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Dr. Piyush Khana

Pediatrician, Delhi

300 at clinic
Dr. Piyush Khana Pediatrician, Delhi
300 at clinic
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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. Piyush Khana
Dr. Piyush Khana is one of the best Pediatricians in Mata Chanan Devi Hospital, Delhi. He is currently associated with Lok Clinic in Mata Chanan Devi Hospital, Delhi. Book an appointment online with Dr. Piyush Khana on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 39 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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A-2/7, Janak Puri. Landmark:-Near Channa Devi Hospital, DelhiDelhi Get Directions
300 at clinic
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Symptoms of ADHD

Master of Physiotherapy (MPT), Advanced Diploma in Learning DIsability, Bachelor In Physical Therapy
Occupational Therapist, Delhi
Symptoms of ADHD

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

4049 people found this helpful

My 2 years old son eats only crispy things. He doesnt likes rice, suji or chapati, vegetables. He eats junk food like chips, biscuits etc. Please guide?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 2 years old son eats only crispy things. He doesnt likes rice, suji or chapati, vegetables. He eats junk food like...
Junk foods are unhealthy and may lead to various health problems. Food habits depend on how we cultivate. Slowly you must divert towards other foods with love and affection.
2 people found this helpful
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Hi I have 1 month baby me not getting sufficient milk give me another alternate to get milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi I have 1 month baby me not getting sufficient milk give me another alternate to get milk.
Continue breastfeeding on both till either baby is satisfied or both breast are emptied and then give top milk if needed with spoon prepared already. This is best way to increase milk. U must take good nourishing diet.
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Hi my question is what cause phlegm in babies. & what precautions should one take at home for 5 months old babies?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my question is what cause phlegm in babies. & what precautions should one take at home for 5 months old babies?
Normally the secretion of mouth come up in babies and need not be phlegm as you think . Phlegm comes in chest infection and is yellow in colour. YOu only need to wipe of the salival that form up in mouth as do in all babies
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Hello, My daughter is 2.5 year and she has lot of hair on shoulder, arms, thighs, legs and back. The hair color is black so it's very much visible. I have tried besan massage, milk n bread and all home treatments but did not help. I am very much worried as she is loves to wear short and sleeveless clothes and as being female she will face problem when she grows up. Please help if I can do something in her early stage. Awaiting for early reply.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
Hello, My daughter is 2.5 year and she has lot of hair on shoulder, arms, thighs, legs and back. The hair color is bl...
If parents are having same hairy body then it's normal to have such condition. I will advise you, not do any thing for removal of hair, with the the time it will be less. If you think there is real disturbing problem then consult an endocrinologist gor harmony aspect of condition.
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My baby is 10 month old and suffering from fever from last 3 days how detect if it is viral fever or not?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My baby is 10 month old and suffering from fever from last 3 days how detect if it is viral fever or not?
If baby is getting fever 6-8 hourly, responding to paracetamol, in between fever active, passing normal urine (as it was before illness) and not dull then it may be viral. Any thing else need investigations on day 4.
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My son is 2.5 month, initially as I had flat nipple so I was using artificial nipple to feed my baby. But now he is not ready to feed directly. Is it safe to make him feed with artificial nipple until he breast feed? Does it affect his gum and disturb teething process? Is there any option to make him feed directly?

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is 2.5 month, initially as I had flat nipple so I was using artificial nipple to feed my baby. But now he is n...
It I safe to feed with nipple shield or artificial nipple as you call it. YOu have to constantly put him on breast and with effort he canbe made suck breast.
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My 18 month old baby girl weight just 8 kg at the time of her birth she weight 2.4 kg.she looks skinny but she is very active. She doesn't eat roties. We give her cerelac and she is taking her mothers milk. Is she growing normally? I am very scared. Pls help me out.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 18 month old baby girl weight just 8 kg at the time of her birth she weight 2.4 kg.she looks skinny but she is ver...
She is lightly on the lower side of weight but no need to worry. Check her tsh and give all homemade foods. As she is active nothing to worry just a check up.
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Doc my baby potty is very hard. Whenever she goes for potty she crys. May be she feels pain.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
Doc my baby potty is very hard. Whenever she goes for potty she crys. May be she feels pain.
Give more liquids like plain water and juices. Start giving fiber diet like leafy vegetables and other vegetables and fruits and fruit juices etc. If the problem is not solved give laxative preparations for few days.
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In pneumoccal is necessary for new born baby or not?

MD - Paediatrics, MBBS
Pediatrician,
In pneumoccal is necessary for new born baby or not?
Pneumococcal vaccines started at 6 weeks age can reduce the chances of getting meningitis and others infections caused by 13 strains of pneumococcus. It is advisable if money is not a problem.
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We have two & half year son he is suffering from fungal infection on his back. Effected area having white patch. Kindly advice us. Is it really worried disease?

C.S.C, D.C.H, M.B.B.S
General Physician,
Can you send a pgot privately. Any way you can apply flucos cream or dusting powder and reply privately. It will take 1-2 months to go fully. Ask privately.
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Hi, I took Heavrix Vaccination for Hep A for my baby girl at the age of 1 year 2 months. May I know whether I have to take 2nd dose for the same after 6 months, ie now? But some of my friends says that they only took one dose for Hep A for their kids. Please clarify me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi, I took Heavrix Vaccination for Hep A for my baby girl at the age of 1 year 2 months. May I know whether I have to...
2nd dose of hepatitis a vaccine is required 6 months after 1st dose which usually is given at 1 year.
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Baby Poop - What's Normal & What s Not

MD-DNB (Pediatrics), FCPS (Paediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Baby Poop - What's Normal & What s Not

As a new mother, you will be always in a constant state of worry whether you are doing things right. And of those many, many things you worry about, your baby’s bowel movements are one of them.

A baby’s poop is a sign of his/her health. Thus, you do need to know what is normal and what needs medical attention. Read on to know more about your baby’s poop.

What’s Normal?

The kind of poop depends on how you are feeding your child. If you breastfeed the baby, his/her poop will be:

  1. Small in size—no bigger than a coin

  2. Light in colour, usually a greenish-brown or bright yellow

  3. Sloppy in texture

The first few weeks of breastfeeding will produce waste daily, after each feed. The frequency will diminish later, but that is not a concern, as long as the waste is easily passed and is soft.

If you are feeding your child formula, the poop will be different. You will notice that the poop is:

  1. Bulkier

  2. Yellow-ish brown or pale yellow in colour

  3. Smells stronger

The next worry you have is when you change your baby’s feeding routine. When you switch from breastmilk to formula, you will notice:

  1. The poop is darker in colour.

  2. The texture becomes thicker.

  3. The smell also becomes stronger.

The other dramatic change you will see is when your baby starts eating solids.

What isn't Normal?

There are mostly two things you need to be concerned about: diarrhoea and constipation. Both of these conditions mostly affect babies who are formula-fed.

If your baby has diarrhoea, you will notice:

  1. The poop is runny

  2. Frequency and amount of poop is increased

And if you suspect constipation, be aware of the following signs:

  1. Your baby finds it difficult to poop

  2. The poop is dry and small

  3. The tummy is hard when you touch it

  4. There might be blood in the poop

Green poo:

If you're breastfeeding, green poo can be a sign that your baby is taking in too much lactose (the natural sugar found in milk). This can happen if she feeds often, but doesn't get the rich milk at the end of the feed to fill her up. Make sure your baby finishes feeding from one breast before you offer her your other one.

If you are feeding your baby formula milk, the brand you are using could be turning your baby's poo dark green. It may be worth switching to a different formula to see if that has any effect.

If the symptoms last longer than 24 hours, visit your health visitor or GP. The cause may be:

  • a food sensitivity

  • side-effects of medication

  • your baby's feeding routine

  • a stomach bug

Very pale poo:

Very pale poo can be a sign of jaundice, which is common in newborns. Jaundice causes your newborn's skin and the whites of her eyes to look yellow, and usually clears up within a couple of weeks of birth. Tell your midwife or doctor if your baby has jaundice, even if it looks like it's going away.

Also tell your midwife or doctor if your baby is passing very pale, chalky white, poos. This can be a sign of liver problems, especially where jaundice lasts beyond two weeks.

4 people found this helpful

My niece from last two days she vomit while after feeding so what can I do? Please advise.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My niece from last two days she vomit while after feeding so what can I do? Please advise.
How frequently you vomit? seek prompt medical attention if nausea and vomiting are accompanied by other warning signs, such as: chest pain severe abdominal pain or cramping blurred vision fainting confusion cold, clammy, pale skin high fever and stiff neck fecal material or fecal (foul) odor in the vomit I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in nausea. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Hi. I have 28 days old baby boy. I am given only brest feeding to him. But from last 2 days my baby is continuously crying due to insufficient brest feeding. I thought to give lactogen formula milk. Is it fine foe baby.

MBBS, MD
Pediatrician, Gurgaon
Hi. I have 28 days old baby boy. I am given only brest feeding to him. But from last 2 days my baby is continuously c...
No, avoid bottle and formula feeds. I personally believe mothers of such small child should feed for ten times a day. Child sucks for few minutes and then stops.
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Hi, My daughter is three months old. We found poop in her stool from last 03 days and from yesterday she toilets 07 time and out of 07 we found 06 times poop in her toilet. I want to know is poop normal in little babies? It is in white color. Please reply soon we are afraid of this.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
My daughter is three months old. We found poop in her stool from last 03 days and from yesterday she toilets 07 t...
If sh is feeding well and if ther is no fever this is normal. You may better check up if there is any more doubt.
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My son is 4.5 years got stomach infection after consuming mango shake around 20 days ago. He had stomach ache and loose motion off and on. After eating something he had stomach ache and loose motion. For last two days he had watery loose motion. Today motion are better but he is having fever above 101. I am giving crocin for fever every 6 hrs and ciffixim for motion.

Fellowship in Pediatric Critical Care (IAP), MD - Paediatrics, MBBS
Pediatrician, Jalandhar
My son is 4.5 years got stomach infection after consuming mango shake around 20 days ago. He had stomach ache and loo...
Do stool routine microscopy and culture avoid milk based diet give home based food and plenty of fluid and ors change antibiotics showing your pediatrician after report.
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My daughter of age 7 years studying in class 2 complaints chest pain followed by breathing problem especially when. She is in school hrs sometimes at home also. Echo test chest x ray done but all normal. Once I asked to her why its so she replied that homework was not completed so madam will beat. We made her homework uptodate. Two three days absolutely no problem but yesterday evening again she was crying for chest pain. What should I do.

BHMS
Homeopath, Gurgaon
My daughter of age 7 years studying in class 2 complaints chest pain followed by breathing problem especially when. S...
I think you should talk to her or her friends and try to figure out the situation in the school. It is possible that she was scolded or she has witnessed someone else been scolded or physically beaten by the teacher. Please understand the situation from your child's perspective. You will have to convince her that you trust her and will support her in every situation. You can call her friends parents too. Once you understand it from the children's perspective, do not hesitate to approach the teacher or other school authorities/school counselor to seek solution. You will have to handle the situation very cautiously because if she does not let go of this fear at this age, it will affect not just her studies but her entire personality. All the best. Remember she needs all your love and trust.
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My child is 2 years 8 month. His weight 15 kg. My son is not tell about toilet, hungry and any other thing. He does not speak. I'm worried.

C.S.C, D.C.H, M.B.B.S
General Physician,
My child is 2 years 8 month. His weight 15 kg. My son is not tell about toilet, hungry and any other thing. He does n...
Generally some children behave this way. If all other things are fine there is no need to worry. Check his tsh and cbc and send report to me privately for personal advice.
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