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Dr. Mahendra Gulahar

Pediatrician, Delhi

250 at clinic
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Dr. Mahendra Gulahar Pediatrician, Delhi
250 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Mahendra Gulahar
Dr. Mahendra Gulahar is a popular Pediatrician in Uttam Nagar, Delhi. You can consult Dr. Mahendra Gulahar at R.Nayyar Hospital in Uttam Nagar, Delhi. Save your time and book an appointment online with Dr. Mahendra Gulahar on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 25 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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R.Nayyar Hospital

NO.3,3A,Amar Enclave,Nawada,Uttam Nagar,Main Najafgarh Road.Landmark:- Opp Metro Pillar Number 738, DelhiDelhi Get Directions
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My son is 3 years old. His hb is 7. 7. Last 6 months ago there was d same problem. and most important thing is that whatever we eat means green veg. and pulses. We give him. We don' t take fast food. What should I do

M.D.( Pediatrics), DCH
Pediatrician,
He needs clinical evaluation to determine the cause of anaemia. Visit pediatrician, get required investigations done.
1 person found this helpful
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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Sir, My son is suffering from fever. Blood test carried out TLC. 17000. Age three year six month. Fever 103. Please advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Sir, My son is suffering from fever. Blood test carried out TLC. 17000. Age three year six month. Fever 103. Please a...
Only blood test or any other tests are no crieteria to arrive to any diagnosis. Fever is a symptom not a disease. It is essential to examine baby thoroughly to arrive to diagnosis and advise. pls consult paediatrician in interest of baby.
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My child is suffering from fever. On the first day, he is having 102 Fahrenheit and now i. E. After three days - 101 Fahrenheit. He is 15 years old. His eyes are red. When he eats spicy food, he is having motions too. Would you consult me tablets.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My child is suffering from fever. On the first day, he is having 102 Fahrenheit and now i. E. After three days - 101 ...
He may be suffering from viral fever which may cause red eye too. you may use eye soothing drops like andre eye drops and precautionary antibiotic eye drop. Paracetamol tab and anti allergic levo citrezine can be helpful. If no relief, consult either ophthalmologist or pediatrician.
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He always eats what is on the floor. Anything which we give he puts in the mouth. Is this a common problem. Or else my child has some problem. What is the solution for it? Any tonic.

BHMS
Homeopath, Faridabad
He always eats what is on the floor. Anything which we give he puts in the mouth. Is this a common problem. Or else m...
Hello, don't worry this is a common problem with every child. You can gim him alfalfa tonic for children, 1 - 1 tsp twice daily. Thanks.
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MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Rather than asking your children to stop playing computer games, ask them to play outdoors. That will be easily accepted by child.
5 people found this helpful

How can we increase the weight of 7 days old baby boy at the time of delivery he is 2.5 kg but due to some fever and jaundice his weight reduced to 2 kg then how will we increase his weight.

M.D.( Pediatrics), DCH
Pediatrician,
How can we increase the weight of 7 days old baby boy at the time of delivery he is 2.5 kg but due to some fever and ...
Wait, breast-feeding will regain and start putting on weight. If treating pediatrician is confident, you need not worry. All babies lose weight initially, though your child seems to have lost more weight than expected. Follow your pediatrician, don't worry.
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My daughter is 8 years old and reads in class 2, her problem is se cannot remember her lessons. Does this have any remedy.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is in 2 class and it is not necessary to panic. As she reaches higher class hse can be taught study tips and encouraged. In this age children are more playful
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Sir/Mam I have 2 month old baby. I what to know about wheezing symptoms for 2 month baby. My baby makes sound from nose while feeding and sleeping. please tell me quickly.

DHMS (Hons.)
Homeopath, Patna
Sir/Mam I have 2 month old baby. I what to know about wheezing symptoms for 2 month baby. My baby makes sound from no...
Hello, nasal passage of your baby is not clear due to catarrh. Your baby & you are required to avoid cold intake, exposure to cold climate, dust, smoke. Give your baby Homoeo. Medicine @ spongea 30-1 drop thrice with 1tsfl of your milk. Pour saline water into nostril to dilate the passage to ease breathing of your baby. Report, wkly. Your feedback matters, please. Tk care.
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My 8 months old baby want to be held always and very clingy and fussy most of the time don't show interest in toys more than 10 mins and love to be outdoor got examined with doctors all says he is perfectly normal but I am worried.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 8 months old baby want to be held always and very clingy and fussy most of the time don't show interest in toys mo...
There is no cause of worry as at this age child likes a new events. Please take appropriate care not over care. Remain in touch with your pediatrician.
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Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
AGE APPROPRIATE CHORES FOR CHILDREN AROUND THE HOUSE
Teaching children how to get their personal needs met and to help around the house is an important and integral part of growing up. It helps them to become independent and also help others. They learn to appreciate dignity of work and cooperation, responsibility contribution and collaboration with co workers and spouses as they become adults. These tasks are as much for boys as for girls. The chores suggested below are a rough guideline of age appropriate jobs for children. Keep in mind that kids are different both developmentally and physically. Some children may be able to do more than others. So here goes:
2-4 year olds: help make bed, put away toys, fetch diapers and plastic bottles, put dirty clothes in bucket, help feed the pets. All tasks would need adult supervision.
4-7 year olds: set the table, help with bed making, watering the plants, feeding pets, start putting on own clothes, bathing, clean up messes, put away toys, put away clothes, carry light bags. Adult supervision would be required as child is learning new skills.
8-10 year olds: water plants, make bed, clean up room, clear the table, do small dishes, do small dusting around the house, cooking basic food like eggs, maggi, milk, keep the garbage out, fold clothes, basic sweeping and swabbing of the floor. Please note that adult supervision would be needed for new tasks.
11 year olds and older children: clean bathroom, clean kitchen, cooking simple to complex dishes, wash dishes, wash clothes, dusting.

If you liked what you read, please share it with others and you can also have a private chat with me if you have any questions about your child.
6 people found this helpful

My daughter she is of 1 year 2 months old and we are going to hoshiarpur punjab in marriage at december end so what precaution should be taken as it would be very cold.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
My daughter she is of 1 year 2 months old and we are going to hoshiarpur punjab in marriage at december end so what p...
In extreme cold weather there are chances of frost bite, thermal injuries leading to influenza (cold cough fever). Usually we know well to protect us from from extreme cold weather but over protection may lead to other type of immunological thermal injuries. For example suppose temperature of water in overhead tank is 4 degree Celsius chilled and we can not bath or drink chilled water than we will start heating and sooner it will become warm at 40 degree Celsius. Now we will start bathing at this temperature of water in chilled air. Temperature difference between bathroom air and water goes beyond 20 degree Celsius (35 degree Celsius). This difference between bathroom air and water temperature of more than 20 degrees Celsius causes other type of thermal injuries leading to Allergies and infection due to breach in immunity.
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My baby is 4 month old. And suffering from cough. I used ascoril LS 15 ml syrup .Please suggest me the medicine. How much ml I given the syrup.

MD - Paediatrics
Pediatrician,
My baby is 4 month old. And suffering from cough.
I used ascoril LS 15 ml syrup .Please suggest me the medicine. How ...
If your baby is having fever then only you should give antibiotic. Otherwise just instill normal saline nasal drops 1 drop in each nostril 4-5 times in a day. Look for fast breathing, fever or toxic look of child, if you find anything abnormal consult a pediatrician.
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Dry cough. I will have cough problem regularly but for a small interval it will not be there but again it starts. What should i do?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
It is more likly to exposure to some allergen/environmental pollution. Try to identify and avoid that. Otherwise consult a Pulmonologist.
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I'm mother of a daughter who just completed 4 years now I wanted to ask that when should I give her polio injection .when she completes her 5 years then or before completing 5 years?

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
I'm mother of a daughter who just completed 4 years now I wanted to ask that when should I give her polio injection ....
if she had all received Injectible polio during her primary immunization (6 weeks, 10 weeks, & 14 weeks), then it should be at 5 yrs otherwise just give oral polio drop as per schedule
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My baby boy is 3 month old and he is always trying to chew something due to this he is feeling uncomfortable and crying. Please suggest me what I need to do. Thanks in advance.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby boy is 3 month old and he is always trying to chew something due to this he is feeling uncomfortable and cryi...
This chewing movement is normal in babies of this age and no need to worry . Crying can be due to hunger , wet napkins or lack of fondling and loneliness
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My sister is 27 years old. 3 days before she became mother. My question is which foods are good for her to produce breast milk? Which foods should be avoided by a breast-feeding mother?

BUMS
Gynaecologist, Mumbai
milk it self is best galactogouge. cumine with daal satavary powder n high protein diet she should take avoid spicy oily n steal food n malnutrient food n junk food..... excessive tea n coffee r also prohibited.
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My child is of 4.7 yes old. Day by day his physique is getting deteriorated,though his weight is 19. My question is how can I take care of him to bring back his glamour?

DMB
Pediatrician, Chennai
A four and half year old child having a weight of 19 is more than the indian average.When you say physique, i assume it is chubbiness you are referring to. Is he a child model? If not, there is no cause for worry.Most children at that age start growing taller and loose the child like face. Giving a nutritious wholesome diet will keep him healthy and strong.
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Pet dog bites on her face. Dog is vaccinated. Kindly advice treatment, diet, and necessary instructions to follow. Thanking you.

C.S.C, D.C.H, M.B.B.S
General Physician,
She still need to take vaccine and there is no restriction of diet or activities. She can eat any and all diet.
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My baby is 8 month old he doesn't sleep he wakes up in the night in every 1 hour gap and in day also he doesn't sleep well, overall in a day he only sleeps for 6-7 hours. I have started giving him solid food and formula milk apart from breast milk. Please suggest me what to do I am very tensed regarding my baby's growth.

BHMS
Homeopath, Mumbai
My baby is 8 month old he doesn't sleep he wakes up in the night in every 1 hour gap and in day also he doesn't sleep...
Your baby weight seems good according to his age. May b he gets hungry at night. Try to feed him 2 hours before sleeping. N if he will not sleeping at night sleeping 7 hours during day is good.
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