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Dr. Shantanu Gomase

Pediatrician, Akola

100 at clinic
Dr. Shantanu Gomase Pediatrician, Akola
100 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shantanu Gomase
Dr. Shantanu Gomase is a trusted Pediatrician in Jatharpeth, Akola. You can visit him at shantanu in Jatharpeth, Akola. You can book an instant appointment online with Dr. Shantanu Gomase on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 28 years of experience on Lybrate.com. You can find Pediatricians online in Akola 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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My baby is about 4 month and his weight is 6 kg according to his height, to mujhe baby ko kitne milk r kitne bar deni chaiye?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My baby is about 4 month and his weight is 6 kg according to his height, to mujhe baby ko kitne milk r kitne bar deni...
Hello, Breast milk cannot be given in measured quantity ,it should be exclusively given on demand.Make sure the baby is not underfed and he should take the maximum milk as he can.
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Hi my six months baby girl is crying very much. I have visited a doctor and he said that the baby is taking air during breast feeding. Is it true? what should we do during breastfeeding to avoid it?

M.D.( Pediatrics), DCH
Pediatrician,
What is weight? is she growing normally in spite of crying? if yes then, supporting the child by taking in lap, moving around by taking him on shoulder is needed. Some babies do cry for no reasons, they need feeling of security, tactile comforting, talking to him. It is passing phase and not going to last long. Meanwhile you can try giving colimex drops as and when required.
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My baby is 5 months old. She does not consume my breastfeed. Even a one time per day she does not intake my breastfeed. What shall I do?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My baby is 5 months old. She does not consume my breastfeed. Even a one time per day she does not intake my breastfee...
Hello, it simply means that you have not fed her well in the initial days and must have started formula earlier for her.
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I am 35 year old and during combined screening test iugr risk factor is 1: 35.there is no chromosomal abnormality and no downs syndrome. Should I be worry or not.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
I am 35 year old and during combined screening test iugr risk factor is 1: 35.there is no chromosomal abnormality and...
What is the weight of the baby. And what's the cause leading to iugr. It depends in that if only concern iugr but weight above 2 kg then no need to worry except few days of stay in nicu. For training the guts. Best regards.
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My grand daughter is 4 months old, she rejects breast feeding for last 10 days (nursing strike), kindly what can be the reason, what's the remedy?

Pediatrician, Pune
If you have started bottle feeding, then she has chosen the easier alternative and not taking breast feeds, giving breast feeds is the best option for babies at least till 1 yr of age.
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My 3 week old baby falls asleep during feedings and just won't burp. I hold him upright for up to half an hour while patting her back pretty well. He is drinking both formula and breast milk (both from the bottle). At times he will burp twice and I lay her down, he gets uncomfortable and cries a little, I pick her up and he burps again. I have to do this every 5 to 10 minutes sometimes. Often he will demand more milk when he looks uncomfortable from what seems like gas as he does pass gas after squirming and crying some. Tell me what to do. ?

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My 3 week old baby falls asleep during feedings and just won't burp. I hold him upright for up to half an hour while ...
Small babies should be given only breast milk. They get uncomfortable due to gas, but feel good after burping or passing wind. If your child cries it doesn't mean he is demanding feed. Overfeeding usually causes the problems you are describing. Stop formula, and give only breast milk when the earlier feed you have given is likely to be digested. It usually takes 2 hours for that.
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My baby boy age 1 year 8 months every month coming fever, cold and cough any problem give me a suggestion sir. I am afraid sir please tell me sir what test I will do.?

MD - Paediatrics, Diploma in Child Health (DCH), Postgraduate Diploma in Adolescent Pediatrics
Pediatrician, Gurgaon
My baby boy age 1 year 8 months every month coming fever, cold and cough any problem give me a suggestion sir. I am a...
Is your baby in a daycare/creche? are you in a joint family? usually babies this age catch various viral infections as cough and cold with or without fever from other children or adult contacts. This is usually acceptable so long as they continue to grow normally and are not anemic. Each episode should be treated symptomatically.
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My son is 1.3 years old. He is having a bad habit of eating food while watching tv or providing any tool to play with. Beside this its quite tough to make him eat. Also he found difficulty and cry during potty. What should we do?

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is 1.3 years old. He is having a bad habit of eating food while watching tv or providing any tool to play with...
Food ahbits are common weithmanychildren. It maychange as he grows and you can lvoivngly make him understand while taking care not to scold or censure him. Potty can be due to lack of fibre in diet and due to less water intake try giving lots of vegetable and fruits, but hypothyroidism in children can also give constipation. Please check his cbc, tsh and inform me directly so that I will not miss it in general questions pool.
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Hi sir I have a 4 month old daughter who is suffering from hydrocephalus what are the treatment and where it possible.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi sir I have a 4 month old daughter who is suffering from hydrocephalus what are the treatment and where it possible.
If tbe immediate neonatal period wss uneventful, it is more likely to be a congenital hydrocephalus. As the bairn is growing fast in this age. Hydrocephalus needs immediate surgical correction by a ventriculo peritoneal shunt.
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Is your child suffering with ADHD?

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.
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If rota virus and pcv vaccination of 1.5 month was missed on due date than how many days we can have this.

MBBS,MD(PGI,Chandigarh)
Pediatrician, Kolkata
If rota virus and pcv vaccination of 1.5 month was missed on due date than how many days we can have this.
It is always recomended to give the vaccines in time. If somehow it is missed it can be given upto 14 weeks of age and PCV you can give upto 5 yrs. But as early as you give it will protect your child more from those diseases.
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Hi, I am writing on behalf of my husband. He is extremely obsessed about girls, and the breasts. Its not that its hampering our relationship or our sex life. Whenever we go for an outing, his full attention is on the girls roaming around. Could you please advise me how could I help my husband get out of this. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
Hi, I am writing on behalf of my husband. He is extremely obsessed about girls, and the breasts. Its not that its ham...
U should atractive urself what your husband like more and do those things what he likes. Give more time to him and enjoy more which will divert his mind from others.
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My daughter is four and a half year old she is very weak coz she doesn't eat anything except milk. Her blood test result is found positive with gluten allergy in her body. But she doesn't eat anything at all. She feels bad smell in fruits nd doesn't eat fruit also, what should I do? please suggest me thanks.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Start gluten free diet gradually. Add one new food at a time. For eg rice kheer, corn dalia. Corn flakes with milk. Millet roti with dal. Khichri with veggie.
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What's Swaran Bindu Prashana

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala

Since ancient times, our ancestors passed their best practices of holistic lifestyle to their next generations. Over a period of time they became a ritual that got integrated into their day to day life. These series of rituals are known as samskaras. They are connected with the major events of life such as pregnancy, childbirth, naming ceremony, education, marriage, etc. These samskaras enables us to live a complete fulfilling physical and spiritual life.
Swarna prashana is one of sixteen samskaras mentioned in ancient texts for paediatrics. It is an unique method to build long lasting health and intellect naturally without leaving any harmful side effects.

Swarna prashana is an unique method of giving swarna bhasma (gold ash) mixed with honey and ghee that is fortified with arka, an herbal extracts like vacha, brahmi, shankupushpi, etc. To children orally.

This process promotes overall growth in a natural way. Due to its broader benefits, it is not only useful for normal children, its much more beneficial for children with special needs such as autism, learning difficulties, attention deficit disorder, hyper activity, delayed milestones, etc.

Swarna prashana is one of sixteen samskaras mentioned in the ancient texts for pediatrics.

Benefits:

Benefits of swarna prashana is elaborated in “kashyapa samhita” that was written before 600 bc.

“Suwarnaprashanam hyetanmedagni balavardhanam ayushyam mangalam punyam vrushyam varnyam grahapaham”- ka. Su. 18/ 4-5

It means the following benefits can be achieved:

  • Medha (intellect)
  • Agni (digestive and metabolic power)
  • Bala (strength)
  • Aayush (gives long life)
  • Mangalam (is auspicious)
  • Punyam (virtuous)
  • Vrushyam (aphrodisiac)
  • Varnya (increases complexion)
  • Grahapaham (eliminates the evil effects of planets) 
  • Vaidya vikas nagi is leading in swaran prashana

Hi 3.6 years daughter having cramp in stomach and thread like appearance in stool. Pls suggest what to do.

Pediatrician, Kaithal
Hi 3.6 years daughter having cramp in stomach and thread like appearance in stool. Pls suggest what to do.
Possibly worms are present in stools. Get her stool examined and get proper treatment. Do take care of any nail biting or eating outside food.
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My son is 8th year old and two abnormal teeth coming out in lower part of new teeth.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
It may be an extra teeth or may be permanent teeth. Better visit the dentist. The x-ray dentist will diagnosed and give a solution for that.
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My kid is of 8 yrs old we had bera test and found 100% loss of hearing impairment in left ear. Please suggest what should we do further.

Pediatrician, Pune
Get a thorough evaluation by ent specialist, but why b era was done? why not an audiometry, please consult the ent specialist.
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Hello doctor God gifted me a cute angel but she is suffering from spina bifida but she is active and cute the moments of her legs and hands is normal she eat normally and drink milk properly breathing properly sleeping crying and playing normally but we are worried about spina bifida. please tell what could I do and where is the best treatment of it? Thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hello doctor
God gifted me a cute angel but she is suffering from spina bifida but she is active and cute the moments...
Which degree of spina bifida? If it is not open donot worry it will cause no harm, if it is open then it will need closure, you can fix an appointment with pediatric surgeon in any medical college patiala, ludhiana, jaipur good luck.
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My son is 5+months birth weight 2.5 n currently 7.2 from last week he is doing watery motion with blood. Had stool test it shows occult blood positive n also consulted doc for infection but still no relief from prescribed medicines My son is active taking feed properly. But y still blood? please doctors help.

BHMS
Homeopath, Chennai
My son is 5+months birth weight 2.5 n currently 7.2 from last week he is doing watery motion with blood. Had stool te...
Acute diarrhea is a disorder which leads to a person passing a number of watery stools. It may be accompanied by cramping pain in the abdomen and at times fever too. Food and water-borne bacteria, parasites and viruses cause such problems. Rapid loss of water in the form of watery stool can cause a situation known as dehydration which can disrupt the normal functioning of the body. Along with it, the essential salts (electrolytes) of the body are also lost. While the oral rehydration salts and fluids significantly reduce fatalities from dehydration, they do not treat the underlying infection that is causing diarrhoea. Homeopathic medicines Veratrum Album, Arsenic Album, Podophyllum lead the homeopathic table for treating diarrhoeas and provide quick relief to patients by eliminating the infection. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Fever is returning in every 4 hrs for my 17 months old baby . We have been giving him ibugesic plus . Kindly advise asap.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Fever is returning in every 4 hrs for my 17 months old baby . We have been giving him ibugesic plus . Kindly advise a...
Ibugesic plus is anti pyretic whic brings down temperature for 4 to 6 hours. If your baby has no other symptom, fever may be seasonal viral; plain paracetamol 150 mg 6 hourly is sufficient else you may consult pediatrician.
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