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Dr. Himani Narula Khanna

Pediatrician, Gurgaon

Dr. Himani Narula Khanna Pediatrician, Gurgaon
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Himani Narula Khanna
Dr. Himani Narula Khanna is a trusted Pediatrician in Sector-51, Gurgaon. You can meet Dr. Himani Narula Khanna personally at Artemis Medicare Services Pvt. Ltd in Sector-51, Gurgaon. You can book an instant appointment online with Dr. Himani Narula Khanna on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 27 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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Sector 51, Gurgaon, Haryana. Land Mark : Near Unitic Siber Park, GurgaonGurgaon Get Directions
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My baby girl is eight months old, yesterday night she was crying fully and today I can see a discharge in her left ear like pus, and she cries touching ear and when eating and when trying to sleep.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This may be otitis media, need not worry, avoid head bath, instill ear drops like candid / otogesic ear drops 2 drops each ear 3 times daily. If child is having fever I suggest you to start a course of antibiotic after consulting a paediatrician in person.
1 person found this helpful
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My 3.5 months old baby girl was born normally with a weight of 3 kgs. What should be her ideal weight by now. And how much should be her weight at 4 months.

MBBS, MD
Pediatrician, Gurgaon
6.5kg. Weight gain in first six months is app. 250gms per week. These figures are average their can be variation depending on breast milk out put etc. Thanks.
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Female baby born in one month. She is cryings repeatedly. Baby weight is very less near 2.700grams only. How can improve weight and body colour. And avoid crying. Please suggest me.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Continue breast feeding at every 2-3 hours. Check for nasal block, correct with saline nasal drops. Burp baby well after every feed. Put dulcolax suppositary if she is constipated. Check clothes if comfortable for outside temperature. Correct accordingly.
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My baby is 4 month old and as he rolling due to pressure on stomach he is vomiting 8-10 times and his toilet is yellowish color proper but doing 3 to 4 times a day little little. Here he is drinking and then rolling and then vomiting. He is not vomiting milk but its like curd. I consult a Dr. he suggested perinorm 8 drops thrice a day is it safe to give him perinorm as I have read a lot of side effect of perinorm. If not perinorm than kindly suggest a substitute for the same.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
If baby's wt is about 5.5 kg and gaining regularly, you need not to worry. Burping after feed is best to control such type of vomiting (regurgitaion. It is normal and motion 3 to 4 times in a day is also normal. No need to give perinorm.
3 people found this helpful
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Cold and Cough in Children - Precautions that Parents Must Take

Senior Residency, MD - Paediatrics, MBBS
Pediatrician, Gurgaon
Cold and Cough in Children - Precautions that Parents Must Take

Cold and cough is caused by a viral infection, which can last for about two to four weeks. The symptoms include stuffy or a runny nose, coughing and sore throat. Many times, the infection may raise body temperature and the child may suffer from fever. Our body’s immune system naturally fights with such infections. Depending on the type of cough and the symptoms, the virus can stay active in the body for about 4 to 6 weeks. It is quite painful to see the child suffering from cold and cough. The symptoms of this infection are worse during the first two days.

The child will experience pain and irritation in the throat with difficulty in swallowing, frequent coughing with mucous, breathing difficulty and high fever. Most parents rush to over the counter drugs for cold and cough to ease of their child’s agony. However, most drugs/ cough syrups available over the counter only provide temporary relief. Medical evidence suggests that antibiotics do not kill viruses, thus, it is not advisable to treat cold and cough with antibiotics unless accompanied by another infection. So, what do parents do? Well, there is a lot that can be done.

Let’s first understand the type of a cough your child might be suffering from:

  1. Dry cough: Generally occurs due to infection in upper respiratory tract, cold or influenza. Children with asthma and allergies are also prone to this type of cough as dry cough is triggered by smoke or dust.
  2. Croup Cough: A harsh barking and dry cough with swelling beneath vocal cords.
  3. Wet Cough: Most commonly caused by cold. This is an infection of the lower respiratory tract characterised by mucous secretions.
  4. Whooping cough: Characterised by fast coughing, breathing difficulties and a whooping sound while breathing.

Apart from this, If coughing starts suddenly along with choking, the child may have inhaled a foreign body. Immediate help may be required. For babies less than 12 months of age, cold cough followed by breathing difficulties may indicate bronchiolitis and require a paediatric attention. A normal cold and cough generally subside with two to four weeks. However, it is important to understand when to consult a doctor.

  • Chest pain or breathing problems
  • Cough lasting for more than 6 weeks.
  • A yellow, green or brown mucous indicating another infection.
  • Swollen glands, persistent high fever, rashes.
  • Body getting pale and symptoms getting worse.
  • Temperature higher than 38 degrees in the case of infants.

Precautions and diet that should be taken care of

  • Increase Intake of fluids especially hot liquids
  • Never stop breastfeeding the baby
  • Vapour rub applied on chest and back is an effective remedy
  • Inhaling steam provides relief to a sore throat and nose
  • Intake of crushed tulsi leaves with honey or hot turmeric milk is soothing and very helpful

There is little we can do to prevent viral infections. However, proper care and caution can ensure a smooth recovery.

Hi. My daughter is 7 years old and still doing thumb sucking and after trying so many things. She is so adamant and reacting very badly, when I insist her not to keep finger on the mouth. Seriously her teeth shape is too works now and im really worried about this. Please help me to proceed with this. Do I need to consult any paediatrician to discuss with this?

MBBS, MD
Pediatrician, Gurgaon
generally these choldren sucks thumb when they are alone.passively sitting in one corner of house.so first thing is let them keep busy.they should have all work done by themselves.play in group.gradually they will improve
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My daughter is 5 years old. I want to improve her health and increase weight. She is too much slim and weight less and most of time suffering from fever/cold/cough in b/w 1 or 2 months. Please Help.

MBBS, MD
Pediatrician, Gurgaon
Weight gain at five years is 20 kg. Average. It also depend on food, you offer. Self feeding, quility home made food given 4-5 times day at 4-5 hours interval is all that required. Common cold is seasonal in nature seen in this month. No antibiotics, only nasal consetion treatment is required.
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My child school teacher suggested for OT to him. His age is 10 years. He is very hyper active kid and not studying properly.What can i do?

C.S.C, D.C.H, M.B.B.S
General Physician,
Your child may have ADHD and Occupational therapy (OT) is the use of assessment and treatment to develop, recover, or maintain the daily living and work skills of people with a physical, mental, or cognitive disorder. He will get help form it.
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Hello Dr. mera baby one and half month ka hai aaj wo subah se sota hi jaa rha hai even rat me bhi puri rat soya tha wo feed be kam kar rha hai kya reason ho skta hai plzz rply urgent.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
please check his temperature if abnormal either high or low then take him to a pediatrician otherwise most likely he will be OK. If he is breast fed then did mother take any sedative last night?
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Hi, I have two daughters. My younger daughter is 3 years old and she is very prone to disease. Her immune system is very weak. Always try to avoid her meals. Every month she get ill. Please suggest something for her.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Being a homoopath ,I have developed a combination for children who suffer from frequent infections leading to sserious health and growth related issues.Consult me a the reults are guranteed and you will not regret for your decision.I will be happy to guide you.
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Can baby shampoo is good for adults. I am using jonshon and jhonshon baby shampoo and my hair fall is increasing. Hair become dry and damaged.

C.S.C, D.C.H, M.B.B.S
General Physician,
Yu can use as good one but about hair fall read on. In general, you lose about 50-100 strands of hair each day, but the loss is not visible as new hair grow in their place. However, if you lose more than a 100 strands in a day and more than 200 strands on the day you shampoo, you may be suffering from what is known as excessive hair fall. Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must. 4. Stress gives rise to certain conditions such as alopecia areata, telogen effluvium (hair loss caused post-pregnancy or surgery) and trichotillomania (an impulsive need to pull your hair out), which can cause you to lose significant amount of hair. To avert a hair loss crisis caused by stress, make it a point to do some simple stress-reducing exercises, such as meditation or breathing exercises. 5. Using hair styling products like hair colours and straighteners can cause you to experience hair fall problems. Your hair not only becomes dull and dry due to their use, but also becomes weak and brittle, leading to a gradual loss of hair. Regular oiling and use of homemade hair masks are some of the ways you can try to counter the negative effects of these hair styling products. 6. The drugs that are used in the treatment of cancer not only destroy the fast-growing cancer cells, but also the healthy blood cells in your body. For this reason, consuming foods that possess cancer-fighting properties (like oatmeal, tomato, almonds, garlic etc) is a sure-shot way of fighting the disease as well as averting any side-effects that may arise because of the treatment. 7. Alopecia areata. Lastly, hair fall can also be caused by alopecia areata, which is a kind of hair loss that takes place when your body’s immune system erroneously attacks your hair follicles, and prevents growth of new hair. 8. Genetics. The origin of your severe hair fall or baldness can be traced back to your ancestors. So, your genes can be a factor behind your hair fall problem. If this is the cause, your body then becomes unable to produce new hair. Apart from the changes that you can make in your lifestyle to address the causes of your hair fall, there are also techniques out there that you can employ to permanently treat your problem, such as platelet rich plasma, mesotherapy, stem cell therapy, ozone activated platelet rich plasma & hair transplant. 4 Common Combing Mistakes That Lead To Excessive Hairloss You will be surprised to know that about 35 million men and 21 million women suffer from excessive hairfall in India. Excessive hair fall can be the result of certain illnesses, hormonal changes, over-use of hair products that contain chemicals or a poor diet. What you may not have considered is that you can also lose a lot of hair by combing it the wrong way. Check if you’re making these common combing mistakes. 1. Are you combing your hair from the roots down? If you’re combing your hair you should always start from the middle while working it downwards. Move the comb upwards (near the roots) only when there are no more tangles remaining in the bottom half. If you start combing from your roots, you may have to fight more tangles on the way to the bottom. This induces strain on your scalp, and increases hair breakage. The end result is weak hair and roots, and more hair fall. 2. Are you combing post the application of a hair product? A comb should never be used just after the application of a hair paste, serum or cream for treatment or styling. You must use only your fingers to comb through your hair once you've applied a styling product. If you use a comb post-application of a styling product, it not only loses its effect, but may also harm your hair and its texture. Consequently, it may lead to increased breakage and hair loss over time. 3. Are you detangling your hair after shampooing or washing? Hair is known to be at its weakest when wet, which can also make it prone to tangling. Combing and excessive pulling of tangled, wet hair increases your chances of hair breakage and eventual hair loss. To avert water-induced frowns, you can try giving a comb-through before wetting your hair in the shower. Alternatively, you can also try combing your hair during a shower. Apply the conditioner first; next, untangle the strands by using only your fingers, and then use a wide-toothed comb just before washing. 4. Are you regularly back-combing your hair? Sometimes people back-comb their hair from the roots working towards the ends. This hair teasing technique adds volume and texture to your hair. Although it’s a great trick, its regular use may damage your hair cuticles, which as a result, may also ruin your hair’s quality, lead to frizzy hair and increase breakage and hair loss. To get the element of volume without the damage, you can try light hair sprays, which help you in getting a similar look.
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Bedwetting - 7 Possible Reasons Behind It

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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My child is 7 and 1/2 yrs and has been detected with celica desires how much r the chances of getting it cute and wht future to take care of? is it the wheat has to be completed stopped? or if consumed by mistakenly as she's a child how far it wil harm her?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
There is no permanent treatment for coeliac disease. Best way is to avoid wheet and wheet containing food items as chemical substance called gliadin present in those items is responsible for the problem.
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My daughter at the age 11+ now, having a problem of bedwetting at night. please suggest.

BAMS
Ayurveda, Bangalore
Some children attain control over urination very late. You should try to train them as much as possible. Wake them up every 2-3 hrs once at night and take them to the toilet. Ask them not to drink water or milk before going to bed which helps to reduce the urine production. Make sure theat the child does not have any neurological deficits by getting them examined by a doctor.
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I have 3 month old baby boy. Usko sardi hey or nak band ho jati hai. To koi salah Yaa koi drops. Use or koi problem nai hai. Nind kam hai to vo puri nind kare aesa kuch bataye .pls.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Prateet hota hai yah encrypted ho kar gaya hai athhava aapaka system hindi font ko support nahee karata hai. Kyonki bachche ko koi aur samasya nahee hai, isiliye kewal Saline Nasal drops din mein 3-4 baar naak mein dalane se naak khul jayegi aur nind bhee sahee ayegi agar bachcha bhukha nahee hai.
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Pneumonia - 5 Ways You Can Prevent Yourself Against it

C.S.C, D.C.H, M.B.B.S
General Physician,
Pneumonia - 5 Ways You Can Prevent Yourself Against it

Are you aware of the number of people who suffer because of pneumonia? As the weather becomes cold and damp, chances of getting affected by pneumonia increases. Pneumonia can originate from virus, bacteria and a host of other factors. It is one of the most common ailment which affects the adults, all over the world. Hence, it is important for all of us to prevent  ourselves from pneumonia and for that we can follow the below mentioned steps:

  1. Know about the symptoms of pneumonia first: It is difficult to detect or diagnose pneumonia, especially in people over the age of 65. In older patients, the common symptoms such as fever, chills, cough may not be experienced. You should watch out for non-respiratory symptoms like weakness, dizziness, delirium and confusion. It is even more difficult to diagnose pneumonia in people who are suffering from preexisting conditions.
  2. Practice good hygiene: Common respiratory infections, influenza and cold may cause pneumonia. You should follow hygienic habits. Wash your hands regularly before meals and use hand sanitizers in order to prevent the illness from spreading. You should also maintain proper oral hygiene as several oral infections may also lead to pneumonia. You should also keep away from people who are affected by pneumonia or any other illness like flu, cold and serious diseases such as measles or chicken pox. All these factors may cause pneumonia.
  3. Get vaccinated: It is recommended for people of all ages who may be at a risk of getting pneumonia to get vaccinated and immunised against pneumonia causing virus called pneumococcal pneumonia. This is a one-time vaccine, which prevents and reduces the severity of pneumonia. A booster vaccine after every five years may also be prescribed. Elderly people should be vaccinated against all diseases which cause pneumonia.
  4. Quit smoking: Smoking accounts for being a major cause or risk factor for pneumonia. It increases a person’s chance of getting pneumonia as the lungs’ ability to defend themselves from the infection is reduced. By quitting smoking, you will be able to prevent pneumonia.
  5. Maintain a good general health: Maintaining an overall good health and following healthy habits will help you in preventing pneumonia. This is because your immune system stays strong and is able to fight efficiently against pneumonia-causing infections. A proper diet with all essential nutrients is also recommended along with regular physical exercise and proper rest.

Severe cases of pneumonia are capable of making you suffer and you may be admitted to a hospital. According to studies, it has been estimated that more than 60% of people over the age of 65 need to be hospitalised because of pneumonia.

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C.S.C, D.C.H, M.B.B.S
General Physician,
VITAMIN D DEFICIENCY -RICKETS

Rickets causes muscles and bones to become soft, which can cause permanent deformities in children. It is most common in children and infants who have a poor diet or who are housebound, but is nowadays relatively rare in developed countries. Breast-fed babies are at higher risk if they or their mothers do not take in enough sunlight, and baby formula is now designed to prevent this. Rickets is caused by a lack of vitamin D or of calcium. Vitamin D is required for calcium to be properly absorbed into bones to strengthen them. Adults rarely develop rickets because their bones are not growing and do not need much calcium. Vitamin D itself is obtained from many foods but the body can only use it if it has been converted into its active form via sunlight. In recent years there has been a slight increase in children with rickets possibly due to too many of them staying indoors.
1 person found this helpful

My 17 month old son is passing too many watery loose motions and not passing urine past 18 hrs, please suggest

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Losing too much water can cause dehydration. Child needs plenty of fluids in form of ors and other liquids commonly consumed. If he has actually not passed urine for 18 hours the condition is serious, and you need to take the child to emergency immediately.
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My nephew is 11 months old. When he was born both kidneys are differing in size and doctors mentioned it is not a problem. But from 2 weeks he is suffering from fever irregularly. So we got blood and urine and found there is urine infection. We got the ultrasound of kidney again and there is still the difference. Is that causing this urine infection? Attached the new scan reports.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Difference size of kidneys is vague term, pl let me know which side & Type of abnormality Rt or Lt first, then yes cause of UTI may be because of any abnormality of Urogenital system. Need evaluation for the same.
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