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Dr. Mikija

Pediatrician, Delhi

Dr. Mikija Pediatrician, Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Mikija
Dr. Mikija is a renowned Pediatrician in Saket, Delhi. You can consult Dr. Mikija at G.M.Modi Hospital in Saket, Delhi. Book an appointment online with Dr. Mikija and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 41 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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G.M.Modi Hospital

Mandir Marg, Press Enclave Marg, Saket, DelhiDelhi Get Directions
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Precautions for diabetic patients during Ramzan fast

C.S.C, D.C.H, M.B.B.S
General Physician,
“Patients with type 1 diabetes should avoid fasting. However, those type 2 diabetes can fast,”
All diabetic patients who fast should be aware of certain facts if they fast during Ramzan, he further added.
All patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.
Type 2 diabetes will be controlled by diet and may require no special precautions.
Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after the predawn and/or sunset meal.
The exercise program for patients with diabetes on diet control should be modified to avoid lower blood sugar level. Exercise should be done 2 hours after the sunset meal.
Food restriction and dehydration may cause some cardiac risk in the elderly.
The choice of drugs in diabetes may require consultation with a doctor. Drugs that act by increasing the production of insulin are to be preferred. Some patients on metformin may fast safely with minimal complications. However, two-thirds of the total daily dose should be given just before the sunset meal and rest one-third before the predawn meal. Patients on pioglitazone may require no change in dose. Patients on sulfonylureas may require medical clearance before commencing fast.
Insulin dose also needs to be modified during the fast. Usually two doses of insulin, one before each meal, are sufficient.
If the blood sugar falls below 60, then the fast should be immediately broken.
Fast should also be broken if blood sugar rises to more than 300.
Patients should avoid fasting on sick days.
57 people found this helpful

My baby is 2.6 years old my baby forehead is warm but temperature 96.5 what to do?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 2.6 years old my baby forehead is warm but temperature 96.5 what to do?
Usually the babies have more warmth on forehead and is normal as the body heat exchange take place through head which has more surface area esp in babies . Nothing to worry
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Hi I gave xylomist nasal drops to my 4 months old baby by mistake. I am worried. Can you help me on wat to do.

MD - Paediatrics
Pediatrician, Jamnagar
Hi I gave xylomist nasal drops to my 4 months old baby by mistake. I am worried. Can you help me on wat to do.
Relaxed. Nothing will happen by using it once or twice. Now use normal saline drops when nose is really blocked and causes difficulties in feeding or sleeping.
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My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithral. But in morning on an empty stomach after drinking water he gets vomiting. Pls help.

CCH, CGO, CVD, BHMS
Homeopath, Mumbai
My 2.5 mnth old son is suffering from stomach pblm. On doctors advice we are giving him flagyl 200 mg/5 ml and azithr...
Give syp ondem 5 ml tds. And stop flagyl it sometimes cause nausea and vomitting. Try natural remedy like tulsi and hing.
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My daughter, 15 years old is still having nocturnal bed wetting. Please advise me how this can be corrected.

Pediatrician, Kaithal
Please get your child examined from a urologist. Restrict milk and hot beverages after 5pm. Whether child is under stress or depression. Child needs full evaluation before treatment. Last thing please do not punish your child for it.
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Healthy Newborn Features

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
Healthy Newborn Features

If you know the features of a healthy newborn, you would not required to call your busy family physian/pediatrician so many times. If your baby is/has
1. Active
2. Alert
3. Pink
4. Warm
5. Passing urine: >6 times/24 hrs
6. Feeding well
7. Gaining weight

6 people found this helpful

My baby boy is around 4 and half months old. He refuses to take milk from right breast suddenly. He fusses when I put him in my right breast. I am worried whether I ll end up with low milk supply. Please advise.

Diploma in Child Health (DCH)
Pediatrician, Vijayawada
Nothing like that. Just empty whole breast at a time. Then only go for other. Apply olive oil gently to the nipples and areola. Do not worry. Watch some nursing videos in youtube. God bless u.
1 person found this helpful
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When baby stomach was filled with food and how the motion will be controlled.Please tell.

MBBS, MD
Pediatrician, Gurgaon
When baby stomach was filled with food and how the motion will be controlled.Please tell.
some infant pass stools with each feeds it is normal gastrocolic reflux.it will go off automaticly go away.
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My 1 year child last 10 hours can notice khasi. So what. Can I do. I give all medicine but can't stop khasi. please help me for baby.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 1 year child last 10 hours can notice khasi. So what. Can I do. I give all medicine but can't stop khasi. please h...
It is probably persistent cough (khansi), your child is suffering for last 10 hours. It is advisable to consult pediatrician.
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Hi, I have 3 year old daughter. She is not gaining weight at all. She eats well but then to no growth. I' m very much worried. 2 months before I did some test in which the result was low hemoglobin and more count of wbc. Please help

C.S.C, D.C.H, M.B.B.S
General Physician,
I need to see the results and we need to discuss. It is a vague statement that she is not gaining weight. What is her weight? more tests may have to be done if she is really not gaining weight as you say. Please undersand, to give scientific medical answer a doctor needs to ask you a lot of details. Please read my articles under health tips in the site an consult personally.
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My son (19 months) does vomit every almost 10th day. Yesterday night same happened. He did vomit whole night, like 7-8 times in a night, around every 1.5 hour. He took milk around 5 am and he vomited in just 5 min, then in morning he just a sip of water and he vomited same, after 1 hour he is having fever and cranky. He is not eating anything. Doc always give some powder to increase bacteria in stomach which digest food. What to do? No clue for why it happens and when it will stop.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son (19 months) does vomit every almost 10th day. Yesterday night same happened. He did vomit whole night, like 7-...
Try light diet in dinner at least 1 hour before retiring and never force to feed him without his desire. It may be possible or just co-incidence that he may be getting heavy diet at night in about 10 days interval. Watch his weight. If it is about 11 kg, you need not to worry. It should be about 12 kg at 2 years. Fever may be due to some other reason. If temp is more than 100 degree f, you may give paracetamol 125 mg and consult doctor.
1 person found this helpful
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My 4 year old son has expressive language delay, will everything get well by time or some medication or therapies are required?

DMB
Pediatrician, Chennai
Have you checked hearing. Please describe other behaviour patterns in your child. Send report of assessment.
1 person found this helpful
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My daughter has persistent cough sometimes please prescribe some antibiotic to cure it she is 4years old.

Pediatrician, Pune
The cause for her persistent cough needs to be identified, antibiotics alone are not going to help, get her evaluated by a pediatrician.
2 people found this helpful
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Hi, My baby is 3 months old he's exclusively on breastfeed and once a while I give him formula milk. I need to leave him and go for 2 nights. Is it advisable to leave and go the baby also does that affect the milk supply of the mother child breast feeding relation?

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hi, My baby is 3 months old he's exclusively on breastfeed and once a while I give him formula milk. I need to leave ...
Only thing I want to add is that after refrigragion you can thaw the milk by keeping the katori in lukewarm container. And for two days you should express the milk and empty the breast whenever possible just to maintain adequate milk supplies.
1 person found this helpful
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My sister son, age is 5 years and he is suffering with ITP, DOCTOR TOLD BLOOD platelets got decreased. Actually doctor told to admit in hospital, is this any thing problem and how to cure it permanently .Please help.

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Hello, ITP is a autoimmune problem in which platelets in blood are reduced and there can also be bleeding manifestations. This needs detailed evaluation and treatment to prevent bleeding and manage complications. Usually self limited condition. Please listen to your treating doctor and follow his advice for complete treatment.
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Recently we have gone on tour to the western india i. E shirdi, aurangabad etc and travelled in train. My grand son who accompanied us on the tour had diarrohea and had treatment. Now his stomach is bulgy and hard. His age is one year. What is the reason and what treatment he should take?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Recently we have gone on tour to the western india i. E shirdi, aurangabad etc and travelled in train. My grand son w...
It may be a complication of diarrhoea like hypokalemia (reduced potassium in the blood) or intussusception. It's better to show to your pediatrician.
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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? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block works for six months
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My 4month old child dysentery(pechis) problem from 2 days no any relief from medicine.

Pediatrician, Pune
If on breast feeds stools golden yellow in colour, baby passing sufficient amount of urine, nothing needs to be done
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My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.

DNB - Pediatrician
Pediatrician, Pondicherry
My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result e...
Hi, Most of the times during particular season children are prone to get fever frequently. Unless there is no major issue / any other symptoms during each time nothing to worry. Child's weight is ok now. Better give Vitamin D syrup (D3 MUST) 5 ml once a day & Zinc syrup (MINTONIA) 5 ml once a day for one month to improve the immunity. These are supportive measures. Prevention is best. Maintain good personal hygiene.
1 person found this helpful
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
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