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Dr. Prakash Vir Tyagi

Pediatrician, Delhi

Dr. Prakash Vir Tyagi Pediatrician, Delhi
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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. Prakash Vir Tyagi
Dr. Prakash Vir Tyagi is a renowned Pediatrician in Ashram, Delhi. You can meet Dr. Prakash Vir Tyagi personally at Child Care Clinic in Ashram, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Prakash Vir Tyagi 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. 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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95 Bhagwan Nagar Opp. Maharani bag Ashram (Near Manokamna Mandir, Sidhartha ExDelhi Get Directions
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Gap between vaccination of 10 week baby. As pcv and Rotavirus and other vaccination.

MBBS, MD
Pediatrician, Gurgaon
Gap between vaccination of 10 week baby. As pcv and Rotavirus and other vaccination.
Ideally gap should be at least 4--8 weeks between two doses of same vaccine. Duration between two vaccines even works even if doses are forgotten.
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Hello sir/madam. I What is the best medicine for the half year baby who has greenish loose motion?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Hello sir/madam. I
What is the best medicine for the half year baby who has greenish loose motion?
Please continue your breast feeding as you have been doing, stop or avoid formula milk or other milk if giving, start the baby with zinc supplements like z & d / zinconiaand probiotic sachets like econorm. You can also give some saabu daana ganji sips.
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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 son is 5 years old, he feels hungry but he doesn't eat food. His growth is not in progress. He always suck his fingers. He is week. Please suggest me what should I do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 5 years old, he feels hungry but he doesn't eat food. His growth is not in progress. He always suck his fin...
When child is hungry, he shall definitely like to eat but of his own choice rather yours. It is just possible that you may be forcing your choice. Give him all edible well nutritious items prepared at home of his choice including milk and its products. Sucking of fingers must have started at his early age for the reason he may have not been given food of his choice and kept hungry. I hope this may help.
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My daughter is 1 year 4 month old and she is suffering with chicken pox but the concern is she was already suffering with cold and cough. Which is still there. Is there any problem or what should we do at this point of time?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 1 year 4 month old and she is suffering with chicken pox but the concern is she was already suffering ...
These symptoms are associated with chickenpox. Paracetamol, rest, antihistamines will take care of them.
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My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result every month used 30 ml anti boitc cold and cough syrup used I am feeling sir, please tell me any suggestion give me sir.

DNB - Pediatrician
Pediatrician, Pondicherry
My boy is 2.9 years weight is 11.5 kg every month fever coming blood test and xray normal t.b also tested no result e...
Hi, Most of the times during particular season children are prone to get fever frequently. Unless there is no major issue / any other symptoms during each time nothing to worry. Child's weight is ok now. Better give Vitamin D syrup (D3 MUST) 5 ml once a day & Zinc syrup (MINTONIA) 5 ml once a day for one month to improve the immunity. These are supportive measures. Prevention is best. Maintain good personal hygiene.
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Mera beta four year ka hai, aksar raat ko uske leg mei pain rahata hai, aur morning mei thik ho jata hai, dard puri raat rahti hai, maine doctor ko dikhaya to doctor ne calcium syrup diya, ab sirup band karne ke baad bhi kavi kavi leg me pain ho raha hai, aur, raat bhar massage karne pe bhi aram nahi milta, so please mujhe aisa medicine ya oil bataya jo fast relif kare raat mei aur bacha aram se soye paye, mai raat mei bajut pareshen ho jati hu.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
App pehele to ye pata kar me ki bache ko leg me pain rahata hai ya koi air taklif hai. Agar calcium syrup dene me bad bhi bache me leg me pain rahata hai to bache ko calcium metabolism me taklif hai. Bacha calcium absorb nahi kar pa raha hai. App ek bar bache ki serum calcium karwa lo. Uske badme him bats sakte hai ki kya karan ho Santa hai.
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Hi, I have one daughter of 10 months old. She is suffering from heart disease congenital acynotic. Please guide me if this disease is curable.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hi, I have one daughter of 10 months old. She is suffering from heart disease congenital acynotic.
Please guide me if...
If it's a small vsd it closes automatically. Some moderate vsds also close by 6 years if there are no complications.
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Hello Dr.I am giving cow milk to my 4month old baby. But as she drink it she passes stool.I am unable to understand which milk is better for her?

MBBS, MD - Paediatrics, DCH
Pediatrician, Bangalore
Dear Don't get alarmed. Is your baby on breast milk and cows milk.Do try to feed only breast milk as much as possible.Check weight gain and if correct continue same feeds. If not visit your doctor.
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My kid is 3.2 years old with a weight 13.4 kg. Concerned with his weight and physic. He is so leans, worried of his growth. He eats very moderate. Please suggest whether this is under weight. If yes, suggest to improve his hunger aspects.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello, If your child is active and does not fall sick often, there is nothing to worry. He is not extremely underweight, but you need to improve on his protein, calcium and iron requirements.
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My son is too active not sitting in one place. I wanted to identify whether he is a hyper active child his age is 2 years & 3 months old. How to identify whether he is a normal child or hyper active child.

Postgraduate Programme in Pediatric Nutrition, Diploma in Pediatric Emergency Medicine, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Bangalore
My son is too active not sitting in one place. I wanted to identify whether he is a hyper active child his age is 2 y...
2 years 3 months is too young to diagnose hyperactivity disorder. There is a broad range of behaviour that can be considered normal at this age. Attention deficit hyperactivity disorder is diagnosed after the age of 7 years with detailed assessment in 2 different settings.
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My son is 3 years old. He is frequently suffering from cold & cough. Once it comes it will take month or so to cure. Even After cold is over cough will be there always slightly & it is severe when cold is more. What to do for cough & cold especially for cough?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 years old. He is frequently suffering from cold & cough. Once it comes it will take month or so to cure. ...
Cough associated with cold is mostly due to viral infection. Frequent infection is usually due to lack of immunity response. Pls consult pediatrician.
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Dr. Her auditory and BERA reports are normal. But unable to listen .normally. Hearing aids are also not prescribed to her. Please tell me what is the problem and the best treatment to cure it.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Dr. Her auditory and BERA reports are normal. But unable to listen .normally. Hearing aids are also not prescribed to...
Answer to your query depends on her age and not listening or not hearing. Her hearing is normal as per tests reports. Listening is related to attention i.e. To respond to command. Ok.
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I am a lactating mother with two months old baby when should I start dieting and exercising, mine was a csec delivery pls advice.

Md pediatrics
Pediatrician,
I am a lactating mother with two months old baby when should I start dieting and exercising, mine was a csec delivery...
A lactating mother need to take an extra meal to fulfill her n babies requirements. Dieting z not an option but let me tell you breast feeding burns a lot of calories. You will loose weight eventually. Avoid fats in diet n exercise.
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I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the village decibel loss 60 both sides many vitamins minerals tablets homeopathy Ayurvedic tablets taken but no improvement as far as clarity of words spoken by persons and over phone tv etc hearing aids tried no use it only increases the sound but not helping for clarity of words as far as sound enough for me life time my age is 65 Is there any medicine essential oils etc in the world to restore my clarity hearing of words.

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the villag...
Dear lybrate user if you r having sensorineural type of hearing loss no medicines will help to restore the hearing loss. Only in sudden hearing loss steroids help to some extent. So in your case the option left for you is digital programmable hearing aids. Most probably you have used analog one, go for digital programmable hearing aids. It will help for sure. Consult with me for further details.
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Health Tip

BPTh/BPT
Physiotherapist, Delhi

Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.

12 people found this helpful

My 3 years old son has developed a white spot on his face from last 10 days. I am really worried about it. What should i do? Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 3 years old son has developed a white spot on his face from last 10 days. I am really worried about it. What shoul...
It is helpful to see the photo if you can send. Now you try imidil cream to apply after bath twice daily and it will take a few weeks to get result. Keep in touch with me, personally.
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My baby 20 months old. At 18 moths DPT vaccine given but at injection site inside swelling still appear 180 days gone from injection date. Starting it was big now it is small but we had doubt is it normal? Is it gone itself? Please advise. Thank You.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby 20 months old. At 18 moths DPT vaccine given but at injection site inside swelling still appear 180 days gone...
It is not clear whether swelling appeared 2 months ago or 180 days (6 months) ago. In any case get checked.
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