Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 44 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.
Book Clinic Appointment with Dr. Hira Singh Dharmashaktu
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
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)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Hira Singh DharmashaktuYour feedback matters!
My son, 5 years old, is suffering from recurring cough n cold. After every 2-3 months the symptoms repeats. Starting with running nose, it turns in dry cough, chest congestion n vomiting tendency. Please advise.
Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Usually, most of kids are dry by day 2-3 yrs and dry by night by 3-5 yrs. Daytime control is usually achieved first, while nighttime control comes later.
The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.
Factors that affect the age at which wetting is considered a problem include the following:
- The child's gender: Bedwetting is more common in boys.
- The child's development and maturity
- The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
No one knows for sure what causes bed-wetting, but various factors may play a role:
- A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
- Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
- A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
- Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
- Urinary tract infection: This infection can make it difficult for your child to control urination.
- Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
- Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.
- Wetting during the day
- Frequency, urgency, or burning on urination
- Straining, dribbling, or other unusual symptoms with urination
- Cloudy or pinkish urine, or blood stains on underpants or pajamas
- Soiling, being unable to control bowel movements
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.
Consult your child's doctor if:
- Your child still wets the bed after age 7
- Your child starts to wet the bed after a few months or more of being dry at night
- Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
- Self-Care at Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful
- Reduce evening fluid intake.
- The child should urinate in the toilet before bedtime.
- A system of sticker charts and rewards works for some children.
- Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a pediatrician.
My baby is 35 days old. Today circumcision was done. Nurse told me to give water for him. Till now I only breast feed. Is it necessary to feed water?
My son is 8 months young, he is suffering with cold n cough from last 20 days. I have done antibiotic course of medicines too. But he is not improving. What can I do & what can be the possible reasons for no improvement?
I have started giving milk to my 13 month old baby starting 2 3 days he was drinking properly but whenever I feed her cerelac or their he vomits it from last 2 days kindly give me suggestions.
Hi will be 4 years old this month end, shud I gv her any iron or calcium supplement as her weight is low than average, she is 13 kgs at this age. Also her feeding habits r vry forcefully done including milk. please advice.
Measles or rubeola as it is also known is one of the leading causes of children’s death around the world. This viral infection is communicable through the air and spreads through contact with infected saliva and mucus. Thus, sharing cutlery or glassware with an infected person can increase a person’s risk of suffering from this disease. Thankfully measles can be prevented through vaccination known as MMR. This vaccination is given to infants and also protects them against mumps, rubella and chickenpox. The first dose of MMR vaccination is given when the child is about 1 year old and a booster dose is repeated when the child is 4-6 years old.
One of the most characteristic symptoms of measles is a reddish rash that begins inside the mouth and later erupts all over the body. This is usually preceded by a high fever, cold, cough, sore throat and swelling of the lymph nodes. Fatigue, diarrhoea and redness of the eyes are other symptoms of this disease. Measles symptoms are not apparent the moment a person is exposed to the virus. It can take 7 to 18 days for symptoms to become visible after catching the infection, this is known as the incubation period. Measles affects adults is a more severe way than children.
Children and adults with a weak immune system are highly susceptible to complications associated with measles. In some cases, it can lead to life threatening conditions, such as pneumonia and encephalitis or inflammation of the brain. Other complications associated with measles include ear infections, bronchitis, blindness and a sharp fall in platelet count. A pregnant woman suffering from measles also has a high risk of miscarrying the baby or preterm labour.
There is no definitive form of treating measles and doctors typically address the symptoms while prescribing medication. In most cases, the symptoms and the virus should disappear in two to three weeks. Some of the common forms of medicine prescribed to deal with measles are:
- Medication to relieve fever
- Antibiotics to prevent or treat accompanying bacterial infections
- Vitamin A supplements to reduce the severity of measles symptoms
- Pain relievers to deal with muscle pains
In addition, the patient needs plenty of rest and fluids to strengthen the immune system. The use of a humidifier can also help treat a sore throat and cough. Bright lights can aggravate headaches and irritation and hence should be avoided. Hence, avoid watching television and activities like reading. If you wish to discuss about any specific problem, you can consult a pediatrician.
My child perform well at home, but she does not perform well in school. What may be the possible reasons and how to tackle this issue?
Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.
- Congenital GHD - This form of GHD appears from at the time of birth itself.
- Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
- Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.
GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).
- Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
- Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
- Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
- Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
- Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.
- Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
- Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
- Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.
Tests to determine GHD:
- Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
- Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
- MRI-MRI scan can determine the health of your brain and pituitary gland.
- Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.
- Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
- Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.