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Dr. Shurthi

Pediatrician, Bangalore

Dr. Shurthi Pediatrician, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Shurthi
Dr. Shurthi is a popular Pediatrician in Arekere, Bangalore. You can consult Dr. Shurthi at Manipal Clinics in Arekere, Bangalore. You can book an instant appointment online with Dr. Shurthi on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 29 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. 13/A, J.P. Nagar 7th Phase Land Mark: Opposite RBI LayoutBangalore Get Directions
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The Proper Way to Brush Your Teeth !

BDS
Dentist, Pune
The Proper Way to Brush Your Teeth !

Blog by Dr Ratnika Agarwal at Smile Up Dental Care & Implant Center ,Pune .We provide Dental & Cosmetic Treatments for all age groups.

Many of us were taught how to properly brush our teeth when we were still young kids.

And, admit it or not, most of us are stuck with the same brushing method into adulthood.

Sadly, many of us also learned the improper way of brushing.

Indeed, even though we are taught the proper brushing technique, we may not often stick to it.

Did you know that brushing properly is tricky? We wish to get rid of plaque without damaging our gums and brushing too hard.

So, what are the correct ways to brush our teeth by Dr Ratnika Agarwal ?

  • Brush lightly.

The teeth and gums must be brushed gently as hard brushing may cause the gums to recede and get damaged. It is advised to hold the toothbrush the same manner you hold a pen. By doing so, a lighter stroke is encouraged.

  • Brush your teeth at least two times per day.

Brush in the morning and at night before you head to bed. In so doing, food particles are removed. Brushing in the morning will aid clear away the plaque that accumulated overnight. It is important to dry before you sleep because this is the period when the mouth becomes dry and it becomes easier for bacteria to attack the teeth.

  • Use an extra-soft or soft-bristled toothbrush.

By means of using these types of toothbrush, the teeth and gums won’t be harmed and abraded. It matters to change your toothbrush when necessary or on a regular basis. Shredded or worn out toothbrush are no longer effective in cleaning the teeth. Be smart in choosing a toothbrush and only purchase the one that is officially approved by the American Dental Association.

  • Brush your teeth for at least two minutes.

Two minutes is actually the required time to clean the teeth. This way, each tooth is thoroughly cleaned. You may consider using a timer if you are using a manual toothbrush.

  • Do not brush your teeth more than 3 times per day.

Brushing twice daily is already enough. Take note that brushing too frequently can damage or erode the teeth and gums.

  • Electric toothbrushes are good alternative to manual toothbrushes.

These are often recommended to people who do not often follow correct brushing techniques. In the same way, these are great options for individuals with physical limitations and find brushing a tough activity.

  • Have a standard routine for brushing

It is fundamental to brush the teeth in the same order on a daily basis. The reason behind this is that this can especially aid you cover each area of the mouth. This will easily become second nature once you’re able to perform it routinely.

For instance, you may brush the outer sides of the teeth from left to right across the top, afterwards, you may shift to the inside and then brush from right to left. After this, consider brushing the chewing surfaces from left to right. Do the same pattern for the teeth underneath.

As you can see, there are proper ways of brushing. So, do not just brush your teeth for the sake of brushing alone. Learn the proper techniques to keep the gums and teeth clean and in good condition.

Please Call our team on 8237802848 / 020-27041188 or visit Dr Ratnika Agarwal at Smile Up Dental Care & Implant Center, Pune Today and get your Dental Check-up today ! We provide all Dental & Cosmetic Treatments for all age groups. 

4 people found this helpful

Sir I am a 14 year old boy and I have stunted growth. What should I do? what medicines do you prefer?

M.D.( Pediatrics), DCH
Pediatrician,
Heigh is genetically determined in an healthy individual. If there is any illness, it requires proper treatment after due investigations and diagnosis
1 person found this helpful
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I am breastfeeding my 2 and a half month baby. He was born preterm, at 32 weeks. Does it cure him, if I eat ajwain when he gets cough & cold, and does he get cured if I eat heeng if he would be having gas problem or stomach ache. Is it ok for me/my health, if I eat ajwain and heeng daily.

C.S.C, D.C.H, M.B.B.S
General Physician,
If he gets cold he should be given medicine and not mother. We are not allowed to prescribe here in this open forum.
1 person found this helpful
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My 1years 2months baby had febrile seizure last month for first time and I have got some solution from doctors through Lybrate. Thanks for all of them. Now my query is that, is it not possible to restrict febrile seizure permanently, that it should not attack the baby in future. And also suggest me either any chances of this disorder will appear due cold or caught.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Febrile seizure is self limiting disease which shall get cured by passage of time. This occurs only during high fever, not related to cold or cough.
1 person found this helpful
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My baby is becomming very thin day by day please suggest some nutritional baby food for 10 months old baby and what kind of food will be good for him

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Some more ideas like chiku shake, banana shake, daal, kichiri, dalia, halwa, upma, egg custurd, kheer, add pea nuts crush to kichri, upma, halwa, daal, idli, saamber, poha, saatu
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These details are my son. He is 6.5 years old. At the time of night when he sleeps his nose get blocked and he face problem in breathing and feel uncomfortable so please help me.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
you must do" x-ray soft tissue neck for adenoids" after showing your baby to ent specialist. This needs attention asap as snoring has many adverse outcomes. Regards">this is acondition known as" adenoid hypertrophy" --> you must do" x-ray soft tissue neck for adenoids" after showing your baby to ent specialist. This needs attention asap as snoring has many adverse outcomes. Regards.
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Can we give bornvita to six month old baby with milk to develop the taste as he is not take milk with bottle

Pediatrician, Pune
No, avoid giving milk with bottle, breast feeding is the best for the baby till 1 year of age, weaning with rice water, light moong dal can be given.
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I have 7 th month baby boy. He is having stools from yesterday and there is some blood in his stools. What is the reason for this and what happens if it comes like that?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
I think by blood you mean that stool has got something red in it. I would advise you to first get the stool tested for blood at a pathology lab near you. Blood in an infant's stool could be because of intestinal infection if feed hygiene is improper. Another important cause would be a small mass of tissue called polyp inside the intestine. If stool test confirms the presence of blood, please see a paediatrician in person.
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4 years ki Bachi ko Kya Kya khilana chaye health ke liye aur brain badhne ke liye.

C.S.C, D.C.H, M.B.B.S
General Physician,
He has to be given all homemade foods and avoid fast foods . Encourage fruits and nuts like badam and cashew also
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Hi Doctor, My one month old baby left kindly shows mild hydronephrosis with renal pelvis measuring 11mm. Hence doctor suggested us to undergo blood and urine test. Both the tests are normal and there is no urine infection. Now doctor suggested for Reneal isotope scan (DMSA). Will there be any side effects from the scan. Please suggest what needs to be done.

MBBS
Nephrologist, Kolkata
There can be side effects and the scan centre will make you sign a bond bt trust me the scan is necessary for your child. So if you have further queries do ask me privately and I can take you thru al d pros n cons f d scan nd also stdy the d case report of your child. Thanks stay healthy stay happy.
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My 1.3 year old baby has made weight fall on his both legs, orthopedicIan said there is no fracture and given imol syrup but he is not able to walk properly. What to do. By when he will walk properly.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
. If you keep ice that would help to reduce the pain and feel relaxed and comfortable. You shall also do hot water fermentation that would improve the blood circulation to the painful area and thereby the pain would be reduced.
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My baby is 3 months my baby is not drinking milk from me for te past 4 days I am giving him formula from birtg.

BHMS
Homeopath, Pune
You may have decrease breast milk supply so you take good nutritious diet with 2 fruits per day take 1 glass of milk with 2 tsf of lactonic granules for 2 times a day n 3-4 lit water per day as dehydration leads to low breast milk be stress free n give much time to your baby i'm sure your baby will definitely suck your milk n report me after that take care.
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Hi, My son is 4 years old. Suddenly since last night few blisters appeared on his back and on front left lower side of stomach. Please consult what is this disease and the treatment.

BHMS
Homeopath, Secunderabad
It can be any thing! It needs to be checked to ascertain what it is. It can be allergic rash or it can be some skin infection. If it is some minor problem it will subside in 2-3 days.(ask if there is itching, fever etc). Maintain hygiene always. Better visit a doctor if there is no relief.
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

2 people found this helpful

My 5 months old son passing yellow urine. He is totally formula fed. Should I worry?

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
When a child is on breast feed , initially secreted milk is totally watery that fulfill his thirst and after sometime thick dark milk secretes that completes his nutritional needs. But in formula milk it doesn't happen . So ,if child is passing yellow urine without any sign of infection, offer him sips of water after every 3 hours. While offering water,take care of hygiene.
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My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is increasing. He removes my hand when I try with johnson bud during sleeping. please suggest what should I try to solve this issue.

MD - Paediatrics, MRCPCH
Pediatrician, Bangalore
Never use ear buds, you may damage his ears While bathing cover his ears with cotton and the remove That is all required.
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For my sister daughter aged 5, the mouth is getting reddish, when she take food little spicy also. Is there any problem with stomach?

MBBS, D.P.H
General Physician, Gurgaon
Yes it related with your digestive process you just take vitamin b comlex daily aplly zytee gel locally write your complete problem and consult on line for further management.
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Hello Dr. My son is 2 years old lately he has his right scrotum enlarged and pressurized with water. Is there a solution to cure this without going for the knife. Am very anxious please advise. Thank you.

MD - Paediatrics
Pediatrician, Ranchi
Hello thanks for the query if the scrotal sac is too large it needs to be operated. Mild collection of fluid can be treated conservatively. I request you to attach an image so that I better able to help you out. Regards.
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Hello sir my daughter is 5 year 5 month old she is in 1st standard. She is good in study. But the prob is that she take so much time for finished her work writing speed is very slow, stamina is low, lack of concentration and that why so much time waste in only study infect school mai only 1 page she write and always tell a lie.

Pediatrician, Pune
She needs happiness, play, entertainment, parental time, good nutritious diet study, in that order, spend time with the child - identify her needs, help nurture her talent, which you and her have not yet identified, bring more happiness, joy in everything she does, and see the difference in her, as well as your life, don, t expect too much, seek improvement in joy than perfomance
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