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Dr. Nirupama Tyagi

Pediatrician, Delhi

200 at clinic
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 Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 44 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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Perfect Skin, Infertility & Maternity Centre

No. 23-A, Pocket-E. Landmark: Near Sai Chowk, DelhiDelhi Get Directions
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#209, Lajpat Nagar, Block H, Sector 4, Rajendra Nagar, GhaziabadDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi, I have a three months old baby who refuses to breastfeed suddenly. Its been one month now, sometime it's really frustrating whenever I tried to feed him he cries like anything so this days I am usually feeding him when he sleeps. Even if I tried to hold him on my lap he cries thinking that I am going to feed him. Please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
If he is given bottle feed also it can cause nipple and breast confusion and stop bottle and give breast milk only . Refusal to feed can also be a sign of infection and need to see if he has other symptoms also
1 person found this helpful
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My son is 4 years old, he have adenoids for the past one year. I'm giving medicines (cold and sometime antibiotics also). Is that safe to give medicines for these many days?

Pediatrician, Pune
Adenoids enlargement are normal in children till 5-7 yes of age if they are not associated with recurrent fever, mouth breathing, snoring sleep disturbance, ear problems they are not of any harm, they reduce in size as the child grows, try to give him a smoke, dust, allergen free environment, plenty of water and fruits
2 people found this helpful
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My son 14 years old. Very thin and looks weak while as he is very active physically and mentally. My issue is with his height just 4.7' and weight 33 kgs. For the last three years, am running here n there for his improvement. But wasted money and time. Will you advise me?

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Hi lybtrate user, looking at the history it seems there is no need to worry. There are still few years to catch up with his height. If parents height is good, he will surely gain good height.
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My baby is 1 month and 8 days old. Recently he cries a lot and sleeps only in my lap. As soon as he is put to bed he wakes up and starts crying. Is this normal or he is facing some problem which is not understood by me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Usually children are like this, upto three months they will sleep during day and start troubling! mothers at night. This is the pain of motherhood. You can ask me privately for regular consultation child rearing. Happy parenting!
2 people found this helpful
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My daughter is 2 years old and she is reporting for stomach pain even even she is affected with constipation. Pls suggest for remedy.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
pl. checkup her stool r/m and stool c/s, lft,ther are worms in her abdomen or any kind of infections..give her digestive meal. like light rice meal, daal, fruits juice, you can give her drop. aristozyme 1ml thrice a day. after tests you consult.
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My little daughter (2 years 10 month old) dos not want to take any kind of food every time she want to take mother's milk, please give us some advice.

MBBS, MD - Paediatrics
Pediatrician, Ahmedabad
At this age, mother's milk does not provide any kind of nutrition. There is a thing called positive reinforcement - means giving reward every time she tries new food, may be small. Stop breast feeding, it is really not useful at this age. Please do not punish or use any kind of negative reinforcement for the child.
1 person found this helpful
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Parenting Tips for Fever in Children

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
Parenting Tips for Fever in Children

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc. 

  • Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
  • What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home. 
  • Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it. 
  • Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).

 As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

3485 people found this helpful

My son is 3 and half years old. He is suffering from cough and cold for last few months. I am treated my child for allopathic and homeopathy doctor but he didn't recover. He is very week. He is very slim but active. Last summers he is suffering from typhoid. Please suggest the medicine pls.

BHMS
Homeopath, Ghaziabad
Hello. Take homoeopath medicines -kof aid syrup (1/2 t spoon twice a day) and give full details like which type of cold and more information about child. Update me.
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MD - Psychiatry
Psychiatrist, Mumbai
ADHD is not fun for the child!

ADHD or attention deficit hyperactivity disorder is a condition characterized by an inability to concentrate and sustain attention. It is a biological problem of the brain.

Due to poor concentration the child feels bored easily and may become impulsive and appear to be mischievous

He may answer out of turn and will talk even when not spoken to.

He may have difficulty sitting at one place.

He maybe restless, fidgety and jumping about.

This will hamper his ability to remember things and may become forgetful and lose things.

This is something the child does not do on purpose and feels guilty and unhappy about, making the child feel low on self-esteem which may manifest as aggressive and rebellious behavior.

Tips for the teacher and parents

1. Keep the child close to her in the classroom

2. Keep the child away from the windows

3. Shower praise when he behaves appropriately.

4. Write important information down where the child can easily read and reference it

5.Divide big assignments into smaller ones, and allow children frequent breaks.

6. Incorporate Physical movement into classroom teaching.

7. Working with interruptions:

Reducing the interruptions of children with ADD/ADHD should be done carefully so that the child’s self-esteem is maintained, especially in front of others. Develop a “secret language” with the child with ADD/ADHD. You can use discreet gestures or words you have previously agreed upon to let the child know they are interrupting. Praise the child for interruption-free conversations.

8. Dealing with Impulsivity:

Give consequences immediately following misbehavior. Be specific in your explanation, making sure the child knows how they misbehaved.

Recognize good behavior out loud. Be specific in your praise, making sure the child knows what they did right.

Write the schedule for the day on the board or on a piece of paper and cross off each item as it is completed. Children with impulse problems may gain a sense of control and feel calmer when they know what to expect.

9. Dealing with Hyperactivity:

Ask children with ADD/ADHD to run an errand or do a task for you, even if it just means walking across the room to sharpen pencils or put books away.

Encourage the child to play a sport—or at least run around before and after school.

Provide a stress ball, small toy, or other object for the child to squeeze or play with discreetly at his or her seat.

Limit screen time in favor of time for movement. Your child will enjoy fast games like Subway Surfer and Temple Run.

Make sure a child with ADD/ADHD never misses recess or PT period.
6 people found this helpful

Hello doctors, please tell me can I give after noon cooked rice by 7: 00 pm to my 9 months baby?

DHMS (Hons.)
Homeopath, Patna
Hello Lybrate user. It should be cooked immediately to eat. If it is cooked late will carry high rate of fermentation causing gastric disorder with cold effect, moreover, you may give rice in the evening, provided your child is not susceptible to catch cold, frquently and she is not troubled much with gastric disorder. It, should be in all respect fresh -cooked & slightly warm before to consume. Tk care.
2 people found this helpful
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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.
1 person found this helpful
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I am a 23 year old feeding mother and suffering from thyroid. Is it necessary to stop feeding.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Thyroid problems are not contraindications for feeding. You can continue feeding but some medicines are not advised in lactating mothers.
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What should be 9 month baby food schedule along with the quantity of food baby should intake in 24 hrs.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Madam, There are no fixed quantities of feeds. It depends on child`s appetite. Adopt demand schedule. Regular monitoring of weight is important. Consult me for any clarification.
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How to Handle Bedwetting ....

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
How to Handle Bedwetting

....

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.

3 people found this helpful

What is the effect to stop adwize tablet after taking this tablet for 3 and half years to cure my autistic child now aged 13 years, who is also is an epilectic patient.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.
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How to improve breast milk quality that baby gets sufficient Energy, vitamin,minerals etc?

MBBS
General Physician, Mumbai
For increasing breast milk naturally Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
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My son is 14 months old. She is suffering form fever from 27.07. 2015 and the temperature not going down. Doctors has said that that is viral fever and given antibiotic and paracetamol. Temperature reaches 103-104 degree between 4 hours even given paracetamol Please help me Thanking you

MD - Paediatrics, MBBS
Pediatrician, Tumkur
High fever is usually due to viral infection. It takes 3 to 4 days for the fever to settle down. Give paracetamol whenever he has fever.
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My friend daughter who is 12 year old she is frequently bleeding from nose. We have consulted few doctors but no relief. Kindly suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
She may be putting fingers inside nose and this is usually seen, check her cbc, tsh and send report.
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What should be given to 12 years old boy to make him strong internally. To boost his immunity. Is yokult good? how it works. My boy is allergic to dust. Please help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Yogurt is good. Nutritious diet and physical activity will increase immunity. For dust allergy best remedy is to avoid.
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