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

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 •

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

It is a behavioral disorder and makes difficulty for the child to pay attention and/or control their behavior. Onset of ADHD  before age of 7 years and has 3 main features: • Inattention • Hyperactivity • Impulsivity Condition become evident when a child starts preschool or are in early school 3-5% children suffers from ADHD Find the best  Child Specialist Doctor in Gurgaon - Dr. Ritambhara Lohan What exactly it means ? a) Inattention:- • Child who faces difficulty in keeping themselves in one task and gets bored easily because of one • Child switches from one task to other without completing one • Child who does not follow instructions • Child forgot things needed for task b) Hyperactivity :- • Child is in constant movements like roaming around, touching things, squirming or fidgeting etc. c) Impulsivity :- • Child speaks or acts without thinking its results • Child who blurts out inappropriate comments, even do not wait for their turn Diagnos

UTI occurs in children with a prevalence of 1-3% in girls and 1% in boys. In girls, UTI occurs by the age of 5 years whereas in boys mostly UTI occur during 1st year of life . Most commonly UTI causative organisms are colonic bacteria like E.Coli, Klebsiella, Proteus etc. which are more common in girls and Proteus infection in boys. UTI can present in 3 forms : • Pyelonephritis • Cystitis • Asymptomatic bacteriuria Pyelonephritis : it is the infection of urinary system involving upper urinary tract (kidneys). It presents with: • Abdominal/back pain • Fever • Malaise • Nausea • Vomiting Renal parenchymal involvement can lead to renal scarring means affecting kidneys. Cystitis : it is the infection of urinary bladder. It presents with: • Dysuria (painful urination) • Increased frequency of passing urine • Urgency  • Lower abdominal pain • Loss of control on urine Cystitis does not cause fever and does not result in renal injury. Most UTIs are