Dr. Hassan Mahmud

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 # # # **Facebook Post**  **🌟 Attention Parents! Is Your Baby Struggling with Feeding or Speech? It Could Be a Tongue Ti...
04/08/2025

# # # **Facebook Post**

**🌟 Attention Parents! Is Your Baby Struggling with Feeding or Speech? It Could Be a Tongue Tie! 🌟**
Hi, I’m Dr. Hasan Mahmud, a pediatric surgeon. As a parent, I know how worrying it can be when your child faces feeding or speech challenges. Today, let’s demystify **tongue tie (ankyloglossia)**—a common but often overlooked condition—and empower you with knowledge!

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# # # # **🔍 What is Tongue Tie?**
Tongue tie occurs when the thin tissue under the tongue (lingual frenulum) is too tight, restricting movement. This can impact:
- **Breastfeeding**: Poor latch, clicking sounds, prolonged feeds, or ni**le pain .
- **Speech**: Difficulty pronouncing sounds like “t,” “d,” “l,” or “r” .
- **Oral Health**: Mouth breathing, dental crowding, or trouble swallowing .
- **Development**: Jaw alignment issues or sleep disruptions .

**👉 Not all ties are visible!** If your child shows these signs, consult a pediatric dentist or ENT specialist for assessment .

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# # # # **💡 Management: From Therapy to Surgery**
**1️⃣ Non-Surgical Approaches**
- **Lactation Support**: Work with a lactation consultant to improve feeding techniques .
- **Bodywork**: Chiropractors or osteopaths can relieve muscle tension in the head/neck .
- **Myofunctional Therapy**: Exercises to strengthen the tongue (e.g., “tongue lifts” or “side-to-side sweeps”) .

**2️⃣ Surgical Options**
- **Frenotomy**: Quick snipping for infants ( ✅ *Dr. Charugundla’s note: Z-plasty minimizes post-op exercises, easing recovery for young kids* .

**⚠️ Important**: Surgery is *only* recommended if symptoms persist after non-surgical efforts .

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# # # # **❤️ Pre- & Post-Op Care: Your Role is Crucial!**
If surgery is needed, **daily exercises** prevent reattachment:
- **Pre-Op**: Gentle massages (cheeks, lips, gums) to prepare tissues .
- **Post-Op**:
- **Intra-oral stretches**: Lift tongue sideways 3–5x/day for 2 weeks .
- **Sucking drills**: Use pacifiers to promote mobility .
- **Feeding**: Breastfeed immediately after frenotomy to soothe and enhance healing .

> ✨ *Pro Tip*: Keep sessions calm! Pair exercises with cuddles or songs to reduce stress .

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# # # # **🌱 Early Intervention Matters!**
Untreated tongue ties can lead to long-term challenges in speech, nutrition, and self-esteem. **If you suspect a tie**:
1. **Don’t self-diagnose**—seek a professional evaluation .
2. **Build a team**: Pediatricians, dentists, and therapists provide holistic care .
3. **Trust your instincts**: You know your child best!

> *“A small step today can transform your child’s tomorrow.”* —Dr. Hasan Mahmud

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**📞 Let’s Connect!**
For personalized advice, visit our clinic or DM us. Share this post to spread awareness! 👇

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**⚠️ URGENT: Protect Your Little Ones from Bed Falls – A Message from Dr. Hassan Mahmud**  Dear Parents and Caregivers, ...
09/07/2025

**⚠️ URGENT: Protect Your Little Ones from Bed Falls – A Message from Dr. Hassan Mahmud**

Dear Parents and Caregivers,

As a pediatric surgeon, I’ve treated too many children with preventable head injuries caused by falls from beds, sofas, or changing tables. What seems like a “short fall” can have life-altering consequences. Let’s work together to keep your children safe.

🔍 **Why Do Falls Happen?**
- Infants learning to roll (4–6 months) can tumble in seconds.
- Toddlers climbing or wiggling out of beds unsupervised.
- Using adult beds without rails (co-sleeping accidents).

💔 **The Hidden Dangers**:
Even a fall from 1–2 feet can:
- Cause skull fractures or brain bleeding (subdural hematoma).
- Lead to seizures, developmental delays, or in severe cases, death.
- **Symptoms to watch for**: Vomiting, drowsiness, irritability, unequal pupils, or loss of consciousness. **Seek ER care IMMEDIATELY if these appear!**

🛡️ **Prevention is Your Power**:
1. **Crib Safety**: Use cribs meeting safety standards (slats ≤ 2.4 inches apart). Lower the mattress as baby grows.
2. **Bed Rails**: For toddlers in “big-kid beds,” install secure bed rails on both sides.
3. **Floor Mats**: Place thick rugs or foam mats beside beds.
4. **Never Leave Unattended**: Even for “just a second” – take your child with you.
5. **Anchor Furniture**: Secure dressers/nightstands to walls (tip-over risk!).

🌟 **A Plea from My Heart**:
I’ve seen the tears of parents who never thought it could happen to them. **Seconds are all it takes.** Let’s turn awareness into action:
✅ **Check your child’s sleep space TODAY.**
✅ **Share this with every caregiver (grandparents, nannies, siblings).**

Your vigilance saves lives. If your child falls and hits their head, **do not wait** – go to the ER. When in doubt, get it checked out.

With care and commitment to your children’s safety,
**Dr. Hassan Mahmud**
*Pediatric Surgeon | Child Safety Advocate*

📞 [03338415699] | Ikram Hospital/ Bashir Hospital

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Little Ones & Dehydration: What Every Parent Must Know! 🌡️💧**  Dear Parents and Caregivers,  As a pediatric surgeon, I o...
05/07/2025

Little Ones & Dehydration: What Every Parent Must Know! 🌡️💧**

Dear Parents and Caregivers,

As a pediatric surgeon, I often see children rushed to the ER for complications that started with simple dehydration. With rising temperatures and active little ones, dehydration can sneak up quickly! Let’s break down how to spot, treat, and prevent it:

# # # 🔍 **Spotting Dehydration (Early Signs Matter!)**
- **Infants:** Fewer wet diapers (12 hours.
- Child is too weak to drink.
- Blood in stool/vomit.
- **Severe signs** (above).

# # # 🌟 **Prevention is Key!**
- Offer fluids **before they ask** (water, milk, ORS during illness/heat).
- Monitor urine color (aim for pale yellow!).
- Hydrate extra during play, fever, or diarrhea.
- Dress kids lightly in heat & avoid peak sun hours.

> 💬 **Remember:** Trust your instincts. If your child seems "off," act early. Dehydration can escalate fast in children!

Let’s keep our children safe, hydrated, and thriving. Share this with fellow parents—awareness saves little lives!

Stay healthy,
**Dr. Hassan Mahmud**
Pediatric Surgeon | [Ikram Hospital/Basheer Hospital]
[03338415699]

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Happy New Islamic Year
26/06/2025

Happy New Islamic Year

I wish you all a very happy EID Mubarak, May Allah accept your sacrifice and bring happiness in your life. Ameen
08/06/2025

I wish you all a very happy EID Mubarak, May Allah accept your sacrifice and bring happiness in your life. Ameen

Understanding Club Foot:Here’s what you need to know:🦶 Signs & Symptoms to RecognizeClub foot is usually visible at birt...
01/06/2025

Understanding Club Foot:

Here’s what you need to know:

🦶 Signs & Symptoms to Recognize

Club foot is usually visible at birth or on prenatal ultrasound. Look for:
Foot turned inward and downward (like a golf club).
High arch and deep creases on the inner side of the foot.
Tight Achilles tendon (heel cord), making the foot stiff.
Smaller foot/calf size

🔍 Diagnosis: Simple & Timely
At birth: Diagnosed visually/physical exam by your pediatrician or pediatric orthopedic specialist.

Confirmation: An X-ray or ultrasound may be used to assess bone alignment.
Action step: If you notice these signs, consult a pediatric orthopedic specialist immediately.

🌟 Non-Operative Treatment: The Ponseti Method (Gold Standard)

>95% of cases can be corrected without major surgery using the Ponseti method—a gentle, proven approach:

1. Weekly Casting (Starts 1–2 weeks after birth):
Gentle manipulation of the foot followed by a plaster cast from toe to thigh.
Repeated weekly for 5–8 weeks, gradually repositioning the foot.

2. Achilles Tenotomy (Minor Procedure):
After casting, most babies need a tiny cut (

📢 Parent's Guide to Pediatric Re**al Bleeding:🩺By Dr. Hassan Mahmud, Pediatric SurgeonSeeing blood in your child’s stool...
26/04/2025

📢 Parent's Guide to Pediatric Re**al Bleeding:🩺

By Dr. Hassan Mahmud, Pediatric Surgeon

Seeing blood in your child’s stool can be alarming, but understanding the possible causes and treatments can help you take the right steps. Here’s what you need to know about pediatric re**al bleeding:

🔍 Common Causes

A**l Fissures (small tears due to constipation)

Infections (bacterial/viral gastroenteritis)

Polyps (benign growths in the intestine)

Inflammatory Bowel Disease (IBD) (e.g., Crohn’s, Ulcerative Colitis)

Meckel’s Diverticulum (a congenital abnormality)

Intussusception (telescoping of intestines, requires urgent care)

🏥 Investigations

Your pediatrician or pediatric surgeon may recommend:

Stool tests (for infections)

Blood tests (to check for anemia/inflammation)

Ultrasound/CT Scan (if intussusception is suspected)

Colonoscopy (to detect polyps/IBD)

🏺 Surgical Management (When Needed)

Most cases resolve with medication or diet changes, but surgery may be required for:

Persistent polyps (removed via colonoscopy/surgery)

Meckel’s diverticulum (removal if bleeding)

Intussusception (air e***a or surgery if severe)

Severe IBD complications (rare cases)

⚠️ When to Seek Immediate Help:

Heavy bleeding

Severe abdominal pain/vomiting

Lethargy or signs of dehydration

Early diagnosis and treatment are key! If you notice re**al bleeding in your child, consult a pediatrician or pediatric surgeon promptly.

💬 Questions? Drop them in the comments!

**alBleeding

🌟 Parental Awareness Alert! Undescended Te**es (Cryptorchidism) – What Every Parent Should Know 🌟By Dr. Hassan Mahmud | ...
15/04/2025

🌟 Parental Awareness Alert! Undescended Te**es (Cryptorchidism) – What Every Parent Should Know 🌟
By Dr. Hassan Mahmud | Pediatric & Neonatal Surgeon

Dear Parents,

Did you know that 1 in 100 baby boys is born with an undescended te**is (where one or both te**es fail to descend into the sc***um)? Early detection and treatment are crucial to avoid future complications. Here’s what you need to know:

🔍 Signs of Undescended Te**es
Empty or underdeveloped sc***um (one or both sides).

Te**is felt in the groin but not in the sc***um.

No te**is found even on careful examination (rare).

Note: Some te**es may descend on their own by 6 months of age, but if not, intervention is needed.

🩺 How is it Diagnosed?
Physical Exam – A pediatric surgeon can usually locate the te**is by touch.

Ultrasound – Sometimes used, but not always necessary.

Laparoscopy (if the te**is is not felt) – A minimally invasive procedure to locate it.

⚕️ Why Treat It? Risks of Delayed Management
Infertility (higher risk if untreated beyond 1-2 years).

Testicular Cancer (slightly increased risk later in life).

Hernia or Torsion Risk (undescended te**es are more prone to complications).

🛠️ Treatment Options
Hormonal Therapy (Rarely Used) – Sometimes tried, but surgery is the gold standard.

Surgery (Orchiopexy) – A safe, short procedure where the surgeon gently moves the te**is into the sc***um.

Best time for surgery: Between 6-18 months (earlier is better!).

Minimally invasive (laparoscopic) option if the te**is is high in the abdomen.

Outpatient procedure (child goes home the same day).

💡 Post-Surgery Care
Mild discomfort for 1-2 days (pain relief like paracetamol helps).

Avoid vigorous play for 1-2 weeks.

Regular follow-ups to ensure proper healing and function.

Early treatment = Better outcomes!

📞 Concerned? Consult a pediatric surgeon as soon as possible.

Dr. Hassan Mahmud
Pediatric & Neonatal Surgeon
📍 [Ikram Hospital/ Basheer Hospital/ Iqra Hospital]
📩 [03338415699]

**es

**Like & Share to spread awareness

📢 Attention Parents! Understanding Pediatric Inguinal Hernia – By Dr. Hassan Mahmud (Pediatric & Neonatal Surgeon)👶 What...
10/04/2025

📢 Attention Parents! Understanding Pediatric Inguinal Hernia – By Dr. Hassan Mahmud (Pediatric & Neonatal Surgeon)

👶 What is a Pediatric Inguinal Hernia?
An inguinal hernia occurs when a part of the intestine or abdominal tissue pushes through a weak spot in the groin area, creating a soft bulge. It’s common in infants and children, especially premature babies and boys.

🔍 How Do I Know If My Child Has One?

A visible bulge in the groin or sc***um (more noticeable when crying, coughing, or straining).
The bulge may disappear when the child is relaxed or lying down.

Pain, fussiness, or vomiting (if the hernia becomes trapped/incarcerated—this is an emergency!).

🩺 How is it Diagnosed?

Clinical examination (pediatric surgeon can usually diagnose by seeing/feeling the bulge).

Ultrasound (sometimes used if the diagnosis is unclear).

🛑 Why is Surgery Needed?
Hernias in children do not heal on their own and can lead to serious complications (like intestinal blockage or strangulation). Early surgery is the safest treatment!
💉 What Happens During Surgery?

Day procedure (your child goes home the same day).

General anesthesia (safe and brief).

Tiny incision in the groin, the hernia is gently pushed back, and the opening is closed with stitches.

Laparoscopic (keyhole) surgery may be an option for some cases.

🩹 Recovery & Aftercare

Most children recover quickly (back to normal play in a few days).

Mild pain relief (like paracetamol) may be needed.

Avoid heavy activity for 1-2 weeks

🚨 When to Seek Emergency Help:
If the bulge becomes firm, red, or painful, or if your child has vomiting or severe discomfort—this could mean the hernia is stuck and needs immediate medical attention!

📞 Have Concerns?
If you suspect your child has a hernia, consult a pediatric surgeon promptly. Early treatment prevents complications!

Dr. Hassan Mahmud
Pediatric & Neonatal Surgeon
📍 [Ikram Hospital/ Basheer Hospital]
📩 [03338415699]

🌟 Circumcision: What Parents Need to Know 🌟By Dr. Hassan MahmudPediatric & Neonatal SurgeonCircumcision is a common proc...
07/04/2025

🌟 Circumcision: What Parents Need to Know 🌟

By Dr. Hassan Mahmud
Pediatric & Neonatal Surgeon

Circumcision is a common procedure with medical, cultural, and religious significance. As a pediatric surgeon, I want to ensure parents make informed decisions for their child’s health and safety.

Why Choose a Pediatric Surgeon?

A skilled pediatric surgeon ensures:
✅ Proper technique – Minimizing pain and complications.
✅ Sterile conditions – Reducing infection risks.

✅ Safe anesthesia – Tailored for infants and children.
✅ Expert aftercare – Guidance for healing and hygiene.

Complications of Poor Technique
When performed incorrectly, circumcision can lead to:
⚠️ Excessive bleeding
⚠️ Infection
⚠️ Painful scarring or adhesions
⚠️ Incomplete or excessive skin removal
⚠️ Meatal stenosis (narrowing of the urinary opening)
Your Options

1️⃣ Traditional Circumcision – Safe when done by an experienced pediatric surgeon.
2️⃣ Plastibell Technique – A less invasive option for newborns.

How to Prevent Complications

🔹 Choose a qualified pediatric surgeon – Avoid untrained practitioners.
🔹 Follow post-op care instructions – Keep the area clean and dry.
🔹 Monitor for signs of infection – Redness, swelling, or unusual discharge.

Your child’s safety is my priority! If you have questions or need expert care, feel free to reach out.

📞 Contact: [Ikram Hospital/ Basheer Hospital Gujrat]
📍 Location: [Bhimbher road / Railway road]

🌟 Pediatric Liver Abscess: What Parents Need to Know 🌟By Dr. Hassan MahmudPediatric & Neonatal SurgeonA liver abscess in...
06/04/2025

🌟 Pediatric Liver Abscess: What Parents Need to Know 🌟

By Dr. Hassan Mahmud
Pediatric & Neonatal Surgeon

A liver abscess in children is a serious but treatable condition where a pocket of pus forms in the liver, usually due to an infection. Early diagnosis and proper treatment are crucial to prevent complications.

Common Symptoms:

High fever

Abdominal pain (especially upper right side)

Loss of appetite & weight loss

Nausea/vomiting

Fatigue & general weakness

How is it Diagnosed?
Blood tests (CBC, CRP, liver function tests)

Ultrasound – First imaging step

CT/MRI – For precise abscess location and size

Culture tests – To identify the bacteria/fungus causing infection
Treatment Options:

✔ Antibiotics (IV initially, then oral) – Main treatment for small abscesses
✔ Drainage (Surgical/Interventional Radiology) – Needed for large abscesses

Needle Aspiration (Guided by ultrasound/CT)

Surgical Drainage (For complex or ruptured abscesses)

When is Surgery Needed?

If the abscess is very large or not improving with antibiotics

If there’s a risk of rupture

If complications (like sepsis) develop

Early treatment leads to full recovery! If your child has persistent fever and abdominal pain, consult a pediatric surgeon immediately.

Dr. Hassan Mahmud
Pediatric & Neonatal Surgeon
📞 [03338415699] | 🌐 [Ikram hospital/ Basheer Hospital, Gujrat]

Address

Garhi Shahdaula
Gujrat
50700

Opening Hours

Monday 17:00 - 19:00
Tuesday 17:00 - 19:00
Wednesday 17:00 - 19:00
Thursday 17:00 - 19:00
Friday 18:00 - 20:00
Saturday 17:00 - 19:00

Telephone

+923338415699

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