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Dr. Atul Agarwal

Pediatrician, Delhi

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Dr. Atul Agarwal Pediatrician, Delhi
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Atul Agarwal
Dr. Atul Agarwal is a trusted Pediatrician in Civil Lines, Delhi. You can meet Dr. Atul Agarwal personally at Sant Parmanand Hospital in Civil Lines, Delhi. Book an appointment online with Dr. Atul Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 29 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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English
Hindi

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Sant Parmanand Hospital

18, Opposite I P College, Shamnath Marg, Civil Lines, DelhiDelhi Get Directions
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Hi. My daughter is 4 month old but she is unable to respond to her neck? Means she can not straight her neck itself when her head is bended right or left.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi. My daughter is 4 month old but she is unable to respond to her neck? Means she can not straight her neck itself w...
Check if she raises her neck while laid down with face down, if she cant you need to consult a pediatrician.
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My baby girl is 19 days old. From five days she could not poop. Is it normal or I should consult with a pediatrician. Suggest some medicine.

B.Sc Biochemistry, P.G Diploma in Dietetics
Dietitian/Nutritionist, Navi Mumbai
My baby girl is 19 days old. From five days she could not poop. Is it normal or I should consult with a pediatrician....
It's normal for a baby not to poop for 7 days .But if she gets stomach pain or colic pains that's like she brings her legs again and again near her stomach, then you need to give gripe water or bonnisan but after consulting pediatrician. Make sure she is being breast fed. And mother is not having constipation.
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Causes, Symptoms And Treatment For Cyclic Vomiting Syndrome In Children

DNB
Pediatrician, Varanasi
Causes, Symptoms And Treatment For Cyclic Vomiting Syndrome In Children

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes:

There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms:

The syndrome (a group of symptoms) usually has 4 phases:

  1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.

  2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

  3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

  4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment:

Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

  1. If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.

  2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

  3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.

Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

2 people found this helpful

My baby is 20 days old after feeding her she do not burp what shall I do. I use to tap her bck also still she do not what shall I do becoz she feels vry uncmfrtbl.

MBBS,MD(PGI,Chandigarh)
Pediatrician, Kolkata
My baby is 20 days old after feeding her she do not burp what shall I do. I use to tap her bck also still she do not ...
If she do not burp, keep her erect for 15-20 mints. After that keep her in bed in one side and elevated head end.
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My 2 and half year child has reduced speaking, is afraid of many things, needs parent to be with him to be happy. Fond of toy cars and watching Laptop, mobile.

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
My 2 and half year child has reduced speaking, is afraid of many things, needs parent to be with him to be happy. Fon...
Insecurity in kids is very common. Spend quality time with him even if it's less in the busy schedule. Try to spend lesser time with gadgets. Kids do immitate what they see. Give some rewards for doing good work. And encourage the child.
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ADHD - Know Its Symptoms In Children And Teenagers!

M.A -Psychology, pgdg&pc
Psychologist, Kolkata
ADHD - Know Its Symptoms In Children And Teenagers!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 
  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 
  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 
  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 
  • depression 
  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 
  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 
  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 
  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 
  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 
  • continually starting new tasks before finishing old ones 
  • poor organisational skills 
  • inability to focus or prioritise 
  • continually losing or misplacing things 
  • forgetfulness 
  • restlessness and edginess 
  • difficulty keeping quiet and speaking out of turn 
  • blurting out responses and often interrupting others 
  • mood swings, irritability and a quick temper 
  • inability to deal with stress 
  • extreme impatience 
  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 
  • bipolar disordera condition that affects your moods, which can swing from one extreme to another 
  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2209 people found this helpful

Hi Sir, My child is 15 months age. Now he is suffering from coughing and wheezing problem. Asthma treatment like inhaler is using. My doubt is the home which I am staying is total 2 sides is bounded by Ashoka trees. Because of this did he get that health problem.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi Sir, My child is 15 months age. Now he is suffering from coughing and wheezing problem. Asthma treatment like inha...
Asthma is not caused by single factor .Most common allergen is house dust mite. You must try to avoid such. It you have doubt with that plant you can go for allergen testing.
1 person found this helpful
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My son is 3 and half years old. He is suffering from cough and cold for last few months. I am treated my child for allopathic and homeopathy doctor but he didn't recover. He is very week. He is very slim but active. Last summers he is suffering from typhoid. Please suggest the medicine pls.

BHMS
Homeopath, Ghaziabad
My son is 3 and half years old. He is suffering from cough and cold for last few months. I am treated my child for al...
Hello. Take homoeopath medicines -kof aid syrup (1/2 t spoon twice a day) and give full details like which type of cold and more information about child. Update me.
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Which which tests of a 5 months girl baby of approx 6+ kg weight must be done. Even if all the dose are given.

MBBS, MD
Pediatrician, Gurgaon
Which which tests of a 5 months girl baby of approx 6+ kg weight must be done. Even if all the dose are given.
Routinely no test is recommended. Only if child have any symptom or sign, basis of that test are done.
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Hello, I have a 20 days old baby girl, I had a normal delivery, I want to know about my diet. Which fruits can I eat that does not effect my baby's health. Is it true if I take cold items and baby gets cold. And if I drink cold water does that make my baby get cold? My baby is throwing out milk what is the reason?

MS - Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Varanasi
Hello, I have a 20 days old baby girl, I had a normal delivery, I want to know about my diet. Which fruits can I eat ...
No. Its a myth. You can take cold items as well. Take only fresh food. Balanced with protein, carb n fats. Lot of green veggies, fruits n guides in plenty.
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