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Dr. Inapuuri

Pediatrician, Mumbai

Dr. Inapuuri Pediatrician, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Inapuuri is one of the best Pediatricians in Mumbai, Mumbai. You can visit him/her at IIT Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Inapuuri and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 26 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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What causes hearing loss? + How to ensure you can help it as you age

MS - ENT -, MBBS
ENT Specialist, Delhi
What causes hearing loss? + How to ensure you can help it as you age

The partial or total inability to hear is known as hearing impairment or hearing loss. It can be present at birth, or develop later in life.

There are a number of factors, which may cause hearing loss

1. Age - Age is the biggest factor when it comes to the loss of hearing, and you may lose the ability to hear as you age. This condition is known as presbycusis. It becomes difficult to understand high-frequency sounds like that of a child or a woman when you get old.

2. Noise - When you are exposed to loud noises for a prolonged period of time, it damages your ears. This leads to loss of hearing. 5% of the total population of the world is affected by noise (the degree of suffering varies). It may be a result of continuous exposure to loud music or a sudden exposure to a loud noise like an explosion.

3. Hereditary disorders - Hearing disorder may be inherited by the dominant or recessive genes of parents in the child. 70-80% of these cases inherit from the recessive genes, whereas 20-25% inherit hearing loss from the dominant genes.

4. Trauma - Serious injuries of the head/ears may cause loss of hearing, which may be either temporary or permanent. When damage is caused to the brain, the brain fails to process the message conveyed by the ears. So even if the ears are totally functional, a person may face the problem in hearing.

5. Perinatal problems - The ototoxic effects on the fetus due to excess intake of alcohol during pregnancy lead to hearing the loss in about 64% of the infants born to alcoholic mothers.

Also, premature birth can be associated with hearing loss due to high risk of being exposed to noise in neonatal units.

Knowing about the causes of hearing loss can lead you a step closer to preventing this disorder as you age.

Here are some useful tips that can help prevent hearing loss:

1. Be more aware - You should be diligent and aware of the situations, which may risk your hearing ability and should try to avoid such situations as much as possible. Limit your exposure to sources of hazardous noises like firearms, firecrackers, concerts and clubs.

2. Take precautionary measures - If your occupation calls for working at an environment of loud noises, use earplugs or earmuffs to block out the excessive noise. Also, make sure that you work in a place where employers take all the necessary measures of noise control under the federal or state regulations.

3. Monitor your use of gadgets - Monitor and control the use of hearing devices, and try to reduce the use of headphones/ earphones as much as possible.

'Consult'.

Related Tip: Why Do You Get an EAR Discharge?

4533 people found this helpful

Hello my son is 4 months old. He sleeps at night for 7 to 8hrs in one stretch but he does not pee while sleeping. Do I need to worry?

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Normally babies pass urine even during sleep. If not passing make sure feeding is adequate. In 24 hrs he must pass urine 7-8 times.
1 person found this helpful
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Hi sir, my wife is 3months pregnancy n it was by ivf. Now we were done blood test today tsh is. 09 n t4 is 2.03. Is there any risk to baby? Please suggest me a good solution please.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi sir, my wife is 3months pregnancy n it was by ivf. Now we were done blood test today tsh is. 09 n t4 is 2.03.
Is t...
Production of thyroid hormones T3 and T4 increases by about 50%. As a result, the normal thyroid-stimulating hormone (TSH) level during pregnancy is lower than the normal nonpregnancy level. The new recommendations for TSH levels during pregnancy are the following: First trimester: less than 2.5 with a range of 0.1-2.5.. You have to leave the decision to your doctor
1 person found this helpful
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My 10 months old daughter is suffering from 102 degrees fever since last night, I am giving her paracetamol drops but fever is not getting down, what should I do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My 10 months old daughter is suffering from 102 degrees fever since last night, I am giving her paracetamol drops but...
High fever is usually due to viral infection. Give paracetamol suspension 125mg, 5ml whenever there is fever not more than 4 t imes a day give frisium 5mg tab 12th hourly for 2days to prevent convulsions.
3 people found this helpful
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My latrine is so hard and if I go 4 do it .it didn't come I have to go for 3 or 4 times what is the reason behind this.

C.S.C, D.C.H, M.B.B.S
General Physician,
It can be due to lack of fiber in diet, lack of water in food and mainly hypothyroidism can be a cause in your age. you have to check your thyroid and also eat lot of fiber and drink eater, You can also take Lactulose syrup at night if thyroid is normal
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My niece had nmuemonia last year. She is of 5 years. Nw she cannot eat any snack items like biscuits, ice cream, chocolate, cake and chats. If she eats any of them she gets severe cough. I don't know wat is the problem. Please give me the solution.

MBBS, MD
Pediatrician, Gurgaon
it can be allergic phenomena.non of the food products are essntial for growth of child.so if child doesn't like it just replace it with home made cereals, diet.don't force him nor pamper just let him himself.
1 person found this helpful
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My baby now 3 and half months I do not know we have to do head and nose shape but im not done this now I can do the shape or not the shape was now came or not.

BHMS
Homeopath, Secunderabad
My baby now 3 and half months I do not know we have to do head and nose shape but im not done this now I can do the s...
You do not have to do anything special except for feeding the baby and taking general care of the baby. You can learn how to take care of the baby from any nurse/doctor if there is any confusion.
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My daughter she is of 1 year 2 months old and we are going to hoshiarpur punjab in marriage at december end so what precaution should be taken as it would be very cold.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
My daughter she is of 1 year 2 months old and we are going to hoshiarpur punjab in marriage at december end so what p...
In extreme cold weather there are chances of frost bite, thermal injuries leading to influenza (cold cough fever). Usually we know well to protect us from from extreme cold weather but over protection may lead to other type of immunological thermal injuries. For example suppose temperature of water in overhead tank is 4 degree Celsius chilled and we can not bath or drink chilled water than we will start heating and sooner it will become warm at 40 degree Celsius. Now we will start bathing at this temperature of water in chilled air. Temperature difference between bathroom air and water goes beyond 20 degree Celsius (35 degree Celsius). This difference between bathroom air and water temperature of more than 20 degrees Celsius causes other type of thermal injuries leading to Allergies and infection due to breach in immunity.
1 person found this helpful
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My baby is 4 months old. My baby is sleeping at night times. But he is waking up 4 to 5 times. So that I am not sleeping much. Due to that I am feeling sleepy in the afternoon. But my mother-in-law is saying that if you sleep you will get headache in future which cannot be cured. But I can't stop myself without sleeping. Is sleeping in the afternoon really causes any affects.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 4 months old. My baby is sleeping at night times. But he is waking up 4 to 5 times. So that I am not sleep...
No what your MIL says is old and baseless belief. It is normal for babies to wake up in between and trouble their mothers. It is part of motherhood! You can take rest/sleep when you are tired in afternoon.
1 person found this helpful
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My son is 8 years old, he looks very lean. After eating little quantity of food he says his stomach is full. He is 18 kgs weight. What care I should take to increase his appetite and weight.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Give him good nutritious rich in protein may be fried diet more frequently since he is taking less quantity at a time. This may improve his appetite and wt.
1 person found this helpful
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My child is having 6 years he is not write alphabets how can I do he is not concentrating to write.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Lack of attention is one of the features of adhd. But its very premature to comment on the basis of data you have given.
1 person found this helpful
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Diet For Toddlers

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Menu planning for diet of indian toddlers:

Indian diet plan for toddler

In the above given chart, the outer 6 boxes represent the different food groups. This chart will help you in planning your own menu based on your convenience and timing for your baby. Follow the following tips for planning a healthy menu for your toddler.

The trick is to simply add at least 1 item from each group through out the day. Ofcourse you can use a particular group more than 2 times too. But in order to maintain variety in terms of taste and nutrition, its important to plan from each group. Ex – you can plan for rice in the afternoon and oats in the evening menu. Both the items belong to the cereal group and are equally healthy.

Make your choices of food from the given food group more interesting for the kid. Ex – instead of feeding your baby with rice and milk every day, introduce variety. Plan for rice and curd, or lightly lemon flavored rice, mix rice with mung dal from pulses group to add protein and variety to your kids menu.

After your kid turns 15 – 16 months old, you can mix up 2 or more food groups together. Ex – oats porridge with apple. Here oats cover the cereal group, milk will cover up for protein and apple will cover the fruits group. Some kids with good digestibility can tolerate the mixed groups concept right from 12 month on wards.

Cereal group – This group includes cereals like rawa (semolina), ragi, rice, oats, wheat and its products like brown bread, wheat based biscuits. These cereals are easy to digest. Initially its best to grind the food product, or mash it well to avoid choking. Some kids take time to learn to chew.

Milk and milk products group – As the name suggests this group includes all varieties with milk. Cows milk has the best digestibility. Hence it is preferable to give you kids cow’s milk. You can later introduce him with milk products like cheese, curd, buttermilk and paneer. Cheese on brown bread is a good snacking option for your 2+ year old toddler. They relish it.

Non – vegetarian protein group – This group includes chicken, eggs and fish. I would really recommend you to start your kid a little late with fish. May be after he is 2 +. This will ensure his digestion capacity. It is not that kids do not eat fish before this age. There are individual differences and food preferences. All you need to do is ensure about your kids digestion capacity,
 And allergic reactions to these foods.

Dals and pulses group – Start with easily digestible dals like mung dal. Once they are tolerated well by the kid, you can then move forward to slowly introduce her with all the other varieties of dals, and pulses. Make sure the first time you try any new pulse, it should be diluted enough. If your baby has any sign of intolerance towards these foods, like change in color of stool, hard stool or watery stool or gases or stomach ache after the intake, reintroduce the food after a week in a diluted form

Fruits and vegetables – The fruits and vegetables that are mentioned under the groups in the above info graphic diagram, can be used in any form. You can mash the fruits, make juice out of it, pressure cook the fruit for 1 whistle and then mash it (apple). Or you can hand over them as slices to your kids. So they also learn to eat on their own. You can use vegetables in soup forms or cooked vegetable form, just the way you consume it at home. Make sure you add little or no spices to the preparation. You can introduce the spices and masala for the baby after she is 2.5 + years of age.
 

Fats and sugars – This group is placed in the center on purpose. Although you need to use very little amount of fats and sugar for your toddler, but please do not ignore this group. Your baby really needs good fats for better digestion. Don’t forget that these little ones also require tasty foods just like us. You can add sugar or jaggery to their food preparations.

Note – You need to feed your growing toddler every 2- 3 hrs, don’t wait for them to signal for hunger. Kids get really cranky and irritated if they go without food for long. To become a smart mom, you need to set your timetable accordingly. Keep your busiest hours for their milk feeds. But do not over do milk. Excess milk feeds and no solid will make her/ him hate food. They may also get loose motions, uncontrolled bladder. They would become cranky if you don’t give them enough solids. And the kid will want to stick to you at all 


Here is an indian diet plan for toddlers for your reference.

Time and menu:

  • 7.00 am (after waking up): 1 glass milk + 4 soaked almonds
  • 9.00 am Breakfast: Choose any 1 from the mentioned options: Rawa kheer / ragi kheer / vermicilly kheer, Soft cooked rawa upama with finely chopped carrots, Soft cooked mung dal chilla with grated carrots and finely chopped spinach, Curd with soaked poha, (add a little salt or sugar as per your kids taste), Soft dosa or idli with sambar
  • 11.00 am: 2-4 slices of apple / orange / water melon /musk melon / pomogranate / papaya / 2 wheat based biscuits / ragi flakes (handful) (any seasonal fruit)
  • 1.00 pm: Lunch (choose any 1 from the mentioned options)- Curd rice / dal + rice / sambar + rice / milk + rice / vegetable pulav / kadhi + rice / lemon flavored rice, Vegetable khichadi, Daliya upama (soup consistency), Vermicilly upama, Soft cooked roti or phulka with toru / bottle gourd / palak / methi / potato vegetable
  • 2.30 pm: Buttermilk (optional) / ragi kanji
  • 4.00 pm: Choose any 1 from thementioned options- Oats porridge with chopped apple or banana, Fruit smoothie with almond or walnut (at room temperature), Milkshakes, Hot milk with 4 biscuits, Aata laddu – 2 small, Dry fruit chikki, Sliced / boiled veggies like carrot, broccoli with curd dip, Tacos with vegetable based greek yogurt dip, Home made wheat cake piece
  • 6.00 pm: Spinach soup / carrot soup / tomato soup / mix vegetable soup / corn soup (grind corn kernel in a mixer) / fruit juice during warm climate
  • 8.00 pm: Dinner (choose any suitable option from breakfast or lunch menu)
  • 10.00 pm: Bedtime- 1 glass milk + 4 soaked almonds
     

Note – The above mentioned diet plan is a general diet plan. This indian diet plan for toddlers meets the nutritional requirement of an average indian toddler. Some foods may or may not be suitable to some kids, in such a case a personalized approach is necessary.
 

Important tips to consider while following this indian diet plan for toddlers:


Milk intake:

Give your toddler the regular milk when he wakes up in the morning. Give him 100 to 200 ml of milk in the morning and in case he/she is allergic to milk and milk products, you can replace milk with a whole fruit, almond milk, or soya milk. If your child has crossed 2 years of age, you may consider adding health drinks such as pediasure to his milk. Make sure to give your toddler full cream milk and he/ she requires milk energy to support his body’s functions and to grow into a powerful adult with time. In the evening, give your toddler 100-50 ml of milk depending on his preference. Yes, do value his preference as many toddlers simply hate the taste of milk. You can’t help as i’m sure many of you also hated milk in your childhood. Use your imaginations, make them tasty smoothies or milkshakes

Water intake

A toddler’s daily water intake may typically consist of at least 5 cups of water. This includes the juices, milk, and other fluids that your toddler consumes throughout the day.

Bread

Make sure you give your toddler wholewheat or brown bread or bread that is fortified with vitamins and minerals.

Fruits and vegetables

You may opt for cooked or pureed food. Cooked or pureed vegetables with bland flavors are the best options for toddlers. These may include vegetables such as pumpkin, potato, sweet potato, squash, carrots, and butternut. Try with mashed food items. It’s better to feed ytout toddler steamed vegetables and pulses

Homemade food:

Today’s nuclear family setups coupled with an increase in the opportunities for women employment, time has become a scare resource for today’s families. It is always better to avoid tinned and packaged foods as they contain preservatives that may be detrimental to your child’s health. Make sure you invest some time to secure your child’s health and prepare meals at home. We are sure love will help you find that time!


Oatmeal cereals

It is a good idea to help your child build healthy eating habits since a very young age. You may introduce oatmeal cereals at a very early stage as they are healthy breakfast options and your child is most likely to develop an acceptance for oatmeal cereals as well as other complex carbohydrates.


Portion intake

1 tablespoon of each food: the rule of thumb. At one time, a one-year old child should be fed 1 tbsp of cooked cereal, pureed fruit, pureed cereal, cooked meat, cooked vegetable, one egg and ½ cup of milk and dairy products. On a similar line, a 2-year old child should be given 2 tablespoons of different foods at a time. And as you can already guess, 3 tablespoons of different foods at a time constitute the perfect dietary portions for a 3-year old child.


Nutritious snacks

Your kid will eat when he/she is hungry and will stop when he/ she feels full. Sometimes, you may consider providing nutritious snacks to your kid. This does not mean that you have to put a lot of extra effort in preparing healthy snacks as a lot of healthy yet no-hassle snacks are available in the market. Prepare some finger-friendly, bit-size foods and your toddler will take the responsibility of feeding himself/ herself:
• Thinly-sliced fresh fruit
• Low-sugar breakfast cereals
• Mini muffins with whole grain crackers
• Shredded cheese
• 2-4 ounces of pure fruit juice, with one part juice being mixed with two parts of water.
• Start with pureed or strained vegetables such as green beans, squash, or carrots.


Some common mistakes that you should avoid:

• Making your child drink more than 16-24 ounces of milk per day.

• Forcing your child to eat when he/ she is not hungry.

• Allowing your child to eat sugary snacks

Don’t get in to a habit of worrying about your kid’s food. The only thing that you should observe is whether your child is gaining weight with time and whether he is remaining active throughout the day. Too much of restrictions in his/ her diet or too much of ‘çarefree’ attitude may actually harm your child’s health. Refer this indian diet plan for toddlers and enjoy your child’s meal times, be a little creative and allow him to enjoy his/ her creative side as well.

2 people found this helpful

My sister had got baby last month 1 month complete her delivery so how much milk should she can take.

MBBS
General Physician, Mumbai
My sister had got baby last month 1 month complete her delivery so how much milk should she can take.
I will suggest her to eat nutritious home made food with adequate fluid intake and take physical rest and the amount of milk to be taken by the mother is as per her vital parameters.
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I requested you to suggest a good treatment for my daughter age 3 years she is not interested to take any food his weight is 9.8 kg.

BHMS
Homeopath, Gurgaon
Your daughter is underweight. She needs a good nutritious diet to help her in physical and mental growth. Be creative. Make her food look interesting, colourful. You can cut paranthas, sandwiches in interesting shapes n serve with jam/ green chutney/ salsa/cucumber raita etc. Involve her in grocery n fruit/ veg shopping. Tell her what you r buying and why shd we eat it. Make meal times a family affair. Let the whole family sit together, serve the food nicely and involve her in setting up the table etc. You can add vegs to khicdi/ dalia/ upma or make veg soup/ tikkis/idlis / paranthas. Dals / chanas can b sprouted and given as colourful tasty salad. Fruits can be served as shakes/ smoothies/ custard/ pies etc. Give her a variety of foods n flavours. Do not give her junk food or aerated drinks bcos they r addictive n very poor in nutritional value. You can give her homoeopathic alfalfa tonic (paediatric)/1 tsp/ twice a day 30 minutes before meals for 10 days. Bringing up children is a task that requires a lot of skill and patience. All the best.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
A baby as young as 12 months should be bathed not more than three times a week.
10 people found this helpful

There is a little 1 month baby girl. She vomit again and again after feeding. Tell me what is this illness.

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
There is a little 1 month baby girl. She vomit again and again after feeding. Tell me what is this illness.
Hi lybrate-user 1 month baby usually takes milk out after feeding which is called regurgitation of milk. It usually happens when air is taken with feed spl bottle feed. You must burp the baby after each feed. If child is gaining wright properly do not worry there is no harm of baby takes some milk out.
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My son does not eat anything and he is 2.5 years old and weight is only 11.2 so please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son does not eat anything and he is 2.5 years old and weight is only 11.2 so please help.
You have to check his thyroid status by doing TSH test and inform me and if you bottle feed stop bottle and feed only from a cup.
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Hi, My baby boy will be 3 months in August 1st week. Baby was born via normal delivery and weight was 2.6 Kgs at birth. Baby's health is good and there is no medical problems that he currently has. I wanted to travel to home town delhi via flight in august 2nd week. Please advice if it is safe to travel in flight when the baby is 3 months old.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hi, My baby boy will be 3 months in August 1st week. Baby was born via normal delivery and weight was 2.6 Kgs at birt...
Yes it is safe above 2 month age. Only precaution is to avoid effects of high cabin pressure. You can eliminate that effect by giving" artificial nipple -soother" and or breast feed the baby during take off. Have a nice journey.
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