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Dr. Sharmila

Pediatrician, Bangalore

Dr. Sharmila Pediatrician, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sharmila
Dr. Sharmila is a popular Pediatrician in Banashankari, Bangalore. You can consult Dr. Sharmila at Sujay Healthcare Clinic in Banashankari, Bangalore. Book an appointment online with Dr. Sharmila and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 38 years of experience on Lybrate.com. Find the best Pediatricians online in Bangalore. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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50 ft main road,Kathriguppe water tank,banashankari 3rd stageBangalore Get Directions
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Hi Regarding to previous question what is the solution for respiratory tract infections. Thank you.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Proper hand hygiene; rule out allergic recurrent issues, as it's a common cause for the same. And vaccinate against seasonal flu every year for child above 6 months.
2 people found this helpful
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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.
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My baby is 3 and half months. He have cold and cough also from last three days .Dr gave maxtra drop and nasoclear but cold and and cough not cure. Is steam can give to baby for relief what should I do please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 3 and half months. He have cold and cough also from last three days .Dr gave maxtra drop and nasoclear but...
If cold n cough is without fever n there is no involvement of lung and baby is active, just saline nasal drops 4-5 times in a day is sufficient.
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It's normal for babies to develop rashes from as early as a few days old, as their sensitive skin adapts to a different environment. Most rashes are harmless and go away on their own?

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
It's normal for babies to develop rashes from as early as a few days old, as their sensitive skin adapts to a differe...
Yes. It is called erythema toxic um. . It is absolutely normal. And use some mild oil like cocount oil.
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My son (2 yrs) has a lump in upper middle chest. Please suggest what it can be and where and to whom I should go for check-up and treatment.

MD - Homeopathy
Homeopath, Pune
My son (2 yrs) has a lump in upper middle chest. Please suggest what it can be and where and to whom I should go for ...
Hello, it can be fat lump or lipoma, but needs to be seen personally. Since when it is present? for now consult paediatrician mbbs dch or md paeds for opinion. Thanks.
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Hi, my daughter aged 6.5 years is suffering from muscle spasm in her neck. She is not able to move her neck right. What medicine should I administer her.

Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
Dear lybrate-user, normally hot water in rubber bottle fomentation along with medication with pain and muscles spasm relieving agents with local application of gel will make this better in next 5 to 7 days, moreover avoid position that causes pain.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

ICR, PGDEMS, BHMS
Homeopath, Navi Mumbai
for children health:
ask your child daily happenings after coming back home. understand him/her what they are facing and how they are handling issues of their life. this will help child to learn sharing stresses. guide them correct way of dealing with their problems. always punishing scolding shouting on child is not the proper way to handle them. Parents must have patience while dealing with children.
3 people found this helpful

my daughter age 4 every 15 days she have cough n cold cough comes continuously during night it comes more right now I am giving levolin syrup please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is she febrile? maybe it is allergic cough. Try giving levocet-m syrup 5 ml daily once in the evening and report privately. Send reports of her cbc, absolute eosinophil count and tsh.
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Mera ladka 10 years ka hai abhi night me bed pe pisab karta hai kya karna hoga.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician,
Give early dinner. Withhold fluids afterwards. Do not let him sleep on tummy. Wake him middle of night same time for urine.
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BHMS, MD - Homeopathy
Homeopath, Chennai
What is the ketogenic diet?

The ketogenic diet is a special high-fat, low-carbohydrate diet that helps to control seizures in some people with epilepsy. It is prescribed by a physician and carefully monitored by a dietitian. It is stricter than the modified Atkins diet, requiring careful measurements of calories, fluids, and proteins.
The name ketogenic means that it produces ketones in the body (keto = ketone, genic = producing). Ketones are formed when the body uses fat for its source of energy.
Usually the body uses carbohydrates (such as sugar, bread, pasta) for its fuel, but because the ketogenic diet is very low in carbohydrates, fats become the primary fuel instead.
Ketones are not dangerous. They can be detected in the urine, blood, and breath. Ketones are one of the more likely mechanisms of action of the diet; with higher ketone levels often leading to improved seizure control. However, there are many other theories for why the diet will work.
3 people found this helpful

Hi, actually my cousin suffering from a very ordinery problem she is just 6 years old and she faced loss stool since 3 months and she has swelling on her body very badly now she faced fever. We consult to the doctors they said she is suffering from diarrhea and they admit her but they reveal her with in a week because she was well in hospitals but now again she faced same problem we tired to find out her problem can you suggest us that what kind of disease is it. We will thank full to you if you can help us because they are not financial healthy to consult the doctor again. Thank you.

Diploma in Child Health (DCH), MBBS
Pediatrician, Faridabad
As narrated earlier, we should try to maintain proper hygienic condition while eating, drinking, mouth gargles etc. The container which we use for taking any food/water etc. Should be properly cleaned. Infection can be treated by proper antibiotics etc. But to avoid repeated infection, proper hygiene is tb maintained. As repeated infection lowers the immunity of body and invites to get infection again. This is a vicious circle which nedds to be taken care. Thus treatment is in the hands of parent for avoiding repeated infection. Doctor can only treat the infection once it is there.
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At the time of baby sleeping ,he is not waking up after so many try and after some time he was normal wakeup and than sleep, is this behavior is normal for newborn baby.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
At the time of baby sleeping ,he is not waking up after so many try and after some time he was normal wakeup and than...
New born baby sleeps for about 18-20 hours in a day and wake up in between particularly either for feed or when he gets wet. Don; t try to wake baby except when baby has not taken feed for about more than 3 hours.
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All About Growth Hormone Deficiency

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
All About Growth Hormone Deficiency

Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types:

  1. Congenital GHD - This form of GHD appears from at the time of birth itself.
  2. Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
  3. Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.

GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).

Symptoms:
Childhood onset

  1. Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
  2. Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
  3. Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
  4. Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
  5. Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.

Adult onset:

  1. Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
  2. Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
  3. Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine GHD:

  1. Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
  2. Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
  3. MRI-MRI scan can determine the health of your brain and pituitary gland.
  4. Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment:

  1. Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
  2. Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
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Mera beta 7 saal ka hai. Uska Dengue fever ho gaya hai. Hospital mein I C you mein admit hai. Lekin fever kami nahi ho raha hai aur PLATELETS bhi kami hoti ja rahi hai. Bilkul bhi aram nahi lag raha hai. Kya ye jaldi sahi ho jayega.

C.S.C, D.C.H, M.B.B.S
General Physician,
Mera beta 7 saal ka hai. Uska Dengue fever ho gaya hai. Hospital mein I C you mein admit hai. Lekin fever kami nahi h...
If platelet is very low plarelet conctrate has to be given. As she is hospital, they will take care and you need not worry.
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My baby is 2.8 years old and weighs 27 Kg, is he overweight and what should be done to keep his weight under control?

MBBS, MD
Pediatrician, Gurgaon
My baby is 2.8 years old and weighs 27 Kg, is he overweight and what should be done to keep his weight under control?
It's too much. Please rule out any disease. Diet is only way to reduce weight. Give her two+times food home cooked, no oil, contain ata, bajra, dal. No beard, no maida. Or market junk food. Weigh 15days.
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My child age is 5 month old. After 5 month baby which types of eating the food. Suggest me.

MD - Paediatrics
Pediatrician, Rewa
My child age is 5 month old. After 5 month baby which types of eating the food. Suggest me.
Up to 6 months of age the baby should be given mother`s milk only, after completion of 6 months you can give home cooked soft semi solids like kheer, khichdi, rice with dal, etc.
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My 2 months old baby had a rash on neck region. The rashes have disappeared but there are white patches left. Will those disappear or are those something else. What can I do to get rid of white patches.

BHMS
Homeopath, Solan
My  2 months old baby had a rash on neck region. The rashes have disappeared but there are white patches left. Will t...
Hi, please take homeopathic medicine cina 200 4 pills twice a day and report back after with feedback.
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