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Dr. Reena

Pediatrician, Bangalore

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Dr. Reena Pediatrician, Bangalore
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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. Reena
Dr. Reena is a trusted Pediatrician in Koramangala, Bangalore. You can consult Dr. Reena at Manipal Clinics in Koramangala, Bangalore. You can book an instant appointment online with Dr. Reena on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 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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Manipal Clinics

No. 744, 80 Feet Road, Koramangala 4th BlockBangalore Get Directions
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Hello. My daughter is one year old. She has been suffering from cold and cough since a week. I am giving her sinarest AF and Brozeet. What else I have to give? Should I massage mustard oil on her feet? Pl help.

Diploma in Child Health (DCH)
Pediatrician, Narnaul
Hello. My daughter is one year old. She has been suffering from cold and cough since a week. I am giving her sinarest...
These two drugs are sufficient, if no improvement seen then consult paediatrician You can give honey ginger juice And haldi milk.
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

Benefits of garlic

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Home Remedy: Garlic

Generally known as Lasoon. To maintain normal health there is no any other substitute except Garlic.
It?s a great n effective natural antibiotic.

How to use:

Skin Problem: with neem for best result

Whooping cough: 1- Tab 2 times in day

Asthma: 3 pcs of Garlic boiled in Milk & drink every day night

Low BP: 1 Tab 2 times in a day

Earache: Boil well in oil and filter, use as ear drops

Phlegm: To Filtered as above & rub on chest and throat

Gas / Indigestion: 2- tab at Night

Its also useful in Fungal Infection, Acne, Obesity,Pimples, Tuberculosis, Ring Worms Etc ?
66 people found this helpful

Sir my child 07 years old but she never feel hungry I have done lot of test like tv, ultrasound and lot of blood test but only tv direct few we have given 9 month medicine but still she is not eating.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Bangalore
Children never starve themselves unlike adults, she may be eating lot of junk foods- biscuits and juices and chips etc that she is not eating what you want her to eat. Cut down on all the junk/ intermittent snacks and see that she eats when its family time to eat.
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My 1 year old son's right eye is red and swollen for 3 days now. Giving him tobra d and ciplox. No improvement. Please advise.?

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
My 1 year old son's right eye is red and swollen for 3 days now. Giving him tobra d and ciplox. No improvement. Pleas...
Use mahaflox kt 2dropx3time eyedrop and syrup hicope 5ml x3time oraly, also gudcefcv 5mlx3 time oraly, syrup ibugesicplus 5mlx3 time oraly.
1 person found this helpful
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B.D.S
Dentist, Gurgaon

Attention Deficit Disorder - Symptoms, Causes And Remedies

DPM, Msc Psychiatry, MBBS, Mental health training DMHP Nimhans Echo
Psychiatrist, Muzaffarpur
Attention Deficit Disorder - Symptoms, Causes And Remedies

Attention Deficit Disorder or ADD is a behavioral disorder that comprises impulsive behavior, inattentiveness and hyperactivity. This disorder tends to affect children more commonly, but the symptoms tend to disappear as one ages.

There are a number of symptoms for this disorder:

  1. Concentration problems: People affected by this disorder have problems in staying focused on routine tasks. You may have problems in listening to conversations, get distracted easily, overlook various important things and have trouble remembering various things.
  2. Being disorganized and forgetting things: You may exhibit symptoms such as having an extremely cluttered desk. You may also experience difficulties in completing projects and forgetting appointments. You may also lose track of time while doing important things.
  3. Emotional problems: Various emotional problems such as mood swings, hypersensitivity to criticism, problems in staying motivated and having low self-esteem are common signs of ADD. The disorder may also lead you to be extremely short tempered and be constantly frustrated.
  4. Hyperactivity: This symptom causes you to remain constantly agitated, unable to focus due to a racing mind, fidgeting constantly and talking excessively.
  5. Impulsivity: You will exhibit impulsive behavior such as not being able to exercise self-control, blurting out inappropriate comments and have certain addictive tendencies.

Attention Deficit Disorder can cause various problems in your life. Most of these are related to the following domains:

  1. Work related problems: You may constantly feel a sense of underachievement and will unable to meet your work responsibilities. You may be unable to meet deadlines, and face problems in filing paperwork.
  2. Relationship problems: This disorder takes a toll on your relationships such as it can create a rift between you and your family. They may feel that you are not sensitive to their concerns.
  3. Mental health problems: You may face various mental health problems such as drug abuse, anxiety, self-esteem issues and chronic stress.

Remedies for this disorder are:

  1. Get proper sleep: You should always aim to sleep for at least 6 hours every day. If you are well rested, then you will be more energetic and stress free.
  2. Regular exercise: You should exercise on a regular basis to keep yourself fit and healthy. It can also help you avoid problems such as obesity.
  3. Improve your relationships: You should schedule time for your loved ones and engage with them. It may contribute to your overall mental well-being. If you wish to discuss about any specific problem, you can consult a psychiatrist.
2430 people found this helpful

My baby has no hair around her occiput area .it is well demarcated and it starts from one temporal side to the other. And she is 3 months old .i wonder if that is a normal variant or not.

Masters in Food and Nutrition, Certified Diabetic Educator
Dietitian/Nutritionist, Kolar
My baby has no hair around her occiput area .it is well demarcated and it starts from one temporal side to the other....
In some babies, the growth of hair starts late. Do not worry. Ensure that the baby is given breastmilk sufficently. A 6-8 wet pads per day indicates that the baby is receiving milk sufficently.
1 person found this helpful
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My daughter age is 11 now she is having fever, doctor has told he has given 3 days medicine suspecting mums, what she should take?

BHMS
Homeopath, Faridabad
Hi, Share all the details pertaining to her problem along with rest of the symptoms or signs. Can help you in giving your daughter homoeopathic medicine which is pretty safe to take without any side-effects! And is easy to consume. Medication: Meantime, you can give her - Ferrum Phos. 6x and Kali Mur. 6x - both after every 4 hours. Also, keep giving the medicines given by your doctor simultaneously. Revert.
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7 Tips to Safeguard Your Hearing

DNB (ENT), MBBS
ENT Specialist, Bangalore
7 Tips to Safeguard Your Hearing

Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age and the other is when the inner ear's hair cells break down and do not pick up sound well.

Here are 7 ways to safeguard your hearing:

  1. Try to avoid loud places: It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.
  2. Buy low noise rating equipment: The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.
  3. Wear hearing protection at loud places: However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.
  4. Avoid smoke: Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking. 
  5. Remove earwax properly: Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.
  6. Avoid medications which reduce hearing: Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.
  7. Get your hearing tested: Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.

Related Tip: "What Causes Hearing Loss? + How to Ensure You Can Help It as You Age"

4021 people found this helpful

My baby boy is 9 month his inguinal hernia nd undescended testicle operation was last week, I want to know in future no problem his fertility.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My baby boy is 9 month his inguinal hernia nd undescended testicle operation was last week, I want to know in future ...
Timely surgery should have saved the testis. If the hernia and undecended testes was only on one side, there should be no problem with fertility in any case because one normal testicle is sufficient for fertility.
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How can I change the habit of breast feeding of my child of 3 yrs? She is not taking any other foods. please help.

Pediatrician, Mumbai
How can I change the habit of breast feeding of my child of 3 yrs? She is not taking any other foods. please help.
As long as she gets what she wants she is not even going to make an effort to try anything else. Besides, she has got addicted to breastfeeding. The only way out of this is to be firm and stop it altogether, no matter how much she pushes you. Offer solids at 4 hours intervals. Don't try feeding in between.
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Meri daughter 4 saal ki hai. Uske chehre per 15-20 masse ho gye hai jo abhi shuruat (safed) hai. Unhe rokne or khatam karne ka loi ilaaj bataeye. Dhanyawad.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
She has Acne vulgaris. Frequent face wash,local acnigel application Avoid diet rich in oil & milk products.
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My baby is 9 months. She has no teeth till now. What kind of food should I give her as she ia not able to chew. If she find any particle she vomits it.

MD Pediatrics
Pediatrician, Vadodara
My baby is 9 months. She has no teeth till now. What kind of food should I give her as she ia not able to chew. If sh...
you can wait for eruption of tooth till 1 1/2 years of age. till that age give semisolid food for diet. you can give all food of regular diet in mashed form / semisolid form. takehelp of mixer for the same. keep good variety of food to the child. add fruits also to the diet. important is semi solid form so that the baby can swallow it easily. some of the foods that can begiven are khichdi dal daliya rab sheera khir fruits seasonal milk products etc
1 person found this helpful
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My little baby is 4 years old. She is facing cough, and from 1 week there are so many bumps on her body like rashes. What is it? She not having fever at all.

DHMS (Hons.)
Homeopath, Patna
My little baby is 4 years old. She is facing cough, and from 1 week there are so many bumps on her body like rashes. ...
Hello, Lybrate user, this is a condition due to change of climate. Give your baby the under noted homoeo medicine/ @ Ruhs tox 30-4 pills, thrice a wk. @ Bryonia alb 4 pills, thrice. Maintain hygiene. Her diet be liquid, preferably. Report, after 3 days. Your feedback is solicited, please. Tk care.
2 people found this helpful
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My child boy age is 7 years. Until now his testis weren't entered into the scrotum. In the sonography, it was found that they remained below the abdomen. What happens if they not enters in the scrotum? What should I do for my child? If to be operated. How much expenditure would be? Pls help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
This condition is called undescended testes and if not corrected it can lead to cancer. Surgical correction has to be done and cost depends on the hospital and surgeon Undescended testes are associated with reduced fertility, increased risk of testicular germ cell tumors and psychological problems when the boy is grown. Undescended testes are also more susceptible to testicular torsion (and subsequent infarction) and inguinal hernias. Without intervention, an undescended testicle will usually descend during the first year of life, but to reduce these risks, undescended testes can be brought into the scrotum in infancy by a surgical procedure called an orchiopexy.
1 person found this helpful
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BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Rajkot
Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.

My son is 5 year old. In his chest x-ray report it is given that hilar shadows prominent right side and in blood test report mch- 23.2 and mcv- 74.5. Please tell me what is the problem.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Hilar opacities can be normal. His much is on the lower side indicating mild anemia. Supplement iron in case of other symptoms discuss in private.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

Hi. My baby is having hard motions. She is of 9 months old. Can anyone pls suggest some home remedies for that.

MD - Paediatrics
Pediatrician, Kolkata
Hi. My baby is having hard motions. She is of 9 months old. Can anyone pls suggest some home remedies for that.
First you ensure that you are giving him adequate water. Then try give foods rich in fibre but not packeted and refined foods. Avoid giving fruit juice, rather give whole fruit like mashed banana, mangoes, chico. Give adequate amount of vegetables with rice (ladiesfinger, pumpkin, oats are good)
3 people found this helpful
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