Dr Amna Saleh - Child Specialist - Pediatrician

01/09/2026

When should a child’s cough worry you? 🩺👶

Most coughs are harmless—but some are a sign that your child needs to be checked.
Watch for persistent, severe or worsening cough, breathing difficulty, fever, vomiting, poor feeding, or disturbed sleep.
And remember: if something just doesn’t feel right, trust your instincts. ❤️

📞 Appointments: 0333-4441565
Dr. Amna Saleh | Consultant Pediatrician

28/08/2026

🥛 Milk alone is NOT enough for a growing child!

After 6 months, children need complementary foods alongside breast milk. Relying mainly or only on milk can lead to iron deficiency, anemia, poor growth, constipation, and multiple nutrient deficiencies.

👶 If your child is taking mostly milk and refusing solids, don’t ignore it—let’s find out why and help them build healthy eating habits early.

26/08/2026

What common mistakes parents do when starting a run for children

20/08/2026

14/08/2026

Is your child really a picky eater—or are we expecting them to eat like an adult? 💛

Children’s appetites, preferences, and eating habits naturally change as they grow. What looks like “picky eating” may simply be a normal part of development.

✨ Focus on offering a variety of healthy foods, not forcing every bite.

Save this post and share it with a parent who needs this reminder!

— Dr Amna Saleh

11/08/2026

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09/08/2026

The cost of raising a neurodivergent child and what hurdles Pakistani parents go through are the worse! Sometimes you even don’t get pointed in the right directions for years ..one can imagine what a lower and middle socio economic family would go through !!

09/08/2026

A Child with Sudden Bruising: A Case of Immune Thrombocytopenia

A previously healthy 1-year-old child was brought to the pediatric clinic with a short history of recurrent bruising and petechial spots over the body, particularly involving the knees and back. The parents also reported episodes of epistaxis and mild mucosal bleeding, which understandably caused significant anxiety.

On further history, the child had experienced a recent/recurrent respiratory tract infection prior to the onset of the bleeding manifestations. On examination, the child was alert and active, with multiple petechiae and ecchymotic patches over the skin, along with mild mucosal petechiae. There was no significant hepatosplenomegaly or other concerning systemic finding.

A complete blood count revealed marked thrombocytopenia, with a platelet count below 30,000/µL, while the other cell lines were relatively preserved. The clinical presentation and laboratory findings were consistent with immune thrombocytopenia (ITP), likely occurring following a recent viral illness.

Given the significant thrombocytopenia and mucocutaneous bleeding, the child was started on oral prednisolone syrup with close clinical and platelet-count monitoring. Serial CBCs demonstrated progressive improvement in the platelet count, with complete resolution of the petechiae and bruising.

On follow-up, the child was active, playful, and clinically well, with no further episodes of bleeding.

Take-home Message

In a young child, sudden-onset petechiae, bruising, and mucosal bleeding should prompt an urgent platelet count. Immune thrombocytopenia is an important and often treatable cause of isolated severe thrombocytopenia in children. Early recognition, appropriate monitoring, and timely treatment can lead to an excellent outcome.