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Posts Tagged ‘health’

Pro-breastfeeding pediatrician?

In Questions on 28 January 2014 at 3:22 am

Do you know of a pro-breastfeeding pediatrician in the Juhu or Andheri area?  I have recently moved to Mumbai from Hyderabad and took my son to a very experienced pediatrician here who recommended clear soups to be started for my four month-old baby as he is a little underweight. I am of the opinion that solids be initiated after six months and that too in little quantities, more for taste rather than a substantial form of nutrition. I have no problem nursing and would like to nurse my second child as much as I have nursed my first born.

Most pediatricians advise supplementing with formula which I do not want to do. Please help.

– Mamma of a 4 month-old and a 2 year-old in Mumbai

Read the rest of this entry »

How to boost immunity

In How on 30 October 2013 at 10:25 pm

Our son is falling sick often. Last week he had another virus attack and this time it was foot, hand and mouth disease. He is doing a lot better now. But has lost some weight.  We feel it is certainly to do with his immunity, that he is falling sick so often.  How can we boost his immunity?

Parents of a 1 year old near Baltimore

Immunity depends on individual as well as community factors.  The example of Roseto* suggests that in a close-knit community, one is less prone to illness.  Although most discussions of health and immunity focus on tangibles, such as food, exercise, sleep, hygiene, environment and safety, intangibles play as much a role or more in keeping our immune system strong.   Read the rest of this entry »

Sunscreen … really?

In Yes / No on 8 June 2013 at 3:35 am
I am in a dilemma about whether I should start applying sunscreen to my daughter.  On a sunny day, she has red cheeks which go back to normal in a few hours.  Apart from a little tanning, our skin tone is not threatened by any sun burn, and in our childhood and even adult life, we never used sunscreen.  A friend mentioned that we must apply before swimming or on the beach because  water and sun combination makes sun extra dangerous.
 
But I am reluctant to apply sunscreen because the titanium or zinc dioxide present forms a thick impenetrable layer closing the spore, preventing sweating and thereby toxic elimination through skin which is normal body mechanism. That itself makes me wonder if it causing more harm than helping people. 
– Mama of a 1.5 year old in Connecticut
 
To sun or not to sun?  That is the question.
Whether it is nobler in the sun to bask
Risking UV rays, sunburn, and worse
Or to arm ourselves with Vitamin D
And cleanse ourselves through sweat
And by boosting our immunity, brave them?
 

Read the rest of this entry »

Trying New Foods

In How on 10 May 2013 at 8:00 pm

How many times a day should I offer solids to my baby?  How do I encourage him to try new foods?

– mother of a 1 year-old in Delhi

Rather than timing and offering foods, if you think of ways to create an environment where appropriate food is available, your baby can be the one to figure out how much and how often to eat, if at all.  Freedom is a delightful form of encouragement.

If you are still timing your own meals to coincide with baby’s naps, then probably you can try offering once a day.   He will let you know if he wants it more often.  If he doesn’t want it, that is fine too.   Be glad and accept that he made a choice – whether he chose to eat or not.

Sooner rather than later, you should welcome baby to family mealtime and see that there is something available that he can also eat.   Baby may not yet be able to chew a chapati, but you could prepare some ragi porridge, soup, soft-boiled vegetables, or chunks of soft fruit.  Place it on the table along with the rest of the dishes for the family and let baby have some if he wants.   A baby who is new to the family table might find the array of foods dazzling, but will soon get used to the setting, Read the rest of this entry »

Substitutes for sugar and more …

In What on 18 December 2012 at 4:05 am

Insert nut in date after removing pit.  Use peanut, cashew, almond or any other nut.  Don't eat the clerodendrum!

Which sugar substitute is best? Dates, molasses or honey? I quit using agave.
– mother of two in Dallas

(a) is a whole food so I will go with (a).

I use any of these three, depending on the context. If you can get raw honey it is supposed to have beneficial properties that are destroyed in the high-temperature processing of the commonly available honey.

Sonika Amma adds:

I would prefer dates and molasses on the health quotient. Read the rest of this entry »

What do I do for cough and cold?

In Recipes, What on 17 October 2012 at 8:05 pm
So many people ask about cough and cold, so here we go.
As a student I used to observe that I would typically come under the weather right after exams were over.  It was as if my body was saying, “now it is my turn.”    So be fair and give yourself some TLC (Tender Love and Care NOT Tomato Lettuce and Cheese but you can have some of that too. Minus the Cheese. Signed, Humor Consultant*) rather than insisting on business as usual.  My three point plan for recovery was:
1.  aggressive sleeping:  sleep until you can’t sleep any more
2. More gentle readers may wish to call the second point “continuous water sipping.”   For those young enough to breastfeed, they can nurse and sleep at the same time.  I nursed my daughter through several fevers this way.   Read the rest of this entry »

Vitamin D for baby?

In What on 5 September 2012 at 10:15 pm

 I read an article about the need for Vitmain D supplementing for exclusively breastfed babies.  We will start taking her in sunlight starting her 2nd month but I am not sure if that will suffice.

– mother of a newborn in Texas
Why avoid sunlight now?  Your baby will make vitamin D from sun and also get it through your milk, provided you are getting enough sun. How much sun you need varies according to latitude and skin type but even if you take a walk or play outside for half an hour you’re in business, provided the sun was shining and actually reached some area on the body that was not covered with sunscreen or clothing.  Under-exposure to sun is as risky as over-exposure.  Our Old Grey Fair Lady also cautions about the risk of too much Vitamin D.  Epidemiology Professor Robyn Lucas says in To D or not to D, “it’s not possible to make too much vitamin D from sun exposure – but that is a very real possibility from ingesting vitamin D.”

See also Kelly Mom:  How much sunlight is needed to generate adequate vitamin D?

Downside to whole grains?

In Yes / No on 23 August 2012 at 3:42 am
Seeing how difficult it is to move to whole grains after being used to everything white from rice to bread to semya, nan, pasta, etc, I wanted to make it easier for my children by serving whole grains from the start.  Recently a friend told me that giving brown rice cereal as first food is not as good as giving white rice cereal, because of the phytic acid issue (the brown rice contains more phytic acid than white).  Now I am confused, what should I do? 
– Mother of 4-year and 4-month old in Mysore
 
Several issues are bundled up in this question.  First food, digestion and nutrient absorption, and food preparation.  And brown rice.  Amma is ready 🙂
 
First, first food.  Obviously the “first” in question is not breastmilk, which is normally the first and only food for babies for at least the first six months of life.  Six months is not a fixed target for the entrance into solid foods.  These days when deadlines and schedules seem to hover over everything people often forget that a baby’s readiness for solid foods depends on maturity of the digestive system, and there is no benefit to introducing solids before a baby is ready for them. Read the rest of this entry »

Art of Fermentation

In Books, Recipes on 18 August 2012 at 1:55 pm
The art of fermentation : an in-depth exploration of essential concepts and processes from around the world
As any toddler will tell you, fermented food, when made at home, gives rise to fundamental questions, like who made the first yogurt?  It also brings us in touch with our neighbours, like when we need to borrow a spoon of yogurt because somehow we forgot to make our next bowl of yougurt before finishing our last one.  It also takes us down to the microbial level, and keep our forces of friendly bacteria strong.Can anyone offer a plan for peace?  It seems that among its many other roles, Sandor Katz’ “The Art of Fermentation” may be that as well as inspiration to make new discoveries in the kitchen and on our taste buds, and reconnect with the “hand taste” that goes into food made with love.  And, because fermented food begs to be shared, it may carry us away from the grid of the cash economy.

Michael Pollan says that “Katz would have us renegotiate the terms of our relationship with the microcosmos, and The Art of Fermentation is an eloquent and practical manifesto showing us exactly how to do that…”
An idea whose time has come!   I am typing with this book in my lap, struggling between the urge to share the good news about this book with you and the urge to read more and actually try out some of these fermentations myself, just to see what happens!
    Book
Title: The art of fermentation : an in-depth exploration of essential concepts and processes from around the world
Author:  Katz, Sandor Ellix, 1962-
Publisher, Date:  White River Junction, Vt. : Chelsea Green Pub., c2012.

Gestational Diabetes – what to eat?

In What on 9 May 2012 at 3:52 am

Dear Amma:  My doctor has put me on medication for gestational diabetes.  I have tried to keep my glucose levels down but it is very difficult – the other day I ate just a couple of spoons of potato and the level shot way up.  I get hungry all the time and I am running out of ideas for things to eat that will keep me full.

 – Eating for 2

Dear Eating for 2,
You know the drill:  Eat a variety of foods that are high in fiber, have a low glycemic index and are nutritious.  National Institutes of Health offers these diet recommendations.

To start, consider that whole foods tend to have a lower glycemic index than their refined counterparts.  Or in the words of The World’s Healthiest Foods,  “Foods that are white tend to have a higher glycemic index.”  So make sure whatever you are already eating is whole.  Your rice is brown, your bread is whole-grain or sprouted grain, and your fruits and vegetables, mung dal, urad dal, etc are unpeeled.  Want even more fiber?  Stir some wheat bran or oat bran into the batter you use for dosa or pesarottu.

Next, try to diversify your grain basket, with barley, ragi and other varieties of millets, oats, and quinoa.  Kamut and amaranth (राजगिरा or चौलाई) are available puffed, for easy snacking.

Let’s not forget omega-3 fatty acids, found in a variety of vegetables and notably in flax seeds, walnuts and their oils.  Your entire family will benefit from these improvements, and baby will be used to a healthy, diverse, whole foods diet from the start!  Note that flax seeds are so small that you have to take care to chew them. If you don’t they may pass through undigested.  If you grind your flax seed, you should eat it the same day – or within a few days if you refrigerate it.  Ground flax seed makes a decent dip for idli, dosa, etc.

Though I did not have GD, I too remember hungering for new and different foods in the third trimester.  After eating one dosa I would still be ravenous, but not want another dosa.  Repeat with one hummous sandwich, one plate of vegetables, and so on.

One trick that helped me stay full longer was adding wheat germ to whatever I was eating.  I would add a spoon or two to my rice and sambar, or sprinkle it on bread along with a spread.  Stir some into a bowl of oatmeal or upma.  A tablespoon of wheatgerm contains 2 grams of protein, so a little goes a long way.

Are your idli and dosa whole grain?   You can increase their protein content by using 1 cup dal per 1 cup rice.  A treasure trove of recipes using several varieties of millets includes simple preparations like కొర్ర పెసరోట్టు – see korra pesarottu on the site of Earth360.

Looking for ways to eat oats?  Try Oatmeal Sabzi or steel-cut oats.  How about quinoa?  Here is a simple recipe for delicious quinoa upma.