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Dr. Amisha

Pediatrician, Mumbai

Dr. Amisha Pediatrician, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Amisha
Dr. Amisha is a popular Pediatrician in Mulund West, Mumbai. She is currently practising at Navjeevan Maternity Nursing Home in Mulund West, Mumbai. Book an appointment online with Dr. Amisha and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 36 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai 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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Navjeevan Maternity Nursing Home

3A/4 - 5 - 6, Vaishali Nagar, Bal Rajeshwar Road, Mulund West. Ladnmark: Near Vaisali Main Bus Stop, MumbaiMumbai Get Directions
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What kind of solid food can be started for babies after 4months in addition to breast milk.

C.S.C, D.C.H, M.B.B.S
General Physician,
You can start homemade semi solids like mashed potatoes, raggi made into porridge like. Where are you living, so as to suggest l local foods. Ask me privately and remain in touch. Regards.
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My baby is 15 months old and his weight is approx 8 kg. I had found worms (thin white) in stool. What medicine should I use and dosage?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Your baby is having pin worms. You can give syp Zentel. 10 ml single dose. It takes care of any other worm infestation too.
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My 1 years daughter has ghamori in her full body please suggest some medicine or powder.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My 1 years daughter has ghamori in her full body please suggest some medicine or powder.
You may use Calendula Powder (homoeopathic) by Wheezal. And also start Syzigum Jambolanum 30 1 dose for 3 days.
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My son is 3 years old, but he has been suffering from sneezing nose last 6 months, please tell me any treatment,

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My son is 3 years old, but he has been suffering from sneezing nose last 6 months, please tell me any treatment,
He is probably having allergic rhinitis. He would need regular anti allergic nasal spray or oral medication. Please visit your local pediatrician.
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My son just 5 months old we are giving him only mothers milk .but we think that only mothers milk is not sufficient for stomach full so please suggested some alternative.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
My son just 5 months old we are giving him only mothers milk .but we think that only mothers milk is not sufficient f...
hello ideally you should breast feed for 6 months exclusively. you can start with mashed banana . introduce new foods every week like boiled potatoes, dal water, rice water, custard, curd . thank you
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Please List the specific iron rich foods that I can give to my 17 month boy baby. What are the foods other than normal name like leafy vegetables, pulses, cereals. What are the iron foods?(give names).

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Please List the specific iron rich foods that I can give to my 17 month boy baby. What are the foods other than norma...
To be easier for understanding. Any diet which is green yellow or red in colour has lot of iron. Rich sources are jaggery. Beet, carrot, tomatoes. All green vegetables, pista ragi and sprout at some extent.
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Hi. My baby is 3 months old. She having sweat rash in her face. How to clear this.

BHMS
Homeopath, Hyderabad
Hi. My baby is 3 months old. She having sweat rash in her face. How to clear this.
Try to use Elocon lotion, better with the prescription by a paediatrician so that he can prescribe you better.
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My son is 8 months old, just started showing his two teeth. But sometimes startled, shivers his body. Is it natural or else. Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son is 8 months old, just started showing his two teeth. But sometimes startled, shivers his body. Is it natural o...
Teething is not associated with any health problems. It may be an episode of convulsions. Better you show to a pediatrician.
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Hello Sir/mam baby ke baare me pta Karna hai baby ka birth 10 fabruary 2016 KO huya h cezerian or delivery date 17 march bola gya tha or baby kaafi kamjor hai abh baby 45 day se uper lekin kaafi sust hai samne se muskurati nhi hai na hi pahchnti h ankhe humne test karayi hai bilkul thik hai lekin baccha Etna sust kyu hai or ma ka dudh nhi bann ta jayda us karan use gaay ka dudh bhi de rhe hai. Plzzz bataye.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello Sir/mam baby ke baare me pta Karna hai baby ka birth 10 fabruary 2016 KO huya h cezerian or delivery date 17 ma...
Apakaa bachchaa samay se 5 saptah pahale huya hai. Svabhavik hai bachchaa kamajor huya. Aapane janm ka v abkaa vajan nahee likha jo aapake utter dene main avashyak hai. Maa ka doodh jitana bhi banataa hai vah bachche ke liye kaafee hai kewal aur kewal maa kaa hi doodh 6 maheene tak pilaye. Maa ka doodh pilane se doodh ban ne kee maatraa badane lagatee hai. Gaay ya any upar se kuchh bhee n de.
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My son who is 15 years old has consumed 1 cap of dettol instead of mouthwash do we need to take him to the hospital immediately.

MD - Paediatrics
Pediatrician, Greater Noida
My son who is 15 years old has consumed 1 cap of dettol instead of mouthwash do we need to take him to the hospital i...
Hi, usually it won't cause harm. Give him a litre of water, so that it shouldn't stuck in esophagus.
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Hello doc im a mother of one month old baby girl. I want to know dat hw can I produce more milk wat shud I eat. Thanks in advance.

MBBS
General Physician, Mumbai
Hello doc im a mother of one month old baby girl. I want to know dat hw can I produce more milk wat shud I eat. Thank...
Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong, chana,Dal, rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

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Hello doctor. I am a 9 year girl but I have weight which is not normal. My weight is continuously increasing. I am practicing a proper diet but still nothing happened. Please help.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
More than diet you need to do regular exercises, aerobics is a better way to loose weight and keep fit, you can also try yoga.
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My girl child has Down Syndrome. She is 5 years old now.Her speech is delayed.She has tonsils.Due to tonsils she has week imuue system. Please give me some sujeshion. Thanks

DIABETES MANAGEMENT, MBBS
Geneticist, Hyderabad
Hi lybrate-user, There is developmental delay in all spheres (motor, adaptive and social) in children with Down’s syndrome and most common genetic cause of learning disability & mental retardation. As there is no curative therapy, counseling has a central role to play in the management. Having Down's syndrome child can be challenging at times. But with help professional support, most people are able to have healthy, active and more independent lives. There are many children who have done wonders and hence take it as chanllenge and support your kid to develop and learn.
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My child is 6 months old and he is suffering from cold and cough since 1 week I consult with doctor they gave medicines but medicines did not work please tell me what can I do.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My child is 6 months old and he is suffering from cold and cough since 1 week I consult with doctor they gave medicin...
common cold is usually over in a week with or without any medicines.You may wait a little he will recover in aday or two.
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My grandson is 12yrs old he is diebtic type one takes insulin twice a day tell any other remedy.

ICMR Training. in. clinical. Genetics and Metabolism, Fellowship in Pediatric And Adolescent Endocrinology
Pediatrician, Jalandhar
Insulin is only treatment and best treatment. No side effects. Also you should go for better regimes than this twice a day adult type regime. Give pediatric regimes of three times a day if you want to avoid long term complications. Dont get fooled with anything other than insulin. There is nothing else consult a pediatric endocrinologist.
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My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its clear milk after feeding her. It happens when we try to give her burp. Is it normal. Please guide.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its c...
Lower oesophagial sphincter isn't very well developed in small babies. Hence vomiting & regurgitation of milk is common till 6months. If there is no weight loss it's not of much significance. Bett to avoid holding the baby upright immediately after feeding.
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Meri beti hai 5 year ki use night me potty ke raste me pain hota hai maine use gastroentrology doctor ko bhi dikhaya lekin unhone kaha koi bhi problem nahi hai lekin use daily pain hota hai please mujhe koi medicine bataye jisse uska dard kam ho jaye ya fir usko neend aa jaye thankyou.

MBBS, MD - Paediatrics
Pediatrician, Pune
Does she have constipation? does she pass stools with difficulty or hard stools? this is the age group in which children are often constipated? first add fibre to diet and adequate water. Fruits, ghee, green vegetables, banana are good in fibre. Wheat chapati etc. Also show your child to a paediatric surgeon who will do per rectal examination to rule out anal fissure. Give her sitz bath. Before going to bed make her sit in hot water tub.
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