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Dr. Prabhatbhushan Bhushan

Pediatrician, Delhi

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Dr. Prabhatbhushan Bhushan Pediatrician, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prabhatbhushan Bhushan
Dr. Prabhatbhushan Bhushan is a trusted Pediatrician in Alaknanda, Delhi. You can visit him at The paediatrica in Alaknanda, Delhi. Book an appointment online with Dr. Prabhatbhushan Bhushan and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 34 years of experience on Lybrate.com. Find the best Pediatricians online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly.
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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

My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for nose drops, I am giving steam too, she making sounds tru throat ,she vomiting frequently due to cold. Hw to get rid of cold n frequent vomit.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 2 months baby suffering from cold since one week, Dr. prescribed wikoryl AF n rhinoclear drops ,my baby crying for...
All problems u mentioned is a matter of examination in person. It is advisable either follow advise of ur doctor or have 2nd opinion.
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How often should a new born baby be fed. My wife tends to feed our 2 month old daughter overtime she cries. Which I think is not correct. Pls explain regarding this. Thank you all.

C.S.C, D.C.H, M.B.B.S
General Physician,
How often should a new born baby be fed. My wife tends to feed our 2 month old daughter overtime she cries. Which I t...
The usual recommendation is to give 2 hourly feed and we ax also recommend demand feed. That is, if the baby does not feed after 2 hours, leave him and feed when he feels hungry instead of sticking a 2 hour time table.
2 people found this helpful
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My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to get on.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My son is 33 months old and he is not eating well, and he weigh 10, 2 kgs. Please give me some suggestions for him to...
Homoeopathic mdicine ALFALFA for CHILDREN ( Wilmar Schwabe India) Drink 1 spoon 3 times daily for 15 days.
1 person found this helpful
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Hi, I've a 5 month baby. I think that my breast milk supply is not enough for my baby. So I want to know how I can increase my breast milk supply. Means what food I should take or anything else to increase breast milk?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi, I've a 5 month baby. I think that my breast milk supply is not enough for my baby. So I want to know how I can in...
There are no such medications I am afraid. However you can try reglan tablet 10mg thrice daily for 5 days and see if this helps. This is an antiemetic and is not used for this purpose ; though a few of my patients have benefitted.
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Using baby soaps by adults is advisable or not in order to maintain a soft and bright skin.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
Using baby soaps by adults is advisable or not in order to maintain a soft and bright skin.
There is no standard guidelines for use of baby soap in adults. Baby soaps are having less chemicals to protect babies. They will not maintain soft and bright skin. Use of moisteriser and sunsreen may help you to maintain soft and bright skin.
1 person found this helpful
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My infant is of 4 months and I feel that he feel's pain while peeing. Sometimes in sleep he shivers and stop peeing or he cries alot before and while peeing. Please prescribed me beast for my infant .

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
My infant is of 4 months and I feel that he feel's pain while peeing. Sometimes in sleep he shivers and stop peeing o...
Pain before and during passing the urine could be normal. But if baby has fever with shivering and loss of weight then first morning sample of the urine should be tested in laboratory to see for any infection. But most if the times it is normal.
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9 Causes Of Iron Deficiency In Children!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
9 Causes Of Iron Deficiency In Children!

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

  1. Low birth weight
  2. Excessive intake of cow's milk at less than 2 years of age
  3. Feeding exclusively on breastmilk beyond 6 months of age
  4. Lead poisoning
  5. Pure vegetarian diet with insufficient sources of iron such as green vegetables
  6. Gastrointestinal disease or infection
  7. Improper diet of the mother during pregnancy
  8. Chronic diarrhea
  9. Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment. If you wish to discuss about any specific problem, you can consult a Pediatrician.

4787 people found this helpful

My six month old baby passes greenish watery stool 2 to 3 times a day but some times he passes normal stool. It is happening for the last 15 days. What should I do now? Please help.

DNB (Pediatrics)
Pediatrician, Amravati
My six month old baby passes greenish watery stool 2 to 3 times a day but some times he passes normal stool. It is ha...
It may be normal transition of stools. If your baby is not vomiting, has no fever and gaining weight then nothing to worry.
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My 9 month baby boy suffering from UTI since last 3 months detected with bacteria. Antibiotic inj. Killed those bacteria. Now, latest urine culture report says aerobic culture shows no growth and pus cell 1-2/hpf. What does it mean and when it will be cured?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 9 month baby boy suffering from UTI since last 3 months detected with bacteria. Antibiotic inj. Killed those bacte...
That means that urine is now free from infection. But if it was a proven infection needs evaluation as the baby's age is less than 1 year and a male.
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My son is 13 years old. His tooths are not in order. I have to fix him a clip. So kindly advice whether it would be painful and any teeth are to be removed. And what would be the approximate cost for fixing a clip.

C.S.C, D.C.H, M.B.B.S
General Physician,
Not painful. Whether tooth has to be removed, can be said only after seeing. Cost differ in centers and depends on dentists. You can ask them.
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My son is getting cold and cough continuously from 6 months homeopathy medicines are given but not reduced. And their is swelling inside the throat?

Diploma in Child Health (DCH), MBBS
Pediatrician, Navi Mumbai
My son is getting cold and cough continuously from 6 months homeopathy medicines are given but not reduced. And their...
Good evening. Most likely he is having tonsillitis which would require proper course of antibiotics along with warm saline gargles and avoiding cold drinks, ice creams, products like wafers, kurkure, cheese balls etc.
1 person found this helpful
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My 4 year old daughter has suffered with severe chronic constipation since birth. When she was born she was admitted in the neonatal for 9 days due to abdominal distention, feed intolerance, suspected sepsis, vomiting bright green bile and Meconium Ileus. She did not pass her meconium for 33 hours and it was passed due to a paediatrician giving her a suppository. It's now getting worse as she is getting older. She suffers with abdominal distention, leakages, agonising pain, passing a lot of gas and cannot walk sometimes due to the pain. She has been on 5 different laxatives (lactulose, movicol, docusate, sodium picosulfate and sennakot) now of them have worked and she has also had 2 enemas that did not work also. She has had a biopsy done for Hirschsprung's disease and it came back normal and all her bloods are normal as well. She is missing a lot of school due to this and her doctors don't seem to think it's serious but after all the medication she's had I think differently. She used to pass a stool and get some relief for a few weeks now it's just days till the pain starts all over again like she isn't getting any relief at all anymore. It can be 3 weeks before she passes a stool. I've done some research and seen that meconium ileus can be related to cystic fibrosis and I've seen that you can have it in the digestive system also. Could this be a possibility for her?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 4 year old daughter has suffered with severe chronic constipation since birth. When she was born she was admitted ...
It is really strange for me to understand how she is tolerating absolute constipation for 3 weeks. It is advisable to get her thoroughly checked in good teaching institutions like AIIMS/PGI Chandigarh etc.
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My daughter is 2 year old, she can't able to take food like rice and fruits. Takes milk and liquids only. We are using so many appetizers but no use. Please suggest me your valuable prescription.

Pediatrician, Pune
Restrict her milk intake, that itself suppresses appetite, let her feed herself, can give everything made at home.
1 person found this helpful
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My baby is 2.6 years old but she is under weight of 8 k gs. So needs to improve my baby weight with healthy food.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby is 2.6 years old but she is under weight of 8 k gs. So needs to improve my baby weight with healthy food.
Your baby is under nourished. Give him home made fresh cooked food at frequent intervals. Teach him importance & need of food in growth and development. Avoid fast food rich in too much of fats. Leaving him amongst children dining together will help.
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