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Dr. Sushma Narayan (Aiims) - Pediatrician, Delhi

Dr. Sushma Narayan (Aiims)

91 (291 ratings)
MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology

Pediatrician, Delhi

41 Years Experience  ·  500 at clinic  ·  ₹250 online
Dr. Sushma Narayan (Aiims) 91% (291 ratings) MBBS, Diploma in Child Health (DCH), Pediatric Gastroente... Pediatrician, Delhi
41 Years Experience  ·  500 at clinic  ·  ₹250 online
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Few Signs You Might Be Suffering From Celiac Disease!

Hi. I am Dr. Sushma Narayan. I am a Pediatric Gastroenterologist working in New Delhi. I have a dedicated clinic for celiac disease. Friends today I will be talking to you about celiac disease. Many of you may not have heard of celiac disease very much or you may know who is suffering from celiac disease. Now what is celiac disease? Celiac disease is a sort of wheat allergy or intolerance to wheat. More and more people are now coming to understand this disease to know that yes celiac disease exists and this is due to ingestion of wheat. Now there is a substance called gluten in wheat and barley and also a European grain called rye. Now when a person injects wheat which has gluten in it there is, the person starts suffering from some sort of discomfort may be stomach ache, or you know the need to go to the toilet, or some sort of nausea or vomiting. Now these are, these may be the initial symptoms. However in children the most predominant symptoms are diarrhea, chronic diarrhea, then severe anemia which is not responding to iron therapy. Severe iron deficiency and growth failure. These are the 3 hallmarks of celiac disease in children. We often pick up this disease around 4 to 5 years. Thereby showing that, yes the delay in diagnosis does occur in the disease. It;s not very easy to diagnose as a list of suspicion has to be very high when you are thinking of celiac disease, also there is a presentation which is called as Atypical presentation. Now in Atypical presentation need not have any of these symptoms but may just come to you with some thyroid issues., maybe some skin allergies or the patient may come to you simply with a diabetes mellitus. Insulin-dependent diabetes mellitus. So we have to really start thinking that is it really possible for a person to have wheat intolerance or all these symptoms. Yes it is true. But how does it come? How does this disease comes. Due to a genetic predisposition when the HLA dilute to or HLA due to 8 genes are present. We too are testing for this genes and if the patient is negative for these genes, it is said that they cannot celiac disease. In addition we have to very sensitive, psychology test, which one is called the anti TTG IGA and the second test is the anti Endomysial antibody tests. The TTG test is very easily available and comparatively cheaper test and it has a very high sensitivity and specificity. Once the TTG is positive then we also check out the family history. Is there any family history of wheat allergy or tolerance in the family and then request the patient to undergo an upper GI endoscopy along with a biopsy. Biopsy specimens are taken and these are examined and if the demonstrate that the will I have got damaged and there is a flat mucosa or there is a partial vilosetrophy then the diagnosis of the celiac disease is confirmed. Once the diagnosis of celiac disease is confirmed then we have to stop wheat. But prior to that a complete assessment of the patient has to be done with regard to the thyroid status, the liver enzymes have to be checked out and also the patient has to be thoroughly checked for other vitamins deficiencies like Vitamin D, Vitamin B complex and iron. And accordingly the supplementation has to be started. Now can these patients can take a little bit of wheat? No, unfortunately its not, because once the wheat allergy diagnosis that is a celiac disease that is established they cannot take even minuscule amount of wheat. The codex the national cortex elementary says that these patients cannot take more than 20 parts per million. However lot of food, glutton free food is available in the market which is not tested, which is not labeled properly, but these patients are compelled to use these foods. And these are highly containiated to treat which means that this patient never get into full recovery. So the issues here are that once we have found the patient is suffering from celiac disease we have to now help the patient to regain his full potential by stopping wheat completely and doing a regular follow up with the doctors to see if the patient compliance is good, if the glutton tree diet is completely, complete in all ways. Like its neutraionaly complete. So that the patient recovers completyly. And we, lot of Gastroenterologist are offering advice on celiac disease. We are working in Delhi. And if any of you need any consultation regarding this disease, please contact me through Lybrate or on my address which is celiac clinic, B13. Shiwalick malvic nagar. New Delhi.

Thank you.

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Personal Statement

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. Sushma Narayan (Aiims)

With almost 35 years of experience in her field, Doctor Sushma Narayan is one of the best pediatricians in Delhi. She acquired a Bachelor of Medicine and Bachelor of Surgery in 1977 at the Gandhi Medical College in Hyderabad. In 1982, after obtaining a Diploma in Child Health from the Vardhman Mahavir Medical College in Delhi, she then went on to become a fellow of Pediatric Gastroenterology (AIIMS) in 2002. Currently, Dr. Narayan practices as a consultant pediatrician at the Vandana Diagnostics & the Celiac Clinic in Malviya Nagar, which is located in Delhi. Patients can avail of her services Monday to Saturday, from 9:30 am until 2 pm at the clinic. She is an expert in pediatrics, neonatal care as well as in providing advice about diet, vaccination and nutrition for children.

Doctor Sushma Narayan?s specializes in treatments for Celiac disease, measles, infection, viral fever and treatment of thyroid problems in both children as well as adolescents. Dr. Narayan is a member of various prestigious associations like the Indian Academy of Pediatrics, the Celiac Support Organization and she is also a life Member of the ESPGHAN.

Info

Education
MBBS - Gandhi Medical College, Hyderabad - 1977
Diploma in Child Health (DCH) - Vardhman Mahavir Medical College, Safdarjung Hospital, Delhi - 1982
Pediatric Gastroenterology - All India Institute of Medical Sciences, New Delhi - 2002
Past Experience
Retd Senior Consultant in Pediatrics at Kasturba Hospital/AIIMS
Languages spoken
English
Hindi
Professional Memberships
Indian Academy of Pediatrics
Secy gene
Celiac Support Organisation
...more
Life Member - ISPGHAN

Location

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The Celiac Clinic

Medicentre, B-13 Shivalik, Malviya NagarDelhi Get Directions
  4.6  (291 ratings)
500 at clinic
...more
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Patient Review Highlights

"Very helpful" 44 reviews "Prompt" 2 reviews "Sensible" 4 reviews "knowledgeable" 22 reviews "Helped me impr..." 2 reviews "Professional" 4 reviews "Inspiring" 1 review "Well-reasoned" 6 reviews "Thorough" 1 review "Caring" 10 reviews "Saved my life" 1 review "Nurturing" 1 review "Practical" 1 review

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Hi, Respected sir/madam, My baby is completely 9 months old, we use lactogen for feeding, can we give him cow-milk for feeding?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Hi, Respected sir/madam, My baby is completely 9 months old, we use lactogen for feeding, can we give him cow-milk fo...
You can certainly use cow's milk (undiluted) along with complementary food like khichri, Suji kheer, vegetables soup, mashed banana etc.
1 person found this helpful
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I am 34 years lactating mother, baby is 3 month old. please tell me that may I take nestle protein powder in breakfast time. It is good for my child or any side effect on my child health please tell me.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
I am 34 years lactating mother, baby is 3 month old. please tell me that may I take nestle protein powder in breakfas...
A lactating mother should take wholesome diet containing dal, rice, Veges and Chappatis. Milk about 500 ml per day is good. Supplements are indicated only when mother is unable to eat the home food well. Additional protein supplement will do no harm. Drinking plenty of water will certainly help.
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My Baby age 3 Month .Doctor give him BIFILAC DRY SYRUP .But after Use this medicine my baby suffering Pain. What can now do?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My Baby age 3 Month .Doctor give him BIFILAC DRY SYRUP .But after Use this medicine my baby suffering Pain. What can ...
Please stop using it. It is important to understand why a medicine is being given and how it should be given. Please check with your Pediatrician again.
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My baby is 8 month old and of 8 kg weight. I want to give him pedicloryl 30 ml syrup during flight. I want to know the appropriate dose of The medicine for my baby.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My baby is 8 month old and of 8 kg weight. I want to give him pedicloryl 30 ml syrup during flight. I want to know th...
It may not be necessary to give Pedicloryl to the child. Babies cry if their ears get blocked. It is better to give a use Nasoclear saline nasal drops along with continued breast/bottle feeding during the flight splly during take off and landing. This avoids the blockade of ears and baby remains a comfortable.
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My son was having severe stomach pain and after sonography has been diagnosed with enlarged right iliac fossa lymph nodes (reactive). What does it means. Is it life threatening. Does my child needs hospitalisation. What medicine needs to be taken. Please indicate. Last year in January 2017 he was operated for appendicitis.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My son was having severe stomach pain and after sonography has been diagnosed with enlarged right iliac fossa lymph n...
You must always mention the age and weight of the child. I don't think there is any reason to worry. The reactive lymph nodes are often seen in children. It is best to adopt a wait and review policy. Also he has had appendicectomy last year. The nodes post operatively also take time to resolve. You might want to discuss with the concerned surgeon once.
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We did ear piercing for our two months old baby, doctor had asked us to apply panderm ointment before bath. But we only got panderm plus ointment. Is it safe to apply the same.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
We did ear piercing for our two months old baby, doctor had asked us to apply panderm ointment before bath. But we on...
Application of betadine lotion should be sufficent. Clean with betadine and leave it alone. It will heal in no time.
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Is it harmful to insert justin 12. 5 mg in baby vagina I did it by mistake. Please advice

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Is it harmful to insert justin 12. 5 mg in baby vagina I did it by mistake. Please advice
Justin 12.5 MG Suppository is an anti-inflammatory painkiller. This non-steroidal drug is used to alleviate symptoms of arthritis such as inflammation, pain, fever and swollen joints. You must have given it for fever. It is best to use syp Paractamol @ 15 mg/Kg.
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Our baby is 20 day old and some time he spit up after feeding in night, doctor suggest Domstal Baby Oral drops (Domperidone) 0.5 ml three time a day. My question is Is it safe for baby bcoz as mention on medicine box does is high for him.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Our baby is 20 day old and some time he spit up after feeding in night, doctor suggest Domstal Baby Oral drops (Dompe...
Domstal drops are certainly not suggested. All babies regurgitate feeds and holding the baby upright, frquent burping and putting the baby on her side while lying down will do the trick.
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Aquasol A capsule I had taken for my 14 months daughter. But I don't know how to use this. Kindly help.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Aquasol A capsule I had taken for my 14 months daughter. But I don't know how to use this.
Kindly help.
Aquasol A is vitamin A. It is oily based. Usually the strength is 25000 IU. To give it to the baby, Please prick the capsule with needle and squeeze the oil out in spoon. You can mix with milk and give.
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My baby is 7 month old, except breastfeeding he does not take any other milk and even do not take bottle. How I can help him to take formula milk through bottle.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
My baby is 7 month old, except breastfeeding he does not take any other milk and even do not take bottle. How I can h...
It is not a great idea to shift to bottled formula milk after 6 months of breast feeds. Please continue breast feeding and start the baby with some home foods such a dal soup, fruit juice, mashed rice, banana, suji kheer, dalia etc. This will reduce the demand for breast feeds, however it is best not to give bottle feeds to a baby.
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