Dr. Rizwan Gohar - Child Specialist - Pediatrician

Dr. Rizwan Gohar - Child Specialist - Pediatrician Dr. Rizwan Gohar is a leading consultant pediatrician practicing at Life Line Hospital, Lahore. https://youtube.com/user/rizwangohar
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Typhoid Fever in Children – What Parents Must KnowTyphoid fever is a serious bacterial infection caused by Salmonella ty...
28/01/2026

Typhoid Fever in Children – What Parents Must Know

Typhoid fever is a serious bacterial infection caused by Salmonella typhi.

It is common in countries with unsafe water and poor sanitation and mainly affects school-going children.

How Typhoid Spreads

Drinking contaminated water

Eating unhygienic street food

Poor hand hygiene

Contact with an infected person

Common Symptoms

Persistent high fever (often > 5–7 days)

Weakness and body aches

Abdominal pain

Poor appetite

Diarrhea or constipation

Headache

Sometimes rash (rose spots)

Why Typhoid is Dangerous

If untreated, it can cause:

⚠️ Intestinal bleeding or perforation

⚠️ Severe dehydration

⚠️ Sepsis

⚠️ Prolonged illness and school absence

Diagnosis

Blood culture (gold standard)

Other supportive tests (as advised by doctor)

Treatment

✅ Appropriate antibiotics prescribed by a doctor

✅ Adequate fluids and nutrition

✅ Complete the full course of medicine

❌ Avoid self-medication and incomplete treatment (causes drug resistance)

Prevention is the Best Protection

✔ Drink boiled or filtered water

✔ Wash hands before eating

✔ Avoid unsafe street food

✔ Use clean toilets

✔ Typhoid vaccination for children (strongly recommended)























28/01/2026

Enterogermina Use, Dose, Side Effects & Precautions — For Babies & Kids ,

28/01/2026

Myteka (Montelukast) for Kids: When and How to Use It? Complete Parents Guide

23/01/2026

How to treat EAR WAX in kids?

Pica in Children – What Parents Should KnowPica is a condition in which a child repeatedly eats non-food items such as s...
21/01/2026

Pica in Children – What Parents Should Know

Pica is a condition in which a child repeatedly eats non-food items such as soil, chalk, clay, paper, ice, paint chips, or soap for more than one month.

It is common in toddlers and preschool children, but persistent pica is not normal and needs medical attention.

Common Causes of Pica

✔ Iron deficiency anemia – the most common cause
✔ Zinc deficiency
✔ Malnutrition
✔ Developmental disorders (e.g., autism spectrum disorder, intellectual disability)
✔ Psychological stress or neglect
✔ Poor supervision / easy access to soil or chemicals
✔ Cultural practices (geophagia) in some communities

Why Pica is Dangerous

⚠️ Intestinal blockage
⚠️ Lead poisoning (from paint or soil)
⚠️ Worm infestation
⚠️ Severe anemia
⚠️ Infections and diarrhea
⚠️ Dental injury

Treatment & Management of Pica

✅ Medical evaluation (Hb level, iron studies, stool exam, lead level if needed)
✅ Treat iron and zinc deficiency (iron therapy as per weight and guidelines)
✅ Improve diet – iron-rich foods (meat, lentils, beans, eggs, green vegetables)
✅ Deworming if indicated
✅ Behavioral therapy & parental supervision
✅ Manage underlying developmental or psychological conditions
✅ Keep harmful substances out of child’s reach

👉 Most children improve once nutritional deficiencies are corrected.

When to See a Doctor?

Pica lasting more than 4 weeks

Child eating soil, paint, or stones

Poor growth or pallor

Recurrent abdominal pain or vomiting

Early diagnosis and proper treatment can completely cure pica in most children.











References (2024–2025)

Nelson Textbook of Pediatrics, 21st Edition – Chapter on Feeding Disorders & Pica

American Academy of Pediatrics (AAP) – Iron Deficiency & Pica association

World Health Organization (WHO) – Micronutrient deficiencies in children

UpToDate: “Pica in children – Clinical features and management

20/01/2026

Cough Syrups in Babies – Safe or Dangerous?

Vaccines Not Included in Pakistan’s EPI – But Important for Your Child’s HealthMany parents believe that once a child co...
18/01/2026

Vaccines Not Included in Pakistan’s EPI – But Important for Your Child’s Health

Many parents believe that once a child completes the EPI (Expanded Program on Immunization) schedule, all necessary vaccines are done.
In reality, some very important vaccines are not part of Pakistan’s EPI, but are strongly recommended by pediatricians worldwide.

These vaccines include:
1️⃣ Hepatitis A Vaccine

Protects against Hepatitis A, a common cause of jaundice and liver infection in children.
✔ Spread through contaminated food and water
✔ Can cause prolonged illness and school absence
✔ Vaccine is safe and highly effective

2️⃣ Influenza (Flu) Vaccine

Protects against seasonal flu and its complications.
✔ Especially important for children under 5 years
✔ Reduces risk of pneumonia, hospitalization, and severe illness
✔ Should be given every year

3️⃣ Meningococcal (Meningitis) Vaccine

Protects against bacterial meningitis, a life-threatening infection of the brain.
✔ Can cause brain damage, hearing loss, or death
✔ Disease progresses very rapidly
✔ Vaccination is the best protection

4️⃣ Chickenpox (Varicella) Vaccine

Prevents chickenpox and its complications.
✔ Reduces severe skin infection, pneumonia, and scarring
✔ Prevents spread in schools and families
✔ Much safer than natural infection

5️⃣ MMR Vaccine (Measles, Mumps, Rubella)

Provides combined protection against three serious viral diseases.
✔ Prevents deafness, brain infection, infertility, and birth defects
✔ Strongly recommended globally
✔ Part of routine schedules in many countries












14/01/2026

Panadol Drops for Babies – Correct Dose, Schedule & Safety

Flu Vaccine in Children – Uses & BenefitsWhat is it?The flu vaccine protects children against influenza, a viral infecti...
11/01/2026

Flu Vaccine in Children – Uses & Benefits

What is it?
The flu vaccine protects children against influenza, a viral infection that commonly causes high fever, cough, sore throat, body aches, and weakness.

Why is it important?

✅ Prevents severe flu illness – reduces risk of pneumonia, hospital admission, and complications
✅ Protects high-risk children – asthma, heart disease, diabetes, low immunity
✅ Reduces school absence – fewer sick days and faster recovery
✅ Protects family members – lowers spread to infants, grandparents, and pregnant mothers
✅ Safe and effective – used worldwide for decades

Who should get it?
All children 6 months and above, especially:

Children under 5 years

Children with chronic diseases

School-going children

How often?
➡️ Once every year, preferably before the flu season.

Important facts

It does NOT cause flu

Mild fever or pain at injection site is normal

Can be given with other routine vaccines

08/01/2026

Syrup Brufen in Babies & Kids | Correct Dose, Uses & Safety Explained

🗣️📱 Screen Time & Speech Development in KidsYoung children learn to talk by interacting—listening, watching faces, copyi...
07/01/2026

🗣️📱 Screen Time & Speech Development in Kids
Young children learn to talk by interacting—listening, watching faces, copying sounds, and taking turns in conversation. When screen time replaces real-life interaction, speech and language development can be affected.
🔹 Too much passive screen time may lead to:
Fewer spoken words
Delayed expressive language
Reduced attention to sounds and conversations
🔹 What helps instead:
✔️ Talking, reading, and singing with your child
✔️ Face-to-face play and daily routines with conversation
✔️ Limiting passive screen use, especially for toddlers
✔️ If screens are used, watching together and talking about what’s on the screen
Screens don’t talk back—but you do, and that makes all the difference. 💬💛

Address

Appointment: � 0300 4007688 Lifeline Hospital, Building # 462, 463, Khokhar Chowk Block G 3 Phase 2 Johar Town،
Lahore
54000

Opening Hours

Monday 18:00 - 21:00
Tuesday 18:00 - 21:00
Wednesday 18:00 - 21:00
Thursday 18:00 - 21:00
Friday 18:00 - 21:00

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