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Dr. Purnima Adlakha

Pediatrician, Delhi

Dr. Purnima Adlakha Pediatrician, Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Purnima Adlakha
Dr. Purnima Adlakha is one of the best Pediatricians in Rohini, Delhi. You can consult Dr. Purnima Adlakha at Jha Clinic in Rohini, Delhi. Book an appointment online with Dr. Purnima Adlakha on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 27 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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Appendicitis in Children

MD - Paediatrics, MBBS
Pediatrician, Delhi
Appendicitis in Children

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.

  1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
  2. Fever, nausea, and vomiting
  3. Abdominal fullness or bloating
  4. Elevated white blood count (as with most infections)

Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.

Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

4859 people found this helpful

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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I have a eight months old baby I have been giving him food in plastic bowls is it ok or should other material should be used like steel or glass and can MELAMINE bowls be used.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
I have a eight months old baby I have been giving him food in plastic bowls is it ok or should other material should ...
Better avoid serving food in plasic cotainers which are lined by BFA which is potentially harmful to human. Glass,ceramic,metal utensils are best for helth.
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Which is Best ingredient to milk for babies? Heroics? Pediasure? complain? Boost? How can we make cashwe, pista, almonds familiar or eatable to my baby?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Which is Best ingredient to milk for babies? Heroics? Pediasure? complain? Boost?
How can we make cashwe, pista, almo...
There is no any best ingredient to add in milk.Milk itself is best. If your baby is more than 6 months and is on weaning stage, you may add in milk after grinding fine and if he is older enough to chew, leave him free to choose items of his choice that shall make him familiar.
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Can a nephrotic syndrome child take salt in food? Is it harmful for him? How can nephrotic syndrome be cured?

MD - Paediatrics, MBBS
Pediatrician, Mumbai
Hello. A child with nephrotic syndrome should not be given extra salt in diet other than that is added in gould during preparation. That means he should curtail intake of pickles, papad. Once a child has recovered from swelling, normal diet can be resumed. Nephrotic syndrome can be cured by use of steroids under pediatricians guidance.
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We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advise if we need to consult doctor urgently. She was born in 36th week.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
We are blessed with baby girl on 07 may 2016. Now her Total Bilirubin Levels have been increased to 14.9. Kindly advi...
Yes bili above twelve is an emergency if child age is above five days. They need photo therapy to get rid of these much high jaundice.
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30 month kid She does not eat any things. She always drinking milk. So help me how she start eat.

BHMS
Homeopath, Faridabad
30 month kid
She does not eat any things. She always drinking milk.
So help me how she start eat.
Hi, Most of the toddlers do behave in the same way, the wouldn't eat most of the healthy food articles. Don't get stressed out, relax. The first thing to do is to give de-worming medicine like in homoeopath Cina 200/ once at night for 10 days only and also give liver tonic and to boost up her appetite - Alfaalfa tonic Paediatrics/ 3 times a day daily for 4 weeks. Revert.
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Chronic Bronchitis And Its Cure With Homoeopathy

BHMS
Homeopath, Ludhiana
Chronic Bronchitis And Its Cure With Homoeopathy

The human respiratory system includes trachea, bronchi, bronchioles, lungs, and diaphragm. Oxygen that we breathe in and carbon dioxide that we breathe out is exchanged in the alveoli (air sacs) inside the lungs.

Bronchitis is a respiratory problem where the lining of the bronchial tubes (it carries air to and from the lungs) becomes inflamed or swells. The reason can be an infection or the person’s lifestyle. People with bronchitis have reduced ability to breathe in air and oxygen into their lungs; they also face discomfort because of the deposition of heavy mucus or phlegm in their airways.

Types of bronchitis

Bronchitis comes in two forms, acute or chronic:

Acute bronchitis

Acute bronchitis occurs mostly during the winter season caused by cold or viral infection, such as the flu. It consists of a cough with mucus, chest discomfort or soreness, fever and sometimes shortness of breath. Acute bronchitis lasts for one to three weeks and usually improves within a few days without lasting effects (although you may continue to cough for a week). If there is a repeated bout of bronchitis, then it requires a medical attention since it is a symptom of chronic bronchitis.

Bronchitis is also caused by bacteria. Bacterial bronchitis occasionally follows a viral upper respiratory infection.

Chronic bronchitis

Chronic bronchitis lasts for at least 3 months a year and two years in a row. It is a serious long-term disorder that requires regular medical treatment. Smoking should be strictly prohibited if a person is down with acute bronchitis since it becomes much harder to recover and difficult to diagnose.

What causes bronchitis?

Acute bronchitis:

The irritated membrane of the bronchial tubes is caused by viruses, typically those that also cause colds and flu or by a bacterial infection.

In some cases, exposure to substances that irritate the lungs, such as tobacco smoke, dust, fumes, vapours and air pollution also stimulates the inflammation.

Chronic bronchitis:

Repeated irritation is the main cause of chronic bronchitis which damages the lungs and airway tissue. Smoking is the most common causes of chronic bronchitis, other causes include continuous exposure to air pollution, dust and fumes from the environment, and repeated episodes of acute bronchitis.

Understanding how smoking is the main cause of chronic bronchitis:

The cigarette smoke damages the tiny hair-like structures in the lungs (cilia) which is responsible for brushing out debris, irritants, and excess mucus from the lungs. This dysfunctional property of the cilia increases the chances of developing chronic bronchitis.

In the case of a chain smoker, the mucous membrane lining the airways stays inflamed and the cilia eventually stop functioning altogether. This results in lungs clogged with mucus which becomes vulnerable to viral and bacterial infections and eventually damages the lung’s airways. This permanent condition is called copd (chronic obstructive pulmonary disease).

Symptoms of bronchitis

Symptoms of bronchitis include:

A cough that is frequent and produces mucusfever (may or may not be present) lack of energywheezing sound when breathing (may or may not be present) sore throatbreathlessnesschest tighteningchillsbody achesheadachesblocked nose and sinuses.

When is medical attention necessary?

Consult with the health care specialist if any of the following problems arise:

A cold that lasts more than two to three weeksa fever greater than 102° fa fever that lasts more than five daysa cough that produces bloodany shortness of breath or wheezinga change in the colour of mucus

Treatments for bronchitis

When someone has bronchitis the best treatment is to take enough rest, stay away from allergens (allergy causing agents), drink lots of fluid and have warm soothing food (like soup and khichdi).

The following are the top homeopathic remedies usrd for cough:

1. Bryonia 

Bryonia is often used for a dry, hard, and irritating cough. Patients usually use this if they have an itching pain in the throat or chest that worsens at night. Movement will also make the symptoms worse. Other symptoms with coughs that require bryonia include splitting headaches, and a dry cough accompanied by faintness, vertigo, and nausea.

2. Antimonium tartaricum 

Antimonium tartaricum is often used for loose coughs—the patient may even feel like they are suffocating. The patient also alternates between coughing and shortness of breath. Other common symptoms associated with an individual who requires antimonium tartaricum include nausea, vomiting mucus, weakness, drowsiness, hoarseness, and the desire to be left alone.

3. Aconitum napellus

Aconitum napellus is often used for colds and dry, irritating coughs that come on suddenly. Symptoms will get better from warmth, fresh air, and movement; however, symptoms worsen from warm rooms, exposure to pollen or tobacco smoke, in the evening and at night, and during cold, windy, or hot weather.

4. Pulsatilla 

Pulsatilla is also an effective remedy for colds and coughs. The patient may cough up thick, yellow-green mucus. The person will experience a loose cough in the morning and a dry cough at night. The person will feel better from open air, but worse in the morning, at night, and in heat.

5. Arsenicum album

Arsenicum album is used for coughs with a burning pain that improves with sips from warm drinks. The person’s symptoms will improve from warm drinks and a warm room, but they worsen from open air and cold.

6. Hepar sulphuris calcareum

Hepar sulphuris is used for a rattling and barking cough that starts after exposure to cold and dry air. Other symptoms include yellowish mucus, constant hoarseness, and wheezing. The person’s symptoms will worsen from lying down, walking, and drafts; however, symptoms get better from rising up and bending the head backwards, a hot compress, and damp air.

7. Causticum

Causticum is another great remedy for dry, deep, and hollow coughs. The person will feel as if they can’t cough deep enough to raise mucus. Other symptoms include hoarseness, burning pains, a sore chest, and tightness. Symptoms get better from damp weather and sips of cold water; however, symptoms worsen from drafts, cold air, stooping, talking, lying, sneezing, and bending the head forward.

8. Rumex crispus

Rumex crispus is often prescribed for a dry cough when a person lies down. The person will feel a tickling sensation in the throat that often leads to a cough. They will also experience long episodes of a dry, hacking, and fatiguing cough. The person will get better from warm air and during the daytime; however, things will worsen from cough after eating, talking, touching the throat, deep breathing, and lying down.

9. Drosera (sundew)

Drosera is a homeopathic remedy used for a dry, deep, barking, hollow, and spasmodic cough that may also produce gagging. The person’s coughing episodes will often last two to three hours. They will also experience vomiting, suffocative attacks, nosebleeds, cold sweats, hoarseness, and holding their sides during coughing bouts. The cough will worsen from lying down, being alone, and while drinking, singing, laughing, and talking.

If the condition is worse or there is no improvement then consult a homeopathic doctor for well selection of the medicine.

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Hello Doctor, My son completed 5 months and entered into 6 th month 1st week. He always keeps his head towards left side and holds bit crossed towards left. Is that normal or do we need to do get him checked? If so. Should we consultant paediatrician or orthopaedic? Please suggest?

MBBS, MD
Pediatrician, Gurgaon
Hello Doctor, My son completed 5 months and entered into 6 th month 1st week. He always keeps his head towards left s...
Mental status of child. Cry when given to other family members. Recognise the relations, in house. That will decide about further referance.
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my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating egg for two times for one day. Its good or bay for her health?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating...
Basic principles of feeding are no baby can remain hungry until critically ill. Please don't give them choice of food, move on to next feed if they refuse one. Eggs are good proteins with high biological value means maximum absorption and utilisation of proteins. Milk in a day for her age 500ml is upper limit. Offer her home made food which your family eats regularly even if she doesn't eat every time.
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My three years old sick with a temperature of hundred degrees she can not keep anything down including liquids what should I do?

MRCPCH, MBBS
Pediatrician, Gurgaon
Hello, do keep focus on intake especially fluids to avoid dehydration and watch for urine output too. If on lower side the see your paediatrician soon as possible.
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My 3month old daughter has stomach pain past 2 days. She finds relief on passing out gas. What could I do to help her out?

Pediatrician, Mumbai
My 3month old daughter has stomach pain past 2 days. She finds relief on passing out gas.
What could  I do to help he...
Burp the baby well. If that does not help then check with your doctor regarding your feeding position.
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Hi, Is bhabhi ko abhi 5 din pehle baby girl hui h, baby loss their weight and she not feed completely. We are so much worried. Pls help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
 Is bhabhi ko abhi 5 din pehle baby girl hui h, baby loss their weight and she not feed completely. We are so muc...
Initially all babies lose upto 10 % of the birth weight and gain back by 10-15 days. Only regular breastfeeding is required.
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My daughter is 4 yrs old. When I am about to feed her anything she starts crying. It may b breakfast or lunch or dinner. Why does this happen with her? her weight is 15 kgs.

M.D.( Pediatrics), DCH
Pediatrician,
Her weight is in normal range. Probably like all anxious parents, you are trying to control her which she doesn't like. under this condition what else she can do? Tell me. Your anxiety makes you forget that she has a mind of her own, which would not like to be dictated by others.Live her alone, love her unconditionally. Let her exercise her choice about what,when and how to eat. Then she will be more receptive to your advice. Practice what you preach, eat everything in front of /with her, whatever you want her to eat. Hope this helps.
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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?

MD - Paediatrics, MBBS
Pediatrician, Delhi
Good morning madam, see every medicine has its side effects. But in case of adhd medicine is given untill its tolerable and benefiting to the patient. So any kind of restlessness, impulsivity, and inattention well, and, low appetite, stomach pain, or sleep problems if you see these symptoms contact immidiately to your doctor. All the best, I hope it will help you.
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Dear mamWe had a baby on 3 Feb but mother is not able feed the baby properly what should we do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Is her feed not coming properly----if this isthe problem then start giving following homoeopathic medicine to your wife immediately-------------------- bloome-44 or milkosan syrup (bioforce) drink 2 spoon 3 times daily for 15 days-------------------------------------
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At 32 week scan Baby having umbilical cord surrounding twice. Is there any risk for baby health?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
At 32 week scan Baby having umbilical cord surrounding twice. Is there any risk for baby health?
yes sometimes yes.. cord can form a knot around the baby rarely in which normal delivery shall not be tried ..LSCS is a better option
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My son is just 4 months old and I am lactating him. Can I have green tea with lemon and honey? Does the drink reduce breast milk?

FIAP(NEONATE), MD - Paediatrics
Pediatrician, Ahmedabad
My son is just 4 months old and I am lactating him. Can I have green tea with lemon and honey? Does the drink reduce ...
Continue breastfeeding till 6 months of age. Nothing else is required. Early complementary feeding can be started after 4 and half months of age. However green tea is not a good choice for your child warm regards.
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