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I am 31years old, having a kid of 5 years. But now I am facing problem to conceive for 2nd issue. What should I do?
My son is suffering from cough and throat infections and due to that he's having pain in his left ear. What should I do in this condition?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My Brother has got premature baby born at 26 weeks pregnant, now he is 47 days age, he has go brain bleeding problem after 10 days of birth, they have used lot of antibiotics during the treatment for the lung infection, now he has not yet put any weight, same the weight of 850 gm, he is active and movements are okay. Starting he was on ventilator, but now he is taking his own breath, the heart beat rate is 96, In brain CT scan it showing that everything normal except gross hydrocephalus with thinned brain parenchyma, doctor said its not the position to do any operation on him, so paediatrician it self pulling out water by injection method with the guidance of Neurologist in video call. So please provide us if there are any other options and suggestions for us.
Meri bachi ko bukhar tha lekin ab kam he but kuch khari nahi aap koi suzao do kya khilaye jis se usko healty mehsus ho aur fit rahe.
My son is 2.5 yrs old but he doesn't talk. He used to say some words I. E maa. Pa. Pa. Etc till 1.5 yrs. But after suffered from serious illness he left talking. And now he tells sometimes maa pa. Pa. Pa etc but not talk as normal as others. I went through his BERA test and found report normal. We consulted many doctors but no one diagnosed the reason and says that he will tell but it will take time. Being his father I am very anxious for his career. Please suggest me sir.
My 2 months old daughter sleeps a lot in night or 12am to 5am then she wakes up for feed again frm 5: 30 am to 8 am she sleeps continuously without feed. Please tell me what should i do?
Dear Doctor I ve 4 months and 20 days old baby till date I ve been giving oly breast milk I have to join office in two days I feel so guilty about it, am planning to express my milk and feed baby when am not at home, is it good to feed my milk storing in fridge, am really so guilty about it. Please help me to over come my guilty or is there anything that I can do?
My son is 50 days .had a problem of loose motions and vomiting since 2 or 3 days .i gave him med after consult a doctor of zinc gluconate , ofloxymin .after that the motions is better but vomiting is continuously heavy after breast feeding .consult me what can I do .or go for a pediatrician .
My grand son is 16 months, diag rickets, 25-oh vit d3 - 8.8, cal 8.51, phosphorus 4.0, APD 999. Without support can not sit from bed can not standup. He walk when made standup, what to do for his cure.
My 2 year old son infected with typhoid from 21 days. He is hospitilis on 15 th march & fever is gone for next four days. From 20 the march again he got fever after almost 8 hrs repetitively. Dr. Told yesterday for x ray chest. What will be actual problem with him.& can you suggest any medicine. Xray reports are normal.
Our kid one year five month old boy might have bug or worm in his stomach because we watched him scratching his butt and always putting his hand in stomach. And he has fever around 103.2 f. Kindly advise.
Hi. I had a baby. 6 days old my wife Sornapriya she don't have a mother milk. So she can't give her milk to my child. Can you please suggest some milk powder.
5 month baby is not given calcium syrup can it cause calcium deficiency and even she is loosing her hairs from her back and even sweats very much from her head while feeding.
Dr. Sanjeev Kumar
2 days ago
To prevent nappy rash,change nappy every six hour atleast.Between the changes,keep baby dry and naked for some time,then apply coconut oi
The most advanced and effective communication device in this century is mobile phone. Mobile phone is not only being used by the corporate or highly qualified professional. People from all type of social group have mobile phone in their hands now. Usage of the mobile phone is not increased only with all social groups but also with people of all age groups. Children are the more noticeable group as they are using cell phones of all types. A recent research study shows that children are really capable of using any advanced type of mobile phones even without any proper guidance. Though mobile phones are the effective mode of communication, it is a well known fact that it also has adverse side effects if being over used. The mobile phones emit shockwave radioactive radiations that affect the body in various manners.
Adverse effects of mobile phone usage:
Today's children are growing up in a radio-frequency environment that never existed in human history before. The radiation emitted by mobile phones and mobile phone masts can have adverse effects on children. Some include:
- Affects your Immunity Status: cell phones after a full day usage contains many germs on their display which are highly numbered than your toilet seats. These germs are easily transferred to your body as you touch frequently or use close to your face for talking. This increases the risk of exposure to the germs and reduces your immune strength as immune status are not fully developed for children.
- Increase Risk of Chronic Pains: prolonged use of mobile phones for playing games or texting requires continuous movement for your hands which may develop chronic pain in joints of your shoulders and hands.
- Vision Problem: children when concentrate much on playing games in mobile phone they even fail to blink frequently with the increased interest and attraction towards the game. This causes the dryness of the conjunctiva and also increases the ocular tension.
- Affects your emotions negatively and increases the stress level
Mobile Phone Safety For Kids:
As a parent, you must take preventive measures to minimize your child's exposure to the harmful effects of mobile phones. These include:
- Do not give cell phone if your child is under 16 years. A child's brain is too sensitive to withstand the effects of mobile radiation.
- Do not let your child hold a mobile phone directly up to his head. Use an air-tube headset instead.
- Do not let your child make calls in buses, trains, cars, and elevators. The mobile phone works harder to get the signal out through the metal, which increases the power level.
- Do not let your child use cell phone when the signal is weak. It will increase the power to the maximum, as the phone attempts to connect to a new relay antenna.
- Limit the use of cell phone around children.
- Make sure that there is no mobile phone mast or network tower near your home or your kid's school.
- Do not let children take mobile phones to school.
- Do not leave mobile phones in your children's bedroom at night.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.