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Dr. Nirupama Tyagi

Pediatrician, Delhi

200 at clinic
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Dr. Nirupama Tyagi Pediatrician, Delhi
200 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.
More about Dr. Nirupama Tyagi
Dr. Nirupama Tyagi is a popular Pediatrician in Dilshad Garden, Delhi. You can meet Dr. Nirupama Tyagi personally at Perfect Skin, Infertility & Maternity Centre in Dilshad Garden, Delhi. Book an appointment online with Dr. Nirupama Tyagi on has top trusted Pediatricians from across India. You will find Pediatricians with more than 27 years of experience on 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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Perfect Skin, Infertility & Maternity Centre

No. 23-A, Pocket-E. Landmark: Near Sai Chowk, DelhiDelhi Get Directions
200 at clinic

Perfect Clinic

#209, Lajpat Nagar, Block H, Sector 4, Rajendra Nagar, GhaziabadDelhi Get Directions
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When I running in morning my right side was so much pain. What I do please help me?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This might be related to some muscle catch/cramp. Withhold running for few days and let your body rest. Can apply some pain relieving ointment like volini and massage.
1 person found this helpful
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My 2 months baby is not taking her mother milk, please guide how can we give her that?

Pediatrician, Chennai
My 2 months baby is not taking her mother milk, please guide how can we give her that?
Not taking mothers milk means the baby is getting other milk. You have to express the milk and give it with the help of sterile spoon. Do this every 2 hrs. Once the baby like the taste of your milk, he or she will go back to sucking at the nipple which will I turn increase milk secretion.
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My child is 7 years old. He faces problems in remembering names of his friends, he also not able to remember rhymes, spellings and question answers. Although, he understands everything but forgets easily. Is it normal at this age. Kindly help me out. Do I need to consult a doctor regarding this.

Homeopath, Faridabad
Hello, It's very important to keep repeating the same things again and again to a child if you want him to remember or to make a habit for him! There are few food items which helps you in boosting up your memory power, increases focus & concentration, so try to take more of these: 1. Choline: Good sources of choline include liver, milk, eggs and peanuts. 2. Vitamin B: B vitamins are not synthesized in the body, and thus need to be obtained from food. B-complex vitamins are water-soluble vitamins, which means that they are not stored within the body. In consequence, the B vitamins need ongoing replenishment. Vitamin B1 (thiamine) rich sources include unrefined grain products, ready-to-eat cereals, meat (especially pork), dairy products, peanuts, legumes, fruits and eggs. Foods that contain high concentrations of vitamin B3 (niacin) in the free form include beans and organ meat, as well as enriched grain and cereal products. While niacin is present in corn and other grains, the bioavailability of the nutrient is much less than it is in protein-rich sources. The role of vitamin B9 (folic acid) during pregnancy is vital to normal development of the nervous system in the fetus. Good sources of folate include liver, ready-to-eat breakfast cereals, beans, asparagus, spinach, broccoli, and orange juice. Animal protein products are a good source of vitamin B12 (cobalamine), particularly organ meats such as kidney or liver. Other good sources are fish, eggs, and dairy products. 3. Vitamin A: The foods highest in Vitamin A are any pigmented fruits and vegetables and leafy green vegetables. 4. Zinc: Zinc is a very important part of the brain as well; many regions of the brain, such as the cerebellum, and hippocampus have neurons that contain this nutrient. Zinc is needed to maintain normal Vitamin A levels in blood plasma. Sources of zinc are meats, certain seafood, whole grains, baked beans, oatmeal, milk (low-fat), cashewnut, almonds, kidney-beans, cheese, peas, spinach, sesame seeds, pumpkin seeds, flaxseeds. Medication: Take homoeopathic medicine for increasing memory - Anacardium 200/ once daily. Management: -Let him play with his peer group outdoor games daily. Any kind of physical activity improves the blood circulation of the whole body. -Get him enough sleep and rest. On average, a child needs between 7.5 and 9 hours of sleep each night and 1&1/2 to 2 hours of sleep during daytime. When a child hasn't got proper rest, it affects your brain’s ability to do this, and your memory suffers. -laughter can improve short-term memory in both kids as well as adults. -Cutting down on your use of technology (i. E. Sitting in front of your computer, phone, or tablet) for even 30 minutes can improve your brain health and help to think more deeply.
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My baby is complete 8 month, but he do not have teeth pls tell me its alright or not.

Dentist, Vadodara
My baby is complete 8 month, but he do not have teeth pls tell me its alright or not.
Normally the milky teeth start erupting at the age of 6-10 months. Do don't worry. But if you are in tension visit a pediatric dentist.
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I have a kid for 2 years. Suddenly one morning on 08/12/2017 she started vomiting. Vomiting was continuous say 7- 8 times. She was admitted to hospital for 24 Hours. Now she is okay. During hospitalization she was given drip and various injections. Before discharge doctor has prescribed Ondem syrup and Rantac syrup. The same problem i.e frequent vomiting occurred during the month of June 2017. At that time she was admitted to ICU for 24 hours. I am not able to make out the reasons behind vomiting. Please come up with answer.

Homeopath, Gurgaon
I have a kid for 2 years. Suddenly one morning on 08/12/2017 she started vomiting. Vomiting was continuous say 7- 8 t...
Your child could be severely allergic to a particular food item. Can you think of anything that was common in these 2 events. It could be egg, any sea food, any frozen snack, any new food item, some jelly/candy. Such severe bout of vomiting could also result from gastric infection. During such bouts, the body tends to reject anything that is taken orally including water which is why the vomiting continues and situation improves after the fluids and medication is given intravenously. Please think carefully and note down everything that she took in the last 48 hours before she started having vomiting. You might figure out the cause. Take care.
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I am 47 year old and I am suffering last month cold and cough so what I should do?

MD - Pulmonary Medicine, DNB, DAA, MNAMS
Pulmonologist, Navi Mumbai
I am 47 year old and I am suffering last month cold and cough so what I should do?
Cover mouth and nose during outside travels and outdoor activities. Also keep healthy lifestyle wash hands and face regularly. Brush and gargle twice a day.
2 people found this helpful
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

MD - Paediatrics, Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
How to change a diaper!
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