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Dr. Naresh Bhatia

Pediatrician, Delhi

700 at clinic
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Dr. Naresh Bhatia Pediatrician, Delhi
700 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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Dr. Naresh Bhatia is one of the best Pediatricians in Patparganj, Delhi. You can consult Dr. Naresh Bhatia at Max Super Speciality Hospital-Patparganj in Patparganj, Delhi. You can book an instant appointment online with Dr. Naresh Bhatia on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 38 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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Max Super Speciality Hospital-Patparganj

#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, DelhiDelhi Get Directions
700 at clinic
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Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Noida
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

Hi sir/maam . My child age is 13 yrs, he is interesting to do ladies works and spend on more time to girls and play with girls games, this type of case can I do any hormone test or he needs any operation? Could you please suggest me.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Well this is a behaviour disorder so try to change his surroundings and his friend circle. I assume that he is surrounded by females in house and there is no male friend hence he is interested in more of females jobs. So shift him from that place and make a new friend circle for him.
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We aborted our first unwanted pregnancy through Homeopathy medicines . After such months we planned and got pregnant again but after two months doctor explained for d&c coz doctor says baby is not growing through scanning . Is it now possible to get pregnant and born a baby . Suggest Pls .

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Jaipur
We aborted our first unwanted pregnancy through Homeopathy medicines . After such months we planned and got pregnant ...
You have a fair chance of getting pregnant. But you require close supervision with a gynaecologist and investigations so that proper medicines can be given.
1 person found this helpful
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My baby is going to be 3 month old soon. And I have to go back to work. Can I start solid or weaning food for her as I don't want to give her formula milk. I can manage to breastfeed her only once or twice.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is going to be 3 month old soon. And I have to go back to work. Can I start solid or weaning food for her as ...
Till 6 months not advisable to go towards semisolid feed. For working mother advisable to go for formula feeds or top milk in form of cow milk with added sugar. Word of caution here is, no feed is superior than breast feeds in first 6 months of age of an infant.
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My penis is very large (20 cm ), what I can do to small it. L have only 12 year old, my height is only 138 cm. Tell me clear answer to small it. .

MBBS, MD
Pediatrician, Gurgaon
My penis is very large (20 cm ), what I can do to small it. L have only 12 year old, my height is only 138 cm. Tell m...
penis can large in certain endocrinal disorders.hence you should go to endocrinologist for check up.there is no drug to reduce the size of penis
2 people found this helpful
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Pain is feeling by passing urine in 11 year male children, docter told that the hole of urinary track is small so he need surgery, some other docter told that no need surgery, the problem can be solved by taking antibiotics we have confusion to come correct decision.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
First try with antibiotic for few days only if no relief then think for surgery. Its very small n day care surgery considering age do not give more n different type of antibiotic otherwise immune system effected. Best wishes.
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My baby girl is 10 months old but doesn't have food properly. She does not consume any solid food apart from mothers milk. Please advise.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
My baby girl is 10 months old but doesn't have food properly. She does not consume any solid food apart from mothers ...
Start her with some semisolid diet like cereals cerelac; meshed banana or dal rice in meshed form. Change menu daily.
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Hi doc, I am not able to breast feed my baby he is now 20 days old but I am not getting any milk in my breast. Nor I am feeling my breast heavy please suggest me some good medicine so that I can provide him my milk.

MD Pediatrics
Pediatrician, Vadodara
Many times there is a misconception that you are not getting enough milk. It is important to feed the baby with good attachment and position. There are many videos on YouTube which can show you about the position that the mother should take during feeding the baby. Latchment/ attachment is very important so that the baby gets good amount of milk. Also at the end of 10 to 20 days you can meet your doctor to add certain the weight gain the baby has got in these days if it is around 15 to 20 grams per day then it is minimum weight gain. Baby receiving adequate amount of breastmilk passes 5 to 7 times urine per day. The pediatrician will tell you more about position attachment of mother and baby during breastfeeding.
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