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Dr. Avinash Kulkarni

Pediatrician, Delhi

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Dr. Avinash Kulkarni Pediatrician, Delhi
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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. Avinash Kulkarni
Dr. Avinash Kulkarni is a popular Pediatrician in Paschim Vihar, Delhi. You can consult Dr. Avinash Kulkarni at Kulkarni Pediatric Care in Paschim Vihar, Delhi. Book an appointment online with Dr. Avinash Kulkarni 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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Kulkarni Pediatric Care

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Importance on Breast Feeding

Diploma in Venerology & Dermatology (DVD)
Dermatologist,
Importance on Breast Feeding
As we are entering the era of modernization many women are avoiding breastfeeding in false notion that it disrupts their image but one thing I wanna to tell you is that breast cancer and uterus cancer can be reduced by breast feeding and it helps to loose fat. For kids it protects against cold and diarrhea thus reducing neonatal death. So join hands in reducing neonatal deaths and improving health standards.
119 people found this helpful

Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

3 people found this helpful

Respiratory Disease

MBBS, DNB - Pulmonary Medicine, Allergy & Sleep Disorders
Pulmonologist, Noida
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Hello and a very good day for all the Lybrate users, I am Dr Shobhit Bansal. I am chest physician, which are also called as pulmonologist that means I take care of your respiratory tract along with the diseases related to the respiratory tract, we also look after sleep and energy disorders. So what I am dealing or talking today is the 6 Cardinal symptoms of the respiratory system, 6 Cardinal diseases, symptoms of the respiratory diseases and it is not so that these Cardinal symptoms are present single. These can overlap and one should, whenever, any of these Cardinal symptoms are present or an overlap between these Cardinal symptoms is present. Then one should always consult a pulmonologist. Since these Cardinal symptoms reflect some or other form of the disease which is taking place in your respiratory system. Since we are dealing in the respiratory system, first, I would like to tell you a little bit about our respiratory system, it is divided into two parts the upper airways and the lower airways. The upper airway or the upper part of the respiratory system starts from the tip of the nose and it goes until the larynx, whereas the lower part of the respected that starts from the larynx and it goes until the lungs. All these symptoms which are basically these 6 Cardinal symptoms of the respective track, could either be because of the abnormality in the upper airway or they could be present because of the abnormality in the lower airways. So what are these 6 Cardinal symptoms for which you should always approach a pulmonologist which is a chest physician? No. 1 is a cough, cough yaani ki khansi aana. Now we all know and we also on the television also and even big-big celebrities these days tell you about a cough and if the duration of a cough is more than 15 days or so, then you should always visit a doctor. Now, but we should always know that what all could be the causes of a cough or is this cough really serious. A cough can arise from the upper airway or it can arise from the lower airway, if it arises from the upper airway, it could be the rhinitis, it could be the sinusitis, and it could be the Bronchitis or pharyngitis or laryngitis. But if it arises from the lower Railway then mostly there is pneumonia, tuberculosis, lower respiratory tract infection or some other form of diseases including interstitial lung diseases likewise. So and the next the cough could either be with the sputum production or it could be dry. When should we go to a doctor, now if somebody is having cough and he is taking warm water to drink taking, warm gargles, taking up a little bit of cough suppressant and if a cough does not go even after 3 days then it is always better to approach a doctor, by because they could be causes which could be a little serious maybe there is some underline pneumonia or there could be some sinusitis which needs to be treated. So always keep in mind that if a cough is more than 3 days and it is having sputum production or if it is not going, despite taking mild medications one or saline gargle, warm water to drink, steam inhalation, that means the home based remedies. If a cough is not going then one should definitely approach justification, this is the first cardinal symptom. The second cardinal symptom is the sputum production, yaani ki bulgum aana, what happens is whenever person develops cough, there is some underline disease and then along with the cough, the person also develops sputum, yaani ki bulgum aata hai. Production of sputum itself is not a serious disease, but if the sputum is foul smelly, if it is excessive in production or if it is a discoloured one that was in there it is yellow colour or with a rusty tinge or with a reddish view, then one should always consult pulmonologist. What are the causes of sputum production, first in the foremost causes the pneumonia then it could either be bacterial pneumonia or it could be tubercular pneumonia. The Other causes of sputum production include malignancy chronic bronchitis and so forth. So we are done with the two another third cardinal symptom of the respiratory tract is hemotypsis, hemoptysis means coming out of blood from the respiratory tract, yaani ki khansi mein se khoon aana. Any form of blood coming out from the respiratory tract is always a serious condition and one should always consult a pulmonologist. You may get a chest x ray done, you may get some basic other investigations done to rule out few conditions which might produce blood from the sputum and what are those conditions, either it could be tuberculosis, either could be trauma to the chest or it could malignancy. But there could be other causes as well. So any amount of blood even it is 1 ml if it is coming out of the airways one should always set pulmonologist. The fourth condition which requires immediate intervention, immediate attention is shortness of breath. If the person is feeling short of breath, that means normally we breath, we do not feel as if you are breathing. But when a person is short of breath, he feels difficulty while breathing. It is a sort of laboured breathing, saans lene mein dikkat hoti hai. So there are many conditions causing difficulty in breathing, either it could be cardiac or it could be respiratory. As a pulmonary physician, we mainly work on respiratory conditions which include chronic obstructive pulmonary disease, asthma, interstitial lung diseases, pulmonary edema and sometimes pneumonia can also cause shortness of breath. Any form of shortness of breath, which occurs when a person to do any exertional activity any of the exertional activity and if you are feeling short of breath saans foolti hai thoda bhi kaam karne se, jo pehle se jayada hai then one should always approach chest physician or a pulmonologist. The fourth cardinal symptoms is production of wheez, wheez is whistling sensation from the respiratory tract message, saans mein se seetion jaisi aawaz aana jisko hum weez kehte hain. Most of the physicians and pulmonologist feel that if person wheezes it is asthma, but there could be other condition also in which a person may produce weez, which includes interstitial lung diseases and other obstructive airway diseases like foreign body or tumor in the respiratory tract. So if a person is having weez and is facing difficulty breathing, one should always approach a pulmonologist. The fifth condition which requires immediate intervention or is one of the Cardinal symptom is the chest pain, chest pain should always be taken seriously. Why a chest pain should be taken seriously because there are many conditions causing chest pain, but two types of chest pain need to be seriously taken. One which is a retrosternal that means is present in the middle of the chest and giving you are sharp stabbing feeling. Acute piercing pain hai, agar bahut joro se pain hai chati mein, so that could be of cardiology, you should always visit a cardiologist. But if it is aching pain, dard ho raha hai, side mein ho raha hai, mehsoos ho raha hai bhri-bhri pan halka-halka dard, it is a chest pain of pulmonology, one should always visit a pulmonologist. What are the conditions causing chest pain of pulmonaryology, it is pneumonia, tuberculosis, melingnancy, pural infision and there a lot of conditions causing chest pain of pulmonaryology. So we have talked about all these kind and symptoms of the respiratory tract, hope you people got aware with this and would definitely like to visit a pulmonologist. You can also consult me, I am a chest physician again and I sit in the Dipakshi hospital which is located in Sector 33 Noida. I am usually present from 6 pm till 9 P.M daily and Sundays morning 9 a.m. till 2 p.m.

Thank you for watching, hope you people got further aware with the respiratory conditions.

 

2710 people found this helpful

I have twine premature baby girls. On their born their weight are of 1.2 kg and 1.5 kg. They become 1.5 years now and their weight is 9.6 kg and 11 kg How can I increase their weight.? They often catch cough and cold.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
I think your babies are fatty, please get their lengths measured and plot on growth chart. Please dont over feed them. Give them proper food and less of bottle feed..Proper food, plenty of fruits and stop bottle to prevent cold.
2 people found this helpful
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MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Allow your children to play outdoors for a healthy development. Being protective is good but being over protective is not.
3 people found this helpful

My baby is 3.5 month old. His appetite is very less and his weight was 4.9 at 3 month, can I give him liv 52 to increase his appetite? He is not taking proper milk and he is on exclusive bf. I am already giving him calcium, vitamin D and iron drops. So please suggest.

M.D.( Pediatrics), DCH
Pediatrician,
My baby is 3.5 month old. His appetite is very less and his weight was 4.9 at 3 month, can I give him liv 52 to incre...
Congratulations. Hold on to the faith in breastfeeding, you really don't need anything else. 4.9 kg weight at 3.5 months is good weight gain with exclusive breastfeeding. Baby will need only iron and vitamin D 3 daily supplements and after six months weaning with regular home food in addition to breasfeeding. You can fight your worries if you can plot growth of the baby on IAP growth chart. If it is within normal limits you have no reason to worry. By the way appetizers at all ages are no more than a placebo. Treat the child if ill. Be happy and enjoy together (with all family) healthy meals prepared at home. This is the best ever appetizer we need.
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My baby is 1 year 4 month he don't eat so please suggest which type of food i should give or what I do for him ?

DMB
Pediatrician, Chennai
Your baby should be eating food you prepare for the whole family. Give a list of things he eats in one day and I can make suggestions for change. Also let us know the weight of the baby.
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Sir my baby is born 4 months ago with cleft lip and palate kindly advice me best doctor in Hyderabad for treatment thanks.

MBBS, MS - General Surgery, MCh - Pediatric Surgery
Pediatric Surgeon, Jaipur
Sir my baby is born 4 months ago with cleft lip and palate kindly advice me best doctor in Hyderabad for treatment th...
Nilofer hospital. Plasic surgeon will treat it or find out smile train program where free of cost operation being done.in jaipur this facility is available.
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My son is 3.5 months old and has a lot of gas in stomach. I want to know that I am breastfeeding and is this problem is due to my diet . Is the health of baby depends on the diet of mother. Kindly suggest me proper diet so that gas will not pass from me to the baby stomach.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
My son is 3.5 months old and has a lot of gas in stomach. I want to know that I am breastfeeding and is this problem ...
Take light meals and use best qualit for baby give her nepali harar (or pahari harar). Its big size haritaki. Rub on sila with few drops of water and let the child lick. Child may not like taste but you may mix with honey too.
1 person found this helpful
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I have just delivered a baby 8 days back I have started breastfeeding her but I have cracked and bleeding nipples. They are very painful also. Kindly help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine-------- acid nitricum 30 (dr reckeweg) drink 5 drops in 1 spoon fresh water 3 times daily petroleum ointment (sbl) apply locally twice daily report after 15 days.
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