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Dr. Sveta Amit Agarwal

Pediatrician, Bangalore

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Dr. Sveta Amit Agarwal 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. Sveta Amit Agarwal
Dr. Sveta Amit Agarwal is one of the best Pediatricians in Indira Nagar, Bangalore. You can meet Dr. Sveta Amit Agarwal personally at Saptagiri diagnostic imaging centre in Indira Nagar, Bangalore. Book an appointment online with Dr. Sveta Amit Agarwal on

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Chinmaya Mission Hospital Complex, C.M.H Road, Indiranagar. Landmark: Inside Chinmaya Mission HospitalBangalore Get Directions
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 


Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 


  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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Swarna Prashana Drops

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jodhpur
Swarna Prashana Drops

What is suvarnaprashana?
The process in which swarna bhasma (ash of gold) with other herbal extracts taken in the form of semi liquid and given to the children through their mouth is called asswarnaprashana, suvarnaprashana, swarnamritha prashana or swarna bindu prashana.

It’s a unique method of immunization which helps the children to boost up the intellectual power and produces non specific immunity in body to fight against general disorders.

It is also helpful even to the special children with autism, learning difficulties, attention deficit, hyper activity, delayed milestone etc.

For what period it should be done:
Daily dose of swarna bindu prashana should be given for minimum of 1 month to maximum of 3-6 months.
Monthly once for minimum of 30 months to maximum of 90 months on the day of pushya nakshatra (pushya nakshatra day comes once in 27 days)

Time and duration to give suvarna prashan:
Every day morning in the empty stomach or on the day of pushya nakshatra. The drops should be given by the parents to the baby in empty stomach.

Dosage of suvarna prashan drops:
Birth to 2 year – 2 drops
2 to 16 years – 4 drops

Age of children who can take suvarna prashan:
From birth up to the age of 16 years.

Ingredients of suvarna prashan:
Ash of gold, vacha, shankha pushpi, brahmi, guduchi satva, yashti madhu, ashwagandha, ghee and honey.

Benefits of suvarna prashan:-
1. Immune system towards diseases becomes stronger.
2. Increases physical strength. And growth of the baby.
3. Grasping power, analysis power and recall memory becomes sharper.
4. Improves digestive power.
5. Tones up skin colour and texture.
6. Protects the baby from different kinds of allergies.

Importance of suvarna prashan:-
Maharshi kashyapa says suvarna prashana improves intelligence, digestive fire and physical power. It gives long, spiritual, holy and saintly life. It gives rejuvenative effects and tone ups the skin. It improves immunity in a way so that the child is prevented from bacterial and viral infections. Regular use of suvarnaprashana helps in such a way that, the child gets best immunity to defeat diseases. Regular use of suvarnaprashana make child very intelligent and he can remember all heard by him.

Mode of action of suvarna prashan 
Gold is considered as very precious in ayurveda. When swarna is converted into swarna bhasma as explained in ayurveda, it would possesses following properties:-

  • Swarna bhasma has moisturizing & unctuous effect on body.
  • It is madhura, rejuvinative and immunity booster.
  • Improves complexion and growth of the body.
  • Does detoxification of the body.
  • Has ability to treat different fevers like vishajwara, aantra jwara and general weakness.
  • It has been proved that swarna bhasma possesses anti oxidants, anti depressants, anti cancerous, antibacterial anti rheumatoid property.
  • It also acts as nervine stimulant.

As we know a human brain grows rapidly in 1 to 16 years of life. Swarna bhasma accelerate the growth of brain and boost up its utilization capacity if swarna prashana is done during this phase.
Other drugs in it help to build immunity of the baby.
Also it has many benefits like improvement in concentration, grasping capacity, digestion and complexion.
Swarna bindu prashana underwent series of clinical analysis by many ayurvedic doctors and other associated hospitals. And we have found excellent results in increasing immunity and general health in a normal healthy baby.

Presentation of suvarna prashana drops:
Swarnaprashana drops are available in 5ml, 10ml presentation.

How to store the drops:
Drops should be kept in room temperature and should not be exposed to direct sunlight. Note that it should not be stored in refrigerator. Swarna prashana drops can be used for 5 years when stored in shade and in room temperature.

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Hi my son is 6 months old and he is suffering from teething problem what I should do to relax him as due to pain he is getting hyper and all the time putting fingers in his mouth n drinking 3 ounce or like 2 ounce per hour. immediately he vomits as he Take burp

Pediatrician, Chennai
Normally teeth start erupting at 6 months of age, but at this time most babies also start putting things in their mouth. This is the way the child explores his or her environment. Fussiness of the child can be caused by other things such as ear pain and blocked nose. Allow the child to put fingers in the mouth as he is using them as a pacifier which will be cleaner than an artificial pacifier that keeps falling to the ground. Your baby may be swallowing a lot of air due to faulty position of bottle feeding and could be a reason for regurgitation of milk. I suggest you change to cup feeds and introduce solids in his diet.
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I am having fever from last three days followed by headache and little cold and cough. Please suggest any medicine for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having fever from last three days followed by headache and little cold and cough. Please suggest any medicine fo...
Take tab. Dolo 650 mg sos. Tab. Lcz -10 mg once a day. Gargle with warm water, drink warm water, juice,green veg., veg. Soups, lquid diets, dalia, protein diets, tulsi leaf in tea or warm water, geloy juice, Take plenty of liqiuds. Juice, avoid cold things. Avoid oily foods. A avoid cold area, dust area, cold things .i.e. ice creams, take bed rest , If symptoms persist then do tests cbc, x ray chest and consult again.
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What is the best medicine for a 7 month old child. Can you please suggest me a better medicine.

Pediatrician, Gurgaon
What is the best medicine for a 7 month old child. Can you please suggest me a better medicine.
You means tonics. Well a child at seven months needs four times breast milk, 2-3 time s soup like food made at home of cereals, curd or milk. No necessity of tonics. You may add vitd sachets.
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I am asking about 3 years old children's diet plan ? Morning ,afternoon, evening ,night food contains? Please advise.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
I am asking about 3 years old children's diet plan ? Morning ,afternoon, evening ,night food contains? Please advise.
Lybrate-user nice to hear from apapa. Athree year old child caan have every thing you eat in your family in the morning you can cive his poha, idli, or paronthi and curd. If you have eggs then it could beegg with roti or with whole wheat bread. Around 11o'clock give some fruit in the lunch depending wether you take rice or chapatiwhater its fine along with some vegetable and daal. Add some salad also in the evening give him milk and egg or some home made snack at night also the child should eat from family pot. 1to1 111111111/2 chapati at each meal will suffice you can add milk in the morning hope this helps you. Any querry you are welcome.
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My son aged 3 & half years old often complains of pain in legs not necessarily both any calcium supplement would help. Otherwise he is active.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Many children complain pain in the legs especially in the night. It's called growing pain. You can apply some analgesic balms and can give some analgesic like paracetamol if the pain is more.
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Meri baby ko diaper se red daane ho rahe hain and tips bi bahut dry ho raha hain. Its krein.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Meri baby ko diaper se red daane ho rahe hain and tips bi bahut dry ho raha hain. Its krein.
Hello, Use minimal diapers and if at all used apply a diaper rash cream before making the baby wear diapers.
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My daughter is on 4 years she is suffering fever 102.8 last two days. She claims stomach pain day before yesterday but today is not stomach pain fever 102.8 with shivering. Fever is continuously occurring. I have been using 6 ml paracetamol syrup only.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Sponge whole body for 30 minues in addition to paracetamol. Cbc, esr, urine analysis, test for mp to be done to know cause of fever.
1 person found this helpful
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MDS Pediatric Dentistry
Dentist, Vadodara
Do you know?
Brushing should be started as soon as the first tooth erupts in the oral cavity of a baby!
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