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Indraprastha Apollo Hospital, Delhi

Indraprastha Apollo Hospital

  4.3  (94 ratings)

Pediatric Clinic

Delhi-Mathura Road, Mathura Road, Sarita Vihar Delhi
1 Doctor · ₹1500 · 2 Reviews
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Indraprastha Apollo Hospital   4.3  (94 ratings) Pediatric Clinic Delhi-Mathura Road, Mathura Road, Sarita Vihar Delhi
1 Doctor · ₹1500 · 2 Reviews
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Indraprastha Apollo Hospital
Indraprastha Apollo Hospital is known for housing experienced Pediatricians. Dr. Vineet Bhushan Gupta, a well-reputed Pediatrician, practices in Delhi. Visit this medical health centre for Pediatricians recommended by 102 patients.

Timings

MON-SAT
02:00 PM - 05:30 PM
TUE, THU
01:00 PM - 03:30 PM

Location

Delhi-Mathura Road, Mathura Road, Sarita Vihar
Sarita Vihar Delhi, Delhi - 110076
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Doctor in Indraprastha Apollo Hospital

Dr. Vineet Bhushan Gupta

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician
Get ₹125 cashback on this appointment (No Booking Fee)
86%  (94 ratings)
33 Years experience
1500 at clinic
₹600 online
Available today
01:00 PM - 03:30 PM
02:00 PM - 05:30 PM
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Infantile Spasms - How They Can Be Treated?

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Infantile Spasms - How They Can Be Treated?

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

  • ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
  • Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.

Second line therapies:

  • Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
  • Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
  • Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
  • Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
  • IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
  • Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.
     
1 person found this helpful

Movement Disorders - Different Types That Can Affect Your Child!

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Movement Disorders - Different Types That Can Affect Your Child!

Movement disorders can trigger from various types of brain injuries, metabolic disturbances, inflammation, trauma, side effects of medication, genetic disorders, infections etc. The brain structures that get affected are believed to include the thalamus, brainstem, basal ganglia, cortex etc. Since all these structures function together, any abnormalities in any of the structures can compromise movement. For instance, a kid suffering from primary dystonia can lead a near normal life, if the condition is detected and treated early in life. However, on the other hand, if the same condition goes undetected it can cripple the child for the rest of his life. 

Different types of moment disorder-

  1. Chorea: It results from a neurological injury. The movement of children suffering from this condition becomes irregular and dance-like. The child often becomes slow or more forceful in their movement. If the condition affects the legs, a kid can frequently stumble and face difficulty while walking. Sydenham chorea is a condition that is not very severe and is reversible with treatment. 
  2. Tremor: It is a condition that is characterized by trembling or shaky movements. This often results from an underlying and undetected condition that may be genetic in nature or a side effect of other medications. A kid suffering from this condition faces difficulty in fine-tuning movements. Tremor may run in family e.g. essential tremors
  3. Myoclonus: It a disorder that involves quick involuntary muscle jerks that a child fails to resist.The jerks can be frequent or occasional, there may or may not be a pattern involved to it. This condition has no long-term complication on a child’s health, but it is necessary to evaluate the type of myoclonus a child is suffering from and must be differentiated from myoclonic seizure. 
  4. Dystonia: It causes the muscle groups to contract abnormally, due to faulty signals of the brain. Instead of a coordinated contraction of muscles, they can contract in opposition causing the push and the pull muscles to work together. This can cause uncomfortable and painful twisting of limbs. 
  5. Tourette syndrome: It is involuntary in nature, where sudden sounds or movements that appear, vanishes over a prolonged time period. This condition is the advanced form of muscle tics. They can involve any part of the body and greatly varies in severity. Children can successfully suppress tics but over time they build a sense of wrongness while resisting it. Most tic disorders are reversible with the right treatment. 
  6. Ataxia: It results from a failure of motor coordination of the cerebellum, due to an injury or dysfunction. This condition can have various patterns involved to it. While few types of ataxia can come and go due to a condition such as metabolic disorder, epilepsy, genetic mutation etc, some begin abruptly due to brain bleed or stroke

In case you have a concern or query you can always consult an expert & get answers to your questions!

2527 people found this helpful

Cerebral Palsy In Kids - Treatments That Can Help!

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Cerebral Palsy In Kids - Treatments That Can Help!

Cerebral Palsy is a disorder related to the posture, movement or muscle tone, mostly due to immature development of the brain in a baby. This condition usually crops up, when the baby is already in the womb. The symptoms may surface when the baby is in its infancy or even later. Irregularities in the reflexes, posture, walking style, etc should ring a bell for the parents. Kids suffering from cerebral palsy may also suffer from muscle imbalance of the eye muscles, leading to problems focusing on an object. The range of motions becomes limited as well. There could be conditions such as deafness, epilepsy, impaired brain function and blindness associated with this disease. 

Whom to consult for cerebral palsy in kids? 
A kid suffering from Cerebral Palsy might have to work with a medical team for a very long time. Parents might need the help of a paediatrician, orthopaedic surgeon, paediatric neurologist, physical therapist, speech-language pathologist, mental health specialist, developmental therapist, recreation therapist and special education teacher. 

Treatments that are available for Cerebral Palsy in kids Medication: 

Medications: Medications are often used to improve the functional abilities of a kid. Certain spasticity related complications, treatment of pain, and other symptoms of Cerebral Palsy can be treated with medications. It is important to discuss with the doctor, the side-effects involved in taking the medication. There are two types of medications- for isolated spasticity and for generalized spasticity. In case of Isolated spasticity, doctors recommend Botox injections every 4-6 months to stabilize one muscle group. If the whole body is affected due to cerebral palsy, doctors recommend medications such as baclofen, diazepam and dantrolene to relax the contracted and stiff muscles. 

Therapies: While there are many therapy treatment, three types of therapies are the most important for treating a child suffering from cerebral palsy. They are physical therapy, occupational therapy and speech& language therapy. Physical therapy is necessary for the flexibility, mobility and motor development of the child. Occupational therapy helps a kid imbibe alternative strategies to participate in daily activities. From teaching a child to walk with a cane to help them operate a wheelchair, physical therapy makes a child self-sufficient as much as possible. Speech and language therapy helps child’s ability to communicate either verbally or with sign-language. 

Surgery: Surgery may be necessary to loosen the muscles, correct abnormalities of the bone etc. An orthopaedic surgery is necessary in cases where a kid was born with several deformities. The correction can decrease pain and increase mobility. In severe cases when the normal treatments do not help, doctors cut the tendon of spastic muscle. It helps to relieve the pain and relax the muscle.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2638 people found this helpful

Bedwetting In Children - Know The Categories!

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Bedwetting In Children - Know The Categories!

Bedwetting, also known as Nocturnal Enuresis, can be referred to as the unintended and involuntary urination during sleep. Enuresis, being a medical term, stands for wetting, whether during the day in full clothing or at night in bed. For young children and infants, urination is certainly involuntary. It is worth note that children who wet their beds are not actually being disobedient or lazy.

Child Bedwetting can be classified into two types- Primary and Secondary

Primary Bedwetting

It has been continuing since the phase of early childhood without a halt; which means the child bed-wets every night.

Causes:

  1. The child is unable to hold urine over the length of the night.

  2. The child cannot wake up in case his or her bladder is almost full..

  3. The child has been taught poor toilet habits as he/she puts off urinating for hours during the day.

Secondary Bedwetting

Secondary bedwetting can be an indication of a repressed medical or emotional condition.

Causes:

  1. Infection of the urinary tract can cause irritation and pain along with a strong urge to urinate.

  2. People suffering from diabetes need to urinate frequently.

  3. Any injury or abnormality of the nervous system can take a toll on the neurological balance that fundamentally controls urination

  4. A peculiarity in the muscles or other organs that are involved in urination can be the reason behind bedwetting.

How to address the problem of bedwetting?

  1. Motivational Therapy: This involves parents motivating their children to reinforce their sense of self-control over bed-wetting.

  2. Moisture alarms that can detect wetness in the child’s trousers while sleeping and sound an alarm bell to wake the child up.

  3. Tricyclic anti-depressants that lower the amount of urine produced by the kidney.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2700 people found this helpful

Epilepsy In Children - How To Deal With It?

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Epilepsy In Children - How To Deal With It?

Epilepsy is repeated episodes of seizures caused by abnormal signals in the nerve cells in the brain, which can result in strange sensations, convulsions, muscle spasms and loss of consciousness. It is frightening to watch your child have an episode of seizure, but the good news is that most children with epilepsy outgrow seizures. An episode usually last from a few seconds to a few minutes.

Types of Seizures
There are 2 types of seizures:
Generalized Seizures affect the whole brain

  • Generalized tonic-clonic seizure: It is the most common type of seizures in children. In this condition, the child's body becomes stiff and falls, the child may also experience shaking of the limbs. The skin becomes bluish and teeth are clenched. The child may fall into a deep sleep afterward.
  • Absence or Petit Mal Seizures: The child is unresponsive and may have eyelid blinking/ staring.
  • Atonic and tonic seizures: The child collapses suddenly due to complete loss of muscle tone. This can result in head injuries.
  • Myoclonic Seizures: The child may experience sudden, brief jerky movements of muscles of head, neck, and shoulders.

Partial Seizures affect a part of the brain

  • Simple partial seizures are characterized by uncontrollable movement of a part of the body. The child is conscious and aware but can't control the movement.
  • Complex partial seizures occur mostly during sleep the child may make odd movements, run, scream and even hallucinate. And if the child is awake, he doesn't recall the event.

Do's and Don'ts during an episode of seizure

  • Keep a track of how long the episode lasts
  • Turn the child to one side to prevent choking
  • Put a pillow under the child's head
  • Never try to put anything in the child's mouth as it may obstruct the breathing.

There can be many causes of episodes of seizures

  • During high fever in the first 48 hours (febrile seizures)
  • Head injury
  • Bacterial and viral infections of brain like meningitis
  • Lack of oxygen to brain
  • Disorders in brain development
  • Organic disorders of brain like cysts and tumors

Diagnosis

  • It is confirmed by a pediatric neurologist
  • Various investigations are done to confirm the diagnosis including MRI and EEG.
  • Blood and urine tests to diagnose infections

Treatment of epilepsy
The pediatric neurologist usually decides the treatment plan depending on the child's age, weight, and type of epilepsy.

  • Antiepileptic medications are the first line of treatment. The drugs are usually required for two years and then if there is no episode for these two years, it is discontinued. These drugs may have some side effects like drowsiness, inability to concentrate and gingival enlargement. Discuss with your pediatrician on ways to manage them.
  • Sometimes a ketogenic diet is also prescribed. The child is given a fat rich and carbohydrate low diet.

It is worrisome as a parent if your child is diagnosed with epilepsy, but about 65% children need medication for 2 years and then outgrow seizures. However, remember that the child should never miss their medication and get enough sleep.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2433 people found this helpful

High Fever - Should You Really Worry?

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
High Fever - Should You Really Worry?

High fever is common in kids and a common worry for parents as well. If you are a parent, you need to know when the fever is serious, and when you should worry about it.

Fever is a defence mechanism of the body. Body temperature rises if any foreign body (or antigen) attacks your body. As a defence, body temperature rises making it an unfavourable condition for the antigen. Fever means temperature above normal i.e. 98.6. Normally for kids, thermometer is placed under the armpit to record the temperature. You need to add an extra degree for accuracy. Paediatricians recommend treatment for fever if it's more than 101 degree F.

When to Call a Doctor

If the kid is less than 4 months old and has a fever of 100.4degree F with other mentioned symptoms as highlighted, one must see the doctor as an emergency situation.
If a kid has 104degree F fever, rush to the doctor. Such a high fever in children could lead to seizures.

You must call a doctor if the kid has a fever along with the following symptoms:

  1. Looks very drowsy
  2. Has a deteriorated immune system or even any other medical condition
  3. Has a seizure
  4. Has symptoms such as rashes, painful throat, annoyance, rigid neck or ear pain

Medication Side Effects:

At times, if you treat your children with some medication that does not suit them, it may lead to high fever.

In case fever in a kid aged less than 2 years lasts for more than one day, it's time to see a doctor. And lastly, remember that normal body temperature is 98.6 degree F.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2332 people found this helpful

Dear Doctor, Here I would like to give a short-brief of my son's problem of epilepsy in the following words. He got birth in a private clinic here in Delhi in the month of March 13, 2008. The delivery was normal and on the very next day of discharge from the hospital, he got a fits-like behavior and we immediately took him to the same clinic where he got birth and admitted there. As per the Doctor treating him it was said that his sugar got down and he was not needed properly during the night. After 3-4 days treatment, the doctor referred to another hospital i.e. St. Stephens Hospital herein Delhi and got admitted. After a week’s time the child got recovered. After this, about three years there was no problem with the child. However, after the age of 3, we could noticed that when child was walking he was complaining of some difficulty in walking on his right leg and immediately he asks to pick-up and also noticed a slight behavioural activity on his mouth. This is the starting point and we approached Dr. B.K. Gupta (Neurologist herein Delh). As per his presumption it was epilepsy and started treatment for epilepsy by giving the syrup Trioptal. By taking the above medicine continuously there was no problem for about three years. Unfortunately, after third year the child got fits again intermittently and we again approached the same Doctor and he advised to change the dose of the same medicine. But even though the duration of fits got extended but some time it happened intermittently. In the meantime we approached another Dr. (Prof.) Aldrin (Head of Neuro in IBHAS, Delhi). As per him we got the child’s MRI taken and after diagnosis he also advised to continue the same syrup Trioptal. In the meantime the syrup was not available in the market and the doctor advised to take Oxcarbazepine Tab (300 ml in the morning and 400 ml in the evening) plus Frisium 5 mg tab (one tab in the evening). Now for the last one and a half years there is no problem of fits however he has been complaining of tiredness intermittently, mostly after waking up in morning and also when he was about to leave for school and we presume this might be by taking the medicine continuously. Unfortunately, for the last 2-3 months we could notice another problem i.e. His right hand palm gets trembling (jerking) like feeling for a few second mostly every day and by rubbing and/or holding tight it gets normal and when it happens he is not able to move his fingers or hold anything, and also loose strength of his palm and it gets normal within a minute’s time. Earlier it was once in a week but now-a-days it happens almost daily sometime in the afternoon otherwise at school. Last week i.e. On 16/01/2017 we again visited Dr. Aldrin because of this above new problem. After check-up the doctor advised to get EEG report. However, as per the EEG report it was normal and the doctor advised to increase the dose of the existing medicine i.e. Oxcarbazepine 400 ml tab in the morning instead of 300 ml and continue the other medicine as usual. But even though the above medicine has been taking as per the prescription for the last two week the problem still persists. He has also the problem of Adenoid for the last 3-4 years and now-a-days treating by homeopathy medicine. At night when he sleeps he inhales/exhales through mouth and I am presuming that the above problem is due to this reason only. Kindly, for your advice.

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
You have not mentioned MRI report. It seems that the low sugar at birth might have left a permanent scar in his head and hence your child is having frequent simple partial seizures. Probably needs either adding a new drug or change of drug. Kindly seek advice from your doctor. Best wishes.
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My 2 years old kid (female - till now no speech, but says 2 or 3 word only) having mild autistic spectrum disorder. Doctors informed to go for occupational therapy and speech therapy. I want to know about this. It is curable or not? Most of them telling that, this is not curable. Please advice.

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
If your child has mild autistic features and can speak 2-3 words then she should do well with intensive therapies, this is the right age to act. You should learn yourself and work with therapist.
1 person found this helpful
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My 8 years old daughter is suffering from migraine since last three months. Is it curable? what is the productive treatment?

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
Migraine is treatble. This is cosidered a gene defect and it can not be cured. Long term outcome depends on many factors. Kindly discuss with your doctor about details.
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