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Dr. Katoji

Pediatrician, Delhi

500 at clinic
Dr. Katoji Pediatrician, Delhi
500 at clinic  ·  ₹ online
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Katoji
Dr. Katoji is a popular Pediatrician in Bapa Nagar, Delhi. Doctor is currently associated with Hande Nursing Home in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. Katoji 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.

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English
Hindi

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57, Rajori Garden, DelhiDelhi Get Directions
500 at clinic
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Hi doctors, My baby is not passing motion for past three days. He is four months old. He is taking both bf and ff. Is it normal or should I need to consult doctor.

C.S.C, D.C.H, M.B.B.S
General Physician
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Hi doctors, My baby is not passing motion for past three days. He is four months old. He is taking both bf and ff. Is...
If he is completely breast fed this is normal. When you give other foods give more boiled water in between and stop bottle and feed from a cup and this will be normal. Moreover, newborns will no pass motion everyday normally.

What precautions should take in migranes problem?

Pediatrician
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Avoid stress, bright lights, hunger, exposure to sun, chocolates, hot showers, these ate some frequent triggering factors.

My son is 1 year old and his teeth started growing from the 5th month itself, now he has 8 tooth (4 on top and 4 on below) and the 4 on top started decaying its is become very difficult to breast feed him as his tooth stated hurting the mother. What should I do?

MD - Paediatrics, MBBS
Pediatrician
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8 teeth are normal at this age. Decay can occur due to bottle feeding. If so you must stop it. Show to a pedodontist for early intervention.

Brush your teeth with medium/soft bristled brush gently

BDS
Dentist
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Brush your teeth with medium/soft bristled brush gently. Brushing hard wears off the enamel causing sensitivity.

My child 7 month old Suffering from cough and cold Ascoril LS plus good for him? As suggested by doctor.

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician
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My child 7 month old
Suffering from cough and cold
Ascoril LS plus good for him? As suggested by doctor.
Hi thanks for your query in 7 month old baby to have a cough you can give syrup ascoril but before starting any medications on home I would like to suggest you to visit nearby pediatrician and get changed examination done and to rule out underlying pneumonia infection of the lungs.

My son is not taking milk how can I make him drink?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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You try adding vitamin powders and thereby changing the flavour. Try also giving milk kept for fermentation (to make curd) for two hours and try. It will just change to curd not sour or not the taste of milk. This consistency may be liked, to eat like icecream.

What should we do when a baby girl of 8 months suffering from cold & cough?

Pediatrician
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If the cough is occasional, feeding well, no fever, adequate weight gain, nothing much needs to be done. Keep a healthy environment smoke and dust free, if there is fever, increase in respiratory rate show to a pediatrician close by.

My baby (girl) is just one and half month old. Now she is given dexolac premium (other than mother' s milk). Should I continue the same brand for 6 months? or I can change it to nestle nan 1 or lactogen 1?

Pediatrician
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Why not continuing with exclusive breast milk, what was the need to change the milk, mother' s milk is the best for the baby, the baby requires nothing but the best.

Sir my 5 months baby girl looks week and she sucking her all finger all time after feeding. Can I give her any other think.

MD - Paediatrics
Pediatrician
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Sir my 5 months baby girl looks week and she sucking her all finger all time after feeding. Can I give her any other ...
It`s a natural reflex don`t worry, what is her weight. Give only mother`s milk up to 6 months of age then supplement home cooked food and continue mother`s milk minimum up to 2 years. Formula feeds I don`t recommend.

Anti Cavity Therapy

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist
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People who are at high risk of tooth decay due to high sugar and starch diets; receding gums, poor oral hygiene, orthodontic treatment etc. Can use sodium fluoride anti cavity toothpaste under the dentist's guidance.

These products like tooth mousse or cream is a break through in anti cavity therapy, which helps strengthen teeth to protect them from decay and also contains mild abrasive that removes stains.

Dr. Puja bansal
Prudent international health clinic http://www.prudentdentalclinic.com
Anti Cavity Therapy

My daughter has loose motion problem FM her birth 4-1-2016 to till day also split milk.

DHMS (Hons.)
Homeopath
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My daughter has loose motion problem FM her birth 4-1-2016 to till day also split milk.
Hi dear lybrate user, your question is ambiguous however, give her the under noted homo-medicine* @ aloe s 30- 1 drop, thrice a day. With 1 tsfl of water/milk. Report fortnightly.

I need to put 10th week vaccination to my kid and it has been scheduled on 30th. Can I put this vaccination tomorrow. Sixth week vaccination putted on April 30th. I heard that there should be a gap of one month for one vaccination to another. Can I put the vaccination in 26 days. Please advice me.

DNB(Pediatrics), DCH
Pediatrician
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I need to put 10th week vaccination to my kid and it has been scheduled on 30th. Can I put this vaccination tomorrow....
No leave 1 month gap because for immunity to develop it takes minimum 1 month, else you can give 2/3 days after may 30th, don't give before that.

My daughter is 8 year old but she is very week she eat every thing but health is not good please give me advised.

MD, MBBS
Pediatrician
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If she is active not remaining sick frequently don't worry much. Mostly height and weight are constitutional, runs according to parents and other family members. Can increase any time when height stops increasing.

My brother is having a fever with hard cough, his age is 15 yrs. He is taking only homeopathic medicine. What should we do?

Pediatric Gastroenterology, Diploma in Child Health (DCH), MBBS
Pediatrician
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See a doctor please. You may need a blood test and X ray of the chest. Cough along with fever often will need antibiotics.

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MD - Paediatrics, Anaphylaxis expert
Pediatrician
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In adhd long term side effects as increasing tolerance to automoxetin or methyl phenindate, but spending on case to case researched ayurvedic medicines with proper adhd expert & behavioural therapy with team treatment.

C.S.C, D.C.H, M.B.B.S
General Physician
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HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.

C.S.C, D.C.H, M.B.B.S
General Physician
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ARE YOU WORRIED THAT YOUR BABY VOMITS ALL THE MILK IT TAKES.
Most mothers complain this.Whereas the real condition in majority of cases is not a disease "vomiting" READ ON. YOur baby is possetting.

Possetting
What is possetting?

Possetting is normal in small babies. It's when small amounts of milk are brought back up. It's often why parents have a cloth with them after a feed to catch the posset which often bubbles through baby's lips after a feed


What causes possetting?

Often when your baby's stomach is full, milk can come back up. Babies often posset a little when burping, bringing up the milk often with swallowed air or wind.

In a baby the muscular valve at the end of their food pipe, which acts to keep food in the stomach, hasn't developed properly yet.

What are the symptoms of possetting?

Bringing up about a few teaspoons worth of milk after a feed.

It's non-forceful and tends to dribble out.

How is possetting treated?

If it is just possetting your GP or health visitor will give you reassurance that is it quite normal.

They can also help establish if it is the more serious conditions of reflux or gastroesophageal reflux disease known as GERD.

What is reflux?

Reflux is more serious than possetting. It's when the stomach contents are regurgitated.

When acid from the baby's stomach comes up as well as the milk, this can be painful. About half of babies will experience some form of reflux during their first year. As the muscular valve gets stronger, your baby is better at keeping food down.

How to tell the difference?

If your baby shows discomfort when feeding, such as arching away, refusing to feed and crying, it can be a sign of reflux. She may also frequently vomit or spit up more than normal possetting, and cough a lot, including at night, with no other sign of a cold.

If your baby displays any of the above symptoms check with your GP. Reflux is quite common. It tends to peak between one and four months and normally ends by 12-18 months.

How to alleviate reflux?

It can often be successfully controlled by simple remedies: For example:

More small feeds to prevent your baby's stomach getting too full.
Keeping him upright during and for at least half an hour after a feed.
Avoid tight clothing, particularly around your baby's stomach.
Ask your doctor or health visitor for advice.

Gastro-oesophageal reflux disease (GERD)

If reflux is very severe there can be complications like damage to the oesophagus ( oesophagus), or long-term problems and this is diagnosed as gastro-oesophageal reflux disease ( GERD).

Symptoms may include: vomiting, failure to put on weight, coughing and breathing problems.

If your baby vomits bile which is green, has repeated projectile vomiting or vomits blood seek medical advice straight away. Symptoms like bloody stools (poo), abdominal distention, excessive crying or if baby keeps refusing feeds may also be signs of GERD, and again should be checked by a medical professional promptly.

It is rare for infants to suffer from GERD but bringing milk up is very common for most babies, who tend to grow out of possetting or reflux by 12-18 months.

My 9 month baby motions and vomiting and weakness.Please do help.

Pediatrician
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Give ors n feed her in small amount but frequently. Like daliya, khichadi, bananas. You can also start syp zinc.
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