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Dr. Atul Kumar Mishra

Pediatrician, Delhi

550 at clinic
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Dr. Atul Kumar Mishra Pediatrician, Delhi
550 at clinic
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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.
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Dr. Atul Kumar Mishra is one of the best Pediatricians in Civil Lines, Delhi. You can consult Dr. Atul Kumar Mishra at St. Stephen�s Hospital in Civil Lines, Delhi. Book an appointment online with Dr. Atul Kumar Mishra and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 42 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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St. Stephen�s Hospital

St. Stephen's Hospital Marg Tis Hazari, Civil Lines, DelhiDelhi Get Directions
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St Stephens Hospital

St. Stephen's Hospital Landmark : Near kashmiri GateDelhi Get Directions
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What You Need to Know About Clubfoot?

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
What You Need to Know About Clubfoot?

What You Need to Know About Clubfoot?

clubfoot is a common condition where an infant is born with a foot that turns in

  • Clubfoot most often presents at birth.

  • Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.

  • Clubfoot is twice as common in boys.

  • Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.

  • Children with clubfoot should be able to take part in regular daily activities once the condition is treated.

What is clubfoot?

Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).

Idiopathic Clubfoot

Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.

Neurogenic Clubfoot

Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.

Syndromic Clubfoot

Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.

What are the signs and symptoms of clubfoot?

In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.

What are the risk factors of clubfoot?

  • Having a parent or sibling with clubfoot

  • Maternal smoking during pregnancy

  • Male

Clubfoot Diagnosis

Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.

Clubfoot Treatment

The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.

Ponseti Serial Casting

A supramalleolar orthosis with bar is used for bracing after an infant has completed casting treatment for clubfoot

The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.

Bracing for Clubfoot

While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.

Life after Treatment of Clubfoot

A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities. 

1 person found this helpful

My baby is 6 month old are mosquito stickers good to stick on baby clothes while taking him out for a walk in the evening. What should I do to keep him away from mosquito bites.

Pediatrician, Pune
Going for a walk would be a better option, mosquitoes bands / stickers in babies are difficult to monitor, you never know when they will put it in their mouth.
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Bedwetting In Children - Is There A Way Homeopathy Can Help?

BHMS
Homeopath, Navi Mumbai
Bedwetting In Children - Is There A Way Homeopathy Can Help?

Children may run around having fun and growing in the process. Some children may be more active than the others and some may be more attentive at school. All children go through some sort of trouble while growing up. This is because of the drastic changes that the bodies of little children constantly go through. One such problem commonly faced by the children is bedwetting. This problem may be a common one, but it should be brought under control as soon as possible so that the children do not have to face social embarrassment as they grow older.

Apart from providing a healthy and happy living to the children, it may be essential to find a way of treatment that may not leave the child affected by the harmful ingredients of the regular allopathic medication. One of the safest and the most effective ways to be able to treat bedwetting is homeopathy. Homeopathy is a branch of medicine and treatment that works on the body of the user with the most natural ways. The medicines in homeopathy are made using basic ingredients from plants and other organic materials.

Homeopathy for children:
The use of homeopathy for problems that affect the children in particular is essential because of the fact that they have growing systems and the growth may get adversely affect with the strong and highly potent allopathic drugs. It is also important to understand the nuances of controlling the bedwetting issue in children and also know what the causes of the problem may be:

  1. When the children are highly fatigued, they may wet the bed due to the deep sleep that they may be experiencing after a tiring time.
  2. In times of winter when the cold is uncontrollable or much more than usual, it may be natural for some children to not be able to control their bladder.
  3. In a lot of cases, the children may also wet the bed when they have had a scary or traumatic experience.

Just as the causes of the problem are varied, it must be realized that the medications are also supposed to be administered according to the issue.

Homepathic medication for betwetting
Homeopathy is a stream of medicine that treats the body in the most delicate manner, which is why it is a safe alternative for children. However, it must also be ensured that proper medical intervention is attained to start a course of homeopathic medication as well, so that bedwetting may be treated within a desired amount of time and the child may feel free from the embarrassment of wetting the bed.

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

5255 people found this helpful

My son aged 6 years old not talk with his friends & others as well as he feels very shy. He is not interested to play with friends. He only interested to watch cartoons in tv.Please suggest

MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Mumbai
Shyness is a personality character and is not necessarily a disease. Some are born shy, some are born extroverted, some are aggressive, some are calm. There is really no cure of shyness. But with time, things improve. You can try and cut his tv time and forcibly send him down to play. You can enroll him in classes which need him to interact with the teacher and others. And you just need for him to grow up and reach his own potential.
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I am blessed with a son of 3 months how to avoid his acute vomiting. Please advise.

MBBS DCH
Pediatrician, Gandhinagar
I am blessed with a son of 3 months how to avoid his acute vomiting. Please advise.
If your baby is active, gaining weight properly, don't worry about vomiting. It will not affect his growth.
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I have 23 days old daughter. She poops after every feed almost 12-15 times a day. Is it fine or shall we consult a doctor.

MBBS, MD - Paediatrics, DCH
Pediatrician, Bangalore
Dear, Don't worry. Your daughter is on only breast milk and frequent stool passage is normal at her age. Do burp her after every feed.Check her weight gain and if adequate just wait. Dr Srinathks
1 person found this helpful
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Hi my baby boy 9 month old he having acidity, too much, I am giving food suzi halwa, dalia, dahi, lassi, shakes, custard, allu, cerelac, daal, but I don't know how I give daily or weekly, even I need diet chart for 7 days, ND for acidity wat I do help me plss.

MD - Paediatrics
Pediatrician, Kolkata
Hi my baby boy 9 month old he having acidity, too much, I am giving food suzi halwa, dalia, dahi, lassi, shakes, cust...
Five food groups namely  cereals (like rice, wheat in any form, oats in any form ), pulses  (like any dal), vegetables, fruits and animal protein  (meat, fish, egg, milk in any form )should be present in adequate amount in the food of your baby. Basic principles of feeding are 1) it should be acceptable I. E. Kids should like eating it. 2) tolerable i.e. After  eating if baby develop abdominal distension,  vomiting, loose stool,  rash that means your baby can't tolerate the product.  3) appropriate consistency I. E. Porridge like with gradual change so that by the age of 2 normal adult foods can be given to the kids.  4) all the food groups should be present in the menu of whole day. Antacids and digestive enzymes can be given for acidity and digestive problem.
1 person found this helpful
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My son is 1 years 3 months old. His body weight is 9.5 kg .Please tell me dosage of walamycin suspension and for how many days it should be given.

M.D.( Pediatrics), DCH
Pediatrician,
My son is 1 years 3 months old. His body weight is 9.5 kg .Please tell me dosage of walamycin suspension and for how ...
Walamycin should not be used without prescription. Moreover it is not used in GI infections, as it has no role.
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My daughter is 4 months old. Last week gave vaccination to her. I checked the temperature today it's normal 98.4. But her head is hot why. Kindly advise. Pls.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 4 months old. Last week gave vaccination to her. I checked the temperature today it's normal 98.4. But...
Babies' head feel hotter as the normal body heat exchange takes place mainly through head as it has greater surface area.
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My baby is 10 months old. As I am a working lady, he was fed formula milk along with breast milk since birth. He started eating when he became 6 months old. Now he is on food and breast milk, formula milk is totally discontinued. Can I give him cow's milk now?

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
My baby is 10 months old. As I am a working lady, he was fed formula milk along with breast milk since birth. He star...
Hello lybrate-user, yes can give cow's milk because cow's milk is very light and easily digestible. But don' skip breast milk fully.
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