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Dr. Bharatwaj

Pediatrician, Delhi

350 at clinic
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Dr. Bharatwaj Pediatrician, Delhi
350 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Bharatwaj
Dr. Bharatwaj is an experienced Pediatrician in Ashok Vihar, Delhi. You can visit him/her at Vidya Charitable Hospital in Ashok Vihar, Delhi. Save your time and book an appointment online with Dr. Bharatwaj on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 32 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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Hindi

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Vidya Charitable Hospital

Y 46, Landmark: Near, Central Market, Ashok Vihar, DelhiDelhi Get Directions
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Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain weight. Note:we are frequent telling from Chennai to Bangalore is that also a reason for her poor growth?

DHMS (Hons.)
Homeopath, Patna
Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain wei...
hello, lybrate user, it might be a fact as frequent movement of yours might cause irregularity of feeding to your baby resulting malnutrition to your baby. ensure,her feeding timely to gain weight , please. Tk. care
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Sir/mam, what in homeopathy can I give to my son as nutritional supplements on daily or weekly basis to develop my child s healthy both physically and mentally.

BHMS
Homeopath, Sindhudurg
Message me constitution of your child. Homeopathy is probably the mildest and safest form of treatment available.
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Is My Child Short?

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
Is My Child Short?

Growth is the most important aspect of childhood, one that distinguishes children from adults. Growth is affected by a number of diseases and growth failure is often the first sign of a serious disease. Unfortunately children with growth failure present very late when no help is possible. 

Why to worry?

Growth is the best marker of health and growth failure may be caused by a seious disease. Moreover children with short stature have lower self esteem. 

When to worry? 

Plot the height of your child in the growth chart and if it is below the lower limit visit a doctor. Alternatively if your child's height is less than the formula (Height = Age in years x 6 + 77 cm) it may be a cause of concern. Growth stops at the age of 14 years in girls and 16 years in boys. Hence the child should be reviewed latest by 10 years for girls and 12 years for boys. 

What causes growth failure? 

Growth failure can be due to a number of causes including poor nutrition, lack of physical activities and low genetic potential with parents being short. Short stature can also be caused by a number of diseases like thyroid problems, growth hormone deifiency and celiac disease (wheat allergy). 

How can I improve my child's growth?

Please encourage your child to play for atleast 1 hour a day. It is important to restrict screen time including television, computer, tablets and mobiles to less than an hour. Increased protein and calcium intake with more milk, pulses and vegetables also helps in improving growth. Growth hormone is produced during sleep. Sleeping for at least eight hours a day is therefore essential for a child to achieve good growth. 

What can be done if my child is very short? 

Please consut a doctor to identify the cause of short stature. Most conditions are readily treatable. Children with growth hormone deficiency respond dramatically to growth hormone. Growth hormone is also being used now in children with turner syndrome, familial short staure, small size at birth and kidney disease

If you wish to discuss about any specific problem, you can consult a Endocrinologist.

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My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes in left lobe of thyroid. Features suggesting colloid nodule.

MS - ENT
ENT Specialist, Bangalore
My daughter, age 7 yrs, shows multiple bilateral neck lymphadenopathy (Reactive) and small nodule with cystic changes...
I hope all the investigations are done and diagnosis is proved. Thyroid swelling in children are uncommon and needs to be properly evaluated. Reactive lymphadenopathy if not responding to antibiotics I suggest you to get a repeat fnac of thyroid and lymph nodes.
2 people found this helpful
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My 3 year old is sick with a temperature of 100 Degrees she can not keep anything down including Liquids. What should I do?

MBBS, MD
Pediatrician, Gurgaon
My 3 year old is sick with a temperature of 100
Degrees she can not keep anything down including
Liquids. What should...
Try with paracetamol syrup 125mg|5ml one spoon six hrly and vomikind for vomiting. If both these help symptoms will go down by next two days don't forget to give ors watet by spoon.
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How to handling my child in health and food and all kind of life and tell me how to take care my wife health after born baby.

C.S.C, D.C.H, M.B.B.S
General Physician,
How to handling my child in health and food and all kind of life and tell me how to take care my wife health after bo...
YOu need to have told the age of the child and you can give all home made food and allow children to play and be active . Mother also need good food and take care to avoid obesity
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Hi my 17 months old son fell on floor and his head struck on edge of chair. Immediately I noticed a bump on his forehead and also there was a vertical blue line in the middle of bump. He cried for few minutes. After that he was busy with his toys. He did’t vomited or anything. Now after 4 days there is still swelling on that area but lesser than before and that area is soft. He did’t feel any pain on touching it. Is this swelling normal or I should go to doctor.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my 17 months old son fell on floor and his head struck on edge of chair. Immediately I noticed a bump on his foreh...
Hello, Thanks for the query. Since there has been no other problem after the fall like projectile vomiting or persistent pain etc, there is no reason to worry. The swelling will remain for a few days. It will slowly go away. Thanks.
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I had 6 month baby & from last two -three days he is having watery stools. We are giving him cefixime & vizylac drops. Kindly suggest what to do.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Dont worry take ars. Alb 200 dose/per stool stop feeding also watch for dehydration. U can try above homeopathic medicine.
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She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she know that she is getting better. She had period of 5 days last month. please tell me the all symptoms of getting better.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she...
Her symptoms will improve slowly over 3 months, her menstrual cycle will be regular when she is on pills.
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Not eating well, and always drinking soft drink everyday causes eating disorder right? Then eating disorder leads to hormonal balance. Which causes breast tenderness, nausea, abdominal pain, dizziness (sometimes) hungry or craving, unable to breath properly, irritated, depression, urinating frequently w/ small amounts, skips menstrual period, bloated tummy, cannot sleep well, always farted gas out and suddenly just feel cold? Right? Plsss help. Just type in YES OR NO and a explanation! pls.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Not eating well, and always drinking soft drink everyday causes eating disorder right? Then eating disorder leads to ...
You have narrated yourself cause of your problems. It is because of not eating any thing nutritious diet. To eat well, 1st and most important is to stop drinking soft drinks which kills appetite. Once you stop it, I am sure you shall like eating. To start, eat what you like made in home and if you like sweetened cold to drink, take milk shake once or twice in a day. Increase diet gradually.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MRCPCH, MBBS
Pediatrician, Gurgaon
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
Main concern apart from mild fever is not tolerating anything by mouth. Do consider any medicine for probable nausea or reflux and see your paediatrician to advice some medicine for the same as dehydration is a big risk. Tc.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
-----------------------------------------------------------------------------------------------------
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
4 people found this helpful

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Newborns, with their soft and sensitive skin, are highly prone to a wide variety of rashes. The rashes often look alarming and are a major source of anxiety for parents. The good news is that the vast majority of rashes are self-limiting in nature and settle spontaneously on their own. However, some forms of rashes need medical attention.
1 person found this helpful

5 Best Homeopathic Medicines For Bedwetting In Children!

B.H.M.S., P.G.Diploma in Maternal & Child Healthcare, Advance Paediatric
Homeopath,
5 Best Homeopathic Medicines For Bedwetting In Children!

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. ConstipationWith 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 magicHere 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.

Is your child suffering with ADHD?

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Attention deficit hyperactivity disorder (ADHD) is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it. Kids with attention deficit hyperactivity disorder (adhd act without thinking, are hyperactive, and have trouble focusing. Of course, all kids (especially younger ones) act this way at times, particularly when they're anxious or excited. But the difference with attention deficit hyperactivity disorder (ADHD is that symptoms are present over a longer period of time. They impair a child's ability to function socially, academically, and at home. Three primary characteristics of Attention deficit hyperactivity disorder (ADHD The three primary characteristics of Attention deficit hyperactivity disorder (ADHD are inattention, hyperactivity, and impulsivity. The signs and symptoms a child with attention deficit disorder has depends on which characteristics predominate.

Children with Attention deficit hyperactivity disorder (ADHD may be:
Inattentive, but not hyperactive or impulsive.
Hyperactive and impulsive, but able to pay attention.
Inattentive, hyperactive, and impulsive (the most common form of
Attention deficit hyperactivity disorder (ADHD . Children who only have inattentive symptoms of Attention deficit hyperactivity disorder (ADHD are often overlooked, since they’re not disruptive. However, the symptoms of inattention have consequences: getting in hot water with parents and teachers for not following directions; underperforming in school; or clashing with other kids over not playing by the rules.
CLASSIFICATION OF ADHD
Inattentive signs and symptoms of ADHD
It is not the children with ADHD which can’t pay attention: when they’re doing things they enjoy or hearing about topics in which they’re interested, they have no trouble focusing and staying on task. But when the task is repetitive or boring, they quickly tune out. Staying on track is another common problem. Children with ADHD often bounce from task to task without completing any of them, or skip necessary steps in procedures. Organizing their school work and their time is harder for them than it is for most children. Kids with ADHD also have trouble concentrating if there are things going on around them; they usually need a calm, quiet environment in order to stay focused.

Symptoms of inattention in children:
Doesn’t pay attention to details
Makes careless mistakes
Has trouble staying focused; is easily distracted
Appears not to listen when spoken to
Has difficulty remembering things and following instructions
Has trouble staying organized, planning ahead, and finishing projects
Gets bored with a task before it’s completed
Frequently loses or misplaces homework, books, toys, or other items
Hyperactive signs and symptoms of ADHD
The most obvious sign of ADHD is hyperactivity. While many children are naturally quite active, kids with hyperactive symptoms of attention deficit disorder are always moving. They may try to do several things at once, bouncing around from one activity to the next. Even when forced to sit still which can be very difficult for them their foot is tapping, their leg is shaking, or their fingers are drumming. Symptoms of hyperactivity in children:
Constantly fidgets and squirms
Often leaves his or her seat in situations where sitting quietly is expected
Moves around constantly, often runs or climbs inappropriately
Talks excessively
Has difficulty playing quietly or relaxing
Is always “on the go,” as if driven by a motor
May have a quick temper or a “short fuse”
Impulsive signs and symptoms of ADHD
The impulsivity of children with ADHD can cause problems with self-control. Because they censor themselves less than other kids do, they’ll interrupt conversations, invade other people’s space, ask irrelevant questions in class, make tactless observations, and ask overly personal questions. Instructions like “Be patient” and “Just wait a little while” are twice as hard for children with ADHD to follow as they are for other youngsters. Children with impulsive signs and symptoms of ADHD also tend to be moody and to overreact emotionally. As a result, others may start to view the child as disrespectful, weird, or needy. Symptoms of impulsivity in children:
Acts without thinking
Blurts out answers in class without waiting to be called on or hear the whole question
Can’t wait for his or her turn in line or in games
Says the wrong thing at the wrong time
Often interrupts others
Intrudes on other people’s conversations or games
Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums
Guesses, rather than taking time to solve a problem
Medical causes of ADHD
The specific causes of ADHD are not known. There are, however, a number of factors that may contribute to, or exacerbate ADHD. They include genetics, diet and the social and physical environments.

Genetics Twin studies indicate that the disorder is highly heritable and that genetics are a factor in about 75 percent of all cases. Researchers believe that a large majority of ADHD cases arise from a combination of various genes, many of which affect dopamine transporters.

Environmental Twin studies to date have suggested that approximately 9 to 20 percent of the variance in hyperactive-impulsive-inattentive behavior or ADHD symptoms can be attributed to nonshared environmental (nongenetic) factors. Environmental factors implicated include alcohol and tobacco smoke exposure during pregnancy and environmental exposure to lead in very early life.

Complications during pregnancy and birth Complications during pregnancy and birth, including premature birth, might also play a role. ADHD patients have been observed to have higher than average rates of head injuries. Infections during pregnancy, at birth, and in early childhood are linked to an increased risk of developing ADHD. and streptococcal bacterial infection.

Insecticides The organophosphate insecticide chlorpyrifos, which is used on some fruits and vegetables, with delays in learning rates, reduced physical coordination, and behavioral problems in children, especially ADHD..

Social The World Health Organisation states that the diagnosis of ADHD can represent family dysfunction or inadequacies in the educational system rather than individual psychopathology. Other researchers believe that relationships with caregivers have a profound effect on attentional and self-regulatory abilities.

HOMOEOPATHIC APPROACH
Homeopathic treatment of ADHD is constitutional taking a more holistic look at the individual. Every disease is considered as a Mind-Body process where your personality traits are as important as your physical symptoms thus taking into account diet, lifestyle, personality, surroundings and emotional factors. Natural remedies are used to successfully treat the symptoms, helping the person to heal and to reach a state of balance and health. The natural approach is also safe with no side effects. This is very important, especially in the case of children, because of the frequent side effects of prescription drugs and the risk of addiction. Homeopathy offers a wider range of options that conventional medicine. Some of commonly used homoeopathic medicines are Baryta carb, baryta iodatum, calc phos, strammonium, nux vomica, cannabis indicus, carcinosin etc should be taken under strict medical supervision.
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Sir mere ladke ki umr 25 Day apni ma ka milk nhi leta vo use nind jyada krta hai our jibha bhar rheti hai please help.

MBBS,DCH(Pediatrics),MIAP, Former Specialist @Narayana Hrudayalaya Hospital
Pediatrician, Pali
Sir mere ladke  ki umr 25 Day apni ma ka milk nhi leta vo use nind jyada krta hai our jibha bhar rheti hai please help.
Mother milk is the best feed for the babies. Infants use to sleep most of the time in day and night. So just try breast feeding every 2 or 3 hourly. Not to worry.
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My twin sons born on 11-08-2015. Three vaccination 6, 10 &14 weeks injected on tamil nadu primary health centre. Any extra vaccination must injects? Pls. Given details.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My twin sons born on 11-08-2015. Three vaccination 6, 10 &14 weeks injected on tamil nadu primary health centre. Any ...
Different, repeat and booster vaccination are done up to the age of 12 years. You must have been given vaccination card from phc in which chart of vaccine's name and date is mentioned. Other wise your pediatrician can provide it.
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Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier. Is pcv vaccine for the infants is compulsory?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier...
Every vaccine is compulsory if it is providing protection to your child. This vaccine prevents child from 3 dreadful diseases like pneumonia; meningitis; otitis media and sepsis. If affortability is not the criteria you go for this vaccination either of the 2 vaccinations as my colleague has mentioned.
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Sir, I have tb and after that I got pain in stomach due to gas retention. What that could be?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Sir, I have tb and after that I got pain in stomach due to gas retention. What that could be?
If you have been diagnosed abdominal tuberculosis take complete course of att as per direction of physician.
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I am 21 years old. I have 6 months baby. I give breast milk. Minimum and maximum How many years I have to give breast milk? Please tell me.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
I am 21 years old. I have 6 months baby. I give breast milk. Minimum and maximum How many years I have to give breast...
You can breast feed your child as long as possible,but addition of top feed liquids,semisolids & solids is very important for normal growth of child. We recommond weaning at 6 moths of age.If child is eating sufficient,breast feeding can be continued.Usually most children leave breast feed after 2 years of age switching to top feed only.
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