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Dr. Poonam Dewan

MBBS, MD - Paediatrics

Pediatrician, New Delhi

36 Years Experience  ·  500 at clinic
Dr. Poonam Dewan MBBS, MD - Paediatrics Pediatrician, New Delhi
36 Years Experience  ·  500 at clinic
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Personal Statement

I’m a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I’m a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Poonam Dewan
Dr. Poonam Dewan is an experienced Pediatrician in Alaknanda, Delhi. She has had many happy patients in her 36 years of journey as a Pediatrician. She has completed MBBS, MD - Paediatrics . She is currently practising at Dr. Poonam Dewan Clinic in Alaknanda, Delhi. You can book an instant appointment online with Dr. Poonam Dewan on Lybrate.com.

Lybrate.com has a nexus of the most experienced 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.

Info

Specialty
Education
MBBS - MDU,Rohtak - 1981
MD - Paediatrics - MDU, Rohtak - 1985
Languages spoken
English
Hindi

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H-1, Vikram Aditya Tower, Alaknanda Commercial Complex, AlaknandaNew Delhi Get Directions
500 at clinic
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My baby boy is going to be 6 months this 29 he' s on bf plus morning & night nan pro 1 please advice a schedule to start semi solids in how much quantity and gap if days or should I continue nan pro 2 or start packet milk

Pediatrician, Pune
Continue with breast feeds till at least 1 year of age, avoid giving top milk, powders, natural home made food is the best for baby, to start with you can introduce rice water, light liquid moong dal, gradually increasing the quantity and increasing the consistency of dal and rice, you can additionally add boiled vegetable after 15 days /1month in dal and rice, subsequently with mashed fruits, banana, chikko, papaya, - see that when you introduce any new food there is a gap of 15 day to 1 month, happy parenting.
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I was sincere student till 12th then in college I cannot focus on studies and always tend to postpone important task and if I concentrate too long I feel mentally tired. I always procrastinating and now I want to study but I can not. I think I have adultADHD and due that I feel guilty of not preparing for exams, even in day before exam I cannot focus and do something else and I have other symptoms of adhd like fidgeting and cannot sit at one place.

M.Sc Applied Psychology, Advanced Diploma Child Guidance & Counselling
Psychologist, Delhi
I was sincere student till 12th then in college I cannot focus on studies and always tend to postpone important task ...
Dear lybrate user nowadays we all have habit to google about the symptoms to know about the problem we are suffering from. But google is not a doctor or psychologist. There are standardized procedure for diagnosis. So relax and don't think too much by putting yourself into different categories. It's important for you to make a study plan or organiser. The plan should have breaks in between so that you won't get mentally tired. It's proven that studying for prolonged hours without taking break doesn't help in learning process. So make a study plan paste it near your study table. Set daily achievable goals for yourself. In the beginning may 2 goals per day. Motivate yourself to achieve those goals on time. Reward yourself for achieving those goals. Try these things. If you still face difficulty then take one on one counseling session. Remember that it will require time to change ones habit it won't be changed in one day or week. It's a process. Take care.
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I'm 27 year old mother if a nine month old baby girl from Bangalore. Baby has four teeth up and two teeth down, she almost bites me 3 of 5 times when breast feeding, it pains a lot and burns next time when fed. I'm afraid whether she will bite or feed, I tried in quiet room, properly latched her, but same us repeated. Please help me to solve this issue, when I reacted for it, she made a nursing strike for one day, which was more painful than that, please help me.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
Please try offering semi-solid food. Breast milk alone is unable to meet baby's requirement as the baby grows. Not offering breast if your baby bites will be a negative reinforcement and she will stop biting you while feeding.
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My son is 2.5 years old and have total 16 teeth and his teething started when he was 11 months old.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
At 24 months all 20 temporary teeth are erupted normally. But slight delay and variation is accepted.
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My daughter age is 5years and 5month she look bulky and her weight is 32 kg, please advice me what should I do?

M.Ch - Paediatric Surgery, MBA (Healthcare)
Pediatrician, Gurgaon
My daughter age is 5years and 5month she look bulky and her weight is 32 kg, please advice me what should I do?
If there is no other problem, try to modulate her diet. Increase protein an roughage in her diet. She should take less of fat and carbohydrates. Give her more of vegetables except potato, and salad. Pulses should also form important ingredient of her diet.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

Baby Feeding Routine

MD - Paediatrics
Pediatrician,
Baby Feeding Routine
Complementary feeding

Complementary feeding / weaning should be started after 150 days of life.

Its better to start home prepared semi solids first. If you are not confident in preparing food initially you can give cerelac rice / cerelac wheat/ nestum rice etc.

Add a new food item only after trial of 3 days. I mean don't give new food everyday. Wait for any intolerance to a particular food.

Fruit juices orange, apple can be prepared at home and can be given from 7 months.

Mashed potato can be given by 7-8 months.

Egg can be give by 8-9 months. Give egg yolk initially and the egg white later.

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My child aged 4 years gets sometime cuts near outer of both lips. What is the remedy for it.

MBBS DCH
Pediatrician, Gandhinagar
It's known as angular cheilosis. Give green leafy vegetables. Give syp becosule 5 ml twice a day and apply clenora gel locally.
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My son present age is 1 year 4 month suffering from acute loosing motion 40 times in a day and day by day he looses his weight I have given all the medicine which was recomandate by doctor but nothing happend please provide resolution

MD - Paediatrics, MBBS
Pediatrician, Bangalore
You need to give plenty of ors, and revisit your pediatric doctor. Diarrhoea can cause dehydration which may be life threatening if not addressed.
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Bacho ko masquto net ghar mai use karsaktai hai per baher odomas lagana padhta hai creme lagane se skin damge hoti hai KyA doctor.

BHMS
Homeopath, Faridabad
Bacho ko masquto net ghar mai use karsaktai hai per baher odomas lagana padhta hai creme lagane se skin damge hoti ha...
Hello, Odomos herbal hai jiska koi side effect as such nahi hota hai aur bachcho ke liye bahut safe hai, to darne ki koi baat nahi.
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My sister is 2 years old. She had worms. Dr. gave her 20 ml ZENTEL. After that gas developed she started vomiting and can't digest even a spoon of anything. What might b the situation. Is there anything serious?

dnb pediatrics
Pediatrician,
My sister is 2 years old. She had worms. Dr. gave her 20 ml ZENTEL. After that gas developed she started vomiting and...
Hi. Most common complication of Zentel is vomiting. If it is persisting for a longer duration then it is better to consult again. Hope this was useful. Thank you.
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My 3.5 years old daughter has always been very adamant and impatient. How can I make a positive change in her? Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
As she is too young now, you ahve to wait for her to grow and inculcate values in her and make her understand things positively and behave well. It may take time and be patient
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Hello doctor, My 10 months old infant is passing very hard stool that too not passing completely. I am giving more water but still the same thing is happening please suggest what to do.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello doctor,
My 10 months old infant is passing very hard stool that too not passing completely. I am giving more wa...
If you bottle feed then, you have to stop bottle and feed from a cup or glass. GIve him more water and fiber rich homemade foods. YOu need to check his thyroid status as hypothyroidism can also cause constipation.
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Hi, my son is three years old. He is having cough in night only. Day time he is very much ok, but night only he is having cough. What medicine we have to give?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi, my son is three years old. He is having cough in night only. Day time he is very much ok, but night only he is ha...
Night cough after1am may be a sign of asthma. Cough soon after going to bed may be a sign of post nasal drip. As you have not mentioned the time of onset of cough difficult to tell exactly.
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Hello, My question is about my son aged about 10 years and his problem is, he has no control over his bowels/ he acts as he is unaware or what is his problem we are not able to understand, he will almost shit in his pants when he is back from school. He is not very regular in his daily motions, he will go in afternoon/ sometimes will not go will go the next day. He hogs on food particularly non-veg, Please suggest how to over come this problem.

MBBS, MD
Pediatrician, Gurgaon
It seems child is not given toilet. I would advise you to be patience and start teaching him now. Daily morning he must be given a glass ful of lukewarm water. Visit to toilet. Give him green veggie food as fibers in food help in motion. Do not scold him and nor irritate him. By the way how he is at school.
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I have 2.5 month old son. I cant produce enough breastmilk for him. So give cow milk. Is it ok. Or I should give formula milk. If yes then which brand of formula should I use. He is underweight too.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I have 2.5 month old son. I cant produce enough breastmilk for him. So give cow milk. Is it ok. Or I should give form...
Breast milk is the best milk for an infant. Suckling the baby with peace of mind is the only solution for increasing milk production. You must drink good amount of water and take nutritious diet. If it's not at all possible to feed you can give nan 1.
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Hello. My period start after 6 week of my cesarean delivery. Now my baby is 3 months old. And my monthly period are started. I want to know which days are safe for my to avoid pregnancy again.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hello. My period start after 6 week of my cesarean delivery. Now my baby is 3 months old. And my monthly period are s...
If your cycles are regular, 1 week after 1st day & 1 week before next periods are safe periods to avoid pregnancy.
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