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Dr. Piyush Khanna

Pediatrician, Delhi

300 at clinic
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Dr. Piyush Khanna Pediatrician, Delhi
300 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Piyush Khanna
Dr. Piyush Khanna is one of the best Pediatricians in Janakpuri, Delhi. You can meet Dr. Piyush Khanna personally at Dr Usha Khanna Maternity Home in Janakpuri, Delhi. Book an appointment online with Dr. Piyush Khanna and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 40 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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Dr Usha Khanna Maternity Home

B2/39, Janakpuri. Landmark: Near Arya Samaj Mandir & Opp Santri Mandir, DelhiDelhi Get Directions
300 at clinic
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Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

M.A.(Psychology)
Psychologist, Navi Mumbai
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.

My son suffer a rear diease tuberous scelerosis. He is now 5 yrs old. Please help me for his treatment.

Pediatrician, Pune
Tuberous sclerosis associated with tubers in brain can cause seizures, responds very well to tb vigabatrine, supportive treatment in relation to severity and disability of the disease requires long term care under pediatric neurologist guidance.
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Aagar baby ko loose motion lag jae to opium de sakte hai ya nahi. Agar dene k baad koi problem ho to kya kre.

BHMS
Homeopath, Secunderabad
Aagar baby ko loose motion lag jae to opium de sakte hai ya nahi. Agar dene k baad koi problem ho to kya kre.
Please take the baby to the doctor if the frequency of loose motions do not decrease. Keep feeding the baby. Keep checking for fever and any drowsiness.
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My wife suffered by breast pain by baby bites when feeding milk. How much long time pain in breast.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Jhansi
Give her Vitamin E 400mg once daily for 10 times. Try to give the whole black portion in babies mouth.
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Sir, I have 14 years old son, his body is very slim and chest also burning (Acidity ?)please suggest any solution I want healthy and body pick up , weight also .

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Sir,
I have 14 years old son, his body is very slim and chest also burning (Acidity ?)please suggest any solution I w...
You have not mentioned wt, about 45 kg at this is normal. Give him small in quantity frequent meals instead of heavy diet. If burning is not relieved, consult doctor.
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Stomach Problem - Common Causes of it!

MBBS, MD, CCEBDM(diabetology), CCMTD(thyroid dissorders)
General Physician, Sakti
Stomach Problem - Common Causes of it!

Stomach problems are one of the most common issues you face. Irrespective of what your age is, it is highly likely that you have an upset stomach once in while. A stomach upset has a distinguishable characteristic -  that stomach linings as well as the small and large intestines tend to swell. This is called inflammation. The following are the most common causes of an upset stomach.

 

1. Viruses
Viruses are the most common causes of an upset stomach. It is highly likely that your stomach upset is because of a virus since there are so many types of them.

 

2. Parasites or bacteria like Salmonella and Escherichia coli
This is also a very common cause of stomach upset. Salmonella infections are usually caused by eating raw eggs, meat and meat products whereas Escherichia coli infections come from raw vegetables as well as milk and dairy products.

 

3. Allergic reactions
These happen very specifically to people who have a reaction to a certain type of food.

 

4. Excess alcohol
Most people think that alcohol will only make you pass out or get liver cirrhosis. Many people do not know that alcohol can actually adversely affect your stomach as well.

 

5. Excess caffeine
Caffeine is also dangerous to your stomach as taking too much of it can cause a stomach upset.

 

6. Fatty foods
Fatty foods such as cheese, dark chocolates, whole eggs, fatty fish, etc. are dangerous because they are harder to digest than many other types of food. This means that eating even a small amount of fatty foods are enough to cause a stomach upset sometimes.

 

7. Eating too much
This is also a major cause of stomach upset simply because your stomach can only digest a certain amount of food.

You must also be able to distinguish when you have a stomach infection and when you have Chron's disease as it is basically a chronic stomach upset. Chron's disease causes the whole digestive tract to be inflamed.

My son is frequently getting cold with age 4 years. Tired of using medicines. Any natural remedies to avoid cold. Ghee ,fruits even not suit for him.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Place eight to 10 drops of juniper essential oil in water in a 1-ounce nasal spray bottle. Use four to six times per day, shaking the mixture before each use. Hot drinks and honey. Any warming drink can help soothe a sore throat, suppress a cough, and calm the overall commotion of a cold or flu.
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Which is Best ingredient to milk for babies? Heroics? Pediasure? complain? Boost? How can we make cashwe, pista, almonds familiar or eatable to my baby?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Which is Best ingredient to milk for babies? Heroics? Pediasure? complain? Boost?
How can we make cashwe, pista, almo...
There is no any best ingredient to add in milk.Milk itself is best. If your baby is more than 6 months and is on weaning stage, you may add in milk after grinding fine and if he is older enough to chew, leave him free to choose items of his choice that shall make him familiar.
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My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is increasing. He removes my hand when I try with johnson bud during sleeping. please suggest what should I try to solve this issue.

MD - Paediatrics, MRCPCH
Pediatrician, Bangalore
My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is incre...
Never use ear buds, you may damage his ears While bathing cover his ears with cotton and the remove That is all required.
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Study Smarter and Not Harder!

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
Study Smarter and Not Harder!

There are few things I hear over and over again from students:

  1. How they are studying for so many in a day
  2. How they do not have even time for anything else in their life due to study pressure
  3. How they are sleep deprived
  4. How much they are stressed
  5. And finally, after all the sacrifices and hard work, their exam performance is not what they expect.

Here are few tips to study smart, improve your grades and yet have a life!
We all know that 2 hours of focused study will be much more productive than 4 hours of distracted study. And, the good news is that concentration is a mental skill that you can develop and improve. There are two ways to improve your concentration:

A. First, work on raising your brain's natural ability to concentrate or in other words, learn to increase your attention span.
B. Second, adjust the environment around you to make concentrating easier.

Improving your concentration takes a little time and effort, but it is worth it. In my personal experience with students, I have seen noticeable improvement in relatively short time.

A. Ideas for daily concentration boosting habits include

  1. Mindfulness meditation: Many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Mindfulness meditation, where one focuses on one's breathing,  is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. To begin with you may try a guided meditation. One can easily find audios for guided meditation online.
  2. Proper sleep: I am sorry to say this. Pulling all nighters will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be to study as well as answer questions in exams.
  3. Food for your Brain: The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not just keep scoring higher in the game! Try Lumosity and use only free version this will help you restrict your daily play time to 20 minutes and have maximum benefit.
  4. Eat healthier: Your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Instead you could keep some nuts such as walnuts, almond or peanuts as in between munches. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white flour in your diet as much as you could.  
  5. Exercise: It is helpful in both reducing stress and increasing energy and focus. At least 20 minutes a day would go a long way. Going for a short jog of 20 minutes will make next 4 to 5 hours of study very efficient.

B. Optimize your mental state & environment

In addition to building the habits described above into your daily routine; also adjust your environment and your current mental state to improve your concentration when studying.

  1. Create a study space: Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed.
  2. Remove distractions: Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration.
  3. Reduce background noises: If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking.
  4. Use timer: Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time.
  5. Stay motivated: If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing 2-3 hours of intense studying. That way, even if the material is dry, you have the reward to look forward to.
  6. Take breaks: Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind.

Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also.

How an expert can help?
If you want to get individualized expert opinion about how you are studying currently and what ways you can improve; you can always consult the expert. Once he/she knows what your current study methods are, they will be able to give you specific tips to improve upon. Most likely once you incorporate those tips you will be spending less time studying and your grades will improve. That's what is studying smarter and not harder means!!

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