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Dr. Promina Bhutani

Pediatrician, Delhi

500 at clinic
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Dr. Promina Bhutani Pediatrician, Delhi
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Promina Bhutani
Dr. Promina Bhutani is a renowned Pediatrician in Max Hospital Saket, Delhi. She is currently practising at Max Multi Speciality Center - Panchsheel Park in Max Hospital Saket, Delhi. Book an appointment online with Dr. Promina Bhutani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 39 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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Max Multi Speciality Center - Panchsheel Park

N-110, Panchseel Park. Landmark: Near Panchseel Club & Near Hauzpauz Metro Station, DelhiDelhi Get Directions
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We have a 7 days old daughter but my wife unable to produce her breast milk and my daughter is not able to feed her breast milk please suggest with remedy.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You can try lactare tablets - 2 tablet once daily and see if it helps. Best is to keep trying by putting the baby to the breast and expressing the milk that comes out. It should gradually increase.
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8 Ways to Tackle Colic Babies ....

BHMS
Homeopath, Bangalore
Colic is unexplained crying for longer than three hours a day, more than three days a week. Symptoms usually begin around 2 to 3 weeks of age, peak in intensity around 6 to 8 weeks of age, and begin to subside around 3 to 6 months of age. All babies have immature and sensitive digestive system. It takes time and space to mature. Overstimulated nervous system may be one of the causes.


Colicky babies frequently draw up their knees up to the stomach and cry out, as if in pain or bend their back in the shape of an arch, clenching wrists hard
Colic cry: Too much irritability, excessive crying which tends to peak towards the evening, painful cry that is difficult to console. They may wake up abruptly and start crying
Always BURP the baby after every feed for 5-10min. Put them on shoulder in such a way that tummy presses on your shoulder, with your help, give a massage in a circular motion on the baby’s back with intermittent pressure and pat from in an upwards fashion
Warm water against belly: Fill a bottle with lukewarm water and wrap it in a towel. Give a gentle massage with it on the belly
Gentle massage: During body massage at the time of bath, apply oil on the tummy, and give a clockwise massage 3 times around the abdomen. Once done, flex the hips and gently press against abdomen, to release any gas accumulated
Make them lie on tummy across your lap and gently apply pressure on their back. (Clockwise movements upwards and then pat upwards)
You could also make the baby lie on their tummy across your tummy, in such a way that the baby’s tummy presses on yours and gently massage on their back
Rocking soothes babies: Hug them close to your chest and your heartbeat. Try gently bouncing up and down in this position while hugging your baby close
Avoid cows milk: Cows milk can be given, once the baby completes 1 year
Swaddling
Offer pacifier or allow baby to suck on her finger by gently putting it in the baby’s mouth
Bottle fed baby has tendency to get colic: Initially dilute the feed and try to increase the amount slowly
Nursing mums should avoid over spicy food, coffee, alcohol etc. Also avoid irregular feed timings. Try to reduce egg and fish in the nursing mother’s diet. Check out your daily food and correlate with baby’s colic. Choose your diet accordingly
Six S’s to be thought off:
1) Swaddle
2) Shooshing loudly in baby’s ear (similar to sound of running water, working vacuum, etc.)
3) Side laying
4) Stomach across forearm or lap
5) Swinging or rocking baby
6) Sucking Pacifier

IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

SCOPE OF HOMOEOPATHY
Homoeopathy prescribes on symptoms in each individual case rather than on a general basis
Homoeopathy has excellent remedies for colic babies, which also helps in curing conditions such as assimilation and indigestion
It helps to improve the immature digestive system.
Totally free of side-effects
IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

For queries feel free to send me private message.
6 people found this helpful

My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia . Her pediatrician suggested brain MRI as there may be problem with nerve and told that her legs are week. Please help us with your advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby girl is 18 months. She can't stand herself. At the time of birth she was admitted to Nicu for hyperglycemia ....
It is to be assessed whether baby is not able to stand due to delayed milestones or some other pathological reason. Child is already under care of pediatrician. Trust your pediatrician.
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We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to plan for the baby? Also I do have slipped disc problem.

MBBS, DGO
Gynaecologist, Gurgaon
We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to pla...
If both of you do not have any medical problem like diabetes, hypertension or heart disease presently you plan to conceive and once you miss your periods now is the time Gynaecologist will ask for tests. Disc problem can be taken care of during last trimester of pregnancy. So be happy and plan your wonderful bundle of joy.
1 person found this helpful
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My child is in 4th standard. He is 10 years old. But his height and weight are poor. His diet is ok. But no increment in weight. His weight is 16 kg. Is there any treatment for weight and height gain?

MBBS, MD
Pediatrician, Gurgaon
Give him high fat diet cooked at home like alu paratha.that will give her extraa calories.he must be extra energetic.no hormones or drugs for appetite and growth.
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BDS
Dentist, Coimbatore
You can exercise for healthier gums as well. Gently bite down so as to make sure that your teeth make a clinking sound when they meet. Repeat this 30 to 40 times continously. This exercise will stimulate the flow of blood and will keep your gums healthy.

I have no enough milk supply. Which milk I can give for feed to my daughter. please suggest. Take medicine for increase milk supply but no milk .my daughter feeling hungry after breast feed .what to do. Which milk I feed.

MBBS, Pg pediatrics
Pediatrician,
I have no enough milk supply. Which milk I can give for feed to my daughter. please suggest. Take medicine for increa...
Is your baby delivered after 37 completed weeks or not if yes, then your baby should be more than 2.4 kgs If yes then you can use lactogen powder after your feed. First express milk and check how much ml your getting. Then if your getting 30 ml or more then it wll be sufficient initially .If your getting below 20 ml then give your feed then mix lactogen 1 scoop in 30 ml water n give. Before starting the feed just give me your baby details 1.Weight of the baby at birth and present weight 2.Is your baby delivered after completing 37 weeks or 9 months 3.How many days old is your baby 4.Mode of delivery.
1 person found this helpful
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My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it serious for my baby frequent cough? Tell me as soon as possible.

MBBS, MD - Paediatrics
Pediatrician, Varanasi
My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it...
That is Ok but always ask your doctor before its usage, also most of the times cough is self limiting and use of antihistaminics can be avoided. Steam inhalation, saline drops can relieve symptoms. Also be cautious if baby develop increased breathing rate or not feeding well and also if the child has high grade fever. Try to keep child warm during winter-use protective cap, gloves and socks.
2 people found this helpful
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I am 13 years old. I have mainly sneezed and slightly cough when I wokeup in the early morning for study between 4am to 6am and not in other times.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Try (biochemic). Bio combination no 6. Pills 3 times. Take care kiddo and do not make it an excuse for not studying!
1 person found this helpful
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My age is 32 years, and I have a one child who is 2 year old. Last 10 days when I do the sex then I have a pain in my lower abdomen. please tell me its a normal or not.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Yes its normal but may be indication of some problem. Drink max water, clean stomach by drinking 20 ml erand sneh in warm milk 1 cup for 5 days. U may have some lose motions. Report back.
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My daughter is 2&half year old she was very active and walking and running well but from past 1 month she is Unable to walk, stand even Unable to talk we have done mri but of no use.

BHMS
Homeopath, Faridabad
My daughter is 2&half year old she was very active and walking and running well but from past 1 month she is Unable t...
Hi, Is there recent or past history of injury or fall? Give her Schwabe's Alfaalfa Tonic Paediatric/ thrice a day (1/2 an hr before meals), Five Phos./ thrice daily and Arnica 200/ once daily, all of them for 4 weeks. Revert me back.
1 person found this helpful
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My 13 years old son suffering with typhoid. Giving medicine but fever comes again and again.

MD - Paediatrics
Pediatrician, Ranchi
If the diagnosis of typhoid is confirm and fever is persisting despite cefixime and ofloxacin, he may need injectable antibiotic of higher group like ceftriaxone/meropenem depending on the severity.
8 people found this helpful
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Which toothpaste is good for him he is 3 years old and mostly swallow the paste now we are using patanjali kids for him please suggest the safe one for him.

BDS
Dentist, Pune
Which toothpaste is good for him he is 3 years old and mostly swallow the paste now we are using patanjali kids for h...
A pea sized amount of toothpaste is recommended for kids, few toothpastes like Colgate or pepsodent can also be used.
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My son is 4 years old. Doc suggest me to do vaccination of JE vaccine nd flu Vaccine. I want to know that is this compulsory or optional. Also want to know that why should we do these vaccinationation?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 4 years old. Doc suggest me to do vaccination of JE vaccine nd flu Vaccine. I want to know that is this com...
JE VACCINE is given in endemic area. Flue vaccine doesn't cover every strain of Flue. JE is strongly recommended in endemic area, Flue vaccine is optional. Vaccination is preventive measure against the disease.
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My daughter has problem during potty it becomes very had stool please give some suggestion.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My daughter   has problem during potty it becomes very had stool please give some suggestion.
Constipation is a major problem in childhood if left unattended can cause serious consequences. Remember:- 1) passing motion in any position other then squatting is bad and causing small small ulceration or fissure which is commonest cause of constipation:- so avoid. Use potty chairs. 2) have plenty of raw fibres in diet and plenty of water 3) have fruits in natural form (not juices) 4) use stool softeners available in market for at least 3 days a week or till stool becomes soft. 5) constipation is vicious cycle you need to stop it somewhere.
1 person found this helpful
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My son (4 years) he is suffering with aplastic Anemia. Now platelet count is 23000 only. Is there any treatment for this with out BMT (transplantation). please send your response.

MD Pediatrics
Pediatrician, Vadodara
My son (4 years) he is suffering with aplastic Anemia. Now platelet count is 23000 only. Is there any treatment for t...
There are treatment which are only supportive which can only decrease the complications and problems. Treatment of choice is BM transplantation only
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ADHD in Kids - Warning Signs!

DPM, MBBS
Psychiatrist, Mumbai
ADHD in Kids - Warning Signs!

ADHD refers to attention-deficit hyperactivity disorder, which is a brain-related condition found among preschoolers, children, teenagers and in many cases extends well into adulthood. These individuals have significant impairment in academics as well as social situations and interpersonal relations. The child has difficulty sustaining attention, phases of hyper activeness and cannot control his/her impulses which make their day to day life at school and home difficult.

ADHD Symptoms

The symptoms of this disorder among children can be categorized under three headings.

  1. Hyperactivity which includes
    1. Fidgeting
    2. Restlessness
    3. Inability to stay at one place runs around and tries to climb things
    4. Trouble playing quietly
    5. Excessive talking
  2. Inattention, which can be divided into symptoms like
    1. Getting easily distracted
    2. Tendency to loose things
    3. Daydreaming
    4. Facing problems related to organizing things
    5. Not listening carefully
    6. Forgetting about daily activities, carelessness
  3. Impulsiveness
    1. Interrupts others as they speak and talks out of turn
    2. Answers questions without listening to what has been asked
    3. Not being able to wait for their turn to come

Prevalence :
10-12% of school children before puberty are affected by one or more types of ADHD. ADHD especially hyperactivity is more prevalent in boys than in girls, with the ratio up to 9:1. Inattention and poor concentration are more commonly seen amongst girls. The rate of ADHD in parents and sibling of children with ADHD is 5-10 times higher than in the general population.

ADHD Causes
The probable causes of ADHD among children are,

  1. Neurodevelopmental changes - Poorly developed activity of the brain particularly in the areas that control attention and concentration cause ADHD. This causes an imbalance in the neurotransmitters or the chemicals important for brain functioning and development.
  2. Genetic Factors - genetic studies show that ADHD is largely hereditary in nature with a heritability of 75% approximately.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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