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Dr. Shantanu Gomase

Pediatrician, Akola

100 at clinic
Dr. Shantanu Gomase Pediatrician, Akola
100 at clinic  ·  ₹ online
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Personal Statement

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 36 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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If a person having blood sugar. A baby born to him will have the same complain by birth.

MD - Medicine, MBBS
General Physician
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If a person having blood sugar. A baby born to him will have the same complain by birth.
no its not necessary.... but the child born to a diabetic mother has chances of having diabetes later on their life

My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?

C.S.C, D.C.H, M.B.B.S
General Physician
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My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?
If she is drinking enough water and is active this is OK . If there is any other symptom she need to be checked up . If she is bottle fed she need to be given additional water unlike breast fed babies

My son is now 20 months healthy boy. I want to stop breastfeeding now. He is eating regular food but have a strong crave for my milk. Can I take medicine available in market such as cabergoline .25 mg? Milk supply is high. Want to stop it. Pls help.

C.S.C, D.C.H, M.B.B.S
General Physician
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My son is now 20 months healthy boy. I want to stop breastfeeding now. He is eating regular food but have a strong cr...
If milk supply is high you can continue to give him. Instead of tablet you apply bitter creams or put a plaster over the nipple to prevent him

My baby boy of 12 days is of 3 KGS he is breastfeeding now how can I increase his weight.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My baby boy of 12 days is of 3 KGS he is breastfeeding now   how can I increase his weight.
Weight shall increase normally, if baby is taking normal feed exclusive breast milk up to 6 months of age. 3 kg at 12 days is quite good.

Helo Dr. Meri ek niece hai 9 years old uski height sahi nhi hai pls height ke liye koi medicine bataiye.

MBBS
General Physician
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Helo Dr. Meri ek niece hai 9 years old uski height sahi nhi hai pls height ke liye koi medicine bataiye.
I will suggest you to not give any medicine for increasing her height and make her do skipping daily

My child is of 4 months. He got loose motion due to infection because I feed him through bottle also please suggest me remedy.

MD - Paediatrics, MBBS
Pediatrician
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Dear , firstly, if mother's milk is adequate, don't give him bottle feeds. If not adequate, give him only infant milk formula, not open cow milk. Also, although tedious, katori/spoon feeding is more hygienic. If you have to use a bottle, then make sure you use a sterile bottle every time, and make sure gaps between feeds are at least 3 hrs.

I recently noticed that my eyes are going deep inside. I'm worried now. I normally sleep 7-8 hrs a day. Im going to gym daily from last 2 years. I sit infant of pc for 4-5 hours.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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I recently noticed that my eyes are going deep inside. I'm worried now.
I normally sleep 7-8 hrs a day. Im going to g...
Prolonged working on laptop/tv/mobile can cause computer vision syndrome. Computer vision syndrome is a condition resulting from focusing the eyes on a computer or other display device for, uninterrupted periods of time. Some symptoms of cvs include a. Headaches b blurred vision c. Neck pain d redness in the eyes e. Eye strain f dry eyes sometimes watery eyes these symptoms can be further aggravated by improper lighting conditions. Measures to reduce this include 1. Work under proper light. 2. Blink a lot. 3. Cold compresses 4. Use good lubricating eyedrop.

My son in law age 2.4 years he is not eating food daily instead eating biscuits and lays. What should I do him to eat food. Suggest some points.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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My son in law age 2.4 years he is not eating food daily instead eating biscuits and lays. What should I do him to eat...
avoid giving him lays and biscuits...when you will not give him these things then he will start eating food

My baby is 7 months old. Is there any homeopathic medicine to relieve her from teething pain.

C.S.C, D.C.H, M.B.B.S
General Physician
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Apart from homeopathic medicine I can suggest calpol syrup 3.5 ml when there is pain. Please ask privately for personalised contact.

Hi sir, can I want to know why babies are not eating there food.

MD - Paediatrics
Pediatrician
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Hello I can understand your problem. This is the commonest complaint I face in day to day practice. First thing I want to make you understand that babies are really fussy regarding eating, they prefer to play rather than doing other things. The next thing is that most of the parents get over concious and they should try to understand that forceful eating can cause behavioral problem. I would suggest you to check the weight and height of baby and if it is appropriate for age then no need to worry. It suggests that his/her nutritional intake is adequate. Give frequent small feed. Make them energy dense so that even a small amount could meet the requirement. Regards.

Doctor my son 6 months old kindly advise me what are the foods I provide to him.

MD - Paediatrics
Pediatrician
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Frequency: after 6 months you need to start weaning foods apart from breastfeeding. For next one month: 1-2 times other foods (rest breast or formula feeding) from 7th month: 2-3 times other foods, increase to 4 from 8th month and 5 from 9th month. After that 6 times food, plus breastfeeding. As you can see you shouldnot stop breastfeeding, taper it down slowly. After one year day time food plus night breastfeeding. Type 1. You can start weaning foods like rice gruel or kheer or boiled apple and boiled vegetables or cerelac, etc. Initially for one month give only once or twice a day. Rest should be breastfeeding and formula. 3. Exact quantity varies from baby to baby. Don't force feed every time. The moment he refuses to feed wait and try again after an hour or so. 4. Feed in calm and dark place to avoid distractions. 5. After 7 months gradually add home available foods (low salt low spice) like idli, kitchdi, dhal rice, etc in soft form (mashed with hands) 6. Add oil or ghee to each food item. 7. Avoid cows milk till 1 year. Consistency almost liquid like till 7 months, semisolids from 8 months soft solids from 10 months egg yellow from 8 months, white from 1 year fruits and vegetables all types in plenty (atleast two servings each per day) all vegetables can be boiled and given. Apple can be boiled while other fruits like banana papaya orange etc can be given without boiling. Regards.

Hi. My baby is one month old and I see that her head is elongated in shape. Is this related to scaphocephly. Should I be worried? Or can it change by time?

MD - Homeopathy, BHMS
Homeopath
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Hi. My baby is one month old and I see that her head is elongated in shape. Is this related to scaphocephly. Should I...
Hello. If your baby is born by normal delivery, it is normal to have a elongated shape. Of it has developed recently, consult a doctor. Regards

Is Oats are good for babies age upto 5 years. Oats are meant for reducing for weight or I have some wrong understanding.

C.S.C, D.C.H, M.B.B.S
General Physician
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Oats are high fiber complex carbohydrate and is not necessarily a weight reduction drug. It can be given to babies if they like it

My daughter is 1.7 years old. All the day she keeps on crying for no reason, we conculted pediatrician he gave us the report everything is fine with her. Even in the night she is not having complete sleep. Please suggest.

MD - Paediatrics, MBBS
Pediatrician
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My daughter is 1.7 years old. All the day she keeps on crying for no reason, we conculted pediatrician he gave us the...
Even small children will have psychological problems. Excessive crying may be because of conditions like separation anxiety. Fear etc. You must try to find out the reason. You can take the opinion of child psychologist.

Please suggest me can I go for vaccination for my newborn baby because I read on net some doctors have adverse opinion they oppose vaccination because it has side effects and not all baby tolerate it. Please advise its urgent.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Please suggest me can I go for vaccination for my newborn baby because I read on net some doctors have adverse opinio...
You should go for vaccination as these vaccinations are compulsary and prevent children from many epidemic diseases like Tuberculosis,Measles,Mumps ,Rubela,Polio,Hepatitis and many more.Prevention is better than cure.

Mera beta 1 month ka he or 4 6 Dino se uske kan ke undar skin nikal rahi he. Esa kyu hota he? Hum uske kan me signtel ke 2 bund dalte he.

Diploma in Child Health (DCH), MBBS
Pediatrician
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Mera beta 1 month ka he or 4 6 Dino se uske kan ke undar skin nikal rahi he. Esa kyu hota he? Hum uske kan me signtel...
Please don't put any thing in ear or nose unless told by doctor. Please don't try to clean baby's ear with earbuds if at all you want to clean then use cotton wicks moistened with clean water. Getting some crusts in ear is normal.

C.S.C, D.C.H, M.B.B.S
General Physician
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HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.

Daughter got loose motions since morning. She is 20 month old, please suggest food for her.

MD PEDIATRICS, DNB PEDIATRICS, ESPE FELLOWHIP IN PEDIATRIC ENDOCRINOLOGY, VISITING FELLOWSHIP PEDIATRIC ENDOCRINOLOGY USA
Pediatrician
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Khichadi, coconut water, banana, mashed potatoes. Give her oral rehydration solution and zinc after consulting your pediatrician.
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