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Dr. AnjaliA Kulkarni

Pediatrician, Delhi

Dr. AnjaliA Kulkarni Pediatrician, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. AnjaliA Kulkarni
Dr. AnjaliA Kulkarni is a renowned Pediatrician in Mathura Road, Delhi. You can consult Dr. AnjaliA Kulkarni at Dr. AnjaliA Kulkarni in Mathura Road, Delhi. Book an appointment online with Dr. AnjaliA Kulkarni on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 37 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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Nursing Bottle Caries- Causes and Management

Certified Implantologist, Aesthetic , BDS
Dentist, Gurgaon
Nursing Bottle Caries- Causes and Management

Nursing improperly often becomes a big reason for tooth decay and caries in babies. The way out is to get the baby tooth cared for from the very first day. This form of tooth decay is associated with nursing, when the baby sucks the pacifier, or takes other sugary juices or drinks, or formula milk from a nursing bottle.

The main causes of nursing bottle caries:
The babies are often fed in nursing bottles or feeding bottles, and the bottle nipple often stays in the mouth for long; sometimes overnight also if not taken care of. Again, the babies are pacified with pacifiers, which are often dipped in honey or a sugar solution, and this again brings in more reasons for dental caries. In any of the situations described, the baby's newly formed teeth which are susceptible to all forms of decay and damages while being gentle and new can get cavities. The sugary liquids and milk can form a coating on the teeth which brings in cavities.

How to prevent the nursing caries:
The best option to prevent is not to leave the baby with the bottle or pacifier for long. Again, the pacifier or the bottle should be always washed properly, sterilized and not left in the mouth of the baby uncared, especially during sleep time, when the baby sleeps while sucking onto them.

There are some steps to follow to prevent the early tooth decay and maintain baby dental hygiene. They are:

1. Even before the first tooth comes out, massage and clean the baby's gums with a clean washcloth or soft cotton everyday, and after every long feeding.

2. You don't need toothpaste to start brushing the first few new teeth that come out. Just brush without a toothpaste and use a very soft gentle brush to form the habit. In areas where no tooth has come up, brush and massage the gums only.

  • When all the teeth have come up, start flossing everyday
  • Try to take the baby for a dental checkup at least every year if not every six months.
  • Try to cut down on the consumption of extra sweet beverages. Add some water to the fruit juice to dilute the concentration and sweetness.

All these steps mentioned are great to start healthy and good dental care and hygiene, and if you follow them well, then dental caries will be away.

4365 people found this helpful

My son is 4 months old. He is taking formula milk from day one. He has a habit of vomiting whenever he takes milk. Offlate the vomiting has increased and on some days he literally vomits everything which he takes in. His weight acc to Doc is okay. He sometimes feels relieved after he vomits. he vomits both milk and curd. Pls advice.

MBBS, MS, MCh
Pediatrician, Navi Mumbai
Vomiting in babies is commonly due to gastric reflux (GERD). You need to consult your doctor and watch for his weight, gr8een or yellow (bile stained) vomiting and respiratory infections ie cough. The reflux usually subsides as babies start assuming erect posture and diet changes to a more solid form.
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She is of 4 month and she was fair when she born but now she is not fair her colour have been changed due to changing of place . So what to do to bring the fairness of baby.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Chandigarh
She is of 4 month and she was fair when she born but now she is not fair her colour have been changed due to changing...
She is too young to worry for all these amd as the child grows there will be change in colour so stop worrying. Also avoid mustard oil as it causes darknes of skin.
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My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic powder on it which contains (neomycin, bacitracin and sulphacetamide. And what is the procedure to apply?

Postgraduate Programme in Pediatric Nutrition, Diploma in Pediatric Emergency Medicine, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Bangalore
My new born baby girl is 8 days old. Her naval has a ambical cord which bleed minutely. Can I use mbsporin antibiotic...
Umbilical cord separates at 1 week of age. It is quite normal to notice some discharge for 1-2 days after this. It will dry and stop with normal cleansing. You can wipe with warm water and clean cloth. If it persists after 2 days, it might indicate umbilical granuloma which is scar tissue. Antibiotic powder and ointment is not necessary.
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My daughter who is 2 years and 8 months is suffering from boiled watery pimples which r getting burst n becoming black again new r starting, she is also feelings itching. She had the same problem earlier also twice I had given her azithromycin 200 on doctors prescription, so now also from 3 days I have been going the same syrup but she is not recovering pls suggest what to do.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My daughter who is 2 years and 8 months is suffering from boiled watery pimples which r getting burst n becoming blac...
Don't give azithromycin. It could be skin allergy. Avoid cold drinks, check any thing new eaten, drank, applied, wore. Apply any calamine lotion, avoid trauma. If persist then see a skin specialist.
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My baby is 5 months 20 days old, I want to start solid to her. I want to know how much I should give her in a day at particular time.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby is 5 months 20 days old, I want to start solid to her. I want to know how much I should give her in a day at ...
Babies need complementary solid foods along with breastmilk after the age of six months. You can start by including curd, fruits like banana, mashed papaya, veggies like mashed potatoes. The food that you give to your baby should preferably be home cooked and should have a thick, soft consistency.
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My 7 year old son still bed wets 3 to 4 times at night. Even if he sleeps for 2 hours in the afternoon he bedwets. Wen he was few months old he had recurring episodes of UTI. A urologist did MCU and the report was normal. After the age of 1 he never had UTI. But bedwetting continues even in summers. Please advise He has hard and irregular motions as well!

BHMS, diploma in IACH
Homeopath, Jaipur
My 7 year old son still bed wets 3 to 4 times at night. Even if he sleeps for 2 hours in the afternoon he bedwets. We...
Hello. You must go through homeopathic remedy chamomilla 200 2 doses in a week at bed time. Also take mer sol 30 od for a week. Definitely you feel change in this problems. After 15 days reverts back.
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my cousin, he is 2 years old, he is having dry skin, his skin is very thin, has many scratches. His leg palms also got so many scratches. please suggest me suitable ointment for him.

Pediatrician, Kaithal
my cousin, he is 2 years old, he is having dry skin, his skin is very thin, has many scratches. His leg palms also go...
Apply skin moisturiser cream or ointment in adequate quantity. If it doesn't work, consult your doctor.
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
4 people found this helpful

Hi Doctor. I have 7 months old baby, for the past three days I have chickenpox symptoms (a small bubbles arises) please suggest me what your do. (since my baby is n breastfeeding)

MD - Homeopathy
Pediatrician, Mumbai
Hi Doctor. I have 7 months old baby, for the past three days I have chickenpox symptoms (a small bubbles arises) plea...
First confirm whether it is surely chicken pox. If it is, nothing to worry just take care of fever and cold chicken pox will run its course and fade away.
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My baby is 4 months old. My milk is not sufficient for my baby. Can you suggest me the food to increase the production of my milk.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is 4 months old. My milk is not sufficient for my baby. Can you suggest me the food to increase the productio...
food that increases breast milk supply is called as galactagogue. few effective food list is as follows :- dates : Oatmeal: Oats are easy to prepare as a meal. ... Salmon: .. .Spinach And Beet Leaves: .. .Carrots: . ..Fennel Seeds: . ..Fenugreek Seeds: .. .Bottle Gourd: ... Basil Leaves: kheer sattu modak etc
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30 month kid She does not eat any things. She always drinking milk. So help me how she start eat.

BHMS
Homeopath, Faridabad
30 month kid
She does not eat any things. She always drinking milk.
So help me how she start eat.
Hi, Most of the toddlers do behave in the same way, the wouldn't eat most of the healthy food articles. Don't get stressed out, relax. The first thing to do is to give de-worming medicine like in homoeopath Cina 200/ once at night for 10 days only and also give liver tonic and to boost up her appetite - Alfaalfa tonic Paediatrics/ 3 times a day daily for 4 weeks. Revert.
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My son age 6 years high fever for 2 days with shivering sometimes is in cefuroxime and paracetamol 5ml three times a day also has cough. My question is how long we have to give this medicine to him.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Most probably it's viral infection which usually lasts for 7-10 days. Fever may last for 3-5days. Give paracetamol 250mg whenever there is fever. Don't give cefuroxime.
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My son 5 years old. Nowadays he is urinate just a little drops and urinate frequently. In every 10 or 20 minutes. What to do?

C.S.C, D.C.H, M.B.B.S
General Physician,
First off all, check if urine goes out in good steam or his hole is narrow with the skin not pulling down. Then check his urine re and culture and send me the reports.
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My son is almost a yr old. Birthday on 6th may. He crawls and stands up holding something, but hasn' t started walking yet. Wat seems to be wrong?

Pediatrician, Pune
Nothing wrong, only god has not made everyone to be like tendulkar, there are some amir khans, some amitabh bacchans, some lata mangeshkars and many million unknown people, but they are not the same, some children walk early, some little late, if it is within the average normal range, we have just a habit to compare and needlessly worry.
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We are in singapore here where we are staying there is lots of ants and small insects. My 9 month old baby is having small red patches on his body. I don't understand whether it is chickenpox or because of any insects.

MD (Peditrics), MBBS
Pediatrician,
We are in singapore here where we are staying there is lots of ants and small insects. My 9 month old baby is having ...
In chicken pox there will be fever and red papules and fluid filled vesicles are seen. And new lesion will come for few days. If I can visualize lesion I can tell you for sure.
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My son is 56 days old almost 2 months, he having cough and cold ,can someone suggest some drops for him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 56 days old almost 2 months, he having cough and cold ,can someone suggest some drops for him.
Casual medicines for such young baby is not advisable. Consult pediatrician for appropriate medicine. U can instill saline nasal drop in each nostrils if nostrils are blocked.
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My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia . Her pediatrician suggested brain MRI as there may be problem with nerve and told that her legs are week. Please help us with your advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia ....
It is to be assessed whether baby is not able to stand due to delayed milestones or some other pathological reason. Child is already under care of pediatrician. Trust your pediatrician.
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Parents nowadays give young children coke or Pepsi to drink. I was shocked to see a mother giving coke in a feeding bottle to a baby. Can anybody please provide the harmful effects of these drinks so that people don't make these mistakes. Thanks.

MD - Paediatrics
Pediatrician, Mumbai
Parents nowadays give young children coke or Pepsi to drink. I was shocked to see a mother giving coke in a feeding b...
The more an infant drinks. The less the child will eat and in addition it may cause reduced intake o other normal diet causing malnutrition.
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My 4 year old daughter has suffered with severe chronic constipation since birth. When she was born she was admitted in the neonatal for 9 days due to abdominal distention, feed intolerance, suspected sepsis, vomiting bright green bile and Meconium Ileus. She did not pass her meconium for 33 hours and it was passed due to a paediatrician giving her a suppository. It's now getting worse as she is getting older. She suffers with abdominal distention, leakages, agonising pain, passing a lot of gas and cannot walk sometimes due to the pain. She has been on 5 different laxatives (lactulose, movicol, docusate, sodium picosulfate and sennakot) now of them have worked and she has also had 2 enemas that did not work also. She has had a biopsy done for Hirschsprung's disease and it came back normal and all her bloods are normal as well. She is missing a lot of school due to this and her doctors don't seem to think it's serious but after all the medication she's had I think differently. She used to pass a stool and get some relief for a few weeks now it's just days till the pain starts all over again like she isn't getting any relief at all anymore. It can be 3 weeks before she passes a stool. I've done some research and seen that meconium ileus can be related to cystic fibrosis and I've seen that you can have it in the digestive system also. Could this be a possibility for her?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 4 year old daughter has suffered with severe chronic constipation since birth. When she was born she was admitted ...
It is really strange for me to understand how she is tolerating absolute constipation for 3 weeks. It is advisable to get her thoroughly checked in good teaching institutions like AIIMS/PGI Chandigarh etc.
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