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Dr. Hemant M Parikh

MD- Pediatrics

Pediatrician, Ahmedabad

31 Years Experience
Dr. Hemant M Parikh MD- Pediatrics Pediatrician, Ahmedabad
31 Years Experience
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Hemant M Parikh
Dr. Hemant M Parikh is a renowned Pediatrician in Shardanagar, Ahmedabad. He has been a successful Pediatrician for the last 31 years. He has completed MD- Pediatrics . He is currently associated with Chirag Children Hospital And Neonatal Hospital in Shardanagar, Ahmedabad. Save your time and book an appointment online with Dr. Hemant M Parikh on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 27 years of experience on Lybrate.com. You can find Pediatricians online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD- Pediatrics - Gujarat University - 1986
Languages spoken
English
Hindi

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Chirag Children Hospital And Neonatal Hospital

3, Radha Raman Shopping Centre,Opposite Jaydeep Tower,Near Mehfil Hotel, Shreyas Fly Overbridge, Shardanagar Society, PaldiAhmedabad Get Directions
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

My sister son is 4 years old is a hyperactive child controlling him is a task to handle him. How to build up his immunity and health as he has a lean body and use to suffer from cough n cold. Wat food and diets need to be followed. Kindly suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Ayurveda. 1 tsp of aravindasava with 1 tsp of water mix and give after food. Two times per day. Will help him lot. Take this for at least one month or more.
1 person found this helpful
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What Causes Eczema? Ways to Prevent Eczema Outbreaks

MD, MBBS
Dermatologist, Chennai
What Causes Eczema? Ways to Prevent Eczema Outbreaks

What Causes Eczema?  Ways to Prevent Eczema Outbreaks

A skin inflammation, eczema, also known as atopic eczema, refers to the changes that occur in the upper skin layer. These skin changes can be thickened and cracked skin, skin redness, crusting of the affected area and swollen raw skin, among others. The exact cause of this skin condition is not yet known but a mix of factors have been found to be behind this health problem.

CAUSES :

The factors that play a role in causing eczema are:

- Dry skin brings down your skin's ability to fend off irritants as well as allergy causing substances from entering your skin, resulting in an inflammatory condition.

- Genetics is also one of the factors that may affect the proper functioning of your skin as a barrier against harmful substances. Therefore, if either one of the parent or both suffers from the condition, it is very likely that their children too will suffer from it.

- Abnormal functioning of your body's immune system can also lead to this skin condition. This is because it's your body's immune system that fights off infections as well as harmful intruders.

- The presence of the bacteria called Staphylococcus aureus, which brings about sweat buildup, inflames the skin considerably, leading to this condition.

- Even environmental factors like pollen, cigarette smoke lead to the flaring of eczema.

How can you prevent an eczema outbreak?

It is very common for this skin condition to flare-up from time to time. But you can avoid such outbreaks or reduce their severity by following these very simple ways:

- Keep your skin well-moisturized so that it doesn't dry out causing further irritation.

- Sudden changes in temperature can cause the skin condition to break out. So, when the weather is hot, keep yourself cool but during cold weather, use a humidifier to prevent the skin from drying out.

- Keep sweating in check as it can cause an outbreak very easily

- Avoid the use of harsh detergents and soaps, woolen materials as well as the consumption of foods that may lead to flare-ups

'Consult'.

4663 people found this helpful

My son (7 years) is adhd and mild auotium and taking acepta10 (1tab. At morning and half in the evening) and neurocetum (5 ml thrice a day). Still he is unable to concentrate in studies. Kindly advise any change in treatment.

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Hello; first you have to stop giving him neurocetum or similar named syrup you are giving him. What is your son's weight & height? c. Atomoxetine (acepta) is a very good medication & we can increase its dose depending on your sons responses like studies, behavior in class etc. In addition, there are other good medications like methylphenidate, clonidine also which can be prescribed if required. Do revert back for further help. Good luck.
1 person found this helpful
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Can you please help me out for feeding pattern for my son who is now 15 month old. What should be best for feeding to make him healthy or what should be avoided?

PALS, MD, MBBS
Pediatrician, Delhi
Hi, give him milk 2-3 times a day along with that give dal, cooked vegetables with roti, khichadi, dalia, fruits, if non vegetarian than 1 egg daily.
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I HAVE A 7 YRS OLD DAUGHTER. THREE YRS BACK SHE WAS ADMITTED TO HOSPITAL FOR 2 DAYS FOR DEHYDRATION. FROM THEN ON SHE HAS A LOT OF ITCHING ON HER BODY. IT KEEPS OCCURRING IN 2-3 MONTHS GAP. PLEASE SUGGEST SOME REMEDY

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
There is no relation at all of the mentioned prior treatment to itching now. please see a skin specialist. She could be having scabies.
1 person found this helpful
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My son is 7 years old. He has one problem wo sota (sleeping) bhot kam karta hai aur khelta jyada hai aur sulane par rota hai. Uska weight 9 kg hai. Humne use doctor ko dikha kar sleeping drops bhi diye par kuch fark nahi pada pls aap koi upaye bataye jise wo jyada soye.

MBBS, MD
Pediatrician, Gurgaon
He. Is active child. Aperson is supposed to sleep for 4-6 hours sound sleep. Of he is eating by himself and active, play with his classmates. About low weight, you should let me know his birth history.
1 person found this helpful
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Sensory Integration Therapy for Children With Sensory Issues

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Sensory Integration Therapy for Children With Sensory Issues

Sensory integration therapy has been specially designed to assist children who are facing issues in processing sensory information. As a part of this therapy, children undergo repetitive exercises that helps them to experience touch and other sensations more accurately. Sensory integration therapy aims to adjust the way children respond to physical sensations.

Autism's symptoms include difficulty in processing sensory information, such as textures, smells, brightness, sounds, tastes and movement. These difficulties can make ordinary situations feel overwhelming and interfere with daily function leading to isolation of individuals and their families.
Sensory integration therapy uses play activities designed to check how the brain reacts to sight, touch, movement and sound. Some children experience an overload of sensory information and are hypersensitive to certain types of stimulation. 

When they have sensory overload, their brains have difficulty in processing or filtering many sensations at once. On the contrary, other children are under sensitive to some kinds of stimulation, which means that they do not process sensory messages quickly or efficiently. These children struggle to understand, respond and organize to the information they take in from their surroundings and finally get isolated from their surroundings. The therapy is designed for children with sensory processing issues, including dyspraxia, ADHD, autism and spectrum disorder. It might also be used with young children who show signs of developmental delay.

Sensory integration therapy is fun for kids because it resembles playtime. It is done in a specially designed setting where kids are required to play with balls of different sizes, textures and weights. Sessions involve playing with clay and other materials. Children are asked to bounce, swing or spin on special equipment.
The therapist gradually makes these activities more challenging and complex. The therapy exposes children to sensory stimulation in a structured, repetitive manner. 

This is based on the theory that the brain will adapt and allow them to process and react to sensations more efficiently in the due course of time. Sensory integration therapy is provided by occupational therapists certified in sensory integration, which effectively means that therapist can plan strategies for use in therapy sessions to help a child with sensory issues. As therapists may only see a child an hour or two a week, therapy extends into the home and in school in form of a sensory lifestyle. Caregivers work with therapists to create a detailed schedule of therapies specific to each child, which may require adaptations to make the home such as creating quiet spaces and reducing visual clutter, are often suggested.

There's no harm in having one's child try sensory integration therapy. But one must be aware that there may be more effective ways to help the child with sensory issues. The protagonists of this therapy claim that it can help kids learn and pay attention in a more efficient manner.

4531 people found this helpful

My three year old daughter have thread like worm in her potty. Pls help what to do.

MD PEDIATRICS
Pediatrician, Bangalore
Kindly get stool examination done. Most probably it is pin worm. Take care of hygiene, wash clothes, bedsheets etc if hot water and iron them before use. And teat the condition by consulting your doctor.
1 person found this helpful
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For my son his age is 3 month and he is having too much loos motion and he is having infection on it so what to do?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is important to know if you are bottle feeding. Then stop bottle and give only breast milk to a 3 month old. Give enuff powder, 1 sachet dissolved in clean water twice a day. Keep in touch with me for regular advice on child rearing.
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My baby was born premature at 32 weeks and had sepsis. She is now 1.y months old. The OAE screen has come refer twice however the baby responds to sounds of rattles and music when she cries and we use rate she goes quite. Please suggest if she has hearing issues.

C.S.C, D.C.H, M.B.B.S
General Physician,
THere is no hearing loss. But OAE refers to lsoo in certain frequency and repeat it later Pure-tone (PT) audiometry measures throughout the outer ear, middle ear, cochlea, cranial nerve (CN) VIII, and central auditory system. However, OAEs measure only the peripheral auditory system, which includes the outer ear, middle ear, and cochlea. The response only emanates from the cochlea, but the outer and middle ear must be able to transmit the emitted sound back to the recording microphone. OAE testing often is used as a screening tool to determine the presence or absence of cochlear function, although analysis can be performed for individual cochlear frequency regions. OAEs cannot be used to fully describe an individual's auditory thresholds, but they can help question or validate other threshold measures (eg, in suspected functional [feigned] hearing loss), or they can provide information about the site of the lesion. Using current technology, most researchers and clinicians find a correlation between frequency-specific analysis of TOAEs/DPOAEs and cochlear hearing loss. However, at this juncture, the correlation cannot fully describe auditory threshold. Naturally, a correlation would not be expected for noncochlear hearing loss.
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Sir my question is mera ladka h jiski umar 6th month h. Wo kal sham se abi tak 7-8 pooty kr chuka h. Iska karan kya h or is ke liye medicine kya h.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
दिन में कई बार बच्चे खाना खाते ही potty जाते है जो की नार्मल है।। आप बस ये देखें की potty बहुत पतली तो नहीं है। अगर जयादा पतली है तो सबसे पहले जीवन रक्षक खोल (Ors) शुरू कर दे और आसपास के किसी अच्छे डॉक्टर की सलाह ले।।
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Hello sir, I have 3 months old son can I give any solid Food. Please suggest me.

MD - Paediatrics, MBBS
Pediatrician, Delhi
Only breastfeeding should be given till 6 months, after that semisolid diet should be started. Regards
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My son is 7 years old. But he eats very less and shows tantrums on forcing him to eat. We're always worried about this. He's also very weak and short as compared to kids of his age. We consulted a child health specialist and the tests show that his intestines are very sensitive which creates problem in digestion. We tried many cures and medicines but all in vain. Please help me out on this.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
In my experience small quanity highly calorie dense stuff like kheer, eggs, soya based food even soya milk are good to provide more calories. Market made dew protein rich powders are also available and works for whose happy to have milk but not rest of food. Few hunger stimulators time being can be prescribed and you may rule out a condition known as" gerd. Chornic cause of gastritis.
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Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti fuliya ho gai he. Kya karu?

Homeopath, Raebareli
Don't worry, patient may be suffering from measles (rulea virus) and incubation period 20-21 days and also suffer from cough, fever, cold etc. Suggest - complete bed rest. Homoeopathic medice- 1- variolinum- 30 (3 dose, alternate day) 2- belladonna- 30 (od)
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My baby is 11 months old (boy). His weight is just 8 kg. Till now my wife is feeding him with her milk. *Every morning about 8'0 clock she gives idly. *At 11'0 clock boiled cereals powder (rice, wheat, dals, corn, soya, ragulu, jonnalu, sajjalu, korralu, oats, groundnuts powder) *At 1'0 clock with curry & curd. *At 3.30 pm yellow of boiled egg.(started from 1 week). *At 5.00 pm banana or boiled apple. *At 7.00 pm again rice with curry . * My wife gives him milk 7or 8 times per day. Now my wife wants to stop her milk & wants to give outer milk. Please suggest me which milk powder is better for him. His weight is also very less for his age. The way my wife feeding him is the correct procedure or not. What type of food can we give for him to improve his weight? Please suggest milk powder also?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Well your diet schedule looks almost perfect. Except egg white shall be better as yolk is full of cholesterol and no protein. Protein is only in egg white. 2. Milk powder. Nan pro 2. Or lactogen2. But having said that. Cow milk (tetrapack) also shall be a great option. Low cost 3. Add more carb and sweet food. To have better growth along with proteins.
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My baby has completed six month. Please advice diet plan for him. N also how much quantity should be given initially.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
After six months of age, babies need complementary foods apart from breastmilk. Ideally, complementary foods must be fresh, home cooked foods with a thick, soft consistency.
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Boy 2 years old. What is the pathology in his teeth. this problem is since when teeth started coming. Its painful and he is aggravated while eating and aml by rubbing his teeth when his mom rubs his teeth Today he was eating papaya and uska ek teeth toot gya that is uska ye milk teeth h and so early why is it so and what is the cause he is also suffering from convulsive attack. When attack comes he close his hand tightly and teeth locked and dyspnoea is seen. After attack he is prostrated and sleeps . Attack occurs with any kind of loud noise Please guide.

PG DIPLOMA IN CLINICAL RESEARCH, BDS, PG Diploma in Hospital and Healthcare
Dentist, Varanasi
attack does not occur due to loud noise it is due to some phycological fear in kids which will be recovered with progression of age. no milk tooth should be removed before the age of 6 take periodontist advice on that if required go for interceptive orthodontics
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My son is 7 year old mostly he has a stomach pain, it has from last 2 years every 2 or 3 month we have completed the tests & ultrasound but its ok, when he asking about the same time he suffering with fever can you tell me a permanent solution of this ?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Recurrent abdominal pain is common in many children. They frequently keep complaining to gain the attention. If all reports are normal best way is to ignore.
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