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Dr. Vivek Sahani

Pediatrician, Delhi

1100 at clinic
Dr. Vivek Sahani Pediatrician, Delhi
1100 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Vivek Sahani
Dr. Vivek Sahani is one of the best Pediatricians in Saket, Delhi. He is currently associated with Dr. Vivek Sahani@Chikitsa Hospital in Saket, Delhi. Book an appointment online with Dr. Vivek Sahani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 25 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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B/4, Saket, Opposite Gyanbharathi School, Near Malviya Nagar Metro Station, DelhiDelhi Get Directions
1100 at clinic
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My child just 4 yrs old suffering with heavy loose motion, can't find any doctor on my location before 11 o clock please advice me

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Try giving him a little ginger as it reduces the formation of unpleasant gases in the stomach, thereby, helping in controlling loose motions, give a spoonful of mustard seeds with water as it brings remarkable change after sometime. Buttermilk is an excellent option as acid in it fights germs and bacteria and helps clear stomach. Consuming bananas with a little curd is the most traditional home remedy to stop loose and it works wonders. God bless.
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My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. We are giving her enfamil a+ and rice dal. Please suggest what to do ?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. W...
You give her only breast milk. If you give bottle feed stop it and give with cup and spoon. Check her tsh and inform me. As you are giving formulas give boiled water frequently and send me report.
1 person found this helpful
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My two daughters 11 and 7 years of age. Both have severe cough and throat infection problem.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Give them both: acon -30, rumx -30, bell -30, crot c -30, sul -30 three drops of each in half cup of water - give each girl qrtr cup 6 times a day for 5 days.
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

My baby boy is three months old and he is not getting mother feed directly and how he will get start to sick the feed directly.

MBBS
Pediatrician,
My baby boy is three months old and he is not getting mother feed directly and how he will get start to sick the feed...
Try to take out the breast milk and feed him by spoon slowly, but carefully this is called spoon feeding then allow him to suck breast.
1 person found this helpful
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I am a boy with 16 years Tell me about that ejaculation is good for me or not And is affect my health and my weight.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
I am a boy with 16 years
Tell me  about that ejaculation is good for me or not
And is affect my health and my weight.
I hope you are referring to masturbation, though masturbation is not harmful but anything in excess will have its harmful effects, hence avoid ejaculation at this age.
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I have some kind of allergy from dust. Because of this I think I usually suffer from tonsillitis. What can I do or should do to be healthy?

MBBS
General Physician, Cuttack
Do an allergy test after consulting allergy specialist and follow the advice and treatment given by him
1 person found this helpful
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My child (2 years old) is having blisters in throat due which he had fever which has now subsided but he is not eating or drinking anything. Due to this he is getting irritable. Currently Doctors has prescribed Zytee which is a pain relieving gel, Maxtra and azithral. What could be a better medicine for his blisters.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My child (2 years old) is having blisters in throat due which he had fever which has now subsided but he is not eatin...
Ask the child to gargle with lukewarm water with some pinch of salt in it. Even a mouthwash gargle would be better option to gargle. Do not let the child swallow the mouthwash. This should be done atleast thrice in a day.
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my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating egg for two times for one day. Its good or bay for her health?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
my baby is one and of year old. She did not get food properly. Any time she asking milk. She likes egg and she eating...
Basic principles of feeding are no baby can remain hungry until critically ill. Please don't give them choice of food, move on to next feed if they refuse one. Eggs are good proteins with high biological value means maximum absorption and utilisation of proteins. Milk in a day for her age 500ml is upper limit. Offer her home made food which your family eats regularly even if she doesn't eat every time.
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My. 5 months daughter suffering. From cold and. Cough. please give me. Some suggestions.

MD - Paediatrics
Pediatrician, Jamnagar
My. 5 months daughter suffering. From cold and. Cough. please give me. Some suggestions.
If there is fever and crankiness due to pain, give paracetamol. If not looking well, see your pediatrician soon.
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My 4. 5 yrs old daughter is having andenoids problem - enlarged tonsils. She has a sound sleep. No noise from nose while sleeping. X-ray showed enlarged tonsils. Need treatment.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Adenoid and tonsils are two diff. For tonsils xray is not required. Take zifi dt 100 1 tab/twice/day for 7 days
2 people found this helpful
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My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black patches around neck and around mouth. What to do to get rid of this situation. Please advise.

B.H.M.S
Homeopath, Patna
My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black pa...
Plese contact in person with any homoeopath physician for taking case history. Or with me on chat site the patient will recover 100% please send detailes about the patient 2. Ignatia 1m give her one drop 6 hourly for 9 days.
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Sir, My baby born last week 14.03.2017 baby is normal delivery wt: 2.265 kg but after one week phototherapy at discharge status wt is 2.035 kg now continue any drops are other medical advice please sir.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
Sir, My baby born last week 14.03.2017 baby is normal delivery wt: 2.265 kg but after one week phototherapy at discha...
Usually we expect 7-10% wt loss in first week of life, then baby start gaining it back. By 15 days baby should regain atleast birth weight. Since baby was low birth weight, will need few supplements. Visit local Pediatrician for same.
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Benefits of Preventive Dental Treatments in Children

MDS - Pediatric and Preventive Dentistry, BDS
Dentist, Hyderabad
Benefits of Preventive Dental Treatments in Children

The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

  • Maternal care during pregnancy: The teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.
  • Routine oral hygiene: For the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin. Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.
  • Fluoride application: Fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.
  • Pit and fissure sealants: The tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.
  • Space maintainers: In the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.
  • Orthodontic treatment: If there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time! If you wish to discuss about any specific problem, you can consult a dentist and ask a free question.

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Mybaby is born on 11th april can I give her non- veg and all the fruits? please suggest food.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Mybaby is born on 11th april can I give her non- veg and all the fruits? please suggest food.
Hello, Yes you can give her well cooked minced nonveg and all the fruits, specially seasonal ones. If you have never given nonveg, try to introduces cooked eggs first as they are easily digested by the babies.
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My daughter is 5 months and while I was going to clean her diaper I saw little transparent discharge so I cleaned the area is it something to be concerned about please help.

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
My daughter is 5 months and while I was going to clean her diaper I saw little transparent discharge so I cleaned the...
Unless the child cries an take her hand constantly at affected area no need to worry. If yes then wash area with 1Tablespoon of baking soda diluted in 1litre of water and use cotton clothing instead of diaper.
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My son is 8 years old and he wets his bed daily during night. Suggest what need to be done ?

MBBS DCH
Pediatrician, Gandhinagar
Your child is suffering from nocturnal enuresis. He needs a medical treatment. Restrict fluid intake atleast 2 hrs before sleep.
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We have a son having achondroplasia. His age is about four years. Structure is smaller than normal child. I have heard about growth hormone therapy. But where we will get its specialized treatment?

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
We have a son having achondroplasia. His age is about four years. Structure is smaller than normal child. I have hear...
There is no role of growth hormone in achondroplasia unless associated with growth hormone deficiency. Please do not get misled that growth hormone shall accelerate the height of short stature due to achondroplasia.
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My daughter had turned 2 months old today. Her vaccination hexavalent pneumococcal conjugate is due by end of 2nd month. Can I delay this vaccination by another 1 week. As there is no provision for vaccination in this town.

BHMS
Homeopath, Agartala
My daughter had turned 2 months old today. Her vaccination hexavalent pneumococcal conjugate is due by end of 2nd mon...
Yes definitively you delay not early. You can easily wait for 10 days more no harm on that. Take care.
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