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Dr. Rakesh M Shah

MD - Paediatrics

Pediatrician, Ahmedabad

21 Years Experience
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Dr. Rakesh M Shah MD - Paediatrics Pediatrician, Ahmedabad
21 Years Experience
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rakesh M Shah
Dr. Rakesh M Shah is a renowned Pediatrician in Hatkeshwar, Ahmedabad. He has been a practicing Pediatrician for 21 years. He studied and completed MD - Paediatrics . He is currently practising at Panth Children Hospital in Hatkeshwar, Ahmedabad. Save your time and book an appointment online with Dr. Rakesh M Shah on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 38 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.

Info

Specialty
Education
MD - Paediatrics - GCS Medical College, Ahmedabad - 1996
Languages spoken
English
Hindi

Location

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Panth Children Hospital

Saibaba Complex 1st Floor Opp Hatkeshwar Bus Stop Hatkeshwar Circle Hatkeshwar Ahmedabad Get Directions
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My baby boy is now 12 month. Uska penis bahut short h. Main bahut worry hoon. Aage future me use koi problem to nhi hoga pls iska koi solution ho to bataye.

MBBS
General Physician, Mumbai
My baby boy is now 12 month. Uska penis bahut short h. Main bahut worry hoon. Aage future me use koi problem to nhi h...
This us too early to guess what will be his penis size like. Once a child attains 13/13 years of age. That is puberty. At that time under the influence of male hormones the penis grows in size. Nevertheless your concern may be genuine and so I may suggest you to seek opinion of the child specialist.
1 person found this helpful
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Good morning sir, my daughter was 11 years old ,she was toilet on the bed in sleeping position. What is the reason.

BAMS, MD, Panchakrma
Ayurveda, Nashik
Good morning sir, my daughter was 11 years old ,she was toilet on the bed in sleeping position. What is the reason.
Teach her. During day time. What not to do. Make habit of bowel clear. Before going to bed. Take less food in the evening.
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I have a problem in chest allergy. There is some noise in cold like as a vessel. I take many allopathy medicine. Now take medicine from arogeoum centre. Please advise.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
I have a problem in chest allergy. There is some noise in cold like as a vessel. I take many allopathy medicine. Now ...
If problem is very regular and causing breathlessness inhalation therapy would be more useful.Do eosinophil count from a laboratory
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My baby is about 15 months last one and two weeks. Night sleeping time he is coughing and vomiting .Is there any reason. He is taking roti with cow milk in night. Is because of cow milk he is vomiting. Please suggest. Thanks .

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
My baby is about 15 months last one and two weeks. Night sleeping time he is coughing and vomiting .Is there any reas...
Either baby is allergic or asthmatic. So please check CBC ESR and TEC test. Give levocitrizine syrup.
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Hi my baby was born on 5th Nov 2016. I had to undergo a c section because of which he did not tak my feed for 3 days. He was Having lactogen. Now that I am at home and trying to feed him. He wants my milk flow to be fast bcoz he is very hungry. And I don't want to give him excess of lactogen I want to give him my feed. Please suggest me what should I do to increase my breast milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi my baby was born on 5th Nov 2016. I had to undergo a c section because of which he did not tak my feed for 3 days....
Yes you give him exclusive breastfeeding that shall be sufficient n helpful to enhance milk production sufficient for baby. Stop top feeding otherwise production may reduce gradually.
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My 4 year old son had suffered convulsion (due to high fever) at the age of year and half and advised valparin 200 upto the age of 5. But since then he is getting mouth ulcer (wound) almost every month which automatic heals in 7 days. He get fever for the whole period of wound. Kindly suggest a permanent remedy. Doctors only advise vitamins.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 4 year old son had suffered convulsion (due to high fever) at the age of year and half and advised valparin 200 up...
Have you done eeg test then send the report to me. Ulcers during fever are due to virus that caused fever.(exanthematous fever). If eeg is normal why valparin was given at all for simple febrile seizure? I do not understand.
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M.D.( Pediatrics), DCH
Pediatrician,
A regular bed time routine is very necessary for a child.
1 person found this helpful

My daughter is seven and she gets cold attack every night her nose gets blocked and she freaks out as it becomes very uncomfortable for her to breathe. She doesnotven have cold in a days times that affects her.

MS - ENT, MBBS
ENT Specialist, Jhansi
My daughter is seven and she gets cold attack every night her nose gets blocked and she freaks out as it becomes very...
Difficulty in breathing can due lung problem like asthma etc too, so you should consult a pulmonologist along ent surgeon, try steam inhaltation before sleeping.
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My sister son is suffering from AUTISTIC. So please tell me the treatment to overcome from this?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My sister son is suffering from AUTISTIC. So please tell me the treatment to overcome from this?
Treatment is behaviour therapy. Main aim is to establish eye contact. Try to keep him in company of others. Don't allow him to Enjoy his own world. This treatment is given by a team under developmental pediatrician's care.
1 person found this helpful
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Is it necessary to get mococal pneumococcal vaccine to 6 weeks baby? What is the use of it?

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
Is it necessary to get mococal pneumococcal vaccine to 6 weeks baby? What is the use of it?
Dear lybrate-user, pneumoccocal vaccine is for pneumonia prevention. It is not given in national schedule and it is costly. Government does not provide it. However indian acadamy does recommend it there are two brands - synflorix and prevenar. Prevenar is costly. Both does not have much differences.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
4 people found this helpful

My son is 7 year old male they have high fever every evening last 3 days with cold suggest a good advice for my child.

MBBS
General Physician, Cuttack
My son is 7 year old male they have high fever every evening last 3 days with cold suggest a good advice for my child.
let him have one tsf of sinarest syrup three times after food Give him cold spoonging if the fever is high. If fever continues get him checked by child specialist
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My baby is 1 month and 20 days old. She is having loose motion since 9 days we use to feed lactogen formula milk. Doctor suggested to change that and use nutricia Nusobee casein formula. May I know whether its gud for baby. It don't have any side effects right.

MD Pediatrics
Pediatrician, Faridabad
My baby is 1 month and 20 days old. She is having loose motion since 9 days we use to feed lactogen formula milk. Doc...
It is okay for a small child like yours to pass loose motions six to eighttimes a day. I dont think your child need s nusobee.
1 person found this helpful
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Good morning. My daughter is 6 years old and in first standard, she has problem of frequently urine (20 to 25) per day. What should we do?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Good morning. My daughter is 6 years old and in first standard, she has problem of frequently urine (20 to 25) per da...
Your daughter needs proper examination before starting any treatment. She may be suffering from urine infection or over active bladder.
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Baby 17 days ka hai. Premechure baby 34 week ka hai. Problem ye hai ke ek to weight kam hai. Dusra mother feed nhi karwa pa rahi kyuki nippal ander hai. Use lectojan de rahe hai katori chhamach se. Baby jaisa janam ke samay that. Waise he dikhta hai. Weight badane ke liye kya kare. Cow ka milk de sakte hai kya. Hindi me answer de.

MD Pediatrics
Pediatrician, Vadodara
Baby 17 days ka hai. Premechure baby 34 week ka hai. Problem ye hai ke ek to weight kam hai. Dusra mother feed nhi ka...
Aapne birth weight nahi bataya. Mother ke nipple problem ke liye apne Dr. se sampark kare vo iska ilaj batayenge. Bacche ka daily weight gain dekhna padta hai agar hame ye dekhna hai ki maa ka dudh paryapt hai ki nahi. Powder milk katori chamachse de rahe hain vo sahi hai. Cows milk dene ki jaroorat nahi hai. Bacce to multivitamins aur calcium supplements bhi dena hoga. Bacche to infection ki aasar hai ki nahi uske liye apne Dr. se jaroor mile.
1 person found this helpful
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Epilepsy: Knowledge for General Public

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana

Epilepsy is a chronic disorder of the brain that affects people worldwide. It is characterized by recurrent seizures, which are brief episodes of involuntary movement that may involve a part of the body (partial) or the entire body (generalized), and are sometimes accompanied by loss of consciousness and control of bowel or bladder function.

Seizure episodes are a result of excessive electrical discharges in a group of brain cells. Different parts of the brain can be the site of such discharges. Seizures can vary from the briefest lapses of attention or muscle jerks to severe and prolonged convulsions. Seizures can also vary in frequency, from less than 1 per year to several per day.

One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having 2 or more unprovoked seizures.

Fear, misunderstanding, discrimination and social stigma have surrounded epilepsy for centuries. This stigma continues in many countries today and can impact on the quality of life for people with the disorder and their families.

Signs and symptoms

Characteristics of seizures vary and depend on where in the brain the disturbance first starts, and how far it spreads. Temporary symptoms occur, such as loss of awareness or consciousness, and disturbances of movement, sensation (including vision, hearing and taste), mood, or other cognitive functions.

People with seizures tend to have more physical problems (such as fractures and bruising from injuries related to seizures), as well as higher rates of psychological conditions, including anxiety and depression. Similarly, the risk of premature death in people with epilepsy is up to 3 times higher than the general population, with the highest rates found in low- and middle-income countries and rural versus urban areas.

A great proportion of the causes of death related to epilepsy in low- and middle-income countries are potentially preventable, such as falls, drowning, burns and prolonged seizures.

Causes

Epilepsy is not contagious. The most common type of epilepsy, which affects 6 out of 10 people with the disorder, is called idiopathic epilepsy and has no identifiable cause.

Epilepsy with a known cause is called secondary epilepsy, or symptomatic epilepsy. The causes of secondary (or symptomatic) epilepsy could be:

  • brain damage from prenatal or perinatal injuries (e.g. a loss of oxygen or trauma during birth, low birth weight),
  • congenital abnormalities or genetic conditions with associated brain malformations,
  • a severe head injury,
  • a stroke that restricts the amount of oxygen to the brain,
  • an infection of the brain such as meningitis, encephalitis, neurocysticercosis,
  • certain genetic syndromes,
  • a brain tumor.

Treatment

Epilepsy can be treated easily and affordable medication. Recent studies in both low- and middle-income countries have shown that up to 70% of children and adults with epilepsy can be successfully treated (i.e. their seizures completely controlled) with anti-epileptic drugs (AEDs). Furthermore, after 2 to 5 years of successful treatment and being seizure-free, drugs can be withdrawn in about 70% of children and 60% of adults without subsequent relapse.

Prevention

Idiopathic epilepsy is not preventable. However, preventive measures can be applied to the known causes of secondary epilepsy.

  • Preventing head injury is the most effective way to prevent post-traumatic epilepsy.
  • Adequate perinatal care can reduce new cases of epilepsy caused by birth injury.
  • The use of drugs and other methods to lower the body temperature of a feverish child can reduce the chance of febrile seizures.
  • Central nervous system infections are common causes of epilepsy in tropical areas, where many low- and middle-income countries are concentrated.
  • Elimination of parasites in these environments and education on how to avoid infections can be effective ways to reduce epilepsy worldwide, for example those cases due to neurocysticercosis.
4 people found this helpful

14 month baby had acute diarrhea and fever two days ago. Now if he cries he can't breathe for minutes and lips turn blue. Please help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
14 month baby had acute diarrhea and fever two days ago. Now if  he cries he can't breathe for minutes and lips turn ...
It's not related to loose motions. Some children become unconscious and bluish after a bout of excessive crying. It's called as breath holding spell. It's a sort of psychological problem. Show to a good doctor.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MBBS
Pediatrician,
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
If fever is more than 100.4 degree then use paracetamol to subside the fever it will take another 5 to 7 days for the fever to subside try to give coconut water.
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