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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 42 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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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
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F-1203, Chittranjan Park, DelhiDelhi Get Directions
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Test and Devices for Diabetes Patient

Homeopath,
Test and Devices for Diabetes Patient

Home management
Glucose (blood sugar) levels
Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. It is important, therefore, to carefully monitor blood glucose levels. In general, patients with type 1 diabetes need to take readings four or more times a day. Patients should aim for the following measurements:

Pre-meal glucose levels of 90 - 130 mg/dl
Bedtime levels of 110 - 150 mg/dl
Different goals may be required for specific individuals, including pregnant women, very old and very young people, and those with accompanying serious medical conditions.

Finger-prick test. A typical blood sugar test includes the following:

A drop of blood is obtained by pricking the finger.
The blood is then applied to a chemically treated strip.
Monitors read and provide results.
Home monitors are about 10 - 15% less accurate than laboratory monitors, and many do not meet the standards of the american diabetes association. Most doctors believe, however, that they are accurate enough to indicate when blood sugar is too low.


To monitor the amount of glucose within the blood a person with diabetes should test their blood regularly. The procedure is quite simple and can often be done at home.
Some simple procedures may improve accuracy:

Testing the meter once a month.
Recalibrating it whenever a new packet of strips is used.
Using fresh strips; outdated strips may not provide accurate results.
Keeping the meter clean.
Periodically comparing the meter results with the results from a laboratory.
Supplementary monitoring devices. Other devices are available for monitoring blood glucose. These devices are used in addition to traditional fingerstick test kits, and glucose meters but do not replace them:

Continuous glucose monitoring systems (cgms) use a needle-like sensor inserted under the skin of the abdomen to monitor glucose levels every 5 minutes. In 2007, the sts-7 system was approved. Using a disposable sensor, the sts-7 measures glucose levels for up to a week. An alarm will sound if glucose levels are too high or low. The older minimed system measures glucose over a 72-hour period and has wireless communication between the monitor and an insulin pump.
Glucowatch is a battery-powered wristwatch-like device that measures glucose by sending tiny electric currents through the skin, a technique called reverse iontophoresis. It is painless and has a warning device when detecting high glucose levels. It takes 2 hours to warm up, and the sensor pads need to be changed every day. Glucowatch measures glucose levels three times per hour for up to 12 hours. About a quarter of the time, the results differ significantly from actual fingerstick tests, however.
Glycosylated hemoglobin
Hemoglobin a1c (also called hba1c, ha1c, or a1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. While fingerprick self-testing provides information on blood glucose for that day, the hba1c test shows how well blood sugar has been controlled over the period of several months. For most people with well-controlled diabetes, hba1c levels should be below 7%. Home tests are available for measuring a1c but they tend not to be as accurate as the laboratory tests ordered by doctors.

Urine tests
Urine tests are useful for detecting the presence of ketones. These tests should always be performed during illness or stressful situations, when diabetes is likely to go out of control. The patient should also undergo yearly urine tests for microalbuminuria (small amounts of protein in the urine), a risk factor for future kidney disease.

4 people found this helpful

Attention Deficiency Disorder and Attention Deficiency Hyperactivity Disorder in Children

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist, Noida
Play video

Here are symptoms, reasons and management of ADD and ADHD.

3414 people found this helpful

Hello, I am 31 year old mother of 4 year old kid, l am doing high intensity exercise daily 1 hour regularly from last one year, and also having diet control but not able to reduce fat from tummy area, request you to please suggest some options.

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
Over weight in particular with abdominal fat accumulation is bad for health, in longer creates problems. Reduction requires, weight reducing specific diet and herbal supplements along with regular reasonable simple exercises like morning and evening walks and yoga practices

Hi sir, My son is two and half year old. But usko bolne me dikkat aa rhi hai. Mera beta bolta to hai per proper nhi bol pa rha. Mummy, papa, dada, roti, pani jaise word to proper bolta hai per puri tarah nhi bol pa rha abhi. Kya muje uske liye koi tonic ya medicine leni chahiye. Please tell me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Bachcha ma, papa, tata aadi shabd 9 mahine kee aayu se bolana shuru kar deta hai tathha 18 maheene kee aayu tak vaakya bolanaa shuru kar deta hai. 30 maheene kee aayu tak bachchaa apanee baat spasht bolata hai. aapane spasht nahee likhaa hai ki wah papa dada aadi shabd theek nahee bol pata hai ya vakya. shararik vikas ke sambandh main kuch nahee likha hai. suchana adhuree hone ke karan uchit praamarsh dena katheen hai. Aap bachche ko shishu chikitsak se pramarsh karain. Tonic ya medicine ka koyee upyog nahee hai.
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My baby girl is 3 month old and she is green potty, I was test with SRL and having some infection it was at lest 1 month counseling with doctor is going on. Please suggest what should I do and will impact my baby.

BHMS
Homeopath, Secunderabad
Do not worry. As she grows she will develop the immunity to fight infections. Keep the breast feeding regular. You can start Homeopathy for your baby which is safe and gentle for any age. Homeopathy can improve her immune status and help her cope naturally with infections. You can contact me for a private consultation and further discussion.
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Hi sir My child is 2 year old. He just fall down from stairs. And he got some rubbed in his forehead. Please suggest if I can use Quadriderm RF for relief now. Or Omni jel. Thanks. We.

M.D.( Pediatrics), DCH
Pediatrician,
Sir, external injury to forehead is much important with respect to injury inside the cranium and not externally to forehead. External injury may be treated with application of soframycin if trivial. Main concern is brain injury. Watch for symptoms such as vomiting, convulsions, unconsciousness after fall. If any of these are visible, visit pediatrician 24-48 hours observation may be needed. Anyway it is worthwhile getting clinically examined by pediatrician, child's health is of paramount importantance.
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I have again done the stool test of my child. My child is 1 month 22 days old. The stool test report is as under: Colour- Yellow with Reddish streak. Consistency: Semisolid, Odour: Offensive, Mucus (), Reaction: Ph 6.0, Occult Blood: Positive (ve), RBC: 6-8/Hpf, Pus Cells: 2-3/ Hpf, Bacteria flora: Normal, Veg Cells, Starch, Fat globules are Nil. We see some little drops of blood in his stool when he passes stool most of time. Dr. (Pediatrician) advised us to go surgeon for checking the cause of blood in stool. But our child is normal habitual, sleep well, no fever and only breastfeeding. So what is the cause of blood in his stool.

MD - Paediatrics, Diploma in Child Health (DCH), Postgraduate Diploma in Adolescent Pediatrics
Pediatrician, Gurgaon
If the baby is breastfeeding exclusively and gaining weight and sleeping to the mother's satisfaction there does not seem to be a cause for worry.Please check if there is redness and cracks in the anal skin due to frequent rough cleaning.This may be a cause for blood in stool.If the baby is getting any topmilk,milk allergy can also manifest like this.
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My son is 15 months old. He has got 3-4 teeth. and few are about to come. When is a good time to start with brushing? Also he still isn't standing or walking on his own. But he does stand up holding sofa, chair n also walks holding them. A few doc said its OK up to 18 months. So should we wait for few months or see a physio? As 3-4 docs v consulted said a strict NO for walker.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
yes,this is right time to teach brushing. Milestones are definitely delayed.his Speech,hearing,fine motor functions,muscle tone,reflexes to be assessed before any final comment.
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My baby is in 2nd month. In 1st month, I fed her every 2 hrs. Should I continue that? or what should be the frequency of feeding?

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Kindly feed the baby on demand. There would be a phase in 24 hrs the baby will sleep for a longer duration like most adults. Rest make sure the baby must take feed at least 8 times a day.
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Which milk substitute to be started for baby of 6 months along wih mother milk. Is toned milk better or nan / lactogen etc?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Terra pack cow milk would nearest to breast feeds as far as nutrient content and quality is concerned. However nan or lactogen 2 also shall do the same. Choice is yours. All the best.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
MONITORING TO MANITAIN ASTHMA CONTROL
Ongoing monitoring is essential to maintain and establish the lowest step and dose of treatment to minimize cost and maximise safety.
Typically patient should be seen one to three months after initial assesment,and every three months thereafter.After an exacerbation.the patient should be assesed within two weeks to one month.
At every visit the patient inform the doctor following.
Use of short acting B2 agonist
Night awakening due to cough/breathlessness.
Interferance in day today activity by cough/breathless.
Any triger observed by patient.
Any concern regarding drug use.

On the basis of above information ,doctor can step up,step down or continue same treatment.
If asthma not controlled,then step treatment
If asthma partly controlled ,then consider stepping up treatment.
If asthma well controlled for three months ,then step down treatment is recommended. The goal is to maintain control with minimum treatment.

Monitoring is still reccomended even after control is achieved,as asthma is a variable disease,treatment has to be adjusted periodically.




2 people found this helpful

My 6 month baby is vomiting frequently and also have motion problem very loose. Is this normal at this age or should we take treatment. We feed only milk.

MBBS, MD - Paediatrics, CRT in Autism
Pediatrician, Delhi
Dear Mr. Lybrate-user, I would say that I am not much concern about the loose stool and vomitings (milk) much. But having said that the baby is 6 months old, I would rather ask you to start weaning him. Some other food should also be started apart from milk.
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My girl child is five months old. She has converted nipple with lump behind the nipple on right side only is it normal.

Diploma in Child Health (DCH)
Pediatrician,
Mostly normal. But we need to know the size and is it increasing in size is it painful. Let me know these things.
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Hi, My Kids age is 3.3 years/M and he speaks only few words and not forming sentences, as recommend by pediatrician we took MRI, EEG and every thing is normal. He speaks the few words what ever he is required. Is this any problem or will it be normal for boy babies. Some times while sleeping we found sweat on his fore head.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
With good training & patience he will catch up very fast. Leave him amongst chidren to see wonders. Just check his hearing ,if impaired correct with hearing aid.
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What Predicts a Stable Marriage?

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
What Predicts a Stable Marriage?

The following factors are most predictive of a healthy marriage.

A. Growing up in an intact, functional family

B. Parents were a good marital model

C. Both parents functioned well psychologically

D. Atleast 21 yrs at the time of marriage

E. Marry for positive reasons to share your life and not driven by thoughts such as fear of loneliness, parental or peer pressure or to rescue someone.

F. Know your partner for atleast six months

G. Commonalities in terms of sociology, economic class, race, religion, education, common interests

H. Physical attraction with potential to develop an intimate relationship.

I. Discuss important life organization issues like, work, money, children, to live with parents of your spouse or separately and life goals.

J. Support of family and friends is essential building blocks in a healthy marriage.

K. Consider your spouse as respectful and trusting friend

L. Sharing important information about self, taking each other's opinion for significant decisions.

M. Marital bond of respect, trust, and intimacy grows stronger in first three years of marriage.

N. Wait for atleast two to three years before birth of a planned child.

O. Maintain positive, realistic personal and marital expectations.


 

If atleast 50% of the above is also implemented it will give both the spouses a lot of contentment and motivation to build a strong bond and improve each day.


 

By Dr. Sharmila majumdar, senior consultant sexologist, psychoanalyst


 

Avis hospital, clinic of sexual health, mental health. Hyderabad

25 people found this helpful

M.D.( Pediatrics), DCH
Pediatrician,
Crying child is not necessarily hungry, no mother will wait to feed till child becomes hungry. We must understand that cry is the expression of emotional need most often than not, perticularly if child is putting on weight normally. So we must assure the child by talking to him ,rocking him. It is important to note children however small they are, understand facial expressions, tender touch, soft voice and careing look. These all are languages (nonverbal) of love and affection, which every child knows very well.
1 person found this helpful

Snoring and hence not able to sleep continuously even for an hour. The body weight is high and hence no peace of mind, not able to have focus on any work. Being a widower and a father of 5 years old, there is absolute lack of peace.

MBBS
General Physician, Trivandrum
Obesity can directly cause snoring problem and difficulty to breathe. You need to exercise a lot and control your diet. Make friends and spend time with them. If you need to speak with someone personally, you can always contact me. Tips to reduce anxiety and stress 1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin b and omega-3 fatty acids and also healthy whole grain carbs. Vitamin b contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings.
2 people found this helpful
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Is cerelac is not good for baby health ,what should be given to 8 month baby in home made food?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Semi solids which are home made. And has better calories. I. E. Rab sheera kheer khichdi mung water. Sattu. Modak. Yoghurt. Curd rice. Mashed potato. Mashed banana chiku. Idli upma. Ragi etc are better home made foods.
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Parents nowadays give young children coke or Pepsi to drink. I was shocked to see a mother giving coke in a feeding bottle to a baby. Can anybody please provide the harmful effects of these drinks so that people don't make these mistakes. Thanks.

MD - Paediatrics
Pediatrician, Mumbai
The more an infant drinks. The less the child will eat and in addition it may cause reduced intake o other normal diet causing malnutrition.
4 people found this helpful
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