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Dr. Arun Durgal

MBBS

Pediatrician, Gurgaon

300 at clinic
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Dr. Arun Durgal MBBS Pediatrician, Gurgaon
300 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Arun Durgal
Dr. Arun Durgal is a renowned Pediatrician in New Gurgaon, Gurgaon. He has done MBBS . You can meet Dr. Arun Durgal personally at Umkal Hospital & Metro Heart Institutes in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. Arun Durgal on Lybrate.com.

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MBBS - - -

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Umkal Hospital & Metro Heart Institutes

H-Block, Palam Vihar, Landmark: Opp. Chancellor Club, GurgaonGurgaon Get Directions
300 at clinic
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Umkal Hospital & Metro Heart Institutes

H-Block, Palam Vihar, Landmark: Opp. Chancellor Club.Gurgaon Get Directions
300 at clinic
...more
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Appendicitis in Children

MD - Paediatrics, MBBS
Pediatrician, Delhi
Appendicitis in Children

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.

  1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
  2. Fever, nausea, and vomiting
  3. Abdominal fullness or bloating
  4. Elevated white blood count (as with most infections)

Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.

Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

4859 people found this helpful

My 20 months baby is due for vaccination. Can anyone please tell me if pentaxim (painless) is still available with any Paediatric doctor in Pune?

Pediatrician, Chennai
My 20 months baby is due for vaccination. Can anyone please tell me if pentaxim (painless) is still available with an...
Hello lybrate-user. First of all I want to make it clear to you that there is no absolutely painless vaccine. Every vaccine, whether large or small needle is used, has to be given by prick only. And this will surely cause some pain for your baby. Inj. Pentaxim consists of DPT, IPV and Hib. 5 components. It has not been available for quite some time now. Hence most of the doctors give oral polio drops and quadravax injection with DPT and Hib. Anyways you can enquire with nearby doctors once. Hope this helped you!
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My son is 2.5 yrs. Old. My husband and I both are working and no one in house for take care of him. So, we are decided to shift the son at dombivli my mom' s home and we are staying at mulund. Is it possible with my son or some problems happens with him?

M.D.( Pediatrics), DCH
Pediatrician,
Separation from parents can cause emotional problems in the child. Work out some solution, so that you can take care of child everyday after working hours.(more so if child is demanding).
1 person found this helpful
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I need some information about my baby she's 17 days old in head water no noise upper lip cut I am submitting her reports CT scan ultrasound.

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
I need some information about my baby she's 17 days old in head water no noise upper lip cut I am submitting her repo...
Hi as you mention about water retention in the brain that is called as hydrocephalus, the treatment modalities for the same depends on the degree of the hydrocephalus, the ecological factor for which we must know the ct scan findings and ultrasonography findings, but as far as hydrocephalus is concerned, it does require medical or surgical intervention depending on the severity of the disease.
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I am 30 years old. I am having a baby of 4 1 / 2 months. I am breastfeeding her but I have a doubt whether she is getting enough milk or not .my baby's weight is 5.7 kgs. So my neighbours are suggesting me to take bread & milk for more milk production. Is it safe & healthy for me to take bread & milk daily twice. Please give me the right diet pattern to increase my milk production.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I am 30 years old. I am having a baby of 4 1 / 2 months. I am breastfeeding her but I have a doubt whether she is get...
Your baby's weight is normal according to the age. Signs of adequate milk production are adequate weiight gain, 6-8 times passing of urine and adequte sleep. Drink enough water. If you take good food millk production will be good. No harm in taking milk and bread.
1 person found this helpful
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Night Time Cough - 5 Tips to Manage it

MBBS
General Physician, Mumbai
Night Time Cough - 5 Tips to Manage it

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

  1. Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
  2. Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don’t come up to irritate your throat.
  3. Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don’t have asthma as steam can prove harmful for you.
  4. Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
  5. Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.

By following these few tips every day, you can manage the night time cough and have a good night’s sleep without any interruptions. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

10054 people found this helpful

Hi, Dr. My son suffering cold and cough from last two weeks also have blocked nose problem I consult local doctor and he gave some antibiotics, sumo cold drop's and nasal drops now cough problem solve but have fever last one day when I give him sumo cold drop's it normal but not gone permanent what can I do please help.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hi, Dr. My son suffering cold and cough from last two weeks also have blocked nose problem I consult local doctor and...
Usually these kind a fever are of viral in origin. By their nature they produce high grade fever for 3 to 4 days and then resolve .however its always great to be in touch with your pediatrician to rule out other signs of non viral fever. Regards.
1 person found this helpful
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My daughter is 2 years old she is not doing motion daily. What to do she has done last motion 2 days back.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 2 years old she is not doing motion daily. What to do she has done last motion 2 days back.
In this age many children do have constipation. Most often it's functional. Give plenty of fluids. And fibres like vegetables and fruits. Presently you can insert dulcolax ped suppository which will evacuate.
1 person found this helpful
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I have 2 month baby. While feeding. My breast got cut (wounded) on one side. What I should do now please help me. How to feed baby when it pains.

post graduate in paediatric nutrition
Pediatrician, Srinagar
I have 2 month baby. While feeding. My breast got cut (wounded) on one side. What I should do now please help me. How...
This is a common problim. Do not wash your nipple with soap. Keep your nipple dry. You can apply hind milk that's last milk to your nipple. Do not wear bra. All this will help you. You can also give milk from another nipple or get nipple sheild sold in market.
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My son is 1 year 8 month old, not eating food properly. Weight 9.2 kg. Height 73 cm. Shall we give medication for worms or not.

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
My son is 1 year 8 month old, not eating food properly. Weight 9.2 kg. Height 73 cm. Shall we give medication for wor...
Child under 5 year should undergo deworming process in every 6 month, irrespective of any illness.
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ADHD in Adults

B.A. Hons . Psychology, MA Psychological Counseling, EDM Psychological Counseling, Trauma Specialist, MPhil Clincal Psychology
Psychologist, Hyderabad
ADHD in Adults

Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.

  • Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.
  • Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.
  • Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.
  • Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.
3681 people found this helpful

Hi doc, my baby is 7 months old. He is hesitating foods even milk. 2 days before he got fever now he is alright. . But not taking anything. What could be the problem. I am really worried. Please advise.

M.Ch - Paediatric Surgery, MS - General Surgery
Pediatric Surgeon, Kolkata
Hi doc, my baby is 7 months old. He is hesitating foods even milk.  2 days before he got fever now he is alright. . B...
Normally after any febrile illness, babies may refuse feeds for a while. Try ors or fruit juice to avoid dehydration. Things will be fine soon.
2 people found this helpful
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My child is crying continuously and she had dry and painful stools and very little urination. What to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
My child is crying continuously and she had dry and painful stools and very little urination. What to do.
Thanks for seeking health n fitness with ayurveda but now remotely hard to add value but water soaked resins, application at anus of coconut oil mixed with camper will work for her till you consult paed sx.
1 person found this helpful
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Son is 1.9 years old. And in our location hospital is about 10kms away! I want to know what is the immediate thing i've to do if while eating or drinking some food particles or milk got stuck in mouth airway. Because this is a common dangerous accident that can happen among kids!

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Son is 1.9 years old. And in our location hospital is about 10kms away! I want to know what is the immediate thing i'...
You must hold the child upside down and give a strong thrust on the back so that the lodged foreign body will come out.
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My father have been continu cough sincelast 8 months i dont know what happen in my fathe.R they have work welding.

MD , MBBS
General Physician, Aligarh
Ask him to get a chest x ray done. The welding rays are harmful. And better give him rest for some days.
1 person found this helpful
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Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain weight. Note:we are frequent telling from Chennai to Bangalore is that also a reason for her poor growth?

DHMS (Hons.)
Homeopath, Patna
Hi doctor, my 13 month old baby becomes very lean nowadays. What are the main reason for weight loss? How to gain wei...
hello, lybrate user, it might be a fact as frequent movement of yours might cause irregularity of feeding to your baby resulting malnutrition to your baby. ensure,her feeding timely to gain weight , please. Tk. care
1 person found this helpful
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Hi, my son is now 4 years old he's only 13 KGS from last her he's not gained wt he's active I am worried about his at his birth weight was 3.4.

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopath, Navi Mumbai
Hi, my son is now 4 years old he's only 13 KGS from last her he's not gained wt he's active I am worried about his at...
His weight is within normal limits. Please do not worry. The main parameters in this age group is not weight but his behavioral patterns. Whether he is socially active and good. Responds to the commands of parents. Talks logically, has a good eye contact etc. But if you are too worried about his weight, you can give him alfalfa of homeopathy.
2 people found this helpful
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Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her cow s milk. And in wat quantity should I give. Please suggest.

MBBS DCH
Pediatrician, Gandhinagar
Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her...
Normally only breastfeeding is sufficient for the first six months of age. If your baby is not gaining weight (normally weight increase is 25-30/ day for first 3 months) then start formula along with breastfeeding. Don't give cow or buffalo milk. Start with 60-90 ml per feed. Don't use bottle.
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