Transcript Child Nutrition - Parenting for Peace

COMMON ILLNESSES
Dr. Salim Hirani
Child Health Care
Health
A state of complete physical, mental and social
well-being and not merely the absence of disease
or infirmity”.
Healthy child
FREE FROM DISEASES
Acute infectious diseases
and chronic illnesses
Healthy child
Free from nutritional deficiencies
1. Iron
2. Vitamin D/Calcium
3. Vitamin A
4. Protein energy malnutrition.
Healthy child
Effectively vaccinated against
various diseases
Polio, tuberculosis, diphtheria,
pertusis, tetanus, meningitis,
hepatitis, measles, mumps,
rubella, chicken pox, typhoid
etc.
Healthy child
Normal growth and development
Healthy child
Good social environment
1. Parenting
2. Schooling
3. Social securityphysical, sexual,
emotional
Healthy child
Healthy behavior
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Discipline/misbehaviour
Breath holding spells
Tantrums
Thumb sucking
Nocturnal enuresis
Hyperactivity - ADHD
Common illnesses : Monsoon issues
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Dengue
Malaria
Diarrhoea
Viral infections
Cholera
Epidemics.
Dr. Salim Hirani, Pediatrician
Common illnesses
Fever: Temp > 1000 F
• Friend
• Sign of illness/infection
• Worry ! > 102-103
• No school please !
• Give paracetamol, simple warm water sponging
• Consult doctor asap.
Common illnesses
Cough & cold
• As such no medicine for cold.
• Cough syrup if genuinely indicated.
• Could be a sign of underlying RTI
• No self medication !!
• Home made remedies may be tried.
• If associated with fever and other symptoms
• Consult doctor asap.
Common illnesses
Dengue fever
• May present as simple cough /cold
/fever
• Viral infection – spread by
Mosquitoes
• Prevent mosquito bite /breeding
• Danger signals: drowsiness,
weakness, high grade fever, severe
body ache , vomiting , abdominal
pain etc.
Common illnesses
Malaria
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Intermittent fever with rigors
Vomiting , headache.
Prevent mosquito bite /breeding
Danger signals: hyperpyrexia, persistent vomiting, severe
headache…immediately consult your doctor.
Diarrhoea & Vomiting
• Gastro !!!
• Food/water borne infection – feco
oral route
• Early sign of dehydration: thirst,
dryness of mouth, less urine,
weakness, drowsiness.
• ORS – simple and effective way of
preventing deydration.
• Continue normal diet and plenty of
liquids orally
• Admission for iv fluids if signs of
severe dehydration.
Common illnesses
Other food/water borne infections: typhoid, jaundice, dysentry
Prevention:
 Cleanliness: clean environment
 Personal hygiene: nails, skin, hair, hand washing
 Drinking water: safe and potable water.
 No outside eatables/ healthy food habits.
 No Fast food
 Home made fresh food should be given.
 Vaccination: jaundice, typhoid.
Fast food
Dr. Salim Hirani, Pediatrician
Fast food
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It is very tasty
Full of trasfat and trans sugar.
Easily available
Decreases apetite
Influence of advertisements.
Not hygienic
Contains harmful substances.
Contains carcinogens.
Dr. Salim Hirani, Pediatrician
Health issues
Excessive sugar,
salt, maida etc.
Harmful for the
body
Nitrogen gas for
packing
Dr. Salim Hirani, Pediatrician
Fast food
• Deteriorates your health very
FAST
• Decreases your life span –your
life passes FAST
• Wastage of money – empties
your pocket FAST.
• Would make you FAST in your
later life
• SLOWS your learning ability
• Never ending list……..
Dr. Salim Hirani, Pediatrician
Traditional food habits
Dr. Salim Hirani, Pediatrician
FAQs ??
• My child is not eating well and never
takes breakfast
• My child is very weak.
• My child eats very less but still
overweight.
• Please prescribe some appetizer.
• Please give some tonics.
• Tonics to gain height.
• Tonics to increase mental power.
Dr. Salim Hirani, Pediatrician
FAQs ??
• Please give diet chart, what to give ?
And when to give?
• Please suggest some ready made food
preparation. – some powder to add in
milk…
• Frequent illness.
Dr. Salim Hirani, Pediatrician
BREAKFAST
Need ?
When?
What?
Milk, upma, powa, fruits,
juices, mamra, idli, dhokla etc.
Dr. Salim Hirani, Pediatrician
Not eating well…..
• Physical symptoms : fever, vomiting,
loose motions, abdominal pain,
cough etc…
• Weight gain/ urine output
• Issues of breast fed child.
• Activity
• Preparing intake chart.
• PARNETAL ANXIETY !!!
• Like / dislikes
• Schedule
• Eating with fun….without stress.
Weak child
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Definition:
Underweight / overweight.?
Nutritional deficiency?
Learning difficulty.
Less active
Comparison
PARENTAL ANXIETY?
Malnutrition
Eating less…still overweight?
• Prepare intake chart.
• Calorie consciousness.
Appetizers
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Absolute indication ?
Genuine appetizer ?
Harmful effects of appetizers/
Anorexia: find out the cause
Behavioral problem?
False claims !
Nutrients deficiency
Tonics:
• To gain height / weight
• To increase memory power
• Any genuine tonics ??
Nutritional supplementation
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When and Why?
Infancy:
Child hood:
Adolescence:
Pregnant and lactating mother?
Old age?
Deficiency disorders:
Diet chart
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Does it really help.
Every child is unique..
Can’t force for a particular food.
Can’t stick to a time table
Mother – best dietician for her child.
General principles – to be followed
Respect child’s likes/dislikes