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Dr. Ruchi Sharma

MD - Paediatrics

Pediatrician, Jalandhar

18 Years Experience  ·  at clinic
Dr. Ruchi Sharma MD - Paediatrics Pediatrician, Jalandhar
18 Years Experience  ·  at clinic  ·  ₹ online
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Personal Statement

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. Ruchi Sharma
Dr. Ruchi Sharma is an experienced Pediatrician in Jalandhar Kunj, Jalandhar. She has helped numerous patients in her 18 years of experience as a Pediatrician. She is a qualified MD - Paediatrics. She is currently practising at Aashirwad Hospital in Jalandhar Kunj, Jalandhar. Don’t wait in a queue, book an instant appointment online with Dr. Ruchi Sharma on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 32 years of experience on Lybrate.com. You can find Pediatricians online in Jalandhar 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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Education
MD - Paediatrics - Maharani Laxmi Bai Medical College - 1998
Languages spoken
English
Hindi

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My daughter is 8 months old and she has a habit of tightening her hands and her face turns red is something is not according to her will. We have got done her serum calcium and eeg done and both of them are normal. Is this behavior ok or should I be worried about this.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My daughter is 8 months old and she has a habit of tightening her hands and her face turns red is something is not ac...
It is a sort of breath holding syndrome which occur due to anger, frustration, fear or pain. You have rightly pointed out" not according to her will" it requires bebavior modification. It resolve by the age of 4 to 5 years.

I am a mother of an 11 month old baby. My LMP was 19 march it got over on 21 march. I have had an I-pill on 23 march. However, on 30 march I have my menses again. Is it normal or should I go for further consultation?

MD - Obstetrtics & Gynaecology
Gynaecologist
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I am a mother of an 11 month old baby. My LMP was 19 march it got over on 21 march. I have had an I-pill on 23 march....
Menses can come like this for a month or so after ipill specially if you r breastfeeding. This is normal response and needs no treatment copper t is best contraception for breastfeeding mothers.

My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MD, MBBS
Pediatrician
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Give paracetamol also ondem syp first empty stomach wait for one hour than feed child will not vomit.

My son, 5, is falling ill every 7th or 10th day since last November. Shown doctors but still he is like that only. What should I do?

BHMS
Homeopath
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Hello, if he is suffering with fever from few days then go for the blood tests:-cbc, esr mp, widal urine routine and culture.

My 2 years old son's weight is 10. 280 kg.How can his weight be increased? He suffers from hardened stool frequently. Can I give him pediasure

MD - Paediatrics, MBBS
Pediatrician
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Your son is a little under weight. He may be having anemia also. Expected weight is around 12 Kg at 2 years of age. His constipation may be because of poor diet. He should eat more green leafy vegetables. You should get his blood tested for Complete Hemogram which includes hemoglobin. He may require iron supplementation. After blood report he may require more investigations. For this he requires check up by a Pediatrician.

I gave birth a baby boy on 20th March 2016. After 7-8 days, he starts breast feeding. Now, for last 3-4 days, my nipples are paining and there are scratches and scuff. Kindly advise.

MS - General Surgery
General Surgeon
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Use nip sore ointment. Clean before feeding. Apply home made ghee. And enjoy motherhood. Start taking multivitamin tabs too.

Sir, my daughter is 8 years old. She always complain about a pain in her stomach. Could you pls tell me the possible reason for this n what will be the remedy for the same.

MBBS
General Physician
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Sir, my daughter is 8 years old. She always complain about a pain in her stomach. Could you pls tell me the possible ...
She might be having some sort of stomach infection or allergy or maybe worms there could be umpteen reasons for stomach ache please get her checked from a doctor.

My son is 11 month old. He is not standing on his own support. He holds sofa or bed and walk from 1 month. My neighbourhood son is also 11 month old. He is nicely walking. Is there any food to strengthen his legs. What to give. Is there any syrup? He is 10 kg.

Diploma in Child Health (DCH)
Pediatrician
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My son is 11 month old. He is not standing on his own support. He holds sofa or bed and walk from 1 month. My neighbo...
Every child has some variation in milestone some are early walkers, don't worry he will walk soon Nothing is required.

If my 1 month baby is crying a lot what to do immediately, Please suggest.

M.D.( Pediatrics), DCH
Pediatrician
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If he is putting on weight, playful most of the times, taking adequate breast feeds and passing clear watery urine 7-8 times a day, there is no need to worry. But if child is jittery and have some typical movements of hand while crying,you need to meet paediatrician to rule out hypocalcimia.

C.S.C, D.C.H, M.B.B.S
General Physician
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Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring

My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindly suggest solution and also suggest applying oil is safe or not.

DHMS (Hons.)
Homeopath
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My baby is now 2 months old and is not passing stool. I force him to pass stool every 4 th day by applying oil. Kindl...
Hello, ●New born baby is unable to distinguish between night & daytime. Hence, after few week, you have to educate the baby the difference between  day & night in order to establish sound sleep in the night. ●When its day, the baby should be brought in sun light to recognise the day time and similarly in night the baby should be kept in a dim. Light to recognise eving or night time. Her day should be brighter and the night be darker. ●This has to be ensured  that child is adequetly ,fed before going to bed & continued feeding 2 hrly. ●Some time the baby suffers from abdominal pain, earache,headache due to change in climate, cause her weep. ●  usually, we fail to assess the room- temprature being suitable for the baby to make her sleep, comfortably.Ac should be tuned & fan should be adjusted as per the need be. ● in the night while feeding the baby of your own  baby asleeps without taking sufficient quty of milk, makes her weep, again and again during sleep, please keep checking the fact & adjusted as the condition warants. Homoeopathically,  your baby might be nurtured, successfully. Your feedback is solicited to followup your baby. The care.

My daughter aged one and half year old,she just dont want to eat,i have to show vdo etc then she will eat half roti.Three months ago she was eating all the things but now adays she dont want to eat any thing.Rest is normal.She is active and normally she dont cry.

MBBS DCH
Pediatrician
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If your baby is active, gaining weight properly, there is no need to worry. Offer food whenever she becomes hungry, don't make a time table for her.

MD PULMONARY, DTCD
Pulmonologist
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ASTHMA --- WHO SHOULD SEEK IMMEDIATE CARE
The attack of asthma is severe if

The patient is breathless at rest, is hunched forwards,talks in words rather than in sentences(infants stop feeding),is agitated,drowsy,or confused,has bradycardia or has a respiratory rate of more than 30/mt.

Wheeze is loud or absent.
Pulse is more than 120/mt( greater than 160/mt in infants)
PEF is less than 60% of predicted or personal best,even after initial tratment.
The patient is exhausted.

The response to initial treatment is no prompt and sustained for at least 3 hours.

There is no improment within 2-6 hours after oral glucocorticoid tratment is started.

There is further deterioration.
Mild attacks ,defined by a reduction in peal flow of less than 20%,nocturnal awakning and increased use of B2- agonist, can usually be treated at home if the patient is prepared and has a pesonal asthma management plan.
Moderate attack may require and severe attack usually require care in hospital /nursing home.


My 4. 5 yrs old daughter is having andenoids problem - enlarged tonsils. She has a sound sleep. No noise from nose while sleeping. X-ray showed enlarged tonsils. Need treatment.

MD PULMONARY, DTCD
Pulmonologist
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Adenoid and tonsils are two diff. For tonsils xray is not required. Take zifi dt 100 1 tab/twice/day for 7 days

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

FSCAI (Int Card), FACC (Card), FACP (Int Medicine), MBBS
Cardiologist
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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

Feeling breathless
Angina or chest pain with a feeling of pressure or tightness
Syncope of fainting
Palpitations and enhanced heartbeats
A steady decline in regular activities and energy levels
Fatigue due to little exertion
Not gaining weight
Poor eating patterns
Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
Ct scan or computed tomography where three-dimensional images are extracted.
Chest x ray
Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.
Diagnosis and Treatment of Valvar Aortic Stenosis in Children

My baby is 5 days old her skin become yellow when releasing pressure over bones. What to do? She passes greenish stool, her birth wait is 2.8 kg caesarian delivery.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My baby is 5 days old her skin become yellow when releasing pressure over bones. What to do? She passes greenish stoo...
If yellow color of skin is not down from chest, it is normal jaundice which may last from 7 to 10 days. There is no need to do any thing. Color of stool is also normal. After few days it shall change to pale sticky.

I have a small pimple like bump inside my penis It is under the outer skin inside on the right side What is it doctor.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I have a small pimple like bump inside my penis
It is under the outer skin inside on the right side
What is it doctor.
May be caused by unhyegenic condition of skin. Wash properly the affected area. Drink plenty of water daily. Apply trichoderm ointment. If it is kept increasing take a surgical opinion.

My son is 5 months old. He is drinking cow milk from dairy and since 7 days I went to my in laws house the cow milk taste differ due to that he has got loose motion. So what medicine to take and due to continuous motion he has got rashes so can I start amul milk so that it is available everyman. Kindly suggest that milk which is available everywhere.

M.D.Pediatrics, MBBS
Pediatrician
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My son is 5 months old. He is drinking cow milk from dairy and since 7 days I went to my in laws house the cow milk t...
Lybrate-user hope you giving breast feeding to your child too. If yes then give your child total breast feed because the more you give the more you will have. If not then of course you can give foumula feed. And ofcorse your child is 5 months plus you can add rice water orally and after aweek add daal water keep the lower part of the baby dry. If rash is more then you can apply nappy happy or any other good oinment over the rash is it ok anything else.
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