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Dr. Kamal Mundra

MD - Paediatrics

Pediatrician, Balotra

12 Years Experience  ·  150 at clinic
Dr. Kamal Mundra MD - Paediatrics Pediatrician, Balotra
12 Years Experience  ·  150 at clinic  ·  ₹ online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Kamal Mundra
He has had many happy patients in his 12 years of journey as a Pediatrician. He is a MD - Paediatrics. Don’t wait in a queue, book an instant appointment online with Dr. Kamal Mundra on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 39 years of experience on Lybrate.com. You can find Pediatricians online in Balotra 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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MD - Paediatrics - Surat Municipal Institute of Medical Education & Research, Surat - 2004

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Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti fuliya ho gai he. Kya karu?

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Mera beta sirf 25 Dino ka h or use sharir me gami nikli he. Uske sarir me choti choti  fuliya ho gai he. Kya karu?
Don't worry, patient may be suffering from measles (rulea virus) and incubation period 20-21 days and also suffer from cough, fever, cold etc. Suggest - complete bed rest. Homoeopathic medice- 1- variolinum- 30 (3 dose, alternate day) 2- belladonna- 30 (od)

Hello doctor, my 22 months old daughter is not ready to eat food, like DAL-BHAT or ROTI SABJI, I am very much worried about it because of this problem, she only like to eat biscuits.

Senior Residency, MD - Paediatrics, MBBS
Pediatrician
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Hello, babies as this age r very fusy for food. What is the the weight, n activity. Of your child, if both r normal. Don't worry much. Try fruits, stuff paratha. Bread jam. Babies like attractive foods. N main is give time to your child.

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
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Hi Doctor,                                                  My one month old baby left kindly shows mild hydronephros...
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.

Dear doctor I would like to know about my daughter growth issue. Actually she was early born at the time of 9th month starting then she was only 1.8 kg know she was 3.2 and age 2 months 11 days my worry is only her hands and legs are looking short. Pls let me know on her growth.

C.S.C, D.C.H, M.B.B.S
General Physician
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Dear doctor
 I would like to know about my daughter growth issue. Actually she was early born at the time of 9th mont...
If the hands are very short she need to be examined. This may be just a fear and she may grow up with time. It is more reassuring to show a doctor.

My son is of 8 months n he has cold and cough from 15 days. I give him cough syrup by still there is no sign to cure it. He has running nose at morning so I am so worried about his cold and cough please give me correct treatment for him.

MD - Paediatrics, MBBS
Pediatrician
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My son  is of 8 months n he has cold and cough from 15 days. I give him cough syrup by still there is no sign to cure...
For running nose put saline nasal drops frequently into each nostril. Cough for such a long duration might need evaluation.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist
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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

Feeling breathless
Angina or chest pain with a feeling of pressure or tightness
Syncope of fainting
Palpitations and enhanced heartbeats
A steady decline in regular activities and energy levels
Fatigue due to little exertion
Not gaining weight
Poor eating patterns
Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
Ct scan or computed tomography where three-dimensional images are extracted.
Chest x ray
Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

C.S.C, D.C.H, M.B.B.S
General Physician
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Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring

My 3 year old daughter is sick with a temperature of 100 degrees she Can not keep anything down including liquids. What should I Do?

MBBS
General Physician
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My 3 year old daughter is sick with a temperature of 100 degrees she
Can not keep anything down including liquids. Wh...
temp up to 99 degrees is normal for a kid but since the kid is having little bit of fever and associated with gastritis mm at be due to infection by water or by ingestion of food best thing to consult a child specialist.

Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist
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Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong.
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

If you would like to consult with me privately, please click on 'Consult'.
From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

Dear doctor, may I give water to drink to new born child who is just of 1 week.?

MD - Paediatrics
Pediatrician
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Dear doctor, may I give water to drink to new born child who is just of 1 week.?
Hello no. Baby should be excusively breast fed till 6 months of age. Exclusive breast feed means only mothers milk. Only prescription medication can be given or other feed if there is difficult breast feeding. Water can be a source of infection and thus must not be given unless medically indicated. Regards.

On 22nd July my son (4 years old) had 101 fevers at night. I consulted homeopathic doctor (with whom I have consulted earlier and found effective in my son’s treatment of cold & cough). While the temperature reduced, my son started coughing. Homeopathic doctor gave him medicines for cough that I continued administering my son for next 2 days. However, I noticed that the cough increased, even though I also kept doing some home made things (like ginger honey paste, tulsi extract) to help reduce the cough fast. Since the cough increased in next 2 days, I assumed the homeopathic medicine is not effective in curing cough though it cured the fever .I therefore, started giving S-mucolite 3 times 3.5 ml (this was prescribed by our allopathic doctor 5 months back when he had chest cold). As expected, I could see significant improvement in frequency and sound of his cough with each passing day. In next 4 days my son’s coughing reduced to bare minimum though he is still coughing with a heavy cough sound and still has minor cold. I wanted to know whether I should continue only with S –mucolite for 3 more days (full course is of 7 days as last prescribed by the doctor during same type of cough). Should I also add a decongestant like Alex junior as prescribed earlier for regular cough? Or with passage of time the cough will subside and there is no need to start any other medicine. Please provide your suggestions?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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Pls continue s. Mucolyte. And beware it is not safe to change or alter or add medication by you. It's registered medical practising doctor shall do so that too after seeing the child. Follow up is must after 3-5 days for such issues.

My baby is 7 month old, I started solids on mrng and eve, is it true that digestion will not smoothly done if we give foods after 6 pm? When is the correct time?

MBBS, MD
Pediatrician
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My baby is 7 month old, I started solids on mrng and eve, is it true that digestion will not smoothly done if we give...
No you can give feed any time up to 11pm. But you should keep distance of two to three hrs between breast feed and soup.

Hello My nephew does not respond to the situation compare to other kids of same age. Although he is a quick learner but don't know how to use the knowledge. E.G if I teach him something he learn it with in few attempts but as other kids can use same thing (knowledge) as per their understanding he can't, I mean that analytical skills is lacking. He is in KG and scoring top three positions in every exam or test. Kindly help. Feel free to ask any more information you need.

Masters in Clinical Psychology
Psychologist
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Hello My nephew does not respond to the situation compare to other kids of same age.
Although he is a quick learner b...
You can not expect analytical skills from a kid in k. G. Please don't stress, he is coming in top three in his class what else is required. Observe him or some more time, if there are complaints from school or anything significant is observed you can take him for iq test to a psychologist/psychiatrist other necessary tests can be done then. Just relax as parents, he is just growing support him motivate him.

My daughter is 8 years old. She has suffering cough problem and disturb to take air in morning 3 am. Dust, hot temp, cold, is problem. A minor sound is release from chest when she take air. More cough is deposited inside the chest. Not disease food properly. Discontinue stool.

MD - Paediatrics, MBBS
Pediatrician
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As per your description, she probably has bronchila asthma. Try to avoid exposure to dust/smoke etc. Do not use deo, perfume or anti mosquito spray or coil in the bedroom. Give her steam whenever she has cough. Ensure that you give her influenza vaccine, this is very beneficial in such cases. She also might require long term inhalers, for which you have to consult your paediatrician.

We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advise if we need to consult doctor urgently. She was born in 36th week.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advi...
Yes bili above twelve is an emergency if child age is above five days. They need photo therapy to get rid of these much high jaundice.

I am, a mother of 3 and a half months old baby girl. I am concerned about my lactation as my baby's pediatrician has told me that my baby is having a slow weight gain respective of her age, she weighs 5.5 kgs. My question is that is there really anything to worry about her weight? Is my baby not getting sufficient breast milk? I am confused whether I am producing enough breast milk or not? It will be very kind of you, if you could help me out.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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I am, a mother of 3 and a half months old baby girl. I am concerned about my lactation as my baby's pediatrician has ...
Nature provides milk to baby through her mother which is sufficient to feed baby if mother is taking nutritious good diet. Weight of baby is 5.5 kg which is with in normal range. It is good indication that baby is getting sufficient milk.

My baby had gastritis last week. Now no vomiting but still he is not eating anything now. Rest things are normal like poop and all. I am worried his health. He is one year old. Please help. Me.

M.D.( Pediatrics), DCH
Pediatrician
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What is his weight like? if in normal range and if he is playing well, just relax. He will eat normally in 4-5 days time, till them offer him food along with you at breakfast, lunch, dinner and 2-3 times more.

Hi doctor my daughter is 2 and half months old she is not having a regular sleeping pattern. In the day she sleeps well upto 6 hrs in a stretch but in the night once she gets up at 3 for her feed den she doesn't to sleep till 8 in the morning. She is not cranky. Just smiling and playing around.

Diploma in Child Health (DCH), MBBS
General Physician
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Hi doctor my daughter is 2 and half months old she is not having a regular sleeping pattern. In the day she sleeps we...
Madam, Infant's sleep 18 to 20 hours per day. They don't have any specific time. You will have to adjust your work and sleep with child's activities and sleep., respectively. Get back to me for any clarification.

How can we increase the weight of 7 days old baby boy at the time of delivery he is 2.5 kg but due to some fever and jaundice his weight reduced to 2 kg then how will we increase his weight.

M.D.( Pediatrics), DCH
Pediatrician
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How can we increase the weight of 7 days old baby boy at the time of delivery he is 2.5 kg but due to some fever and ...
Wait, breast-feeding will regain and start putting on weight. If treating pediatrician is confident, you need not worry. All babies lose weight initially, though your child seems to have lost more weight than expected. Follow your pediatrician, don't worry.
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