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Dr. Harish Kumar Pemde

Pediatrician, Delhi

Dr. Harish Kumar Pemde Pediatrician, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Harish Kumar Pemde
Dr. Harish Kumar Pemde is a renowned Pediatrician in Rohini, Delhi. He is currently practising at Dr Harish Kumar Pemde in Rohini, Delhi. Book an appointment online with Dr. Harish Kumar Pemde on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 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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1 Nav Vikas Apartments Sector 15 Rohini, Delhi, DelhiDelhi Get Directions
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Snoring and hence not able to sleep continuously even for an hour. The body weight is high and hence no peace of mind, not able to have focus on any work. Being a widower and a father of 5 years old, there is absolute lack of peace.

MBBS
General Physician, Trivandrum
Snoring and hence not able to sleep continuously even for an hour. The body weight is high and hence no peace of mind...
Obesity can directly cause snoring problem and difficulty to breathe. You need to exercise a lot and control your diet. Make friends and spend time with them. If you need to speak with someone personally, you can always contact me. Tips to reduce anxiety and stress 1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin b and omega-3 fatty acids and also healthy whole grain carbs. Vitamin b contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings.
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My son does not responds properly when we call him even though he has no problem in hearing. He also does not speaks properly at the age of 5 years. please help.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Can you please give more details about your son. I need it to prescribe proper medicine..or else, you can consult me too, for proper treatment.
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For new born baby, there is a white mark/coating in the tongue, may be due to milk powder (Nan or Lactogen feeding). How to clear it?

Diploma in Child Health (DCH), MBBS
Pediatrician, Aurangabad
For new born baby, there is a white mark/coating in the tongue, may be due to milk powder (Nan or Lactogen feeding). ...
That is normal. Try to wipe it with a clean, sterile cloth. It it goes it was most likely due to the milk/nan otherwise it can be a fungal infection called oral candidiasis, common in preterm babies.
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4 Basic Skin Problems in Infants

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
4 Basic Skin Problems in Infants

Your baby's skin requires constant care and protection because it is exposed to the ravages of pollution, dust and harmful UV rays. A healthy skin also has aesthetic benefits apart from being disease resistant.
It takes about a year for the epidermis of a baby to develop and function effectively. Once the baby turns one, the skin gets thicker and more immune to skin problems.

Here are four common skin problems found in almost every infant:

  1. Prickly heat rashes: Prickly heat rashes are the rashes, which develop on the face, neck, back or the bottom of the baby because of heat. To deal with this situation you should try to keep the infant cool and dry (not let him/her sweat) and ensure that they wear loose and comfortable clothes made of cotton.
  2. Seborrhea: Rashes that develop on the scalp, eyebrows, cheeks, chest, and/or neck of a newborn baby (up to 6 months), are known as seborrhea. It appears to be gruesome, but does not bother the baby. It is recommended to use mild baby shampoo and creams to get rid of the problem. If there is no improvement, consult a dermatologist.
  3. Eczema: About 20% of the babies suffer from a very itchy skin rash known as 'eczema'. The affected area of the skin may turn red, ooze pus or crust over. It can be a result of an irritation caused due to sweating in a hot weather or due to the drying up of skin in a cold weather. Some clothing, specifically wool can even trigger this skin condition in a baby. A dermatologist or a paediatrician should be consulted in order to know what should be done.
  4. Diaper rash: Diaper rash is the development of red and inflamed skin in the area under the diaper. It is recommended to check the diaper for any wetness at regular intervals, and to change it when required. The diaper should not be too tight or left on too long. Applying a diaper rash ointment and keeping the area dry and open whenever possible can help in relieving your baby from the problem.
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My daughter has all her milestone delay like delayed speech, development, gross motor, etc. She difficulties in all gross motor activities like writing, drawing, combing her hair, wearing shoes and socks, etc.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
Your daughter needs to be evaluated by a pediatrcian and psychologist. Depending on that she will need physiotherapy and speech therapy. This will help her in attending a special school.
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My son is 2.5 Years old, he is suffering from cough he become healthy after medication but after a month he become sick again. please suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 2.5 Years old, he is suffering from cough he become healthy after medication but after a month he become si...
Your son must be getting steroids for cough which makes him healthy and after recovery, medicine is stopped so the appetite must have decreased and again become sick thus this cycle shall go on. Do not give any medicine containing steroids for cough. Steroid does more harm than good in long run. It is a very specific drug used for specific disease. Treatment of cough depends on cause.
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My new born baby have discharge from both eyes. Its appear as pale yellow. Please suggest good eye drops. Is it normal?

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My new born baby have discharge from both eyes. Its appear as pale yellow. Please suggest good eye drops. Is it normal?
Yes many a kids gets neonatal conjuctivitis due to the infective secretion from birth passage. Many a times it heals on its own but sometimes we have to give some eye drops, so its perfectly ok.
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My son is 7 years old he is very active but in looking very pale and lean. He is taking food in good. He is 118 cm height and 18.5 kg is it good.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Height & weight are o. K for his age. If he is looking pale get hb% & peripheral blood smear done. Give plenty of green leafy vegetables & noworm suspension 10 ml at bedtime.
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My child is 9 day old she is suffering from cold from the beginning of her birth. Can help me pls .I'm very far from city.

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
My child is 9 day old she is suffering from cold from the beginning of her birth. Can help me pls .I'm very far from ...
Hi congratulations on becoming a new mom. A new born baby sneezing is not synonymous with cold . They try to clear their nostrils with this reflex . At the same time for the nasal blockade you could put normal saline nasal drops with the name of nasoclear or otrinoz saline drops , one drop 4-6 times in a day in both the nostrils to help the baby clear the nose and feed properly . Keep a humidifier in the room if you can to prevent drying of secretions .
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Dear doctor, my baby (daughter) is 7 months old. She only likes to take her mother's milk. Her mother was having sufficient milk earlier. But now she is not having like before. It seems that she is loosing weight, though her activities are normal and spontaneous. We have tried to give her baby foods like cerelac, lactogen etc. But she hates all these. What should I do? Please suggest. Thanks.

MD - Paediatrics
Pediatrician, Kolkata
Dear doctor,
my baby (daughter) is 7 months old. She only likes to take her mother's milk. Her mother was having suff...
Five food groups namely  cereals (like rice, wheat in any form, oats in any form ), pulses  (like any dal), vegetables, fruits and animal protein  (meat, fish, egg, milk in any form )should be present in adequate amount in the food of your baby. Basic principles of feeding are 1) it should be acceptable I. E. Kids should like eating it. 2) tolerable i.e. After  eating if baby develop abdominal distension,  vomiting, loose stool,  rash that means your baby can't tolerate the product.  3) appropriate consistency I. E. Porridge like with gradual change so that by the age of 2 normal adult foods can be given to the kids.  4) all the food groups should be present in the menu of whole day. Take her weight every month to see for weight gain.
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How can I increase sex time by Ayurvedic method. I am 28 male weight 100 kg .and 2.5 years old daughter.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
How can I increase sex time by Ayurvedic method. I am 28 male weight 100 kg .and 2.5 years old daughter.
Hi Soak 10 almonds over night in water. On the next day, peel off the skin, and blend the almonds in a blender with 1 cup of cow hot milk (or crush them in hot cow milk) and add a little bit of saffron, ginger and cardamon to it. Drink this every morning. Take pranacharya heman syrup 2-2 tsf twice a day. Take pranacharya heman capsule 1-1 twice a day.
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My son is 4.7 years old he is having dry cough from last 2 ,3 month tried so many medicines. please help

DRCH, BHMS
Homeopath, Bareilly
Give him milk with one spoon deshi ghee added in it. Give him homeopathic medicine bryonia 30, 4 times daily for four days. If not relieved by this consult privately with full symptoms. May be he allergic and he requires constitutional homeopathic treatment.
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Hi mera baby teeth nikal ra hai kya kru. Wo teeth ko kafi beechta hai. Cut bhi karta hai cheezo ko. Help me please . Kya dawa du.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi  mera baby teeth nikal ra hai kya kru. Wo teeth ko kafi beechta hai. Cut bhi karta hai cheezo ko. Help me please ....
Eruption of teeth is a normal & does not requre any treatment. But at this time chlidren start exploring all objects by mouth, resulting in recurrent respiratory and gut infections. You may try long pieces of vegetables to cop up itching in teeth.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Common Skin Problems in Newborns

Eczema

This is very common after the baby has turned about 2-3 months of age or even slightly later. This appears as a red area with itching on the cheeks or the chest area. These babies usually have very dry skin, and it is also not uncommon for one of the parents to have eczema. This form is called atopic eczema. The severity of the eczema is very variable, but the vast majority grow out of the eczema by the time they reach 15 years of age. This tends to be a persistent problem and needs to be managed on a regular basis.

The most important factor to keep in mind is to use a gentle soap and a pH neutral moisturiser all over the body. The soap and moisturiser needs to be continued for years and the dermatologist may prescribe a steroid or anti-inflammatory creams for brief periods during a flare up.

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My daughter is just 2 months old. She has a preference for putting her head towards the right side. While I turn it to the left every now and then, she keeps it there for a short while and turns back to her right. I'm now noticing a slight difference in the shape on the left and right. She doesn't like to use a horse shoe pillow and gets rashes with the mustard seed pillow. Will the shape of her head become permanent as it is now or will it change and get well rounded once she's sitting up and moving around more. I have received mixed responses to this, hence wanted to check.

Diploma in Child Health (DCH), MBBS
Pediatrician,
My daughter is just 2 months old. She has a preference for putting her head towards the right side. While I turn it t...
Don't worry. Its because of the shape. Try to keep her head depends upon all sides. U can do one thing put some pillow or something which keeps it head opposite side. Also during day time when she awake keep bright colours toy or things on side left. So she keep seeing on that and rotate it to all side. She is just 2 months so not to worry about shape of head as head bones are still not fused which will fuse at around 1-1.5 yrs,but try this things if still shape become unequal then other methods are there.
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Hydrocele in Children - Can it Be Treated?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hydrocele in Children -  Can it Be Treated?

Sometimes, the groin and scrotum swell due to the buildup of water like fluid in one or both the testicles. This is known as hydrocele. This condition is not at all painful, but can be uncomfortable at times. In newborn babies, there is an opening between the abdomen and the scrotum; it naturally closes with the passage of time, therefore it’s generally nothing to worry about.

Symptoms of hydrocele:

  1. Scrotum can get enlarged at times

  2. Swelling and redness are common in hydrocele

  3. Also, pressure can be felt at the base of your child’s penis

  4. Pain doesn’t normally occur but in some cases, might occur as your child gets older

How does in occur in babies?

When you are in the last stage of your pregnancy, the baby’s testicles descend from its abdomen to the scrotum. So the fluid in the sac stays within the scrotum and the opening closes naturally after some time.   

Can it be treated?

This condition is not usually hazardous to health and is treated usually, if there is immense pain. It can also cut out the blood supply; in this case, it has to be treated as soon as possible. If your child experiences such symptoms, you should take him to a doctor for a physical examination. During this examination, the doctor will shine light near the scrotum.

If it appears as a solid mass, then the assumption is that there is no watery fluid; hence, hydrocele has not occurred. There is a procedure in which the hydrocele is burst open with a small needle, but sometimes, it might relapse. In such a case, surgery is the only reliable option. These symptoms can also persist if your child is diagnosed with hernia. Hence, in such a situation, a surgery would solve both the conditions. If you wish to discuss about any specific problem, you can consult an urologist and ask a free question.

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My daughter is 12 months old, last ten days she is suffering from cold with running nose. She dont have fever. Kindly suggest me is this serious or normal condition. Also kindly suggest some medicines or home treatment method. Am staying in saudi arabia. Waiting for your kind response.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 12 months old, last ten days she is suffering from cold with running nose. She dont have fever. Kindly...
Running nose without fever is usually due to some allergy. Better to put only saline nasal drops 2 to 3 drops frequently into each nostril as other drugs may cause side effects in small babies.
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My son is not having food properly nowadays. Do not know what to do. I am giving his favourite food. Then also he is not having. Some times i am getting more irritating. Beating him. Do not know how to make him to eat. Help me.

MBBS, MD
Pediatrician, Gurgaon
Mother should never be aggresive. Child should be given the time learn. Some children learn much earlier than others. If they do not eat keep then without eating. They will join other children and then come back to eat. Neither pampering nor aggressive.
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

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