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Dr. Ashok Tuli

MBBS, Diploma in Child Health (DCH)

Pediatrician, New Delhi

31 Years Experience  ·  400 at clinic
Dr. Ashok Tuli MBBS, Diploma in Child Health (DCH) Pediatrician, New Delhi
31 Years Experience  ·  400 at clinic
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I’m a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care. Doctor is an active member of Indian Medical Association (......more
I’m a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care. Doctor is an active member of Indian Medical Association (IMA), Indian Academy of Paediatrics (IAP), Indian Academy of Paediatrics (IAP)
More about Dr. Ashok Tuli
Dr. Ashok Tuli is a trusted Pediatrician in Karol Bagh, Delhi. He has been a practicing Pediatrician for 31 years. He has completed MBBS, Diploma in Child Health (DCH) . He is currently practising at Dr Tuli's Clinic in Karol Bagh, Delhi. You can book an instant appointment online with Dr. Ashok Tuli on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 43 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.

Info

Specialty
Education
MBBS - Mahadevappa Rampure Medical College, Gulbarga - 1986
Diploma in Child Health (DCH) - Mahadevappa Rampure Medical College, Gulbarga - 1988
Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)
Indian Academy of Paediatrics (IAP)
Indian Academy of Paediatrics (IAP)

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Gali No-19 3767, Reghar Pura, Karol BaghNew Delhi Get Directions
400 at clinic
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My son is 5 year old. In his chest x-ray report it is given that hilar shadows prominent right side and in blood test report mch- 23.2 and mcv- 74.5. Please tell me what is the problem.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Hilar opacities can be normal. His much is on the lower side indicating mild anemia. Supplement iron in case of other symptoms discuss in private.
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I have baby on Jan 1, his age is 2 & half months. After delivery I have my periods on Feb 14. In this month till I don't have periods. Am also having thyroid and pcod. Now am also feeding my baby. How I can regulate my periods.

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
I have baby on Jan 1, his age is 2 & half months. After delivery I have my periods on Feb 14. In this month till I do...
For a while forget about regular periods during breast feeding. Take thyroid pills regularly and get thyroid profile checked every6 weeks. You can go for contraception with depo provera injection in lactation but regular periods will still not happen.
2 people found this helpful
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My daughter is 12 years old. Height is 5'5&weight 50 kg. She is very lazy. N still she is bed wet.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
If she had been dry for 2-3 years after age of 3 years, take it easy and don't make her conscious or scold her. Get her urinated before retiring at about 10 O' clock. Otherwise get her properly checked.
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How to take care of a just born baby? What should be given instead of milk to a 5 years baby?

C.S.C, D.C.H, M.B.B.S
General Physician,
How to take care of a just born baby? What should be given instead of milk to a 5 years baby?
Just newborn need to be kept warm and breastfeed given. For five year old all home made food can be given.
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My grandson, aged 2 years and 3 months now is struggling to speak except for words like Papa, Bike, Car, Horse. He is not speaking words with'M' including Mama. What should we do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My grandson, aged 2 years and 3 months now is struggling to speak except for words like Papa, Bike, Car, Horse. He is...
Children at that age usually make sentences of 2 to3 words. Slight variation is normal. You can teach him to use m.
1 person found this helpful
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Mentally Retarded Children - How Homeopathy Can Help?

Diploma in Diet and Nutrition, PG HOM (London), CCH, CGO, BHMS
Homeopath, Mumbai
Mentally Retarded Children - How Homeopathy Can Help?

If your child is suffering from mental retardation, homeopathy can help. A system of complementary medicine, homeopathy works on the dictum of ‘like treats like’. It is able to treat some of the toughest disorders and illnesses that allopathy finds hard to contain.

Mental retardation: Definition

  • Mental retardation is a blanket term for a pattern of persistently slow learning of basic motor and language milestones during childhood.
  • The adult manifests a below-normal intellectual capacity too.Such people have an intelligence quotient (IQ) of 70 or below.
  • They usually have developmental disabilities, developmental delay, or learning difficulties.

Signs

These signs should alert parents and spur them to see a doctor-

  1. If your child learns to sit up, to crawl, or to walk later than other children
  2. Trouble speaking and forming words, remembering things, and having trouble understanding social rules
  3. Trouble solving problems
  4. Trouble thinking logically

What needs to be made clear is that poor academic performance by itself is not a sign of mental retardation. It can be due to multifarious reasons like behaviour problems.

Causes of mental retardation

  1. Down syndrome and Fragile X syndrome are the most common genetic causes of mental retardation.
  2. Problems during pregnancy and birth
  3. Rubella infection in pregnant mother
  4. Iodine deficiency in mothers
  5. Malnutrition is a common cause of reduced intelligence in children.

Here are some homoeopathic remedies for the treatment of mental retardation. All you have to keep in mind is to treat this article as a guide and take medicines only under the guidance of a certified and trained homeopath.

  1. Abrotanum: This remedy works when your child shows marked emaciation of legs, has ageing, flabby, and loose skin, and he cannot hold up his head.
  2. Baryta carb: This homeopathy remedy is very effective in treating cretinism which is marked by a dwarfish appearance, mental retardation, with swollen abdomen, puffy face, enlarged glands, thick lips and short stature. Such children also show delayed milestones like learning to walk and speak.
  3. Calcarea carb: When your child presents symptoms like obesity, a chalky look with red face, large belly, large head, pale skin, soft bones, increased sweating, mental slowness, de¬layed skills-walking, talking, etc., this remedy is indicated.
  4. Medorrinum: The remedy is prescribed by homeopaths when your child presents symptoms like dullness and sluggishness, extreme forgetfulness, imbecility, impatience, irritability, difficulty in concentration etc. The remedy is very good for treating delusions, hallucinations, and illusions.

There are other things that you as a parent can do to help your intellectually disabled child like learn everything you can about intellectual disabilities. This way you can guide your child to live a near-normal life successfully. Also get your child involved in group activities like art classes, drawing etc. This will help him learn social skills and become more independent. If you wish to discuss about any specific problem, you can consult a Homeopath.

3063 people found this helpful

My Baby is 4 years of age having rickets evidence shown. What next steps taken. Would my baby do not walk properly in future?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My Baby is 4 years of age having rickets evidence shown. What next steps taken. Would my baby do not walk properly in...
Anyway, If it is nutritional rickets, give him supplement Calcium 500 to 600 mg daily n Vitamine D 600000 units once in a week for 5 weeks, whole body sun exposure for 1/2 to 1 hour besides good ca rich diet like milk n its product dal soya etc. Baby shall start walking. Please consult pediatrician too to ascertain reason. Still if you have any query, you may contact me through Lybrate.
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Hello doctor. My daughter is 2 month old. She is very crying. And not sleep well in night. What the reason? How to stop crying? Pls tell me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctor. My daughter is 2 month old. She is very crying. And not sleep well in night. What the reason? How to st...
Common cause 1. Hungry baby 2. Wet n discomfort particularly in night. Look for. Burping after feed reduces discomfort due to abdominal distension.
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7 Tips to Safeguard Your Hearing

DNB (ENT), MBBS
ENT Specialist, Bangalore
7 Tips to Safeguard Your Hearing

Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age and the other is when the inner ear's hair cells break down and do not pick up sound well.

Here are 7 ways to safeguard your hearing:

  1. Try to avoid loud places: It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.
  2. Buy low noise rating equipment: The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.
  3. Wear hearing protection at loud places: However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.
  4. Avoid smoke: Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking. 
  5. Remove earwax properly: Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.
  6. Avoid medications which reduce hearing: Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.
  7. Get your hearing tested: Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.

Related Tip: "What Causes Hearing Loss? + How to Ensure You Can Help It as You Age"

4020 people found this helpful

Hi, My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body which are increasing day by day. Please suggest the line of treatment. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body whi...
Neurofibromatosis type 1 (NF1), also called von Recklinghausen's disease, is a rare genetic disorder characterized by the development of multiple noncancerous (benign) tumors of nerves and skin (neurofibromas) and areas of abnormally decreased or increased coloration (hypo- or hyperpigmentation) of the skin. Areas of abnormal pigmentation typically include pale tan or light brown discolorations (cafe-au-lait spots) on the skin of the trunk and other regions as well as freckling, particularly under the arms (axillary) and in the groin (inguinal) area. Such abnormalities of skin pigmentation are often evident by one year of age and tend to increase in size and number over time. At birth or early childhood, affected individuals may have relatively large benign tumors that consist of bundles of nerves (plexiform neurofibromas). Individuals with NF1 may also develop benign tumor-like nodules of the colored regions of the eyes (Lisch nodules) or tumors of the optic nerves (second cranial nerves), which transmit nerve impulses from the innermost, nerve-rich membrane of the eyes (retinas) to the brain. People with neurofibromatosis type 1 may undergo surgery to remove particularly troublesome tumors. Physical therapy may be beneficial for some people. A variety of orthopedic devices may help to improve mobility in some cases. Other treatment is symptomatic and supportive. Genetic counseling will be of benefit for people with neurofibromatosis type 1 and their families.
1 person found this helpful
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My two month old baby is unable to latch all of a sudden. I am applying nip care ointment but of no vain. How can I breastfeed her without this inverted nipple issue.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
My two month old baby is unable to latch all of a sudden. I am applying nip care ointment but of no vain. How can I b...
Take breast pump and express your milk and fed him by this expressed milk. It can be stored in room temp for 6 to 8 hrs in this prevailing temp. Also get your breast check with some mammologist or obstetrician.
1 person found this helpful
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Bed Wetting in Children - Homeopathic Ways To Treat It!

BHMS
Homeopath, Ludhiana
Bed Wetting in Children - Homeopathic Ways To Treat It!

Bed Wetting is a phenomenon in which a child urinates, involuntarily, on bed when fast asleep at night.

A. The Secret Problem

A child gains bladder control at night, but it varies with age. After attaining the age of five, 15% of the children continue bed wetting and after the age of 10, only 5% are found to be still bed wetting. The incidences of bed wetting in boys are twice as compared to girls. Bed wetting can often lead to extreme embarrassment and social awkwardness for the parents. For parents to deal with such inevitable child problems, they must know the causes that lead to bed wetting.

B. The Bedwetting Gene

Your own DNA may be the chief contributor to your child’s bed wetting; research states that in 75 percent of the cases, this problem is found to be hereditary. However, parents should deal with this problem with sensibility and sensitivity, so as not to alienate their children in any way.

C. Causes

  1. Delayed Bladder Maturation: In such cases, the communication between the bladder and the brain is delayed.
  2. Lower Anti-Diuretic Hormone (ADH): Inadequate secretion of such hormones causes the kidneys to produce lesser urine during the day, thus increasing chances of bed wetting at night.
  3. Deep Sleeping: With deep sleeping, the brain fails to get the signal that the bladder may be full.
  4. Constipation: With constipation, the problem is that there may be uncontrolled contraction of bladder due to the bowels being full all the time.

When is it a concern?

There is nothing wrong with bedwetting during childhood, especially when the child is less than 2 years of age. However, it might be a concern if the child happens to gain bladder control at night but the condition relapses. Also, if psychological stress happens to be at the root of the child’s bedwetting, it could be considered to be a cause for concern.

Homeopathic treatment for bedwetting in children

Homeopathy is a very effective natural treatment for enuresis. The homeopathic remedies for bedwetting are perfectly safe. These natural homeopathic remedies do not have any side effects at all. Safety of the medicines is a major issue when you are to give any medicine to your child. Therefore it is of utmost importance that the medicines should be completely safe. Homeopathic remedies are known to be perfectly safe and have been tried by millions of patients all over the world over the last 2 centuries.

5 Best Homeopathic medicines for bedwetting in children

Homeopathy has been found to be very successful in treating bedwetting. The aim of Homeopathy is to strengthen the nervous system of the body. This allows the child to gain control over the urinary bladder. The same child who had been urinating in the bed for years is able to keep the bed dry within a matter of a couple of weeks. Homeopathy offers the best way of treating bedwetting. The embarrassment of the child as well as the parents vanishes quickly like magic. Here are the 5 best homeopathic medicines for bedwetting that help in working this magic-

  1. Causticum
  2. Kreosote
  3. Cina
  4. Acid Phos
  5. Equisetum

It is important to mention here that the above mentioned 5 best homeopathic medicines for bedwetting are by no means the only medicines for bedwetting. There are many other medicines that are also used to cure enuresis. The exact selection of the right medicine depends upon the detailed symptoms of each individual patient. So, it always recommended to consult a specialized homeopath before going for any medication.

Quick tips

  1. Ensure that your child urinates right before hitting the bed.
  2. Limit your child’s fluid intake after having a thorough discussion with the doctor.
  3. Set an alarm for the child to wake up and go to the toilet in the middle of the night.
  4. Bladder stretching exercises increase the bladder’s capacity and thus the quantum of urine that can be held by the child’s bladder.
  5. Medications, as would be prescribed by a pediatrician.
  6. Use a plastic sheet over the bed.
  7. And finally, don’t panic. Usually, the problem resolves on its own.
3368 people found this helpful

My 2 months baby is vomiting immediately after feeding. Please give me some solution.

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My 2 months baby is vomiting immediately after feeding. Please give me some solution.
Usually blood supply of the head is more than rest of the body. Generally infants do feel a abit warm on their head. If he is active, grwoing, nothing to worry about.
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

My son 10 months old having cold since 10 days could you please suggest remedy to get the relief from cold.

Pediatrician, Indore
My son  10 months old having cold since 10 days could you please suggest remedy to get the relief from cold.
Best remedy is saline nasal drops to be put in nose every two hours and plain water steam inhalation 3-4 times a day for 15-20 min.
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My daughter is two years old. She is now 10.5 kg. She is very fussy for any kind of food. Her hands, feet and head always remain hot .plz advice.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is two years old. She is now 10.5 kg. She is very fussy for any kind of food. Her hands, feet and head al...
food refusal by children is a very common complaint and you have lovingly tell her to eat and give her food that she likes
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My grand daughter 4 years old female baby affected by sight not clearance. While we check ,doctor told the sight is slowly vanishing. She also affected by heavy head ache. Please advise .

BHMS
Homeopath, Raebareli
My grand daughter 4 years old female baby affected by sight not clearance. While we check ,doctor told the sight is s...
Please do a mri brain and send it to me. Also send the optometry report. Also give her a glass of milk daily. Let me know if there is a genetically predisposition for her complaints.
1 person found this helpful
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