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Dr. Divya

Pediatrician, Delhi

300 at clinic
Dr. Divya Pediatrician, Delhi
300 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. Divya
Dr. Divya is a trusted Pediatrician in Raja Garden, Delhi. Doctor is currently practising at Khetarpal Nursing Home in Raja Garden, Delhi. Save your time and book an appointment online with Dr. Divya on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 43 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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Khetarpal Nursing Home

GN5, Shivaji Enclave, FNG Sector Raja Gardens, Rajouri Garden. Landmark: Near Shivaji College, DelhiDelhi Get Directions
300 at clinic
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My baby was born premature at 32 weeks and had sepsis. She is now 1.y months old. The OAE screen has come refer twice however the baby responds to sounds of rattles and music when she cries and we use rate she goes quite. Please suggest if she has hearing issues.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby was born premature at 32 weeks and had sepsis. She is now 1.y months old. The OAE screen has come refer twice...
THere is no hearing loss. But OAE refers to lsoo in certain frequency and repeat it later Pure-tone (PT) audiometry measures throughout the outer ear, middle ear, cochlea, cranial nerve (CN) VIII, and central auditory system. However, OAEs measure only the peripheral auditory system, which includes the outer ear, middle ear, and cochlea. The response only emanates from the cochlea, but the outer and middle ear must be able to transmit the emitted sound back to the recording microphone. OAE testing often is used as a screening tool to determine the presence or absence of cochlear function, although analysis can be performed for individual cochlear frequency regions. OAEs cannot be used to fully describe an individual's auditory thresholds, but they can help question or validate other threshold measures (eg, in suspected functional [feigned] hearing loss), or they can provide information about the site of the lesion. Using current technology, most researchers and clinicians find a correlation between frequency-specific analysis of TOAEs/DPOAEs and cochlear hearing loss. However, at this juncture, the correlation cannot fully describe auditory threshold. Naturally, a correlation would not be expected for noncochlear hearing loss.
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

My daughter is nine months old. She doesn't take any food properly. She feels like vomiting n does vomit too. What should I do!

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My daughter is nine months old. She doesn't take any food properly. She feels like vomiting n does vomit too. What sh...
We can understand your concern! this may be a sign of" gastro esophageal reflux disease" do get it checked by your pediatrician. They may prescribe a trial of antacids, if gets releaved this is sure the reflux disease!
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My daughter age 1.3 year old suffering from running nose and cough please advice some medicine.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
My daughter age 1.3 year old suffering from running nose and cough please advice some medicine.
Most of cough and cold lasting less than 7 days are viral in nature and self limiting. No treatment is required except normal saline nasal drops in case of nasal blockage. You can try home made remedies like karha honey for symptomatic relief. Never ever give antibiotics even if your doctor has prescribed. You must seek a opinion of your doctor if there is persistent purulent nasal discharge and cough beyond 2 weeks.
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Hi Feeding interval to follow in order to feed my 1 month son. Currently we are feeding him 3 to 4 hours interval.

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
Hi Feeding interval to follow in order to feed my 1 month son. Currently we are feeding him 3 to 4 hours interval.
I think best one is Demand Feeding, It means give feed as and when ur baby demand (crying). No need to feed as per alarm/hours. If your baby is sleeping fir 2-3 hr after breast feed, Its satisfactory, Maximum u can wait even for4-5 hrs if your baby is sleeping, not more than thus. I mean to say that if your baby is sleeping after feed, dont disturbed till about 4hrs. Awaken ur baby when its more than 4 hrs. If your baby demand within 1 hr, check for different reasin of cry.
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My two month old kid stool, urine and feeding all are normal. He mostly dry cough at night. Doctor prescribed me maxtra and ambrodil lx. I gave him saline drips also. Please advice.

MBBS, Diploma in Public Health ( Preventive and Social Medicine)
General Physician, Navi Mumbai
My two month old kid stool, urine and feeding all are normal. He mostly dry cough at night. Doctor prescribed me maxt...
Dear Fozia, Please continue the same as advised by your doctor. It's just viral things which would be solved after particular period,till then please continue medicines to avoid complications.Anything serious please feel free to consult. All the best.
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SIR MY BABY BOY IS ABOUT 3 MONTH OLD ,HIS MONTH WISE VACINATION JUST GO FINE , HIS NEXT DUE DATE IS 4TH MARCH ,BUT I WANT TO GO IN 1ST MARCH DUE TO SOME WORK, IS IT RIGHT OR 4TH MARCH IS RIGHT FOR BABY,KINDLY SUGGEST

M D Pediatrics, MBBS
Pediatrician, Gorakhpur
Ideally a minimum 28 days gap necessary between 2 vaccination but u may go on 1st match. Nothing to worry.
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Hello their I want to know that is rota vaccination is must for infants. Can't we give the vaccination at a age of 5.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Hello their I want to know that is rota vaccination is must for infants. Can't we give the vaccination at a age of 5.
Rotavirus vaccine protects your child from diarrhoea due to rotavirus which is common in 6 months to 1 year age. It is preferably given before 6 months age in 2 or 3 doses.
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I am 26 year old mother with two month old daughter. I am breastfeeding my daughter. But it seems milk is not enough for my little one. So I am giving her lactogen 1 once in a day in spoon. As she is not taking bottle feeding. Whenever I try to feed in bottle, she vomits. Please tell me the reason for refusal of bottle nipple by my baby? And please suggest any other idea?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 26 year old mother with two month old daughter. I am breastfeeding my daughter. But it seems milk is not enough ...
It is unhealthy to give bottle and bottle and nipple will cause a lot of health issues and only breast milk at his age is advised. If you give formulas, give only in spoon from a cup or sipper. Checking the weight gain every month is the best way to know if the milk supply is enough
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My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithral. But in morning on an empty stomach after drinking water he gets vomiting. Pls help.

Homeopath, Anand
My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithr...
Give natural remedy. Give tulsi juice 10 drops two times a day. Give extract of turmeric and black salt which acts as natural antibiotic. Continue ors or water in any form to prevent dehydration. Burp on back even after giving water. Start homeopathic medicines which are safe for child.
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Is it okay if I give cow milk to my daughter? She is 10 months old now. And wat all things I can add in her daily diet?

MD - Paediatrics
Pediatrician, Jamnagar
Is it okay if I give cow milk to my daughter? She is 10 months old now. And wat all things I can add in her daily diet?
Yes you can give cow milk. All liquid and semisolid food items prepared in a clean way can be given.
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Please tell me about something care about baby of 0-1 year such as about body massage, eating, etc.

C.S.C, D.C.H, M.B.B.S
General Physician,
Please tell me about something care about baby of 0-1 year such as about body massage, eating, etc.
YOu need to give all homemade foods and never give bottle and feed with spoon and apply coconut oil
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Hello my son is 2 years old and his weight is 8. 5kgs I am veg I don' t want to give him any non veg food not even eggs but many people around me suggest me to give eggs so could you tell me it is really help me or is there any equivalent food for high protein?

Pediatrician, Pune
Exclusive vegetarian diet causes vit b12 deficiency leading to anemia, developmental problems, occasional egg given does not cause any harm, but if you still want to give exclusively vegetarian diet, then soya bean, dal rajma, ground nuts are good sources of protein, see that the child gets sufficient amount of these nutrients.
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My child is 2.6 years old, but he is 10. 6 kg.And he does not like to eat anything. Can you please suggest how can I improve his appetite? Moreover he is always suffering from cough cold and constipation. Please guide.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
My child is 2.6 years old, but he is 10. 6 kg.And he does not like to eat anything. Can you please suggest how can I ...
No role of any appetite stimulants. His weight is appropriate for his age. So do not worry if child does not eat if he is alert active playful and responsive. Cough and cold is very common in this age. Home made remedies like Tulsi ka karha honey are enough in most cases unless your child is having high grade fever with rapid respiration persistent vomiting then consult pediatrician. For constipation avoid milk and milk products noodes maida give plenty of vegetables fruits juice. Best wishes Arun shah Muzaffarpur.
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BDS, MDS - Oral & Maxillofacial Surgery
Dentist, Pune
Take care of your teeth as you take care of your body!
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I have a daughter of 4 months who has polystic kidney diseases, can you please tell me what is the permanent solution for this problem?

Diploma in Child Health (DCH)
Pediatrician, Narnaul
I have a daughter of 4 months who has polystic kidney diseases, can you please tell me what is the permanent solution...
There is no permanent solution, precautions are taken to prevent recurrent infection and monitor blood urea and serum creatinine.
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My one month old baby boy cries a lot throughout the day and sleeps well in nights. His weight gain is normal and looks active. Giving breast feed as well as formula. May I know why cries so much and how can I sooth him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My one month old baby boy cries a lot throughout the day and sleeps well in nights. His weight gain is normal and loo...
Give him exclusive breast milk up to the age of 6 months. No formula milk. At night baby must be taking mother's feed thus satisfied but in day time baby may be in need of mother's hug. Babies are also emotional. Other common reason of cry is uncomfortable conditions.
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C.S.C, D.C.H, M.B.B.S
General Physician,
EPILEPSY OR FITS (As laymen say )
***********************************************
Seizure is a sudden change in behavior that is the consequence of brain dysfunction.
Approximately 0.5–1% of population has epilepsy.
ome seizures are provoked i.e. that occur in the metabolic derangement, drug or alcohol withdrawal and in situations like acute paralysis or acute encephalitis. Such patients are not considered to have epilepsy because these seizures would not recur in the absence of the provocation.
Less than 50% of epilepsy cases will have an identifiable cause such as head trauma, brain tumor, paralysis, infection, brain malformation etc.
Having one seizure does not always mean that the patient would always get a seizure.
One episode of seizure may not require treatment.
Hospitalization is required in the first seizure only if it is associated with prolonged post seizure altered level of consciousness.
Patients with unprovoked seizure may not be allowed to drive for some time.
In children, seizure can occur with high grade fever.
In adults, the first episode of seizure may be due to worms in the brain. In such a situation, it may be necessary to do an MRI test.
A patient with seizure can get married, live a normal life and produce children.
It is a misnomer that during a fit you need to make the person smell a shoe.
During epilepsy, never put the fingers inside the mouth of the patient as you could be bitten. Use a spoon instead to prevent tongue bite.
A patient with epilepsy fall will have stiffness in the body; on the contrary, patient with cardiac loss of consciousness will fall loose.
A seizure that lasts for more than 5–10 minutes requires specialized attention.
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Colic Pain - How to Treat It

MD - Paediatrics, MBBS
Pediatrician, Delhi
Colic Pain - How to Treat It

When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.

What is it: Although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.

Causes: Though still not exactly established, some things that are believed to cause colic include:

  1. The baby's digestive system that is growing and goes through spasms
  2. Extreme sensitivity to noise and light in the surrounding environment
  3. Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
  4. Hormones that are supposedly affecting the baby's moods

Treatment: As there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.

  1. Altered feeding: Given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.
  2. Anti-colic bottles: These bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.
  3. Simethicone: This is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.
  4. Exercise: Try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.

Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.

3962 people found this helpful

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Children have never been very good at listening to their elders, but they have never failed to imitate them.
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