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Dr. Ajay Karkra  - Pediatrician, Gurgaon

Dr. Ajay Karkra

Pediatrician, Gurgaon

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Dr. Ajay Karkra Pediatrician, Gurgaon
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Personal Statement

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. Ajay Karkra
Dr. Ajay Karkra is a renowned Pediatrician in Sector-51, Gurgaon. You can consult Dr. Ajay Karkra at Max Hospital-Gurgaon in Sector-51, Gurgaon. You can book an instant appointment online with Dr. Ajay Karkra on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 31 years of experience on Lybrate.com. You can find Pediatricians online in Gurgaon 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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Specialty
Languages spoken
English
Hindi
Professional Memberships
Indian Academy Of Pediatricians
Indian Medical Association (IMA)

Location

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Max Hospital-Gurgaon

B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, GurgaonGurgaon Get Directions
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My son is 4years old. He is too much silent in nature. He is not play any game like other children. He didn't talk too much. I am worried. please tell me the solution.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Do not worry and be relaxed-------myself is a homoeopath and you just give him th below given homoeeopathic medicine every month at night just before sleep for next 6 months and ssee a drastic change in his nature altogether---------------------- baryta carb 30 (dr reckeweg) drink 2 drops in 1 spoon fresh water very month------------------
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My Kid is having teeth problem (swallow teeth due to bottle feeding but not know) I have consult the doctor near by they suggested the root canal for 5 yrs old kid is it ok to go for root canal into early age. Bcoz its only a milk teeth.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I dont think that an RCT is required until and ulness there is some serious nerve damage from where the teeth accidentally came out. The milk teeth are shed from 6 years onwards till about 10 years of age. The permanent teeth appear by 6 years of age. Between the ages of 6 - 9 years the child has some milk teeth as well as some permanent teeth This period is called the mixed dentition period. By about 12 years all the milk teeth should be shed off and replaced by the permanent teeth.
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My daughter diagnosed with lactose intolerance from 15th day of her birth now I am feeding her isomil formula and doctor gave her lactose enzyme drop to drink her I want to know is this curable and what should I do to help her coz she does loose potty always and many times I want to ask that should I stop breastfeeding and I drink milk should I stop drinking milk?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter diagnosed with lactose intolerance from 15th day of her birth now I am feeding her isomil formula and doc...
In lactose intolerant babies, milk of any kind is not advised so mother's milk. Since you shall not feed baby. Milk is not prohibited for you. It is not curable.
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Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

I am suffering from jaundice due to gallstones so can I breastfeed my 2 month old baby.

BHMS
Homeopath, Faridabad
Hi, don't worry you can breastfeed your baby and you should start taking Alpha liv , 2 tsp, thrice daily.
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My sister had adopted a girl child a year back. Baby was then 7 days old. Later as time progresses they figured out her brain size was not increasing normal. How after many doc visits they have settled for some therapy courses everyday for her developmental. She s 1 1/2 years now. Still doesn't walk. But starts sitting with bend down. Forward. She claps smile and sees everyone. Can U pls suggest more as how we can help her without any delay.

MD Pediatrics
Pediatrician, Vadodara
My sister had adopted a girl child a year back. Baby was then 7 days old. Later as time progresses they figured out h...
This is case of developmental delay. Also the size of head is small ie microhead (micro cephaly is present. The condition of the child needs to be evaluated right from birth history as any perinatal insult ie insult to babies brain during birth may lead to these changes. The parents must be giving the child physiotherapy for development. You can go for MRI to find the cause of neurodevelopment delay but it will not have any effect on the treatment as a whole.
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My baby are suffering from hydronephrosis in left kidney and multi cystic in kidney.

International Academy of Classical Homeopathy, BHMS
Homeopath,
My baby are suffering from hydronephrosis in left kidney and multi cystic in kidney.
Take Cantharis 12c twice a day for 3 days Ber vul mother tincture for 10days Lyco 3c 4tims for 2 days
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My girl child has Down Syndrome. She is 5 years old now.Her speech is delayed.She has tonsils.Due to tonsils she has week imuue system. Please give me some sujeshion. Thanks

DIABETES MANAGEMENT, MBBS, Diploma in Family Medicine
Geneticist, Hyderabad
Hi lybrate-user, There is developmental delay in all spheres (motor, adaptive and social) in children with Down’s syndrome and most common genetic cause of learning disability & mental retardation. As there is no curative therapy, counseling has a central role to play in the management. Having Down's syndrome child can be challenging at times. But with help professional support, most people are able to have healthy, active and more independent lives. There are many children who have done wonders and hence take it as chanllenge and support your kid to develop and learn.
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My 6 month baby is vomiting frequently and also have motion problem very loose. Is this normal at this age or should we take treatment. We feed only milk.

MBBS, MD - Paediatrics, CRT in Autism
Pediatrician, Delhi
My 6 month baby is vomiting frequently and also have motion problem very loose. Is this normal at this age or should ...
Dear Mr. Lybrate-user, I would say that I am not much concern about the loose stool and vomitings (milk) much. But having said that the baby is 6 months old, I would rather ask you to start weaning him. Some other food should also be started apart from milk.
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My baby is 2.5 months old he is doing potty after 3 or 4 days when I use spojetri. Is there any problems?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby is 2.5 months old he is doing potty after 3 or 4 days when I use spojetri. Is there any problems?
Regular breast feeding and dulcolax suppositary to be applied locally. this is a normal at this age.
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