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Dr. Prakash Chand Thakur

MBBS

Pediatrician, Delhi

4 Years Experience  ·  200 at clinic  ·  ₹300 online
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Dr. Prakash Chand Thakur MBBS Pediatrician, Delhi
4 Years Experience  ·  200 at clinic  ·  ₹300 online
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Personal Statement

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. Prakash Chand Thakur
She has been a successful Pediatrician for the last 4 years. She has completed MBBS . You can book an instant appointment online with Dr. Prakash Chand Thakur on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 33 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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Specialty
Education
MBBS - Army College of Medical Sciences, New Delhi - 2013
Languages spoken
English
Hindi

Location

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Dr.Prakash Chand ThakurDelhi Get Directions
200 at clinic
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Hello sir, I am getting cough and cold every month and it took more than a week to relief if I will not get any medicine. What should I do?

MBBS, cc USG
General Physician, Noida
Hello sir, I am getting cough and cold every month and it took more than a week to relief if I will not get any medic...
If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis 2. Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management.
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My daughter age is 30 years, Has a severe pain on the back side of her head and cough, fever, and breathing problem. Doctor has informed me as it is a migraine problem. Kindly guide me for the same.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter age is 30 years, Has a severe pain on the back side of her head and cough, fever, and breathing problem. ...
now a days is season of viral fever..pl. go for tests ns1,cbc,mp,blood sugar, till then you can give her tab. combiflaim twice a day. syp. zeet expectorant 10 ml thrice a day. tab. lcz once a day after meal. after tests give her antibiotic by doctor.
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I am there, I hv 1yr 8 months old daughter. I want to stop breastfeeding. Can you suggest me some tips.

C.S.C, D.C.H, M.B.B.S
General Physician,
Though she may cry for a few days you simply refuse to give her and let someone else make her sleep. There is no medicines to stop feeding.
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My four years old daughter is 12kg only please help

M.D.( Pediatrics), DCH
Pediatrician,
Mam , We need complete physical examination and diet history of the child before any opinion can be given. Please see your Paediatrician.
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Is it normal to have fever during teething (age 6months) & what medication is required.

MD - Paediatrics
Pediatrician, Sambalpur
Fever may occur during teething or merely a coincidence of viral infection which is more common.U can give paracetamol syp if fever more than 100c
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I'm 29, I have one and half year baby, after delivery my weight is normal but now before 7 months onwards my weight is decreasing, wat the Reason, why I'm getting less weight, nw my weight is 37. Please help me I'm looking very very thin.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Post Graduate Diploma in Healthcare Management (P.G.D.H.M)
Ayurveda, Phagwara
I'm 29, I have one and half year baby, after delivery my weight is normal but now before 7 months onwards my weight i...
A through diet chart should be followed religiously. Start having diet rich in proteins Stay blessed.
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My son is 7 years old ad he weighs around 24 kg. Since birth his immunity is low and very frequently he gets cold, cough, fever, flu etc. H also gets frequent headaches due to gastric problems leading to nausea and vomiting. Ost of the times he gets allergic and dry cough. Please advice medicine to cure cough and cold, headaches and for increasing immunity.

MBBS,D.Ped.
Pediatrician, Ahmedabad
Modify diet eg. Give green leafy vegetables, turmeric powder in milk, honey with tulsi leaf, fresh fruit, dates. Avoid chocolates, ice cream, biscuits, artificial flavoured food, packet food, junk food. Start syrup. Septilin 5ml two times a day regularly for one to three month if other investigation reports are normal.
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Sexual Abuse - Mental and Psychological Effects on Children

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
Sexual Abuse -  Mental and Psychological Effects on Children

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.

Future Consequences-

  1. A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.

  2. The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.

  3. They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.

  4. Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.

  5. Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.

  6. Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being ‘paedophilia’ or the sexual arousal involving prepubescent children.

Conclusion-

The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

3652 people found this helpful

My Daughter has cough and running nose and her first molar teeth coming out. She is cranking very often and drooling. Please suggest some medicine for cough and cold too. She is 14 month old.

MD - Paediatrics
Pediatrician, Jamnagar
My Daughter has cough and running nose and her first molar teeth coming out. She is cranking very often and drooling....
It is not good to write drugs without seeing a patient. But you can give syp paracetamol 15 mg/kg per dose 6/4 hourly. It will reduce her bodyache and fever if it is. Will reduce her crankyness.
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HOW TO PRESERVE YOUR HEARING

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist, Delhi

Now, today's world is suffering from many unknown ailments, due to our modern lifestyle, diet and many more. One of the most hazardous problems today's world is suffering from is ear related i. E ringing sound or tinnitus with vertigo and hearing loss. So as an audiologist my request and advice to all to avoid unwanted loud sound and protect your hearing by either wearing ear plugs or ear muffs or by avoiding such detrimental situations by wiseness, because tinnitus is mostly related to your duration of noise exposure. Because your health is in your hand. So you people decide.

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My son 2 years old, suffering for birth expecia, now without support he was no siting & standing.

Pediatrician, Pune
Birth asphyxia might have caused damage to his brain, leading to developmental delay, requires physiotherapy + occupational therapy for rehabilitation.
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My daughter is 4 years old she has sensation of frequent urination please suggest what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
It may be a sign of urinary tract infection. Get urine culture and sensitivity test & ultrasound kub done. Consult a pediatrician immediately for the treatment.
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My daughter is suffering from gastrointestinal reflex. She is 1 year old. What should I do?

Pediatrician, Pune
Give semisolid and solid foods, not to be very diluted, don't make her lie down/ sleep at least for 20 mins after feeds, feed in an upright position.
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

4326 people found this helpful

My child has a problem of bed wetting. Please provide some solution the age of my child is 8 years.

MD, MBBS
Pediatrician, Bangalore
He should not have any feer from school, mummy, papa, friends, or any other family member and neighborhood. He should not see serial which can cause feer. Restrict liquids 3 hrs before sleeping and wake up for urination once at night. This should help90% otherwise consult.
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Tongue movement influences infant speech perception

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai

Free tongue movement in pre-verbal infants influences their perception.says Canadian researchers.

The results showed a teether inserted into the mouth of an infant has an impact on the tongue tip and blade movement influencing speech perception.

Speech perception is available even before infants accrue experience producing speech sounds.

1 person found this helpful

My baby is 2 years 2 months. She is born on 25 aug 14. She has constipation everyday. She drinks only milk (with infragrow chocolate) while sleeping. Else hardly eat any solid food. Pls advise what can we give her to get appetite n eat well. Though she is very proactive all day. Pls advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 2 years 2 months. She is born on 25 aug 14. She has constipation everyday. She drinks only milk (with infr...
You have not mentioned her weight. Reduce number of milk in a day. Give her well nourishing home prepared food of her likings at her liberty. It may take some days for her to accustomed to this change. Give her more water to drink.
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Is green poo in 1 month formula fed baby normal or something to worry about?

MD - Paediatrics
Pediatrician,
We recommend only mother`s milk up to the age of 6 mths.If the baby is on bottle then this may be a cause.
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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

New born baby of 3 months old does normal activities like turning head towards sound and sounds ohh and all. But last week his sister pops a toy horn with loud sound. After that he doesn't reacts to any sound. Is ter any problem please reply. If yes any solution?

MBBS
General Physician, Jalgaon
New born baby of 3 months old does normal activities like turning head towards sound and sounds ohh and all. But last...
Please consult near by pediatrician in person baby may have some hearing problem (locking of tympanium) due to sudden loud sound near ears.
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