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Dr. Dinesh Goel

Pediatrician, Delhi

300 at clinic
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Dr. Dinesh Goel Pediatrician, Delhi
300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Dinesh Goel
Dr. Dinesh Goel is a trusted Pediatrician in Janakpuri, Delhi. You can visit him at Khanna Hospital in Janakpuri, Delhi. Save your time and book an appointment online with Dr. Dinesh Goel on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 37 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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Khanna Hospital

C2/396.Main,Pankha Road Jankapuri. Landmark:-Near Dwaraka Turning, DelhiDelhi Get Directions
300 at clinic
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Kesar Nursing Home

Wz-61-A/3b, Block-D, Street No.12, Vashist Park, Pankha Road, Sagarpur. Landmark: Opposite Institutional Area, DelhiDelhi Get Directions
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After baby birth I dint take care of myself and it resulted in obesity grade 2. I wanted a suggestion whether to go for gym/yoga/exercises? Which gives best results.

Diploma In Diet & Nutrition
Dietitian/Nutritionist, Hyderabad
After baby birth I dint take care of myself and it resulted in obesity grade 2. I wanted a suggestion whether to go f...
Dear lybrate user, its always good to start on your fitness program. Every step matters. Its never too late. Aim should be to do intensive cardio/aerobic exercises for at least an hour every day. Regular mat based yoga is too slow/light to give any significant weight loss benefits. Better to go to gym and do your own exercises. Or join zumba or aerobic classes. If you are going to gym you can follow following routine. #a. 5 minutes light warm up with side jumps and stretches. #b. 10 minutes treadmill with speeds from 6-8 kmph #c. 10 mins abs and stretches. #d. 10 mins cycling with speeds from 25-32 kmph. #e 5 mins. Light weights and dumbells #6.10 mins treadmill #7.10 mins stretches and abs crunches. Stay fit. Stay healthy. Stay happy.
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Health Tip for Babies

Diploma in Paediatrics, MD (Physician)
Pediatrician, Gurgaon
Health Tip for Babies
Don't be worrried about your baby's eating habits. If he is wetting the diaper 6-8 times and making bowel movements 2-5 times a day, it means he is getting enough to eat.

Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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My daughter 12 is having tonsils which medicine should I give her she gets this infection mostly after 1 or 2 months again n again.

MBBS DCH
Pediatrician, Gandhinagar
Don't give antibiotics without dr's prescription. Take ent surgeon's opinion if she is having recurrent tonsillitis.
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My baby is 6 month old and her weight is just 5.4 kg. The weight when she born was 2.8 Kg. Is she heading toward low weight?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby is 6 month old and her weight is just 5.4 kg. The weight when she born was 2.8 Kg. Is she heading toward low ...
Yes, stat giving weaning food as breast feed alone is not sufficient to meet demands of growing baby.
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My baby 5 months old h uska sirf dudh pine se pet nhi bharta to me use cerelac ya fir fruite puree de sakti hua bhi.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby 5 months old h uska sirf dudh pine se pet nhi bharta to me use cerelac ya fir fruite puree de sakti hua bhi.
यदि बच्चे का वजन आयु के अनुसार है तो दूध काफी है। फिर भी डेयरी दूध या इस से बनी पतली सुजी खीर दे सकती है।
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Hello Doctor, My baby is now 6 months old, he is 6 kg born 1 month pre-term with 1.8 kg. He is taking nanpro1 from past 2 months. Doctor suggested to give rapgrow drop and lactodex hmf sachet, but these medicines are really tough to get in the market and I don't see any review for rapgrow. Will it be safe? Also he is continuing zincovit drop and raricap drop.

MD - Paediatrics
Pediatrician, Bangalore
Hello Doctor,
My baby is now 6 months old, he is 6 kg born 1 month pre-term with 1.8 kg. He is taking nanpro1 from pa...
As the baby growth is good both length and weight and if developmentally normal, you can stop giving rapgrow and lactodex hmf. Continue with zincovit and iron drops. And important is to give vit d3 (ultra d3) drops 1ml once daily till 1 year of age as we see vit d defeciency very commonly. Start on the weaning diet and iron rich foods so that you can slowly stop iron supplementation if haemoglobin is normal.
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My son studying in 6 standard, every day he studies for 2-3 hours, but he cannot remember nor able to write correctly what he had studied yesterday. Kindly suggest the solution how to maintain the memory what he had studied. Also their is regularly etching on his dody, he is 10 years old because of that lot of etching mark on his hands.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is a common problem in children of this age group, often parents complain of such things with their children, there is no connection of skin and memory, as far as etching of skin is there, there might be some allergen which is causing it or sometimes dry skin may be cause of etching marks. Use a good moisturiser to whole body before sleep, ask him to drink plenty of fluids/water. Still problem persists consult a dermatologist, as far as memory is concerned nothing to worry, each and every individual has different iq levels and different grasping and retaining abilities. Just have patience as the children grow they will develop their skills.
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Hi Doctor. My baby refuses to eat cereals other than cerelac. Please help me out.

MD - Paediatrics
Pediatrician,
Hi Doctor. My baby refuses to eat cereals other than cerelac. Please help me out.
You have to reduce quantity of cerelac and add cereals in her food. There is not any medicine for that.
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