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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 41 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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Sewa Marg, Janakpuri, DelhiDelhi Get Directions
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Precautions for diabetic patients during Ramzan fast

C.S.C, D.C.H, M.B.B.S
General Physician,
“Patients with type 1 diabetes should avoid fasting. However, those type 2 diabetes can fast,”
All diabetic patients who fast should be aware of certain facts if they fast during Ramzan, he further added.
All patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.
Type 2 diabetes will be controlled by diet and may require no special precautions.
Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after the predawn and/or sunset meal.
The exercise program for patients with diabetes on diet control should be modified to avoid lower blood sugar level. Exercise should be done 2 hours after the sunset meal.
Food restriction and dehydration may cause some cardiac risk in the elderly.
The choice of drugs in diabetes may require consultation with a doctor. Drugs that act by increasing the production of insulin are to be preferred. Some patients on metformin may fast safely with minimal complications. However, two-thirds of the total daily dose should be given just before the sunset meal and rest one-third before the predawn meal. Patients on pioglitazone may require no change in dose. Patients on sulfonylureas may require medical clearance before commencing fast.
Insulin dose also needs to be modified during the fast. Usually two doses of insulin, one before each meal, are sufficient.
If the blood sugar falls below 60, then the fast should be immediately broken.
Fast should also be broken if blood sugar rises to more than 300.
Patients should avoid fasting on sick days.
57 people found this helpful

My baby is premature 7 month. He was born on 18th july 2015. Baby is very active & growing properly. His weight is 3.5 kg. Baby is in AGRA UP. & I am living in Bangalore. I am planning to shift the baby in Bangalore. I am thinking to travelling by AIR to Bangalore. I having by Train option also. Please suggest which mode of transportation will be good for baby by Air or By Train.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is premature 7 month. He was born on 18th july 2015. Baby is very active & growing properly. His weight is 3....
As the baby was born prematurely there are chances that ductus getting opened up at high altitude and may go for hypoxia. As you can access for medical facilities in any place better to opt for train.
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My son is having leg ache frm last 4 years and now a days he is suffering from headache. What should i do?

BHMS
Homeopath, Faridabad
Hi, He may be suffering from so-called 'Growing pains'. Simple nutritional deficiency can cause general weakness of the body. Would advise you to take homoeopathic medicines - Alfaalfa Tonic and Five Phos. - both thrice daily, and let me know about your condition after a month.
1 person found this helpful
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My baby is 12 months but I am afraid to take green coffee beans to reduce weight .can you give me any advice on this .will it have any effect on baby.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby is 12 months but I am afraid to take green coffee beans to reduce weight .can you give me any advice on this ...
You can go ahead with weight reduction programme as usual. Baby will continue to take solid as usual. Avoid breast feeding.
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My daughter is 5 months old, she is having rashes in her skull, due to which she always had an irritation sensation every time, she is not able to sleep comfortably, please suggest what should I do.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is 5 months old, she is having rashes in her skull, due to which she always had an irritation sensation e...
Treatment depends on type of rashes. If these rashes are not red and having gray or blackish white patches, this may be cradle cap. You need not to worry, just apply coconut oil as soother.
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For 5year old kid..anti biotic is suitable incase he's having stuffy nose,lot of cough,frequent fever,congestion..?

M B B S , MD - Paediatrics
Pediatrician, Delhi
No antibiotics Required. [Automatically added by Lybrate] Click "Consult Dr. Amit K. Tyagi" below to consult privately with the doctor.
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My baby is 5 months old, he is having continuous loose motion from yesterday and now my baby is crying a lot. Can he have worms in his intestine. Early my mother in law gave him banana, curd, mango shake, orange juice.

C.S.C, D.C.H, M.B.B.S
General Physician,
If he is bottle fed stop bottle immediately and give breast milk and homemade semi solids. You can give cyclopam drops 7 drops which will reduce crying if due ti to colic pain. You need constant support in rearing abby. You can ask privately in this site. Regards.
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Is carrying heavy school bags bad for a child's posture? Does it bring any other problems?

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Heavy school bags for long time can cause posture problems and other problems. You can distribute the books for handbag. You can buy two sets of some heavy books for school and another at home.
1 person found this helpful
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My baby is 6 month old and yesterday she had loose motion (3 times) in a day. Her other activities are normal. Is it because of her teething or some other reason. And should I give her ORS.

DNB (Pediatrics)
Pediatrician, Amravati
My baby is 6 month old and yesterday she had loose motion (3 times) in a day. Her other activities are normal. Is it ...
Nothing to worry if baby is not vomiting, and no fever. Feed her regularly. Ors could be given but make it in given proportion.
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Hi I am a mother of 15 days old newborn baby boy. I have poor lactation n formula feeding my son. Please help me out with this problem. I literally want to breastfeed my son n grow him healthy. I had him through c-section. Thank you.

MD - Paediatrics, MBBS
Pediatrician, Kalyani
Hi I am a mother of 15 days old newborn baby boy. I have poor lactation n formula feeding my son. Please help me out ...
Take 3 healthy meals in a day with 3 snacks in between, take 8-9 hrs sleep per day and take 'lactonic granules' along with cow's milk twice a day. Breastfed your baby more frequently.
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My son is due for a 14th week vaccines, in his 10th week our doctor recommended pentaxim along with hepa B, it was painless so we went for it, I wanted to make sure is pentaxim is really as effective as the other painful vaccines as I've heard than pentaxim has very less immunity as compared to the other vaccines, also kindly guide which are the best vaccines for a 2.5 month old baby since he is due for his 14th month vaccines.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is due for a 14th week vaccines, in his 10th week our doctor recommended pentaxim along with hepa B, it was pa...
Whole cell pertussis is more pain full but more highly n lasting immunogenic and less costly than acellular though fully immunogenic. Every vaccine is good, there is no definition of best. Vaccine to be given as per schedule as per advise of your pediatrician. If there is any more queries, you may consult privately through Lybrate.
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Hello doctor, My 15 months old son is having red patches on his face. My pd suggested me to use eumosone cream for 5 days. They got cured after I have used that for 5 days but again now they are starting on his face. Is it safe to use eumosone repeatedly? Thank you in advance.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hello doctor,
My 15 months old son is having red patches on his face. My pd suggested me to use eumosone cream for 5 ...
Red patches may be allergy or infection, Eumosome is a steroid which is the treatment required in the case of allergies, if repeated allergies occur it has to be applied again. I suggest you to visit a Pediatric Dermatologist for expert opinion. And I suggest you to stop kissing the baby on cheeks.
2 people found this helpful
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My 4 year old is not improving his height and weight. Inspire of having nutritious food like fruits, boiled veggies and egg. I have being using pediasure for almost a year but no change. Even we got checked him for any ailments like lead test, HB and all. All the reports are normal. What should I do? Please suggest.

FCPS(Ped), Diploma in Child Health (DCH), DCH, MBBS
Pediatrician,
Each child has different basal metabolic rate, if your child is active and playful not falling sick very often and eating well do not do any thing with time and related growth spurts child will improve, no amount of test will give any answers regards.
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Hi my son is almost 6 yrs old and has been suffering from fever on and off for the last 2 and half months. We took all tests including urine test, blood test, chest x ray, ultrasound on the abdomen. All tests were normal but the blood test alone showed that crp count was raising every time the test was taken. He has been on antibiotics (amoxicillin, pencilin, augmentin, pencilin iv) for the last 2 months and still falling sick almost every alternate week. While the doctors say there is some infection that is causing the crp count to increase they are not able to say what is causing it. Should I be worried? should I take him for a full medical checkup for thorough examination? please note that for the last 2 months they were diagnosing as tonsillitis, viral infection, bladder infection, possible pneumonia but nothing came out positive in the tests. He does complain of eye irritation and pain in testicles sometimes. Please provide your insights.

MD - Paediatrics
Pediatrician, Mumbai
Fever on and off since 2 months. Means for how many days each episode lasts? your history suggests it is not infectious cause. Measure the temp. With thermometer and record it. Fever charting is very imp. For diagnosis what is crp value any time esr has been done? what are the tests has been done till now? need to see in details. Child is not hospitalised that means in between fever he is fine. Any joint pain, joint swelling? history of tb in family or close contact? what has happened to weight in last 2 months. Most probably fever is due to inflammatory condition. Need to be worked up.
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When we bathing to babies if they are swallowing the water will the baby suffer from cold is it true and also tell us which medicines used for wet cough and cold for 3 months baby.

MD Pediatrics
Pediatrician, Vadodara
When we bathing to babies if they are swallowing the water will the baby suffer from cold is it true and also tell us...
No it's okay for some water to go through mouth. Dry the baby as soon as bathing is over which will prevent catching cold. Simple nasal saline drops will do for nasal blockage due to simple cold. If it increases consult your pediatrician.
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My son aged 10 years having stammering problem from 4-5 years. When he get weak by fever or by any other reason the problem increased. Pls suggest how to get treated this problem.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
At least Family members should start to talk to him slowly and encourage him to talk slowly, he should not be fast to speak. Gradually he may start to speak without stammering. You may consult speech therapist also.
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My baby boy is going to be 6 months this 29 he' s on bf plus morning & night nan pro 1 please advice a schedule to start semi solids in how much quantity and gap if days or should I continue nan pro 2 or start packet milk

Pediatrician, Pune
Continue with breast feeds till at least 1 year of age, avoid giving top milk, powders, natural home made food is the best for baby, to start with you can introduce rice water, light liquid moong dal, gradually increasing the quantity and increasing the consistency of dal and rice, you can additionally add boiled vegetable after 15 days /1month in dal and rice, subsequently with mashed fruits, banana, chikko, papaya, - see that when you introduce any new food there is a gap of 15 day to 1 month, happy parenting.
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Hi my son one year . Problem is he needs me all time. He wants to hold me all time not going to any one. He plays little time later he want me. Please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my son one year . Problem is he needs me all time. He wants to hold me all time not going to any one. He plays lit...
At one year this can be normal dependency on parents and and you have to be patient and also encourage him to take steps by holding him. It is too early to worry much
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How to Recognise Asthma?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
How to Recognise Asthma?

Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? Here is a list of ways!

  • Risk Identification: It has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.
  • Symptom Identification: To be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold. 
  • Respiratory Health: If you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis. 

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.

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