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Dr. Amit Agarwal - Pediatrician, Delhi

Dr. Amit Agarwal

91 (745 ratings)
MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology

Pediatrician, Delhi

12 Years Experience  ·  700 - 800 at clinic  ·  ₹200 online
Dr. Amit Agarwal 91% (745 ratings) MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrol... Pediatrician, Delhi
12 Years Experience  ·  700 - 800 at clinic  ·  ₹200 online
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Amit Agarwal

Considered to be one of the best paediatric nephrologists in Delhi with 12 years of experience, Dr. Amit Agarwal is at present associated with Vardaan Clinic- Mother & Child Care Center, Noida. A winner of multiple awards in the field of paediatrics, Dr. Agarwal has worked at various prestigious hospitals like Jaypee Hospital, Noida, Indraprastha Apollo Hospitals, Sarita Vihar, Fortis Noida and Batra Hospital. He has had several contented patients in his last 7 years as a successful paediatrician and paediatric nephrologist. Apart from his specialization, he also provides the services of consultancy, kidney transplantation, peritoneal dialysis and hemodialysis.

Dr. Amit Agarwal has completed his MBBS from KMC Manipal, and has an MD in Paediatrics from AMU Aligarh. Apart from that, he also holds a FIRST degree in Pediatric Nephrology from AIIMS, Delhi. The renowned doctor has professional memberships in eminent institutions like International Pediatric Nephrology Association (IPNA), National Neonatology Forum, Indian Academy of Paediatrics (IAP) and Indian Society of Paediatric Nephrology.

Info

Education
MD - Paediatrics - AMU Aligarh - 2009
MBBS - KMC - Manipal - 2005
FISPN & FISPN - Pediatric Nephrology - AIIMS - Delhi - 2013
Past Experience
Worked at Batra Hospital
Worked at Fortis Noida
Worked at Indraprastha Apollo Hospitals - Sarita Vihar
...more
Worked at Jaypee Hospital - Noida
Languages spoken
English
Hindi
Awards and Recognitions
Multiple awards in the field of Pediatrics
Professional Memberships
Indian Academy of Paediatrics (IAP)
International Pediatric Nephrology Association (IPNA)
National Neonatology Forum
...more
Indian Society of Pediatric Nephrology

Location

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  4.6  (745 ratings)
800 at clinic
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Batra Hospital

Mehrauli Badarpur RoadDelhi Get Directions
  4.6  (745 ratings)
700 at clinic
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"Very helpful" 40 reviews "Sensible" 6 reviews "Well-reasoned" 3 reviews "knowledgeable" 10 reviews "Practical" 3 reviews "Thorough" 3 reviews "Helped me impr..." 1 review "Prompt" 2 reviews "Caring" 1 review "Professional" 2 reviews

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Hi, I think that I am klinefelter syndrome. My age is 21. Is there any way to confirm it? And I am highly confused.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Looking at your height weight and general knowledge you seems to be normal. But if you have any doubt regarding your health consult a doctor, meet a geneticist.
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Drinking women breast milk will cause STDs. Recently one of my friend mated with his neighbour and drank her breast milk whom was in lactating period to her born baby. Now he was regretting. Pls give any suggestions.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Do not worry. Breast milk is usually safe. Just ensure the HIV status of lady, as hiv virus get excreted in breast milk.
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Urinary Tract Infection in Childhood - What Parents Need To Know?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Urinary Tract Infection in Childhood - What Parents Need To Know?

Many children all over the world are affected by urinary tract infections or UTIs that can be resolved with simple antibiotics, but might also lead to complications at times. Most often, kids under 2 years of age are affected by it, and either the bladder or the kidney might be infected leading to cystitis or pyelonephritis , in smaller children kidneys are presumed to be infected unless proved otherwise.

Causes of UTIs

Though bacterial infections are the most common cause, viral or fungal infections might occur in some cases as well. Most UTI in infants are caused by structural abnormalities of urinary tract. Uncircumcised male infants or children with poor toilet habits, or female children with poor toilet hygiene are susceptible to this disease. Children suffering from a weak immune system might also be at a risk.

Symptoms and signs

Symptoms of UTI are very difficult to differentiate from any other illness in small kids under 2 years of age, symptoms include high fever, diarrhea vomiting, and dehydration. Basically any fever for which no cause is apparent must be evaluated for UTI. UTIs in older children beyond 5 years of age come with different signs including pain during urinating (dysuria), frequent urination, abnormal urge for urination, or bedwetting. Sometimes, fever, abdominal pain, blood in urine or vomiting might be signs as well.

Which doctor to consult?

In most cases, UTIs in children are treated by pediatricians, but if kidney function is troubled then a pediatric nephrologist needs to be contacted immediately. Pediatric Nephrologist to be consulted once the fever is over to look for cause of UTI.

  1. Tests carried out: To understand the underlying cause of the infection and any anatomical or functional risk factors, several examinations or tests are carried out. Vital signs like blood pressure, body temperature, and breathing rate are checked. The abdomen is palpated to find tenderness near the kidneys. Genital areas are also examined for signs of trauma, redness, discharge and such. Urine cultures are essential for diagnosing UTIs finally and this helps in assessing the antibiotic sensitivity profile too.
  2. Good to know: Right after an antibiotic is administered, UTI in children starts getting resolved. But recurrent UTIs might lead to urinary tract abnormalities like kidney malformation. Also note that UTI is not contagious, and cannot be passed on if children share a bath or if you sit on an infected toilet seat.

Treatment

In most cases, UTIs respond well to oral antibiotics, though Pyelonephritis may require hospitalization and intravenous drip. Some studies are also carried out to check if the child is susceptible to renal scarring or kidney failure. These are as below:

  1. Renal ultrasound: Defines the location of the kidneys and their size and shape clearly.
  2. Voiding cysto-urethrogram: The bladder is filled with a dye through a catheter in this method. Then the catheter is removed to study if the bladder is getting emptied without any reflux or obstruction.
  3. Renal scan: To test the functioning of the kidneys and the risk of renal scarring, a bit of radioactive material is used.
  4. Intravenous pyelogram: Though rarely used, in this method, a dye is injected into the bloodstream and X-ray images are obtained.

Prevention

  1. Maintaining proper hygiene: Girls should wipe from front to back and uncircumcised boys should be able to gently retract the foreskin to reveal the urethral opening.
  2. Complete voiding of bladder: Encourage kids to urinate every two to three hours, since they often ignore a full bladder to carry on playing.
  3. Consumption of fluids: Drink plenty of fluids and avoid constipation. If you wish to discuss about any specific problem, you can consult a Pediatrician.
3749 people found this helpful

What should be the appropriate time to consult a doctor if the condition of yeast infection happens to occur.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
What should be the appropriate time to consult a doctor if the condition of yeast infection happens to occur.
It should be as early as you suspect it. Else it might spread and cause problems. Doctor should also look into the cause of it apart from only treatment so that future recurrence can be avoided.
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Depression In Children - Causes And Symptoms

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Depression In Children - Causes And Symptoms

Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:

  1. Social withdrawal
  2. Irritability
  3. Feeling of worthlessness
  4. Difficulty in concentrating
  5. Reduced ability to function during events
  6. Continuous feelings of sadness
  7. Physical complaints

Causes:

  1. Depression in children can be caused due to the combination of a multitude of reasons.
  2. Children from a family history of depression are more likely to be suffering from depression.
  3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
  4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
  5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

Treatment:

The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a Pediatrician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy or medication. In some instances, a child suffering from depression may be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to. Some of the signs are mentioned below:

  1. Changes in eating, sleeping or activities
  2. Isolating oneself even from family
  3. Talking of suicide, feeling helpless or hopeless
  4. Increased risk taking behavior
  5. Substance abuse
  6. Giving away possessions

Psychotherapy or antidepressant medication use is usually depending on the predominant symptoms and the severity of depression. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy. We must understand that depression is just another disease with is treatable like any other illness so do not hesitate in seeking professional help. If you wish to discuss about any specific problem, you can consult a Pediatrician.

3914 people found this helpful

Blood In Urine In Kids - Know The Reasons Behind It!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Blood In Urine In Kids - Know The Reasons Behind It!

The kidneys are the main excretory organs and remove all toxins and wastes from the body in a liquid medium, the urine. The urine is normally straw coloured as there are filters which do not allow blood to enter the kidneys. However, due to various reasons, when there is a disease in the urinary tract, red blood cells can escape into the urine. The urine then assumes a pinkish tinge; the exact colour would depend on the amount of blood leaked. While the thought of pinkish urine is scary, it becomes a bigger concern when seen in children. Read on to know a little more about the types, causes, and ways to manage this condition. 

Types: 

  1. Microscopic: When there is blood visible only through a microscope. This is quite common in children, and unless there is no accompanying kidney disease, it does not pose a problem when found occasionally. 
  2. Gross: It is when the color of the urine changes to a pinkish tinge. This is of concern and requires immediate attention. 

Causes:

There are various reasons and some of them are listed below 

  1. Inherited causes: Conditions like sickle cell disease, polycystic kidney diseaseKidney stones and inherited nephritis. 
  2. Structural causes: Cysts in the kidneys can cause hematuria 
  3. Trauma: An injury (to the abdominal area) during sports should be ruled out, which could have damaged the problem 
  4. Infections: Infections along the entire urinary tract right from glomerulonephritis to kidneys to bladder can cause blood in the urine
  5. Imbalances in minerals: High levels of serum calcium, which puts them at a higher risk of developing kidney stones later. Dietary calcium should be reduced. These children also could have a history of stones in the family. 
  6. Idiopathic: When the cause of the hematuria is not known, it is termed idiopathic. 

Associated issues/Diagnosis: 

Hematuria is an indication or a symptom of an underlying medical condition (be it infection or trauma) and the underlying cause always needs complete evaluation. Accompanying symptoms can help narrow down the diagnosis. If any inherited cause is suspected, presence of hematuria should always be assessed in parents and grandparents. 

  1. Check for history of trauma 
  2. Known prior kidney disease 

Symptoms of infection 

  1. Family medical history 
  2. Urine tests to analyse its composition 
  3. Urine culture, MRI, CT scanning, or biopsy may be required in more serious cases. 

When to worry? 

  1. Associated proteinuria 
  2. Microscopic hematuria which is persistent 
  3. Kids with high blood pressure 
  4. Kids with other existing kidney diseases 

Management: 

In most cases, no specific treatment for hematuria is required as the condition subsides after the underlying problem is addressed. For instance, once the infection clears, the hematuria also clears. Follow-up urine tests may be required to confirm that it is cleared. Blood in urine must always be evaluated by pediatric nephrologist as its causes range from very mild disease to rapidly evolving kidney failure, which may occur over days to weeks. If you wish to discuss about any specific problem, you can consult a pediatrician.

3640 people found this helpful

Kidney Disease in Childhood

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
  • Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions.
  • Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences, or may go away completely once the underlying cause has been treated.
  • Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time.

Kidney disease in children can be caused by

A health care provider diagnoses kidney disease in children by completing a physical exam, asking for a medical history, and reviewing signs and symptoms. To confirm diagnosis, the health care provider may order one or more of the following tests:

  • urine tests
  • blood test
  • imaging studies
  • kidney biopsy

Treatment for kidney disease in children depends on the cause of the illness.

  • Children with a kidney disease that is causing high blood pressure may need to take medications to lower their blood pressure. Improving blood pressure can significantly slow the progression of kidney disease. As kidney function declines, children may need treatment for anemia and growth failure.
  • Children with kidney disease that leads to kidney failure must receive treatment to replace the work the kidneys do. The two types of treatment are dialysis and transplantation.
  • For children with CKD, learning about nutrition is vital because their diet can affect how well their kidneys work. Parents or guardians should always consult with their child’s health care team before making any dietary changes.

 

What are the Symptoms Associated with Pediatric Kidney Disease?

Kidney disease often goes undetected in the general population, but children and adolescents are at an even greater risk due to the nature of the causes of the diseases and the ambiguity of the symptoms. 

Children might not be aware of some of the changes that are impacting their body and will not always let their parents know of potential issues. 

Common symptoms for children are:

  • Swelling (even mild) of the hands and feet and/or puffiness around the eyes caused by excess fluid build-up, to the point where the child’s ability to move around normally is compromised
  • After initial swelling, socks or a belt can leave an indentation in the skin that will persist
  • Lack of or decrease in appetite.
  • In children with ESRD it is especially important to keep their appetite up because transplant eligibility is based partially on growth.   
  • Decreased or increased frequency of urination. Children who can normally use the toilet without assistance may suddenly begin to wet the bed at night
  • Long-lasting changes in the color of the urine such as unusually dark or red, which can indicate blood, and changes in appearance of urine such as extra foam that can indicate protein
  • Headaches resulting from high blood pressure 
  • Flu-like Symptoms such as nausea, vomiting, weakness, fatigue, loss of appetite
  • Stunted or poor growth as compared to similar age group peers
  • Difficulty concentrating and poor school performance

Another potential indicator of pediatric kidney disease is family history of kidney disease. Genetic related disease is much more common in children than in adults. If there is family history, it is a good idea to get a check-up. 

In parents that are pregnant with a child with polycystic kidney disease a common symptom is decreased amniotic fluid. 

Looking at the list of common symptoms it is easy to see how CKD can go undiagnosed.  As a parent or caregiver, it is important to have conversations with your children to understand the severity and duration of the symptoms and follow up with pediatric nephrologist

Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

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