Best pediatrician Doctor Sector 57 | Cuddles Clinic

Child clinic is one place where most of child fears to go, but this is the place where mental and physical growth is assessed and appropriate guidance and treatment is offered. ROUTINE PATIENT VISITS : Routine or regular checkup of children should be done by giving well spaced time slots so as to avoid crowding in clinics. This helps in avoiding transmission of infection. Receptionist should be well versed and knowledgeable. Basic parameter assessment can be done at reception area also. There should not be delay in meeting parents to the doctor. AFTER HOURS HELP Sometimes any medical emergency can be there like deterioration of child health and any new symptoms arises for which you cannot wait until next day, so for that there should be provision of After Hours Help. A dedicated help line number should be there on which parents can have their queries cleared. On receiving end any trained staffed in pediatric field can be there who can give you right advice and support to manage child’s

Spitting Vs Vomiting in newborns: with newborn babies, this is s very common problem of throwing up of feeds. New mothers have a lot of apprehension and concern that why my baby is throwing up a lot or sometimes less amount of feeds. Is my feed too heavy? Any issue with the child? Am I over feeding the child? It is common for newborn babies to spit up feeds as they have weak muscle tone to hold mild and it comes out very often after feeds or while burping or lying down. Spitting up:- Many newborn babies or young infants are prone to spit up breastfeeds or formula feeds soon after feeding. Some spits more often, some spits up occasionally and sometimes comes out with burp. It is also called as GERD or Reflux (Gastro-oesophageal reflux) as muscle at top of oesophagaus doses not close properly in newborns and young infants. Spitting up decreases as child grows and starts on solids ie around 6 months to 1 year of age. Points to remember:- • No risk with spitting if child is gaining weigh

 Noisy high pitched sound while breathing:- it is a sound which involves upper airway tract like nose, mouth, sinuses, larynx and wind pipe. Stridor occurs while breathing in i.e Inspiration. Causes can be:- 1) Congenital anomaly of upper airway tract 2) Infections like croup, tonsillitis, adenoiditis 3) Ingestion of substances like food/small object in upper airway path 4) Injury in upper airway tract 5) Allergic reaction in upper airway tract 6) Tumour of same tract. Symptoms :- main symptom involves harsh noisy sound while breathing in. Children are more at trouble due to narrow and shorter upper air way system Diagnosis :- ENT specialist doctor are the doctor who treats this condition like stridor. Tests:- 1) Chest and neck Xray 2) CT scan/MRI 3) Laryngoscopy:- to check throat and larynx 4) Bronchoscopy:- to check trachea and tubes in addition to above ones 5) Spirometery:- to know how much air is breathed in and out 6) Pulse oximetry:- to measure amount of

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

Painful tummy is sometimes a big reason to visit a pediatrician. It can cause serious discomfort to a child or might be an on and off problem. As child’s threshold to tolerate pain is less than adult, so they sometimes suffer a lot leading to big panic condition in family. It is very often encountered problem in children. Abdomen pain can be :- -    Acute onset : that arise  recently like overnight -    Chronic: that persisting since long duration   Causes of such pain can be :- Due to underlying problem like gastritis, appendicitis, gastroenteritis etc. Functional here child tends to complaint, but no underlying problems seen. Idiopathic condition where cause is not known. Acute abdomen pain : Its sudden onset, due to some underlying problems like gastritis, gastric acidity, appendix pain, urinary tract infection, intestinal obstruction etc. Not all episodes of acute abdominal pain require surgical intervention. Oral medication mostly solves the problem. To diagnose the condi

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 •