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Dr. Ranjan Kumar Tiwari

MD

Pediatrician, KOLKATA

3 Years Experience  ·  500 at clinic  · ₹400 online
Dr. Ranjan Kumar Tiwari MD Pediatrician, KOLKATA
3 Years Experience  ·  500 at clinic  ·  ₹400 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ranjan Kumar Tiwari
Dr. Ranjan Kumar Tiwari is one of the best Pediatricians in Buroshibtala, Kolkata. She has been a practicing Pediatrician for 3 years. She has completed MD. You can meet Dr. Ranjan Kumar Tiwari personally at Dr.Ranjan Tiwari's clinic in Buroshibtala, Kolkata. Don’t wait in a queue, book an instant appointment online with Dr. Ranjan Kumar Tiwari on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 37 years of experience on Lybrate.com. Find the best Pediatricians online in KOLKATA. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - IPGMER - 2013
Languages spoken
English
Hindi

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38A/5 JYOTISH ROY ROADKOLKATA Get Directions
500 at clinic
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My 4 year old Son is suffering from ITP from Dec'15. He has a plate count of around 35000. He has been on prednisolone dosage tapering from 20 mg to 2.5 mg per day till 10th Jun'16. Now he is taking only Azoran 50 mg daily. He does not have any bleeding symptoms, only some bruises.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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Oh! i'm sure child must have got ivig therapy intially. Well in itp 35000/- pc are indeed good. We see kids having pc of even 2000 to 10000. Without any bleed. Eventually they recover. Tapering regimen is very much required and your doc is very well doing that. Azoran is usually prescribed when there are refractory cases where pc were low for quite a low and or child comes with secondary itp. So I assume your case also be such tough. Be assured things are going to be fine. Have patience and make sure child doesn't get injury anywhere. Trauma would be worst in such cases. Regards

My brother is 8 years old. He can't talk, can't walk, can't sit since birth. I have tried many hospitals but all are waste of money and time. Now what should I do?

MD
Pediatrician
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Its management require team work. You won; t be desperated. Team of pediatrician, physio and family itself able to manage. Drug treatment is of limited use.

A kid at our home who is just 2 months old have a bit of cold and is been given an hepatitis b vaccine bcoz of which he is suffering a lot of pain. What should be done in such a situation?

MD - Paediatrics
Pediatrician
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A kid at our home who is just 2 months old have a bit of cold and is been given an hepatitis b vaccine bcoz of which ...
It must be dpt along with hepatitis b vaccine, which cause distress to baby. Please give a paracetamol drop 10 mg/ kg one dose.

What Causes Iron Deficiency in Children?

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician
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Causes of iron deficiency in children

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

Low birth weight
Excessive intake of cow's milk at less than 2 years of age
Feeding exclusively on breastmilk beyond 6 months of age
Lead poisoning
Insufficient intake of lean meat
Pure vegetarian diet
Gastrointestinal disease or infection
Improper diet of the mother during pregnancy
Chronic diarrhea
Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment.

What Causes Iron Deficiency in Children?

Respected Sir my child has a 3 year old and his skin of penis is not properly up and down. What can I do?

MD - Paediatrics
Pediatrician
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This is called physiological phimosis and is normal if there is no ballooning of prepuce during micturition. As the baby grows this gets normal. If there is ballooning of prepuce, difficulty in micturition or repeated urinary infection consult your pediatrician as management will be needed in such cases. Regards.

I have a baby boy of 7 days. How could I know he is okay? When he feels hungry, do potty & toilet he cries rest he sleep. Is it okay? How can I know he is fine. Please tell me the symptoms which indicates he is fine or not.

C.S.C, D.C.H, M.B.B.S
General Physician
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I have a baby boy of 7 days. How could I know he is okay? When he feels hungry, do potty & toilet he cries rest he sl...
It is normal to cry when he is hungry and when feels like passing potty. If he sucks milk well , he is fine . Sleeping more is common till 3-4 months and wake up to feed every 2 hours

My son is 5 years old and studying in UKG. He gets angry very soon and does not listen to us. Is there any medicine which can reduce his anger.

MBBS, MD
Pediatrician
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better you give him more company with same age children.don't rebuke him nor pamper him both will make things worst.

My 1.4 Year child not eat food well. Before 15 days he ate well. Consume only milk and Curd rice. We give Albendazole but there is no improvement for a week. So please suggest me.

MD Paediatrics, MBBS
Pediatrician
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My 1.4 Year child not eat food well. Before 15 days he ate well. Consume only milk and Curd rice.
We give Albendazole...
This is common problem with children of such age group, this is not related to ant abnormality its just moody behaviour of children, so need not worry as long as the child is active and playful. Do not force feed the child. No medications required.

My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. She wakes up 2-3 times in night. She is also under weight baby.In this case what should I do? She don't like to eat except milk. Can I test thyroid of my baby?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. She wakes up ...
This is normal pattern of sleep at this age. In the night if last feed is given at about 10, child awakes at about 4 in morning. Take care of her comfort at night. You have not mentioned her wt. Average Wt at this age is 10 kg. Give her all edibles in house of her choice, not to be forced.

C.S.C, D.C.H, M.B.B.S
General Physician
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HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.

Diploma in Child Health, MBBS
Pediatrician
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Hi, My son is 2 years old he don't want to eat anything except milk and some sweet things and he don't want to eat anything like spicy things even rice also so what can I do?

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician
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Hi, My son is 2 years old he don't want to eat anything except milk and some sweet things and he don't want to eat an...
Hi I can understand your concern. But you had to be little strict. Milk need to be restricted. Child to be offered only healthy eatables. Family is to eat healthy. Be firm and assertive. Child can be explained the advantages of different food items. Kids understand very fast. Take care happy parenting.

I have boy he is 8 years old. He usually take coffee with his dinner. How bad it is to take coffee at night.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Tea or coffee taken with food or after food causes disturbance with absorption of certain nutrients also it disturbs the digestion. Also coffee taken at night disturbs sleep pattern. So please avoid it.

Hi. My 14 month old son has been waking up every hour at night since a month. Otherwise he would sleep at least 3 to 4 hrs at a stretch and then wake up for feed and back to sleep. I don't given him milk during the day just at night for his feeds. Please advise. Thanks.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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Hi. My 14 month old son has been waking up every hour at night since a month. Otherwise he would sleep at least 3 to ...
If your son is other wise normal, due to normal behaveir change, he may be willing to play with you. Try it. And change your habit. Give him milk in day and solids at night too.

I have 3 year girl child .Her body weight is approximately 14 kg .Suffering from dry cough from Last 4 months. .I tried so many allopathic and ayurvedic medicine on her. But No positive result. .pls suggest me right treatment for her.

Diploma in Child Health (DCH), MBBS
Pediatrician
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Her weight for age is normal.If she doesn't have fever or loss of Weight some allergic problem could be there like ecposure to dust,smoke etc.So look for that

Sexual Abuse - Mental and Psychological Effects on Children

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist
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Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
Future Consequences-
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being paedophilia or the sexual arousal involving prepubescent children.
Conclusion-
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.
Sexual Abuse -  Mental and Psychological Effects on Children

Baby ki growth kese badegi?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics)
Pediatrician
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Baby ki growth kese badegi?
Hi welcome to lybrate growth is a broad term. As a child ages he/she grows. In the initial 6mnths breastfeeding is the most important factor for adequate growth of body and brain. Growth is maximum during first two years and again a growth spurt occurs near puberty. Adequate nutrition is important during both phases especially and in general.
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