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Nikhil Kids Care

  4.5  (334 ratings)

Pediatric Clinic

JCR Extension 6th cross Chitradurga
1 Doctor
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Nikhil Kids Care   4.5  (334 ratings) Pediatric Clinic JCR Extension 6th cross Chitradurga
1 Doctor
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About

We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Nikhil Kids Care
Nikhil Kids Care is known for housing experienced Pediatricians. Dr. Nikhil P T, a well-reputed Pediatrician, practices in Chitradurga. Visit this medical health centre for Pediatricians recommended by 109 patients.

Location

JCR Extension 6th cross
Chitradurga, Karnataka - 577501
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Doctor

Dr. Nikhil P T

MBBS
Pediatrician
90%  (334 ratings)
4 Years experience
₹500 online
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Patient Review Highlights

"Well-reasoned" 1 review "Practical" 1 review "knowledgeable" 1 review "Caring" 2 reviews "Very helpful" 2 reviews

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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

4 people found this helpful

My child is 21 months. He hasn't immune. Often gets cold fever runny nose. Sneezing.wet cough. I gv him prescribed medicines. By doctors. Bt. I don't get any result. please suggest me am strong medicine.

MBBS
Pediatrician,
My child is 21 months. He hasn't immune. Often gets cold fever runny nose. Sneezing.wet cough. I gv him prescribed me...
Generally the fever will be due to viral infection, so use boiled cold water to drink and maintain clean environment.
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Sir what is the blue baby syndrome does blue baby syndrome occurs in the adult male and female also along with the child?

MBBS
Pediatrician,
Sir what is the blue baby syndrome does blue baby syndrome occurs in the adult male and female also along with the ch...
Blue- baby syndrome (or simply, blue baby) is usually caused by a heart defect which laymen often call" a hole in the heart" Normally, oxygenated blood from the lungs is separated from deoxygenated blood from other tissues.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MBBS
Pediatrician,
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
If fever is more than 100.4 degree then use paracetamol to subside the fever it will take another 5 to 7 days for the fever to subside try to give coconut water.
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Hello doctor, I have 40days baby boy. Since 2 days he is not taking milk and he is sleeping all the time. Sometimes he does the same. So please suggest what to do.

MBBS
Pediatrician,
Hello doctor, I have 40days baby boy. Since 2 days he is not taking milk and he is sleeping all the time. Sometimes h...
Normal babies sleep up to 16 hrs in a day, so wake baby up just by hitting with yours fingers over the sole and make your baby to feed.
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My son have watery loose motion from morning. Can I give electrobion? What food do give for him?

MBBS
Pediatrician,
Yes you can, better to give yogurt and rice, it will be their for 5-10 days, is he taking adequate water?
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I am having cold and water is coming from one nostril and slight pain is also there in the bone of nostril. I am breastfeeding a two months old infant. I am worried that my cold will transfer to him. Please help doctor.

MBBS
Pediatrician,
I am having cold and water is coming from one nostril and slight pain is also there in the bone of nostril. I am brea...
You can continue breastfeeding, it is very, very rare for a mom to need to stop breastfeeding for any illness. There are only a few very serious illnesses that might require a mom stop breastfeeding for a period of time or permanently.
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My baby boy is three months old and he is not getting mother feed directly and how he will get start to sick the feed directly.

MBBS
Pediatrician,
My baby boy is three months old and he is not getting mother feed directly and how he will get start to sick the feed...
Try to take out the breast milk and feed him by spoon slowly, but carefully this is called spoon feeding then allow him to suck breast.
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My daughter is 13 years old and got matured this year in June. But still bed wetting habit has not gone from her. Any remedy for controlling bed wetting at this age for her.

MBBS
Pediatrician,
Emotional problems at home cause bed wetting, make sure goes to urination before sleeping. Make sure she is not get stressed.
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My 3 years old child is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MBBS
Pediatrician,
My 3 years old child is sick with a temperature of 100 degrees she can not keep anything down including liquids. What...
Hello lybrate-user! sorry to hear that she is suffering from fever. Since generally in fever for kids they will not feel to eat or drink as their appetite will be low. So to say it is fever it should be more than 100.4 f. So start with some tapid sponging, this will help her to reduce the temperature. Give paracetamol. If her weight is around 13 kgs you can give syrup dolo 250mg/5ml, 3.5ml four times a day with a interval of 6 hours. Tender coconut water is best to keep her hydrated. Do not force her to drink too much of water at once. Make her to drink water sip by sip. Take care.
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my kid is 3 years old, I joined him in a school, but he will not play with other kids, and sits alone separately, why is he behaving like that, is there any problem. Please reply.

MBBS
Pediatrician,
It is new environment for him, give him some to make friends, take out yours child evening and play along with him.
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