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Dr. Nirdosh K Safaya

Pediatrician, Delhi

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Dr. Nirdosh K Safaya Pediatrician, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nirdosh K Safaya
Dr. Nirdosh K Safaya is a trusted Pediatrician in Mayur Vihar Phase 3, Delhi. You can visit him at Pedia Care Child Health Clinic in Mayur Vihar Phase 3, Delhi. Save your time and book an appointment online with Dr. Nirdosh K Safaya 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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1157A, IST Floor GD Colony Mayur Vihar III, DelhiDelhi Get Directions
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He is 10 months old, how much amount of water can be given to him? In ml, suggested. I don't give him water. I felt like he had urine infection once, just guessing. Please suggest Other food contents to be taken control for him & the necessary ones too. Thank you.

MBBS
General Physician, Jalgaon
He is  10 months old, how much amount of water can be given to him? In ml, suggested. I don't give him water. I felt ...
Please Give 200 to 300ml water daily Give him home made fresh food containing less spices and oil, as per his hunger
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
I think u are mixing up two issues. It may b that she has fibroids and some cystocele ( bladder prolapse ) separately. Treatment depends upon the symptoms
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Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 

  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 

  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 

  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 

  • depression 

  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 

  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 

  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 

  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 

  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 

  • continually starting new tasks before finishing old ones 

  • poor organisational skills 

  • inability to focus or prioritise 

  • continually losing or misplacing things 

  • forgetfulness 

  • restlessness and edginess 

  • difficulty keeping quiet and speaking out of turn 

  • blurting out responses and often interrupting others 

  • mood swings, irritability and a quick temper 

  • inability to deal with stress 

  • extreme impatience 

  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 

  • bipolar disorder – a condition that affects your moods, which can swing from one extreme to another 

  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.

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My 1 year old son goes to day care. I am working and I have heard that day care/creche gives sleeping pills to babies. Please tell me how can I assure that my baby is not getting these pills. I will be back home by 6 in evening. He will be active for sometime and then have milk and sleep. Please help me to know that I am not risking my son's health.

Pediatrician, Pune
My 1 year old son goes to day care. I am working and I have heard that day care/creche gives sleeping pills to babies...
Now this is an eye opener that babies do get sleeping pills in creches, you have to keep an eye on such creches and report to appropriate authorities if you have definite proof, better be careful and spend a day in the creche to find the daily routine going on there.
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My daughter is only 14 months. Can there be anything else than teething pain that she is crying at night and also feeling not to eat anything in daytime except milk. She is irritated in day wanting to be in my lap all the time.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My daughter is only 14 months. Can there be anything else than teething pain that she is crying at night and also fee...
Hello, Check from the pediatrician the reason behind her constant crying at 14 months of age earache, colic, indigestion etc could be various reasons.
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Should ragi malt be avoided when the baby is having cough and fever. What is the diet to be followed when 8 month old baby is having cough and fever.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Should ragi malt be avoided when the baby is having cough and fever. What is the diet to be followed when 8 month old...
no.need to avoid ragi malt. things to be avoided are. 1.citrus food 2.ice cream ..cold beverages 3.chocololates 4.sweets 5.banana ets
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My baby boy is nine month old and since last two days he had red eyes infection, he rubs again and again eyes. White water drops down. What kind of home remedies may be used?

MD - Paediatrics, MBBS
Pediatrician, Hyderabad
My baby boy is nine month old and since last two days he had red eyes infection, he rubs again and again eyes. White ...
Could be allergy, so stop using talcum powder or allergens. If discharge is yellow or red eyes. Consult ophthalmologist.
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How is Homeopathy is Beneficial for Your Child During Exams and Result Time?

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow

How is Homoeopathy beneficial  for your child during exams and result time?

Some Kids take tests with no tension at all, some get a bit nervous and tense, while others suffer with tummy aches, restlessness, headaches, nerves, mental dullness and an inability to focus. Just as some bodies overreact to allergens or toxins, others overreact to stresses like tests, public speaking or performing.

Fortunately homeopathy does not discriminate. Its applications include mental, emotional and physical symptoms equally. Without slowing, accelerating, depressing or stimulating mental function, our safe natural homeopathic remedies help the body steady its responses and maintain a healthier balance.

One gets the first bitter taste of stress in the adolescent years. There is pressure to perform well in exams, an anxiety whether one will be accepted by peers and to add to it all, difference in generations cause many arguments. All these lead to stress in susceptible youngsters. It is important to deal with stress at this stage because it lays foundations of the mental make up of individual for the years to come.


 

EXAM ANXIETY

The most common form of student stress is exam anxiety. Marked by a feeling of panic, the student feels upper pared for the exams, almost every student experience exam stress. To some extend exam anxiety functions as stress and motivates students to put in greater efforts while studying However, at times it gets it gets out of hand and the inevitable result is distress.


 

Initial symptoms of exam anxiety are:

  • Increased perspirations.

  • rapid heart beating.

  • Upset stomach.

  • Tense muscles.

  • Headache.

 

However when full-blow distress, then the following symptoms are observed:

  • Inability to focus and understand.

  • Difficulty in retrieving key words and concepts.

  • A ‘blank feeling when one tries to remember the answers.

  • Remembering the answers after the exam is over.

  • The unfortunate result of excess exam stress is that the student fares badly in exams in spite of having worked hard.

The other common stressors faced by a student are…

  • Failure in examinations

  • The first year’s college, requiring adjustment to new study material and people.

  • Transfer to another college/educational institutions.

  • Economic burden of higher studies.

  • Problem with teachers.

  • Being expelled or having to quit college.


 

Homoeopathic approach…

Since this form of distress spoils the performance of even the brightest of students, it becomes a matter of concern and requires treatment at the right point of time we treat distress forms of exam anxiety through a group of specific homeopathic medications. These medications function by controlling and reducing the extent of exam anxieties as perceived by the human body. These in turn work by controlling stress levels and preventing symptoms of distress from setting in, thus giving the student a chance to perform at his/her best potential.

A further advantage of the treatment that homeopathy has no side effects, like drowsiness, insomnia or trembling, unlike conventional treatment. And also we guide to our patient yoga, prename and meditations under our treatment, improved his mental ability and patient free from his mental disease.


 

Few of the problems where homoeopathy improves your child are-

  • Staying focused and sharp – common situations, such as jitters before an exam or job interview, poor concentration, exhaustion from overwork, and eyestrain from prolonged computer use.

  • Exam apprehension and stomach upset before exams.

  • Nervous before public speaking ,orals,viva or exams .

  • Poor Concentration, Stress, and Overwork.

  • Inability to relax and over-stimulated mind.

  • Eyestrain and muscle stiffness.

  • Humiliation,shame and Failure.

  • Reprimand/Criticism and Bullying.

  • Worry and Fear of failure.

  • Depression,anger,irritability  and agitation.


 

2016, Naina Homoeo Care by Dr Sameer

After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.

Pediatrician, Kaithal
Late starting of breastfeeding is the main cause, as baby sucking is best stimulation for better breast milk output. Continue to feed. Also check your medicines, you are taking. If there is Pyridoxine in any drug, please stop it as it also decreases milk output.
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My daughter 5 year old. From lost 1 year she suffer due to diabetic. recently in test thyroid stimulating hormone 9.6 percentile. What can I do for her.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. I am sure you are treating her diabetes with insulin injections. Hope you are able to keep the glucose levels in fair control. As regards thyroid functions, are you referring to TSH value as 9.6 mU/L? If so then the child has hypothyroidism also. This needs to be treated with Levothyroxine. Dose has to be decided on the basis of TSH & T4 values plus weight of the child. It is absolutely essential to start the treatment immediately, otherwise child's intelligence will get affected. Thanks.
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My child is 3 years and 2 months old and he is stutter for some times.This is continuing for past 3 months.Why he is like is this and whether he need any speech therapy or any other practice he is feeling shy for this and what is the resolution for this?

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Since you say that the problem is for 3 months, I assume he was normal before that. This is not good sign. There may be many causes. Psychological factor may be at play. Need more information about the time the problem started.
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I have 3 week old baby. I want to know how much formula feeding we need to give her in per feeding. Means how many scoops and ml of water.

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
I have 3 week old baby. I want to know how much formula feeding we need to give her in per feeding. Means how many sc...
Hi lybtrate user, I want to suggest you to give breastfeeding as far as possible every 2-3 hrly since it has all nutrients. If you want to give formula feed it should be given as 1 scoup in 30 ml of clean water.
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Hello Dr. Badam is good for pregnant lady how much we can take daily and how to increase baby weight, I have 24 weeks but baby not getting enough weight please suggest what I do. Thanks,

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
Hello Dr. Badam is good for pregnant lady how much we can take daily and how to increase baby weight, I have 24 weeks...
Soak 5 almonds over night and in the morning eat with milk. Eat fruits, green leafy vegitables and milk and eggs/soya protien.
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Hello my son is 2 years and 7 months old and since he has become active I've have noticed a a couple things he is very hyperactive from the minute he wakes up to the minute he goes to sleep he us very engeriic and all ways moving he can't really sit still for long unless a TV program comes on he is very fidgety and CA be quiet defiant when I tell him off fifth he's doing something he shouldn't be he will cry scream throw him self on the ground he will lash out sometimes f hes tired I think he mite have adhd?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hello my son is 2 years and 7 months old and since he has become active I've have noticed a a couple things he is ver...
Do not go by internet information and have big and complicated diagnosis 1. Spend more time with the child. Get his confidence. Play with him indoor. And take him out door to release his energy. U can send him to play school for 1/ 2 hrs so that he sees others and learn good things, basically you have to gain his confidence so that he follows your advise and instructions. This may need to be always with him, avoid watching Tv in his presence and gradually distract him form tv addiction. Do it and you will find a happy healthy baby good luck.
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My son 1y 9m is suffering from flu last two days having medicine meftajesic-DS, Ascoril Also using frisium 5 but the fever is net getting down showing 102 using wet towel on His stomach.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
My son 1y 9m is suffering from flu last two days having medicine meftajesic-DS, Ascoril Also using frisium 5 but the ...
Dear lybrate user Tepid sponging is very important, put a wet towel in his armpit, groins, forehead. Inspite of meftagesic ds d fever is not subsiding then may b he ll need a Sumol suppository, which will give him d instant result. Secondly u can start Aconite 200 (homoepathic medicine) 2 pills 4 hrly for 3 days. For a suppository, dose should b calculated according to wt of d baby.
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My baby is 2 year old and every month I have to give him antibiotics due to his stomach infection he is breast feed baby till now. No outside milk given yet. Is there any solution other that antibiotics.

MBBS, MD
Pediatrician, Gurgaon
My baby is 2 year old and every month I have to give him antibiotics due to his stomach infection he is breast feed b...
Breast milk at two is insignificant. He is too late for starting weaning cearels diet four to five time at three hrly interval. Self feeding is must breast for. Two times for 20 min.
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Hello doctor, My little baby girl has facing a water flowing problem from her right eye some time it is difficult to open eye since birth she is now two and half month old please suggest us.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctor,
My little baby girl has facing a water flowing problem from her right eye some time it is difficult to ...
Watering of eye may be due to blocked eye canal opening in nose n difficulty in opening of eye may be due to infection. Use Antibiotic eye drops 3-4 hourly for infection but consult eye specialist for eye blocked too.
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MDS Pediatric Dentistry
Dentist, Vadodara
Do you know?
Brushing should be started as soon as the first tooth erupts in the oral cavity of a baby!
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