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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
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Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
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Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
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My daughter is born 5 months back. I am massaging her from olive oil two times daily and also making her bath from malai besan daily Her skin tone is little dull and very dry. What is to be done?
Parents dread having to deal with meltdowns. However, parents of children with ADHD may face more meltdowns than other parents.
Children with ADHD are more prone to meltdowns for a number of reasons. Often their brain circuitry for emotional regulation is dysfunctional in which it takes less to trigger an anger episode that lasts for a longer periods of time than other children. This is the result of faulty wiring. Working with them on relaxation techniques like taking deep breaths or counting to ten at the first sign of being upset can help. It is important for them to practice these when they are calm.
These kids often aren’t fully tuned in to what is going on around them and miss important information that causes them to misinterpret a situation and then react to what they think is going on rather than what really happened. If you are having a discussion with your child, pause frequently to make sure they are getting your point. Ask questions to make sure they understand and encourage them to ask you questions as well.
Some ADHD kids lack the ability to be flexible causing them to go into meltdown mode when there is a change in routine or an expected event does not happen. For instance a boy may be having a great time “rough housing” with his dad but does not want to stop when dad feels it has gone on long enough. This can become ugly and lead to fewer such play situations. Agreeing to use a timer and stop when the timer says to stop rather than dad might help avoid this.
Here are some tips for coping with a meltdown:
1. Don’t Loose Your Cool
Take a few deep breaths. This triggers the relaxation response and will lower your own anxiety/anger level and make it possible for you to think clearly and model appropriate behavior for your child. Remember the preflight instruction, “When the mask comes down, please cover your own nose and mouth first before you assist your child.”
2. Don’t React – Respond
If you and your child have already agreed on how meltdowns will be handled with a behavior plan, make sure the plan is being followed. As an example, you might have agreed on an incentive program where your child can earn rewards for following the behavior plan. Incentives might be earning points every time he/she is able to calm down before having a meltdown. Points earned can be cashed in at the end of the day for a desired activity such as television time or a special treat.
If you do not have a plan in place then you can respond by saying “WE have a problem here. Let’s see how we can solve the problem TOGETHER.” Find out what the child’s concern is. See if there is a way to address it. It is not giving in if you modify a situation in a way that is more accepting to the child while still meeting your needs as well. Good leaders listen to the people they are leading and incorporate the feedback they receive.
3. Don’t Dictate – Discuss
Ask, “What is making you upset?” Listen carefully and respond empathetically such as “I see you (want or don’t want), what’s up?” Find out what the child is concerned about. For instance if the problem is not wanting to go to bed, you might say, “I understand you do not want to go to bed right now even though 9:00 is your usual bedtime. What is bothering you about this?” Perhaps the child says, “I need to finish my video game so I can get to the next level.” You then can say, “So here is the problem we have. I want you to go to bed because it is your bedtime and you need your sleep to feel good and do well at school and baseball tomorrow and you want to stay up later to finish your game. I am not saying you don’t have to go to be now but do you have any ideas on how we can solve this?”
For discussion let’s say it is only for a few minutes and you decide for tonight to let him finish the game to avoid an hour or more of meltdown versus a few more minutes. You might say, “Ok for tonight you can finish the game. Tomorrow we can talk about this and come up with a solution so that from now on you will be able to finish what you are doing and go to bed on time.”
It is ok for us to listen to our children’s perspective on difficult situations. If this is an isolated incidence then, problem solving could avoid a major meltdown. However, we need to follow up the next day with a detailed discussion on how this can be avoided in the future.
If this is an ongoing problem, then simply stick to the program/plan you have already set in place. If you have been working on anger management techniques such a taking deep breaths, then remind the child to practice it.
4. Don’t Demand – Encourage
If you have a prearranged plan to follow or you have come to an agreement for this crisis situation then you can say, “I know you are upset right now but I also know you can do a good job of calming down now,” or “You know what our agreement is and I bet you will do your part now just like the great job you did yesterday. I love how you are getting better at this each time.”
5. Don’t Give Up – Stay Committed
- Raising a child with any type of special need, be it developmental, psychological or medical, requires a tremendous amount of patience and strength to endure and continue to handle tough situations when they come up. Make sure you have a good support system. Be sure to have a break from time to time to do something fun and relaxing. Also, try to view the whole situation from the 30,000 foot level to see the progress you have made so far and that meltdowns now and then can just be little bumps in the road to helping your child learn to cope with the day to day events they encounter.
- If you have truly committed to following a behavioral approach under the guidance of a mental health provider and are not seeing progress, please don’t hesitate to discuss this with your child’s physician. A referral to a psychologist for a comprehensive evaluation may uncover other conditions that may need to be addressed. Sometimes ADHD may be misdiagnosed or a child can have more than one disorder which needs to be addressed.
- When talking to a professional, you should be able to tell them when and where these episodes happen and what took place just before the meltdown; these are valuable clues that a well trained clinician can use to modify your approach or discover an underlying skill deficit that can be improved or addressed.
- Sometimes, when behavioral approaches have been in place for some time and have been tweaked all they can, medication may need to be considered. Parents should be cautious about having their child placed on medication prematurely, but when symptoms are severe and interfering with a child’s ability to function in several environments then medication should be considered and can be extremely helpful.
My 2 months old daughter sleeps a lot in night or 12am to 5am then she wakes up for feed again frm 5: 30 am to 8 am she sleeps continuously without feed. Please tell me what should i do?
Hi doctor my baby is 3 1/2 months old. Her poo seems to be watery for past 4 days. I don know the reason. I am giving only breast milk. Please can advise.
My daughter is 4 years old and she has excess hair on all her body m thinking to go for laser treatment now for her is it safe or not?
What a mother should expect about baby's hair growth.?
Every baby is special in his own way. Some are bald beauties and some have heaps of hair. Hair density mostly depends upon the genetic makeup of the baby. In the initial six months of life, babies hair tend to fall. Some may become totally bald and may not show any growth for some time.This is completely normal. Most babies show new hair growth between 9 months to 12 months of life. Almost all babies have growth till their second birthday. The colour and texture of the hair may vary from that present at birth. Curly hair can be replaced by straight hair. And thick dense hair can be replaced by thinner and sparse hair.
How to wash my baby's hair?
With newborn babies, In the early days the best way to wipe their hair is with a sponge. Support your baby's shoulders and head, which again should be tilted slightly, and gently pat the wet and warm sponge over the hair until it is sufficiently clean.
After 4-5 weeks in young babies use a small amount of baby shampoo on your baby's hair. Softly rub in a circular motion, and then use a plastic cup or your hand to rinse off the shampoo.
Always be gentle whenever you message a tearless baby shampoo into your baby's scalp. A too-brisk scalp massage can force hair follicles and speed up hair loss or breakage.
How often should I wash my baby's hair?
You should never wash your baby's hair everyday. Particularly with the newborns, there's just no requirement. Once, twice or on need basis baby's hairs can be washed. Instead of washing it every day, gently wipe it with a sponge daily to remove any dirt and fresh your baby up.
Which shampoo should I use?
Always use tearless nourishing natural ingredients shampoos. During first month try to avoid shampoo. Tearless shampoo can even hurt, avoid spillage in eyes. Adult shampoos should be avoided as it contains chemicals that can be toxic to the baby.
Will shaving head improve my babies hair growth?
Shaving your baby's head does not improve the hair growth. The hair just looks healthier with the dried, scraggly ends removed
Please suggest. What are the different audiometric test for hearing loss in kids. Kindly suggest clinic of audiometric test in Patna and Muzaffarpur.
Sir mere abhi 7 month complete hua h and doctor is saying baby ulta h.so what should I do ki baby up position cheek ho jay.
Sexual abuse of children may sound very scary and degrading, but the truth is it is a very prevalent problem. As much we may not want to believe, the number of boys and girls who are sexually abused, and that too by close family and friends is very high. This may be difficult to digest, but is the truth. The sexual abuse in male and female children is 50% in each group which is again unbelievable but true.
What is considered child sexual abuse?
Child sexual abuse includes touching and non-touching activity. Some examples of touching activity include:
- touching a child's genitals or private parts for sexual pleasure.
- making a child touch someone else's genitals, play sexual games or have sex putting objects or body parts (like fingers, tongue or penis) inside the vagina, in the mouth or in the anus of a child for sexual pleasure.
The thing to ponder, however, is that people who abuse children have a deeper problem. This could be due to a combination of social and psychological issues that the person is facing. Often helping identify the underlying problem could be a solution to the problem too, but this is rarely done. If you think a child could be subjected to abuse, look out for the following symptoms.
- A feeling of guilt or shame.
- Irritability and anger with minimal reasons.
- Mood swings, often uncommon in children.
- Feeling very isolated and sad.
- Very anxious and angry.
- Symptoms of withdrawal, not wanting to be left alone.
- Fatigue and pain in the back, legs.
- Loss of appetite, energy.
- Bruises (look out for these, which may not be in visible areas).
How to handle?
Given the fact that the offender is in close family and/or friends circle, the suspicion levels are quite low.
- The first step, therefore, is to open up and talk with either your parents or someone close.
- Look for support groups which can be very helpful.
- Do not be isolated though the urge is very strong.
- Build a daily schedule to ensure your routine continues (studies, work, etc.).
- Focus on exercise or other passions as they help you deviate your mind.
- Be sure to not be alone with the offender, stay in a group.
- Give out a strong message saying it is not acceptable, and do not keep quiet.
Homoeopathy can come rescue of the offender all well as the victim. If we see according to the point of view of who committed the crime, many reasons may come to the light and we can be treated accordingly. Usually, these criminals have a very painful and sad childhood. This could lead them to commit a crime like child abuse.
The following are the medicines to treat such people with anti-social behaviour-
- Nux V.
There are certain homoeopathic medicines which are helpful in the treatment of children who are victimized. The most common symptom is nightmares.
For treatment for actual physical and mental symptoms of the victim child, following homoeopathic medicines may help:
- Nat. mur.
Homeopathy is a safe and effective way to treat the victims as well as the culprits of sexual abuse. It focuses on the way patients have reacted to events and the personality of the patient. It helps to bring complete harmony of physical, mental and social well being.
If you wish to discuss about any specific problem, you can consult a homeopath.