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Dr. Ajay Gupta

Pediatrician, Delhi

150 at clinic
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Dr. Ajay Gupta Pediatrician, Delhi
150 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ajay Gupta
Dr. Ajay Gupta is a popular Pediatrician in Bapa Nagar, Delhi. You can visit him at Singhal Nursing Home in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. Ajay Gupta on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 36 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Languages spoken
English
Hindi

Location

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Singhal Nursing Home

9/3, Main Road, Kailash Nagar.Landmark: Near Mother Dairy, DelhiDelhi Get Directions
150 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

My 8 year old daughter has suddenly started burping a lot in the past few months. It started happening over past 8 to 9 months. She is also having gastric problems. Please advise. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Her food timing has to be regular and hs to avoid gas forming foods and if she takes juice or any fluid in bottle it has to be stopped.
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My 2.5 months old daughter has started gaining bumps on her face. Doctor recommended to apply mometasone cream on her face twice a day. But little bit confused as some say they should be applied on skin of kids older than 2 years. Any help will be appreciated.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
My 2.5 months old daughter has started gaining bumps on her face. Doctor recommended to apply mometasone cream on her...
Hello lybrate-user yes the skin of babies is very delicate so avoid all this n try that the no body kisses her face n before sleep clean her face.
1 person found this helpful
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My son have constant problem regarding the stomach worms we have used the available medicines in market but after some time the same problem persist please give me some suggestions.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
My son have constant problem regarding the stomach worms we have used the available medicines in market but after som...
You have to give good quality deworming medicines daily for 7 nights then monthly for few months. Change the water, always use filter or per-boiled water. Use vegetables after washing thoroughly with boiled water. It is a sanitation/ hygeine problem. I hope he does not eat mud.
3 people found this helpful
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My child is getting cold always in winter but why it is for child not for elders?

MBBS, MD - Paediatrics
Pediatrician, Varanasi
My child is getting cold always in winter but why it is for child not for elders?
Resistance through an airway is inversally proportional to fourth power of radius (Bernoullie's principle). Children has narrow airway which make it more susceptible for wheezing. Also the immunity at extremes of ages is less making them both children and old aged people more susceptible for infections.
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My baby is 4 month old, he is suffering to do laterine. Doing 2days once. Request you to suggest wht needs to be done. I am feeding so do I need to change in food.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
No for a 4 month old baby only breast feeding is recommended. Motion takes time to attain normal frequency.
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Hi. Doctor my son is 3 month old. since he was my wife does not have enough milk to feed him so I use to feed him lactogen no. 1.but now he don't want to have /feed the lactogen no. 1.any more .I can't force him to have to feed so what should I do now should I go to hospital or let it go .I need your help.

M.D.( Pediatrics), DCH
Pediatrician,
Hi. Doctor my son is 3 month old. since he was my wife does not have enough milk to feed him so I use to feed him lac...
Continue breastfeeding, he does not like top feeding. Monitor growth and activity, so long it is normal, you should not worry. Use IAP growth charts to monitor the growth.
3 people found this helpful
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Hi, My son is 18 month old and had chicken pot vaccination today after few hours of vaccination in his right hip his right hand also not moving well. Is the same a relevant after vaccination impact?

BHMS
Homeopath, Bhopal
Hi, My son is 18 month old and had chicken pot vaccination today after few hours of vaccination in his right hip his ...
A vaccine, like any medicine, is capable of causing serious problems, such as severe allergic reactions. The risk of chickenpox vaccine causing serious harm, or death, is extremely small. Getting chickenpox vaccine is much safer than getting chickenpox disease. Most people who get chickenpox vaccine do not have any problems with it. Reactions are usually more likely after the first dose than after the second. Mild problems Soreness or swelling where the shot was given (about 1 out of 5 children and up to 1 out of 3 adolescents and adults) Fever (1 person out of 10, or less) Mild rash, up to a month after vaccination (1 person out of 25). It is possible for these people to infect other members of their household, but this is extremely rare. Moderate problems Seizure (jerking or staring) caused by fever (very rare). Severe problems Pneumonia (very rare) Other serious problems, including severe brain reactions and low blood count, have been reported after chickenpox vaccination. These happen so rarely experts cannot tell whether they are caused by the vaccine or not. If they are, it is extremely rare.
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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