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child had a fall from bed or height. what to do? when is head injury serious? any to worry?

often there are no issues if the child didnt fall from more than 2 feet or on sharps or was not dropped with force. if there are no issues for 48 hours usually all is ok.
but very rarely some issues creep if some internal damage like say chronic subdural hemorhage has set in.
commonly kids with mild form of head trauma may develop some irritability or vomiting for few hours. if it lasts longer or if the child develops any neurological symptom like say sleepiness , lethargy, irritability or persistant vomit, it warrants a brain scan and further action.

head injury in child is significant if its a fall from more than 3 feet or its showing some symptoms.
Symptoms may be of local injury at the site of trauma,like abrasion, bruise, lacration, cuts, fracture or bleeding. can be at head, body, spine or back.

It can also cause some internal complications like internal bleeding in brain, chest or abdomen or at times thigh or muscle hematomas/fractures.

Head injury is problematic if it cause…

how to treat fever in children? tips and tricks

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Child health specialist pediatrician Mumbai says:
Any rise in temperature is a discomfort.. and above 101F it becomes intolerable... and hence requires treatment.

'Highest level of tolerable temp' has no clinical significance as some children show symptoms of hyperpyrexia even at 103 F. and it varies from person to person.

Dr kondekar is available for private consultations at Shushrusha Hospital Dadar(w) Mumbai, monday to friday 7 to 9 pm appointment by sms 9869405747 

The question is whether do we need to treat the fever?

fever upto 101F should be watched.. as it may get cured spontaneusly and it can cure the disease at times.
High fever in children, can at times turn lethal; so observing without treatment is no wise.

How do we manage:

1.Switch on Fan /AC, not directed towards pt, air in room should be free flow.

2.take clothes off.. no blankets... a common question always asked is what to do if child is shivering...? The answer is child may shiver.. we may give blanket for 1o …

constipation in newborn or infant

Constipation in newborn or infant although more common in formula fed babies, it may also be seen in exlusively breastfed babies. It may be related to high phosphate and protein content of feeds by baby or mother diet. A simple way to help in addition is avoid cow or buffalo milk or goat milk if any given to child or baby. If the baby is formula fed, add intermittent water sips between feeds, or replace one feed with water for a week. stools get hard when water content of feeds or stools get lesser or the phosphate content rises.

if the child is growing well along growth charts, then this may be a concern at times if it is asociated with bulging abdomen and in addition if the child makes faces, or appears irritable during feeds or cries at times with abdominal distension, child may be given small amount glycerine suppository (1gm Hallens)  by his doctor, alternate day for a week or teo to evacuate colon of the hard stuff, simultaneously working towards making the feeds with enough vo…

preventing febrile seizures

If the seizure had been with the fever, at the rise of fever and with no more than 1 day fever history; it is more likely to be a febrile seizure. however in developing countries hypocalcemia and tuberculosis is so common that they may get precipitated with fever as convulsions.
treatment remains same even if second opinion is taken. if the seizures are febrile by definition as above; main therapy is to prevent the fever from coming and also from rising it beyond 99 with prompt therapy. regardiung how to manage fever, please read details at my blog http://drpeds.blogspot.com

if there is associated calcium deficiency or rickets or evidence or suspicion of infection like tuberculosis, it is prudent to evaluate in this direction continuing treatment for fever which may be an added antibiotic after an expert consultation.

SOme patients do need neuroimaging like MRI scan or EEG (brain graph), to decide further therapy. repeated febrile seizures may be started on drugs like clobazam for sh…

common cold: Treating running nose!

common cold: Treating running nose! caring for kids, their health and illness: Child health specialist pediatrician Mumbai
Treating running nose is no big deal... but treating its complications and PNDrip (postnasal drip) is a headache for the practitioner. In fact, I had seen pediatricians admitting and sedating for 3 days to get rid off. combination decongestants for patient and family.

tricks:

Running nose:

A very common problem; watery or thick.. continuous or intermittent..
with fever or without fever, yellow white.. (pardon the allergic once, they come with paroxysmal sudden sneezing and are more easy to treat... oral atihistaminics or nasal antihistaminics and or steroid inhalors.. but you too pls do read below)

watery or thick.. :


Clean nostrils with ear buds/bulb ( no ENT will advice, but i do, by cleaning I mean cleaning the alae nasae- the outer part), periodically, if its thicker.. use saline drops (nasomist spray) : no of drops + no of months of age till 8 months.. then 1…

what a parent would like to know about his kid from a doctor

what a parent would like to know about his kid from a doctor

caring for kids, their health and illness
Always ask: Layman questions:

what is my child suffering from?
Is it common? how common?
Is it serious? How serious?
nothing to worry... some thing to worry.. or critical?
any danger to life or ability?
Does it require medicines- /hospitalisation? how long? will it require a change of medicines? whats its chance?
Effect within how many hours... if no relief then what?
what i am supposed to do to keep it in check?
what parameters to monitor?
when should i consult back? or when to worry?
Anything to prevent the same?
Can it be this and that?
can he have day to day food and activities in this period?
Most of your questions are answered by your doc in first visit unless he has a very busy schedule.. and if you cant get answer even after asking these quieries then better change your doc.

also read: ask your doctor a contingency prescription (click on the link)
*****
Avoid medical termino…