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Dr. M.S Tomar

Pediatrician, Delhi

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Dr. M.S Tomar 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. M.S Tomar
Dr. M.S Tomar is a trusted Pediatrician in Rohini, Delhi. You can consult Dr. M.S Tomar at MOTHER`S CHOICE CHILD CLINIC in Rohini, Delhi. Book an appointment online with Dr. M.S Tomar on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 43 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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MOTHER`S CHOICE CHILD CLINIC

A11/89, Opposite Dr Lal Pathology, Sector 18, Rohini, DelhiDelhi Get Directions
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Behalf of my wife am posting this question. Recently we are blessed with a baby girl. Delivery was not normal. My wife keep feeding for more than 30-40 mins. She keeps feeding else baby cries. Per day she feeds more times. Can someone pls advise what kind of food my wife have to take? We don't know really is this is a problem or milk is not enough for the baby from mother. How to check it? I heard moms use to feed for 10-15 mins. But in our case duration is not normal. Pls clarify us what we have to do.

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Its perfectly normal to feed for 30/40 mins initially. Breast feeding is the biggest challenge that the new parent faces. As long as the baby is gaining weight as required her feeding is adequate.Just grit your teeth and be at it for the first 3 months...then it will be a cake walk!
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My Daughter is 4 months old. I recently moved to my husband's place from my mother's home. Since the day my parents left us, she is so aggressive and cranky. Does she miss them or is it because of new place and new people?

C.S.C, D.C.H, M.B.B.S
General Physician,
My Daughter is 4 months old. I recently moved to my husband's place from my mother's home. Since the day my parents l...
It can be both and you give her good attention and care to make her feel at home . She will adapt to new environment
1 person found this helpful
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How to stop breast feeding completely in a toddler.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
It can be very difficult to stop breast feeding suddenly. You have to be firm and very persuasive. Tell her that she is now a big girl and offer her her a variety of interesting food, snack items specially when she is hungry and keep her diverted from the breast. Basically see that she does not remain hungry. Also, you can have some children come and play at home with her to distract her at feed times, or you can take her out to play. Children also crave for breast for remaining close to mother, feeling secure and safe. Offer her more hugs and cuddles and say how she can drink with a new sipper, how she can use a straw. Make the change over an interesting fun activity. But be firm, and determined and be ready to face a few tears.

My 1 year daughter has small two ball like things back side of her head. I think she is not feeling any problem about this. But sometimes she itching them. What to do? please give advice.

MD - Paediatrics
Pediatrician, Jamnagar
My 1 year daughter has small two ball like things back side of her head. I think she is not feeling any problem about...
Mostly they are normal lymph nodes if less than 1 cm size. If they are painless and static in size, nothing to be done.
1 person found this helpful
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I have a 6 year old son and day by day he is so aggressive and he don't do his study with patience what should I do?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
try to look for antecedent and precedents. he wants something/attention.protecting something he possesses.trying to avoid/dominate situation/person.environment around is threatening. pl act accordingly.
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My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black patches around neck and around mouth. What to do to get rid of this situation. Please advise.

B.H.M.S
Homeopath, Patna
My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black pa...
Plese contact in person with any homoeopath physician for taking case history. Or with me on chat site the patient will recover 100% please send detailes about the patient 2. Ignatia 1m give her one drop 6 hourly for 9 days.
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Hi doc, my 45 days old son is around 4.2 kg and his birth weight is 3.4 kg. Doc told his weight gain is too slow. I am on breastfeeding. He is around 56 cm in height. I am really worried. He is peeing and pooping. He looks quite active and normal. I am really confused. Please suggest whether I need to introduce formula or other supplements for his weight to peek.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi doc, my 45 days old son is around 4.2 kg and his birth weight is 3.4 kg. Doc told his weight gain is too slow. I a...
Continue breastfeeding, your baby is growing normally & weight gain will be seen in near future. Supplement semisolid/liquid diet at 6 months of age. No need to start any formula feeds.
1 person found this helpful
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My kid he is 2years old. He is having allergy on his right ear. When I apply'betagel' it will be in control. After a week again it starts. Please suggest treatment for him. Thank you.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My kid he is 2years old. He is having allergy on his right ear. When I apply'betagel' it will be in control. After a ...
Hi lybrate-user can you send some pics of it, it will be of great help. Most of the times allergy are atopic in nature for which you should apply good moisturizer like atogla lotion multiple times in a day specially immediately after bath. Do not use harsh soaps. You can use tedibar soap for bath.
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Hi, I have 2 month male baby he have single testicle so is it any problem to his future? please suggest.

M.D.( Pediatrics), DCH
Pediatrician,
See paediatric surgeon, he will guide you and answer all your questions. You need to know for sure, if it is retracted or descended testis. In any case nothing to worry as both are treatable entities. Hope this helps.
1 person found this helpful
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Hi my daughter is one year. She is having skin allergy commonly known as chappaki. I am gvng her allopathy medicine. Whenever I stop medicine she again faces same problem.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi my daughter is one year. She is having skin allergy commonly known as chappaki. I am gvng her allopathy medicine. ...
Atopic dermatitis is known for waxing and waning. Use emollients abundantly and keep the skin moist.
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My grandson 4 month old. Now days he is suffering cold. Noise come like gar gar from chest. Pl.suggest medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My grandson 4 month old. Now days he is suffering cold. Noise come like gar gar from chest. Pl.suggest medicine.
Dear Mr. lybrate-user, It is advisable to consult an expert paediatrician. He will help you better. As for safe health of babies and child's health it is better to consult a paediatrician instead of self medication. Don't take risk. Ask mother to take care of her health and her child both.
2 people found this helpful
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Tuberculosis(TB) - How To Treat It Effectively?

MBBS.DTCD
Pulmonologist, Hyderabad
Tuberculosis(TB) - How To Treat It Effectively?

Tuberculosis is a serious infectious disease that can affect the lungs. The bacteria spread through sneezes and coughs making it a communicable disease. This disease was rare and limited to the Western Countries until 1985. The emergence of HIV virus has made tuberculosis a global disease to reckon with. Although the rate of TB has come down since 1993, it remains a top concern for many countries. The biggest worry is the fact that TB bacteria can build resistance to many drugs. Therefore, it is very important that a TB patient takes a variety of medication suggested by the doctor at the right time.

Although your body is already in possession of the bacteria leading to tuberculosis, your immune system is able to prevent you from becoming sick. Doctors have made a distinction between latent and active tuberculosis (TB)--

In case of latent TB, the bacteria in the body in a passive state and it causes no symptoms, and therefore it is not contagious. But, in the case of active TB, you would become sick and may even spread the disease to others. It can take place in the first few weeks or even after several months of being infected with TB bacteria.

Types of Tuberculosis:
There are two types of tuberculosis- Latent and Active.

  1. Latent Tuberculosis is a condition where the bacteria stays in the system of a person but doesn’t show up any symptoms of TB. Although this type of TB is not contagious, it requires treatment so that TB can be controlled from spreading.
  2. Then there is active tuberculosis. It shows symptoms in the first few weeks and can spread to another person as well.

What are the symptoms of active TB?

  1. If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB.
  2. Chest pain and pain while coughing and breathing along with fatigue, fever, chills and night sweat are the common symptoms of TB along with loss of appetite and unintentional weight loss.
  3. TB may even affect other organs of your body, including your brain, spine and kidneys.
  4. When TB takes place outside the lungs, then the signs of TB can vary as per the organs that are involved. For instance, TB in the spine can cause back pain and that in kidneys may cause blood in the urine.

What are the causes of TB?

  1. TB is stemmed from a bacteria which spreads from individual to individual via the microscopic droplets that are released into the air.
  2. This may happen when an affected person is left untreated and he speaks or sneezes or coughs or laughs. Though the disease is contagious, it is not easy to be affected by it.
  3. As a result, you are much more likely to get affected with active tuberculosis from a person you live with or come in regular contact with, rather than a stranger.
  4. It is important to note here that people who are affected with TB and going through proper medications for over two weeks are no more contagious.

Tuberculosis - How to effectively treat it?

With the treatment for tuberculosis, one should have patience as it may take time to cure a person completely of tuberculosis and the associated symptoms. Many factors are taken into consideration while determining the course of the treatment for tuberculosis, some of which include

  • Type of tuberculosis (Latent or Active).
  • Age of the patient.
  • The condition being drug resistant.
  • The general health of the patient (if there are any other health conditions that may interfere with the treatment).

In the case of Active TB and that too, a drug-resistant type, the use of multiple drugs (simultaneously) may be needed to produce the desired results. The drugs commonly used include Pyrazinamide, Rifampin, Ethambutol, and Isoniazid. In most cases, the doctors suggest the drugs be continued for at least six- nine months for positive results.

Some patients with Active TB (drug resistant) may also benefit from the use of fluoroquinolones (antibiotics) taken along with capreomycin, amikacin, or kanamycin (mostly given in the form of injections). Most patients are required to follow the medication for 20-30 months duration.

Unlike the Active TB, in the case of Latent TB, a combination of drugs and medications is not required. A single TB specific drug is enough to treat the condition.

Therefore, it is important to seek medical assistance and detect if you have any such health complications concerning TB.

3012 people found this helpful

Dear Doctor, We are in a happy mood and blessed a baby Girl and she is running 5th Month now. But now the problem is My wife is not able to provide the Breast feed she had consulted doctor many times regarding the same, she is using GALAKOL tablet but unfortunately it is not happening at all. Now we want relaxation as well. Can you please provide the best medicines and the Diet to get a Breast feed to my child.

MD - Paediatrics, Lactation Consultant
Pediatrician, Ahmedabad
Dear Doctor,
We are in a happy mood and blessed a baby Girl and she is running 5th Month now. But now the problem is ...
Hello lybrate-user .Conrgratulation for your bundle of joy and for completing this many month of exclusive breastfeeding. Baby -mother dyad needs to be examined by either Lactation Consultant or Pediatrician to find out the cause. Taking drugs without consultation won't help much. Exclusive breastfeeding or breastmilk has enormous benefits .So please don't start formula in haste. I am Pediatrician and Lactation Consultant too and I do online consults too. Hope everything becomes streamline soon.
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I have 8 month old baby. I am breastfeeding and giving formula milk to him. Doctor has given easum cerelac to him. I am giving him twice a day. Now what type of food and fruits should be given to my baby and in which form and what timing gap should me made between food help me in this.

MD
Pediatrician, Mumbai
I have 8 month old baby. I am breastfeeding and giving formula milk to him. Doctor has given easum cerelac to him. I ...
Appropriately thick homogenous food with added sugar / jaggery and ghee/butter/oil to make it energy dense should be given. Take cereal and pulses (?what you eat at your home) in 2: 1 ratio add ghee/butter/ oil, add vegetables make thick khichadi. You can take various pulses, sprout it, dry in sun and grind to make flour and make porridge from it, add sugar/ jaggery, oil/ ghee. Give milkshakes of various seasonal fruits. Mashed boiled fruits and veggies can be given. Give three meals and two snacks. Each time give 2-3 tsp of food. By 9-10 months start finely chopped and mashed food approx 1/2 bowl each time.
1 person found this helpful
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My health suddenly becomes weak what is the reason for that my age is 15 years and my weight is 35kg.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You are underweight. Get investigated for tuberculosis and diabetes as these problems commen at this age.
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My 3 month son is not doing his potty since 6 days. What to do. Is there any problem ?

C.S.C, D.C.H, M.B.B.S
General Physician,
For a breas fed 3 month baby this is not a serious problem. Is the baby active and feedong well? don't worry. He will pass in due course. Ene upto one week is acceptable. If you are bottle feeding that is a cause. Otherwise, some tests have to be done. You ask privately with all details. For the time being, put a dulcolax suppository in his anus and he will pass motion. Contact me privately.
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Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball ghutti to her. She use to spit a lot of milk. Please advise. Also she demands for more milk after completely breast feeding as she feel hungry. Please suggest which milk powder we should use for her.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball...
It is best to give only breast milk till 4 months of age and do not give anything else like gutti. If you still give other milk, do not give in bottle and feed with a spoon.
1 person found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
4 people found this helpful

My 2 year child is suffering from rickets and his right leg is slightly tent Can his legs become normal like other child.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 2 year child is suffering from rickets and his right leg is slightly tent Can his legs become normal like other ch...
If it is not refractory rickets, legs may become normal. Give him vitamin D 60000 units once in a week for 4 weeks n calcium rich diet supplement with calcium 300 mg daily. Sun light between 10 to 2 for about 1 hour to bare body is useful.
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Hi 3.6 years daughter having cramp in stomach and thread like appearance in stool. Pls suggest what to do.

Pediatrician, Kaithal
Hi 3.6 years daughter having cramp in stomach and thread like appearance in stool. Pls suggest what to do.
Possibly worms are present in stools. Get her stool examined and get proper treatment. Do take care of any nail biting or eating outside food.
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