets are not recommended and in fact may backfire, leading to rebelling and overeating .

3) Balance out your meals
After an occasional lunch or dinner , make sure the rest of the meals in the day are lighter.
Also , good healthy eating should be a family affair.
Do not make special food for the child. This may lead to feelings of being singled out..

4) LIMIT SNACKING AND MAKE IT FUN.
Make the most of snacks. Continuous snacking may lead to overeating. Plan healthy snacks at specific times.
Avoid sugary juices and aerated beverages .Prefer home-made drinks like nimbu pani, chaas lassi , soups or coconut water etc .

Eat fruits instead. Or healthy snacks like murmura. Paneer shallow fried cutlets , whole wheat rolls etc.

5) BUY SMART.
When shopping for snacks , take the kids along if you. can. Older kids can help pep for meals and snacks too. Buy fewer high-calorie, low-nutrient foods. Help children understand that sweets and high-fat treats (such as candy, cookies, or cake chocolates) are not everyday foods.

5) Encourage your child to try more varieties of food

6) PHYSICAL ACTIVITY to be encouraged.
With the lockdown situation and kids not being able to play down , weight issues are increasing .
However, the kids and do simple activities like dancing to their favourite music, doing some floor exercises or even yoga.
Going for walks with the whole family is fun too !
The post is contributed by Dr Shivani Sud Thakur

10/07/2021

This information is true for first few months only.Weight gain usually slows after 3 months.

08/07/2021

What is happening now?
: current fevers in children.

Recently we have encountered many children with fever in our clinic. What we are witnessing are many children with Influenza and RSV (Respiratory syncytial virus). These are viral infections.
Both cause short lasting fevers (typically 3-4days) of moderate intensity with cough and cold. Some children also have symptoms of stomach upset. Many family members do get affected with varying severity.
Vaccination is moderately effective in prevention of influenza (usually recommended in children less than 5 years and adults above 65 years). No such vaccine is available for RSV infections.

06/07/2021

Fever: some useful facts : part 2
Is fever a friend or enemy?
Fever is body’s response to infection and is meant to control the infection.
The raised temperature makes it difficult for viruses and bacteria to survive and multiply.
It also alerts the patient to take rest, and thus helps in recovery.
Fever also activates our immune system and makes it more efficient.
Off course, fevers come with uncomfortable feelings of body aches and headaches.
It also increases metabolic demands and puts strain on body organs such as heart and lung.
In very young children it can also be associated with convulsion.

04/07/2021

Fever: some useful facts : part 1
Come monsoon and it rains infections! After a lull of almost one year we have suddenly witnessed spurt of fever cases in our clinic. There are cases of dengue, malaria typhoid and upswing in cases of influenza and other viral infections.
A few facts:
1.Usual fevers are short lasting , typically 3-4 days (usually less than a week).
2. Fevers may be high to begin with but by 3rd or 4rth day the intensity should be decreasing.
3. Usual fevers are accompanied by other symptoms like cough/cold/loose motions etc.

27/06/2021

Interesting data on birthday in family and subsequent COVID infection:

This is an interesting study from US which showed that having birthday in family increased the chances of having COVID in next two weeks. The chances were 3 times more if the birthday happened to be of a child than an adult.
Realise that the researchers didn’t actually study whether the birthday was celebrated or not. But, found the association from study of database.
We know that maintaining social distancing is the best way to protect ourselves from COVID. Most experts believe that studies like this caution us against letting our guards down even for a family function.