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Dr. Vanitha Rao Pangal

Pediatrician, Bangalore

Dr. Vanitha Rao Pangal 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. Vanitha Rao Pangal
Dr. Vanitha Rao Pangal is an experienced Pediatrician in RT Nagar, Bangalore. You can consult Dr. Vanitha Rao Pangal at Dr. Vanitha Rao Pangal Clinic in RT Nagar, Bangalore. You can book an instant appointment online with Dr. Vanitha Rao Pangal on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 32 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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My son suffer a rear diease tuberous scelerosis. He is now 5 yrs old. Please help me for his treatment.

Pediatrician, Pune
Tuberous sclerosis associated with tubers in brain can cause seizures, responds very well to tb vigabatrine, supportive treatment in relation to severity and disability of the disease requires long term care under pediatric neurologist guidance.
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Is your child suffering with ADHD?

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.

My Daughter is 3.5 year old. But most of the teeth have cavity, some of them got damaged from sides also. Please suggest what we should do in his case.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Cavities may go for complications like abscess formation. You must immediately get treatment by a pedodontist.
1 person found this helpful
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My daughter is 5 months old. She is fed with nan pro1. Is she low immune as she is not breastfed?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
My daughter is 5 months old. She is fed with nan pro1. Is she low immune as she is not breastfed?
Top fed child needs extra care and cleanliness for feeding a baby. Always give freshly prepared milk and follow the instructions printed on container.
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My baby daughter is 4 months old. She is underweight. What all can I give her to feed other than mothers milk? Like orange juice grapes juice? Please help.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby daughter is 4 months old. She is underweight. What all can I give her to feed other than mothers milk? Like o...
You have not mentioned her wt. no juice or any thing is better than mother's milk. Give her exclusive breast milk.
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My 51 days old baby is crying continuously at night pls suggest remedy if she has ear pain or stomach pain and how can I identify that.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 51 days old baby is crying continuously at night pls suggest remedy if she has ear pain or stomach pain and how ca...
If it is stomach pain the baby may pull on the abdomen and try to lie on abdomen and you have to understand that babies often cry when they are hungry or napkin is wet / when they feel to pass urine and motion and crying by infants is always not due to pain as most mothers think. Next, if you give bottle feed you have to stop and burp well after each breastfeed and for gas in stomach you can give Colicaid drops which is herbal and safe.
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When 2 month baby have duodenal abstraction is this natural or cause of any effect of medicine. Mother have infected hbsag positive.

MD - Paediatrics, MBBS
Pediatrician, Mumbai
When 2 month baby have duodenal abstraction is this natural or cause of any effect of medicine.
Mother have infected ...
It is very likely that baby has some congenital anomaly which led to obstruction. It may b duodenal atresia or annular pancreas. It can not b due to medicine. If mother is positive for hepatitis b then has the baby received hepb immunoglobulin and hep b vaccine?
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My 1nd a half years old son started hvng red patches/rashes on all over body. He nvr had bdis 4.wt is it due to. N wt shall I do. please help me.

BHMS
Homeopath, Secunderabad
My 1nd a half years old son started hvng red patches/rashes on all over body. He nvr had bdis 4.wt is it due to. N wt...
It might be due to allergy. The cause for that needs to be investigated. Also check if there is fever and any other symptoms. If the symptoms (allergic rash?) becomes severe then visit a doctor and get it checked without wasting time.
1 person found this helpful
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I gave birth to a boy on the 24 week1day of pregnancy. 760grms weight. Now in ICU. Have any problem in future?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I gave birth to a boy on the 24 week1day of pregnancy. 760grms weight. Now in ICU. Have any problem in future?
Lets hope there are no problems in future. For now, I hope you are pumping breastmilk for feeding your baby to be fed in the ICU. That would be the best food and best medicine your baby can get to develop a strong immunity for future.
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My baby boy is just a 16 months old and was having pooty 5 to6 times was smelling bad so I was giving him curd carrot juice diarex and enyplex but it did not cured so by mistake I give him enterolife sachet which had been expired 3 months before and he is having liquid fluid tools with mucus in it what to do pls help me.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
My baby boy is just a 16 months old and was having pooty 5 to6 times was smelling bad so I was giving him curd carrot...
Expired enterolife should not be causing diarrhoea and your kids diarrhoea appears to be unrelated to the same. Most of the diarrhoea respond to who-ors and zinc. However, specific medicines might be needed depending on the cause of diarrhoea. I would advise you to visit your paediatrician.
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Bed Wetting

BHMS
Homeopath, Delhi
Bed Wetting

Bedwetting or nocturnal eneuresis as it medically is quite common in children. Generally, bed-wetting before age 7 isn't a concern. At this age, your child may still be developing nighttime bladder control.


Bed-wetting is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected.

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. But if it still continues after 7 its a matter of concern this means the nervous control over the bladder is not yet reached.

Causes of bed wetting:

Commonest of all is habits. Many children habitually ignore the urge to urinate and put off urinating as long as they possibly can

Urinary tract infection: the resulting bladder irritation can cause pain or irritation with urination, a strongeurge to urinate (urgency), and frequent urination (frequency).

Inability to recognize a full bladder. If the nerves that control the bladder are slow to mature, a full bladder may not wake your child — especially if your child is a deep sleeper.

Stress and Stressful events — such as becoming a big brother or sister, starting a new school, or sleeping away from home — may trigger bed-wetting.

Role of homoeopathy in bedwetting:

Homoeopathy works on the immune system. Homeopathic medicine will increase the muscle or nervous control and hence can cure it in a months time.

1 person found this helpful

Hello doctors My son is 45 days old and suffers from frequent hasli (color bone problem. How it is to be cured permanently? Had given him massage three times.

DHMS (Hons.)
Homeopath, Patna
Hello doctors
My son is 45 days old and suffers from frequent hasli (color bone problem. How it is to be cured perman...
Hello, give him the under lying homoeo medicine:@ Rhus toxins 30-1 drop twice with 1tsfl if your milk. •you are advised to remain fit for the fitness of your baby.•tk plenty of water to hydrate yourself. •your diet be easily digestible on small intervals to avoid gastric disorder. •avoid, junk food, caffeine, alcoholic intake. •report after 3/4 days ,please. •your feedback matters for further follow-up, please. •tk care.
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Fever in Children And Home Remedies

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Fever in Children And Home Remedies

Fever remains the most common concern prompting parents to present their child to the emergency department. Fever has traditionally been defined as a rectal temperature over 100.4 F or 38 C. Temperatures measured at other body sites are usually lower. The threshold for defining a fever does vary significantly among different individuals, since body temperatures can vary by as much as 1 F. Low-grade fevers are usually considered less than 102.2 F (39 C).

Fever itself is not life-threatening unless it is extremely and persistently high, such as greater than 107 F (41.6 C) when measured rectally. Risk factors for worrisome fevers include age under 2 years (infants and toddlers) or recurrent fevers lasting more than one week. Fever may indicate the presence of a serious illness, but usually a fever is caused by a common infection, most of which are not serious. The part of the brain called the hypothalamus controls body temperature. The hypothalamus increases the body's temperature as a way to fight the infection. However, many conditions other than infections may cause a fever.

Fever in Children - Causes:

Causes of fever include:

When to seek medical care:

  • The child is younger than 6 months of age (regardless of prematurity).
  • One is unable to control the fever.
  • One suspects a child may become dehydrated from vomitingdiarrhea, or not drinking (for example, the child has sunken eyes, dry diapers, tented skin, cannot be roused, etc.).
  • The child has been to a doctor but is now getting worse or new symptoms or signs have developed.

Although you may have done your best to care for your child, sometimes it is smart to take your child to the emergency department. The child's doctor may meet you there, or the child may be evaluated and treated by the emergency doctor.

Take a child to an emergency clinic when any of the following happen:

  • One has serious concerns and is unable to contact the child's doctor.
  • One suspects the child is dehydrated.
  • seizure occurs.
  • The child has a purple or red rash.
  • A change in consciousness occurs.
  • The child's breathing is shallow, rapid, or difficult.
  • The child is younger than 2 months of age.
  • The child has a headache that will not go away.
  • The child continues to vomit.
  • The child has complex medical problems or takes prescription medications on a chronic basis (for example, medications prescribed for more than two weeks' duration)

Home Remedies for Fever in Children:

The three goals of home care for a child with fever are to control the temperature, prevent dehydration, and monitor for serious or life-threatening illness.

  • The first goal is to make the child comfortable by reducing the fever below 102 F (38.9 C) with medications and appropriately dressing the child. A warm water bath can also be helpful .
  • To check a child's temperature, one will need a thermometer. Different types of thermometers are available, including glass, mercury, digital, and tympanic (used in the ear).
    • Glass thermometers work well but may break, and they take several minutes to get a reading.
    • Digital thermometers are inexpensive and obtain a reading in seconds.
  • Oral temperatures may be obtained in older children who are not mouth breathing or have not recently consumed a hot or cold beverage.
  • Monitoring and documenting the fever pattern is achieved using a thermometer and a handmade chart.
  • Acetaminophen  and ibuprofen  are used to reduce fever.
    • Follow the dosage and frequency instructions printed on the label.
    • Remember to continue to give the medication over at least 24 hours or the fever will usually return.
  • Children should not be overdressed indoors, even in the winter.
    • Overdressing keeps the body from cooling by evaporation, radiation, conduction, or convection.
    • The most practical solution is to dress the child in a single layer of clothing, then cover the child with a sheet or light blanket.
  • A sponge bath in warm water will help reduce a fever.
    • Such a bath is usually not needed but may more quickly reduce the fever.
    • Put the child in a few inches of warm water, and use a sponge or washcloth to wet the skin of the body and arms and legs.
    • The water itself does not cool the child. The evaporation of the water off the skin cools the child. So, do not cover the child with wet towels, which would prevent evaporation.
    • Contrary to the popular folk remedy, never apply alcohol in a bath or on the skin to reduce fever. Alcohol is usually dangerous to children.

 

  • The second goal is to keep the child from becoming dehydrated. Humans lose extra water from the skin and lungs during a fever.
    • Encourage the child to drink clear fluids but without caffeine (and not water). Water does not contain the necessary electrolytes and glucose. Other clear fluids are chicken soup,  other rehydrating drinks available at the grocery or drugstore.
    • A child should urinate light-colored urine at least every four hours if well hydrated.
    • If diarrhea or vomiting prevents one from assessing hydration, seek medical attention.

 

  • The third goal is to monitor the child for signs of serious or life-threatening illness.
    • A good strategy is to reduce the child's temperature below 102 F (39 C).
    • Also, make sure the child is drinking enough clear fluids .
    • If both these conditions are met and the child still appears ill, a more serious problem may exist.
    • If a child refuses to drink or has a concerning change in appearance or behavior, seek medical attention.
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When my baby is examined by pediatrician, he said he heard extra sound in heart and recommend for echo scan. My baby age is 3 month. Is it serious.

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
When my baby is examined by pediatrician, he said he heard extra sound in heart and recommend for echo scan. My baby ...
Hi extra sounds may be indication of some congenital heart defects can be a very mild or serious problem depending upon the sound to confirm you should go for echo as soon as possible.
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My baby is 22 days old on his 21st day we had a naming ceremony in which I was served with normal diet which everyone is eating not special diet for new mother since then my baby is passing stool several times and it is smelling foul, but he is taking feeding normally and passing stool every time he is fed what is the reason is it there any problem.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
There's no special diet for a new mother. You must eat normal food with extra calories as you are feeding. If you're exclusively breastfeeding, your baby cannot get diarrhoea. Some babies do have frequent semisolid stools as soon as fed due to exaggerated gastrocolic reflex. You must continue breastfeeding.
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My daughter is 2 years old. When she was born her hairs were thick and of good volume but after her mundan ceremony at the age of six months she have very thin and less hairs. Some part of her head seems like as if she is bald. Many people suggested me to perform mundan once again to have good hairs but I am confused to do so. Please suggest me what to do and also if there is any medicine or oil for her which suits her. As she is only 2 years old I am afraid to use so many products on her hair.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 2 years old. When she was born her hairs were thick and of good volume but after her mundan ceremony a...
Traditionally, it is said that repeated mundan gives good hair, which is not fact. There is no oil or any thing to grow desirable hair. You may get checked her by skin specialist to rule out any scalp ailment. Otherwise take it as normal.
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I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking milks and sweats it has got less. But now I have problem of block nose even if I don't have cold. I can breathe through one nose only .it is very difficult to live with one nose breathing .and also pressure is created in head I can't hear properly due to ear blockage from cold .please tell me what to do now?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking mi...
Take tab sinarest one tab three times a day for 7 days steam inhalation three times a day for 7 days nasivion nasal drops one drop in each nostril every 8 hourly for 3 days.
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My child aged 6 years is having retina eye problem. Everything is ok, but he can't read from certain distance. All tests have been done. But, even erg test also failed to diagnose exact problem. But it has been diagnosed as retina problem. Probably small retina. It has been suggested another test scanning after 6 months. Is there any remedy for retina problems.

C.S.C, D.C.H, M.B.B.S
General Physician,
Treatment depends on the diagnosis. You go with the advice of the treating doctor.. Or send the reports to me for advice. Which other test is advised > tell me privately option.
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