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FEVER AND RASH CAN BE SCRUB TYPHUS INFECTION

It is a mite born rickettsial infection firstly identified in Japan in 1930. It is caused by Orientia tsutsugamushi.   Mode of transmission : Humans are the accidental hosts. Bite of an infected mite which feeds on small mammals (rats and mites) causes infection to humans. There is no direct person to person transmission. Prevails in rainy seasons and area of scrub vegetation. Find the top child specialist in sector 57 gurgaon . Clinical features : Incubation period is between 6-21 days •    High fever with chills •    Malaise •    Maculopapular rash •    Lymphadenopathy •    Coryza •    Headache •    Gastrointestinal symptoms •    Eschar formation on 5th day of illness. Mostly located in axillary, inguinal region, perianal, scrotum, buttocks and thigh. It appears as an ulcer surrounded by a red areola which is covered by scab. Complications : •    Pneumonitis •    Hepatitis •    Meningoencephalitis •    Disseminated intravascular coagulation •    Myocarditis •    Multi organ

TEETHING IN CHILDREN

Teething is the process of the eruption of primary teeth through the gums called as Odontiasis. Usually primary small teeth incisors erupt without much difficulty, but larger ones sometime are difficult to erupt. This phenomenon starts around 4 months to 15 months of age for primary dentition. Usual order of eruption of primary teeth: •    Central incisors- 6-12 months of age •    Lateral incisors- 9-16 months of age •    Canine teeth- 16-23 months of age •    First molars- 13-19 months of age •    Second molars- 22-24 months of age Between 6 years to 12 years of age the roots of these 20 baby teeth degenerate allowing their replacement with 32 permanent adult teeth. Local signs are: •    Swelling of gums •    Redness over gums and cheeks •    Keeping hands and fingers inside mouth •    Excess of salivation Systemic signs are : •    Irritability •    Crying •    Excess of salivation and drooling •    Decreased appetite •    Restlessness •    Increased thirst •    Rash around

WHO SOUNDS ALARM OVER HIGH SUGAR IN BABY FOOD

Newer advancement in baby food market has lead to some hard facts which are prevailing nowadays. This packet market food claims for no harmful effects but certain facts are not to be ignored. Baby food often contains too much sugar and is incorrectly advertised as suitable for infants under 6 months of age, according to a new WHO report At least half of products analysed in three of four cities provided more than 30% of their calories from sugar, according to the study. About a third of them listed sugar, concentrated fruit juice or other sweeteners as an ingredient. That raises the risk for obesity and diabetes later because it can wire young children to a lifelong preference for sweet foods. The WHO recommends babies be exclusively breastfed for the first six months of their lives, advice the world’s biggest baby food makers like Nestle SA and Danone echo. In addition, the WHO study showed that as much as 60% of baby food products were being advertised as suitable for infant

SCHOOL BAG WEIGHT SHOULD BE LESS THAN 10% OF CHILD"S WEIGHT

What we see nowadays, is all kids heaped up with so much so loads of books on their backs. The trail is not only seen in urban population but also in remote areas. This burden so high is causing a lot of disturbance in a child’s posture and walk. With the emerging era of best of education we all forgot how much pressure both physically and mentally we are putting on our children.  Scientists have established that school children who use backpacks should avoid loads of more than 10% of their body weight and those who use trolleys, 20% of their body weight. To date, weight recommendations have been established for ordinary school backpacks, as they are the most widely used type in the school context worldwide. For the study, published in the ‘Applied Ergonomics’ journal, 49 primary school children were assessed. A kinematic analysis of the children (posture of the trunk and lower limbs) was conducted while (i) they walked freely, carrying no weight, (ii) carrying a traditional

LACTOSE INTOLERENCE!!!!

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 (Skin Allergy)

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

Dos and Don’ts for your newborn

There are certain things which always piss off the mind of new moms out there. Rearing a new life in your hands is quite difficult to understand. Top 10 child specialist in gurgaon - Dr Ritambhara Here we discuss few dos and don’ts for the newborn baby:- Dos : Feed baby with breast milk soon after delivery as initial milk called colostrum is there for first 3 days which is full with antibodies, immunological factors, prevents chronic ailments like Diabetes etc. Do keep baby with mother and let her handle the baby which helps in developing bonding with mother, makes skin to skin contact with mother and helps in milk let down in mothers. Do cuddle the baby and talk with him/her as they also feels bored off Bathing should be done after cord clamp falls off Massage to be done after 1 month of life  Feed baby after every 2 hours till 1 month until there is demand feeding to avoid dehydration and jaundice and weight loss Feeding should be followed by adequate burping to a