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Transcripts

Following are the transcripts of the chat with Dr.Ravindra Chittal held on
March 23, 2000 at 1700 hrs IST.

Lucy Hello dr, I am lucy, my baby is 7 and half month old now, she gets cough and cold very often, till now she has got it 5 times, is it common and should it be treated.
Dr. Ravindra Chittal Hi Lucy. Tell me more about your baby. Is she on breast milk or fresh milk or formula feeds
Lucy My daughter, sometimes gets fever, but olny her head is very warm all other parts are normal, is this fever .
My baby is on breast milk, and she also takes some solids like rice boiled with some vegetables etc. not yet cow's milk.
Dr. Ravindra Chittal Lucy babies less than 2 yrs have warm head and abdomen because of increased blood supply to the growing brain and liver. This is not fever.
Lucy breast milk is a guarantee against severe infections and allergies. so rest assured what your baby has are frequent benign viral colds which are not serious. All the same avoid using oil and perfumes, powders on her face and hair.
Ramesh My wife tells me I worry a lot. I do about my child getting brain fever, every time he has fever. What are the chances?
Dr. Ravindra Chittal Hi Ramesh Your concern about brain fever each time your son has a temperature is uncalled for. Brain fever known as meningitis or encephalitis is a specific disease caused by specific viruses or bacteria. Many of these can be prevented by vaccinations.
Chander Hi! Doctor, I have seen that dosages given on the bottles of fever syrups hardly bring down the fever. What to do? Also is AC good for a child with fever?
Dr. Ravindra Chittal Chander the doses given on the bottle are general recommendations and may not necessarily work for all kids. It's safer to ask your doctor before giving such drugs....
Sunita Doctor, my child has had one convulsion, can he get another.
Dr. Ravindra Chittal Sunita, How old is your baby? What was the age and cause of first convulsion.
Sunita My baby is 1 and a half years old
What precautions can I take ?
Dr. Ravindra Chittal Sunita with due precautions like sponging and use of antifever medicines you can prevent this
Sunita Thank you doctor
My child also has a permanent cold, what could be the cause?
Dr. Ravindra Chittal Sunita, There could be several causes for a persistent cold,Do see a doctor.
Sunita She has been treated several times, but it still continues
Dr. Ravindra Chittal Sunita, I would want to know more about the onset of the cold. whether she responds to treatment and has frequent relapses ? Is there any positive family history?
Sunita The relapses are very frequent
Dr. Ravindra Chittal Sunita, I presume your baby has an allergic cold. Try considering allergy to things in immediate environment such as carpets, perfumes, soft toys, oil and powder. Medicines will only relieve her symptoms
Sunita I think she is allergic to dust, what can I do about it
Dr. Ravindra Chittal Sunita, Keep her away from the carpet, soft toys, vacuum clean the floor and the curtains
Sunita Thank u.
Nisha Hitesh Doctorji, I am from Delhi. During summer my child gets very high fever, upto 103. Can he get fit? he is 5 year. Thank You Doctorji!
Dr. Ravindra Chittal Nisha, Febrile convulsions occur in acute fever not due to heat fever. If your child has not had convulsions till now he's unlikely to get them now. All the same take care
Heena Should all fevers be treated?
Dr. Ravindra Chittal Heena, I've answered it before. But I'll tell you again. Fever above 100 may be treated if the child is cranky and uncomfortable....
Heena I thank u doctor.My child has got 1 convulsion he is 4 yrs old can he get it again? if yes? can we do something about it?
Dr. Ravindra Chittal Heena, yes your child can have a convulsion again when he has high fever. With due care you can prevent this,
sponge his forehead, hands and legs and administer antifever medicines
Heena Thank u doctor!
Are all the sponges available in the market effective?
Dr. Ravindra Chittal Heena, you misunderstood. Sponging means wiping your child's body with a wet towel which should not be ice water but room temperature water would do. I hope i'm clear
Heena Thanks Doctor, nice talking to you!
Neelima I'm from Nagpur and the heat here sometimes is too bad --- can this heat cause fever?
Dr. Ravindra Chittal Neelima, Environmental heat can cause heatstroke or even simple fever...
... The way to avoid fever in hot climate is consume plenty of fluids , keep in open clothes......
.... medicines dont work
Neelima Ok. Thank you very much. this chat is really great.
I wish I could stay longer..but I'll have to leave ..I'm from my office. I do have some more questions to ask ..I'll ask them later from your website.
Vinitha Are Febrile Convulsions Hereditary?
Dr. Ravindra Chittal Vinitha,Febrile convulsions do have a tendency to run in families . It is more common in boys than girls, though in a true sense it is not a genetic disease
Vinitha Thanks Doctor
Ruchita Hello Doctor, Is fever dangerous
Dr. Ravindra Chittal Any baby with fever of above 100 may be treated if the baby is very uncomfortable and has history of convulsions with fever in the past. Fever below 100 may be body's normal response to .....
Ruchita Why should fever cause a convulsion ??
Dr. Ravindra Chittal Children below 6 yrs due to a maturing brain respond to fever in a adverse way leading to a febrile convulsion. More commonly in boys than girls....
Rani What degree of fever should be treated?
Dr. Ravindra Chittal ....Simultaneously administration of antifever medicines would prevent the fever from getting out of hand and helps longterm management, more common if family history is positive. Convulsions below 6 mths and above 6 yrs may not be due to fever itself and needs to be urgently investigated
Rani Should we sponge first or directly give medicines?
Dr. Ravindra Chittal Sponging is a quicker way of controlling fever especially on the head and palms and soles which are areas the body normally sweats from


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