Talk to Pediatrician on Advice Needed For Persistent Umbilical Discharge After Cord Separation

Patient: Male Infant Age: 46 days

History: Baby ki umbilical cord apne gir gayi thi. Lekin cord ka ek chhota hissa naaf ke andar reh gaya tha. Us ke baad naaf se halka sa safed/peela discharge aana shuru ho gaya. Hum ne pediatric doctor ko consult kiya. Doctor ne Melas-H cream prescribe ki, jo hum din mein 3 dafa laga rahe hain, aur naaf ko saaf rakhne ki hidayat di. Hum doctor ki tamam hidayat par amal kar rahe hain. Discharge lagataar nahi aata. Aksar din mein sirf ek martaba thori miqdaar mein discharge nikalta hai. Safai ke baad kuch waqt ke liye bilkul theek rehta hai, lekin baad mein phir thora sa discharge aa jata hai. Aaj baby ki age 46 din hai, lekin discharge ab tak mukammal tor par band nahi hua. Baby ko bukhar nahi hai. Baby doodh achi tarah pee raha hai. Baby active hai aur bilkul sust nahi lagta. Naaf ke andar abhi bhi halka sa laal tissue nazar aata hai, jahan se discharge aata hai.

Kindly advise: Kya yeh retained umbilical cord tissue, umbilical granuloma, halki infection ya koi aur congenital masla ho sakta hai? Kya kisi investigation (jaise ultrasound) ki zarurat hai? Kya Melash-H cream continue rakhein ya treatment change karna chahiye? Kya is stage par Pediatric Surgeon ka review zaroori hoga?