മാഷ്

62 days old baby born to a young couple out of non consanguineous marriage. Elder sibling four years and healthy. Pregnancy period uneventful except gestational diabetes in third trimester which was well controlled throughout. First trimester there was no exposure to teratogens. Delivery at 38 weeks at hospital .Baby weight 2450 grams,not asphyxiated. Baby passed meconium and urine normally breast feeding established normally and was discharged on third day. She was gaining weight normally up to forty fifth day. From 45 days onward   mother noticed feeding difficulty in the form of stopping and resuming in between feeds.Baby took  longer time than normal on feeding and not getting enough sleep after feeding time. She also noticed baby was breathing faster during sleep and rest and gradually losing weight. discussion at this point Points useful for the clinical analysis here are  Onset and course of the problem.Whole problem started after one and a half months of age.