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Dr. Nilopher

Pediatrician, Hyderabad

150 at clinic
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Dr. Nilopher Pediatrician, Hyderabad
150 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. Nilopher
Dr. Nilopher is a trusted Pediatrician in Dammaiguda, Hyderabad. Doctor is currently associated with Divya Sai Children Vaidyalayam in Dammaiguda, Hyderabad. Save your time and book an appointment online with Dr. Nilopher on Lybrate.com.

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Divya Sai Children Vaidyalayam

Plot No 14, Dammaiguda, SAI Priya Colony, Ecil,Landmark: Opp to St.Joseph School, HyderabadHyderabad Get Directions
150 at clinic
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Dear Sir, Please impart advise about the cold and cough of baby and 52 years old lady. Once attacked does not relief early. How we get rid of aforesaid problem. With regards.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Dear Sir,
Please impart advise about the cold and cough of baby and 52 years old lady. Once attacked does not relief ...
Cough and cold is self limiting seasonal vital disease. One can't get rid of it for ever. Take fruits and vegetables to increase immunity. Supplement vitamin A n zinc may be helpful to increase immunity.
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Is it necessary to vaccinate my baby (16 month old) with MMR and PCV booster injection? IMA vaccination card does not mention these vaccinations but their staff says that these vaccinations are private and mandatory. Although I have vaccinated my baby with Varicella and hepatitis A vaccines in private clinics which are not mentioned in IMA vaccination card. So please guide me about these MMR and PCV booster vaccines about their necessities.

MBBS,MD(PGI,Chandigarh)
Pediatrician, Kolkata
Is it necessary to vaccinate my baby (16 month old) with MMR and PCV booster injection? IMA vaccination card does not...
Actally this schedule is made by IAP(Indian Academy of Pediatrics).Yes as per this schedule you should give MMR2 and PCV booster at 15 month of age.Always it is better to use available vaccines to protect your child from a particular disease.
1 person found this helpful
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My baby is 3.5 mnth old he is having loose motions and little bit fever from 4-5 days. What could be the reason?

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Gurgaon
My baby is 3.5 mnth old he is having loose motions and little bit fever from 4-5 days. What could be the reason?
Hello lybrate-user, first of all confirm that fever is present or not. Also loose motion can be due to recent change in dietary pattern or infection. Try exclusive breast feeding and if not possible sterlization of feeding utensils is very important. If fever and loose motion persists contact paediatrician immediatly.
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Hello doctor. I am 32 years old woman and have delivered a baby boy in the month of July. Now my son is 39 days old and I am on exclusive breastfeeding. In last few days I have noticed that milk production has decreased. Please prescribe me an oral medicine to increase the breast milk production.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Some time it is perception of mother that less milk is producing while it is not so particularly in exclusive breastfeeding mother. If baby is gaining weight about 30 gms in a day there is no cause of worry. Suckling is natural medicine to enhance milk production. If really milk production is reduced consult your doctor to check if it is not due to side effects of any medication you are taking.
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How to know that breastfeed is enough for baby. Baby is 3-1/2 month old and has weight 6.1 kg but he demands milk after every one hour if not sleeping. Birth weight of baby was 3.35 kg. Please advice.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
How to know that breastfeed is enough for baby. Baby is 3-1/2 month old and has weight 6.1 kg but he demands milk aft...
Concept is demand feeds. So if child is demanding. Despite of adequate feeds supply. Mom shall feed. However signs of adequate milk supply is. Initially heavy breast gets weightless after properly fed baby. And baby gets at least sound sleep of 2 hours approx. So if you have above signs just don't worry. Your baby is doing fine.
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I have 3yrs 9 months old daughter & the problem is she is not walking & talking. What will I do?

BHMS
Homeopath, Faridabad
Hello, What her Paediatrician says about her? Give her homoeopathic medicines which are pretty safe to give children and also will shows changes soon in many such cases. But give her details. Medication: Baryta Carb. 30/ thrice daily and Biocombination-21/ thrice daily. Give these for 4 weeks first.
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All About Bronchitis

MD PULMONARY, DTCD
Pulmonologist, Faridabad
All About Bronchitis

The inflammations of the lining in the bronchial tubes, which are responsible for carrying air from and to your lungs are known as bronchitis. It is a respiratory disease and more than a million cases are reported each year. Bronchitis requires medical diagnosis by your healthcare provider and can be chronic or acute. Cold or other respiratory infections can cause acute bronchitis whereas smoking leads to chronic bronchitis. Acute bronchitis usually lasts for few days but with persistent cough. Whereas, chronic bronchitis can be responsible for chronic obstructive pulmonary disease.

Symptoms of bronchitis:
The symptoms common to both acute and chronic bronchitis are given below:

  1. Cough which may form mucus
  2. Body aches and breathlessness
  3. Headaches, blocked nose and sinuses
  4. Fever with chills
  5. Wheezing

The diagnosis of bronchitis is done by your doctor who will ask you about your cough. Some other questions may include your medical history, about smoking or whether you have had cases of flu or cold recently.

Treatment for bronchitis:
Your doctor will mainly recommend pain relievers and cough syrup along with warm air to breathe mainly at indoors. However your doctor may prescribe the following medications in cases of severe bronchitis:

  1. Cough medicine: These medicines will help to remove mucus and irritants from your lungs. Medicines may not be able to suppress the symptoms completely but will give you relief from pain.
  2. Bronchodilators: Which clears out the mucus by opening your bronchial tubes.
  3. Mucolytics: These helps loosen mucus in the airways and help to cough up sputum.
  4. Oxygen therapy: It will help to improve the oxygen intake when you face difficulty in breathing.
  5. Therapy: Pulmonary program will include a therapist who would work to improve your breathing.
  6. Medicines: Using anti inflammatory medicines to reduce damage to your lungs tissue and to also avoid chronic inflammation.

Prevention of bronchitis:

Acute and chronic bronchitis can be reduced by the following measures; however, they cannot be completely prevented:

  1. Avoiding dust, smoke, and air pollution. You can always wear a mask when you are on the road or in traffic.
  2. Washing your hands often to avoid germs and infections.
  3. Avoiding smoking as it can cause harmful damage to your lungs. 

    If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4796 people found this helpful

My son 3.5 years boy has a swollen of penis from last night. Now turning reddish. Has pain. What to do? Washed with lukewarm hot water with dettol. But still no relief.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My son 3.5 years boy has a swollen of penis from last night. Now turning reddish. Has pain. What to do? Washed with l...
This is due to some insect bite resulting in acute allergy. Nothing to worry take to a local paediatrician or any other doctor. They will prescribe antihistamines and if necessary steroids. It will subside within 24 hrs.
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Meri daughter 4 saal ki hai. Uske chehre per 15-20 masse ho gye hai jo abhi shuruat (safed) hai. Unhe rokne or khatam karne ka loi ilaaj bataeye. Dhanyawad.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
She has Acne vulgaris. Frequent face wash,local acnigel application Avoid diet rich in oil & milk products.
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I feed my baby for over 3 years as she didn't took other milk products. Now am 31 and my breasts were sagged please recommend any good remedy without side effects.

MBBS, MD
Pediatrician, Gurgaon
I feed my baby for over 3 years as she didn't took other milk products. Now am 31 and my breasts were sagged please r...
Well hardly any milk output at 2-3 years baby. It is too late to start food. Cereals and chapaties, bread. Now is time to give find taste of child so that it will be easier to switch over. Cereals diet is important. Milk has poor calories and if we try to correct it, result in too much protein which will bring other complication. Thanks.
1 person found this helpful
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Born baby on 4 mar16 discharged on 6 mar16. Checked by paediatric on 4 mar. On 7mar other doctor advised test in bilirubin found 30.6. Is this possible in a day. Or first doctor failed 2 diagnose. Baby was hospitalized for blood transfusion. Kindly advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Born baby on 4 mar16 discharged on 6 mar16. Checked by paediatric on 4 mar. On 7mar other doctor advised test in bili...
In other words, it may be called sudden rise of bilirubin. It depends on the cause of high bilirubin, which has not been mentioned. Your pediatrician/ neonatologist is best person to answer.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

Hi, My son age is 2 years and weight is 9 kg. Just want to ask you my son weight is ok as per age.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Hi, My son age is 2 years and weight is 9 kg. Just want to ask you my son weight is ok as per age.
The weight for a 2 years old boy should be between 9.5 to 14 kg as per who. I suggest you get in touch with your pediatrician for further evaluation.
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Myth - Breast feeding spoils the Mother's figure

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
Not at all! Breasts sag from obesity and lax muscle tone - not because of nursing a baby. To the contrary, the baby's sucking leads to the uterus contracting, which helps restore the belly to its normal position quite quickly. What you really need is a well fitting bra to give you support, with nursing flaps to allow your baby easy access to your breasts.

Meri 2 saal ki beti h. Ye abi b feeding krti h bahut kosis kr li chhudane ki. Dudh b nhi aata ab to lekin ye chhodti hi nhi h.or waisa dudh ye piti nhi. Pllz koi trika btaye.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Meri 2 saal ki beti h. Ye abi b feeding krti h bahut kosis kr li chhudane ki. Dudh b nhi aata ab to lekin ye chhodti ...
आप बच्चे को दूध अथवा दूध से बनी वह घर मे बने सभी खाद्य पदार्थ उसके स्वाद के अनुसार देते रहे जिस से उसका पेट भरा रहे। कुछ बच्चे दूध देर से छोड़ते है । स्तनपान होने दे। कोई हानि नही है।
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My relative son age is 5 yrs. Boy is suffering from hyperactivity. He won't listen what we says, he is completely out of our world. He won't sit at one place. Simply he shouts. While making sound he il close his eyes & ears with hand. Everything he got late from childhood like walking, talking. Etc. And he don't know how to eat with his hands some one should make him to eat daily. How to reduce it. How to recover him as a normal child. Please suggest me.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear Lynbrate user Before labelling him hyper active . What is the atmosphere at home does the parents too shout or any other family member do it. Has he been pampered during his learning stage it means he was fed by family members or maid.how is at school. Many things depend on the environment in the family. What is the status of his health may be he is anaemic and is irritable. Get his CBC done. Hope this helps.
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Hello, my baby is of one year but below 8 kg. She is preterm born and was of 2 kg at birth. She is not gaining weight although has gud heavy diet.Please tell.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello, my baby is of one year but below 8 kg. She is preterm born and was of 2 kg at birth. She is not gaining weight...
Diet you are giving may be heavy and good as per your perception but may not be sufficient for bay. Give him well cooked oily diet frequently including milk. Continue breast milk till 2 years of age.
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My 2 years 4months old girl is becoming aggressive for small things, I really don't understand how to calm down, I tried by coming down to her level n talking smoothly but I dont solve my isue successfully. She zis ruling us and still we are failing in making her happy. I badly need a solution for this Abt her- going to play group frm month, not a foodie,

Reparenting Technique, BA, BEd
Psychologist, Bangalore
My 2 years 4months old girl is becoming aggressive for small things, I really don't understand how to calm down, I tr...
It appears more and more from the brief that you have shared that she may be going through her ‘terrible twos’. For your information, it is at two years that children discover that they are no longer the center of the world, and it upsets them so that they want to test boundaries to see how much you will tolerate her before she either makes you reject her or she learns to control her urges and learns that you will have needs to be met too sometimes, and only after that her needs will be met: this is a very important learning she must achieve around this age: Sounds like she is not going through that phase happily. In fact she is winning this battle and ruling over you! I suggest that you give her a lot of physical contact and enjoy her company. She needs to understand that whatever happens you will love her. I hope you have taken her for all the necessary medical checks to rule out any other cause. In the meantime there are some questions that I would love answered, or for you to take him to a child psychiatrist, if there are any disturbing events. My questions: Was the conception normal? Was there a miscarriage or abortion before this child was born or after? How was the nine months of pregnancy for the mother i.e. was she under any kind of stress? Was the pregnancy normal? Was there any threat to the pregnancy? Was she on any medication? Was there any need for supplements? What was her emotional condition? Did she like the pregnancy? Was she happy during and about the pregnancy? Did she get good support from her husband? Was the delivery normal and on the due date? How long was she breast fed? Did she have any problems with bedwetting etc.? This information will help even a counselor to bring further insight into this problem. If some of these questions raise any serious concerns, you can help the child resolve it with some professional help from a child counselor. You are only getting into a competition with this child and she is winning happily but at your misery. So back off a bit and just give her boundaries and only then do you need to get into the act, if there is non-compliance. Then too do not use violence but negotiate with her (since she is sounding like a knowing child), and give her consequences, which are different from punishments. Confront the behavior and never, ever, reject the child/personality. Also do not show any loss of control and be composed when dealing with her. Focus on her positives and mildly confront the aggression: it makes no sense to fight fire with fire i.e. her aggression with yours!!! You are provoking her rebelliousness and this may lead to later repercussions that will be pretty unsavory. There is a very old book I remember reading entitled, ‘Talk so that kids will listen, and listen so that kids will talk’. Unfortunately I have forgotten the author. If you can find that book, it will help you tremendously. At the play group, please check if there are any unusual behaviors and whether someone is bullying her.
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My baby is 15 days old. What type of food should I eat to make my baby healthy. Because my baby is suffering from gas problem.

Diploma in Child Health (DCH)
Pediatrician, Faridabad
My baby is 15 days old. What type of food should I eat to make my baby healthy. Because my baby is suffering from gas...
Hi, gas problem in this age is very normal. So don't worry and you can eat any you like but nutritious and healthy.
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