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Dr. Tapisha Gupta

Pediatrician, Delhi

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Dr. Tapisha Gupta Pediatrician, Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Tapisha Gupta
Dr. Tapisha Gupta is a trusted Pediatrician in Patparganj, Delhi. You can consult Dr. Tapisha Gupta at Max Super Speciality Hospital-Patparganj in Patparganj, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Tapisha Gupta on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 44 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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Hindi

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Max Super Speciality Hospital-Patparganj

#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, DelhiDelhi Get Directions
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My daughter has diabetes and gas issue she is taking insulator from last 2 years she can not walk suggest the food she should take to have control on diabetes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Homeopath,
My daughter has diabetes and gas issue she is taking insulator from last 2 years she can not walk suggest the food sh...
She can take more protein diet like sprouts, been, 2fruits curd, dal, aviod maida, junk food, high carbohydrates. Take more liquid salads and raw veg for roufage.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
4 people found this helpful

My 5 yrs daughter has decreased vision I also got consultation with eye specialist for it he advised for vision glasses sir please tell me how can I improve my daughters vision so that I can remove my daughter's specs as early as possible.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 5 yrs daughter has decreased vision I also got consultation with eye specialist for it he advised for vision glass...
Refractive errors are common in small children also. If you don't correct them early may result vision loss. So continue glasses as advised by the doctor.
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My 1.5 years old son wakes up at night crying so loud and grievously that something got hurt but when we take him to lap after some time he will ease off and sleep but every 1 to 2 hr he will be doing this. This pattern is observed from last 10 days please suggest what to do?

MD Pediatrics
Pediatrician, Faridabad
My 1.5 years old son wakes up at night crying so loud and grievously that something got hurt but when we take him to ...
It seems to be case of night terrors inwhich child loses the control in night occasionally. Paediatrician will be able to guide you appropriately after a initial evaluation. You need no to worry. It is not something serious.
2 people found this helpful
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My baby is 3 weeks old and he makes a lot of grunting noises like he is straining. He is not constipated. Is this behaviour normal or do I need to consult my pediatrician?

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
My baby is 3 weeks  old and he makes a lot of grunting noises like he is straining. He is not constipated. Is this be...
Some children grunt for a few months and this resolves slowly. But this can be a sign of some disease as well. In order to differentiate, tell more about your child.
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I am 24 years old and I have 6 months baby girls and stomach look like a 6 months pregnant and too fat it looking like a ugly and after delivery I didn't used abnormal belt and saree cloth for 40 days that why also my stomach so fat and my total weight is 65 kgs.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 24 years old and I have 6 months baby girls and stomach look like a 6 months pregnant and too fat it looking lik...
Patience is the key. It took nine months for your tummy muscles to stretch to accommodate a full-term baby. So it makes sense that it can take that long, or longer, to tighten up again. -- The speed and degree of this tightening up depends on a few factors, including:-------- •What shape and size you were before you conceived your baby.-- •How much weight you gained during pregnancy.-- •How active you are.-- •Something you can't do anything about: your genes.-- You may find it easier to shed the weight if: -- •You gained less than 13.6kg and exercised regularly during pregnancy.-- •You breastfeed.-- •This is your first baby.-- NOTE you shouldn't aim to be back to your pre-pregnancy weight until about six months after your baby's birth. -- Breastfeeding may help, especially in the early months after giving birth. If you breastfeed, you'll burn extra calories to make milk – about 500 calories a day. You may lose your pregnancy weight more quickly than mums who bottle-feed their babies. -- Breastfeeding also triggers contractions that help to shrink your womb, making it a workout for your whole body. However, if you eat more than you burn off, you will put on weight, even if you breastfeed.-- It's fine to lose weight while you are breastfeeding. Your body is very efficient at making milk, and losing up to 1kg a week shouldn't affect the amount of milk you make. -- However, if you have a newborn to look after, you'll need plenty of energy. Trying to lose weight too soon after giving birth may delay your recovery and make you feel even more tired. It’s especially important not to attempt a very low-calorie diet. So try to wait until you've had your postnatal check before start trying to lose weight.-- Eating healthily, combined with gentle exercise, will help you to get in shape. The following general guidelines will help you to achieve and maintain a healthy weight: -- •Make time for breakfast.-- •Eat at least five portions of fruit and vegetables a day.-- •Include a starchy food such as bread, rice, pasta (preferably wholegrain varieties for added fibre) or potatoes in each meal.-- •Go easy on high-fat and high-sugar foods, such as biscuits and cakes. •Watch your portions at mealtimes and the number and type of snacks you eat between meals.-- There's no right answer about how many calories a day you should have. The amount you need to eat depends on your weight and how active you are. -- Exercise can help to tone stomach muscles and burn calories. If you exercised right up until the end of your pregnancy, you can do some light exercise and stretching from the start.-- If you stopped exercising during your pregnancy or are a newcomer to fitness, it is better to start exercising more slowly. -- Fitness aside, all new mums can begin pelvic floor exercises and work on gently toning up lower tummy muscles as soon as they feel ready. This may help you to get back to your pre-pregnancy shape and help to flatten your tummy.-- When you feel up to it, take your baby out for walks in his pushchair. Getting out and about will help to lift your mood and exercise your body gently. You may find there are pushchair workouts with other new mums in your local park.--
4 people found this helpful
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I am having so much of angry and un control my self ,my head is heating that time, I having 2 years baby.

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist, Mumbai
I am having so much of angry and un control my self ,my head is heating that time, I having 2 years baby.
Hello lybrate user find out the root cause of your anger. Once that will be clear then one can work on that. Rather then working on the reactions. Your too much anger is the reaction of some issue which you left it untouched. Pls seek help speak to me online. Or opt for professional help.
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My child is 3.5 years old, Uske stomach me hamesa problem rahti hai. Kuch bhi khaata hai infection ho jata hai.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Give noworm suspension 10 ml at bedtime and repeat after 2 week. Lf no improvement show to a gastroenterologist.
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MS - General Surgery
General Surgeon, Patan
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
Sometym bladder prolapse may be the cause for incontinence. It all depends on the degree of the prolapse. But it is better to give a try with fibroid removal once (if its really very big).
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