Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 34 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.
Book Clinic Appointment with Dr. Promina Bhutani
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Promina BhutaniYour feedback matters!
The medical name for not being able to control urination is enuresis. Nocturnal enuresis is involuntary urination that happens at night while sleeping that is not under the child's control, after the age when a person should be able to control his or her bladder.
In a lot of cases, stress can be associated with enuresis. It's not uncommon to feel stressed out during the teenage years and events such as divorce, the death of a friend or family member, a move to a new town and adapting to a new school and social environment, or family tension can be overwhelming for a child. This is seen twice as commonly amongst boys than in girls of the same age.
If your child is having trouble controlling urine at night, consult a psychiatrist to rule out the possibility of a medical problem and manage the problem effectively as it can be extremely embarrassing for a growing child.
Sir, my son has just entered 3 years. He weights around 12-13 kg. But he doesn't gain weight n doesn't looks plumpy. Is there anything to worry regarding my son weight? Or it's just normal?
A nutritious and balanced diet is one of the most important things for a growing child. Children have high energy and nutrient needs that are different from that of adults. During the growing stage, the body needs specific vitamins and minerals for proper development.
Busy lifestyles make it difficult for many parents to find time to prepare healthy meals. But fast food and many ready-made meals do not provide the essential nutrients that children need and often have high fat and sugar content that contributes to the obesity problem among youth.
If you do not have time to cook, at least make sure your child is not eating unhealthy food and be sure to include some superfoods in their diet.
Superfoods are natural foods packed with many healthy properties, including nutrients and antioxidants. Plus, superfoods are easily digestible and will help keep your child’s body and mind healthy.
My daughter is 40 days old. She is not sleeping properly. She sleeps for hardly half n hr n then wakes up crying. She keeps on putting pressure downwards even while sleeping. She's passing urine n stools properly. She's also throwing milk our of her mouth even after burping. Kindly suggest what to do?
Hi doctor. My baby has lice on her head. Only two months baby. We r shocked. Please suggest how to remove from head. Am also having lice on my head. Please prefer medicine.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.