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Adolescent Problems Treatment
Limping Child Treatment
Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
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My son yashwant going for swimming class. .his body colour changes and becomes dull and dark. Tell me why? Kindly tell me good remedy to make my don look fair.
Dear Doctor, My Son is 2 years & 9 months old & he is suffering from dental problem, unfortunately his teeth follow down with any thing hitting or follow down, just came out from his month. Kindly suggest what will be problem and take precaution for the dental treatment. Second issue he is crying every time when he is sleeping at night. He cannot tell the problem. So kindly suggest us and help us to treat him for good health. Please give an suggest for the same
My sons are 11 months old they are twins 7 months born elder one is thin and I can hear loads of bone joint sounds whenever I pick him up and he has white spots on his nails what should I do?
In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.
The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:
- This is popularly known as juvenile onset diabetes.
- Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
- People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
- Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
- Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
- Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
- Sometimes, oral medication or insulin injections are also needed.
Symptoms of diabetes
- Extreme thirst and hunger
- Frequent urination
- Sores or bruises that heal slowly
- Dry, itchy skin
- Unexplained weight loss
- Unusual tiredness or drowsiness
- Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.
Diabetes diet chart:
- Morning at 6: teaspoon fenugreek (methi) powder + water.
- Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
- Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
- Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
- Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
- 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
- 6 pm: 1 cup soup
- 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
- 10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
- Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
- For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
- Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.
I'm mother of a daughter who just completed 4 years now I wanted to ask that when should I give her polio injection .when she completes her 5 years then or before completing 5 years?
My 15 month old baby weight only 7 kg. At the time of her birth her weight was 2.5 kg. Pls help me out how to increase her weight. Is she normal. She is active.
My little baby girl who is 6 months old is having sticky eyes when she gets up. Since last 4 months, she is having tears coming out from her left eye. I consulted my doctor, she said her tear glands are forming so there is nothing to worry. Will get alright on its own. There is a yellow discharge which comes out when she gets up. Kindly suggest.
Sir, mere bete ki age 8 sal h. Uski aankhe kai dino se jpak rhi h. Dr. Ko dikhaya to nmi ki kmi bta rhe h. Drops tobcon. F and recool plus dal rhi hu lekin agar ek din bi bhul jati hu tb vhi problem ho jati h. Kya ye drops lifetime dalni pdengi, ya fir in drops se bache ki aankhe thik bi hongi ya ni, ye bimari aage jakr koi bdi bimari to ni bnegi na. please help me.
The tooth is made of 3 layers, each with unique characteristics and specific function, the enamel, dentin, and pulp. The enamel is the outermost layer of the tooth and gives the tooth it's hard and lustrous appearance. The enamel is thicker on the crown than the root and is the first one to be affected by tooth decay. The only symptom when the enamel is decayed is food lodgment and discoloration.
The dentin is the next layer, which is composed of minute fine tubules leading from the enamel to the living portion of the tooth, which is the pulp. Once decay progresses from the enamel, the dentin is affected, and this leads to sensitivity in the teeth. When the root portion is exposed to the oral environment, because the root is covered by a more delicate substance called cementum, more severe dental sensitivity ensues.
There is a sharp, shooting discomfort through the tooth to specific foods, such as sweet, acidic, or hot or cold foods. The main reasons for tooth sensitivity include:
- Tooth decay, both crown and root caries
- Periodontal disease and gum recession
- Tooth erosion
- Aggressive tooth brushing
- Mouth breathing
- Bruxism or night grinding
However, there are some simple ways to manage sensitivity, which can be done regularly at home.
- Toothpaste made for sensitive teeth: Potassium nitrate has been shown to block the tubules and has been included as an active ingredient in toothpastes. These are very effective, and if you are brushing twice, this can be used instead of the regular paste once.
- Brushing: Both the type of toothbrush and the brushing technique can have an impact on sensitivity. Change to softer brushes and learn the ideal way to brush your teeth. A lot of times, rough brushing can lead to erosion and subsequent sensitivity
- Rinsing: Fluoride containing rinses have been proven to reduce sensitivity
- Food habits: Even before sensitivity sets in, being cautious to avoid acidic fruits and juices can help prolong the onset of sensitivity. If possible, consuming these food stuffs should be followed by brushing or at the least a thorough rinsing
- Sealants: If a person is prone to caries (deep pits and fissures, for instance), then it is advisable to get sealants applied on the teeth. This can reduce the instance of wearing of the enamel which then leads to sensitivity
- Mouth guard: If you are a night grinder, then a mouth guard can help curtail this habit and thereby reduce sensitivity.
There you go with how to reduce sensitivity. Try these simple, easy measures and go on to enjoy the sweets or hot or cold foods that you have always craved for.
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.
Hi Doctor My son 1 yr 4 months old, he undergone for a surgery Coarctation of Aorta in his 3rd month. For a past 1 week he had a severe cough and cold, even we undergone for a medication, they prescribed Deriphyllin, Bromisal, Docser which is not responding for his cold & cough. Kindly pls tell me.
Infant mortality is still very high in India.
40% infant mortality occurs in first 30 days of birth.
50% of these death can be prevented by simple measure like cleanliness,hand hyegine, preventing hypothermia and breast feeding, which require just public education and awareness.
Important causes of maternal mortality are anaemia,preeclapsia,eclapsia.sepsis and post partumhaemorrage.
These can be prevented by early institutional care,early registration for pregnancy care and institutional delivery.