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Dr. J.S. Monga

MBBS, Diploma in Child Health (DCH)

Pediatrician, Delhi

41 Years Experience  ·  220 at clinic
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Dr. J.S. Monga MBBS, Diploma in Child Health (DCH) Pediatrician, Delhi
41 Years Experience  ·  220 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. J.S. Monga
Dr. J.S. Monga is an experienced Pediatrician in Shakti Nagar, Delhi. He has had many happy patients in his 41 years of journey as a Pediatrician. He is a MBBS, Diploma in Child Health (DCH) . He is currently associated with Child Health Care & Vaccination Centre in Shakti Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. J.S. Monga on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 30 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.

Info

Specialty
Education
MBBS - Maulana Azad Medical College, New Delhi, - 1977
Diploma in Child Health (DCH) - Maulana Azad Medical College, New Delhi, - 1981
Languages spoken
English
Hindi

Location

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Child Health Care & Vaccination Centre

27/12, Shakti Nagar. Landmark- Near to ICICI Bank, DelhiDelhi Get Directions
220 at clinic
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Dr Monga's Clinic

#14, Sri Nagar Colony, Landmark: Near Bharat Nagar, DelhiDelhi Get Directions
220 at clinic
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

2951 people found this helpful

My son faces some learning difficulties, lack of concentration & minute dyslexia as per our observation since last 2-3 yrs. He is 6 yrs old & will be going to class 1 in dwarka, Delhi, Need guidance & suggestions for ensuring that my son get over this issue as earliest as possible.

Masters in counseling psychology, Counseling psychologist, Rational Emotive Behavioral Therapist
Psychologist, Mumbai
Firstly i would like to request you to not diagnose your son on your own observations, as it needs to be done only by a professional. There is no form of minute dyslexia. Either he has it or not. He can be a slow learner or just have difficulty with learning and concentration, not necessarily a learning disorder. So do not have assumptions as it can be anything else. Kindly take him to a professional psychologist and a pediatrician who will do a complete physiological and psychological evaluation. If he has any learning disorder it will be diagnosed. After that there are many training centers for children with learning difficulties or disorders. He can be trained properly and taught different learning techniques. Please take proper guidance from professionals as proper diagnoses will save you and your son from a lot of trouble.
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My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for nose drops, I am giving steam too, she making sounds tru throat ,she vomiting frequently due to cold. Hw to get rid of cold n frequent vomit.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for...
All problems u mentioned is a matter of examination in person. It is advisable either follow advise of ur doctor or have 2nd opinion.
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Hi, I had boy baby on 2/11/2016. Just one month over now. I want to apply oil for body massage. Which oil is the best to apply. And also which is the best powder and soap. Kindly tell me.

DHMS (Hons.)
Homeopath, Patna
Hi, I had boy baby on 2/11/2016. Just one month over now. I want to apply oil for body massage. Which oil is the best...
Hello, you may go for Himalayas product for • baby masage oil, • baby powder.• soap or (•soap of sebamade) Tk care.
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I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N 2 iui cycle not succeed. Doctor advise me for laparoscopic surgery for seeing is there any infection in tubes. Pls suggest me other alternative except ivf n laparoscopy.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N...
Hi, HSG will only show whether tunes are open anatomically.But whether it is functional. that is whether there is motility to catch the egg and transport the embryo back to the uterus can be checked only by seeing which means visualizing thro laparoscopy.In that also even if the tube shows motility it does not guarantee that it can catch the embryo which nobody can say.But atleast we can rule out if the tube are plastered and not moving or adhesions are there then there is no point in trying and ivf is the only solution. To come to that clarity it will be helpful.Also if there are minor adhesions it can be released. In any way laparoscopy will be helpful. But you can try few more iui cycles in a good center before going in for lap.
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My baby' s feets are normally little hot at day and night. He is 1 year and 4 months old. Is it normal?

C.S.C, D.C.H, M.B.B.S
General Physician,
Generally normal. Need to know more details like is he febrile and is he immunised, weight and so on. Feel free to discuss in detail.
1 person found this helpful
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My 8 months old girl baby refusing to drink cows milk and not eating any solid foods and sleeping properly. What to do for these problems?

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
My 8 months old girl baby refusing to drink cows milk and not eating any solid foods and sleeping properly. What to d...
You should give your baby only breast milk or iron-fortified formula during the first 12 months of life, not cow's milk. Starting at age 6 months, you may add solid foods to your baby's diet. Cow milk is not suitable for human child and should not be given before 1years of life.
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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.
1 person found this helpful
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My daughter is 8 years old and weighs only 20 kgs. She is never interested in eating, be it anything. Capacity of food intake is very low and so she is not that much energetic & active as she should be in this age. Kindly suggest what to do in this as supplements and tonics will do the needful or any other way so that can eat properly own her own and deficiencies can be done away with.

BHMS, pgdcbm, MD(AM)
Homeopath, Gurgaon
Dear lybrate-user Your daughter is underweight for her age. Be innovative in her foods. Include vegetables in her paranthas, idlis, sandwiches and cutlets. U can include more proteins in her diet like milk, paneer, soya, egg. Fresh fruits should be given. Make sure she is not eating junk food because it effects the appetite and hinders absorption of vitamins in the body.
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Pneumococcal vaccine is needed or not for 6 month baby. We already put 3 vaccine.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Pneumococcal vaccine is needed or not for 6 month baby. We already put 3 vaccine.
According to me they are not much of a use... and should avoid... Mostly they are earning tactics... as it does not guarantee any immunity.
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Hello. I'm 24 years old and I have given birth to 2 months baby girl. Still I'm under weight 40 kg. Done with C section only. I'm vegetarian too. Need to put on weight.

MD - Homeopathy
Pediatrician, Mumbai
Hello. I'm 24 years old and I have given birth to 2 months baby girl. Still I'm under weight 40 kg. Done with C secti...
Increase protein intake in your diet in the form of paneer, sprouts, have more of milkshakes, dryfruits and fruit juices in morning. Have dates, jaggery cheez n paneer parathas in your diet. Have 4 meals in a day.
1 person found this helpful
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कैसे करे अपने बच्चो क दांतो की देखभाल

MD - Paediatrics, MBBS
Pediatrician, Faridabad
कैसे करे अपने बच्चो क दांतो की देखभाल
  • भोजन के बाद फ्लोराइड टूथपेस्ट से कम से कम हर दिन दो बार ब्रश करे |

  • रात को सोने से पहले मुँह में अच्छे से फ्लॉस करे | 

  • अपने दांतो की स्वच्छता के लिए नियमित रूप से चिकित्सक के पास जाएं |

  • खाने के लिए अच्छी तरह से संतुलित आहार विशेष रूप से अपने नियमित खाने में शामिल करे |

  • ज्यादा से ज्यादा पानी पिए |

1 person found this helpful
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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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Hello doctor, my baby boy is 16 months of age and his weight is 8.9 kgs (still takes mother feed no other milk at all). His birth weight was 2.4 kgs. We are giving him vitamin d3 (arbivit d3 and earlier we also gave him d-sol and other few such medicines as prescribed by our doctor) drops (1ml/day). His vitamin d3 drops have not been regular means we have been able to give him these drops 5 days in every 7 days. Doctor had also advised him iron drops and zincovite which he did not take regularly. Is this a serious problem? our main problem with him is that that he does not eat food. We have tried lot of home made items which our doctor and friends have advised but he does not want to eat food at all. We have to do 100 of tricks and games (which is not possible at each and every diet and especially if we are out of home) in his each diet to distract him so that he can eat some portion of the food at least. Also sometime we are not successful in making him eat even after doing all this. This has been an issue since last 5-6 months but this problem has increased many fold from last 1.5 months since he was admitted to hospital due to excessive vomiting and loose motions. He has also developed allergy with lactose which is another issue. Please advise what should we do so that he starts eating food. We try 3-4 times in a day but he takes even half of that. He does not even want to open his mouth as seen as he sees the food and starts crying and shouting. Please advise.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Hello doctor, my baby boy is 16 months of age and his weight is 8.9 kgs (still takes mother feed no other milk at all...
Give darolac sachet 1bd for 3-4 wks. Give pediasure. Finger foods. Make him sit with you while you eat. Gradually feed same food what you eat. Syp z&d5ml od for 3 weeks.
18 people found this helpful
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My daughter is almost 11 years old and weights around 27 kgs. She suffered from jaundice, measles, typhoid in past five years. She frequently fall ill as her immunity is very weak. Please guide me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
For developing immunity, give her good nourishing diet rich in protein, fruits, vegetables and nuts. Zinc and vitamin A is helpful in improving immunity. Vitamin A 60,000 units daily for a week and Zinfate 1 tab daily for 15 days may be given.
1 person found this helpful
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