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Dr. Ayush Manchanda

Pediatrician, Delhi

550 at clinic
Dr. Ayush Manchanda Pediatrician, Delhi
550 at clinic
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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. Ayush Manchanda
Dr. Ayush Manchanda is one of the best Pediatricians in Tis hazari, Delhi. You can meet Dr. Ayush Manchanda personally at St Stephens Hospital in Tis hazari, Delhi. Save your time and book an appointment online with Dr. Ayush Manchanda on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 41 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, Landmark: Near by Tis Hazari Court, DelhiDelhi Get Directions
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My son is 1 year old. He has cough problem. He regularly vomits after food feeding. Always Sticky cough comes out thru omit. Sometime has running nose problem can I try for Homeopathic medicines for this?

BHMS
Homeopath, Ghaziabad
My son is 1 year old. He has cough problem. He regularly vomits after food feeding. Always Sticky cough comes out thr...
Yes definitely you should try homoeopathic treatment for this. That will b mild on child and he will not suffer during treatment. If you want to consult contact me.
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My son age about 3 years 6 months. He frequently suffered with cold, fever, cough, stomach infection. When his in one year old he suffered with high fever with fits. Every 2 or 3 months he suffered with fever, stomach infection, cough. Doctor prescribed so many medicines. Please tell me what is his problem? I can not understand what is his problem. Why frequently his health condition disturbing?

MBBS, DNB (Pediatrics), Fellowship in Pediatric Critical Care (IAP)
Pediatrician, Barmer
Your child is perfectly normal. If child is having recurrent infection that means problem is in hygiene. Tell me wash hands with soap before taking food. Use filtered or boiled water. Bath regularly. Keep distennce from any one who is suffering from cough or cold.
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Health Quote of the Week

BDS, PG Diploma In Clinical Cosmetology (PGDCC)
Dentist, Kanpur
Health Quote of the Week

Choose a toothpaste with fluoride as it helps strengthen tooth enamel.

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How to Prevent Your Child from Developing Type 2 Diabetes?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
How to Prevent Your Child from Developing Type 2 Diabetes?

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity - Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child - Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.

3. Adopting proper eating habits - It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.

'Consult'.

Related Tip: 11 Good Shortcuts Towards Avoiding Diabetes Complications

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My son is 4 and 1/2 years old. His hemoglobin level is 3.5. As per the direction of local doctor he has admitted in hospital and 2 units of blood transfused to him on 2 days one unit each. Now the hgb level increased to 7. Indication of peripheral smear test showing the impression to go for bone marrow aspiration test. Can you tel me what are the diseases related to this? and how much cost for bone marrow aspiration test?

MD - Paediatrics
Pediatrician, Mumbai
Blood transfusion is not permanent solution. Why hb dropd to 3.5 this must be evaluated? what was peripheral smear suggeative of? what is cbc report? you have to consult good pediatrician having good pathologist also. Don't delay.
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Hi my one year and one month old daughter is having some serious rashes on and around her urinal parts. Please suggest some precautions or Medicare.

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Hi my one year and one month old daughter is having some serious rashes on and around her urinal parts. Please sugges...
Hello, rash around the perineal parts are usually due to excessive wearing of diapers with inadequate exposure to air and drying. My advice would be to keep the local area open, minimal use of diapers and local application of emolient like coconut oil will help. If still no improvement show to nearest paediatrician and also check for UTI.
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Hi doc, my son is 1 year 4 months old. My question is regarding avg sleep hours for this age babies. He hardly sleeps 9 hours in night and in between also wakes up in crying mood. Can you please give me some info on this so that I can come over my worry?

Pediatrician, Pune
Dont worry sleep peacefully and let your child also sleep comfortably, avg sleep varies from person to person and even in same person in different times of the year, trying to make any changes in the natural sleep hours causes further problems, but see that the child sleeps in quite dark room with minimal disturbance, mostly at the same time of night ~ 9- 10 pm, please do not keep tv in the bedroom, an undisturbed good sleep is the best tonic for the bay for good growth and keeping him / her happy
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My baby is 1.6 years old and have one week of fever. Our local Dr. prescribed the medicines like calpol 120/5 mg and and anti biotic but the fever persist so moved to our pediatrics he prescribed to test the blood count and the result everything is normal and wbc is increased to 11600. And given medicine mefenamic acid for fever. I started the course today night. My question is what is my baby problem. How long it take to cure. Suppose the fever does not cure what will be the next thing that I have to do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 1.6 years old and have one week of fever. Our local Dr. prescribed the medicines like calpol 120/5 mg and ...
Fever is a symptom not disease. Fever for more than week require proper examination and investigation. With wbc count, its differential count is equally important. Get his urine r/e too. It is nice that pediatrician is looking after your baby.
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My 21 months daughter had constipation problem from past 1 year, she used to pass the motion for every 4 to 5 days, is there any solution for this?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My 21 months daughter had constipation problem from past 1 year, she used to pass the motion for every 4 to 5 days, i...
CONSTIPATION:is due to an incorrect lifestyle and irregular eating patterns, not taking enough fluids,sedentary lifestyle.Foods that are heavy and difficult to digest, as well as oily, spicy, fried, and junk foods are the culprits. Eating food in a disturbed atmosphere or in front of the television and being awake late at night all lead to bowel disturbance. Psychological factors like stress, anxiety, fear, jealousy, and sorrow also play an important role. DIET & LIFESTYLE ADVICE: Increase intake of fiber, especially fruits and cooked vegetables. An Apple or Pineapple/Pomegranate each day is helpful. Drink 7-8 glasses of lukewarm water each day. Take daily morning and evening walks for at least 20-30 minutes each. Eat whole grains /nuts/sprouts/daliya and Muesli in breakfast Avoid removing bran from the flour because it clears the intestines Avoid refined foods like white flour, bread, pasta, pizza, white rice,or high protein foods like cheese,meat and cold foods like ice cream or chilled drinks Take meals in a relaxed and calm atmosphere. The food should be warm and freshly -prepared, as cold food slows the digestive power. Take 30 ml/6 tsp of syp Duphalac thrice daily after meals with lukewarm water. Soak 3-4 dried figs after washing them overnight in water. Eat them first thing in the morning,
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I am a student and my age is17 but my body doesn't look like as 17 .I am so weak what can I have to do for a healthy body please suggest me.

MBBS, MD
Pediatrician, Gurgaon
Take home made food chapati, dal rice and green veg. Ihope you are not diabetic. Oars in food snacks is good food.
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Dear sir/madam. May I know what is" coarctation of aorta" moderate LV dysfunction" mild MR' OS ASD with left to right shunt" mild PHT. Please reply anyone. My 3 months baby having the problem. What the remedy or solution of this problem?

MD
Pediatrician, Indore
Dear sir/madam. May I know what is" coarctation of aorta" moderate LV dysfunction" mild MR' OS ASD with left  to righ...
There is constriction of aorta. This lead to hypoperfusion as it is present with asd symptoms are less. If symptomatic then repair[surgery] has to be done.
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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

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I am adopting a child that also new born baby how to take care ?

MD - Paediatrics, MBBS
Pediatrician,
I am adopting a child that also new born baby how to take care ?
Feeding with artificial milk like nan pro 1 regular immunisation keeping the baby warm proper burping daily bathing.
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How to Deal With Trauma in Your Child's Life?

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist, Noida
How to Deal With Trauma in Your Child's Life?

From terrorism to natural disasters, there are a number of traumatic events that constantly hurl themselves at us. Given the amount of stress it causes an adult, imagine how a child can process this information. Often traumatic events that occur in childhood can trigger phobias and anxiety disorders that last a lifetime if not dealt correctly.

Each child responds to trauma in a different way depending on the circumstances and their age and personality. What is common is that all children turn towards their parents and teachers for support in these situations. Hence, it is important to understand how to help your child deal with traumatic events.

Here are a few steps you should follow:

  1. Provide comfort: The first thing to do in a traumatic event is to reassure and comfort the child. Reinforce your child's sense of security by following a normal schedule and maintaining regular eating and sleeping habits. Encourage your child to talk and ask questions and discuss the situation with them in a way appropriate to your child's age and concerns.
  2. Accept their needs: Children show the need for reassurance in different ways. For some, it may be the need for extra physical contact in the form of hugs while for others it may be ensuring that their favourite teddy bear is with them constantly. Be patient with children and indulge their needs in such situations.
  3. Limit the amount of information available: Media often magnifies a traumatic event making it all the more difficult for a child to apprehend. Children can often be mislead or frustrated by media coverage of a traumatic event. Thus, it is a good idea to limit the use of television, radios and internet. As far as possible do not let your child watch the news alone.
  4. Stay in touch: If your child goes to school, his or her teacher is the parent figure at school. Stay connected with your child's teachers and the other adults in their life to monitor changes in behavioral patterns.
  5. Create distractions: If left alone with nothing to do, a child's mind will dwell on the trauma. Encourage them to find a hobby to cope with the negative emotions. Music and art are two good outlets for stress. You could also play board games, read or play outdoors to distract them.
  6. Get professional help: Sometimes you may need help to deal with a traumatic event in your child's life. If your child shows signs of behavioral changes, academic problems, emotional outbursts, anxiety, depression, insomnia or social withdrawal; you should consult a professional counselor.
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Are there any long-term effects associated with taking adhd (attention deficit hyperactivity disorder) medications? if so, what are they and what medications are implicated?

C.S.C, D.C.H, M.B.B.S
General Physician,
No to control adhd symptoms you must take medicines. If you can tell me privately what medicines you are taking I can help with specific advice.
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My 6 month old received 1st dose of pcv and hib y'day. Now he has developed skin rashes in hos legs and hands as well. There is, no fever or any other noticeable changes. Is this allergic reaction to the vaccine? Does this require medical attention?

MBBS, MD
Pediatrician, Gurgaon
My 6 month old received 1st dose of pcv and hib y'day. Now he has developed skin rashes in hos legs and hands as well...
No, it's mild allergic reaction, it will go away in three days time. Need no medical checkup. Thanks.
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Good Afternoon sir. My son is 5 year old. He has only one white hair which is very thin and short. What might be the reason sir? Is there any problem? Any problem in future? Pls suggest me any solution to this problem.

MD - Paediatrics
Pediatrician, Kolkata
Good Afternoon sir. My son is 5 year old. He has only one white hair which is very thin and short. What might be the ...
Premature greying is most commonly  due to genetic ,nutritional factors. Focus on a balanced diet rich in proteins, fruits and green veggies. Often deficiency  of Iodine, vitamin  B12 ,iron may be causing such problems.  Tests CBC, FT4/TSH Serum Vitamin D3 level /Vitamin  B12 levels.
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I have a small baby of 5 months. She is suffering from cold. What is the remedy. Please tel me.

MBBS, MD
Pediatrician, Gurgaon
I have a small baby of 5 months. She is suffering from cold. What is the remedy. Please tel me.
Simple cold need not be treated. It will subside. Otherwise also it runs for three days. Their is no trt for cold. Just treat symptoms for headache, running nose.
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