Child Specialist

 It is very common for children to ingest different foreign bodies. The most common is ingestion of small coins. The child or toddler while playing tends to put the coin in the mouth.  The coin can either go in the digestive tract or in the trachea or wind pipe. If it goes in the windpipe or trachea it can result in a medical emergency. It can obstruct the trachea and result in gagging. Severe respiratory obstruction and breathlessness can occur. The coin may get stuck in the trachea or go in the bronchi.  Immediate bronchoscopy needs to be done. And the coin removed. If the coin is in the upper segment or pharynx, thumping on the back can result in the child coughing out the coin. Dr. Mubina Agboatwalla - A Child Specialist in Karachi, another alternative is that the coin enters the oesophagus. It does not generally produce any symptoms and the coin enters initially the stomach, then the intestines and finally the rectum. The coin can be seen on the X- Ray and the pro...

  Q2. What is neonatal physiological jaundice?? A.      In neonatal physiological jaundice, the bilirubin starts to rise after 3 days of birth.   According to Dr. Mubina Agboatwalla - A Child Specialist in Karachi , in the full-term baby the bilirubin remains below 12 mg%. This rise in bilirubin is due to the immaturity of the liver and subsides by itself in the next 10 days. It is helpful to expose the baby to the ultraviolet rays of the sun early morning and late evening.

Q 1. Why is a premature newborn baby put in a incubator ??? A . A premature newborn baby is born before term. This baby is lacking in many aspects. The baby is unable to maintain the temperature as the temperature regulating centre is not fully developed. The incubator maintains the temperature of the new born. In addition,   the closed environment of the incubator provides a protective environment to prevent infections from outside. Otherwise, the low immune system of the baby makes it susceptible to get infections. Oxygen can easily be given to the baby in the incubator.

  Tetanus Toxoid injection should be given to every child. In Infancy Tetanus becomes part of the routine immunization of DPT. Diphtheria Pertussis Tetanus with a booster shot at 18 months and five years.   However, After five years the tetanus toxoid shot should be repeated after every five years. At 10 years at 15 years and so on. Even in adult hood. As children are prone to frequent falls and injure themselves frequently , while playing giving small cuts. The Tetanus Toxoid shot protects against tetanus. It is frequently asked after a small injury if Tetanus shot should be given.  According to Dr Mubina Agboatwalla , the answer is that if the child has taken the Tetanus shot in the past five years there is no need to give the tetanus injection. Even during pregnancy the mother should be given Tetanus Toxoid shots, so as to prevent neonatal tetanus one of the leading causes of death in neonates. It is vaccination of the mother that prevents tetanus in neonates.

  Q 1. My Child is 16 months of age and not talking. What do I do ???When will she start to talk ?? A1. The child starts to speak in monosyllables ba ba da da by 6-9 months. Between 11- 14 months the child can say mama papa yes no. By 18 months she can say around 20 words. By 2 years child can make two-word sentences like mama go. Daddy come and so on. More comprehensive three-word sentences like I want toy take place by 3 years of age. Best to wait and let the child interact with other children. One thing to observe is if the child responds actively to sound, music etc. In that case there should not be a problem.   Link -  http://www.drmubinaagboatwalla.com/child-specialist-karachi/

  Q .   Can I give banana to my child. Does it produce chest Congestion ??? A: There is a wrong notion that banana produces chest congestion. Infact, banana is one of the first weaning items to be introduced in an infant. Banana is full of nutrients, minerals specially Potassium. It is specially given during diarrhea and helps in watery diarrhea. Banana is extremely helpful in controlling excessive stools and motions.

  Physiological Neonatal jaundice occurs in 50-70% newborns. It occurs in the first few days of life and generally disappears by 10 th day of life. A neonate is born with a haemoglobin of 18-19 gm%. In the first few days of life the haemoglobin falls. In addition, the liver enzymes are immature and unable to process the haemoglobin. Thus, excess unconjugated bilirubin is formed leading to yellow discoloration of skin and sclera. The jaundice is not serious and there are generally no complications. According to Dr Mubina Agboatwalla – Child Specialist in Karachi , in term neonates the bilirubin is 10mg% or less. In prematures 12mg % or less. The baby is active and feeds well. Physiologic jaundice sometimes runs in families. It cannot be prevented and resolves by itself once the baby grows up and the enzymes become mature. Generally there are no complications. Giving sunlight to the baby helps. Early morning and late evening sun rays are effective.