Dr NN Duma - Paed

Dr NN Duma - Paed Dr Duma is a Specialist Paediatrician with a dedicated focus on Neonatal Neurodevelopment and Autism.

As a proud member of PANDA-SA (Paediatric Neurology and Development Association of Southern Africa), Dr is committed to providing expert care and support

For children with bleeding disorders, the biggest "invisible" risk is often neurological. Because toddlers can't say, "I...
17/04/2026

For children with bleeding disorders, the biggest "invisible" risk is often neurological. Because toddlers can't say, "I have a headache" or "I feel dizzy," we have to be their voice.

If your little one has a known bleeding disorder or has had a significant fall, here are the neurological red flags to watch for:

1. Physical Changes (The "Look")
🔵The Soft Spot: A bulging, firm, or pulsating fontanelle (if still open) while the child is calm.
🔵"Sunset" Eyes: Eyes that appear driven downward, showing the whites at the top.
🔵Pupil Changes: One pupil looking larger than the other or not reacting to light.

2. Behavioral Shifts (The "Feel")
⏺The High-Pitched Cry: A shrill, inconsolable cry that is different from their usual hunger or tired cry.
⏺Extreme Lethargy: Difficulty waking them up, or appearing unusually "floppy" and uninterested in play.
⏺Unexplained Vomiting: Sudden, forceful "projectile" vomiting without other signs of a stomach bug.

3. Movement & Coordination (The "Action")
🟣 Loss of Milestones: Suddenly stumbling, dragging a leg, or refusing to use one arm.
🟣 Seizures: Rhythmic twitching, stiffening, or "blank staring" spells.

🚨 THE GOLDEN RULE: A child might seem 100% fine immediately after a bump, only for a bleed to develop slowly over the next few hours.
Don't "wait and see." If your child has a bleeding disorder and hits their head, call your specialist immediately—even if they look okay.

💾 SAVE this checklist. It’s a resource you hope to never need, but it’s vital to have.
📢 SHARE this with your community to help protect our hemophilia warriors!

08/04/2026

Stimming (short for self-stimulatory behaviour) is the repetition of physical movements, sounds, or words. While it is a hallmark trait of neurodivergent people—particularly those who are Autistic or have ADHD—it is actually something every human does.

If you’ve ever tapped your foot while waiting for news, chewed on the end of a pencil, or twirled your hair while reading, you have stimmed.

Happy Easter! 🐰We hope your day is overflowing with love and happy moments. Enjoy every bit of this beautiful day!      ...
05/04/2026

Happy Easter! 🐰

We hope your day is overflowing with love and happy moments.
Enjoy every bit of this beautiful day!

As flu season is upon us many of us may be reaching for the medicine cabinet. If your child is on ADHD medication, here ...
02/04/2026

As flu season is upon us many of us may be reaching for the medicine cabinet.

If your child is on ADHD medication, here is a gentle reminder to check before you dose.
Some common over-the-counter (OTC) cold and flu remedies can interact with ADHD medication.

If you are uncertain please chat to your pharmacist or your prescribing medical professional.

🍁

The annual flu vaccine is designed to help your child's immune system recognise and respond to the most common flu strai...
18/03/2026

The annual flu vaccine is designed to help your child's immune system recognise and respond to the most common flu strains expected for the year to come. By preparing their natural defenses early, it can help reduce the risk of severe illness and keep them in the classroom and on the playground. 🏃‍♂️✨

Have you scheduled your family’s flu vaccinations yet?

It takes months for babies to start producing their own melatonin (the sleep hormone). That’s why those early weeks can ...
13/03/2026

It takes months for babies to start producing their own melatonin (the sleep hormone). That’s why those early weeks can feel like a total blur of day and night!

But here’s the magic: Your evening and nighttime breast milk is naturally packed with melatonin and special proteins designed to help your little one drift off. 🕊️

By nursing at night, you’re not just feeding them; you’re:
💙Helping them fall asleep faster after a feed.
🩷Teaching their tiny bodies the difference between day and night (circadian rhythm).
🩵Helping them eventually stretch out those nighttime sleep windows.

Nature truly is amazing! 🍼💤

Most people don’t realise that babies start learning language the very moment they’re born. But hearing loss is often in...
03/03/2026

Most people don’t realise that babies start learning language the very moment they’re born. But hearing loss is often invisible. Without a newborn hearing screening, it can go undetected for months or even years.

Early testing (ideally before they leave the hospital!) ensures that if there is a hurdle, it can be addressed earlier rather than later—protecting their ability to speak, learn, and connect with the world. 🌍

Has your baby had their ears tested?

24/02/2026

Did you know children with ADHD hear "No," "Don't," and "Stop" significantly more often than their peers? 🛑

Early recognition is the key to changing that narrative. It allows us to stop disciplining a disability and start supporting a brain that works differently. 🧠✨

Get in touch if you need assistance.

I know getting kids to eat their veggies can feel like a battle, but the 🌈 Rainbow Rule makes it a game. By aiming for a...
20/02/2026

I know getting kids to eat their veggies can feel like a battle, but the 🌈 Rainbow Rule makes it a game. By aiming for a variety of colors throughout the week, you ensure your child gets a full spectrum of vitamins and minerals naturally.

No complicated calorie counting or supplement math—just vibrant, whole foods. If their plate is colorful, their nutrition is on track!

Today is Safety Day for National Epilepsy Week! The goal is simple: Stay, Safe, Side. 1️⃣ STAY: Stay with them and time ...
10/02/2026

Today is Safety Day for National Epilepsy Week!
The goal is simple: Stay, Safe, Side.

1️⃣ STAY: Stay with them and time the seizure.

2️⃣ SAFE: Clear away hard or sharp objects. Put something soft (like a folded jacket) under their head.

3️⃣ SIDE: Once the jerking stops, gently turn them onto their side (the recovery position). This ensures that if they vomit or have excess saliva, it drains out of their mouth rather than down their throat.

4️⃣ SEEK HELP: Call an ambulance immediately if it is their first time, if it lasts over 5 minutes, or if they are injured.

If you need more info or need to book an appointment please feel free to call our rooms for an appointment.💜💜

We love meeting your little ones once they arrive—but their health journey begins long before their first office visit. ...
03/02/2026

We love meeting your little ones once they arrive—but their health journey begins long before their first office visit.
Taking a high-quality prenatal vitamin is one of the most proactive steps you can take for your baby’s future.

These vitamins provide the "Big Three" essentials:
1️⃣ Folic Acid to protect brain and spine development.
2️⃣ Iron to ensure a healthy oxygen supply.
3️⃣ Calcium to build strong bones and a healthy heart.

Give your baby the best head start possible.
Chat to your preferred OB-GYN about which prenatal is right for you?

❤️

Play hard, hydrate harder! ☀️🏃‍♂️When the sun is out and kids are busy playing, "drinking water" is usually the last thi...
30/01/2026

Play hard, hydrate harder! ☀️🏃‍♂️

When the sun is out and kids are busy playing, "drinking water" is usually the last thing on their minds. But in the heat, toddlers and big kids can get dehydrated faster than we realise!

Don't wait until they're thirsty—by then, they might already be feeling the effects.

Quick Tips to Stay Ahead:

🍼 Keep it handy: Always have a full water bottle within arm's reach.
⏰ Set a timer: Give "water break" reminders every 20-30 minutes.
🍉 Snack on water: Offer hydrating snacks like watermelon, cucumbers, or oranges.
👀 Check the signs: Watch for dry lips, dark urine, or unusual crankiness.

Keep our little ones healthy, happy, and hydrated so the fun doesn't have to stop! 💧✨

Address

Arwyp Medical Suites, 5th Floor 20 Pine Avenue
Kempton Park
1610

Opening Hours

Monday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

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