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Dr. Amit Narayan Dwivedi

MBBS, D Ch

Pediatrician, Kanpur

17 Years Experience
Dr. Amit Narayan Dwivedi MBBS, D Ch Pediatrician, Kanpur
17 Years Experience
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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. Amit Narayan Dwivedi
Dr. Amit Narayan Dwivedi is a renowned Pediatrician in Pandu Nagar, Kanpur. He has been a successful Pediatrician for the last 17 years. He is a MBBS, D Ch . You can visit him at Dwivedi Hospital in Pandu Nagar, Kanpur. Save your time and book an appointment online with Dr. Amit Narayan Dwivedi on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. You can find Pediatricians online in Kanpur and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Banglore University - 2000
D Ch - Banglore University - 2003
Languages spoken
English
Hindi

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117-2/H-168/A, Pandu NagarKanpur Get Directions
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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.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My son yashwant going for swimming class. .his body colour changes and becomes dull and dark. Tell me why? Kindly tel...
I can understand the problem as myself face this concern day in day out as i'm a regular swimmer. This is tanning due to sun exposure while swimming. With added effect of chlorine. First of all, no matter what you do or apply, you will definitely turn a shade darker with chlorine water. However, you can avoid getting 2-3 shades darker. Apply sunscreen with spf (50) 30 min before you enter the pool. Apply sesame oil 5 min before entering the pool. This oil doesn't wash off easily (bear the smell but) wash off the chlorine from your skin by taking shower and apply a moisturiser and thereafter a sunscreen (spf 30), again. Make sure your son doesn't come out of pool frequently once gone in the water to avoid tanning. Once finished swimming. Rinse off chlorine properly with shower.
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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

C.S.C, D.C.H, M.B.B.S
General Physician,
Crying can be due to stomach ache and if you give bottle feed you have to stop it and feed with a spoon and give carmicide syrup. and for dental you take care to avoid his falling down and give calcium syrup and show a dentist
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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?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly consult a child specialist. Letthe kids grow normally. The joint sounds should be attended when they begin to walk.
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

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:

Type 1

  • 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.

Type 2

  • 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!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
4 people found this helpful

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?

MBBS, MD, DM - Neonatology
Pediatrician, Delhi
I'm mother of a daughter who just completed 4 years now I wanted to ask that when should I give her polio injection ....
if she had all received Injectible polio during her primary immunization (6 weeks, 10 weeks, & 14 weeks), then it should be at 5 yrs otherwise just give oral polio drop as per schedule
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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.

MBBS, MD
Pediatrician, Gurgaon
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 increas...
keeping in mild low birth weight.not to worry.start giving six cereal oil mixture food in six times.let him eat himself.he require 125gms cereals ata.rice porridge oats preparation can help.
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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.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My little baby girl who is 6 months old is having sticky eyes when she gets up. Since last 4 months, she is having te...
This is a common problem in newborn where they have eye punctum closed . Everyone secretes tears to lubricate eye. All tears are drained through that punctum to nose. So when a human being cries, his/her has nasal discharge too with tears secretion. Your baby has blocked punctum. Repeated Massage on nasal bridge really helps. Opthalmologist should be consulted if it severe at 6 months of age. Very fee requires syringing.
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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.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
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 tobc...
Hello lybrate-user, from the symptoms described by you, it seems more likely to be a case of allergy. Usually, allergy in children persists and stays till a certain age after which it naturally reduces and eventually disappears. You might need to use these drops frequently but you should do so only after consulting your eye specialist each and every time. Also, try and maintain strict eye hygiene in your child. This involves not touching your eyes with hands, not rubbing the eyes with any type of cloth or handkerchief, etc. Also, it would be a good idea to wash the eyes with clean water and clean hands 3-4 times daily. Doing so will help in preventing recurrence of the allergy. Hope my suggestions helped you. Take care.
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Ways to Reduce Teeth Sensitivity

MDS, BDS
Dentist, Ghaziabad
Ways to Reduce Teeth Sensitivity

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.

  1. 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.
  2. 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
  3. Rinsing: Fluoride containing rinses have been proven to reduce sensitivity 
  4. 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
  5. 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
  6. 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.

3248 people found this helpful

MD PULMONARY, DTCD
Pulmonologist, Faridabad
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.


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MD PULMONARY, DTCD
Pulmonologist, Faridabad
INFANT AND MATERNAL MORTALITY.
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.
4 people found this helpful

My newborn is 14 days old today and had mild jaundice of 8.9 on 8th day. Doc has asked to feed him every 2.5 hours. I have following queries 1. Sometimes he keeps on sleeping beyond 2.5 hours and does not wake even after trying hard. Is it ok to let him sleep a little more until he wakes by himself. Sometimes at night I feel so sleepy that I let him sleep for more than 2.5 hours. Please suggest if its fine. I feed him properly during the day. 2. Shall I keep tab on 2.5 hours or let my baby wake on his own when hr is hungry. I have tried it once or twice and noticed he wakes up anytime between 2 to 4 hours by himself. 3. How to know that my baby is recovering from jaundice? Docs say it takes anytime between 20 to 30 days. Shall I be taking blood test to confirm?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My newborn is 14 days old today and had mild jaundice of 8.9 on 8th day. Doc has asked to feed him every 2.5 hours. I...
Hello lybrate-user ji, gone through your queries, would like to suggest you to be calm and keep feeding the baby atleast 12 times a day average. It can be once in half an hour, if he is awake and once in 4-5 hours if the child is sleeping, you need not wake up the child for feeding as they tend to wake up and cry once they feel they are hungry, so need not bother if they sleep for long hours, all babies have some sought of jaundice during the first week and tends to settle down in another 1 -2 weeks, so need to worry about the jaundice as your child has crossed 2 weeks unless he is not feeding well or not passing urine well. Babies should pass urine minimum 6-7 times a day, that is a good indicator of good feeding. No need to do any blood test unless the child appears yellow or eyes are bright yellow.
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I had gestation diabetes during pregnancy. Can I use lactonic granules to increase breast milk supply?

MD in Gynaecology, MBBS
Gynaecologist, Delhi
I had gestation diabetes during pregnancy. Can I use lactonic granules to increase breast milk supply?
If the blood sugar values r normal post delivery can use these granules. Also should keep monitoring your blood sugar values.
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A baby girl of 1 month 5 days. Has a harnia by sonography report. Sometimes deschsrging blood and yellow liquid from her nob. She takes so much pressure while motion. Feeding is proper. Sleeping is not so good as like normal baby. Please advice.

MD - Paediatrics
Pediatrician, Chandigarh
Kindly mention the place where there is hernia. If it is around the umbilicus nothing is to be done upto 2 years of age it will resolve on its own. Rest can be advised only after examination.
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Next month my son will be completing 2 years. The issue with him is that till date he don't speak words except mumma and papa. Please suggest me doctors what should I do so that he talks? Or how can I develop an interest to learn things?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Next month my son will be completing 2 years. The issue with him is that till date he don't speak words except mumma ...
If he hears normal and follow your verbal direction after proper understanding, there may be that his desire is being fulfilled on his pointing finger without his speaking. (usake ishaaron par kam hona). If it is condition, give him opportunity to speak otherwise consult pediatrician.
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I got operated gall balder 2 year back, now I got stated with gastric problem, kindly suggest. I have visited gastrilogist in apple hospital too he has given one month medicine, in between it got stop again started. Kindly suggest.

MBBS
General Physician, Cuttack
I got operated gall balder 2 year back, now I got stated with gastric problem, kindly suggest.
I have visited gastril...
1.Take bland diet,avoid spicy ,irritant,oily,fatty,fried food 2.Drink plenty of water 3.Follow the advice and treatment given by gastroenterologist
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My child is of 2+ years of age, but he don't eat properly. Please help.

MD - Paediatrics, MBBS
Pediatrician,
At this age kids are too busy to eat. Basic principal is six meals a day, one big and one small meal, nothing in between, twenty minutes eating time, what ever has finished in twenty minutes then withdraw the remaining food. Never force feed.
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My son who is 3 and half does not like going to school. It's been a month now. He wants that we should collect him early from school as compared to his classmates. He daily weeps while sleeping. I have inquired at school as well. All is well. Normal primary school in Srinagar. I have inquired with my child many a times daily as well. He just doesn't want to go away from me. I feel so bothered He is good at studies. Whatever I teach or at school he quickly grasps it. Only problem is he is unsociable. what to do? Please help a distressed mother.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My son who is 3 and half does not like going to school. It's been a month now. He wants that we should collect him ea...
It seems that your child is very much dependant on you. You can try few steps Leave him on his own at home while keeping an eye from distance. Let him learn to defend himself. Don't promise him any thing for going to school. Once he does not cry that day reward him with toy or chocolate. Convey him that everyone must go to school for fun and activities.
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My son is 9 year old he is suffering from dry cough, what can I do ?

MD PULMONARY
Pulmonologist,
Repeated dry cough could be because of allergic bronchitis. I suggest a pft test at my clinic or outside and to start treatment to get cured.
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