I am Dr. Lalit Mittal, Pediatrician. Today I will talk about nutrition in children and its importance. What are the rising concerns of nutrition in children? We see the rising cases of constipation, children are more inclined towards junk food, increased obesity, stomachache, lethargy. Now, what is nutrition? It is a balanced combination of proteins, fats, carbs, minerals, and vitamins. How can we prepare and how can we tell the children to take the proper amount of nutrition. The best method is "my plate" which gives a rough idea that how can you prepare balanced nutrition. Your plate should always be with 50% of fruits, eggs, if you are a vegetarian you can take daal, then chappati and rice and the remaining portion are for vegetables plus hydration then you should take milk.
Now, there are a lot of studies and research have shown that a balanced diet and nutrition have a very important role in enhancing your learning, cognition, and development. If your nutrition is not balanced, it can result in hyperactivity, anxiety, depression and temper tantrums. What other things you should take besides nutrition? You should always have a good sleep. Otherwise, it can result in lethargy, pos diet. So, a child should take 8-10 hours of sleep. Before going to bed there should be no eating of meals. It should be 1-2 hours before going to bed. The child should take an adequate amount of fluids. Other than this, children are more inclined towards junk food.
They should avoid taking carbonated drinks like cold drinks, jaggery, pastries. They can take milk, lemon juices, coconut water. To summaries nutrition on a count of zero to 10, I would say there should be zero carbonated drinks, at least one hour of physical activities, there should be less than 2 hours of screening time, there should eat at least 3 servings of low-fat dairy products, there should be 6 home days meals in a week and breakfast should be daily without even a single skip. Never consume outside products.
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Is video ke zariye, sports injuries hmare knee joint ke around, uske bare me information dena chahunga. Knee joint sports injury bhut hi common hain. Kayi bar bike or road traffic accidents me bhi milti hain. Is s pehle me apko knee joint ke structure ki information dunga so that aap is problem ko easily samjh payein. Knee joint ke alwa knee me bhut sari chizen or bhi hoti hain jisko diagnose krne ke lia hume MRI krna pdta hai. Inme ligaments, ACL, shock absorber (meniscus), upar ki layer jo hai use cartilage bola jata hai. Agar hum ligament ki bat kren to ACL, sabse common injury hai. Isme patient ka knee twist hone lgta hai. Iske karan patient sports me participate nhi kar pate hain.
Ligament injury ke lia arthroscopy surgery iske lia recommend ki jati hai jisme latest technology ke through inko reconstruct kia jata hai. ACL surgery sabse common surgery hai. Post-operation, rehabitation ki jrurat pdti hai. Baki ligaments ka bhi surgical treatments kia jata hai. Meniscus ka role bhut important hai. Agar meniscus ki problem hai to hum ise replace krne ki advice dete hain. Is se weight bearing thik rehta hai. Or patient ke lia ye joint iske baad normal function krta hai. Kayi bar meniscu repair ke layak nhi hota, aise case me torn portion ko nikal dia jata hai jisko hum mastectomy operation kehte hain. Ye arthroscopy se kia ja skta hai. Ab last hum baat krenge cartilage ke bare me.
Ye ek soft layer hoti hai or iska regeneration bhut kam hota hai. Isme sports me bhut problem hoti hai or agar ye unattended rhe to joint khrab bhi ho jata hai. Is case ke lia surgical technique available hai jisko hum autologous chondrocyte implantation (ACI) or micro-fracture technique bolte hain. Iske through cartilage ki layer ko regenerate kia jata hai. Sports injury ko prevent kia ja skta hai agar aap apne aap ko warm up kren, apne muscles ki care kren, proper training len before going for any sport. Agar prevention ke baad bhi apko injury hoti hai to surgery ke through apko vapas sports me le jane ki koshish kar skte hain. Or ye successful kafi cases me rehta hai.
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Aaj hum joint pain ke bare me baat krenge. Knee joint jisko ghutna bhi bolte hain. Ye bhut hi common problem hai. Hmare pas bhut sare patients aate hain or iska karran puchte hain. Young patients bhi puchte hain ki isko hum kaise prevent kar skte hain taki hume old age me problem na ho. Hmare body ka load sabse jyada knee joints pe hi pdta hai. Agar aap overweight hain to apko knee pain hone ke chances badh jate hain. Sabse common problem hai degenerative arthritis. Ye age-related hota hai or isme joint ka surface ghis jata hai. Joint ke andar cartilage hoti hai. Ye joint ko painless rkhne ke lia bhut jruri hota hai and agar ye ghis jaye to ye pain krna shuru kar deta hai.
Jab ye advance ho jata hai to iska regeneration nhi hota hai. To hum maximum patients ko surgical treatment ke lia advice krte hain. Is condition ke symptoms kya hain. Patients ko pain hota hai. Day to day activity me dikkat hoti hai. Kayi bar legs tede ho jate hain. Ek dusra arthritis hai jisko hum bolte hain gathiya or rheumatoid arthritis. Ye ek bimari hai. Isme joint puri trha se destroy ho jata hai. Early stage me ye dawaiyon se control ho jata hai.
Or jab ye advance stage me hota hai to hum knee replacement hi advice krte hain. Ye surgery bhut successful hai. Is surgery me jo layer khrab ho jati hai use replace kr dia jata hai. Ise knee surfacing bhi kha jata hai quki isme sirf surface ko hi change kia jata hai. Ek new name hai jisko hum fast track ya enhanced recovery pathway total knee replacement. Isme hum new technology ka use krte hain through gadgets jo pain relief krne ke lia hota hai or ye post-operative dia jata hai.
Iske through patient 2-4 hours me hi kuch steps lene lag jate hain. Bed ke around vo aram se chal skte hain. Is s complications kam ho jate hain or patient ki recovery fast ho jati hai. Aaj kal gyroscopic navigation, blood loss reduction strategies, reducing pain modalities use krte hain or ise fir hum fast track knee replacement ka name dete hain.read more
I am Dr Arpana Jain, senior gynecologist, attached with Fortis hospital Delhi.
Today we are discussing about cosmetic surgery related to vagina i.e., cosmetic vaginal surgeries. Because of increasing awareness and self-realization of the body, this surgery is in great demand. There are various procedures which we can do To improve the cosmetic problem related to vagina portion. One is vaginoplasty when the vagina lacks because of repeated childbirth, the vagina becomes very loose, and there is decreased sexual pleasure. To increase that, the vaginal uterus can be reduced with surgery, and other is labiality. It is basically the term for labia minora because the inner lip of labia which is very large because of that there is difficulty in walking and there can be difficulty in sexual relation also it leads to a lot of problems, and cosmetically it is also not good. The surgery can be done to reduce the size of this lip. And the other is hymenoplasty, this is a thin membrane over the vagina and after relation it is broken, to repair that membrane and to make the woman virgin again the hymen membrane can be stitched again to make woman virgin. Another point is labia major augmentation. Sometimes it is the outer lip of vulva, which is very thin which is cosmetically not very good, so it can be augmented with putting the backup fat below this to make it beautiful. Another is vulvar lipoclastic. When it is very thick, the labia is very thick, it is very full of backup fats sometimes it becomes very bad looking so it can be reduced by liposuction. Another is G point augmentation, and clitoral hood reduction, sometimes there is long skin layer on G point, it can be reduced the clitoral hood which can be reduced and these two surgeries G point augmentation and clitoral hood reduction is basically to improve the sexual desire. These cosmetic surgeries are increasing day by day to improve the sexual desire and pleasure and because of the cosmetic region, we are doing this which is really really fine.
Thank you so much and if you have any query or if you want to contact me you can come down to my office or you can take appointment through lybrate. Thank you so much.read more
Symptoms and preventions for Menopause
Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well.
1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes.
2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age.
3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones.
4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D
Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal.
Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.read more
Benefits of Endoscopic Surgery
I’m Dr. Aparna Jain, Senior Consultant Obstetrics and Gynaecologist.
We are going to discuss about Endoscopic surgery or Laparoscopic surgery in gynaecology. It is basically a pinhole surgery in which doctors don’t open the abdomen. We just put two or three small scar at the abdomen, pet par do ya teen chote scar lagate hain jiske through we can do surgeries.
Various surgeries can be performed laparoscopically or endoscopically like removal of uterus, removal of fibroids from the uterus, removal of ovarian cyst, or ovary me jo gaanth hai uske removal ke lie kar sakte hain, or removal of cyst, any type of cyst like familial cyst or atopic pregnancy i.e, pregnancy inside the fallopian tube. It is outside the uterus and it a is very life threatening condition in which we can do laparoscopic surgery and take out the embryo.
Another issue which can be solved through laparoscopy is the case of infertility. Suppose Somebody, Who is not able to conceive. If there is some problem in the fallopian tube which can be opened by Laparoscope. Endometriosis is another very important problem which leads to infertility which can be corrected laparoscopically.
These are the various conditions which can be dealt with laparoscopy without opening the abdomen. What is the advantage? Why is laparoscopic surgery better rather than opening abdomen?
It is very very important to know about it because logo ke dimag me yeh myth hota hai ki abdomen open karenge toh complete surgery hogi aur laparoscopically agar surgery karenge to wo complete nahi hoga but it is not like that. If we are doing laparoscopic surgery we are having ten times magnification in comparison to a normal eye so it will give better vision, better insight to the disease which we will be able to handle better and the scope of recovery in laparoscopic surgery is much faster than open surgery.
There is not a single large scar on the abdomen. There are multiple, two, three or sometime four scar which is 1 cm or 0.5 cm scar at the abdomen which heal so well that post of pain is very very little after laparoscopic surgery. One is very early, one can ambulate very fast after laparoscopic surgery in comparison to open surgeries and post of addition formation. Sometime, after doing a surgery one landed up in another surgery then, after open surgery there is lot of addition formation inside so second surgery become very difficult but in laparoscopic surgery addition formation is very little so the second surgery becomes easier if somebody has laparoscopic surgery initially. Cosmetically, it is also very good because scars are very less, very little. It is almost an invisible scar in comparison to open surgery.
If you want to consult further, want to know more about laparoscopic surgery or you have any problem, for that you want to consult, you can consult us on Lybrate website.
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It was an amazing experience of getting treated under her for 9 months. She made me feel so comfortable and made my journey so soothing , the best part was I wanted a normal delivery and I told her this, She all the time gave me strength and support like a friend and told me to keep in mind that I am pregnant and not a patient, Stay active and normal and enjoy your journey, I am here to help you.S he was always there for my queries and worries Today I am blessed with a princess and had a normal delivery and also I worked till last days of my pregnancy. This is my first baby. I would highly recommend Dr.Arpana Jain. Would like to thank from bottom of my heart. Love you Doctor.
excellent experience...my mom was suffering with knee pain since last a month nd consulted one physician before turning up to dr. manoj miglani but she wasnt satisfied bcz for few days she wl b fine nd pain wud again comeup after few days. dr. mmanoj miglani gave my mom very few medicines to take ,just two tabs a days nd told few exercises to be done. she is totally satisfied with the results and also for patients who are suffering with chronic pain ,if any doctor listens to them patiently and answer all their queries they sort of build confidence on doctor.here, i would say dr. manoj miglani shows high ethical conduct which probably doctors are lacking these days.
Hello, i got to meet Dr. Vishal Chhabra in the year 2007... i ws under severe depression / mental illness and got treated by him in gtb hospital, shahdra... he rathr than jst being a doctr ,becam more of a frend cum doctr for me.. he ws th only one wd whom i used to share all my thogts n feelings... n by his endeviours i cud come out of tht illnes very easily... tody m living a vry happy n healthy life... hv many timz recommnded his name to many in need... wish all d luv n luck to Sir Vishal Chhabra.. will alws b greatful to u for wt u dd for me... u gave me a new life... regrds shivali singh
My father was suffering from some mental illness for which we were looking for a psychatrist. I saw Dr Vishal Chhabra clinic's advertisement in newspaper and that is how we referred him. My father is so much benefitted with his electroconvulsive therapy (ECT), that he is perfectly fine now. Even in case of emergency, the staff is always willing to help. Whatever tests he prescribed, were very correct and gave us an exact idea about my father's condition. Fortis Flt. Lt. Rajan Dhall Hospital - Vasant Kunj has all the latest technology in place to handle severe cases.
I was shocked to experience the symptoms of pregnancyShe is very courteous and behaves very aptly with elder patients. I searched this Arpana Jain online and saw her reviews. Hygiene is very important, and I must Care Medicentre was extremely clean. Even though the problem was not so big, but still the other doctors were not able to treat it. The I consulted Arpana Jain. Arpana Jain guidance has helped me immensely and has helped gain confidence. The guidance Arpana Jain gave me has helped me immensely with my situation.