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Dr. D K Guha

Pediatrician, Delhi

Dr. D K Guha 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. D K Guha
Dr. D K Guha is a trusted Pediatrician in Paschim Vihar, Delhi. You can meet Dr. D K Guha personally at Sri Balaji Action Medical Institute in Paschim Vihar, Delhi. Save your time and book an appointment online with Dr. D K Guha on Lybrate.com.

Lybrate.com has an excellent community of 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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Sri Balaji Action Medical Institute

#FC 34, A-4 Paschim Vihar EAST. Landmark:-Opposite Dda Sports Complex, DelhiDelhi Get Directions
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My son is of 4 year 6 months doing potty in clothes often may I know how to resolve the issue.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Potty training need to be practiced. Children often ignore urges in between Playing mind. Understand whether he knows the passing of stools. If so, no issues, as he grows it will be alright. Make him sit and try toilet before going out in the morning regularly. Few children respond well while reducing packet milk intake for few days.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

My son is weak but he is active age 7 years height 4 ft weight 19 kg, Pls suggest for him, now sometime he feels pain in stomach.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
it may be due to worms.give him cina200 in globule 4-6pills thrice daily in a week's for 3days . and CONSULT after taking medicine thanks
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My daughter is three years old. She is not eating food properly. Please provide some suggestion. Thanks.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
A fussy eater! a real problem for parents, well in this case --> you shall concentrate small elliquates frequent feeds which are calorie dense like kheer, raab, sheera, khichdi, egg white (boiled egg), brown bread with cheese slice and vegetables, ragi, soya milk and or soya chunks recipes etc etc.
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My son is 5 years old but his weight is just 13kg and height is also under average but he is very active pls suggest some veg diet or tonic.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Indian average weight at 5 years is 15 kgs. 80% and above is considered as normal. Nowadays we don't recommend children to have more weight as it may lead to long term complications like diabetes. Give him for worms and nutritious diet with good amount of proteins.
1 person found this helpful
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My 3 year old sis is sick with a temperature of 100 Degrees she can not keep anything down including Liquids. What should I do?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
You can use paracetamol suppository to bring down the temperature, but if she is not able to keep down even liquids, you need to take her to Dr. Asap to check whether she is dehydrated.
1 person found this helpful
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Baby is 8 mnths, I've started working past couple of weeks. Baby was exclusively on breast feeding for 6 months, now started with formula milk n rice with vegs smashed. Passes morning stools normal but sometimes in the day when I'm away at work passes loose stools is greenish in color, is it normal? Kindly help because I've been pressurised at home to stop breast feeding him. I want to continue feeding till he is 2 yrs.

M.D.( Pediatrics), DCH
Pediatrician,
I congratulate you for determination to feed your child on breast for 2 years. Yes you are cent percent right. So long as child is active, playful, passing frequent water like urine(not dark), and putting on weight, there is no reason to worry. Colour and consistency of stools can vary during early weaning period.
5 people found this helpful
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Hi Sir/mam, last 2 days my 3 month baby refused milk. Usually she drunk 3 oz but now She drinks 2 oz that also she refused .I will give force to give her that 2oz. Is it OK? Or any health problems? please tell me. She takes only formula milk.

C.S.C, D.C.H, M.B.B.S
General Physician,
If you are giving bottle feed you have to stop bottle and feed with spoon and breast feed. If she is refusing feed it may be a sign of some illness and you watch for it or you can ignore it.
1 person found this helpful
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Hello my daughter is one year old. She cant eat much more. I want to knew what type of food is good for her and how can I handle her so she can eat as per required amount. Please suggest me what can I do for her.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
Give her all types of non oily healthy food of her liking in small quantities but frequently. No junk.
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What are the sings and symptoms of Kawasaki's syndrome and which age group of people more likely to get disease and what is the treatment for Kawasaki's syndrome?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Less than 5 years high fever. Rash, lymph node enlargement, red tongue. Heart problems. Treatment is ivig.
1 person found this helpful
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Being a Strict Parent Can be Harmful for Your Kids - 7 Reasons Prove it

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
Being a Strict Parent Can be Harmful for Your Kids - 7 Reasons Prove it

You might think, as a parent, that if you behave strictly then your child will become well-behaved. But research and studies have shown that the opposite happens. Strict parenting leads to children who behave worse than others and they suffer from low self-esteem.

Some other reasons why being strict is harmful:

  1. Never learning self-regulation: Responsibility and self-discipline have to be learned by the children themselves. When you put harsh limits on them, they never learn self-regulation. If they think the limits don’t sound too harsh, they will learn to accept them. But the limits placed on them should never be controlling. If this happens, children see themselves as being controlled and no one enjoys being controlled.
  2. Instilling fear: If you are being authoritarian (parenting in which there are high demands and low sympathy) instead of empathetic, then your children will become scared of you. You are instilling the power of fear in them. This triggers a vicious chain of events. When you yell, they will yell as well.
  3. Anger and depression: Authoritarian parenting often leads to children believing a part of them is unacceptable. They feel that their parents would not understand. It makes them susceptible to anger management issues and depression.
  4. Blindly obeying those in power: Children raised up in strict households start thinking power is always right. They learn to obey blindly. This makes them vulnerable to peer pressure. They also never learn to take responsibility for their actions.
  5. Rebelling: Children tend to be angrier and become rebellious when they have strict parents. The need to break free and not conform to the non-empathetic limits that forces them to act out. They might even nurture thoughts about leaving home and running away.
  6. Lying: Strict parenting creates excellent liars. Children learn to lie when they are in trouble. They think lies will placate their parents and they can get away with anything.
  7. Damage to parent-child relationship: If you are strict and you don’t change your authoritarian ways, then it damages your relationship with your children. Natural empathy is lacking in strict parents. You don’t understand your child, and your child doesn’t feel like sharing their lives with you. It creates a divide between the parent and child. Children never quite get over this as they grow older. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2673 people found this helpful

M.D.( Pediatrics), DCH
Pediatrician,
Abstain your child from eating fast foods and snacks which have high amount of fat, sugar, salt and calories in them.

Senior Residency, MD - Paediatrics, MBBS
Pediatrician, Gurgaon
Give exclusively breast feed to your child till at least 6 months and take.
4 people found this helpful

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
A new born baby breathing in a fast or abnormal way is something unusual. In such a case, contact your pediatrician immediately.
1 person found this helpful

Respected sir/mam now my baby is 6 weeks old. Please tell me which vaccines are mandatory. And which are optional.

M.D.( Pediatrics), DCH
Pediatrician,
DPT /Hib /HepB /IPV..(some include rotateq first dose) Routinely given, you can give PCV in addition to the former. All these are to be given every month for three months. Optional is a misguided word. What it really means is, give it, if you can afford. All recommended vaccines are beneficial and are desirable but for affordability. (I use Rotarix at 10 & 14 wks instead of rotateq 6-10-14 wks. Both schedules are equally good)
4 people found this helpful
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Dear Sir or mam, Mera 2 months ka baby boy hai use last ek months se loose motion ki problem hai wo motion din me 6 se 7 baar krta hai motion small quantity me krta hai uski jabse uski mummy ko last month bwaseer ki problem thi uski medicine chal rhi thi jab se he baby ko problem aa rhi hai abhi khaafi dino se uski mummy ne medicine chod rakhi hai jab bhi baby ko problem hai wo motion ek baar me nhi krta baar baar thodi thodi krta hai. Please help.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear lybrate-user bahut achha laga ki ek papa ne question poochha hai. 6se 7 mahaine tak bachhe jitni baar dudh piyange utni baar motion karenge. Jo ki kuch patli hogi aur itni hi baar vo thori thori motion krenge. So nothing mch to worry ma feed dete rho dhire dhire normal routine ho jayegi. Kuch aur puchhana to likhna.
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Guidelines for Appropriate Complementary Feeding

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
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Here are some tips for an appropriate complementary feeding

3531 people found this helpful

My 2.5 month daughter is having dark green motion since one week. She is drinking Similac Advance 1 and partly on breast milk. Other than potty color, she has no other problem. Stool test results were normal. What can be done?

MRCPCH, MBBS
Pediatrician, Gurgaon
At this age babies stool colour sometimes vary but as long as no other concern and feeding well, we don't need to give medicine. Just monitor feeding and urine output and if fine then we can keep watch only. Take care.
2 people found this helpful
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