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The Celiac Clinic

  4.4  (193 ratings)

Pediatric Clinic

Medicentre, B-13 Shivalik, Malviya Nagar New Delhi
1 Doctor · ₹500 · 3 Reviews
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The Celiac Clinic   4.4  (193 ratings) Pediatric Clinic Medicentre, B-13 Shivalik, Malviya Nagar New Delhi
1 Doctor · ₹500 · 3 Reviews
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General Pediatrics and Superspeciality clinic for children with wheat,food allergy,malnutrition and growth issues.Our goal is to offer our patients, and all our community the most afforda......more
General Pediatrics and Superspeciality clinic for children with wheat,food allergy,malnutrition and growth issues.Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about The Celiac Clinic
The Celiac Clinic is known for housing experienced Pediatricians. Dr. Sushma Narayan, a well-reputed Pediatrician, practices in New Delhi. Visit this medical health centre for Pediatricians recommended by 99 patients.

Timings

MON-SAT
09:30 AM - 02:00 PM

Location

Medicentre, B-13 Shivalik, Malviya Nagar
New Delhi, Delhi - 110017
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Doctor

Dr. Sushma Narayan

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician
88%  (193 ratings)
40 Years experience
500 at clinic
₹250 online
Available today
09:30 AM - 02:00 PM
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Patient Review Highlights

"Professional" 3 reviews "Prompt" 2 reviews "Well-reasoned" 3 reviews "Helped me impr..." 1 review "Thorough" 1 review "knowledgeable" 10 reviews "Sensible" 3 reviews "Very helpful" 21 reviews "Inspiring" 1 review

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Instead of giving zincovit drops we used zincovit syrup for 7 months old baby. Worried abt it. Suggestions pls?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It is better and safer to use drops in a baby. Do not worry, no need to panic if you have used syrup in small quantity. As the dose titration in babies is difficult with syrups. Please revert to drops.
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Hii sir/madam. My daughter is 6 months old. She is very healthy. Yesterday I saw one small swelling on her head suddenly. She had no injury. Swelling size is small. No pain. Please suggest me what ia that swelling and is there any problem. I am very much worried about this. Please help me.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
The swelling in the head needs to be seen more so if the size is increasing. It might be small boil or some allergic urticarial phenomena. It is difficult to advise without seeing.
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I am looking for the cost of recommended vaccination after the age of 5 years of a child. I am looking for injection cost for MMR2, Varicella 2 etc.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It is difficult to mention the cost of these vaccinations. It also depends who is the vaccine supplier in your town, and which pediatrician is procuring the vaccine from whom. At 5 years, you just have to give DPT booster which is also available at every government Hospital. So also MMR2. Varicella is available at the MRP approx 1600. (Varilix)
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My son is 3 months 20 days old. He has given 3dose of pentavalent vaccine on scheduled time. I missed his 1st dose of ipv before so He got 1st dose of IPV (0.1 ml subcutaneous) with 3rd dose of pentavalent vaccine. So when should I give 2nd dose of IPV? How many doses are needed? His weight is 6.6 kg now. Which other vaccines are mandatory?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
If your baby has got even one dose of IPV, you are OK as long as you have given OPV with Pentavalent vaccine along with first two doses. You need not give additional IPV. The weight is fine. Follow the immunisation schedule as per your pediatrician/ hospital card.
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Hello. .my nephew is 40 days old and he is often crying badly due to etching on anus caused by pinworm.. Suggest some medicine for him. I repeat he is only 40 days old.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It is rather unusual for such tiny infants to get pin worms. It will be better if the child is reviewed first in the clinic as the cause of itching could be something else. Only then any medication can be given to such babies.
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My baby recovered from sepsis on 3rd days of born due to bacterial infection by vancomycin .he is now 1.5 month & is o.k.,received pcv13 & one doctor says not to take PENTA1 vaccine. Only to take hexaxim. But doctor who treated him earlier says yes. Now I am confused. Please suggest me which one is to take?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Hexaxim is a vaccine which has Diphtheria, tetanus, acellular pertussis, (DTaP), Polio, HIB and Hepatitis B components. If cost is not an issue it is a good choice. Otherwise many choices are available without injectable polio vaccine. That is fine too. You can give oral polio vaccine and Pentvac, Easyfive etc. This is half the cost and equally effective. These also contain DPT, HIB and Hepatitis B minus injectable polio.
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My nephew and he is 7 years old. He is in 2nd class. He is not eating properly on time and he is not focusing on study. He wants to watch TV only. He is short tempered. So please suggest what do we do to take him on the right way.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
The child needs to be reviewed once in the clinic. Usually anemic children become very irritable and difficult. There may other deficiencies too. Also both parents and chid will do well with counselling by a sympathetic doctor. Gentle weaning away from the TV by offering other interesting choices like making new friends, cycling, swimming, outdoor games etc. Will help greatly.
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Child Development - Is Your Toddler A Late Walker?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Child Development - Is Your Toddler A Late Walker?

Some babies learn to walk by the age of nine to ten months, and others may take longer, much longer to start walking properly. By the age of 15 months, people may start asking you if your little munchkin is able to walk yet. These constant questions can eventually irk you off, and keep you wondering if truly your baby is facing any sort of disability or not. In most cases, you will probably find your baby was too lazy to start walking all along, and he has mastered the art of “toddling” a couple of months later. Other times, when your baby has not started walking in over 17 months, you may want to give your paediatrician a visit.

When should you not worry?

If your baby is an active child and is playing around normally, you may not worry about him or her too much. If you find your child able to move around crawling or rapidly kicking his legs around, then your child is probably a late bloomer when it comes to walking. Other factors that will indicate that your baby is not going through any developmental issues are when he or she is able to communicate with sounds or broken speech. Other thing that you must keep in your mind is the relative age of your baby if it is born premature. If your toddler was born two months prematurely, then you must consider his developmental age by adding two months to his actual birth. Also notice if your child is able to move positions on his own, like if he is able to change positions when he is sitting down or lying down. As such, inability to walk is not really a solid indicative of a developmental disorder.

When is it of concern?

When you go to your paediatrician with your child regarding his inability to walk, your doctor will firstly take a note of the general movement of your baby. Thus the “quality” of movement is what matters the most. If your baby is showing signs of rigidity or flaccidity in his limbs, it may concern your doctor, as it is the primary symptom of cerebral palsy. Nothing can be concluded unless your get proper reports of scans like MRIs which your doctor will recommend you to get.

If your child is not walking, avoid carrying him around too much to allow him to make movements on his own. Who knows, you may find yourself chasing him around all over in no time!

Hi I have baby who is one year old. Yesterday he was having red throat. So doctor suggested him timnik, ibugesic and FloraBS but today he is having severe cough. Please suggest what can be given in severe Dry cough.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
A one year old, with severe cough should not be taken lightly. Please have the child reviewed by your doctor again as the baby might need some antibiotic specially if he has fever also. Other wise in mild viral infections, the above mentioned drug are usually enough. I prefer giving paracetamol to a child rather than ibugesic syrup for fever and pain.
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My baby is completed his 2 year 2 month and I want to stop breastfeeding but it's not possible for me as well as for my baby what should I do I want to stop feed him please suggest me some solution.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It can be very difficult to stop breast feeding suddenly. You have to be firm with yourself too and very persuasive with the baby. Tell her that she is now a big girl and offer her her a variety of interesting food, snack items specially when she is hungry and keep her diverted from the breast. Basically see that she does not remain hungry. Also, you can have some children come and play at home with her to distract her at feed times, or you can take her out to play. Children also crave for breast for remaining close to mother, feeling secure and safe. Offer her more hugs and cuddles and say how she can drink with a new sipper, how she can use a straw. Make the change over an interesting fun activity. But be firm, and determined and be ready to face a few tears.
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Can we feed grape water for new born baby (20 days) old baby. Some times he is not comfortable to sleep.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Seriously, You must be joking! You do not give any thing to a 20 day old except breast milk. Even Plain water is not allowed. By and large, the milk supply to the mother increases as the babies grow and there is no need for top feeds too. Please do not consider giving any thing other than breast milk to the baby. The baby may be uncomfortable for various other reasons, which should be discussed with your paediatrician.
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Dear Sirs/Madam, My wife had undergone a lower abdominal surgery in last month, and taking so much antibiotics, our baby is 11 months old and taking brest feeding, is there any problem to continue his brest feeding or should we discontinue his feedings?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Usually breast feeding need not be stopped if the mother is on antibiotics. Also 11 month old baby is already eating from the family pot. So breast milk is more for pacification at night. Do give him 3 major and 2-3 minor meals contain dal, chaval, veges, soups, mashed roti, banana, mango, dahi etc. Proper complementary feeding takes care of 80% dietary requirements.
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The patient is 10 year old child having severe wheezing problem due to food and other seasonal allergies. What should be done to give immediate relief to the child during such attacks.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It is good to have the child checked out by a physician and get a proper protocol of treatment prepared for such attacks, so that every time the attack comes, the treatment can be started at home. If the baby is comfortable with nebulisation, then giving asthalin/budecort nebulization can be of great help. Drugs like monteleukast are also helpful in preventing attacks.
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Causes And Symptoms Of Precocious Puberty!

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Causes And Symptoms Of Precocious Puberty!

Precocious puberty is a medical condition in which the process of a child turning into an adult i.e. puberty is initiated at an earlier stage than what is considered as normal. Certain characteristics like rapid growth of bones and muscles change the body structure, its ability to reproduce and manifest during puberty. If puberty is initiated before the age of 8 in girls and 9 in in case of boys, then it is a case of precocious puberty.

Causes
Studies to determine the actual cause as to why precocious puberty occurs have been inconclusive. In some cases, due medical conditions, such as hormonal disorders, brain abnormalities, brain tumor, and infections might cause precocious puberty. Generally medication is prescribed in such conditions to delay the process of puberty until later.

Symptoms
In case of girls, if you notice the below mentioned symptoms in a child who is about 8 years of age then it is a sign of precocious puberty:

In case of boys if you notice the below mentioned symptoms in a child who is about 9 years of age then it is a sign of precocious puberty:

  • Enlarged testicles and penis
  • Facial hair
  • Deepening voice

Also, there are few characteristics or traits which are common to both girls and boys and indicate precocious puberty if it occurs at an early age:

  • Underarm hair or pubic hair
  • Acne
  • Rapid growth
  • Adult body odor

Complications
Precocious puberty might induce a few complications. A few have been stated below:

Short height: Children who are suffering from precocious puberty in many cases grow taller at a quicker rate at first. This generally causes such children to be of below average height when they enter adulthood. By early diagnosis and treatment of precocious puberty, such a situation could be avoided and the child in question would be taller than he/she would if they did not undergo treatment.

Social and emotional problems: Children who undergo puberty before their peers can end up being self-conscious about their body, which may result in low self-esteem or in extreme cases substance abuse.

Treatment
Treatment of patients suffering from precocious puberty can be administered through medications like GnRH antagonist treatment. This is a monthly injection, which delays further development and has to be continued up to the point till normal puberty period sets in. If you wish to discuss about any specific problem, you can consult a Pediatrician.

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Doctor only suggested me to use Venusia max cream on my 1 month baby. Can I use it or shall I use dermadew cream.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Venusia max is not a baby cream. However it is good cream for extreme dryness of the skin. Adults often use it. You can use any other baby cream for the baby as they are milder. Coconut oil is the best substitute.
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My daughter has turned now 1 and half month. I just want to know is there any vaccination should b given to daughter from birth. If any please give me full details of vaccination like which vaccines and how many times.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
The child should receive several vaccines like DPT, OPV, IPV, pneumococcal, Rotavirus, Hepatitis B etc. Please see Pediatrician and start the serial vaccinations right away.
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Hi Doctor, Now I have 6 month baby for twins, so I can introduce to my kids for extra virgin olive oil, for oil massage and foods, can you reply doctor as soon as possible.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Why olive oil? Continue breast feeds along with normal complementary feeds with home based foods such a light khichri, suji kheer Clear soups, mashed banana etc. No extra added salt or sugar.
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My daughter licked a little of perlice creme wat should I do. I immediately wiped her tongue with a towel n rinsed it. But very scared.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Perlice contains Permethrin which is toxic compound. If it was just a lick, do not worry, she will be fine. It is good to keep all medicines, phenyl, toxic things etc under lock and key if you have small babies.
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Iron Deficiency In Children - Symptoms And Prevention

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Iron Deficiency In Children - Symptoms And Prevention

Iron is an essential nutrient and mineral that is required by adults and children alike. Iron helps move oxygen from the lungs to the rest of the body and helps muscles store and use oxygen. It is especially important for children because it aids development and prevents anaemia. Untreated iron deficiency in children can cause physical and mental delays. It can lead to less healthy red blood cells in the child's blood stream which will cause a delay in the growth of physical and mental faculties.

Risk factors for iron deficiency in children

Infants and children at highest risk of iron deficiency include:

  1. Babies who are born prematurely or have a low birth weight
  2. Babies who drink cow's milk before age 1
  3. Breast-fed babies who aren't given complementary foods containing iron after age 6 months
  4. Babies who drink formula that isn't fortified with iron
  5. Children ages 1 to 5 who drink more than 24 ounces (710 milliliters) of cow's milk, goat's milk or soy milk a day
  6. Children suffering from, Malabsorption, Chronic diarrhoea, thyroid disorders and Celiac Disease
  7. Children ages 1 to 5 who have been exposed to lead
  8. Adolescent girls also are at higher risk of iron deficiency because their bodies lose iron during menstruation.

Symptoms of iron deficiency anaemia

The signs and symptoms of iron deficiency anaemia in children may include:

  1. Pale skin
  2. Fatigue or weakness
  3. Slow cognitive and social development
  4. Difficulty maintaining body temperature
  5. Increased likelihood of infections
  6. Unusual cravings for non-nutritive substances, such as ice, dirt or pure starch

Prevent iron deficiency in children

Take steps to prevent iron deficiency in your child by paying attention to his or her diet. For example:

  1. Encourage a balanced diet. When you begin serving your baby solids, typically between ages 4 months and 6 months, feed him or her foods with added iron, such as iron-fortified baby cereal. For older children, good sources of iron include red meat, chicken, fish, beans and dark green leafy vegetables. Between ages 1 and 5, don't allow your child to drink more than 24 ounces (710 milliliters) of milk a day.
  2. Enhance absorption. Vitamin C helps promote the absorption of dietary iron. You can help your child absorb iron by offering foods rich in vitamin C, such as melon, strawberries, kiwi, broccoli, tomatoes and potatoes.
  3. Deworming: The power to kill parasites. With such tablets, we can eliminate worms in children and stop parasites from absorbing the critical nutrients a child needs to develop.
  4. Consider iron supplements. If your baby was born prematurely or with a low birth weight or you're breast-feeding a baby older than 4 months and he or she isn't eating two or more servings a day of iron-rich foods, talk to your child's doctor about oral iron supplements.

Don't take pallor lightly. Consult the doctor.

Make sure that you watch out for the tell tale signs of iron deficiency and take the necessary precautions to avoid the same. If you wish to discuss about any specific child related problem, you can consult a specialized pediatrician.

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Doctor, My son is 1 year 8 months old. He has not vaccinated with IPV due to unavailability of the same. He has taken 6 doses of OPV. Can he be vaccinated with IPV now? Kindly let me know the procedure. Regards

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
The baby is safe after OPV too. IVP is a recent trend and the vaccine is running in shortage. In some government setuo it may be available. Don't worry if it is not given.
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