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Dr. Shobhana Thakur

Pediatrician, Kolkata

500 at clinic
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Dr. Shobhana Thakur Pediatrician, Kolkata
500 at clinic
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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. Shobhana Thakur
Dr. Shobhana Thakur is one of the best Pediatricians in Lake Gardens, Kolkata. You can visit her at Dr. Shobhana Thakur's clinic in Lake Gardens, Kolkata. Save your time and book an appointment online with Dr. Shobhana Thakur on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 38 years of experience on Lybrate.com. You can find Pediatricians online in Kolkata 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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My 6 month old daughter head from backside is soft only a finger tip size . If we touch it goes inside i mean skull is not developed yet and she has fallen from bed twice .Is there anything i need to worry about .I have never heard about backside heard front skull is normal if it is not developed . Help please?

MD - Paediatrics
Pediatrician, Aurangabad
Sigma good question to answer since such soft mass on backside or on side of head is a commonly seen when baby is delivered normally had stationed head for longer time blood in the head get accumulated at a spot which is soft gets absorbed on its own by 3-4 months of age ,ok
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Attention Deficit Hyperactivity Disorder (ADHD): Symptoms In Children And Teenagers!

MA - Psychology, M-Phill Psychology, B.Ed, C.I.G, ECCE, B.A. Psychology
Psychologist, Ghaziabad
Attention Deficit Hyperactivity Disorder (ADHD): Symptoms In Children And Teenagers!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 
  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 
  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 
  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 
  • depression 
  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 
  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 
  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 
  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 
  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 
  • continually starting new tasks before finishing old ones 
  • poor organisational skills 
  • inability to focus or prioritise 
  • continually losing or misplacing things 
  • forgetfulness 
  • restlessness and edginess 
  • difficulty keeping quiet and speaking out of turn 
  • blurting out responses and often interrupting others 
  • mood swings, irritability and a quick temper 
  • inability to deal with stress 
  • extreme impatience 
  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 
  • bipolar disordera condition that affects your moods, which can swing from one extreme to another 
  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Is it essential to give vitamin syrup after using noworm to my 20 month old son. If yes in which day I have to give vitamin syrup. It means I have to give 5 ml noworm syrup then 5 ml after 7 days. So in which day I have to give vitamin syrup?

MD - Paediatrics
Pediatrician,
Is it essential to give vitamin syrup after using noworm to my 20 month old son. If yes in which day I have to give v...
You can give vitamin drops /syp anytime irrespective of deworming dose. You can give vitamins in the morning so that no worn can be given inthe night.
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I have a kid who will soon turn 3. I'm so worried that she doesn't put on weight. Birth weight was 2.36 kgs. Uptill year 1 she gained well Theron it's minimal. Now too she weigh btw 10.6 to 10.80. Somehow each time I feel she will gain weight, she falls sick and loses weight. Hence her weight always stays within 11 kgs. She is otherwise a super active baby. My ped advised pediasure but nothing. Trying to get her eat the list given by a dietician but no results. I am worried.

MD Pediatrics
Pediatrician, Vadodara
I have a kid who will soon turn 3. I'm so worried that she doesn't put on weight.
Birth weight was 2.36 kgs. Uptill y...
There is no wonder drug/safe drug for the child so that they keep on eating. Weight of the child as per requirement should have been around​ 13 -14 kg. Instead of becoming more worried try to enroll variety in the food with 2hrly feeds for the baby. Also do not repeat the same food daily keep on changing. If the child is taking 2 glass of milk then its ok if not then enroll milk products in diet like paneer, shrikhand etc. Give halva, sweets etc along with dry fruits also. Give seasonal fruits. If there is difficulty is swallowing then give semisolid food after grinding in the mixer. Always give home-based food. At the end if the baby is getting ill again and again kindly meet you pediatrician to rule out immunodeficiency diseases.
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My baby is of 2 years and feeds his mother but he is very habitual of feeding and does not want to eat anything so how to keep away from feeding.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Its difficult to stop breast feeding so easily, just try to feed him top milk / bottle milk. Give more of solids. It may take time to completely stop breast feeding.
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Hi, My daughter is getting some infection on skin which is not getting well. It starts with a small boil and very next day it turns into shady spot which keeps growing. It is mostly on her legs and it keeps occurring. I consulted with few specialists but still not satisfied with the results. Please help.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi,
My daughter is getting some infection on skin which is not getting well. It starts with a small boil and very nex...
there are many ayurvedic medicines for this purpose like ras manikya ras...gandhak rasayan....panchnimbadi churna....panchtikta ghrit guggul...arogya vardhini vati...khadirarishta....marichyadi oil...pranacharya B clean syrup..take these medicines by consulting with a good ayurvedic doctor
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Hi doctors, I have 7 months baby with average weight 5.7 kg. My baby swallow 5 ml machine oil accidentally and after 16 hours she vomiting milk. Is it harmful to her? Please suggest.

MBBS MD DCH FRCP (LONDON), Dch
Pediatrician, Muzaffarpur
Hi doctors, I have 7 months baby with average weight 5.7 kg. My baby swallow 5 ml machine oil accidentally and after ...
Vigilant obseevation like her appearence further vomiting rate of respiration. If she is looking well no respiratory distress no further vomiting then need not worry about. If any of above symptoms appear please consult your pediatrician immediately.
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My son will be 2 months old on ninth feb. He has not done poop from 4 days. But he is passing gas a few times. Is it ok?

MBBS, MRCPCH
Pediatrician, Bangalore
My son will be 2 months old on ninth feb. He has not done poop from 4 days. But he is passing gas a few times. Is it ok?
Babies vary with the frequency of passing stools. It's not worrying if he doesn't pass stools 3-4 days but if it's hard and causes discomfort to the baby, then I would be more concerned. Breastfed babies generally have soft stools compared to the bottlefed ones.
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She is not gaining average weight. Altghou she is healthy. Age 1 year 5 month Weight 7 kg 200 g Pls give nutritional advice for her.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Delhi
She is not gaining average weight.
Altghou she is healthy.
Age 1 year 5 month Weight 7 kg 200 g
Pls give nutritional ...
7.2 kgs is alright for a 1.5 year old child. There is nothing to worry about her weight. Still you can give her a healthy and nutritious diet to ensure that she is having healthy mental and physical development. For this, give her egg yolks, curd, fruit shakes, besan cheela, chicken soup, fish, vegetables, prantha.
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I have a newborn baby of one day which TLC is 24700 and random sugar is 31. Now my baby is admitted in NICU by a doctor and the doctor is saying that he will take minimum 7 days to recover. Now I want to know that is it a critical situation or normal. Now I want suggestions from your side. Thank you.

MD, MBBS, FACEE PEM, Fellowship in Neonatology & NICU
Pediatrician, Cuttack
I have a newborn baby of one day which TLC is 24700 and random sugar is 31.
Now my baby is admitted in NICU by a doct...
Hypoglycemia in Newborn is a medical emergency. It needs close monitoring and prompt treatment. Any delay in detection & appropriate therapy can have serious sequelae lifelong as it is a treatable cause of mental retardation. Associated conditions like Sepsis are to be investigated and treated. A baby with Neonatal Hypoglycemia is a high-risk baby and needs long-term follow-up for neurodevelopmental disorders.
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