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Dr. N Nijaguna

Pediatrician, Bangalore

100 at clinic
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Dr. N Nijaguna Pediatrician, Bangalore
100 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. N Nijaguna
Dr. N Nijaguna is an experienced Pediatrician in Ganga Nagar, Bangalore. He is currently practising at Child Care Clinic in Ganga Nagar, Bangalore. Book an appointment online with Dr. N Nijaguna and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 43 years of experience on Lybrate.com. You can find Pediatricians online in Bangalore 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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English

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Child Care Clinic

566,1st Floor, 7th Main, 4th Cross, HMT Layout GanganagaraBangalore Get Directions
100 at clinic
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With 2 young kids of 2 years and 1 year, I feel hectic. They hardly eat. Their tempertantrums, they beat each other. Loud crys, illness. To cook food and feed them then come for duty and go back again cook and feed them. Crying in the background. How to handle this pressure.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
With 2 young kids of 2 years and 1 year, I feel hectic. They hardly eat. Their tempertantrums, they beat each other. ...
You need to relax mind and get a help to ease your work. Learn to meditate and do yoga by finding some time.
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My son is 3 and half years old. He have febrile seizure in last week when temperature rise 100f fever and doctor prescribe CLOBA 5 MG TABLET. Is this the tablet given to a child under 5 years for febrile seizure. I heard about "Diazepam" tablet for children under 5. Please reply to this I really looking for your response.

MBBS
General Physician,
My son is 3 and half years old. He have febrile seizure in last week when temperature rise 100f fever and doctor pres...
Hello lybrate-user, Cloba 5 mg tablet can be given to children under 5 for seziures. Cloba belongs to class of drugs called Benzodiazepines. Diazepam too belongs to same class. However Cloba has lesser side effects than Diazepam with similar efficacy.
1 person found this helpful
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What are the best medicines for cough and cold for child below 1 year? Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
What are the best medicines for cough and cold for child below 1 year? Please advise.
The baby has to be evaluated before giving any antibiotics. You can give cold medicine like wikoryl drops. Ask privately with weight of your child for personalised advice.
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Hello Doctor As per consulted, I am nebulising my kid with levolin, duolin and budate. One day went, I feel he is feeling sleepy and tired also he has less appetite. Is it fine or any kind of side effect. please suggest.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
We have good homeopathic medicines for asthma, cold allergy and many other respiratory diseases. But the recurrency of your disease needs to be broken, which is possible only by constitutional homeopathic medicines. For this, we need to record all your physical as well as psychological symptoms, so that proper treatment is to be started then. So do book an online appointment for detailed case to be taken and treatment to be started as soon as possible. Besides this, take steam inhalation, do saline water gargle, avoid fatty, fried and oily food, be hydrated, take proper rest, avoid cold and sour food. For more queries, consult us.
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My baby is 45 days old. She took vaccination yesterday. Doctor advice me to inject loose motion and pneumonia vaccination. It is necessary.

B.A.M.S., B.A.M.S.-Dip.C.H.
Pediatrician, Solapur
My baby is 45 days old. She took vaccination yesterday. Doctor advice me to inject loose motion and pneumonia vaccina...
Yes. Its necessary. For loose motion take you rotavirus vaccine and pnuemonia take pnuemococal vaccine. Rotavirus vaccine give oraly and pnuemoco with intramuscular.
1 person found this helpful
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

4 people found this helpful

My baby's age is 8 months old. He prefers only breastfeed milk. He is not preferred bottle milk. How to avoid to give breast milk. How to give bottle milk. I am suffering from nipple cracks and milk is not coming blood is coming. What I have to do to give bottle feeding.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby's age is 8 months old. He prefers only breastfeed milk. He is not preferred bottle milk. How to avoid to give...
Bottle feeding harmful n is discouraged. Use spoon to feed top milk. Breastfeeding maybe continued after cracked nipple tt. Start semi solids, if not yet started. Right time to start is 6 months now he is 8 months.
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Hi doctor. She is 3 month old. We feeding lactogen 1 for her. As per weight chart 3 month baby want to be 5.4 kg. But still my daughter is 4.5 kg only. Shall we continue that lactogen or shall we give cow milk. Otherwise give any suggestion. When we want to start health drinks for my baby. Please give your suggestion doctor.

DHMS (Hons.)
Homeopath, Patna
Hi doctor. She is 3 month old. We feeding lactogen 1 for her. As per weight chart 3 month baby want to be 5.4 kg. But...
Hello, Lybrate user, though nothing is better than mothers milk, you may continue with formula milk, please as Cow milk is not recommended for babies less than 1 yr. Being high in Protein, sodium and potassium for infants. Tk care.
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My 21 days old daughter start crying uncontrollably before urinating, she is facing this problem from past two days.

BHMS
Homeopath, Faridabad
My 21 days old daughter start crying uncontrollably before urinating, she is facing this problem from past two days.
Hello. It's normal babies usually cry before urination and it may remain for another 6-9 months. However, if she cries during or after passing urine, then better to see a Paediatrician (child specialist) and also a simple urine test need to be done!
1 person found this helpful
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Effects of Parental Alienation Syndrome on Children

Post Graduate Diploma in Pyschology
Psychologist, Noida
Effects of Parental Alienation Syndrome on Children

In many cases; divorce and separation leads not only to bad blood between the parents, but also in a child alienating himself from one parent. Insulting or belittling one parent without justification or under pressure from the other parent is known as parental alienation syndrome. Parental alienation involves one parent undermining the other and interfering with the child’s relationship with the other parent by limiting contact with them, bad mouthing them, forbidding discussion about them etc. This can have a very negative effect on the child’s emotional state.

1. Self hatred: For children, hatred is not inborn, but developed by the situations they are in. By bad mouthing a parent and teaching the child to hate the parent, the child himself is harmed. With time, he begins to internalize this hatred and believe that there is something wrong with him that made the alienated parent not want him.

2. Low self esteem: When a child is not allowed to speak his mind and has to bottle up his thoughts, he becomes socially withdrawn. Often the child begins to feel that he is the cause for the rift in the family and makes himself responsible for the separation. This intensifies with time and makes the child lose confidence in himself leading to low self esteem.

3. Lack of trust: When a child is suddenly pulled away from one parent and told how that parent is not a ‘good person’ the child is likely to feel betrayed. This creates a sense of doubt in the child’s mind and makes it difficult for him to trust other people. As he grows up, this can affect his own adult relationships as well.

4. Depression: Depression is a commonly seen in children from broken homes and this is intensified in cases of parental alienation. It is rooted in the child’s feeling unloved by either one of the parents and built up by the separation. Not being given a chance to speak about their feelings or talk about the situation makes them more depressed and they begin to withdraw into themselves. In many cases, it is noted that alienated children have strained relationships with their own children as well.

5. Substance abuse: Depression is one of the most common triggers for substance abuse. Alienated children often feels trapped and that they have no outlet to vent their feelings and frustrations. This often makes them turn towards drugs for relief and can make them victims of substance abuse. In case you have a concern or query you can always consult an expert & get answers to your questions!

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