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Dr. Rahul Totla

Pediatrician, jalna

100 at clinic
Dr. Rahul Totla Pediatrician, jalna
100 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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3 Undisclosed Facts About Breastfeeding, This World Breastfeeding Week

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
3 Undisclosed Facts About Breastfeeding, This World Breastfeeding Week
3 lesser known facts about breastfeeding

Breastfeeding is advocated to be the only best thing for a newborn. But while it is the most natural thing to do, it isn't an easy process. It is challenging and full of surprises. Researches throw up facts that surprise all. For example: breastfeeding is like a shield against breast cancer.
Here are 3 such lesser known facts:

1. The milk contents - ever wondered what your baby thinks of the taste of your breast milk. Well, the fact is that your breast milk is tailor-made for your baby. From the taste to its benefits, it is a full course meal. When the feeding begins, the milk is watery. This is to quench the baby's thirst. Then the consistency thickens and the milk becomes higher in fat content. This meets your baby's electrolyte needs as well as energy requirement. Want to know something more amazing? through the day, your breasts milk's properties keep changing. By evening, it has higher sedating properties and helps the baby's body meet nutritional demands. This should explain that satisfied smile babies have when they sleep right after their feeds.
2. Variation in milk production - it is okay and natural if you feel you are lopsided. Many breastfeeding mothers feel that one breast is heavier than the other since it produces more milk. This is possible and happens a lot. Our body is not perfectly symmetrical between left and right. This applies to breasts as well and shouldn't be worried about. Because of this, milk production can also vary between both the breasts.
3. It causes weightloss - some women are known to lose their pregnancy weight by breastfeeding. Yes, this is also a lesser known fact. Breast milk happens to be a high calorie food which the baby literally sucks off the mother's body. This leads to shrinking of the mother's body.
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4359 people found this helpful

My daughter 9 yrs old. Having clief plate in mouth. Having fits problem since 2 months after birth. Her birth date is 14/2/2006. Now near about 4 years fits problem solved. But still she dosen't stand, walk or speak due to some minor neuro problem. What to do?

MD
Pediatrician, Indore
Its a syndrome. Cleft palate should be repaired early. For growth development retardation should be investigated.
1 person found this helpful
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Hi I have a three year old daughter who have cough for last 7-8 days. It is a dry cough and we had shown her to some doctor who prescribed benadryil. Her cough is not getting bettre Kindly advice

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
A cough of 7-8 days should be treated after examination of the child. The child may also need X-ray chest. Is there any fever? wheeze ? You may have to give a short course of antibiotics too.
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I am having a one year old baby boy. He is not eating anything besides needed milk by his mother. What should we do?

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hi lybrate-user, please limit the intake of milk including breast milk up to just two times a day and give him semisolid every approx 3hrs for around 20 min. Do not force him up but be firm on giving semisolid or solid only. With around 2-3 week he will start taking food on his own.
5 people found this helpful
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.
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My son who is 12 year old does bedwetting from childhood .I have neither treated it before nor given him any type of medicine for this. Please advice what to do ?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
You shall start tab. Minirin under guidance of your pediatrician. It would cure the issue. Remember this drug needs supervision of doctor. You can not start on your own.
1 person found this helpful
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My mother is OK after a long treatment of MDR TB but now she has persistent dry/allergic cough. How can this cough be treated ? What are the options ? Thanks.

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Cough post TB is usually due to post tb sequelae like bronchiectasis. Inhaled bronchodilators may ease the cough.
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My 9 Month old daughter swallowed a plastic pen cap (back side of the pen). She is not showing any signs of distress. Please suggest what to do?

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Hi lybtrate user, since baby is not showing any signs of distress it means it is in stomach (git). Do x ray erect abdomen asap to know the exact position of that object. If it is in stomach we can do scopy to remove it, once it passes beyond it it's difficult.
4 people found this helpful
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Hi, My daughter is three months old. We found poop in her stool from last 03 days and from yesterday she toilets 07 time and out of 07 we found 06 times poop in her toilet. I want to know is poop normal in little babies? It is in white color. Please reply soon we are afraid of this.

C.S.C, D.C.H, M.B.B.S
General Physician,
If sh is feeding well and if ther is no fever this is normal. You may better check up if there is any more doubt.
1 person found this helpful
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Hello all Just wanted to know I have a friend 28 years who has 2 babies 4 years & 2 months old both are born by cesarian. Can you please let me know she is planning to have a child again till how many months she needs to wait (last baby boy she had in feb )?also please let us know how many babies she can have without any complications or any worries or any discharge if it happens .(normal or cesarian) as she is planning to have 4 childrens. Thank you in advance.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
It's her individual choice but I don't feel there is any logic in having 4 kids in current scenario where inflation is increasing and country is having problematic population growth chart which compromises the quality of life we can provide to our future generation. Coming to your question atleast 2-3 years gap is needed in between two children and if there is history of two ceaserian section, it becomes increasingly complicated further number of deliveries. On a lighter note, she can fulfill her wish to have 4 kids by adopting further 2 kids, to stay in good health by avoiding further deliveries and doing social service.
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My son (19 months) does vomit every almost 10th day. Yesterday night same happened. He did vomit whole night, like 7-8 times in a night, around every 1.5 hour. He took milk around 5 am and he vomited in just 5 min, then in morning he just a sip of water and he vomited same, after 1 hour he is having fever and cranky. He is not eating anything. Doc always give some powder to increase bacteria in stomach which digest food. What to do? No clue for why it happens and when it will stop.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Try light diet in dinner at least 1 hour before retiring and never force to feed him without his desire. It may be possible or just co-incidence that he may be getting heavy diet at night in about 10 days interval. Watch his weight. If it is about 11 kg, you need not to worry. It should be about 12 kg at 2 years. Fever may be due to some other reason. If temp is more than 100 degree f, you may give paracetamol 125 mg and consult doctor.
1 person found this helpful
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Hi my baby was born on 5th Nov 2016. I had to undergo a c section because of which he did not tak my feed for 3 days. He was Having lactogen. Now that I am at home and trying to feed him. He wants my milk flow to be fast bcoz he is very hungry. And I don't want to give him excess of lactogen I want to give him my feed. Please suggest me what should I do to increase my breast milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Yes you give him exclusive breastfeeding that shall be sufficient n helpful to enhance milk production sufficient for baby. Stop top feeding otherwise production may reduce gradually.
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DEAR DR.SIR, FROM ONE I AM FACINF COUGH iEXP, K/C/O/ IHD/POST CABG,2002.ALL WRIRTTEN BY DR.PATIL M.D.MEDICINE. 10 DAYS HOSPITELIZE. FROM 10DAYS NOW TAKING THESE MEDICINE.MOXINOW 400X400,NIKORON 10NG,CITOJOY.ECOSPRINAV75.. NO IMPROVEMENT IN MY HEALTH.TOO MUCH AND WHITE BELGUM COMING FROM MOUNT MORNING AND EVENING., PLEASE ADVICE ME

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Kindly get ECHO done.You might be having CHF.Kindly mention your age,xray report and ECHO report for proper quidance/Take opinion of cardiologist
8 people found this helpful
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I have 4 months child and she is suffering gas problem she cry please help me to solve this problem.

MD - Paediatrics
Pediatrician, Jamnagar
Burp the child, ie keep uprite for 10 minutes, cuddle and rock the child when cries. If does not help see a pediatrician.
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Sensory Integration Therapy for Children With Sensory Issues

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Sensory Integration Therapy for Children With Sensory Issues

Sensory integration therapy has been specially designed to assist children who are facing issues in processing sensory information. As a part of this therapy, children undergo repetitive exercises that helps them to experience touch and other sensations more accurately. Sensory integration therapy aims to adjust the way children respond to physical sensations.

Autism's symptoms include difficulty in processing sensory information, such as textures, smells, brightness, sounds, tastes and movement. These difficulties can make ordinary situations feel overwhelming and interfere with daily function leading to isolation of individuals and their families.
Sensory integration therapy uses play activities designed to check how the brain reacts to sight, touch, movement and sound. Some children experience an overload of sensory information and are hypersensitive to certain types of stimulation. 

When they have sensory overload, their brains have difficulty in processing or filtering many sensations at once. On the contrary, other children are under sensitive to some kinds of stimulation, which means that they do not process sensory messages quickly or efficiently. These children struggle to understand, respond and organize to the information they take in from their surroundings and finally get isolated from their surroundings. The therapy is designed for children with sensory processing issues, including dyspraxia, ADHD, autism and spectrum disorder. It might also be used with young children who show signs of developmental delay.

Sensory integration therapy is fun for kids because it resembles playtime. It is done in a specially designed setting where kids are required to play with balls of different sizes, textures and weights. Sessions involve playing with clay and other materials. Children are asked to bounce, swing or spin on special equipment.
The therapist gradually makes these activities more challenging and complex. The therapy exposes children to sensory stimulation in a structured, repetitive manner. 

This is based on the theory that the brain will adapt and allow them to process and react to sensations more efficiently in the due course of time. Sensory integration therapy is provided by occupational therapists certified in sensory integration, which effectively means that therapist can plan strategies for use in therapy sessions to help a child with sensory issues. As therapists may only see a child an hour or two a week, therapy extends into the home and in school in form of a sensory lifestyle. Caregivers work with therapists to create a detailed schedule of therapies specific to each child, which may require adaptations to make the home such as creating quiet spaces and reducing visual clutter, are often suggested.

There's no harm in having one's child try sensory integration therapy. But one must be aware that there may be more effective ways to help the child with sensory issues. The protagonists of this therapy claim that it can help kids learn and pay attention in a more efficient manner.

4531 people found this helpful

What is time of teething in babies. My baby is 10 month old but no teeth yet should I worried? Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Only eruption of teeth is delayed in otherwise normal child you can ignore. Give a calcium preparation.
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My daughter is 2 and half months now. She is. Passing stools from last two weeks in a watery way. And it happens as soon as I feed her. Coming along with a fart. She is only on breast feeding. She s not sleeping in the day time after this. Am not eating anything from outside. Only diet from home. Kindly guide.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Breastfed babies usually will not develop diarrhoea. It may be breastfeeding stools due to exaggerated gastrocolic reflex if the baby is active tongue is moist & pass it adequate urine, not to worry about it. Reduce the consumption of excessive tomatoes. Give rota virus vaccine.
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I am having stomach ache from last one week. Also feeling feverish and vomiting. What to do? pleasea dvise.

MBBS
General Physician, Mumbai
For stomach pain take tablet meftalspas-ds and you seemed to have an episode of enteritis which should have been treated with an antibiotic.
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What Are the Main Indicators of a Heart Disease in a Child?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
What Are the Main Indicators of a Heart Disease in a Child?

Severe hereditary heart imperfection commonly becomes obvious soon after the birth of a child or at some point in the first few months of its life. It is a tragic condition in children and some of the symptoms that are associated with the heart imperfections include rapid breathing, grunting while breathing, swelling of the abdomen, legs and areas around the eyes of the baby. 

The baby experiences shortness of breath during feeding and in this way, the baby does not gain much weight. The nostrils of the baby also become flared, and they at times turn pale blue in their skin color. In some cases, the blood pressure of the baby is also very low after their birth. 

Congenital heart defects are at times not diagnosed in the early stages of childhood as the signs are not noticeable.

However, some of the signs that are obvious and noticeable in older children mainly include

  1. Children become short of breath while exercising or doing some activity and at times these children require frequent monitoring.
  2. They get tired in no time and have less stamina
  3. The legs of these children suffering from congenital heart defects tend to swell.
  4. The blood circulation in these children is very poor 
  5. Holes in the heart occur and typically in the walls between the major blood vessels as well as the chambers.

Do Tests Regularly:
It is very important that a follow up is done with pediatrician regularly and the tests described are performed regularly. In any such case if the problem is significant, then it is likely that your medical doctor would refer your child to a paediatric cardiologist. The paediatric cardiologist is specially trained to identify as well as treat severe heart problems in young children, infants and even in young adults.
 
Medications Used for Treating Heart Disease:
The condition cannot be prevented and hence to lower the risk of your baby having congenital heart disease it is very necessary that women have a healthy pregnancy. There are certain medications provided by the doctors to treat this condition and relieve the symptoms caused. The medications that are used include Vasodilators to widen the blood vessels so that the blood circulation is improved, Diuretics are used to reduce the extra fluid in the body. The strength of the heart beat is increased by use of Digoxin, and irregular heartbeats can be prevented by use of Antiarrhythmics. However, these medications do not treat the defect completely.

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