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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
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My daughter is 1.2 year old. She is not having her food in time. Only bottle milk feeding 5 to 6 times a day. Before a month she had food, juices etc but now she is not ready to eat anything. Is there any reason for not having food?
My son is bulky and is over weight as he is 10+ of age suggest me to lose his weight pls. I am not willing to use any medicine for him.
Hi , My daughter is 15 months old, she is 9.6 kgs wt, she is not at all eating anything . She even not drinking water. Pls suggest me what to do.
Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.
The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria.
The other key features of nephrotic syndrome are:
- A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome.
- Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood.
- A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage.
- Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease.
- Other typical symptoms and signs of nephrotic syndrome are discussed later.
Common causes behind it
Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications.
Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include:
- proteinuria—high levels of protein in the urine (based on your child’s age and size)
- hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine
- edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
- high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
- While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made.
Here’s what you need to know about nephrotic syndrome:
- In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it.
- Nephrotic syndrome always affects both kidneys.
- It usually appears between the toddler and elementary school years, although it may appear later.
- There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS).
- MCD is much more common in children, and likely to respond to therapy.
- FSGS is a more aggressive disease, and may lead to kidney damage.
- Most children with NS outgrow it by young adulthood.
Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.
I am suffering from stomach infection since 1 week I am also having pain tell me what I can do any medicine.
Often, issues faced by dysfunctional families take a toll on a child’s mental health, and various factors can lead to a child's mental health problems. Physical and verbal abuse and parental divorce are among other causes of mental health problems in children. Family therapy is one of the proven effective psychiatric procedures that help a child cope with mental health issues, and helps to direct the child’s life.
The Role of Family Therapy
Family therapy is also known as family focus therapy or family systems therapy works with families, to help them in dealing with a wide range of family problems. One such problem is a child’s mental illness.
Children, pre-teens and teens are continually going through a developmental phase during their formative years. This is the time when they are most vulnerable to the adverse impacts of life. Sometimes parents are not equipped to deal with the suffering child properly. This is where family therapy can significantly benefit families and children. The psychological process can help children in dealing with major issues such as bad conduct, mood disorders, drug abuse, and eating disorders.
It can include individual sessions amidst a series of family meetings, and when required. At times, even the social networks around families can be included.
Mental Issues That Family Therapy Focuses
Family therapy offers possible treatment for a wide range of conditions including a long-term illness such as depression. It is based on two principles. A mental illness is made only worse by a dysfunctional family. Immediate family relationships are the strongest support system for a child. This is what makes them most important during long-term treatments.
Family therapy focuses on treating and molding the way families, and parents interact with the child facing mental issues. It helps in strengthening parent and child bond, and also helps instill faith and confidence in the child dealing with mental issues. All these measures combined to bring the child on the road to recovery.
How Does It Work?
Family therapy is not a time-bound process, so its effectiveness depends on the child and family. The therapy has its various forms and can be integrated with one another, as and when the psychiatrist thinks it is necessary. Among its multiple forms are teaching coping skills, psychoeducation, behavioral models, structural family therapy, systematic models, and solution-focused therapy.
Family therapy has proven most effective during the childhood and adolescent stages, where it has shown significant improvement among children suffering from anorexia, inattention, hyperactivity and severe long-term illnesses such as depression, obsessive-compulsive disorder, bipolar disorder, drug abuse and anxiety disorders among others. Family therapy can be very effective in wide range of psychiatric conditions.
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