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Dr. Jacob M Puliyel

Pediatrician, Delhi

550 at clinic
Dr. Jacob M Puliyel Pediatrician, Delhi
550 at clinic
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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. Jacob M Puliyel
Dr. Jacob M Puliyel is a trusted Pediatrician in Tis hazari, Delhi. You can consult Dr. Jacob M Puliyel at Dr. Jacob M Puliyel@St Stephens Hospital in Tis hazari, Delhi. Book an appointment online with Dr. Jacob M Puliyel and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 37 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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Stress Free

Bachelor Of Physiotherapy
Physiotherapist, Noida
Stress Free

How to effectively handle work related stress

The statistics on stress at workplace are staggering with half of respondents in studies reporting that they face higher than normal stress levels at work. Stress is a silent killer and can lead to serious health issues like stroke and heart attack. Stress at the workplace could be due to excessive workloads, unclear responsibilities, lack of control, unrealistic deadlines and noisy work environment.

While it is a good thing to be competitive and excel in whatever you are doing, it is also very important to learn to tackle stress and take life easy. Remember, we live only once! here are some simple and effective ways to handle workplace stress:

1. Seek support at work

Research has shown that having one good friend at work reduces the chances of quitting. Sharing your thoughts with another person not only reduces the stress levels but also might lead to discovering new ways to handle tough situations. Take proactive steps to be more friendly and sociable at work.

2. Manage work better

Try prioritizing better and not expecting perfection in every task. In case your role is over-loaded, try talking to your manager to reduce the load or if possible, delegate some work. Accept that you have certain limits to your productivity and do not try to prove yourself by over-working.

3. Get moving

It is a proven fact that exercises in any form reduces stress levels. Try to exercise for half an hour daily in the form walking, swimming, playing a sport or running. You can take short walking breaks at work that can add up to half an hour in a day.

Reduce weight with weight management products >>

4. Try breathing exercises

Breathing deeply for four counts on inhale and exhale can reduce stress levels immediately. You can try alternating breathing exercise i. E. Long inhale with one nostril and exhaling with the other nostril, which brings focus and energy in the morning before starting work.

5. Take a power nap

10 minutes of shut eye goes a long way in recharging your tired brain. Any longer than 15 minutes will end up making you groggy. Just put your head down on the desk, and clear your mind of all thoughts for 10 minutes.

6. Eat right

Food has a big role to play in determining our stress levels. Avoid processed food, sugar and high amount of refined carbs like flour, white rice etc. Maintaining your blood glucose levels by eating more complex carbohydrates that are slowly digested like ragi, jowar, bajra gives you steady energy levels throughout the day.

Take care of your sugar, liver, skin & more with ayurvedic products

7. Get enough sleep

Over-worked employees often cut back on sleep and try to squeeze in work at night. Over the long term, this practice can severely impact your health and leads to more stress. A restful night's sleep of at least 6 hours is mandatory for all adults. Lack of sleep causes irritability and diminished ability to deal with stress. Avoid looking at laptop, tv or phone screens when you are trying to fall asleep.

You have to take charge of your own work-life balance and draw the line where you feel uncomfortable since no one will do it for you. Over-working might give benefits in the short term in terms of recognition and promotion, but it causes emotional, mental and physical burnout in the long term. Stay healthy, stay happy.

4 people found this helpful

My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. We are giving her enfamil a+ and rice dal. Please suggest what to do ?

C.S.C, D.C.H, M.B.B.S
General Physician,
You give her only breast milk. If you give bottle feed stop it and give with cup and spoon. Check her tsh and inform me. As you are giving formulas give boiled water frequently and send me report.
1 person found this helpful
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My baby is one year old and she won't eat anything, she loves milk, but she just have one but of food and refuses to eat further. What could I do? How can I make her hunger?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Give her food of her choice out of many variety in home. Do not force to eat. Continue milk or its priduct at her demand.
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Hi, My son is 4 years old. Suddenly since last night few blisters appeared on his back and on front left lower side of stomach. Please consult what is this disease and the treatment.

BHMS
Homeopath, Secunderabad
It can be any thing! It needs to be checked to ascertain what it is. It can be allergic rash or it can be some skin infection. If it is some minor problem it will subside in 2-3 days.(ask if there is itching, fever etc). Maintain hygiene always. Better visit a doctor if there is no relief.
2 people found this helpful
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

2 people found this helpful

Hello, My just born baby have lumps under nipples. What to do. Is that normal? What should we do for that.

MBBS, MD - Paediatrics
Pediatrician, Delhi
I understand your anxiety for your new born. This is due to passage of maternal hormone (oestrogen )into the baby & maycause enlargement of breasts in both male &female infants. It lasts only for a few days or weeks. This is thus perfectly physiological &warrants no manipulation or treatment. This is known as mastitis neonatorum .no need to press /massage/extraction of milk. If these are massaged or milk is taken out it can lead to infection or abscess formation &may lead to damage of breast tissue which will be a great disadvantage to a female child later in life. Regards.
1 person found this helpful
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BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Bottle gourd juice(Dudhi juice)

The underrated vegetable is know for its hefty nutritional values. It is a known diuretic (which helps to remove excess water and toxins) from the system and also help in gastroinstestinal problems like flatulence(gas),indigestion and acidity. It surely makes a healing punch.
6 people found this helpful

My nephew 1 month 12 days old. He is suffering from rubella syndrome. Heart eye and ear effected. Your advice in this regard is highly applicable.

M.D.( Pediatrics), DCH
Pediatrician,
We need to treat each problem separately. It is result of rubella infection in mother when she was pregnant with the baby.
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We have a 3 month old baby boy and did not poop for 10 days. Today is the 10th day. Please Advice. Many Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
If you bottle feed, you have to stop bottle and feed with spoon and breast only. His thyroid needs to be checked
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My daughter is on 4 years she is suffering fever 102.8 last two days. She claims stomach pain day before yesterday but today is not stomach pain fever 102.8 with shivering. Fever is continuously occurring. I have been using 6 ml paracetamol syrup only.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Sponge whole body for 30 minues in addition to paracetamol. Cbc, esr, urine analysis, test for mp to be done to know cause of fever.
1 person found this helpful
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Hi. Recently my wife has 12 days baby girl our problem is she can not eat mother feeding directly. If we force she started more crying. Then we have to eat mother milk or amul shakti by spoon. This is now daily problem so what we do? So that she direct eat mothers milk. please help. Weight 3 kg.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Mother might be having problem of retracted nipples which the baby can't hold in his mouth. So help of a senior lady can help this by doing massage of the nipples. Always try to give breast feed directly through sucking otherwise milk secretions will be reduced gradually. --you can use a blunt forcef to hold the nipple and put in mouth of baby. --baby's are very smart. After feeding with bottle (which require no effort) they will avoid breast sucking as it requires effort. --always avoid feeding with bottle.
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Hi m having a 2 month baby. Since birth day my baby is having a white molluscum on his left chin. Its almost 2 month over but it is not going off. As I got infected a year before with this molluscum which was there during I was pregnant. please tell me is my baby infected through it in womb itself? How to get baby rid of it? please help.

MD - Homeopathy
Pediatrician, Mumbai
Your baby is just 2 months old just wait for few months molluscum might dry and fall off. if it doesn't on its own then consult a good homoeopathic doctor and start homoeopathy
1 person found this helpful
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I am suffering from dry cold since last month and also from cough. So tell me what should I do to release from cough.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, *body should be kept warm especially feet, chest, throat and head. Sweating is very helpful. The simplest way to do it is drink hot spice tea or some other hot drink and lie down on the bed .Take some warm cover like blanket and let the body sweat for 15 to 20 minutes. *a glass of warm water mixed with one tea spoon of lemon juice and one tea spoon of honey can be taken 2-3 times a day. *case of dry cough especially if it trouble is during the night, take cardamom, dry ginger, black pepper and cinnamon in equal quantity, say 10 gms. each. Take white sugar or rock candy equal to the total weight that is 40 gms. Grind them and make a fine powder. From this take half a tea spoon ( about 3 gms.) twice a day with honey or warm water after meals. *Cold drinks, ice cream, sweets, fried foods, milk products like cheese, creams, yogurt etc. should not be taken. Hot milk without fat can be taken if boiled with a piece of crushed ginger. Half tea spoon of turmeric powder is good to mix with the milk. *you should avoid tomatoes, eggplant and bananas.
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My 5 months old son passing yellow urine. He is totally formula fed. Should I worry?

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
When a child is on breast feed , initially secreted milk is totally watery that fulfill his thirst and after sometime thick dark milk secretes that completes his nutritional needs. But in formula milk it doesn't happen . So ,if child is passing yellow urine without any sign of infection, offer him sips of water after every 3 hours. While offering water,take care of hygiene.
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My daughter age 8 month currently Since yesterday she is suffering from loose motions today she did 7 times since morning Given oflox oz 4 drops Please advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
If stool is watery and fairly in large quantity, maintain her hydration and electrolytes by giving ORS so long she likes and in between plain water. Continue feeding. Get in touch with pediatrician. Medicine to be given depends on cause of Loose motion.
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My daughter passes urine frequently without her concious after a wet feel she goes to toilet is it normal as she is only 3 years old.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
May be a bladder weakness, it calls for an improvement in nervous constitution and toning up motor nerves controlling bladder functions. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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Sir/madam My child is 5 months old.in blood test c.reactive protein test ranges 37.5 . Is it any serious factor? Please help.

MD - Alternate Medicine, BHMS
Homeopath, Surat
No no dear. Do not worry. Just avoid outside food for 15-20 days. And have simple foods only. It will get back to normal. Don't worry. Take care.:)
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