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Dr. Kirti Nanal

Pediatrician, Delhi

Dr. Kirti Nanal Pediatrician, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Kirti Nanal
Dr. Kirti Nanal is one of the best Pediatricians in Moti Bagh, Delhi. She is currently associated with Charak Palika Hospital in Moti Bagh, Delhi. Save your time and book an appointment online with Dr. Kirti Nanal on Lybrate.com.

Lybrate.com has an excellent community of 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.

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Hindi

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Charak Palika Hospital, Moti Bagh. Landmark: Near begum zaidi market, DelhiDelhi Get Directions
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My daughter body is week. She is not healthy in her age and her body colours is dull. She is looking some black colour. Whats the reason please tell. And what I do.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My daughter body is week. She is not healthy in her age and her body colours is dull. She is looking some black colou...
Need not worry as long as she is active. Make her eat well. Colour of skin is decided by the genes so we can not change the colour. Let nature take a call.
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

5 people found this helpful

Mere 25 days ke beta ka right kidney mei mild echogenic show kar raha hai. Iska matalb smjhate huye iska treatment bataye.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Mere 25 days ke beta ka right kidney mei  mild echogenic show kar raha hai. Iska matalb smjhate huye iska treatment b...
Well aapko usg abdomen with kub repeat karwana hoga as the child grows. Abhi ke liye koi pareshaani ki baaat nahi. Agar bacche ko koi uti ho yaani urinary infection toh zaroor scan karwana. Generally apne se theek ho jaata hain.
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My daughter is now 2. 7yrs old she suffering from hard stool and absent one or two days from stool. Kindly solve this problem.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Please give her things that have fibre like fruits and vegetables in large quantity. Also give lots of water and juice. Constipation will usually improve.
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Hi, My daughter is 2 years 3 months old, yesterday she got drenched in rain and today she caught cold, what would be the best medicine, please suggest. Thanks in advance.

DNB - Pediatrician
Pediatrician, Pondicherry
Hi, My daughter is 2 years 3 months old, yesterday she got drenched in rain and today she caught cold, what would be ...
Hi, Based upon your complaint, she is suffering from common cold. Give her SYP. SINAREST-AF 2.5 ml three times a day for 3 to 5 days. Maintain good personal hygiene, give her hot water to drink. If she develops cough and difficult in breathing, consult nearby child specialist.
1 person found this helpful
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Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not walk fr seconds. It happen every time I take my baby on my lap.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not...
When you sit crosslegged and taking your child on your lap, there could be atemporary reduction in blood flow to the legs and this could be due to weight gain or nerve compression or blood vessel compression. For your height, of 5.3 feet, your weight is ok, so may be the problems could be due to cramps in muscles and this can be best helped by sitting with legs straight if you sit crosslegged, you must change position everyf ew minutes to allow good blood flow. If tingling numbness if there, it signifies vitamin or calcium deficiency and its better to meet a doctor before popping a pill generally many pregnant women take calcium off and on in pregnancy but do not take calcium in postd elivery period. If you are still feeding your child or if you have not taken calcium in the post delivery period, perhaps you must visit the gynecologist who will evaluate you and provide the necessary treatments.
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My baby girl is 4 months old. From past 4 days she is having fever of 100 degree. Though she was urinating in every 1-2 hours but she was urinating very less. So we consulted a doctor and he prescribed medicines such as Pro wel, apex-p and ofloaxin since she was passing out green stools from past few days. We also undergo a urine test and it is found to be normal. What my concern is from past few days she is drinking very less breast milk. She sucks for only 30 secs to one minute and then she refuses to take it even after burping. She screams when she looks at my breast I tried feeding her through spoon and she is ok with it but not with sucking Can you please help since manual extraction of milk is a time consuming and difficult process.

MD - Paediatrics
Pediatrician, Kolkata
Breast milk production and secretion is mostly depend on overall wellbeing and mental status of mother. First of all you need to relax and try to take adequate rest. Do any relaxation technology which is suitable for you. Drink plenty of water and take half to one glass of water 15 minutes before feeding. As your baby is sick and passing loose stool she might be thirsty but easily fatigued. So she needs frequent feeding.
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I am unable to get wet after having my normal delivery. My husband foreplays for hours but no signs of orgasm. Its being two months of my delivery and my diet is completely balanced as I am breastfeeding. If any exercise or medicines could help please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
do foreplay with romance. do lip kiss. and ask him for clitoris kiss it can give 100% satisfaction . kesal exercise and avoid stress. if vagina is loose pl. try to keep it tight. or you can do pvt. consult on lybrate.com.
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My grand daughter of age 4 yrs goes for urination every 20, 25 minutes at home and play school. She doesn't drink much water. It was going on for some time now. What may be the the reason, doctor?

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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Baby Bottle Caries In Bottle Fed Children

PGDHHM, BDS
Dentist, Gurgaon
Baby Bottle Caries In Bottle Fed Children

What is baby bottle tooth caries?
 

Baby bottle tooth decay is caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. Among these liquids are milk, formula, fruit juice, sodas and other sweetened drinks.
The condition is associated with breastfed and bottle fed infants who have prolonged feeding habits or with children whose pacifiers are frequently dipped in honey, sugar or syrup. The sweet fluids left in the mouth while the infant is sleeping increase the chances of cavities.
 

Why should I be worried about baby bottle tooth decay?
 

Giving an infant a sugary drink at nap or nighttime is harmful because, during sleep, the flow of saliva decreases, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, decay can result, which can cause pain and infection. Severely decayed teeth may need to be extracted. If teeth are infected or lost too early due to baby bottle tooth decay, your child may develop poor eating habits, speech problems, crooked teeth and damaged adult teeth.

How can I prevent baby bottle tooth decay?
 

1. Never allow a child to fall asleep with a bottle containing milk, formula, juice or other sweetened liquids.
2. Clean and massage the baby's gums to help establish healthy teeth with a moistened gauze square or washcloth.
3. Brushing should begin upon eruption of the first baby tooth. When brushing a child's teeth, use a soft toothbrush and water.
4. Parents should first bring their child to the dentist when the child is between 6 and 12 months old for a checkup.
5. Decrease consumption of sugar, especially between meals.
6. Children should be weaned from the bottle as soon as they can drink from a cup, usually by their first birthday.

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MD - Paediatrics
Pediatrician,
Mother's milk during first 3days of delivery is called colostrum. Colostrum is rich source of energy and immunity. It has to be given to baby.
9 people found this helpful

How To Deal With Picky Eaters (Children)?

CERTIFICATE COURSE IN HOMOEOPATHIC CARDIOLOGY, M.D.(HOMOEO.)PSYCHIATRY, B.H.M.S.(BACHELOR OF HOMOEOPATHIC MEDICINE & SURGERY.)
Psychiatrist, Delhi
How To Deal With Picky Eaters (Children)?

Is your child refusing to grab anything other than chicken nuggets? When your child’s nutrition is an aching subject to deal with in your household, remember you are not the only one. Many parents are actually worried about the fussiness of their children over food. But your child’s food preferences would also mature with age. Until then, you can consider trying out these following tips to avoid any kind of mealtime hassles.

  1. Respect your child's appetite or lack of one: Respect your child’s level of appetite and never force a meal, if your child is not hungry. Rather, serve small portions to give them an opportunity to ask for more, on their own.

  2. Stick to the routine: Maintain a routine and serve snacks and meals at about the same time every day. Also, keep a check on the number of times you serve those mid meal snacks and try to stick to that count.

  3. Be patient with new foods: Have patience with new food. Take time in introducing it to your child by talking about the food’s shape, color, aroma and texture, if not the taste.

  4. Make it fun: Try out innovative ways of garnishing your food so as to make the whole eating experience a fun and a thrilling one for your child.

  5. Recruit your child's help: At the grocery store, ask your child to help you select vegetables, fruits and other healthy foods. But keep off those foods which you would not want you child to eat.

  6. Set an example: Set an example by yourself by eating all kinds of nutritious and healthy foods, in order to set that perfect example for your child.

  7. Cut Distractions: Make sure to switch off from any sort of a distraction, such as the television or the washing machine and other electronic gadgets while feeding your child.

  8. Don't offer dessert as a reward: Do not reward your child with desserts at the end of the meal as this sends them an indication that the dessert is the best dish among all.

  9. Do not cook a separate meal: Do not cook a separate meal for your child after he/she has refused the original one as this might encourage picky eating even more.

2772 people found this helpful

Hello Doctor, My baby is 2 months old and from last 2-3 days my baby is doing green poop and I think his stomach also ache he cry a lot some of the days and he always do poop while after drinks the milk please tell why this happening and what should I do for this?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello Doctor, My baby is 2 months old and from last 2-3 days my baby is doing green poop and I think his stomach also...
All this which you have mentioned is normal for this age. Do not stop feeding while baby poops during feed. I am sure you must be feeding exclusively breast milk.
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Tips To Ensure Regular Sleep For Your Baby

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Tips To Ensure Regular Sleep For Your Baby

When it comes to babies and their sleeping habits, you have to understand that every baby is different and has different needs. Thus, certain things that may work for one set of parents may not necessarily work for the other. Thus, here are a few tips that will ensure that your child gets ample of undisturbed sleep and stays healthy and fit: 

1. Learn to distinguish when your baby starts feeling tired: Once your child starts feeling tired, he/she will definitely show specific signs that he/she requires some sleep. Some common signs  are:
a) The constant eye rubbing 
b) Yawning
c)  Getting a bit fussy and cranky 

Put your baby to sleep as soon as possible when he/she starts showing such signs. If your baby gets overtired, it will be all the more difficult for him to fall asleep. 

2. Set a proper sleep cycle: Ensure that you set a suitable sleep cycle for your baby. Train your child to sleep during the night and play during the day. Ensure that you keep your kid busy during the day, ensuring that he/she stays awake even after a feed, so that he is tired by night time and sleeps properly all throughout the night. At night, when your child gets up for a feed, ensure that you do not turn on the lights. Instead, make sure to keep the room in semi-darkness so he/she goes back to sleep effectively. 

3. Ensure that your baby is full: If your baby is hungry and has not had his fill, it will tend to disrupt his sleep. Thus, ensure that your baby is well fed before you put him to sleep. For example, if during the day you feed the child after every three hours, as evening approaches feed him every two hours. This will ensure that he is well fed before he goes to sleep.

4. Let go the burping occasionally: Babies do not avidly breastfeed at night. Thus, it is not essential that you wait for him to burp every time he feeds.  

5. Give a Massage: Another way to ensure that your baby sleeps properly is to give him a good massage. A massage will help the child to relax and thus sleep better.

4451 people found this helpful

Child Sexual Abuse....

MD - Psychiatry
Psychiatrist, Alappuzha
If your child wants to convey something with fear and shyness. Don't avoid it. It might lead to danger of repetitive abuse.
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My 2 years baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromphophob and also ice pack for reduction of swelling. He s having little temperature. What can I do immediately.?

MBBS
General Physician, Allahabad
My 2 years baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromp...
Give her Omnacrtil syrup 1/2 Tsf and Syrup Combiflam 1 Tsf twice daily after for 7 Days. Also give Cefadrox syrup 1 Tsf twice daily for7 days.
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What are the symptom of asthma. My 5 years old daughter facing this problem. Pls tell me the solutions.

Pulmonologist, Jaipur
The symptoms of asthma include: wheeze, chest tightness, shortness of breath, night awakening due to asthma symptoms and early morning asthma symptoms on waking up plus frequent absence from work. Your daughter of course may not experience the last one. If she has symptoms like theses please consult your paediatrician or a chest physician who will properly investigate her and advise accordingly investigate her and treat her. Asthma is manageable and patient live very good quality of life with regular treatment.
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My baby girl is 9 month old please give me diet to increase her weight she is just 7 kg.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby girl is 9 month old please give me diet to increase her weight she is just 7 kg.
As your baby is 9 months old you might have started other foods apart from milk. You should give her a well balanced diet which includes protein and carbohydrates and fresh fruits. Give her khicdi ,rice, roti, eggs, chicken soup if non veg, home made paneer and fruits like banana and apple puree. Make it a point that your food is cooked and mashed properly so that your baby can digest it properly. Weight should not be so much a matter of concern as long as the baby is healthy and active.
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