Best pediatrician Doctor Sector 57 | Cuddles Clinic

Burping is an important part of routine of baby feeding. Soon after delivery, after initiation of feeds, mothers are told to burp the baby. Every time when baby go for regular checkups, importance of feeding and burping is told by pediatricians . Why to burp and its importance? • Burps help to get rid of some air that babies tend to swallow during feeding • To avoid colic tummies mean pain in abdomen  • To avoid regurgitation of feeds, due to not so strong muscle tone of food pipe in small babies • To avoid spitting of feeds How to burp? • When burping your baby, gentle patting on your baby’s back should be done • With burps, some feeds tend to come out, so place a towel or bib under your children’s chin or on your shoulder Different burping positions :- • Sit upright and hold your baby against your chest. Baby’s chin should rest on your shoulders as you support the baby with one hand. With other hand, gentle pat your baby’s back. • Hold your baby sitting u

In simple words, it is a condition in which there is inability to retract the foreskin of male genitalia leading to local infection under the skin which may lead into infection of urinary tract i.e urinary bladder, urethra, and in severe cases may ascend up to kidneys too. This is a condition of male penile area and is commonly seen in young boys. • After birth, the foreskin is adherent to glans penis i.e soft part of male genitalia which separates with time and the foreskin is retractable. • At 1 year of age, 50% boys have adherent foreskin  • By 4 years of age, it is declined to 10% and by 1 years to just 1% Mother need to clean the area is forcefully retracting the foreskin to maintain hygiene. It helps to resolve the partial adhesions of foreskin to glans. • Patients presents with complaint of  • Pain while micturition • Swelling over penile area • Penile discharge • Sometimes symptoms of urinary tract infection ie fever, chills etc • Bulging of foreskin

Combined immunodeficiency involves malfunctioning of multiple components of the immune system, including both humoral immunity and cell mediated immunity. •    It is also called as “bubble boy disease” •    It is X-linked genetic disorder •    It characteristically lead to death from overwhelming infection in the first year of life unless they have undergone successful bone marrow transplantation. •    In it neither T cells nor the B cells work properly Types : •    Typical SCID •    Leaky SCID •    Variant SCID Clinical presentation of SCID : •    Children with SCID may develop infections caused by organisms or vaccines •    Organisms which are most dangerous to cause fatal diseases are: pneumonia, fungal infection, viral infections like chickenpox, CMV, influenza, measles etc. •    Patients with SCID having rash are mistakenly diagnosed as eczema, but is actually caused by reaction of the mother’s T-cells. Diagnosis : •    Low lymphocyte count <1500 per cubic millimeter •

Kids complaining of cramps, loose motions and abdominal pain after having a glass of milk, ice cream or any dairy products might have lactose intolerance. It means baby has difficulty in digesting lactose that is main component in milk or milk derived products. Usually symptoms of lactose intolerance clear in 30 minutes to two hours after ingesting milk products. Find the best Pediatrician Doctor in Gurgaon Sector 56 One day, a 28 days old baby presented with loose stools since 15 days, at my clinic, along with not gaining weight after 1 month of life. Baby went for stool routine and stool for reducing substance and showed transient intolerance to mother’s milk which got relieved on its own (happened due to viral diarrhea) and baby started gaining weight on mother’s milk only. No change in milk was done but continued on breast milk only. It is also called as lactase deficiency or hypolactasia which is the inability to digest and metabolize lactose which is present in milk

Atopic dermatitis is a long-term skin condition. In simple term it’s itchy skin. It is more common in babies and children, but can also occurs in adults. It usually first appears between ages 3 to 6 months. The word ‘atopy’ comes from the Greek word meaning ‘without place, unusual, described by Coca and Cooke in 1923. Find the best Pediatrician Doctor in Gurgaon Atopic dermatitis- inflammation of the skin due to allergies. Atopic- having allergic tendencies Non atopic-not having allergic tendencies Age of onset- 60% develops in 2 months to 1 year of life. 30% are seen for the first time by age 5 years and 10% develops between 6 months to 20 years of age. Slightly more common in males then females Etiology - • Clinical factors- like Xerosis means reduced water content of skin and decreased secretion of sebum and sweat. Dry and sensitivity means loss of epidermal barrier and irritation from wool clothes, soaps etc., stress, extreme weathers • Immunological factors

Behavior eating disorder in children between 14-18 years of age is known as Anorexia Nervosa. Female adolescents are affected the most. Anorexia- is loss of appetite Nervosa- loss is due to emotional reasons Diagnosis- it is a clinical diagnosis and patient presents with: • Patient shows refusal to maintain body weight which is required for particular age, weight, height. • Child feels fear of gaining weight and becoming fat. • There is disturbance in body weight and shape • Disturbed cycle Types - • Restricting type- child restrict himself/herself to eat • Binge-eating/Purging type- child has habit of binge eating i.e. self induced vomiting, excessive use of laxatives after eating This affects child’s health in the form of depression, OCD, phobias, panic attacks, other personality disorders, substance abuse. Health changes - • Decrease BP • Decrease HR • GI and kidney problems • Decrease Bone Mass • Skin dries out and nail become