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Dr. Sunita Manchande

Pediatrician, Gurgaon

200 at clinic
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Dr. Sunita Manchande Pediatrician, Gurgaon
200 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sunita Manchande
Dr. Sunita Manchande is a trusted Pediatrician in Sector-12, Gurgaon. She is currently associated with Mamta Hospital in Sector-12, Gurgaon. You can book an instant appointment online with Dr. Sunita Manchande on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 34 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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English
Hindi

Location

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Mamta Hospital

#877/2, Mata Road,Sector 12A , Gurgaon. Landmark: Opp. Home Guard Office, GurgaonGurgaon Get Directions
200 at clinic
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I am suffering from jaundice and typhoid what should I do plzz help me I am in big problem doctor plz help me.

Diploma in Child Health (DCH), MBBS
Pediatrician, Jamnagar
I am suffering from jaundice and typhoid what should I do plzz help me I am in big problem doctor plz help me.
Oh so sorry to hear that. But basically both of this are water borne problem. So use sterile (boiled & cooled down) drinking water, frequently hand washing with soap, no other food then natural & home made - non spicy, rest is best remedy & must be 15 days atleast. Due antibiotics for typhoid for least 10 to 14 days.
2 people found this helpful
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Hi I have 10 days old baby. And my wife says that He has a gilti on the super side of head. What is the issue for it.

Fellowship in Pediatric Critical Care (IAP), MD - Paediatrics, MBBS
Pediatrician, Jalandhar
Hi
I have 10 days old baby. And my wife says that
He has a gilti on the super side of head. What is the issue for it.
Gilti in head is usually because of some infection alongside so kindly note for it. And if boil present show to nearest pediatrician.
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My daughter aged 5.5 years is suffering from alopecia areata. I am looking to a doctor who can cure the Alopecia areata (universalis). Kindly suggest me

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
You may be having alopecia areata. This is an autoimmune condition due to the attack of lymphocytes​ against hair roots. It results in the formation of bald patches on the scalp. It can affect any hairy area of the body also like eyebrows and beard. It has to be treated properly for long duration until the immunity comes down. Once the immunity is controlled, hair grows back over the patches. Please call me or contact me with photos or visit me at my clinic for accurate diagnosis and treatment.
1 person found this helpful
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My baby is one month old. On routine check up doctor counts his heart beat which is 180 bpm. He ask for echo test. Echo test done and one line is in bold letters of report. That is patent foramen ovale left to right. Is this normal ? Then we show report doctor he said that hole is very minor it will close within 3 months. Is it true that it will close automatically after some months. Please suggest me in detail.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My baby is one month old. On routine check up doctor counts his heart beat which is 180 bpm. He ask for echo test. Ec...
Yes some tiny holes do close on its own as the baby grows but you have to be extra careful in observation of blue color on exertion like crying, not getting infections, getting vaccinations on time (this has to be observed for every new born baby up to a year- 1st summer/winter & autum is difficult for every baby) good luck and take care.
1 person found this helpful
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I have a niece and she has patients of nephritic syndrome at the age of 10-12 months and we are getting treatment from PGI chandigarh but she is not getting well now. what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I have a niece and she has patients of nephritic syndrome at the age of 10-12 months and we are getting treatment fro...
I think child is having nephrotic syndrome. If it occurs between 1 to 8 years it responds to treatment. As the age is less than 1 year it may need a renal biopsy.
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Decayed Missing Filled Teeth (DMFT index)

BDS, Master of Hospital Administration
Dentist, Patna
Decayed Missing Filled Teeth (DMFT index)

Dmft is a simple index tool for your dentist to follow and it is very easy to understand by the common patients too.
It is basically a summary of your oral health in a quick way.
It is to observe the number of teeth that are either decayed that is carious or having any periodontal or perapical pathology leading to the discomfort.
To observe how many teeth are missing. 
To observe how many teeth are filled or restored.
This will give you an idea about the basic condition of your oral health
It is simple to get checked so visit your dentist today and ask for it.

3 people found this helpful

Dear doctor. My son is now 2.5 yrs old. We got our son after 7 yrs of our marriage through iui treatment. Till now he is not able to eat any solid foods properly. We consulted with lots of doctors and of no use and we dont now how to proceed further. We need your valuable suggestion regarding this thanks

M.D.( Pediatrics), DCH
Pediatrician,
What is his weight? What do you mean by" not able to eat any solid food properly" what is your idea of proper eating? These were the questions which came to my mind when I tried to look at your problem. Because every individual has different expectations based on his experiences in past. I know you are genuinely anxious, but did not really understand exactly what it is?
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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