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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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Free tongue movement in pre-verbal infants influences their perception.says Canadian researchers.
The results showed a teether inserted into the mouth of an infant has an impact on the tongue tip and blade movement influencing speech perception.
Speech perception is available even before infants accrue experience producing speech sounds.
Hello, my aunt had a delivery last month. She didn't have enough milk to feed her baby. What should be given to a one month baby if mother's milk is not enough?
My daughter 10 months old having temper tantrum since 2 months. Is it curable? Is it a sign of behavioral problem? What should I do?
Hi doc, my 45 days old son is around 4.2 kg and his birth weight is 3.4 kg. Doc told his weight gain is too slow. I am on breastfeeding. He is around 56 cm in height. I am really worried. He is peeing and pooping. He looks quite active and normal. I am really confused. Please suggest whether I need to introduce formula or other supplements for his weight to peek.
My son (2.9 years) suffers from stool problem. He doesn't empty his stomach unless the syrup Laxobix is given. This has been going on since 7-8 months. I don't know how to bring him back to natural way.
Hello doctors, My daughter is 5 months old. 3 days after her birth doctor has done echocardiography and it was showing PFO 2 mm with L - > R Shunt. They have suggested that it will be closed with growth of the baby and I can consult any paediatric cardiologist after 6 months. I have consulted a doctor yesterday and he asked to do echo again. This time in echo it is showing that 3 mm ASD with L -> R shunt. Rest everything showing normal. And again doctor suggested that there is nothing to worry since the size is too small and you can just ignore for now and consult a doctor again after 1 year. I wanted to know through Lybrate that what is PFO and Asd. How come pfo is changed to ASD after 6 months. Is it the same or any difference. Any medication to fill the hole? How long it takes to fill the hole naturally. Is there any complication because of asd on my baby's health. Any precaution from my side? Kindly advice. Regards,
My son is 2.3 years old. He is having fever. I have consulted doctor and he prescribed me syrup to give 5 ml dose in gap of 6-6 hours and told it is viral fever. After the dose fever goes and again after 6 hrs it starts, what should I do?
My baby is 2 months old she is vomiting since her 11th day. We have done few investigations like scanning. Cbp.lft. Urine.urine culture n senstivity. All the reports were normal. But she still vomit I used domstal drops. There is no change. Please help me with good solution.
My daughter is 8 years old and weighs only 20 kgs. She is never interested in eating, be it anything. Capacity of food intake is very low and so she is not that much energetic & active as she should be in this age. Kindly suggest what to do in this as supplements and tonics will do the needful or any other way so that can eat properly own her own and deficiencies can be done away with.
My daughter is 2 month old nd she is pre term baby 32 weeks. She is born on 31 march 2016 then her weight was 1400 kg but now she is 4 kg. Is this gud weight.
My son age 5 yrs, Weight 14 kg, he have cough & cold every months, please suggest some homeopathy medicine. Thanks.
My son is 12 years old and he still has the habit of bed-wetting, what could be the reasons, and how can I help him get rid of this problem.
Hi. My son is 17 months old a very healthy boy. But I am concerned about him when every night at around 12: 30-1: 00am. He starts crying so loudly for at least 25 minutes. Please advice.
I am 26 years old female. I got c-section delivery before 8 months I gave breast feeding to my male baby. I got malaria fever I stopped feeding for one month I do not have milk now again I want milk supply what can I do pls.
My daughter is 4.5 month old, she has problem of vomiting throughout the day. Only stop in sleep. We only give mother milk but we don't understand what is actually cause either liver problem or gastritis or something other. I gave her ondem drop and perinorm drop but no benefit find. Problem is still remain. Weight is 6 kg. please advice me for treatment.
Hi Sir Just need your guidance about health drinks for my 3 years old daughter. Is it good for her eg. Horlicks, bournvita etc. Please suggest, should I go for these items or avoid usage?
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
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.
Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.
People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:
Make healthy choices in eating
Engage in regular physical activity or exercise
Take medications, if required.
Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.
People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.
People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.
People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.
It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?
Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.
Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.
People with diabetes have an impaired ability to produce insulin, use insulin, or both.
People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.
People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.
The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.
The three different types of carbohydrates are starch, sugar, and fiber.
Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.
Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.
Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.
Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.
There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.
The type and amount of carbohydrate will affect post-meal blood sugar levels.
Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?
High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.
Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.
One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.
Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?
Some grains are better than others for managing diabetes.
A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.
White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.
Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.
Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.
Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.
Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice
Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.
Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.
The instructions are as follows:
Bring rice and water to a boil in an uncovered pot
Cover the pot and simmer for about 20 minutes
Turn off heat and let the covered pot sit for at least 10 minutes.
Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.
Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.
Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice
Because rice is high in carbohydrates, it should be accompanied by other foods.
Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.
Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.
Many foods can serve as substitutes for rice.
Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes
A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"
Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.
Season to taste with salt, pepper, lemon juice, and herbs.
Full recipe from the food network.
2. Cilantro lime quinoa
Low-sodium chicken broth
Juice of limes
Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.