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.
Book Clinic Appointment
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. Sanjiv MehtaYour feedback matters!
My son is 5 years old and he has white blood cell count is 15800 and s. G. P. T is 50. 4. What does this mean. What will be the deaseas?
This s experience of mine. My baby born pretermly n his first consultation held at the weekend. The same weekend my sis in law's daughter 1st b'day. Bt traditionally her 1st b'day hap n fr that my hubby is imp n he went. Wen I asked to come fr our baby's consultation he told he go fr birthday function n went. Nw my ques is which one of the commitment is imp fr my hubby? Preterm baby consultation or b'day party? Any psychologist clear my doubt pls.
My baby is 5 days old her skin become yellow when releasing pressure over bones. What to do? She passes greenish stool, her birth wait is 2.8 kg caesarian delivery.
My 2 month old baby has phlegm and she isn't able to breathe freely and is vomiting her feeds sometimes. We consulted a pediatrician and she advised us to give her steam and use nasoclear. Are there any other suggestions to help relieve my baby? Can I apply some vapour rub on her chest? Any coconut oil?
My son is 13 months old. Lastly we have given him vaccination in 9th month. Currently the chart says there is a dose at 12th month. But doctor said it will be given 18th month. Pls help.
My son is 50 days .had a problem of loose motions and vomiting since 2 or 3 days .i gave him med after consult a doctor of zinc gluconate , ofloxymin .after that the motions is better but vomiting is continuously heavy after breast feeding .consult me what can I do .or go for a pediatrician .
Hi my son is 1 year 8 months he's not eating properly don't know y he use to eat well but fr 2 days hes not eating he had cold we are giving him recofast and augpen kid DT.
My son age 17yrs but he using drugs, alcohol, chigaratee and others. How can I de addicted him? please advice me?
My baby is about 15 months last one and two weeks. Night sleeping time he is coughing and vomiting .Is there any reason. He is taking roti with cow milk in night. Is because of cow milk he is vomiting. Please suggest. Thanks .
My son is now three years old, six months & twenty two days. Question is, he is not eating easily to any foods items. Only pressure then he will eating rice, chapati, vegetable, milk, any thing. Health is not weak, his body is normal. Now, what I can do for normal eating and what is your advice on this.? Thanks & regards
At the age of 7 height and weight of my son is much below from minimum required. We give him Buffalo milk, protein biscuits, banana, dates on daily basis. He also go for karate practice in evening daily. His sonography regarding internal body function is normal. He do not eat much as required at this stage. Please guide us to increase his body growth.
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).
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
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.
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.
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.
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
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
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
My son is about 8 years old. He is very good in gymnastics, taekwondo, sports etc. Very active. But he is thin. I want him to put on more weight and become little chubby. Please suggest some good food, nutrients, etc so that he puts on some weight. Thanks.
Sir I have a four years daughter. After my daughter was born, my wife is is having pain in forearms and fingers and same way lower legs and fingers. As we suspect this may be result of poor diet after delivery. Can you pls suggest something remedial?
My father aged 65 has Simple cortical cyst (11 mm*13 mm) on both kidney. He has back pain (sometimes, fatigue (sometimes) & little anemia, thyroid (11+) & little high BP (180). How much danger it is and what kind of food should he avoid?
Did you know that 29.1 million people living in the united states have diabetes? that's 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year and 8.1 million people living with diabetes don't even know they have it.
Diabetes affects your body's ability to process sugar. All food you eat is turned to sugar and used for energy. In type I diabetes, the body doesn't make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In type ii diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.
So what does this have to do with that smile of yours and how can you protect it? first, it's important to understand the signs of diabetes and the roles they play in your mouth.
The symptoms of untreated diabetes
The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.
If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:
You may have less saliva, causing your mouth to feel dry. (dry mouth is also caused by certain medications.)
Because saliva protects your teeth, you're also at a higher risk of cavities.
Gums may become inflamed and bleed often (gingivitis).
You may have problems tasting food.
You may experience delayed wound healing.
You may be susceptible to infections inside of your mouth.
For children with diabetes, teeth may erupt at an age earlier than is typical.
Why people with diabetes are more prone to gum disease
All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.
Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.
How your dentist can help you fight diabetes
Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your hba1c. (this is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)
Your diabetes dental health action plan
Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:
Control your blood sugar levels. Use your diabetes-related medications as directed, changing to a healthier diet and even exercising more can help. Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth and help relieve dry mouth caused by diabetes.
If you wear any type of denture, clean it each day.
Make sure to brush twice a day with a soft brush and floss correctly daily.
See your dentist for regular checkup.