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Dr. Neena Bhalla

Pediatrician, Delhi

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Dr. Neena Bhalla Pediatrician, Delhi
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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. Neena Bhalla
Dr. Neena Bhalla is a trusted Pediatrician in Kirti Nagar, Delhi. She is currently associated with Kalra Hospitals in Kirti Nagar, Delhi. Save your time and book an appointment online with Dr. Neena Bhalla on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 33 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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#A 4,5,6 Kirti Nagar. Landmark : Near Metro Pillar Number 326, DelhiDelhi Get Directions
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How to Handle Bedwetting ....

Diploma in Child Health, MBBS
Pediatrician
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Bedwetting causes stress

Know that bedwetting is often a normal part of growing up. Most children don't stay dry at night until about the age of 3. And it's usually not a concern for parents until around age 6. There are ways to work toward dry nights as a family.

Reassure your child by being supportive. He isn't wetting the bed on purpose. And bedwetting isn't typically a sign of an emotional or physical problem. Explain that it is normal, very common and that he won't always wet the bed.

Bedwetting often runs in families. If you or your partner wet the bed as a child, talk with your child about it. It'll help him see that people do outgrow it. And it may help him feel less alone and embarrassed.

Many things can lead to bedwetting. It could be the slower development of bladder control or heavy sleep. There may be hormonal issues. Stress and anxiety can be a cause. A child who's been dry and suddenly starts wetting the bed may have an infection or a big life change such as a move may be bothering her. Be sure to speak with your doctor if this is a new problem.

If she's 4 or older, ask for her ideas. What might help her stop wetting the bed? brainstorm together. Drinking less in the evening and cutting back on caffeinated drinks may be worth trying. You can also offer options like disposable underwear or waterproof sheets. By keeping it positive and involving her, you'll help build her confidence and encourage good bedtime habits

Praise and reward for staying dry

When your child has a dry night, praise her for it. Some families mark wet days and dry days on a calendar. Stickers or stars can make it fun. If your child stays dry a number of nights in a row, offer a small reward for a fun breakfast or small book. If she wets, be supportive and remind her that results will come if she keeps up her efforts

Provide simple reminders

Make using the bathroom just before he gets in bed part of his bedtime routine. Also, remind him that it's ok to get up during the night to use the bathroom. Nightlights can help him find his own way when he needs to go.

Resist the urge to wake your child a lot during the night. If you use this approach, waking once a night should be enough, perhaps right before you go to bed yourself. Keep in mind that if you deprive your child of rest and sleep, you may increase his level of stress. Stress can be a bedwetting trigger.

Involve your child in cleaning up

When he wets the bed, he can put his pjs in the hamper or help you change the sheets. Make sure he understands it's not a punishment, just part of what has to be done. The idea is to make him more aware of his bedwetting without scolding him or making him feel ashamed

Clean up: removing the smell of urine

Accidents happen. And when they do, urine can leave a stubborn odor in clothes and in bed linens. Try adding a half cup to a cup of white vinegar to your wash to remove the smell.

Cleaning a mattress: step 1

If you need to clean urine from a mattress, first use towels to blot up as much as you can. Keep blotting, but don't rub, until no more moisture comes to the surface.

Once you've blotted up as much of the urine as you can, saturate the entire area of urine stain with hydrogen peroxide. Let it stand for 5 minutes, and then use towels again to blot the area dry.

Once the mattress is dry, sprinkle baking soda over the entire area and let it stand for 24 hours. The next day, vacuum the baking soda away. It should be clean and odor free.

If your child is nervous about sleepovers, remind her of the steps she uses to stay dry at home. Giving her disposable underwear and extra clothes in case of an accident might put her at ease. A sleeping bag with waterproof lining may also help.

Beforehand, notify the adult host that your child may have some worries about bedwetting. Discuss your child's plans for handling it so everyone feels prepared.

Some medications (desipramine, desmopressin, or imipramine) may help for special occasions when your older child wants to stay dry, such as at camp.

Be patient about bedwetting

Scolding or losing your temper won't make your child stop wetting the bed. Don't bring up bedwetting in front of others to try to shame her. Embarrassment will only increase her stress and anxiety. Meanwhile, remember that bedwetting eventually does stop. Try practicing patience and providing support while you wait.

Dealing with teasing in the home

Bedwetting can make your child an easy target for teasing. To help him handle it, make your home safe for him. Don't allow anyone in your family to tease about it. Explain to siblings that bedwetting is something their brother doesn't have control over and that he needs everybody's love and support.

If your child avoids other children or comes home with unexplained injuries, she may be being bullied. Listen to what your child says. Talk with her and let her know that you know it's not her fault. Then talk with people at her school and ask what they've seen. Be proactive and work with the school to find ways to make the teasing stop.

When to call the doctor

If your child is still bedwetting at age 7, consider setting up a doctor's visit. While there may be a medical problem, most of the time there isn't. Also, see the doctor if your child suddenly starts wetting the bed after being dry for 6 months or more.
How to Handle Bedwetting

....

Benefits of Preventive Dental Treatments in Children

MDS - Pediatric and Preventive Dentistry, BDS
Dentist
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The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

Maternal care during pregnancy: the teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.

Routine oral hygiene: for the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin.

Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.

Fluoride application: fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.

Pit and fissure sealants: the tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.

Space maintainers: in the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.

Orthodontic treatment: if there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time!
Benefits of Preventive Dental Treatments in Children

My son age is 10 but he did not drink milk daily. Sometime he drink boost with milk. Is this good ? Please suggest which one is good ?

MD - Paediatrics, MBBS
Pediatrician
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Even if he is not consuming milk if he is taking vegetables rich in calcium like cabbage, broccoli etc it's enough. Boost can be added to milk if he likes. You can also give calcium tablets.

My daughter is 4 months old as soon as she drinks milk formula as well as breastfeeding she sweats only on her forehead what's the reason please answer.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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My daughter is 4 months old as soon as she drinks milk formula as well as breastfeeding she sweats only on her forehe...
As long as there is only sweating on fore head need not to worry. As baby has sweat gland active on fore head only 1. Feed your baby in a cool area with comfortable temperature 2. Do not over dress the baby, just put one extra layer of clothes what we put. 3. Put cotton/ woolen clothes not synthetic 4. Watch for other symptoms - like fast heart rate, breathlessness, failure to gain weight, cough, blue colour over skin contact on private for further advise if required.

Child eating disorder. Need suggestion.what should i do?

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist
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Hi Children are generally picky eaters, it is very challenging to make them eat all nutritious foods , so the food dishes should be planned in a manner that he would find it very tempting and would eat without knowing the hidden nutrious food in it.. Kindly consult privately for detailed diet Thanks

What is ideal urination span for 3 yr old toddler? is 4-5 hours gap normal during summers?

IPNA(Nephrologist), ISPN, Diploma in Child Health (DCH), MBBS
Pediatrician
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Normal urine frequency is 3-8 times per day. 4-5 hr gap is ok but if fever every month then detailed history and accordingly investigations and management requires.

My 1.5 month son is spitting (foamy) too much and is taking out much milk from nose and mouth. I am much worried. Please guide.

MD, MBBS
Pediatrician
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My 1.5 month son is spitting (foamy) too much and is taking out much milk from nose and mouth. I am much worried.  Pl...
If not gaining weight consult for any congenital problem if weight gain is proper than burp properly when you will start semisolid food after 5 months of age it will subside.

My son is 5 years old suffering with sneezing because of allergy how to get rid of that?

MD - Paediatrics
Pediatrician
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The best way is to avoid the allergens if it is known. Allergens can be of various types like dust, pollens, smoke, foods etc. Long term use of some medication like montelukast with levocetrizine helps. Most of the children overcome this allergy as they grow till that time symptomatic treatment and avoidens of allergens is needed.

My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to get on.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to...
Homoeopathic mdicine ALFALFA for CHILDREN ( Wilmar Schwabe India) Drink 1 spoon 3 times daily for 15 days.

Hello. My child is. Now 2 month old. She is just breastfeed. She is 59 inch in height. And she is measuring 4200 2 weeks ago. Is this normal height and weight? I want my baby to gain weight because she looks lean, can you please suggest me fruits or vegetables that I should include in my diet. So that she can gain weight.

DMB
Pediatrician
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Hello. My child is. Now 2 month old. She is just breastfeed. She is 59 inch in height. And she is measuring 4200 2 we...
You have not mentioned her birth weight. Babies will gain 500 gms in the first 3 months. If your baby has gained this weight, you need not worry. Give only mother's milk and vitamin d supplements.

My son is 5/half year old , every day he is having a gas problem every time he is feel vomiting so he doesn't want to have his food please help me. Since last 2 year.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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Start giving USA based Aloe vera juice. Its best & 100% natural. 20 ml mor/ eveng. Your son will get result in 7-10 days.

My baby is sneezing and got a running nose, she's 5 months old. What are the homemade precautions we'll take to avoid different types of medicine?

MD - Paediatrics, MBBS
Pediatrician
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My baby is sneezing and got a running nose, she's 5 months old. What are the homemade precautions we'll take to avoid...
Avoid him to be in direct contact wilth heater and acs, avoid dust, cover him with warm clothes specially head, hands and legs.

When to introduce pillow to babies ?

C.S.C, D.C.H, M.B.B.S
Pediatrician
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After one year soft pillows can be given. If you need regular advice regarding your baby, you are free to to ask privately in this site to me.

Mra baby 14 month ka h uska hemoglobin 7.8 h or wo phle sb kuch khaata tha lakin an wo kuch ni khata sirf mra hi doodh peeta h. Dr. Ne usko iron k syrup diye h lakin wo dewai ni peeta ya to dewai baaher thook dta h ya ulti kr dta h. Please betaye me kya kru.

Pediatrician
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Apna doodh kam kijiye, upar ka khana jaada khilaya kijiye, khan mein dal, haree sabjee, gud istmaal kijiye, iron supplement ko honey mein daal kar de sakte hain.

My baby is ten weeks old. Two days back she was given DPT and Rotavac. Same and next day nothing we noticed. On the third day I found redness around the injected surface and big clot. The little girl is crying. Not taking adequate breast milk. Kindly help doctor sir

Diploma in Paediatrics, MD - Paediatrics
Pediatrician
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My baby is ten weeks old. Two days back she was given DPT and Rotavac. Same and next day nothing we noticed. On the t...
This is very common after giving dpt. Vaccine. 1 apply ice over it 2 metacin drops 6 drops 3 times a. Day for 2 days. Sweling and redness will disappear. After 4 to 5 days. Very imp. Even by giving above treatment swelling persist it is must to consult a doctor for further treatment.

Hello my daughter is 18 months old. Her weight is 9.3 kg. She is not at all having good quantity of food. She eats only 4 spoons of food. Does she have correct weight? Some of my cousins are suggesting me to use vitamin supplements. If you using vitamin supplements at that age is good. What should I use her? She drinks 2 cups of plain milk. Should I add some powder to the plain milk?

MBBS MD DCH, Dch
Pediatrician
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Hello my daughter is 18 months old. Her weight is 9.3 kg. She is not at all having good quantity of food. She eats on...
18 months old baby if active alert playful no fever no clinical symptoms that means your child is in perfect condition. Get her hb and stool examination to rule our anemia and worm infestation. There is no role of any vitamins and appetite stimulants. Please keep on recording her wt periodically. If there is any wt faltering consult your pediatrician.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist
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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

Feeling breathless
Angina or chest pain with a feeling of pressure or tightness
Syncope of fainting
Palpitations and enhanced heartbeats
A steady decline in regular activities and energy levels
Fatigue due to little exertion
Not gaining weight
Poor eating patterns
Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
Ct scan or computed tomography where three-dimensional images are extracted.
Chest x ray
Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Hi, My nephew is 2 years old. He had born at 8 months (premature) due to blood pressure problem of mother. At the age of 9 months old (means after 9 months he born) he suffered benisn infantile seizure. Doctor prescribed him drop called TRIOPTAL for six month duration. Now he is 2 years old by 25 Sep 2016. NOW WHEN HE FELL DOWN AND GOT HURT TO HIS MOUTH AND HEAD HE CRY A LOT AND GOES FOR (FREEZE) FOR SOME OF 2-3 sec. Is that sign of SEIZURE OR UNCONSCIOUS. He did it 3 times from last 20 days. Pls help me m very tense. We referred an Ayurvedic Dr. He said its due to not enough oxygen or blood reached to brain while crying the child goes for freeze for while 2-3 sec. He prescribed syrup called SUVARNA VACHADI YOG daily 2 drop for 8 years. Should I implement it or consult some further PAEDIATRICS. Pls help.

M.D.Pediatrics, MBBS
Pediatrician
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Hi,
My nephew is 2 years old. He had born at 8 months (premature) due to blood pressure problem of mother. At the age...
Dear Lynbrate user At 9months we usually have febrile seizures in children. At that time did he has fever the situation N now you have described is called Breath holding spells. When the child tries to hold his breath just pinch him or give a slap on back so that he stats breathing Give him Iron and Zinc supplements But let some Paediatrician see the attack so that it can be confirmed that it breath holding and not seizure.
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