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Dr. Hemant S Pikale

Pediatrician, Mumbai

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Dr. Hemant S Pikale 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. Hemant S Pikale
Dr. Hemant S Pikale is a renowned Pediatrician in Mumbai, Mumbai. He is currently practising at Pikale Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Hemant S Pikale on Lybrate.com.

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Hindi

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Pikale Hospital

Uma-mahesh, m.m. chotani marg, cross road -2, mahim west. Landmark: Near Railway Station, MumbaiMumbai Get Directions
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All About Chronic Lung Disease in Infants

DAA, Diploma in Child Health (DCH), MBBS, DMRD
Pediatrician, Mumbai
All About Chronic Lung Disease in Infants

The newborn are often extremely susceptible to fatal diseases and the first few months of the infant's life calls for uncompromised care and vigilance. One of the most precarious diseases afflicting the newborn babies are chronic lung disorders. This condition mainly emanates from a damage to the lung tissue, which results in breathing troubles. Under such circumstances, the lung may collapse, being filled with fluids and end up oozing out harmful mucus. While a severe form of such lung diseases may often result in the death of the infant, in most cases the infants outgrow the disease and with proper care, grow up to lead a healthy life. 

Most chronic lung diseases in infants are congenital and are spurred by a variety of causes: 

  1. Premature delivery: Chronic lung diseases are recurrent in babies born prematurely, i.e. before the lapse of at least 26 weeks of gestation age. Underweight infants also run the risk of suffering from this ailment. The lungs are not able to develop fully in such situations as a result of which they become prone to respiratory distresses. Another allied trigger to Chronic Lung Disease is the use of ventilation on the premature babies. The forced breathing and imposed oxygen levels induced by ventilators often impair normal lung functions in babies. 
  2. Fluids in the lungs: Certain babies are either born with or develop a condition where fluids accumulate in the lungs. This inflicts a lot of damage to the lungs and leads to such diseases.
  3. Respiratory Infections: Some babies are likely to acquire lung infections from certain disease causing viruses. This largely handicaps the normal lung functions. 
  4. Heart conditions:  Abnormal blood circulation in the heart also stimulates lung diseases in newborns. If the heart is unable to regulate the flow of blood to the lungs properly, then the chances of such diseases increase by leaps and bounds. 
  5. Inhaling harmful foreign materials: Certain particles often affect the health of the lungs tremendously. Exposure to meconium during delivery might result in the inflammations that potentially injure the lung tissues. 
  6. Nutrition deficiencies: If an infant's body lacks vital nutrients, it may result in a condition of malnutrition. Lack of vitamin A may cause chronic lung diseases. 

Chronic Lung Diseases are usually recoverable with early detection and appropriate treatment. However, one needs to meticulously cater to the health needs of the baby, in order to ensure complete recovery and avert recurrence.

4098 people found this helpful

I am 23 years old and I had one baby of 7 months old but I am suffering from breast I can't feed my baby properly which he want .he always feel hungry in my breast the milk was flow in very less quantity there fore my child stomach is not filled. What can I do please help me.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
I am 23 years old and I had one baby of 7 months old but I am suffering from breast I can't feed my baby properly whi...
Express milk from breast at regular intervals & feed baby. Take antibiotics, analgesics to treat your illness so you are able to feed him.
2 people found this helpful
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Non Communicable Disease

MBBS, D.P.H
General Physician, Gurgaon
Non Communicable Disease

NCD's are emerging as a major global problem which can controlled by taking certain measures. It's a non infectious disease resulted from hereditary factors, lifestyle factors (diseases of affluence) e. g. Hypertension, Diabetes, Cardiovascular diseases, Cancer and mental health problems, Asthma, Atherosclerosis allergy. It is responsible for almost 60% of World deaths and constitute 43% of the Global burden of diseases.

If we see Rising Chronic Disease Burdens of following Diseases in India, the data are alarming and requires urgent intervention in policy matter.

Disease

Year 2007

Year 2025

Hypertension

125 Million

214 Million

Diabetes

41 Million

69 Million+

Tobacco

1 Million

2 Million+

Can I prevent CVD? Yes by evaluating overself

Risk Factors Associated With Heart Disease

 

 

 

 

S. No

Risk Factors

High Risk

Low Risk

No Risk

1

Walk(Minimum 35 Minutes)

Nil

3-4 days/week

5-7 days / week

2

Obesity(BMI)

>26

<25

<24

3

Smoking(Tobacco)

>1 / day

1/ day

Nil

4

Yoga

Nil

3 -4 days/ week

5-7 days/week

5

Stress

150%

100%

50%

6

Meditation

Nil

3 -4 days/week

5-7 days/week

7

Zero Oil

70%

90%

100%

8

Vegetarianism

>6 days

<6 days

100%

9

Fruits, Salad and Vegetable Intake

Nil

15%

>50%

10

Milk and Dairy(Double Toned Milk)

>300 ml

300 ml

200 ml

11

Serum Cholesterol

180 ml/dll

150 ml/dll

130 ml/dll

12

Serum Triglycerides

160 ml/dll

130 ml/dll

100 ml/dll

13

HDL

<40 mg/ dll

<50 mg/dll

>60 mg/dll

14

LDL

>190 mg/dll

>130 mg/dll

<100 mg/dll

15

Cholesterol HDL Ratio

>6:1

> 5:1

<4:1

16

BP Systolic/ Diastolic

>140/ >100mm/hg

>130/ >190 mm/hg

120 / 80 mm/hg

17

Blood Sugar Fasting / PP

>110/ >200

<110/ <160

<100/ <140

Regular blood tests are recommended for people who are at higher risk of developing high cholesterol. Routine cholesterol testing may be necessary if you:

  1. Are a man over 40
  2. Are a woman over 50
  3. Are a postmenopausal woman
  4. Have heart disease or have had a stroke
  5. Have diabetes
  6. Have a close relative (mother, father, sister, brother) with heart disease or high cholesterol
  7. Are overweight, physically inactive, smoke and/or drink excessively
  8. Have physical signs of high cholesterol such as fatty deposits on your skin or tendons
  9. Have high blood pressure
7 people found this helpful

My new born baby have discharge from both eyes. Its appear as pale yellow. Please suggest good eye drops. Is it normal?

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My new born baby have discharge from both eyes. Its appear as pale yellow. Please suggest good eye drops. Is it normal?
Yes many a kids gets neonatal conjuctivitis due to the infective secretion from birth passage. Many a times it heals on its own but sometimes we have to give some eye drops, so its perfectly ok.
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Hello Doctor, my son age 9 years having fever and dry cough. From yesterday morning. I have been giving him crocin syrup 10 ml , kidicare and adulsa. His fever goes once he take crocin but in few hours it comes back. Can you confirm id antibiotic need to be given.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Hello Doctor, my son age 9 years having fever and dry cough. From yesterday morning. I have been giving him crocin sy...
It could be viral infection which may last for 2-3 days, continue giving paracetamol syrup every 4- 6 hrs for atleast 3 days and then on sos basis.
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Babies and Nail Infection

MBBS, DDV
Dermatologist, Mumbai
Babies and Nail Infection

What are nail infections? 
Nails are at risk of fungal infections during the rainy season, especially if your baby sweats and continually scratches himself. Nails can become discoloured, brittle and rough. In severe cases, the nail can come away from the nail bed. You may also notice red, swollen and itchy skin around the nails.

How did your baby get a nail infection
This fungal infection can result from overexposure to water, damage to the nail, or scratching sweaty or infected skin. Any moisture or debris trapped under the nails encourages the infection to grow. Ingrown nails may also be prone to infections.

What can you do about your baby's nail infection?

Its best to take your baby to a board certified dermatologist.

Hi, My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body which are increasing day by day. Please suggest the line of treatment. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi,
My daughter is 8 years old and is suffering from Nf1. She has several cafe au lait spots on her face and body whi...
Neurofibromatosis type 1 (NF1), also called von Recklinghausen's disease, is a rare genetic disorder characterized by the development of multiple noncancerous (benign) tumors of nerves and skin (neurofibromas) and areas of abnormally decreased or increased coloration (hypo- or hyperpigmentation) of the skin. Areas of abnormal pigmentation typically include pale tan or light brown discolorations (cafe-au-lait spots) on the skin of the trunk and other regions as well as freckling, particularly under the arms (axillary) and in the groin (inguinal) area. Such abnormalities of skin pigmentation are often evident by one year of age and tend to increase in size and number over time. At birth or early childhood, affected individuals may have relatively large benign tumors that consist of bundles of nerves (plexiform neurofibromas). Individuals with NF1 may also develop benign tumor-like nodules of the colored regions of the eyes (Lisch nodules) or tumors of the optic nerves (second cranial nerves), which transmit nerve impulses from the innermost, nerve-rich membrane of the eyes (retinas) to the brain. People with neurofibromatosis type 1 may undergo surgery to remove particularly troublesome tumors. Physical therapy may be beneficial for some people. A variety of orthopedic devices may help to improve mobility in some cases. Other treatment is symptomatic and supportive. Genetic counseling will be of benefit for people with neurofibromatosis type 1 and their families.
1 person found this helpful
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Hello, my baby is of one year but below 8 kg. She is preterm born and was of 2 kg at birth. She is not gaining weight although has gud heavy diet.Please tell.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello, my baby is of one year but below 8 kg. She is preterm born and was of 2 kg at birth. She is not gaining weight...
Diet you are giving may be heavy and good as per your perception but may not be sufficient for bay. Give him well cooked oily diet frequently including milk. Continue breast milk till 2 years of age.
3 people found this helpful
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Cect chest reveals small fibrosis lesions in both fields with subcentimeter sized lymphnoed in mediastinum, indicating sequelae of previous infective pathology.

MBBS, DM - Cardiology, md medicine
Cardiologist, Bhopal
Cect chest reveals small fibrosis lesions in both fields with subcentimeter sized lymphnoed in mediastinum, indicatin...
If you are asymptomatic. No need of further evaluation. Just follow. But if you have any gastro intestinal symptoms consult gastro- enetrologist. Actually it's difficult to evaluate small size sub centermeter lymph node. Sometime they having no significant. So need to clinicaly correlation.
1 person found this helpful
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My baby having 5-6 times potty in a day since last 15 days. He is 4 month 1 week old. Got treatment but no effective results. Help me.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby having 5-6 times potty in a day since last 15 days. He is 4 month 1 week old.
Got treatment but no effective ...
Stop bottle feeding if doing, continue breast feeding with semisolid diet give plenty of fluids zinc oxide ointment application in perianal area if red keep nappy area dry.
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My 2 and half years son have perfect height 3.2 ft but weight is low is 11 kg and they didn't have any interest to eat take milk too also stool tight. He is seen like weak boy.

C.S.C, D.C.H, M.B.B.S
General Physician,
My 2 and half years son have perfect height 3.2 ft but weight is low is 11 kg and they didn't have any interest to ea...
This weight is reasonable and his TSH need to be tested .He should be given all foods and ned not depend on milk intake.
2 people found this helpful
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I am going to fly with my 8.5 months old son tomorrow for the first time. The flight is around 1 hour long. Our paediatrician has recommended to give him phenergan 1 hour before take off so that he is ok during the flight but I have my doubts. Is it ok to give phenergan to such a young child?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I am going to fly with my 8.5 months old son tomorrow for the first time. The flight is around 1 hour long. Our paedi...
No need to give any medicine. While taking off and landing baby can have ear ache for which sucking will relieve him either give him breast feeding while taking off and landing or give him a dummy nipple to suck.
1 person found this helpful
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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.
1 person found this helpful
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My baby girl is 4 and a half month. She is only in breastfeed. Her weight is 5.20 kg. She got born in 35 weeks weight was 2.35 kg. Shall I give formula milk? From last week she is sucking her thumb a lot.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Greater Noida
My baby girl is 4 and a half month. She is only in breastfeed. Her weight is 5.20 kg. She got born in 35 weeks weight...
Exclusive breastfeeding is the best thing for kids till 6 months. If baby is satisfied with your milk don't go for any formula till 1-2 months. Use cloth mittens to avoid thumb sucking.
1 person found this helpful
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A 3 days old baby. S chin is shivering. Is it any problem? She does not get enough breast milk. Is it symptom of jaundice?

MBBS, MD - Paediatrics
Pediatrician, Delhi
A 3 days old baby. S chin is shivering. Is it any problem? She does not get enough breast milk. Is it symptom of jaun...
I understand your anxiety about your new born baby. The new born can have normal shivering movements at the chin provided these are momentary. How you have assessed that child is not getting enough milk? 2 reliable signs of enough milk are 1birth wt is regained at 15 days of age. Wt should increase at least 500grams in a month. 2.should pass diluted urine at least 6 times in 24 hours. It is not a symptom of jaundice &u may be reassured. Regards.
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As my son is 3month old and he always asked for mother milk every 30hrs and his mother don't having sufficient milk to feed him so can we give him cerelac now and he had also having cold in regular interval so how to rid this issue.

C.S.C, D.C.H, M.B.B.S
General Physician,
As my son is 3month old and he always asked for mother milk every 30hrs and his mother don't having sufficient milk t...
Yu have to feed breast milk as much as possible and give cerelac with a poonin correct composition . ANd also water if you give cerelac. FOr cold wikoryl drops can be given but a check may be needed
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Asthma in Children: Diagnosis and Treatment

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Asthma in Children: Diagnosis and Treatment

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

3453 people found this helpful

Dear Sir /Madam, My daughter is 5 months old. Last few days her foot (lower portion) and palms are turning red frequently for 15 to 20 minutes after which it is getting normal. We also noticed the same in her forehead. These things are happening most in the night before sleeping. Is anything serious in it? When consulted with doctor, he told that my daughter has low hemoglobin (12. 2 gm%) for which she is taking medicine now. Is it the reason for which she is getting this problem. Please clarify & suggest what need to be done. I'm very worried for my daughter's health.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Dear Sir /Madam, My daughter is 5 months old. Last few days her foot (lower portion) and palms are turning red freque...
Hb can't be reason for this change. If baby is active n taking normal feed there is no cause of worry. Since doctor has already examined n observed no problem I suppose redness may be due to atmospheric change of temperature and/or feeding before sleep.
1 person found this helpful
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I'm a nursing mother of a 6 month old baby boy. I started feeding him cerelac but most of the time I'm struggling as he don't Iike to eat at all. I want my baby to be healthy please help

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Are you a first time mother? This is a common problem that can be easily solved. It is a detailed discussion. Kindly give more detail about sleep, urine, stool, weight of your child. You have written 8 kg - are you sure?
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