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Dr. Sisir Paul

Pediatrician, Delhi

1000 at clinic
Dr. Sisir Paul Pediatrician, Delhi
1000 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sisir Paul
Dr. Sisir Paul is one of the best Pediatricians in Saket, Delhi. He is currently associated with Max Super Specialty Hospital-Saket in Saket, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sisir Paul on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 40 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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English
Hindi
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Indian Academy of Paediatrics (IAP)
Delhi Medical Association (DMA)

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#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
1000 at clinic
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F-1203, Chittranjan Park, DelhiDelhi Get Directions
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

5 people found this helpful

Hello, My son is 23 months old (Soon 2 yrs old). He doesnt talk much. Just mama papa, kaka, aaoo, kind of 4-5 words. He is smart and eats well. His height has also not increased much in last one year is too late for development milestones? Please tell me if he needs some tests/treatment.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Hello, My son is 23 months old (Soon 2 yrs old). He doesnt talk much. Just mama papa, kaka, aaoo, kind of 4-5 words. ...
Normally children will speak 2 to 3 word sentences at that age. Slight delay isn't a problem. If the height is around 87 cms, 2 cms more or less it's normal.
1 person found this helpful
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My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. 1-2 times she wakes up in night. She is also under weight baby. Her weight is only 8 kg. I don't know what should I do. Is she suffering from any kind of diseases? Can I test my baby's thyroid?

Diploma in Child Health (DCH)
Pediatrician, Faridabad
My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. 1-2 times she...
Hi your baby is under weight and does not sleep adequately. It seems his hunger is not satisfied. I am wondering whether you have started weaning or not. Dou you give any semisolid food to him other than milk, please check. If not pl start immediately. If any query can ask later.
1 person found this helpful
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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?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly.
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Could there be an endocrinology related issue that could cause obesity in children if they are gaining weight even with careful diet (no junk food, soda, overeating) and good physical activity?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Yes Indeed. It is a good idea to consult a doctor and do a metabolic screening including a thyroid profile.
1 person found this helpful
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My grandson (5 yr old) has cracks and patches and skin peeling, in feet; oint. Triamcinolone acitonide was prescribed; no improvement even after a month. What to do?

MD
Pediatrician, Indore
Mantain good hydration. Keep feet clean. Use socks. Use of tritinoin cream with betamathasone cream twice daily syp vitcofol 1 tsf od for3 months.
2 people found this helpful
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Hello doctor I have 2.5 months male baby .He uses to urinate frequently 2 times in every one hour I am worrying bcoz is this is diabetic symptom please suggest .I am thinking bcoz of cold climate he urinating much.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Hello doctor I have 2.5 months male baby .He uses to urinate frequently 2 times in every one hour I am worrying bcoz ...
Dear Lybrate user Small children do pass urine quite frequently There is nothing to worry but to clear your doubts get his blood test done.
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My son is 5/half year old , every day he is having a gas problem every time he is feel vomiting so he doesn't want to have his food please help me. Since last 2 year.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Start giving USA based Aloe vera juice. Its best & 100% natural. 20 ml mor/ eveng. Your son will get result in 7-10 days.
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Do you have Asthma ?

MD Internal Medicine, MBBS
General Physician, Delhi

Asthma is a very common condition that is quite often 'miss' diagnosed. Asthma presents as breathlessness, it is also called as wheezing, due to the typical sound that is often present. The lungs help us breathe in the air , there is a phase where the air goes in called inspiration and when the air comes out its called expiration. Asthma typically occurs when the air pipes or tubes through which the air goes in and comes out gets narrowed. When this happens , there is increased resistance to the air flow and this resistance causes the wheeze or sounds that are associated with the condition.

Some people are more prone to Asthma than others , those with a general tendency of allergies tend to be more at risk for developing asthma. Since the narrowing of the air pipes reduces the air flow, there also is a change in the gas exchange which happens in the lungs, when the gas exchange is suboptimal the body feels the need for more air and this is characterized as breathlessness. Sometimes a person might also have a cough along with the wheezing and this can be misdiagnosed as a respiratory infection when there is none, unless there is a clear-cut evidence of infection that too of bacterial origin Antibiotics won't be useful. ( because a large number of viral infections can also be there).

Many people when they have a cough and breathlessness walk into a drug store and buy an antibiotic or cough syrup and self-medicate. This can be very harmful, developing antibiotic resistance means the next time there is an infection the less likely the antibiotics are likely to work and secondly some medicines can themselves increase the risk of asthma or wheeze.

The treatment of Asthma is very simple, there are very good inhalers that help the tightness or narrowing of the air pipes to be relieved in a matter of seconds, so if you think you have asthma consult someone who can diagnose it correctly and help you live more productively.

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Hello sir, my baby is 21 days old and I am not feeling well since mrng, feeling like shivering and complete body pain amd all body part, what should I do? I wore sweaters and warm cap. Pls reply me soon.

Certificate course in Pain Relief and Palliative care, MBBS
General Physician, Secunderabad
Hello sir, my baby is 21 days old and I am not feeling well since mrng, feeling like shivering and complete body pain...
Hello Ms. Lybrate-user. Sounds like you are having a viral fever. Please take some steam inhalation and gargle with salt water. You can only take paracetamol. Do not take any other meds as they may be secreted in the breast milk. Please check for any other symptoms like sore breasts, burning in urine, etc. Consult a physician before taking antibiotics. Hope this helps.
2 people found this helpful
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How many months can we give breastfeeding to babies. My baby is 9 months old and I am planning to stop breastfeeding to her because people say longer you give breastfeeding you get back pain because I have gone through cesarean delivery. Is it true.?

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
No. Its not true. If you breastfeed the child in correct position you won't get back pain. Its positional. Not related to breastfeeding. You can breastfeed the child till 2 years. Slowly reduce it instead of stopping suddenly. Start giving the home food soft diet from 6 months onwards.
11 people found this helpful
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My son had 50 day old baby his urine is after try in his brief it will show some dark stain in his brief . But the Dr. said nothing to worry abt is after 3 month it will continue means we will take some tests . I want the reason for this plz.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
My son had 50 day old baby his urine is after try in his brief it will show some dark stain in his brief . But the Dr...
Normal urine contains epithelial cells and many casts which on drying gives staining. No need to worry.
1 person found this helpful
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I need to know can I travel by air with my 7 month old baby. is it safe for the baby.?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Yes it is ok. If the baby has a cold and blocked nose, the ear pain may be severe. In that case, it is good to instill prophylactically one drop in each nostril of nasoclear saline nasal drops and continue feeding the baby during landing and takeoff.
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My son 3 years old repeatedly getting cold & cough, month 3 times observed, cough with phlegm no fever & other problem kid is active. Doc suspects on allergy. AEC test done count is 468, recommending inhaler & asthalin syrup Pl suggest for small kid don't want give inhaler.

MD PEDIATRICS
Pediatrician, Bangalore
Most probably it is allergic cough, hence giving an inhaler is the right thing to do. Inhalers do not cause any side effects on the body as it is not absorbsed `systemically.
2 people found this helpful
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Mra baby 14 month ka h uska hemoglobin 7.8 h or wo phle sb kuch khaata tha lakin an wo kuch ni khata sirf mra hi doodh peeta h. Dr. Ne usko iron k syrup diye h lakin wo dewai ni peeta ya to dewai baaher thook dta h ya ulti kr dta h. Please betaye me kya kru.

Pediatrician, Pune
Apna doodh kam kijiye, upar ka khana jaada khilaya kijiye, khan mein dal, haree sabjee, gud istmaal kijiye, iron supplement ko honey mein daal kar de sakte hain.
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My baby is 1 month 25 days old. She had loose motion since 9 days continuously after feeding lactogen as I don't have enough breast milk. We did stool testing there was mucus present doctor suggested to stop lactogen and give nutricia nusobee formula. Is that good, for how long can I use nusobee?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 1 month 25 days old. She had loose motion since 9 days continuously after feeding lactogen as I don't have...
Nusobee is good. But my advice is to stop bottle feeding and give only breast milk. But if you still give the formula avoid bottle and feed with spoon.
1 person found this helpful
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BDS, MDS - Oral & Maxillofacial Surgery
Dentist, Pune
MILK TEETH though they fall off need treatment if decayed. Do not ignore your child's health !
1 person found this helpful

My baby is 1 and half tear old. She has congestion in her chest since yesterday. She became very uncomfortable with this. What to do to cure her.

BHMS
Homeopath, Faridabad
My baby is 1 and half tear old. She has congestion in her chest since yesterday. She became very uncomfortable with t...
Hi. Give her homoeopathic medicines which can be given to even newborns with no side effects!! Give her Antim. Tart. 30/ thrice a day for 3-4 days, then let me know about her condition. Also, give her steam.
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