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Dr. Dushyant V Punwani

Pediatrician, Mumbai

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Dr. Dushyant V Punwani Pediatrician, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Dushyant V Punwani
Dr. Dushyant V Punwani is one of the best Pediatricians in Mumbai, Mumbai. He is currently associated with Dr. Dushyant V Punwani Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Dushyant V Punwani and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 34 years of experience on Lybrate.com. Find the best Pediatricians online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi
Professional Memberships
Indian Medical Association (IMA)
Indian Academic of Padeatrics

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C/4, Gita Prakash, Landmark: Near Four Bunglow Bus Stop, MumbaiMumbai Get Directions
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My son's age is 2 years 10 month. He is less height according to his age. His same age child's have more height around 2-3 inches. Seems his heights growth has stopped. We are giving him all the nutritions but not growing. please suggest.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son's age is 2 years 10 month. He is less height according to his age. His same age child's have more height aroun...
Normal average height for 2 year old is 87 + or - 2 cms. You measure and confirm. You should not compare with other children ad height depends on parent's height.
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Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball ghutti to her. She use to spit a lot of milk. Please advise. Also she demands for more milk after completely breast feeding as she feel hungry. Please suggest which milk powder we should use for her.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball...
It is best to give only breast milk till 4 months of age and do not give anything else like gutti. If you still give other milk, do not give in bottle and feed with a spoon.
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I have a daughter of 11 years she is not all interested in studies. She is very michevios in her class. She doesn't listen to any one. In other all she is very active.

C.S.C, D.C.H, M.B.B.S
General Physician,
She needs to advised these tips or need counsellings. If you feel excessive sleep or tiredness/ head spinning or vertigo like feeling you have to make sure you have no anaemia or hypothyroidism by doing a blood CBC & TSH and inform me directly 10 Study Tips to Improve Your Learning Study Tip 1: Underlining Underlining is one of the simplest and best known study tips. It’s easy to highlight the most significant parts of what you’re reading. One key sentence per paragraph and a few important phrases here and there. You can only retain a certain amount so it’s best to retain the most important information. Study Tip 2: Make your own note and taking notes is one of the most widespread study skills out there. Essentially the aim of note-taking is to summarise lectures or articles in your own words so you can easily remember the ideas. Study Tip 3: Mind mapping A good Mind map can save you many hours of study and further consolidate your knowledge for your exams. Mind Maps are an extremely versatile tools. They can be used for brainstorming, outlining essays or study topics and for general exam preparation, ExamTime offers the ability to create Mind Maps quickly and easily which makes them the ideal tool when it comes to exams. Study Tip 4: Flash cards:- Using these are a particularly effective method of learning when trying to assimilate different facts, dates, formulas or vocabulary. Subjects such as History, Physics, Maths, Chemistry, Geography or any language are made much easier if you incorporate Flashcards in to your study. Study Tip 5: Case Studies Sometimes it can be difficult to grasp the implications of some theories. This is where studying case studies can be a big help. Case studies can help you visualise a theory and place it in a more familiar and realistic context. This is especially useful in business or law subjects. Study Tip 6: Quizzes are an excellent way to review study notes in the weeks and days before an exam. Quizzes can show where your strengths and weaknesses are, so it allows you to focus your efforts more precisely. Moreover, if you share your Study Quiz with your classmates and test each other as much as possible you can discover even more details and areas you may have overlooked. So before any exam, make sure you create and share a bunch of different Quizzes with your Friends. Study Tip 7: Brainstorming This is another study technique that is ideal for studying with friends and/or classmates. Brainstorming is a great way to expand every possible idea out of any topic. Just get a bunch of friends together and shoot the breeze, there are no wrong answers when brainstorming – just talk and capture the ideas, you can review afterward. Study Tip 8: Mnemonic Rules Mnemonics are especially useful when memorising lists and sets. Mnemonics rules basically work by associating certain concepts with other concepts that are more familiar to us. There are many different ways to make mnemonics and these can be individual to the person. Study Tip 9: ORGANISE your study One of the most effective study skills is also one of the most often overlooked; this is organising your study. Creating a TIME TABLE gives you goals and a time in which to achieve them. Having a study timetable as you study is greatly motivational Study Tip 10: Drawing Many people find it easier to recall images rather than text that is why they are better able to memorise concepts if they associate them with pictures or drawings. If you find answer helpful please click on “helpful” tab for knowing my efforts are useful CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs. If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself. 7) Break down Roadblocks Roadblocks occur whenever you hit a tricky problem in your work. This can happen when you run out of ideas or your focus wavers. Break down roadblocks by brainstorming or planning on a piece of paper. Writing out your thought processes can keep you focused even if you might become frustrated. 8) Isolate Yourself Become a hermit and stay away from other people if you want to get work done. Unless your work is based on other people they will only break your focus. Create a private space and refuse to talk to anyone until your work is finished. Put a sign on your door to steer away drop-ins and don’t answer your phone. 9) Healthy Body, Sharper Mind What you put into your body affects the way you concentrate. Nobody would expect peak performance if they showed up drunk to work. But if you allow yourself to get chronic sleep deprivation, overuse stimulants like caffeine or eat dense, fatty foods your concentration will suffer. Try to cut out one of your unhealthy habits for just thirty days to see if there is a difference in your energy levels. I’ve found even small steps can create dramatic changes in my ability to focus. 10) Be Patient Before I write an article, I often sit at my desk for a fifteen or twenty minutes before I put finger on the keyboard. During this time I feel a strong urge to leave or do something else. But I know that if I am patient, I’ll stumble upon an idea to write about and enter a state of flow. Without a little patience, you can’t take advantage of flow when it rushed through you. If you need strong concentration I recommend periods of 90-120 minutes. Any less than that and you will waste too much time getting started before the flow can continue. More than this is possible to sustain focus, but you will probably benefit from a quick break. These are the general guidelines for concentration, studying well or doing your job. Regards.
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Give me the diet chart of 14 month old baby, she eat dal-chawal, shira,when I give her fruit, milk,

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Give me the diet chart of 14 month old baby, she eat dal-chawal, shira,when I give her fruit, milk,
Give 4 meals of different varieties of baby's choice, 2 times dairy milk 125 gm each, fruits n vegetables of season. Continue breastfeeding in between.
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Last week my son had his 18 month vaccination. But he still has lump on that area and also had a pain. What should I do for this?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Last week my son had his 18 month vaccination. But he still has lump on that area and also had a pain. What should  I...
Post vaccination lump is usually due to dpt and sometimes it takes long time to resolve. If associated with pain, redness it may be an abscess. In that case it needs excision.
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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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Hi my children s are active and healthy. My son is 7years weight 20kg. My daughter 9years 30kg. Just want clear that they are in normal weight or abnormal any healthy drinks for childrens and as well as for me with milk.

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
Hello lybrate-user, the weight parameters of both your children are in the normal range. Since your daughter maybe approaching the pubertal age group soon, that's when the growth spurt happens so make sure you give a healthy balanced diet comprising of more of proteins like milk and milk products, soyabean, eggs, paneer etc in their daily meals. Also exercising is a must. 3 major meals and two snacks will be helpful in providing adequate nutrition. You could give vitd and calcium supplements to meet the daily requirements. Hope that helps.
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Sir/ Madam my daughter is about to complete 6 Month. What are the food chart recommended for her? Cerelac or baby Horlicks which one is preferable? What should be the frequency/ratio between formula milk and breast milk?

DNB (Pediatrics), DCH
Pediatrician, Surat
Sir/ Madam my daughter is about to complete 6 Month.
What are the food chart recommended for her?
Cerelac or baby Hor...
1. There is no ratio for any formula. Give breast milk n one by one introduced home cooked freshly prepared food. Initially with soft gruel like consistency and dense with some added fat. No market product is advisable and needed or healthy.
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My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. We are giving her enfamil a+ and rice dal. Please suggest what to do ?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby girl is 7 months old. Her stool is hard and too small amount. She is crying during potty. Her wt is 7.5 kg. W...
You give her only breast milk. If you give bottle feed stop it and give with cup and spoon. Check her tsh and inform me. As you are giving formulas give boiled water frequently and send me report.
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My son is 2 year old suffering from frequent fever due to bad immunity. What should I do for his weight gain?

M.D.( Pediatrics), DCH
Pediatrician,
Why do you think by increasing weight he will have more immunity? immunity can be increased by vaccinations and good hygiene, healthy eating. We don' t know if his weight is adequate for his age or not?
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My baby is 29 days old n he z not passing urine for 2 hrs is it normal .plz suggest me doctor.

BHMS
Homeopath, Secunderabad
My baby is 29 days old n he z not passing urine for 2 hrs is it normal .plz suggest me doctor.
It's normal. Just keep feeding the baby as usual. Do not worry. If there are no other complaints them relax . Just observe things and do the right things as suggested by your doctor.
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I am 4 yrs old female. I have Eosinophilic fasciitis from last 3 months. What should i do?

BHMS
Homeopath, Faridabad
Hello.Eosinophilic fasciitis is a rare disease that leads to inflammation and thickening of the skin and fascia underneath. In patients with eosinophilic fasciitis, the involved fascia is inflamed with the eosinophil type of white blood cells. This leads to symptoms of progressive thickening and often redness, warmth, and hardness of the skin surface.Meet your physician in person for the proper treatment.
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Hi my 22 days old baby got red dots means like small small boil on neck back five days now neck part is clear and it spreaded to face let me know any solution.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
Hi my 22 days old baby got red dots means like small small boil on neck back five days now neck part is clear and it ...
Don't rub and no massage, you can change oil and soap, allergy may be there. Sometimes it is normal also, it will regress by is own.
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My son is having a cough n cold n fever since two days I have given him vikoryl due to which fever has gone n to some extent even cold is also gone but cough is accumulated in the chest kindly suggest me some home remedies or medicine to remove the cough from the chest.

BHMS
Homeopath,
My son is having a cough n cold n fever since two days I have given him vikoryl due to which fever has gone n to some...
You should get the chest auscultated(thought stethoscope) from s general practitioner or a paediatrician. It's not good to allow cough to accumulate as infants are prone to pneumonia very often.uou can give him warm fomentations and some steam.
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Hi my name is satveer, I have two daughter. What should I give in food for good growth in terms of height. My daughter are 3 years n 5 years.

Pediatrician, Kaithal
Hi my name is satveer, I have two daughter. What should I give in food for good growth in terms of height. My daughte...
Family diet is best for your daughters. Diet should include pulses, veggies, cereals, proteins rich diet. Don't give excessive milk.
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My daughter is 2 and half months now. She is. Passing stools from last two weeks in a watery way. And it happens as soon as I feed her. Coming along with a fart. She is only on breast feeding. She s not sleeping in the day time after this. Am not eating anything from outside. Only diet from home. Kindly guide.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Some babies pass stools soon after feeding. It is called as exaggerated gastrocolic reflex. If the hydration is normal you can ignore. Babies will not develop diarrhoea if they are only on breastmilk.
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My son 8 years is intelligent but has no friends in class. Mostly he will not talk and tell me nobody talks to me. I always find him sitting quiet and on friendship day he wa s very sad as he did not get any band. How to deal with this situation and make him talk and active. Pls help.

MS - Counselling and Psychotherapy, Master of Arts in Clinical Psychology, Bachelor of Arts - Psychology and English Literature
Psychologist, Coimbatore
Hi lybrate-user! Good that you have come forward to find a solution for your son at this initial stage, bcoz this problem has to be sorted out as soon as possible. First you need to encourage him to talk with neighbours from small age to Adults, keep encouraging. Try to make him participate in social activities. Slowly you can find out boys of his kind to interact, allow him to interact. Just closely watch his behavior, try to find if he has any different kind of behavior that affects him from having a healthy relationship. First encourage him to make friends with guys who are also comfortable and adjusting with his relationship. If any problem try to correct him by talking to him in a friendly way. Just teach him how he needs to have friends. If you still find there is difficulty in him getting along with others, you can seek a Professional Psychologist help to overcome this problem at your locality. If you are interested you can contact me either through text chat or online consultation yes you are most welcome. The more you allow him to interact with guys of good character, he will definitely find good friends, but you can monitor him for some days just to help or train him to find friends. No worries. Console him. Bring confidence in him. Do not allow him to feel for unnecessary things (though it is necessary he need not feel since this can be solved) With regards,
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Hi Dr, Meri first baby gril jan 29-2017 ko howi but still now abi tak mujhe period nahi aya. Kya wajhe hai koi preshni ki bat hai kya? please gve me rply.

MD PHYSICIAN
General Physician, Delhi
Hi Dr,
Meri first baby gril jan 29-2017 ko howi but still now abi tak mujhe period nahi aya. Kya wajhe hai koi preshn...
Almost anything is considered normal when it comes to your periods while breastfeeding. All women experience a time of postpartum bleeding following birth which is not considered a menstrual period. If bottle-feeding, most mothers will have their first real period not long after this. Breastfeeding, however, suppresses menstruation at least for a while. For some mothers, there may be an absence of menstruation for weeks, months, and even years while still breastfeeding.
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How safe is loperamide for 2.5 years old toddler. My son had successful surgery for hirschsprung disease at 6 months of age. Bt the food transit is on the higher side. Are there any bowel management programs which can help/medication.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
How safe is loperamide for 2.5 years old toddler. My son had successful surgery for hirschsprung disease at 6 months ...
Loperamide has many side effects and for me, it has hardly any useful role in controlling motion. Child is only 2.5 years and has many years for bowel training. Further bowel management depends on surgery performed for which attending surgeon is best person to guide.
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Afrezza (Insulin Inhalation)

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Afrezza (Insulin Inhalation)

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

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