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Dr. Nikhil  - Pediatrician, Chitradurga

Dr. Nikhil

92 (335 ratings)
MBBS

Pediatrician, Chitradurga

6 Years Experience ₹50 online
Dr. Nikhil 92% (335 ratings) MBBS Pediatrician, Chitradurga
6 Years Experience ₹50 online
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Personal Statement

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. Nikhil
He has been a practicing Pediatrician for 6 years. He studied and completed MBBS . Don’t wait in a queue, book an instant appointment online with Dr. Nikhil on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. Find the best Pediatricians online in Chitradurga. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Basaveswara Medical College and Hospital, Chitradurga - 2013

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Nikhil Kids Care

JCR Extension 6th crossChitradurga Get Directions
  4.6  (335 ratings)
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"Very helpful" 4 reviews "knowledgeable" 7 reviews "Caring" 2 reviews "Well-reasoned" 3 reviews "Practical" 1 review

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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.

5 people found this helpful

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.
5 people found this helpful

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.

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.
58 people found this helpful

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?

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.
3 people found this helpful

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.
1 person found this helpful

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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