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Dr. Richa

Pediatrician, Delhi

70 at clinic
Dr. Richa Pediatrician, Delhi
70 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Richa
Dr. Richa is one of the best Pediatricians in Lado Sarai, Delhi. You can consult Dr. Richa at Banerjee Hospital in Lado Sarai, Delhi. Save your time and book an appointment online with Dr. Richa on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 38 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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Kh-242, Saidulajab,Lado Sarai. Landmark:-Saidulajab, DelhiDelhi Get Directions
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Sir their is difference between mature baby and pre mature baby please tell me the difference. Is any thing missing or incomplete thing in pre mature baby?

BHMS
Homeopath, Faridabad
Sir their is difference between mature baby and pre mature baby please tell me the difference. Is any thing missing o...
Hello, babies born before 37 weeks of gestational age are called pre mature babies. They are, of course, smaller than full term babies, but many are born without their organs having had enough time to fully develop. Some of these babies show obvious disabilities. They need a considerable medical care to survive. Mature babies are born after the completion of 37 weeks of pregnancy. Thanks.
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Cyclic Vomiting Syndrome in Children - Causes, Symptoms and Treatment

MD-DNB (Pediatrics), FCPS (Paediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Cyclic Vomiting Syndrome in Children - Causes, Symptoms and Treatment

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes:

There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms:

The syndrome (a group of symptoms) usually has 4 phases:

  1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.

  2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

  3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

  4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment:

Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

  1. If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.

  2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

  3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.

Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

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My son is 4 years 10 month old. He is a late talker, he still does not speaks clearly. He can make 3 to 5 word sentence. Few of his words could be understood by others. He did not had any Developmental delay other than speech. He can write well can recite rhymes but words are not very clear. Pls let me know why is there delay in language and how to go about it? (He is physically very active)

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. Possible causes. A delay in Speech skills can happen for many reasons, including: Problems with a child’s tongue or the roof of his mouth, which makes it hard to form sounds and words Hearing loss. Kids who’ve had a lot of ear infections can have hearing problems. A learning disability A developmental disorder, such as cerebral palsy or autism spectrum disorder What you can do. If you think your child has a problem with his speech or language, let his doctor know right away. The doctor will need to test his hearing. She’ll probably also suggest that your child see a professional who can diagnose and treat these delays, called a speech-language pathologist or speech therapist. This specialist will study how your child expresses himself, including: What he understands What he can say Other ways he tries to get his thoughts across, such as gestures or nodding If your child does have a delay, he might need speech therapy. A therapist can work with him on how to pronounce words and sounds, and strengthen the muscles in his face and mouth. You can also work with your child on speech and language:
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Doctor my baby would be 15 months old on 16 Jan 2015 and is due for MMR Vaccine but i have heard mixed reviews on the same and parents talking about various side effects where kids stop eating ,feeling feverish etc. Please clarify my doubts.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
This vaccine is absolutely safe but some babies may have fever or rash after six days.As it is a live vaccine,the fever or rash may be manifestation of mild disease but it is not at all harmful.
1 person found this helpful
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HEALTHY FOOD INTAKE FOR STRENUOUS STUDY DAYS

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
HEALTHY FOOD INTAKE FOR STRENUOUS STUDY DAYS

Exams are here again. As always we tend to neglect our food in the process of concentrating on studies. But we forget that to concentrate on studies we have to concentrate on taking a healthy diet.

Here are a few diet tips that will help you balance your study as well as diet.

1. Eat small and nourishing meals every three hours, instead of just 2-3 heavy meals. The brain needs a constant supply of energy and a heavy meal will divert the blood supply to digest the heavy meal.

2. Your daily diet must include 2-3 fresh, seasonal fruits. Start your day with a boost of fruit energy. Have a banana with a tablespoon of honey as the first meal of the day. Fruits provide you not only with fiber, vitamins and minerals but also simple and complex carbohydrates for short and long duration of energy supply when studying. The fiber will also help to keep the bowel movement clear.

3. A good breakfast is a must for anyone. The breakfast must contain foods with complex carbohydrates like flakes, oats, rawa (semolina), daliya (wheat cracks), poha (rice flakes) or pav with vegetables and a protein source such as eggs, milk, pulse, sprouts or paneer.

4. Nuts and dry fruits like almonds, walnuts, and dates provide nutrients which enhance brain power and concentration and also provide an extended source of energy supply.

5. Include potassium-rich coconut water, citrus fruits/ juices and soups in your diet.

6. Green leafy vegetables, pulses, and nuts will also provide vitamins and minerals to help avoid anemia. (Anemia is a common problem causing difficulty in concentration.)

7. Including milk as a bedtime meal and curd/lassi/buttermilk after lunch or as a mid-meal assures a supply of Vitamin B12 too.

8. Drink plenty of water to keep your body hydrated. Always keep a glass of water beside you to remember to take sips of water every 15 minutes.

9. Basic exercise like stretching, walking or yoga with meditation will help to reduce negative stress and also help you to get good sleep.

10. Avoid junk foods as they will provide you no nutrition.

11. Avoid stimulants like tea, coffee or colas as they may seem to perk you up but the energy does not sustain for long. Too much may even cause bloating or acidity.

12. Avoid aerated drinks as they are full of sugar and may cause a rapid rise in blood sugar levels causing a sudden rise and drop in sugar levels.

13. Chocolates may seem to may you feel good but the sudden rise and fall of sugar it causes in the blood can lead to trembling nervousness and panic.

14. Have your dinner if possible a little earlier than 9-10pm.

15. Keep about 2 hours between dinner and your bedtime.

16. Have a sound sleep for at least 7-8 hours daily.

Remember your body and mind need the fuel to help you perform the best. So, nourish it and take care of it and it will do the same for you.

Hello doctor, please help me in feeding. I took several medicines, lactacare granules, tablets in milk, but its not helping me out to feed my baby. Her tummy doesn't gets full. She is 2 months old. Im not getting enough milk. Please help me out?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Please feed your baby 4 holy. The more the baby suckles, the more shall be the milk let down.
1 person found this helpful
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My daughter is 4 months old as soon as she drinks milk formula as well as breastfeeding she sweats only on her forehead what's the reason please answer.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
My daughter is 4 months old as soon as she drinks milk formula as well as breastfeeding she sweats only on her forehe...
As long as there is only sweating on fore head need not to worry. As baby has sweat gland active on fore head only 1. Feed your baby in a cool area with comfortable temperature 2. Do not over dress the baby, just put one extra layer of clothes what we put. 3. Put cotton/ woolen clothes not synthetic 4. Watch for other symptoms - like fast heart rate, breathlessness, failure to gain weight, cough, blue colour over skin contact on private for further advise if required.
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My son is 2.5 years old, he can repeat words, but not able to speak in sentence, could you please suggest any tips to speak quicker.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is 2.5 years old, he can repeat words, but not able to speak in sentence, could you please suggest any tips to...
He may be a slow child and will pick up in due course unless there was any birth issue about which you have not told
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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? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

PDDM, MHA, MBBS
General Physician, Nashik
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Using Adderall over an extended period can increase the risk of critical cardiovascular problems and strokes. There are also significant mental health issues associated with the long-term use of Adderall, such as depression, hostility and paranoia.
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My son of aged 3 years 2 months, suffering from chicken pox since two days. Need your valuable consults.

Pediatrician, Pune
Usually self limiting requires rest, caladryl lotion if itching, hygiene to prevent secondary infection, immunisation to other children at home if not immunized / infected.
1 person found this helpful
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Are otrivin drops safe for my 50 days old baby as he is suffering from blocked nose and cough .doctor has suggested novamox and solvin cold also. Please suggest.

MBBS, MD - Paediatrics
Pediatrician, Hyderabad
Are otrivin drops safe for my 50 days old baby as he is suffering from blocked nose and cough .doctor has suggested n...
You can use nasoclear drops which contain normal saline rather than otrivin which are medicated with oxymetazoline. Also, you can stop the other drugs. They are not necessary.
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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 5 years old daughter has some marks on her foot, when consulted a skin doctor he diagnosed it as Granulamo Annulare. Is there any treatment for this? If yes could someone advise please. Many thanks in advance.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Its a benign disease and spontaneous remission occurs in 60% cases. However local/oral steroids, co2 laser, are effective in selected cases.
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Hello Sir/mam baby ke baare me pta Karna hai baby ka birth 10 fabruary 2016 KO huya h cezerian or delivery date 17 march bola gya tha or baby kaafi kamjor hai abh baby 45 day se uper lekin kaafi sust hai samne se muskurati nhi hai na hi pahchnti h ankhe humne test karayi hai bilkul thik hai lekin baccha Etna sust kyu hai or ma ka dudh nhi bann ta jayda us karan use gaay ka dudh bhi de rhe hai. Plzzz bataye.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello Sir/mam baby ke baare me pta Karna hai baby ka birth 10 fabruary 2016 KO huya h cezerian or delivery date 17 ma...
Apakaa bachchaa samay se 5 saptah pahale huya hai. Svabhavik hai bachchaa kamajor huya. Aapane janm ka v abkaa vajan nahee likha jo aapake utter dene main avashyak hai. Maa ka doodh jitana bhi banataa hai vah bachche ke liye kaafee hai kewal aur kewal maa kaa hi doodh 6 maheene tak pilaye. Maa ka doodh pilane se doodh ban ne kee maatraa badane lagatee hai. Gaay ya any upar se kuchh bhee n de.
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Recently we blessed with a baby & we are happy. But my baby is not feeding milk properly from mywife's breast & she is suffering from pain.My friends advised me that in this situation I should suck milk from my wife's breast. I am confused what I should do ? Please guide me.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Express and give milk to baby. Use your brain before you listen to your friend who gives u such advices.
2 people found this helpful
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My head started paining before 3 days and now slowly cough is also occurring, is it symptom of tuberculosis. please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My head started paining before 3 days and now slowly cough is also occurring, is it symptom of tuberculosis. please t...
T.B. may be confirm by chest x-ray and AFB SPUTUM TEST.it may be common cold and cough. pl. checkup also cbc, after tests consult again. till then take tab. sinarest twice a day after meal. take complete healthy diet.
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Hello doctor, I have small question. From my father side hereditary tuberculosis disease s there. I'm a mother to three months old son. Is there chance of getting primary complex or TB to my son or not. I'm little worried in this. Please guide me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctor, I have small question. From my father side hereditary tuberculosis disease s there. I'm a mother to thr...
Tuberculosis is not hereditary disease so there is no cause of worry. Baby contracts disease from close contact with open tuberculosis patient.
1 person found this helpful
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HOW DO I CARE FOR MY CHILDS TEETH???

BDS
Dentist, Chennai
HOW DO I CARE FOR MY CHILDS TEETH???
Kids have all their baby teeth by age 3. These are called Primary teeth. Baby teeth start falling out around age 6; that’s when the permanent, or adult teeth start coming in. gaps between baby teeth are normal. They make room for the permanent teeth. Most permanent teeth come in by age 13

Tips to keep kids teeth healthy and strong:

0-2yrs
• Wipe gums with a wash cloth after feeding to avoid plaque that can cause tooth decay
• Start brushing twice daily using soft bristle tooth brush once first primary tooth erupts

3-5years
• Start using fluoride toothpaste at age 3- use only pea- sized amount. Make sure your child spits it out after brushing
• Try to break thumb sucking and pacifier habits by age 4

6-9 years
• Start flossing as soon as teeth touch/ contact each other
• Until children are able to practice proper oral health habits alone, parents should help their child brush and floss twice a day

10-12years
• Require children who plays support to wear a mouthguard to protect their smile

13+ years
• Parents can encourage their teens by reminding them that a healthy smile and fresh breath will help them look and feel their best.

Quick tips
1. Schedule your first dental appointment before child’s first birthday.
2. Start visiting your dentist every 6 months.
1 person found this helpful

Night Time Cough - 5 Tips to Manage it

MBBS
General Physician, Mumbai
Night Time Cough - 5 Tips to Manage it

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

  1. Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
  2. Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don’t come up to irritate your throat.
  3. Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don’t have asthma as steam can prove harmful for you.
  4. Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
  5. Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.

By following these few tips every day, you can manage the night time cough and have a good night’s sleep without any interruptions. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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