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Dr. Nipun Kashyap

Pediatrician, Delhi

Dr. Nipun Kashyap Pediatrician, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Nipun Kashyap
Dr. Nipun Kashyap is one of the best Pediatricians in Vasant Kunj, Delhi. You can consult Dr. Nipun Kashyap at Dr. Nipun Kashyap in Vasant Kunj, Delhi. Book an appointment online with Dr. Nipun Kashyap on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 42 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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D-2/2353, Sec-D, Pkt-2, Vasant Kunj, DelhiDelhi Get Directions
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7 years old my daughter is suffering from multiple cavities, if she get new teeth will she get cavities again? how to get rid of this problem?

MDS
Dentist, Kota
There are chances of getting damage of permanent teeth if cavity of milk teeth not get treated. On other hand cavities may cause pain and difficulty in eating. Bad teeth affect appearance too. Please get it repair or filled soon by dentist.
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My 10 years old daughter suffering from cold and cough since two days. What should I do?

MD (Peditrics), MBBS
Pediatrician,
My 10 years old daughter suffering from cold and cough since two days. What should I do?
Give some cough syrup and home remady. Main thing do not start antibiotic without consulting doctor. In this season virwal infection is common.
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I have one son had typhoid but after taking medicine, it got cured. As per course we stopped medicine on 22nd mar 2015. But still he has mild fever occasionally like max 99. 5 degree under arm with adding 1 degree. And when he got temperature after 5 mins, he used to get sweat and immediately temperature reduced. So daily he got this kind of fever 3 or 4 times. We shown to some pediatrician, doctor told its normal. Can you please tell me, is it really normal, because we are more worried about it. My son age 2. 10 years weight 11. 7kg.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Try with bico-11 3- tab 3- times in day for 1 months n then report do u have constipation n monthly period any problem? start with harmless cow therapy products like ubtan, face wash, cream etc bico- 20 4 tab 4 times in day report after 1 month available at homoeopathic pharmacy no side effect.
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My baby is 7 months and his eye is becoming red no idea what happened black portion seems bit whitish from one end Kindly suggest cure Weeping as well no having least diet.

MBBS, M.D.(Gen.Medicine)
General Physician, Chennai
My baby is 7 months and his eye is becoming red no idea what happened black portion seems bit whitish from one end
Ki...
From your description, it looks like your baby is suffering from infection of eye, possibly Conjunctivitis. Before it becomes worse or spreads to the other eye, it is better to take the baby to a Paediatrician and get proper advice.
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My son is 2 and half years old and bite any 1 at any time can't understand problem since 2 years please suggest me something.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is 2 and half years old and bite any 1 at any time can't understand problem since 2 years please suggest me so...
It s just a behaviour pattern for attention seeking and he can be gently counselled and as he grows up it will go.
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My baby is 6 month old are mosquito stickers good to stick on baby clothes while taking him out for a walk in the evening. What should I do to keep him away from mosquito bites.

Pediatrician, Pune
Going for a walk would be a better option, mosquitoes bands / stickers in babies are difficult to monitor, you never know when they will put it in their mouth.
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

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Dental Care

BDS
Dentist, Guna

Chewing food from the affected side should be avoided.

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My girl child is 2 and half year old, she told me every day her foot is paining. What are the solution on that or any remedies, please suggest me.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Possiblities flat foot, vitamin d def, poor quality foot wear.You may give vitamin d sachet one daily for five days, arched foot wear.
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My son is just 14 days old. Today he did not go to a deep sleep, just crying and potty is not clear. What should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is just 14 days old. Today he did not go to a deep sleep, just crying and potty is not clear. What should I do?
there r usually 2 reason at this age. 1- hunger and 2- discomfort which may be either due to wet, rolling of sheet under body and over or under clothing in this weather. Pls look for these. If you have any further query, contact me privately through lybraate.
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My 3 month old baby always suck her fingers. She is now taking less milk. Instead of dat she sucks her finger. please advice what to do.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My 3 month old baby always suck her fingers. She is now taking less milk. Instead of dat she sucks her finger. please...
Child weight is normal for the age, sucking fingers is a natural activity for young infants. Just relax nothing is wrong with child, continue breast feeding as usual.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MD, MBBS
Pediatrician, Bangalore
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
Control fever first by giving paracetamol, give empty stomach, after fever becomes normal baby will not vomit after feeding. Ucan add syp ondem for vomiting with paracetamol.
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My son is of 2 months old he is not feeding properly as her mother take him several times in a day to feed but he only feed for 10 to 15 seconds at one time hence his stomach is not filled so he use to cry a lot please refer me what to do.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is of 2 months old he is not feeding properly as her mother take him several times in a day to feed but he onl...
You have to check if the nipple is too large for him to swallow well. Or use a nipple shield and see
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I have a baby of nine months , he is getting his teeth .As a mother what should I do make him feel relaxed. Is any medicine to be given or not?

BHMS
Homeopath, Faridabad
I have a baby of nine months , he is getting his teeth .As a mother what should I do make him feel relaxed. Is any me...
Hello, you should give him bc no. 21, 3 tabs twice daily. Chamodent, 2 tabs twice daily. Calciokind, 2 tabs twice daily. These are homoeopathic medicines which helps easy dentition without any side effects.
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Hi I have a 3 year old child, he is in play school. Before going early morning school he takes only a glass of milk and some biscuits or cakes in his tiffen box for break time, is it good for him. I am really confused about his healthy food schedule. Please suggest me, what kind of food I should give him during his schooling and after?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi I have a 3 year old child, he is in play school. Before going early morning school he takes only a glass of milk a...
3 year old child can tell his liking for food. With milk add some more solids and keep in his lunch tiffin nutritious diet of his choice. Paratha with semi liquid vegetable and a fruit can do.
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Hi, I am married since 8 years and last year I deliver a baby in 7th month but he is no more .that also ivf baby and now I want to go for IVF now shall you suggest best and good success rate ivf centres in Delhi.

MBBS
General Physician, Chandigarh
Hi, I am married since 8 years and last year I deliver a baby in 7th month but he is no more .that also ivf baby and ...
Success rate doesn't depend on centres the overall success rate of ivf is 50 to 60 % only you became pregnant at the first try also why not to try that centre only.
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During the 1st month of age, I fed my baby every 2 hrs in a day. She is in 2nd month now. Do I continue feeding like this? or what should be the frequency of feeding?

C.S.C, D.C.H, M.B.B.S
General Physician,
There is no rule to feed by clock. If the baby demands feed you can give whenever bay cries for milk. This is called demand feed. There are many things to take care especially till the first birthday.. For which you ask me privately in this site.
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My son is 3 months old. He weighs 5.5 kg. He spits often every burp. Is it normal or not.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 months old. He weighs 5.5 kg. He spits often every burp. Is it normal or not.
Split is called regurgitation, which occurs due to swallowing of air by baby during feeding. It is normal.
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