Dr Nitin Gupta,New Born & Child Specialist

Stuttering=Stammering
 Speech Fluency Disorder including Repetitions/Interruptions/Prolongations/Insertions.
 Not have any correlation with the ntelligence of the child.
 Most Commonly ,its developmental and start between 2-5 years of age.
 Children in whom stuttering persists more than a year or beyond 6 years
of age are at risk of persistence of stuttering in later life too
 More than 80% of children with stuttering show remarkable improvement with timely and correct intervention in the form of speech and behavior
therapy.
 Medications are available and known to help stuttering, but they are never the first line of treatment and are reserved for selected patients.

Enuresis-Bed Wetting in Night
 If your child is older than 5 years-Only then it’s a concern.
 Its common problem and approx.. 15% children have this problem after 5 years of age.
 If your child has day time bed wetting or any other urinary problem then child might have Some problem.
 Follow-“Big NO to nagging, scolding, shaming, and punishing”.
 Other various types of medical and non-medical treatment can help alleviate the problem.
 For further information,consult your Pediatrician.

PICA in Children-Eating non edible things for more than a month.
 Its normal upto 2 years and in most cases disappear by teenage.
 Children are at increased risk of lead poisoning (caused by paint
eating), worm infestations (mud eating), iron deficiency anemia,
etc.
 Deficiencies of iron, vitamin D,calcium, and zinc need to be excluded, or even a trial of these medications may be given.
 Behavioral and psychological assessment should also be done.

Facts about Thumb Sucking in Kids-
 DO NOT intervene till 4 years of age.-Most Children stop by 4 years of age.
 If persisting after 4 years-It may be habitual or due to psychological problems like emotional insecurity or not gaining self-confidence.
 Can cause dental problems or Ear Infections- DO NOT delay the treatment, if there is dental malocclusion or abnormal facial growth
 DO NOT use aversion techniques such as dipping the hands in unpleasant tasting substances as it might lead to frustration.
 With Proper management ,most children can quit within 2 weeks.

Recommended Sleeping Hours-
Age Recommended sleep hours
0–3 months 14–17
4–11 months 12–15
1–2 years 11–14
3–5 years 10–13
6–13 years 9–11
14–17 years 8–10

Limit Screen Time of your kids.Follow IAP Recommendations-

Recommendations for Screen Time-

Avoid J.U.N.C.S.(Junk foods,Ultraprocessed,Nutritionally inappropriate,Caffeinated/coloured/carbonated foods/Sugar sweetened beverages).
Eat Healthy

Dr Nitin Gupta,New Born & Child Specialist updated their business hours.