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Dr. Vikram Gagneja

Pediatrician, Delhi

Dr. Vikram Gagneja Pediatrician, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vikram Gagneja
Dr. Vikram Gagneja is a popular Pediatrician in Janakpuri, Delhi. He is currently practising at Gagneja Speciality Clinic in Janakpuri, Delhi. Save your time and book an appointment online with Dr. Vikram Gagneja on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 31 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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Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
AGE APPROPRIATE CHORES FOR CHILDREN AROUND THE HOUSE
Teaching children how to get their personal needs met and to help around the house is an important and integral part of growing up. It helps them to become independent and also help others. They learn to appreciate dignity of work and cooperation, responsibility contribution and collaboration with co workers and spouses as they become adults. These tasks are as much for boys as for girls. The chores suggested below are a rough guideline of age appropriate jobs for children. Keep in mind that kids are different both developmentally and physically. Some children may be able to do more than others. So here goes:
2-4 year olds: help make bed, put away toys, fetch diapers and plastic bottles, put dirty clothes in bucket, help feed the pets. All tasks would need adult supervision.
4-7 year olds: set the table, help with bed making, watering the plants, feeding pets, start putting on own clothes, bathing, clean up messes, put away toys, put away clothes, carry light bags. Adult supervision would be required as child is learning new skills.
8-10 year olds: water plants, make bed, clean up room, clear the table, do small dishes, do small dusting around the house, cooking basic food like eggs, maggi, milk, keep the garbage out, fold clothes, basic sweeping and swabbing of the floor. Please note that adult supervision would be needed for new tasks.
11 year olds and older children: clean bathroom, clean kitchen, cooking simple to complex dishes, wash dishes, wash clothes, dusting.

If you liked what you read, please share it with others and you can also have a private chat with me if you have any questions about your child.
6 people found this helpful

Hello. My period start after 6 week of my cesarean delivery. Now my baby is 3 months old. And my monthly period are started. I want to know which days are safe for my to avoid pregnancy again.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
If your cycles are regular, 1 week after 1st day & 1 week before next periods are safe periods to avoid pregnancy.
1 person found this helpful
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My son is suffering from loose motion for three weeks. Earlier also he used to have this problem. He is 13 years old and eats only homemade food. Yet he frequently affected by loose motion. Pl help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Loose motions for more than 2 weeks is not normal. Get stool examination for amoebiasis and giardiasis.
2 people found this helpful
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My sister's 5 months girl baby (weight: 6+kg) was having little fewer from 4-5 days and today the baby is much distracted and crying. They visited doctor doctor, he said it is usual in summer but I had doubt because the doctor did not even checked the baby even with stethoscope.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Babies with fever are always irritable so do not let the temperature rise, keep givivng paracetamol drops every 4 - 6 hours.
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Hello, My son is five month old he is in his sixth month as temp is rising everyday what should I do to save him from dehydration as he is on breast feed only please help can I give him water? Or something else.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
Hello, it's great to hear you are continuing breast feeding, keep it on. If baby is active passing urine more than 5 times in 24 hours then it's enough milk. If you want then fresh home made juices, kanji water can be tried. Babies in exclusive breast feed don't need single drop of water even in hottest summer.
1 person found this helpful
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My kid do vomiting frequently, I would like to start his homeopathy treatment, what should I give him so that he will recover from frequent vomiting.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take following medicine:- Dr. Reckeweg? s ipec. - 30 / 5 drops in little water twice a day for 15 days. Revert back after 15 days with feedback.
2 people found this helpful
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My daughter is 1.2 year old. She is not having her food in time. Only bottle milk feeding 5 to 6 times a day. Before a month she had food, juices etc but now she is not ready to eat anything. Is there any reason for not having food?

C.S.C, D.C.H, M.B.B.S
General Physician,
YOu should not bottle feed her and give in a glass and encourage to eat homemade foods . Tell her weight and do a thyroid check up
3 people found this helpful
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What Causes Early Childhood Trauma? + How to Identify this Condition?

Phd, Mphil, MSc, Bed, BA (Clinical Psychologist and Parent Child Relationship Expert)
Psychologist, Noida
What Causes Early Childhood Trauma? + How to Identify this Condition?

The problem of early childhood trauma refers to disturbing experiences that take place in children during 0-6 years of age. The traumas that young children experience can be the effects of natural disaster, war or accidents or that of intentional violence like sexual abuse, domestic violence or physical abuse.

What Does this Condition Impact Childhood?

Traumatic events have a significant impact on your child's life and can break his sense of safety. The problem has been linked with a decrease in the size of the brain cortex. This is the part of the brain that controls several complex functions like thinking, consciousness, memory, attention, awareness, and language. The changes that occur as a result can affect your child's IQ as well as his or her ability to control emotions. As a consequence, he or she may harbor feelings of danger and become more afraid or it may manifest in other personality issues which are not very obvious.

How do you identify this condition?

Generally, children who suffer from traumas face problems in regulating their emotions and behaviors.

They may display signs like:

- Fear of new situations
- Being clingy to their parent(s) or somebody close
- Become easily frightened
- Display aggressive and/or impulsive behavior
- Are difficult to comfort
- Display deterioration in behavior and functioning
- Easily forget newly attained developmental skills
- Difficulty in sleeping

Depending on the age during which your child may go through a traumatic event, he or she can exhibit signs relevant to his or her age.

For instance:

Children aged 0-2 years may also display reactions like poor verbal skills, memory problems, excessive temper, experience nightmares, etc.

On the other hand, children aged 3-6 years can face difficulties in learning as well as develop poor skill and learning disabilities, face problems in social interaction, may be unable to trust people and so on.

If this condition remains unattended or unresolved for longer, it may create personality issues and can deeply impact the individual's relationships, or equations in the society, as they grow up and even after they become adults. In fact, many behavioral problems can be traced back to childhood trauma.

'Consult'.

Related Tip: What Really Causes Personality Disorders?

3131 people found this helpful

My son is 6 months old. and i have started giving him apple juice. And cereal. and he is having cold. he is doing a green poo. Everyday. Is this cause of food I have started or cause of cold he is having.

Diploma in Child Health (DCH)
Pediatrician,
Green stool is normal. Neither the the apple juice npr cold is responsible for green stool. Continue breast feeding and weaning food.
1 person found this helpful
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My baby age is 18 month and its weight 8.5 kg woh kuch bhi nahi khata khana bhi nai khata din bhar bhuka rehta he to kya use cypon syrup 5drop de sakte he please rply fast.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Cypon ka koi vishesh upyog nahi hai. Antath haanikaarak hai. Baby ko khana jabaran n de. Uskee ichchhanusar khana de. Mujhe vishwash hai sudhaar hoga.
1 person found this helpful
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My 10 year old son still wet the bed, what may be the causes and what should I do?

Pediatrician, Pune
1. Get a urine examination done 2 dont make him feel bad about passage of urine 3, strengthen the urine spincter by controlling and stopping urine while awake in the day 4 no intake of water after 7 in the evening 5 passage of urine before going to bed 6 reward him for his dry days.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



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).

Symptoms:

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



DUODENAL 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.



GASTRIC ULCER:

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.



INVESTIGATION

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.



ABIES CANADENSIS:

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



ABIES NIGRA:

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

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

My Son His Birth Weight Is 3.5 kgs Now He Is 1.3 years And His Weight Is 8 kgs He Is Not Gaining weight even after Feeding Healthy Food But There Is No Use Of It.what to do?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Your problem is due to faulty dietary habits. Give him home made wholesome meals at frequent intervals wrapped in love & affection. Do not bribe him for eating have patience. He will recover in 3-4 months.
1 person found this helpful
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10 Things To Know About Adolescent Anxiety

Post Graduate Diploma in Pyschology
Psychologist, Noida
10 Things To Know About Adolescent Anxiety

Anxiety is a common issue with growing teenagers. It is not the typical anxiety before exams or academic projects. It is more than that. Anxiety may be the result of the hormonal changes, which predominantly affect the adolescent years of growth. While your body copes with different changes, your mind tangles between the future liberty and present restrictions. Knowing certain facts about this anxiety trail can help you to cope with it.

1. Anxiety is not always a disease: Anxiety is not always a disease. It is a normal phenomenon among adolescent teenagers. However, in certain cases it may be severe for some teenagers. They may feel crippled with anxiety. Under such cases, one would require psychiatric help.

2. Talk to someone: A great way to relieve yourself from stress due to anxiety is to speak with someone. It can be a friend or someone close to share your thoughts. If you know the reason of your anxiety, share it, discuss it. You will definitely feel better.

3. Take a break: Entertainment and break from academic work and schedule is necessary for teenagers to lower anxiety traits. However, if the anxiety is due to peers, you may even take a break from them and engage in family.

4. Cry out loud: It is not a silly thing to cry when you are stressed under anxiety. Crying is an emotional outburst which essentially relieves the stress due to anxiety and lets you control the emotional disturbed state of mind.

5. Good sleep: Sleep is necessary for both mental and physical rest. You need to overcome from the fatigue of routine works, stressful events, peer factor, etc. Catching the essential 8 hour sleep is a great way to overcome anxiety issues.

6. Don’t be conscious: Anxiety is a common factor among all your peers. You are not the only one coping with anxiety stress. So, take it light. Relax and don’t be conscious about your anxiety problems. Consider them to be temporary.

7. Be confident: Losing confidence under the stress due to anxiety can be even more disastrous. The effects will never be better. So be confident about whatever you do, whether right or wrong. Every person learns from his own activities. Whether right or wrong, everything will give you a lesson. So you will never be a loser, you will win a lesson.

8. Don’t feel stupid: Being stressed with anxiety is not abnormal or stupid. Everything is okay with you, and you are not the stupid fellow out there.

9. You are not weak: Anxiety is not a sign of weakness. You can rather make it your strength. Fight it back and keep your energy and enthusiasm high.

10. Anxiety is temporary: As you move ahead of the adolescent period, anxiety will faint. You will be more confident and matured, able to tackle anxiety. So consider it to be an affair of a few years. If you wish to discuss about any specific problem, you can consult a psychiatrist.

4577 people found this helpful

Hi my son is 4 years old from last few days he is excessively crying, I think that he has problem with his digestive system whenever he takes milk he started crying after sometime please help me he is also diagnosed with canavan diseases.

MD - Homeopathy
Pediatrician, Mumbai
Intake of milk might be making him cry because he must not be liking milk. Crying usually at this age is attention seeking behaviour. Ignore at times when you think that he is crying without any reason.
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My 16 month old son, all of a sudden while sleeping vomited after getting up at night. I happened to notice that while vomiting, only milk and water was present. The moment I laid him down to sleep, he started vomiting again. He vomited 4 times within a gap of 4 hours getting up between his sleeps. Kindly assist or suggest as to what might be the issue.

MBBS, MD
Pediatrician, Gurgaon
It can be due to high fever and summer. You should go to nearby pediatrician physician and see that correct diagnosis is necessary. He may require iv fluids.
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?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Mood swings, irritability, tics, alteration in appetite, delayed growth are all side effects of that treatment. Please consult a proper homeopathic doctor for this. I would suggest you to go for at least one consultation. Either with me or some other doctor whom you trust. That will be better for you. Still if you have any queries, please feel free to ask me. Take care :)
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Our baby is 3 months 15 days baby. Doctor say that Pneumococcal Vaccine is necessary for a baby. We are confused whether to take that vaccination. Please suggest whether this vaccine is necessary or not.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Well its not mandatory to take a pneumococcal vaccine. Generally pneumococcal vaccine is given to prevent any infection caused by pneumococcus, there are 100+ strains of pneumococcus but this vaccine only provides resistance to infection cause by 13 strains. So the baby has still chance of getting infection from rest of the strains. Generally we recommend this vaccine to babies who are born premature and are at high risk of getting infection, like babies who often get ill having cough and cold or pneumonia. It is mandatory for persons travelling to usa, so if you plan to visit usa in future, get your baby vaccinated. If money is not an issue you can get baby vaccinated. If money is an issue you can skip doses for 1st year and get a single dose at 15 months, that would be enough for life long immunity. So its your decision depending on child health and history as well as your financial status. Hope I have solved your query.
1 person found this helpful
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I have 4 year son. When he eats pomegranates fever come. When it papaya vomiting come. Frequently stomach pain and fever. Doctors and reports say everything is ok. Where is problem.

MBBS, MD
Pediatrician, Gurgaon
It seems to me you have not given lesson of self feeding. At the age of one year, child picks up food and other things, it puts it in mouth. By four child should learn take thali or dish and chapati, veg. Curd etc, to eat himself with others. Now your child has to be taught this gradually. It will take some time. Let. Child do it himself or spoil food. He is bound to learn.
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My baby is not having food properly her age is of 4 years. Can you suggest any milk powder for her to strengthen. Now a days she is not even drinking milk.

MBBS, MD
Pediatrician, Gurgaon
A child doesn't require more than 3oo gm's milk in one day. This can be given by mothers breast in two feeds. She now needs 4 semisolid feeds made of cearels, fruits crushed, dal and prepared in curd milk. Oid should be added to this food. Self feeding should be encouraged.
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