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Dr. Dinesh Agarwal

Pediatrician, Delhi

300 at clinic
Dr. Dinesh Agarwal Pediatrician, Delhi
300 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Dinesh Agarwal
Dr. Dinesh Agarwal is a renowned Pediatrician in Krishna Nagar, Delhi. You can consult Dr. Dinesh Agarwal at Khandelwal Hospital And Urology Center in Krishna Nagar, Delhi. Save your time and book an appointment online with Dr. Dinesh Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 38 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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B-16, Main Road, East Krishna Nagar. Landmark: Near Frat Cinema, DelhiDelhi Get Directions
300 at clinic
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My son is 5 years old. I think his urinal way is smaller than boys of similar ages. Will it be a problem in future.

BHMS
Homeopath, Faridabad
My son is 5 years old. I think his urinal way is smaller than boys of similar ages. Will it be a problem in future.
Hello, yes there may be any problem in future so that you should consult a doctor personally.take care.
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I am 17 yrs old and so weak and reason is nightfall. This sudden nightfall occurs and I came to know about this in next morning. My organ is also so weak and whole body is in pain feeling that nothing remains in the body. What to do? please help me!

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Don't feel guilty it is normal for this age. Be self confident, eat healthy do regular excercise, enjoy life.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
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I am 30 year old woman I hv 10 month son I breastfeed him daily bt when I feed him I have pain so what should I do?

MD - Paediatrics, Diploma in Child Health (DCH), Postgraduate Diploma in Adolescent Pediatrics
Pediatrician, Gurgaon
Please see a lactation consultant who can watch you feeding your baby and see what is not being done correctly.
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My son is suffering from loose motion for three weeks. Earlier also he used to have this problem. He is 13 years old and eats only homemade food. Yet he frequently affected by loose motion. Pl help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Loose motions for more than 2 weeks is not normal. Get stool examination for amoebiasis and giardiasis.
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Dear doctor, my daughter is 5 months old her weight is 7. 5 kgs - when she was born doctor has advised to give vitanova d3 - I seek you advice how long should it be continued? warm regards

C.S.C, D.C.H, M.B.B.S
General Physician,
Vitamin d (ergocalciferol-d2, cholecalciferol-d3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Having the right amount of vitamin d, calcium, and phosphorus is important for building and keeping strong bones. Vitamin d is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin d is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin d from the sun. If the baby feeding milk and taking nutrients it is not absolutely necessary to give calcium supplement. But there is no harm in giving to a growing child as his requirements of all vitamins are more. Let us say you can give till one year after that he must get all nutrition from good food. Happy parenting. Feel free to ask any doubt, privately.
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My son 3 years old repeatedly getting cold & cough, month 3 times observed, cough with phlegm no fever & other problem kid is active. Doc suspects on allergy. AEC test done count is 468, recommending inhaler & asthalin syrup Pl suggest for small kid don't want give inhaler.

MD PEDIATRICS
Pediatrician, Bangalore
Most probably it is allergic cough, hence giving an inhaler is the right thing to do. Inhalers do not cause any side effects on the body as it is not absorbsed `systemically.
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Should ragi malt be avoided when the baby is having cough and fever. What is the diet to be followed when 8 month old baby is having cough and fever.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Should ragi malt be avoided when the baby is having cough and fever. What is the diet to be followed when 8 month old...
no.need to avoid ragi malt. things to be avoided are. 1.citrus food 2.ice cream ..cold beverages 3.chocololates 4.sweets 5.banana ets
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My daughter is 3 years old. And she's experiencing toothaches at her age. She have dental caries. Some says she is lack of calcium because when I'm still pregnant of her, I drink coffee instead of milk, and I don't take vitamins. Is it normal for her to have dental caries?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 3 years old. And she's experiencing toothaches at her age. She have dental caries. Some says she is la...
No, excessive sugar in diet coupled with poor oral hygeine results in dental caries. Avoid candies, regularly brush twice a day & visit a dentist to know extent of damage.
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I have a 18 months old son. He have brain infections during birth time. Now he has no devlopment. Can you help me.

MD - Paediatrics
Pediatrician, Ranchi
Give proper nutrition with adequate calories, protein, carbohydrates and minerals to allow proper growth. These children are prone to poor growth. Look for any feeding problem like vomiting if any.
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Dear doctor, my nephew is 11 year old and he is in 6th standard but still he is passing urine in bed. My sister fed of this and she make him to pass urine before going to bed. But still he is doing in the bed. Kindly tell us what we have to do. Thank you.

C.S.C, D.C.H, M.B.B.S
General Physician,
He is having enuresis. Need to check if it is primary or secondary, we need to personally discuss. Ask me privately.
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Hi doctor. I have a daughter who is 3 months 20 days old. She cries a lot. As long as she is having milk she is quite but as soon as I remove the bottle she starts crying again. She is totally on formula feed as due to some medical reasons I can't breastfeed her. She gets hungry very soon. I m giving her nan pro 1 milk 5.5 ounces around 10 times a day. What should I do and how much milk should I give it to her? also once I start semi solid in sixth month, can I start some other milk which is less fatty like buffalo milk? pls help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi doctor. I have a daughter who is 3 months 20 days old. She cries a lot. As long as she is having milk she is quite...
This is common problem with bottle feeding because it results in addiction. I think your baby is addicted bottle above that bottle feeding is associated with other problems like diarrhoea, ear discharge etc. Gradually switch over to cup and spoon feeding. After 6 months along with solids you can give any milk which is less allergenic.
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MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
As summer approaches, try to give ample water to your kids. Avoid dehydration, avoid multiple problems.
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Newborn baby2-3 days old only. Today she has 5 stools per day, green in colour. Is it normal? The baby is not taking breast milk. Cz the mother has not started lactating.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Newborn baby2-3 days old only. Today she has 5 stools per day, green in colour. Is it normal? The baby is not taking ...
Green stools are due to indigestion due to deficient mothers feed-------------mother should start taking homoeopathic medicine to increase her breast milk-------------- bloome-44 or milkosan (bioforce) drink 2 spoon 3 times daily--------
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My baby is 6 months old. He is doing potty frequently. He use to go 2 times per day. But now he is doing 4 to 5 times per day. And I asked few people and they said it is normal when new teeth are coming out. please help me what I have to do to my son.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 6 months old. He is doing potty frequently. He use to go 2 times per day. But now he is doing 4 to 5 times...
It canbe related to bottle feed and if he is on bottle feed stop bottle and feed with a cup and glass
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Hi, my baby is 5 months old. He has a severe chest congestion from last 7 days. Doctor gave maxtra drops 8 drops twice a day, ventorlin syrup 1.5 ml thrice a day and nebulization with levolin 0.3 mg twice a day. After 5 days I stopped giving medicines but next day he had chest congestion even more severe. I am afraid of medicines due to there side effects. Please suggest something. My baby is active and playful. He is taking breast milk properly.

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
Hi, my baby is 5 months old. He has a severe chest congestion from last 7 days. Doctor gave maxtra drops 8 drops twic...
If your baby is" Active, Alert, passing urine-6-8 times/day, Accepting&tolerating breast milkand more important if above symptom does not hurt your baby. It might be just viral illness. Give only normal saline nebulisation. Most probably its just a viral imfection. Resolve spontenously.
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My baby is 3 months old. He has chest congestion from last 4 days. I am giving him maxtra 6 drops thrice and asthalin 1.5 ml thrice a day. Now the mucus became loose and it came into his throat. He becomes very uncomfortable at that time. What to do ?

MD Pediatrics
Pediatrician, Vadodara
My baby is 3 months old. He has chest congestion from last 4 days. I am giving him maxtra 6 drops thrice and asthalin...
Asthalin is rarely required in children less than 6 months until and unless prescribed by the pediatrician due to its side effects of increase in heart rate. Also babies usually swallows the mucus and there is no harm in that. If the respiratory rate is high with difficulty in breathing and there is fever visit your pediatrician. If no other complaints then it should be viral and will be relieved in 3 days.
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Hi doctor. My daughter is 18 months old. By mistake we have given her a dose of 2.5 ml in morning and 5 ml in the night of Alerid Syrup. Can you pls advice whether it leads to any problems.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Hi doctor.
My daughter is 18 months old. By mistake we have given her a dose of 2.5 ml in morning and 5 ml in the nig...
Overdose may lead to drowsiness, so don't feed the child while asleep. If he is not waking up for a very long period, better to take him to a hospital for observation.
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Tips for Parents to Deal with Autistic Children

MS - Counselling and Psychotherapy, Master of Arts in Clinical Psychology, Bachelor of Arts - Psychology and English Literature
Psychologist, Coimbatore
Tips for Parents to Deal with Autistic Children

The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them. 

Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:

  1. Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child’s needs better, both physical and psychological. 
  2. Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child. 
  3. Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child’s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child’s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning. 
  4. Focus on your child’s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child’s diet. 
  5. Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.
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