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Book Clinic Appointment with Dr. Avinash G Kamat
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Sir i have a baby girl of 1 year. Is any vaccination required for 12 months baby. And if yes than which vaccine required?
His birth weight is 3.5 kg. Presently his age is 12.17 days. Present weight is 8.3 kgs, height is 80cm and his head circumstance is 46cm. In beginning of mother feeding is very less we are not observed in the earliest and finally we knowns that mother milk is coming less at after 3 weeks of the boy age. Then we started lactogen include mother milk. At the age of 5th month we started cerelac too till continuing. At the age of 9th month we stopped lactogen because his getting motions. We tried several times then also same results. So we decided to stop lactogen. Now his daily food is morning hand made vuggu (mixed dals), cerelac, rice with milk and finally raagulu. Please give me a best suggestion or medicine to grow up his weight. Thanks.
Dear Sir, My Daughter having Tonsils & Every month 1 or 2 day blood bleeding 5 to 10 drops in left nose, first time blood bleed at age 2, we consult doctor, dr. said operation have to done, but she is very young you come back after 3 years. now she is 7 years old, please suggest me what will be done. Thank you
My baby is 13 month old and recently we have started offering cow's milk to him. From that day onwards he passes pale yellow coloured runny poo 6,7 times in a day. How to overcome this? Also kindly suggest, can I reuse the boiled milk?
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:
- 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.
- 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.
- 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!
- Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
- 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.
- 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.
- 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.
- 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.
- Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
- White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
- Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.
Advice for diabetes patient:
- 35-40 minute faster walk every day.
- Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
- Avoid oily food.
- Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
- Do not take fast and also don t go much party.
- Diabetic person should eat food slowly.
- An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
- An elderly diabetic but not over weight 1400 -1800 kcal.
- A young active diabetic 1800 -3000 kcal.
- Daily intake of carbohydrate: 1/10th of total calories approximately 180gm.
- Daily intake of protein: 60gm to 110gm.
- Daily intake of fat: 50gm to 150gm.
My baby is 5 months old she sleeps very less. In the night she sleeps continuously from 10 pm to 8 o clock but the whole day 1-2 hours not more then that. Is this normal.
I have a 8 years old daughter. She is a old case of atopic dermatitis. However between age 2-6 she had no problems. Now her IgE level is 1600. Her condition worsens when she catches cold, eats nuts, chips and chocolates. She responds only to topical steroids namely mometasone furoate. Which medicine can help reduce her IgE levels?
My baby boy of 21 days suffering from Red rashes near anal opening and it pains on passing stool, the stool is watery and contains bubbles. Plus advise.
The diagnosis of leukemia in a child is followed by a discussion regarding the treatment and tenure required for complete recovery. The way in which the doctors go through the treatment after diagnosis of leukemia is based on various factors. Such factors that influence the outlook of the child are termed as prognosis.
These prognostic factors help in taking the decision regarding what sort of treatment should be offered to the child. Treatments may either be standard or intensive based on the prognostic factors. These factors, however, are vital in treating acute lymphocytic Leukemia than the other type called the acute myelogenous Leukemia. Above all these, survival rates are discussed and these rates play an important role. Parents of the child affected may at times insist that they get to know the survival rates.
The 5-year survival rates: The 5-year survival statistics are a common method used for discussing survival rates. This is the rate that denotes the percentage of children who live for a minimum of 5 years after the diagnosis of cancer. In the case of acute leukemia, it is rare for the cancer cells to come back after five years and so, you can come to a conclusion that the child has recovered.
Prognostic factors: The survival rates are based on a number of children who are diagnosed, but this is not conclusive. The type of Leukemia also plays a vital role. There are also various other prognostic factors that affect the child's outlook such as age, gender, weight, initial blood counts, and the way the child is responding to treatments. However, the survival rates are roughly the best estimates even after taking these factors into account.
Acute lymphocytic leukemia - 5-year survival rates
The survival rate for acute lymphocytic leukemia is greater than 85℅ and there is a vast improvement in this percentage over a period of time.
Acute Myelogenous Leukemia -5-year survival rates
The cumulative survival rate for Acute Myelogenous Leukemia is about 60℅ - 70℅. There was a substantial increase is this percentage over time. There are a few subtypes which have a different percentage of survival rates.
Juvenile Myelomonocytic Leukemia - 5-year survival rates
50℅ is the survival rate for this type of Leukemia.
The stage where there is no sign of Leukemia after 6 weeks of treatment even after the performance of lab tests which are very sensitive, it is called as remission. The remission stage does not necessarily mean that
Leukemia has been cured completely.
In conclusion, there is a significant increase in the percentage of survival rates when it comes to cancer. It has increased from 10℅ to 90℅ in the past few years. Factually speaking, there are approximately 375000 adult survivors in the United States who were diagnosed with cancer in their childhood. If you wish to discuss about any specific problem, you can consult an Oncologist.