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Dr. Mohan Kumar

Pediatrician, Chennai

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Dr. Mohan Kumar Pediatrician, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Mohan Kumar is a popular Pediatrician in Kilpauk, Chennai. You can consult Dr. Mohan Kumar at Dr. Mohan Kumar - Paediatric Surgery & Urology in Kilpauk, Chennai. You can book an instant appointment online with Dr. Mohan Kumar on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 34 years of experience on Lybrate.com. You can find Pediatricians online in Chennai 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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Dr. Mohan Kumar - Paediatric Surgery & Urology

No. 15, Sylvan Lodge Colony, 1st Cross, Kilpauk,Chennai Get Directions
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Know More About Fibroids

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
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Hello everybody. I'm Dr Pulkit Nandwani. I'm a consultant gynaecologist and laparoscopic surgeon here at Saroj Medical Institute Rohini. Today, I would like to share some information with you about fibroids.

Fibroids are becoming increasingly common these days. They usually occur in the age group of 30 to 40 years of women but can occur at any age group usually at the age group of 30 to 40years.

Now what are fibroids?

Fibroids are usually noncancerous just an overgrowth of the muscle tissue of the uterus. Fibroids are also called myomas or leiomyomas. Now these fibroids can be located anywhere in the uterus. They can be either in the muscle tissue of the uterus or even in the ovaries or from a stem hanging inside the uterus or out of the wall of the uterus by hanging by a stem. The size and location number of fibroids vary a lot and according to them the symptoms depend.

Now what are the symptoms of fibroids?

The symptoms of fibroids depend on where the situation where the fibroid is located, how big it is and how many numbers of fibroids are located. The symptoms can be they usually cause the change in menstruation. The patient usually experiences heavy bleeding with painful cramping and now instead of monthly bleeds. The bleed may come at irregular intervals and at least twice or thrice in a month. There can be pain during bleeding. Other than the painful bleeding, the fibroid can also result in various symptoms. Because of the size and the weight of the fibroid, it might press on the urinary bladder and the patient might experience frequency of urination even pain during urination. Same if it's at the back of the uterus, it might press on the anus and cause painful deification obtained while passing motions. Because of the heavy bleeding patient might land up with low hemoglobin and having anemia and generalized symptoms of anemia like the fatigue, the weakness, loss of strength, loss of stamina, all these are the  symptoms of fibroids. Just a pain in the lower abdomen can also be the manifestation of fibroid.

Fibroid can also cause infertility. Patient might find difficulty in conceiving or there are chances if the patient conceives if the fibroid is located inside the lining of the uterus it might cause increased chances of miscarriages. There might be abortions then but the good thing is that fibroids rarely cause cancer. It might twist on itself, cause severe pain and but it rarely causes cancer and grows over a period of time. It slowly grows over a period of time, sudden growth is a matter of danger sign.

Now, what are the treatments available for fibroid?

Fibroid if it is asymptomatic the patient is comfortable it was just the routine diagnosis, need not require any treatment at all but usually fibroids cause bleeding problems. So the most common treatment that we employ is starting the patient on medical treatment, a number of hormonal pills come which regulate the hormones inside the body of the uterus and limits the blood flow of the patient and the patient remains comfortable. If medical treatment is either not successful or by the location of the fibroid we already know that medical treatment will not work as in case if the fibroid is coming inside the lining of the uterus. In those cases the fibroid has to be removed surgically for the fibroid is usually done. If it is coming inside the lining of the uterus even if it is very small or a big fibroid is obstructing, the uterus lining causing pressure symptoms. In that case surgery has to be done. Now for surgery also there are two to three types of surgery which can be done.

  • If so patient is young, she has to conceive again and family is not completed, we try to remove only the fibroid. It is known as myomectomy.
  • If the patient is elderly age family is completed, it caues a lot of problproblemshere are multiple fibroids, in that case, the modality of treatment is a one-stop treatment in which we prefer to remove the whole uterus in which case it is known as hysterectomy.
  • Regularly total laparoscopic hysterectomy fully by laparoscopy is done routinely at the hospital at Saroj Medical Institute for fibroids.

So this is much for fibroid for today. If you have any query you can contact me at lybrate. I am Dr. Pulkit Nandwani or you can even take a consultation appointment at Saroj Medical Institute Rohini, Delhi.

Thank you.

4124 people found this helpful

Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

My 2 years old daughter is born with single kidney and her Serum Creatinine level is 0.87 ml. Please confirm if it is normal.

MBBS
General Physician, Mumbai
My 2 years old daughter is born with single kidney and her Serum Creatinine level is 0.87 ml. Please confirm if it is...
Whatever is since birth with a good urine output and asymptomatic we can consider it to be normal unless until proven otherwise.
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My wife had normal delivery of a baby boy on 5th of August. She started milking after 7-8 days but very low in volume that too for 3-4 days and after that there is no milk in her breast till now. We are meeting a local gynecologist she has prescribed some medicines and Lacteva granules for her. And lactose not powder for the baby. Please help. Thank you.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My wife had normal delivery of a baby boy on 5th of August. She started milking after 7-8 days but very low in volume...
more and more baby sucks d breast more would be the milk supply. not to be panic.add tablet perinorm 1 tablet thrice a day after consulting your Gynec
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My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting after feeding is another issue with her. In a day she is fed 8 to 10 times and she vomits the same time. It will be a great help if you give a good help.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is born normally and she is 23 days old. She has nasal congestion. Nasal drops are not working. Vomiting afte...
The nasal block in newborns is a common finding and you may not have put the decongestant drops and simply saline drops may have been used, similarly the vomiting as you say is possetting and most babies do this and you have to burp properly after each feed and never give anything in bottle.
4 people found this helpful
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My baby is premature 7 month. He was born on 18th july 2015. Baby is very active & growing properly. His weight is 3.5 kg. Baby is in AGRA UP. & I am living in Bangalore. I am planning to shift the baby in Bangalore. I am thinking to travelling by AIR to Bangalore. I having by Train option also. Please suggest which mode of transportation will be good for baby by Air or By Train.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is premature 7 month. He was born on 18th july 2015. Baby is very active & growing properly. His weight is 3....
As the baby was born prematurely there are chances that ductus getting opened up at high altitude and may go for hypoxia. As you can access for medical facilities in any place better to opt for train.
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