Brief Answer: Your queries are addressed in detail below Detailed Answer: Namasthe Dear Mr XXXXXXX I am replying to your query in a very detailed way. The answer is in three parts. First one has all the information regarding how to manage the respiratory condition of your kid. Second part of the mail contains few special diet list and recipes. Third part of the mail contains weekly diet plan both veg and non veg. I hope you will make good use of this . If used effectively you would be able to appreciate positive results in your baby. I) INFORMATION REGARDING RESPIRATORY CONDITION The most likely cause of recurrent cough appears to be allergic rhinitis/pharyngitis. The allergy in majority of the cases is due to dust and mites. This is a common problem encountered in children. Do not worry things can be taken care off. I would advise you the following, which i am sure will definitely help 1. Steam inhalation: It will be a good habit to cultivate. Steam inhalation for 10-15 minutes each session twice a day. Give it regularly even if she is alright. It helps reduce nasal congestion and also clears the nose. You can buy a good quality electronic steamer 2. Monticope suspension: It has antihistaminic and mast cell stabilizer which will help reduce airway hyper reactivity and reduce the incidence of future attacks. It has to be used for 4- 6 months after which it can be stopped. 2.5 mg of Montelukast once daily 3. Wash the bed sheets pillow covers and cloth of baby in hot boiling water: It will remove the dust , mites and allergic substance present in it. 4. Decoction: To a cup of milk + 20 tulsi leaves+ 1 spoon of turmeric + small piece of ginger + 4 black pepper + 2 spoon of sugar. Bring it to boil. Filter it and feed her warm daily. It will reduce airway congestion and also Tulsi will boost immunity 5. Chyawanprash : 1 teaspoon twice a day will be beneficial to build up immunity 6. Himalaya Septilin syrup 5 ml twice a day will also boost immunity. Continue giving her for 3-4 months 7. Warm saline gargling: To a glass of lukewarm water add 2 spoon of salt and make the baby gargle throat with it twice a day. II) FEW SPECIAL DIETS AND RECIPES 1.Veg soup: Contents: tomato -2, potato-1small, Onion - 1 small, Carrot-1 small. Preperation: Wash all veggies properly peel potato, onion and carrot. Boil tomato in water for 5 to 6 mins sothat u can see the skin of tomato cracks. Now gently remove skin of tomato. Add tomato and the peeled veggies to a cooker with 1/2 a glass of water. Add pinch of salt and whistle the cooker for 2 to 3 times (veggies shud be cooked well). Now bring it to room temp and blend them in a mixer. Strain the contents to remove any lumps and now boil the soup with cinammon sticks (1or 2piece very small one) added to it. Boil it till it reaches the required consistency and then feed LO. Note:You can add any veggie to make this soup including leafy veggies like spinach, amaranthus, cabbage etc. 2.Pumpkin: Take peeled pumpkin. dice the pumpkin and then presure cook it with little salt. mash well with hands and feed it along with rice or as such. 3.Gourds (any ashgourd, rich gourd etc etc): Make it finger size and then pressure cook it or boil in water till it becomes soft. You can either feed as a finger food or you can mash it and feed it along with rice or as such. 4. Boiled potatos and carrots. Pressure cook well and mash it with hands and add pinch of salt and feed baby as such. 5. Caramalised plums: Peel the plum. Put it on hot tawa and get it caramalised on both sides and then feed it mashed. Apple also u acn do the same way. 6. Poached pear: peel and pit the pear. Take 1/2 glass of water and add cinammon sticks, grated garlic, cloves etc and bring it to boil. Slip the pears into this boiling fluid and cook until its soft and the fluid is just about to disappear. Now remove all the sticks garlic cloves etc from the fluid and mash the pear in the same fluid and can feed the lo. Its really yumm. And for elders you can add sugar and honey while boiling which makes it a decent desert. 7.Avocado apple puree. Take avocado and peeled and diced apple in equal qty and grind well in blender. Directly feed the baby. 8.Banana: Ripened banana made to thin long slices. Heat tawa add little butter or olive oil and then saute the banana until its soft. mash and feed. If you wish you can add bit of sugar or honey to this 9.Oats and apple breakfast: ground oats and diec apple. Boil apples until its soft and add ground oats cook until oats is done and a yumm breakfast is raedy. 10.Daal : Cook daal in cooker with salt and curry leaves added to it. Mash it add few drops of ghee and u can feed it either with rice or as such. III) WEEKLY DIET PLAN(Both Veg and Non Veg) One recipe which the kid will like is as below Ingredients needed: Ghee( 2 spoons), Whole wheat flour ( 2 spoons) , Pista( 50 gms), Cardomom ( 6 in number), Almonds( 50 gms), Khajur( Dried dates 50 gms), water/milk In a pan pour 2 spoons of ghee, heat it, add 2 spoons of wheat flour (Atta), cook it till golden brown on low flame till its slightly golden in color. Add 2 Cups of water or Milk and keep stirring it continuously making a thin water paste( same like sira consistency). To this add powdered mixture of rest of ingredients grinded in mixer ( pista, almond, khajur, cardomom). Supplement baby breakfast with this recipe, and also can be consumed at night when baby is hungry. In this way her quota for milk will also be fulfilled. It is important that you start introducing a variety of food in your toddler's diet gradually. These will provide the calories, proteins, vitamins and minerals that are essential for her growth. The amount of food eaten would vary from child to child and would also depend on when you introduce a particular food to your toddler. Most of the times it is "Try and Error" method. Lots of patience would be required from your end to find out what is that diet which tickles your toddlers tastebuds which also contains maximum nutrients. You need to try multiple ones and find which your child loves to eat amongst those. Here are few meals suggestions Monday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: 1-1½ moong dal cheela (Moong dal dosa) or plain ghee dosa with coriander chutney. Mid morning: 1 fresh fruit cubed into small pieces or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch: ½ cup chicken or mutton kofta curry with ¾ cup rice or 1-2 chapattis. Evening snack: Fruit smoothie and 1 wholegrain cracker. Dinner: ½ - 1 cup khichri, ½ cup seasonal vegetables like methi, palak, or lauki. Tuesday Early Morning: 1 cup milk. Breakfast: ½ cup cereal such as ragi (nachni) or XXXXXXX cooked in whole cream milk with chopped nuts such as almonds, walnuts, raisins and pistachios. Mid morning: 1 fresh fruit cubed into small pieces or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup dal, 3-4 spoonfuls of seasonal vegetables such as methi, lauki, etc. with ¾ cup rice or 1-2 chapattis. Evening snack: Corn chaat or fruit chaat. Dinner: ½ cup baked vegetables with cheese and 1 slice whole wheat bread. Wednesday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: ½ cup bhaji with 1 or 2 pavs. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup egg curry (1 whole boiled egg), ¾ cup rice or 1-2 chapattis. Evening snack: 1 banana puree with ½ cup milk. Dinner: ½ cup mutton stew with vegetables like beans and peas and 1-2 appams. Thursday Early Morning: 1 cup milk. Breakfast: 1 whole wheat buttered toast with 1 egg omelette. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup potato soya gravy and 1 parantha or ¾ cup rice. Evening snack: A whole wheat bread coriander or tomato chutney sandwich. Dinner: ½ cup tomato fish curry,¾ - 1 cup rice. Friday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: ½-1 cup suji upma with vegetables such as beans, peas, carrots and coconut. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup butter chicken or chicken curry with ¾ cup rice or 1-2 chapattis. Evening snack: ½ cup moong sprouts salad with tomatoes, onions, coriander and lemon juice. Dinner: ½ cup palak paneer, 1 chapatti or ½ - 1 cup rice. Saturday Early Morning: 1 cup milk. Breakfast: 1 parantha stuffed with egg bhurji or scrambled, hard boiled or poached eggs with toast. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½-1 cup rajma with ½ – ¾ cup rice. Evening snack: 1 chicken nugget with 1 small slice of garlic bread. Dinner: 1 cup pasta in tomato sauce with vegetables such as cabbage, peas and cauliflower and ¼ cup fresh green salad with tomatoes, onions and carrots. Sunday Early Morning: 1 cup milk. Breakfast: 1 parantha roll with a stuffing of paneer and other seasonal vegetables. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ¼ cup haryali chicken cooked in spinach puree with ¾ cup rice or 1-2 chapattis. Evening snack: 1 slice walnut/fruit bread with ½ cup milk. Dinner: ½ cup de-boned and mashed fish and potato curry with ½-1 parantha. Occasionally, you may want to serve desserts. Do remember to keep your toddler's daily sugar intake to about 1-2 tsp, and use honey or jaggery (gur) to sweeten the dessert instead of sugar. Vegetarian Recipe Monday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: Tomato and cheese sandwich with 2 slices of whole wheat bread. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup dal, or ½ cup palak paneer, with 1-2 chapatti or 1 cup rice. Evening snack: Fruit smoothie with 1 cup whole cream milk. Dinner: ½ cup baked vegetables such as cauliflower, beans and peas, ½ cup mashed potatoes. Tuesday Early Morning: 1 cup milk. Breakfast: 1 cup cereal such as ragi (nachni) or XXXXXXX cooked in whole cream milk with chopped almonds, raisins, walnuts or pistachios. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch : 1 vegetable burger with soya granules and potato, carrot and bean XXXXXXX tomato chutney. Evening snack: 1 cup mixed fruit chaat with apples, pineapples, grapes and bananas. Dinner: 1 cup moong dal khichri with vegetables such as beans, pumpkin and brinjal and tomato or coriander or dhaniya chutney. Wednesday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: ½ cup bhaji with 1-2 pavs. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch : ½ cup kadhi, 1 cup rice, ½ cup aloo gobhi or aloo matar. Evening snack: 1 banana muffin with ½ cup milk. Dinner: ½ cup baked vegetables with cheese and 2 slices whole wheat bread. Thursday Early Morning: 1 cup milk. Breakfast: 1 stuffed parantha (potato, cauliflower, spinach, fenugreek). Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): 1 cup vegetable biryani, ½ cup curd, tomato chutney. Evening snack: ½ cup steamed peanut salad with tomatoes, onions, coriander and lemon juice. Dinner: ½ cup arhaar dal, ½ cup seasonal vegetables like arbi or gajar methi, 1 chapatti or 1 cup rice. Friday Early Morning: 1 cup milk and 2 almonds soaked overnight and peeled. Breakfast: ½ - 1 cup suji upma with vegetables such as beans, peans, carrots and coconut. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup rajma with 1 cup rice. Evening snack: 1 slice fruit/walnut bread with ½ cup milk. Dinner: 1 vegetable pizza with paneer, tomatoes, capsicum and cheese topping. Saturday Early Morning: 1 cup milk. Breakfast: 1-1 ½ moong dal cheela (Moong dal dosa) or plain ghee dosa with coriander chutney. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch (Curd optional): ½ cup choley and 1 bhatura, ½ cup finely chopped salad with cucumber, tomatoes, and carrots and lemon juice. Evening snack: Corn chaat. Dinner: 1 cheese parantha or chapatti stuffed with paneer and mix vegetables. Sunday Early Morning: 1 cup milk. Breakfast: Bread pizza/open toast with 2 slices whole wheat bread with paneer, onion and tomato topping. Mid morning: 1 fresh fruit or 1 cup of fruit or vegetable juice or 1 cup of tomato or vegetable soup. Lunch : 1 cup whole wheat noodles and ½ cup sweet and sour vegetables. Evening snack: 2 small Aloo tikkis (home made). Dinner: 1 cup pasta in tomato sauce with beans, cauliflower and carrots. Do get back to me if you need any further assistance, will be glad to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH

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