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Dr. Amrita Joshi

Pediatrician, Mumbai

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Dr. Amrita Joshi Pediatrician, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Amrita Joshi
Dr. Amrita Joshi is one of the best Pediatricians in Parel, Mumbai. She is currently associated with Ummeed Child Development Center in Parel, Mumbai. Book an appointment online with Dr. Amrita Joshi on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 31 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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Our child was underweight and had breathing problem during birth. He remained in incubator for 4 days. What can we do to keep him healthy? After how many months can we feed food to our child?

MBBS
General Physician, Mumbai
Our child was underweight and had breathing problem during birth. He remained in incubator for 4 days. What can we do...
Just see to it that your child develops milestone properly and also keep a note of things which he doesn't tolerate and try to avoid such situations and as he is ten months of age than you can start with smashed rice home made.
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Hello doctor .what is the difference between normal vaccination vs painless vaccination for babies? .how could a vaccination be painless?

M.D.( Pediatrics), DCH
Pediatrician,
Hello doctor .what is the difference between normal vaccination vs painless vaccination for babies? .how could a vacc...
Technology used in production is different. But for primary vaccination IAP advises vaccines which cause little more pain and fever. These vaccines are slightly better for development of immunity.
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Oppositional Defiant Disorder in Kids - How to Deal with it ?

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Oppositional Defiant Disorder in Kids - How to Deal with it ?

A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.

  1. Repeated temper tantrums
  2. Anger bursts, swearing, using obscene language
  3. Extremely argumentative, especially with people in authority (teachers, parents, etc.)
  4. Annoying others and getting annoyed easily
  5. Noncompliance to rules and regulations at school and institutions
  6. Defending one’s mistakes and blaming others for it
  7. These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.

Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

  1. Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
  2. Cognitive-behavioural therapy tries to mould the behaviour.
  3. If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
  4. The child also needs to be trained for appropriate behaviour under different circumstances.
  5. Rewards for positive behaviour and punishments for negative behaviour are useful ways.

Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3627 people found this helpful

My 2 months baby is vomiting immediately after feeding. Please give me some solution.

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My 2 months baby is vomiting immediately after feeding. Please give me some solution.
Usually blood supply of the head is more than rest of the body. Generally infants do feel a abit warm on their head. If he is active, grwoing, nothing to worry about.
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Good after noon sir Bacche ko 20 din pehle vometing aur pechis hua tha fiver bhi tha Daba lene ke baad kafi aram ho gaya tha abhi 5din se pechis aur fiver fhir agaya hai fiver ja nahin raha hai bahut kamjor ho gaya hu vajan 1 kg kam ho gaya hai kya karu sir kuch samajh me nahin araha hai age 8 months.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Good after noon sir Bacche ko 20 din pehle vometing aur pechis hua tha fiver bhi tha Daba lene ke baad kafi aram ho g...
8 mahaa ke bachche ka vajan 1 kg pechis v fever ke karan 5 din main kam ho gaya hai. Ise gambheertaa se lain. Turant shishu visheshagya ko dikhayen.
1 person found this helpful
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I have a baby 7 month old . Baby is suffering from fever since last two days and cough is more loud again and again. So please help me what should I do in this case?

MD - Homeopathy
Homeopath, Aurangabad
I have a baby 7 month old . Baby is suffering from fever since last two days and cough is more loud again and again. ...
Chamomilla 30 take 1 drop 3 times x 7 day above is homeopathic medicine and available in homeopathic store also safe to take and no side effects for future management contact me.
1 person found this helpful
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We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to plan for the baby? Also I do have slipped disc problem.

MBBS, DGO
Gynaecologist, Gurgaon
We are planning for the baby so please advise what were the test required to get satisfied if everything is ok to pla...
If both of you do not have any medical problem like diabetes, hypertension or heart disease presently you plan to conceive and once you miss your periods now is the time Gynaecologist will ask for tests. Disc problem can be taken care of during last trimester of pregnancy. So be happy and plan your wonderful bundle of joy.
1 person found this helpful
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Dear Sir, Greetings of the day. My son who is 5 years is given Cypon syrup. His intake has increased. Earlier we used to give him Neopeptine since last 4 -5 years. Now after someone suggested we give him Cypon syrup along with neopeptine. My question is whether it is safe to continue and is there any side effect in longterm how much time we should continue this. Is it ayurvedic/Allopathic? Kindly guide me. Thanks,

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
These meds do cause habit forming events. Prefer calorie dense diet rather then just making hunger stimulated.
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My grand son is one year and 4 months old. He has not started uttering words although he blabbers some times. He hears and responds well . He had problem in sucking milk from the beginning. Does it have any relevance? When do children start uttering meaningful words normally. Please advice. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
My grand son is one year and 4 months old. He has not started uttering words although he blabbers some times. He hear...
At this age one three words is normal . But he may a late developer but you better check him up to make sure . Also encourage him to speak by talking to him patiently
1 person found this helpful
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Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is not eating anything. We consulted doctor for this and he said there is no medicine to make him hungry. Need to try giving him food. What should I do to make him hungry and eat food. Please suggest im much worried.

BHMS
Homeopath, Mumbai
Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is ...
Hello need to rncourage him to hve. Try to make new new reciepies and feed him. He will like any I the taste. It happens due to habit of feeding milk. Its not he is not hungry. He gets hungry bt he wants milk. Either stop giving milk it will difficult but he will b oky soon. If he is hving habit of bottle. There one product comes senisolid feeding bottle with spoon feed him grinded food in it. If any queries consult.
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My son is having liquid potty since past 4 hours. He is 15 months old has just had some kadhi rice for dinner. Prior he had 250 ml milk. Please revert ASAP.

M.Sc - Food & Nutrition, PG Diploma In Diabetes Education
Dietitian/Nutritionist, Gurgaon
My son is having liquid potty since past 4 hours.
He is 15 months old has just had some kadhi rice for dinner. Prior ...
MIx 1 spoon Isabgol Husk with 2 spoon fresh curd and feed twice in a day, till the stool become normal. Will ease in 1 or 2 dose. Also give electrolyte inbetween to recover water loss in loose stools. Take care, if you are offering Kadhi to the child, add curry leaves, methi and ajwain in it while cooking.
1 person found this helpful
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I have 6 month baby. Should I give him fruit juice or vegetable soup as an external food?

PALS, MD, MBBS
Pediatrician, Delhi
I have 6 month baby. Should I give him fruit juice or vegetable soup as an external food?
Hi, yes you can give, along with that you can try mashed banana, potatoes, and dal and then gradually start khichadi.
1 person found this helpful
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Symptoms of ADHD

Master of Physiotherapy (MPT), Advanced Diploma in Learning DIsability, Bachelor In Physical Therapy
Occupational Therapist, Delhi
Symptoms of ADHD

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

4051 people found this helpful

Baby Feeding Routine

MD - Paediatrics
Pediatrician,
Baby Feeding Routine
Complementary feeding

Complementary feeding / weaning should be started after 150 days of life.

Its better to start home prepared semi solids first. If you are not confident in preparing food initially you can give cerelac rice / cerelac wheat/ nestum rice etc.

Add a new food item only after trial of 3 days. I mean don't give new food everyday. Wait for any intolerance to a particular food.

Fruit juices orange, apple can be prepared at home and can be given from 7 months.

Mashed potato can be given by 7-8 months.

Egg can be give by 8-9 months. Give egg yolk initially and the egg white later.

My child is suffering from epilepsy since last 2 years and now he is 8 years old. But still In spit talking medicine sezuires are not controlled. So please so advice me.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Children with history of seizures beginning at around 6 years of age need complete evaluation. Children are more prone for seizures until age of 15-16 years. Do to st or deuce dose of medications if advised by a doctor. If the child has a tendency to seize more frequently inspite of taking regular medications, it is worthwhile to do serum drug levels, an eeg and consider adding or changing or stepping up the dose of medications.
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Hi my baby girl is 2 weeks old, daily maximum time I feed breastfeeding only but daily 2 to 3 times I gave powder milk only, now I gave lactogen 1, I want to know which milk powder is good and healthy and increase my baby's weight.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
Hi my baby girl is 2 weeks old, daily maximum time I feed breastfeeding only but daily 2 to 3 times I gave powder mil...
Give exclusively breasts milk, till 6 months. Monitor weight of the baby every month. To increase the breasts milk take gynecologist.
1 person found this helpful
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Thumb Sucking

MDS, BDS
Dentist, Gurgaon
Thumb Sucking

Most children stop sucking on thumbs, pacifiers or other objects on their own between 2 and 4 years of age. No harm is done to their teeth or jaws until permanent teeth start to erupt. The only time it might cause concern is if it goes on beyond 6 to 8 years of age. At this time, it may affect the shape of the oral cavity or dentition.
Thumbsucking leads to Open bite, a high arched palate because of the pressure created in the mouth . This habit can also cause the maxillary central incisors to tip labially and the mandibilar incisors to tip lingually as the thumb rests on them during the course of sucking. Aside from the damaging physical aspects of thumb sucking, there are also additional risks, which unfortunately, are present at all ages. These include increased risk of infection from communicable diseases, due to the simple fact that non-sterile thumbs are covered with infectious agents, as well as many social implications. Some children experience social difficulties, as often children are taunted by their peers for engaging in what they can consider to be an “immature” habit. This taunting often results the child being rejected by the group or being subjected to ridicule by their peers, which can cause understandable psychological stress.

To prevent their children from sucking their thumbs some parents use bitterants or piquant substances on their child's hands.Parents could get a series of sharp prongs known as "hay-rakes" cemented to a child's teeth to discourage sucking

Praise children for not sucking, instead of scolding them when they do.
If a child is sucking its thumb when feeling insecure or needing comfort, focus instead on correcting the cause of the anxiety and provide comfort to your child.
If a child is sucking on its thumb because of boredom, try getting the child's attention with a fun activity.
Involve older children in the selection of a means to cease thumb sucking.
The pediatric dentist can offer encouragement to a child and explain what could happen to its teeth if it does not stop sucking.
Only if these tips are ineffective, remind the child of its habit by bandaging the thumb or putting a sock/glove on the hand at night.
1 person found this helpful

My 10 month old baby has runny nose, sneezing and coughs often, my ped suggested asthaline expectorant (3ml -3 times a day) gladimol c (6ml -3 times a day) for 3 days. My baby weight is 8.20 kilo. I just want to check if this is the correct dosage for my baby.

MBBS DCH
Pediatrician, Gandhinagar
Dosage is correct, don't doubt on your pediatrician. But in viral upper respiratory infections don't give medicines repeatedly. Home made remedy will all that is required.
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I have too much acidity and gas problem . I have problem of back pain and stomach pain. My brain is not feeling relax I have no any tension. But I feel upset . My whole body was totally tired without any work . I have problem of breathing. Tell me what can I do.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
I have too much acidity and gas problem . I have problem of back pain and stomach pain. My brain is not feeling relax...
Take timely meals and sleep, avoid fried and spicy food, tea, coffee, chocolates. Do half hour meditation daily, keep yourself busy.
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My new born kid has ostium secundum of 0.4 cm. Is it harmful later or will it get healed as time passes by.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My new born kid has ostium secundum of 0.4 cm. Is it harmful later or will it get healed as time passes by.
It might become smaller but complete closure spontaneously is not known. But it's a mild defect don't worry.
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