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C C Shroff Memorial Hospital

Multi-speciality Hospital (Pediatrician, Gynaecologist & more)

3-4-801,Barkatpura, Kachiguda. Landmark: Behind Tourist Hotel. Hyderabad
13 Doctors · ₹0 - 220
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C C Shroff Memorial Hospital Multi-speciality Hospital (Pediatrician, Gynaecologist & more) 3-4-801,Barkatpura, Kachiguda. Landmark: Behind Tourist Hotel. Hyderabad
13 Doctors · ₹0 - 220
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about C C Shroff Memorial Hospital
C C Shroff Memorial Hospital is known for housing experienced General Physicians. Dr. Deva Das, a well-reputed General Physician, practices in Hyderabad. Visit this medical health centre for General Physicians recommended by 107 patients.

Timings

MON-SAT
10:00 AM - 08:00 PM

Location

3-4-801,Barkatpura, Kachiguda. Landmark: Behind Tourist Hotel.
Hyderabad, Telangana - 500027
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Doctors

Dr. Shyam Sunder

MBBS, MD - General Medicine
General Physician
Available today
27 Years experience
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Gastric Cancer - In a nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • Weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -‚Äč

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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Natural Ways to Enhance Your Libido

MBBS
Sexologist, Jaipur
Natural Ways to Enhance Your Libido

Low or reduced libido has been a point of concern for many years and if left neglected it can negatively impact your love life. Read on to know how you can boost your libido with these ornamental tips.

  1. Have a positive mental attitude and keep your stress level low: If you feel good and self confident you may feel more sexual and attractive to your partner.
  2. Consider, but do not overly rely on supplements that claim to increase your libido. Take a bite out of a forbidden fruit: Figs, bananas and avocados, for example, are considered libido-boosting foods, known as aphrodisiacs. And they are provide certain vitamins smooths the blood flow..
  3. Be a poser: Yoga does more than just get you limber, it may boost your libido, too. Yoga may also improve your orgasms by increasing blood flow down there.
  4. Indulge in all things chocolate: Throughout history, chocolate has been a symbol of desire. Not just because of its delicious taste, but because of its power to improve sexual pleasure.
  5. Find out which scenarios spark magic for you and your partner: You do not need to recreate every detail from those scenes. With a little imagination, improvisational role-playing, you can incorporate one or two key elements from the scene, such as a costume or a prop - and create a scenario that is likely to liven the mood.
  6. Take your daily herbs: Ginkgo biloba, an extract derived from the leaf of the Chinese ginkgo tree, is another herb found to treat antidepressant-induced sexual dysfunction.
  7. Seek the help of a sex therapist, if necessary: If you are experiencing sexual problems that prevent you from desiring, initiating, or enjoying sex, consider whether these issues may be psychological in origin.
  8. Be patient: If you have a partner who is being treated for lost interest in and enjoyment in sex, or for issues relating to sexual performance, be patient and realize that treatment can take several months or more to be effective.
  9. Take a whiff: Whiffing can also work for you. But the scent of your man postworkout might do just that. Sniffing his sweat can increase your level of the stress hormone cortisol, which may boost arousal.
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Cinnamon (Daalchinni) - 6 Amazing Health Benefits of it!

Panchkarma Course, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Cinnamon (Daalchinni) - 6 Amazing Health Benefits of it!

Cinnamon is usually seen as a condiment added to almost any kind of dish to make it flavourful. But no dish in this world has ingredients which do not benefit the eater nutritionally. Cinnamon has been used for a long time in Ayurvedic medicines. It is a natural ingredient which keeps people healthy and nourished.

There are several benefits of consuming cinnamon some of them are explained below.

  1. Antioxidants: Polyphenol is one such antioxidant that is present in cinnamon. In fact, a study has shown that out of twenty-six natural ingredients which contain this property, cinnamon has emerged as a clear winner, even leaving behind garlic. It is also the antioxidant-rich property of cinnamon which makes it a well-known preservative. Thus apart from adding flavour, and having anti oxidant properties, cinnamon also preserves the food for a longer time.
  2. Anti-inflammatory: This is one of the most important properties of cinnamon. This helps in fighting diseases and keeps infections and diseases causing germs at bay.
  3. Helps in controlling heart diseases: Diabetes is one of the main causes of heart disease. However, it can be kept in control by controlling cholesterol levels and triglyceride levels. This can be effectively done by cinnamon. Thus by controlling diabetes and increasing good cholesterol in the body, cinnamon actually reduces the risk of getting heart diseases.
  4. Reduces insulin resistance: Insulin is an important element in the body. It controls hormonal and even blood sugar levels in the body. However, there are many people who have resistance to insulin. This actually is a serious issue which can give rise to diabetes and various other problems. However, a minimal intake of cinnamon everyday reduces the risk of being insulin resistant and helps the body to accept insulin more readily.
  5. Lowers blood sugar level: After mentioning how cinnamon makes insulin more acceptable in the body, it is important to highlight the other factors which are controlled by this ingredient which helps in maintaining a balanced sugar level in the body. First, it regulates the glucose entering the body. Second, cinnamon is made of a particular type of compound which can act as a substitute for insulin.
  6. Cancer: Till date, even after heavy research and tests, cancer has no definite cure. But theory has it that there are many natural preventive measures which can be taken against this deadly disease- consumption of cinnamon being one of them.

Thus, these are some of the main advantages of consuming Cinnamon. If you wish to discuss about any specific problem, you can consult an ayurveda.

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Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat no itching no burn bus atey he or chale jate he kya karu.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat ...
Contact with ultrasound report till then take sootshekhar ras swarn yukta 125 mg BD panchsakar churna 50 gm + avipattikar churna 40 gm + karpad bhasm 10 gm + shankh bhasm 5 gm SAB KO MILAKAR 5 GM BD.
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My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker. Last time I did scanning for different reason and doctors said no major. Please suggest.

BHMS, diploma in nutrition and health education, m.sc. in counselling and psychotherapy
Homeopath, Noida
My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker.
Last time I did scanning for diffe...
Hello, Your report shows that you are obese with hepatomegaly. So take proper diet plan for weight loss and hepatomegaly. I need to know some more history like diabetes, blood pressure and lipid profile etc. According to that I suggest you the effective diet plan with some homeopathic medicine. Hope my answer will be effective for you. Thanks.
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Hello sir, From last few days pain in my full body and it's increase day by day. What should i do to cure?

BHMS
Homeopath, Mumbai
Hello sir, From last few days pain in my full body and it's increase day by day. What should i do to cure?
Hello. It may b muscular, if you doing any hard work. If you not doing any exertion and this pain is ocurring than you should rule out the cause. Do some basic test. Try pain killer for a day or 2 if its not going than something is wrong.
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Diabetes - Know Its Devastating Effect On Your Kidneys!

Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
Nephrologist, Delhi
Diabetes - Know Its Devastating Effect On Your Kidneys!

Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.

Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.

In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.

How can diabetes affect your kidneys?

Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.

Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.

Signs of Kidney Disease in Patients with Diabetes

  1. Albumin/protein in the urine
  2. High blood pressure
  3. Ankle and leg swelling, leg cramps
  4. Going to the bathroom more often at night
  5. High levels of BUN and creatinine in blood
  6. Less need for insulin or antidiabetic medications
  7. Morning sickness, nausea and vomiting
  8. Weakness, paleness and anemia
  9. Itching

What are the possible complications?

  1. End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
  2. Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further. 
  3. High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.

What to do?

  1. It is essential to get your urine checked at least once every year to detect signs of kidney damage.
  2. Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
  3. The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
  4. You should also avoid consuming medications that can cause damage to the kidneys.
  5. A kidney transplant or dialysis may be advised if the damage to kidneys is significant. If you wish to discuss about any specific problem, you can consult a nephrologist.
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Vaginismus Problem

MD, BHMS
Sexologist, Mumbai
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Treatment for Vaginismus

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My father is suffering from URIC acid. He is having issues in ankle pain. My father is aged 70. May I please know the diet recommendation for URIC acid.

MBBS
General Physician, Kolkata
My father is suffering from URIC acid.
He is having issues in ankle pain.
My father is aged 70.
May I please know the...
Regards, He needs to cut down on his protein intake largely .Vegetable proteins are fine but meat protein is a big no. He should also cut down on the daal intake (mainly moong and masur) .And with that he has to take his medications regularly.
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Instant Remedies For Constipation

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Instant Remedies For Constipation

Home remedies for constipation in infants

Infants usually suffer from constipation when they are introduced to solid food. Insufficient intake of water, formula milk and lactose-intolerance are some of the other reasons of constipation in infants. It is very difficult to calm an infant when he/she is suffering from constipation. The little ones cannot express themselves completely but you can easily make out from their uncontrolled crying and the acute tummy ache; that they are suffering from constipation.

Here are some indian home remedies for constipation in infants:

  • Raisins: Soak 4-5 raisins in water overnight. Squeeze the juice out of the swollen grapes and give this to your baby. It helps to pass motion very fast. Dry red grapes are much better than green ones to relieve constipation.
  • Castor oil: Mix a few drops of castor oil with the mother’s milk and feed this to the baby. It can also be given with a teaspoon of lukewarm water. This dose needs to be given once a day till the baby is relieved.
  • Spinach rice: Cook a small quantity of green gram dal with spinach puree and rice. Take a separate pan and add some oil and put the mixture of dal, spinach and rice in to this pan and simmer for a few minutes. This is a very effective home remedy for constipation in infants.
  • Orange juice: During summers, add some water and dilute orange juice. This is the best way of getting rid of constipation. During winters, have this mix only in the afternoon.


Home remedies for constipation in pregnancy 

Pregnant women are also very susceptible to constipation. They constantly think about how to get rid of constipation. Flatulence, gas and acidity problems are also very common during pregnancy. The major cause of constipation during pregnancy is hormonal change. Increased iron supplements, decreased food and water intake also add to the problem of constipation.

Here are a few natural home remedies for constipation in pregnancy:

  • Watermelon: Boil some watermelon seeds and make tea with this seed extract. Sipping watermelon seeds tea helps to relieve constipation.
  • Exercise: Regular exercise can help to relive constipation. However, care should be taken to avoid any strenuous exercise and check with your healthcare provider whether exercise is safe for you or not.
  • Coconut oil: One tablespoon of coconut oil before each meal can help to soften the stool and facilitate easy bowel movement.
  • Yoga: Yoga can help a great deal in relieving constipation. Pregnant women are taught various postures that are helpful while giving birth. These postures are also helpful in constipation. Keeping the knees at an angle of 90 degrees helps to evacuate the bowels. Another pose that is really helpful is the wind relieving pose. This pose will not only help to relieve constipation, it is also helpful in passing gas.
  • Pregnant women may feel the need to urinate very often. They should never avoid the urge. Use the washroom as often as required. When you sit on the toilet seat, just relax your pelvic muscles. This helps to empty the bladder more fully and also relieves constipation.


Home remedies for constipation in adults :

Before you think of finding answer to the question, “how to get rid of constipation? “. It is important to first find the reason behind constipation. Health disorders such as hypothyroidism, colon cancer, parkinson’s diseases, improper diet, irregular potty habits, and inadequate intake of water, stress and lack of physical exercise are some of the causes of constipation in adults.

Here are a few indian home remedies for constipation in adults:

  • Amla powder – Just take a teaspoon of amla powder with water every day before going to bed. Being a natural laxative, it is really helpful in relieving constipation.
  • Lemon juice – Take a glass of lukewarm water and add one teaspoon of lemon juice and a pinch of salt to it. Drink this every morning on an empty stomach. The cleansing properties of lime and the lubricating properties of salt will help to evacuate the bowels without pain.
  • Flaxseeds – Make a fine powder by grinding some flaxseeds along with a few sesame seeds, 2-3 sunflower seeds and a few almonds. Take one tablespoon of this mixture everyday to get rid of constipation.
  • Guavas - Consuming guava seeds can help to relieve constipation, since they contain very high fiber content.
  • Ghee with milk – Take a glass of hot milk and add a spoon of ghee to it. Drink it every night before you go to bed. This is an age old home remedy or constipation.
  • Methi seeds – Soak a few methi seeds overnight and drink this water in the morning. This is a very effective indian home remedy to relive constipation.
  • You may be interested in reading – benefits of methi seeds.
  • Isabgol (psyllium husk) – This is one of the best way to get rid of constipation instantly. If you have been suffering from constipation for more than a day or 2, isabgol is your answer. Just mix 1-2 tsp isabgol in a glass of warm milk and consume at bedtime for a week. This will not only relieve constipation but it will also help in regularizing your bowel movements.
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

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Good afternoon sir, I am suffered from sinus. When I am breathing then I feel suffocation.

BAMS
Ayurveda, Bangalore
Hi, Take cap. Sinarid1-1-1 after food and tab. Lakshmivilasa Ras 1-1-1 for a week. Avoid cold and refrigerated food. Drink boiled and cooled water. Take steam inhalation by adding 1 or 2 drops of eucalyptus oil to boiling water. Wear warm clothing. Avoid intake of sweets and oil fried food. Take out a partial CT scan of the brain for PNS if the disease is chronic and revert back with the reports.
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How to stay away from jukam I have daily difficulties for jukam I ache and I have jukam.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
How to stay away from jukam
I have daily difficulties for jukam I ache and I have jukam.
Please Stop curd ,rice, sour foods, fruits, fermented food .stop cold drinks, ice creams, sleeping in a/c, or under fan. Pl. Try Ginger paste 1 spoon +1 spoon Honey +7-8 Tulsi leaves. Take this mixture early morning & evening. Pl. Consult Ayurvedic consultant nearby.
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Hello Doctor, What is the cure of high heart beat rate. I have pulse rate of above 95/minute most of the day? My habits: No Alcohol, no Smoking, about 3 cups of tea/day, usually computer work. I have observed this for more than 10 years. Thanks in Advance.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Madurai
Hello Doctor, What is the cure of high heart beat rate. I have pulse rate of above 95/minute most of the day? My habi...
You can get your general physician's opinion as to any abnormalities in your heart functioning. Once he/she declares that you are normal, you should stop checking your heart beat or pulse rate etc. Every now and then. It seems to me that you have developed this behaviour as a habit. It can be unlearned by not doing or thinking about it. Regular practice of pranayama and meditation has soothing effects on hear rates and associated anxieties.
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Is the masturbation can cause hair fall? My hair is falling down I have. consulted a doctor and get a oil but its not stopping yet what i. Can do any suggestions for me plzz.

Is the masturbation can cause hair fall? My hair is falling down I have. consulted a doctor and get a oil but its not...
This is wrong that masturbation is not effected hairs hair falling cause pitta prakopak disease useof the drug kesh raksha yog hair oil.
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When I do any kind of neck or any exercise I feel like everything around me is moving. It gives me a lot of problem. So please tell me the reason behind this problem and how can I get relief from it?

BAMS
Ayurveda, Bangalore
When I do any kind of neck or any exercise I feel like everything around me is moving. It gives me a lot of problem. ...
Hi, This is called vertigo which is caused to the fluid imbalance in the inner ear. Sudden change in the position of the head gives rise to vertigo. Consult a good ENT specialist for further treatment.
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Hello Doctor, My husband has got excess HB 18.3 and other related parameters in blood profile analysis like more platelets, RBC etc. What should be done in this case? Thanks

Jiva Ayurveda Clinic
Ayurveda, Faridabad
Hello Doctor,
My husband has got excess HB 18.3 and other related parameters in blood profile analysis like more plat...
Hello lybrate-user! As per your query your husband has 18.3 g Hb. This condition occurs due to various reasons mainly being short of oxygen supply to the vital organs like heart, liver or kidneys. This leads to a feed back mechanism causing increase the production of hb & Rbcs. Other reasons could be malfunctioning of bone marrow, carcinogenic conditions of liver or kidneys etc. Acc to ayurveda it is classified into a pittaj vyadhi or rakta vruddhi. There are various panchkarma treatments that could help you with the condition by balancing the vitiated pitta.
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What is the problem of irregular bleeding above 35 years women. What are the precautions.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
What is the problem of irregular bleeding above 35 years women. What are the precautions.
In majority of the cases irregular menses are accredited to hormonal imbalance, but in some cases it may be pathological and secondary to some pathology of ovaries mostly. Now if you want to regularized the menses then you must establish permanent balanced first and this can be achieved only with homoeopathy, because in modern medicine we get only a hormonal support with a very temporary relief. But with homoeopathy you can strike the hormonal balance permanently which later on also give you regular menses even if you stop the medicine.
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Kidney Disease in Childhood

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
  • Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions.
  • Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences, or may go away completely once the underlying cause has been treated.
  • Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time.

Kidney disease in children can be caused by

  • birth defects
  • hereditary diseases
  • infection
  • nephrotic syndrome
  • systemic diseases
  • trauma
  • urine blockage or reflux

A health care provider diagnoses kidney disease in children by completing a physical exam, asking for a medical history, and reviewing signs and symptoms. To confirm diagnosis, the health care provider may order one or more of the following tests:

  • urine tests
  • blood test
  • imaging studies
  • kidney biopsy

Treatment for kidney disease in children depends on the cause of the illness.

  • Children with a kidney disease that is causing high blood pressure may need to take medications to lower their blood pressure. Improving blood pressure can significantly slow the progression of kidney disease. As kidney function declines, children may need treatment for anemia and growth failure.
  • Children with kidney disease that leads to kidney failure must receive treatment to replace the work the kidneys do. The two types of treatment are dialysis and transplantation.
  • For children with CKD, learning about nutrition is vital because their diet can affect how well their kidneys work. Parents or guardians should always consult with their child’s health care team before making any dietary changes.

 

What are the Symptoms Associated with Pediatric Kidney Disease?

Kidney disease often goes undetected in the general population, but children and adolescents are at an even greater risk due to the nature of the causes of the diseases and the ambiguity of the symptoms. 

Children might not be aware of some of the changes that are impacting their body and will not always let their parents know of potential issues. 

Common symptoms for children are:

  • Swelling (even mild) of the hands and feet and/or puffiness around the eyes caused by excess fluid build-up, to the point where the child’s ability to move around normally is compromised
  • After initial swelling, socks or a belt can leave an indentation in the skin that will persist
  • Lack of or decrease in appetite.
  • In children with ESRD it is especially important to keep their appetite up because transplant eligibility is based partially on growth.   
  • Decreased or increased frequency of urination. Children who can normally use the toilet without assistance may suddenly begin to wet the bed at night
  • Long-lasting changes in the color of the urine such as unusually dark or red, which can indicate blood, and changes in appearance of urine such as extra foam that can indicate protein
  • Headaches resulting from high blood pressure 
  • Flu-like Symptoms such as nausea, vomiting, weakness, fatigue, loss of appetite
  • Stunted or poor growth as compared to similar age group peers
  • Difficulty concentrating and poor school performance

Another potential indicator of pediatric kidney disease is family history of kidney disease. Genetic related disease is much more common in children than in adults. If there is family history, it is a good idea to get a check-up. 

In parents that are pregnant with a child with polycystic kidney disease a common symptom is decreased amniotic fluid. 

Looking at the list of common symptoms it is easy to see how CKD can go undiagnosed.  As a parent or caregiver, it is important to have conversations with your children to understand the severity and duration of the symptoms and follow up with pediatric nephrologist. 

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About Trust

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About Trust

About trust 

Trust is something which one keep up the faith and kindness of loyalties towards an individual or an objects which is really an abstract, that means which can't be seen or felt physically. But it could be in one to one conscious world which can even gets broken when the trust can't come in action or to one real believe in it's nature which suppose to be, thus this could play an important role in human life in various forms of its period 

Trust also plays a good value in all relationship like child to parents husband to wife lovers themselves one to one patient to doctors employee to management teachers to students and vice versas to all.

This is an confidence where it could be well played to the periods of life cycle and its various phases, and if this gets failure by one it looses others genuineness and quality of the contents involved and may be very difficult to soothen the wounded souls. Sometimes time and period also may reverse the effectiveness of the loss of trust and also gaining the trust too.

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