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Dr. J N Kulkarni

MBBS

Pediatrician, Mumbai

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Dr. J N Kulkarni MBBS Pediatrician, Mumbai
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. J N Kulkarni
Dr. J N Kulkarni is one of the best Pediatricians in Andheri West, Mumbai. He has done MBBS. You can visit him at Belle Vue Nursing Home in Andheri West, Mumbai. Book an appointment online with Dr. J N Kulkarni 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 35 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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Sejal Building, First Floor, Off Veera Desai Road, Andheri West. Landmark: Opposite Chitragupt, MumbaiMumbai Get Directions
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Hi doctor, My son is 5 months old he has loose motions problem every second day his pediatric advise stool routine test. The test result is mucous-present parasites not detected, occult blood-trace, starch granules and fat globules present, pus cells-40-50embedded in mucous n rest everything absent. My pediac said its bacterial infection n no need of stool culture test. N to start with antibiotic. please advise should I start antibiotic or go for stool culture.

C.S.C, D.C.H, M.B.B.S
General Physician
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Hi doctor, My son is 5 months old he has loose motions problem every second day his pediatric advise stool routine te...
From my experience if you give bottle feed it is a reason no matter however you sterilise the bottle. You can feed with spoon and the best is to give breast milk aways and now you can start homemade semisolids also. Here ad there are pus cells you can give antibiotics if stopping bottle does not help and infrom me.

My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.

MD - Paediatrics, MBBS
Pediatrician
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My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.
This finding by itself is suggesting umbilical for which no intervention is needed. This provisional advice provided by me stands subject to the actual examination of report/ image and is based entirely on inputs provided to me. It should be correlated with clinical findings.

My son is 5 years old but his weight is just 13kg and height is also under average but he is very active pls suggest some veg diet or tonic.

MD - Paediatrics, MBBS
Pediatrician
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Indian average weight at 5 years is 15 kgs. 80% and above is considered as normal. Nowadays we don't recommend children to have more weight as it may lead to long term complications like diabetes. Give him for worms and nutritious diet with good amount of proteins.

10 Tips to Tackle Sibling Rivalry

Ph. D - Psychology, Psychology
Psychologist
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While siblings are the force that breathes life into any family structure, it has also been seen as a challenge of sorts to manage siblings and bring out the best in each one of them. In any family unit, there are a number of entities who need to be nurtured in a certain way to ensure that their identities are not hampered by a "one size fits all" style of parenting. Every child is different and will need to be handled differently. Besides this, there are other related challenges that will contribute to the quality of the relationships between the siblings, as well as the rivalry that they may feel towards each other when it comes to attention, achievements and varied other factors.

Read on to know the ten tips to tackle sibling rivalry:

1. Make Friends before Birth: encourage your first born to connect even before the birth of the new baby by including him or her in the changes you see and feel. Planning for the new baby with your first born will also help in such cases.

2. Staying positive is a big factor that will help the children in feeling confident despite their different qualities and strengths.

3. Comparison is a big no no. Stay away from these kind of comparisons so that the children do not feel like they have to fight with each other for your praise.

4. Time Sharing: Ensure that you divide your time well and indulge each child in his or her area of interest so that they feel like you are always there for each of them.

5. Harmonious Start to the day: this will ensure that the children have a special bond at the end of the day. Make sure that they help each other and divide chores accordingly. The older siblings should be given the care giving tasks while the younger ones should be taught to obey them and play along.

6. Humour them: It is a known fact that humour is the best medicine that breaks even the most tension filled atmosphere.

7. Family Meetings: Hold family meetings to discuss important things and even intense fights so that everyone's needs and issues are addressed.

8. Empathy: Teaching your child to empathize with others will help him or her steer clear of needless rivalry at home too.

9. Ignore the Small: Let them figure out the smaller fights, yet always be there to address the bigger issues so that they know you are there for them.

10. Equal Treatment: Treating them equally does not mean doing the same thing for each of them. It means giving them equal time and attention with personalized treatment to suit varied temperaments. This will also give them a lot of individual confidence which eventually kills any feelings of rivalry.
10 Tips to Tackle Sibling Rivalry

My son is 2 yrs old but his weight is less like 8.5 kg and his eating quatity is also less what should i do to increase his apetite?

Pediatrician
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First of all stop giving all junk food as well packed juice and chocolates etc. Increase fruits in diet. This will help.

All About Depression in Children

Diploma in Paediatrics, MD (Physician)
Pediatrician
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Depression in children is not a very uncommon phenomenon. But if the feeling of sadness persists over a period of time with little or no change to their behavior, then it can be seen as a symptom of depression. Children who are suffering from depression need immediate and utmost care as negligence may cause severe long term effects on the child. Read on to find more about them.

Symptoms
Symptoms that indicate childhood depression vary. Some of the different symptoms which indicate depression are:
1. Social withdrawal
2. Irritability
3. Feeling of worthlessness
4. Difficulty in concentrating
5. Reduced ability to function during events
6. Continuous feelings of sadness
7. Physical complaints

Causes
1. Depression in children can be caused due to the combination of a multitude of reasons.
2. Children from a family history of depression are more likely to be suffering from depression.
3. Similarly if the parents suffer from depression then it is more than likely that the child will also suffer from depression.
4. Children from conflicted families or children and teens who are prone to substance or alcohol abuse can suffer from depression.
5. Reasons such as physical health, environment, genetic vulnerability or biochemical disturbance can lead to depression.

Treatment
The treatment process of depression in children is similar to that of adults and can be treated with psychotherapy and medication. If your child is depressed consult a general physician who after his or her diagnosis may refer you to a psychiatrist. The medical specialist will recommend psychotherapy.

In some instances, a child suffering from depression maybe be suicidal. Parents are advised to be vigilant and observe certain behavioral changes that the child may have adapted to or suddenly switched to.
Some of the signs are mentioned below:
1. Changes in eating, sleeping or activities
2. Isolating oneself even from family
3. Talking of suicide, feeling helpless or hopeless
4. Increased risk taking behavior
5. Substance abuse
6. Giving away possessions

Sessions at first and then opt for antidepressant medication if no significant progress is seen. The best results often result from a combination of prescribed medication along with multiple sessions of psychotherapy.
All About Depression in Children

my daughter suffer from cold and she is 11 months in age chest sounds and vomiting when she take feed ,respirate tough

M D Pediatrics, MBBS
Pediatrician
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Symptom if baby is suggestive of viral RTI But severity may be differ so consult a pediatrician nearby. Give proper feed, nasal drop nasoclear n keep warm to baby.

My daughter is 4 years old. Daily she is vomiting at school. Morning she will have little bit of bournivita that's it. During snack break at school while having snack she will vomit daily. After having bournvita she will say feel like vomiting. Even I changed the drink to tea & other drinks also but same problem please suggest.

MBBS, Diploma in Child Health (DCH)
Pediatrician
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My daughter is 4 years old. Daily she is vomiting at school. Morning she will have little bit of bournivita that's it...
Stop bournvita or any such mixture. Just give her healthy food and milk, according to her liking and taste. Don't force feed.

My one year 5 month old daughter gets cold and fever every month. Please suggest any food or supplements to increase her immunity and also tell me the causes for this?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My one year 5 month old daughter gets cold and fever every month. Please suggest any food or supplements to increase ...
Yes you are right the reason for her frequent infections iss too much medicines,thus decreasing body resisstance against infections. Homoeopathicmedicine ALFA ALFA TONIC ( DR Reckeweg) Drink half spoon twice daily MUNOSTIM ( Wilmar Schwabe India) Chew 4 tab twice daily

Hello Drs. My 6 and half year old younger daughter is still unable to understand the normal life. As per blood test and all she used medicines like SOMAZINA, LEVIPIL, ATTENTROL AND SYP BRAINWISE ETC., FOR MORE THAN TWO YEARS, PHYSICALLY SHE SO CUTE AND NOBODY CAN IMAGINE THAT SHE DOES NOT UNDERSTAND. SHE ONLY SPEAKS MUMMY, PAPA NANNI LIKE THAT. SPEECH THERAPY ALSO DONE FOR ONE AND HALF YEARS BUT NOT SATISFIED RESULT. DR TOLD SHE WAS ATTACKED BY RUBELA VIRUS. MY QUESTION IS VERY SIMPLE , THAT CAN SHE SPEAK AND CAN LIVE LIKE A NORMAL KIDS? PLS ADVISE

Masters in Speech Therapy
Speech Therapist
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She needs to learn everything through speech and language therapy, special education and may be she needs occupational therapy. Through intensive training she can Learn and live like normal people although not hundred percent normal but near to that life. But can't say anything clear without seeing her. This is only on the base of condition you explained. Therapies will go for a long time and leave good results. If you are from Delhi.You can show her to me.

Hi, My son is 2.8 years old and weight 12 kgs. He doesn't eat at all. Not even chocolates, ice cream and such eatables. Many times he vomits his food. His doctor says its just due to gas. But he has not gained weight from few months. He looks very thin. Can I give him pediasure?

MD - Paediatrics, MBBS
Pediatrician
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Hi, My son is 2.8 years old and weight 12 kgs. He doesn't eat at all. Not even chocolates, ice cream and such eatable...
You need to train baby to accept solid food. Dietary discpline is important & never succumb to undue demands , never offer him replacements of a home made wholesome diet. Have patience he will take normal diet as hunger is bigger than tantrums.

Is PCV vaccine similar to pneumococcal? My son have been injected three doses of pneumococcal at 2 1/2 M, 3 1/2 M.

Diploma in Child Health (DCH), MBBS
Pediatrician
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Pcv i. E. Pneumococcal conjugate vaccine is injected at 1 and half; 2 and half and 3 and half months.

My son is 12 years and weighs about 74 kgs and height of 157 cms recently I find a little breast formation in him is it because of his weight or puberty I am really worried. Please solve and suggest something.

MD - Paediatrics, MBBS
Pediatrician
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Gynaecomastia can be physiological. Your child needs help with diet and exercise to correct his obesity.

My daughter is 13 years old and got matured this year in June. But still bed wetting habit has not gone from her. Any remedy for controlling bed wetting at this age for her.

MBBS
Pediatrician
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Emotional problems at home cause bed wetting, make sure goes to urination before sleeping. Make sure she is not get stressed.

Appendicitis in Children

MD - Paediatrics, MBBS
Pediatrician
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The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.
Appendicitis in Children

I have 1 year old child, he is under weight near about 2 kg from standards ,all other things are normal. Please suggest.

MD - Alternate Medicine, BHMS
Homeopath
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I have 1 year old child, he is under weight near about 2 kg from standards ,all other things are normal. Please suggest.
Then start taking naturamore for kids powder 1 spoon daily in warm milk in morning and evening for 1 month. This will definitely give you results. As the Powder is just a supplement containing proteins, vitamins, minerals and all which help you in gaining weight. You will get result 110%. Take care.

Tips To Ensure Regular Sleep For Your Baby

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician
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When it comes to babies and their sleeping habits, you have to understand that every baby is different and has different needs. Thus, certain things that may work for one set of parents may not necessarily work for the other. Thus, here are a few tips that will ensure that your child gets ample of undisturbed sleep and stays healthy and fit:

1. Learn to distinguish when your baby starts feeling tired: Once your child starts feeling tired, he/she will definitely show specific signs that he/she requires some sleep. Some common signs are:
a) The constant eye rubbing
b) Yawning
c) Getting a bit fussy and cranky
Put your baby to sleep as soon as possible when he/she starts showing such signs. If your baby gets overtired, it will be all the more difficult for him to fall asleep.

2. Set a proper sleep cycle: Ensure that you set a suitable sleep cycle for your baby. Train your child to sleep during the night and play during the day. Ensure that you keep your kid busy during the day, ensuring that he/she stays awake even after a feed, so that he is tired by night time and sleeps properly all throughout the night. At night, when your child gets up for a feed, ensure that you do not turn on the lights. Instead, make sure to keep the room in semi-darkness so he/she goes back to sleep effectively.

3. Ensure that your baby is full: If your baby is hungry and has not had his fill, it will tend to disrupt his sleep. Thus, ensure that your baby is well fed before you put him to sleep. For example, if during the day you feed the child after every three hours, as evening approaches feed him every two hours. This will ensure that he is well fed before he goes to sleep.

4. Let go the burping occasionally: Babies do not avidly breastfeed at night. Thus, it is not essential that you wait for him to burp every time he feeds.

5. Give a Massage: Another way to ensure that your baby sleeps properly is to give him a good massage. A massage will help the child to relax and thus sleep better.
Tips To Ensure Regular Sleep For Your Baby

Migraine and Homoeopathy

BHMS
Homeopath
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Migraine is a complex disorder characterized by recurrent episodes of a headache, most often unilateral and in some cases associated with visual or sensory symptoms collectively known as an aura that arise most often before the head pain but that may occur during or afterward . Migraine is most common in women and has a strong genetic component.

Signs and symptoms

Typical symptoms of migraine include the following:

1.Throbbing or a pulsatile headache, with moderate to severe pain that intensifies with movement or physical activity

2.Unilateral and localized pain in the frontotemporal and ocular area but the pain may be felt anywhere around the head or neck

3.Pain builds up over a period of 1-2 hours, progressing posteriorly and becoming diffuse

4.Headache lasts 4-72 hours

5.Nausea (80%) and vomiting (50%), including anorexia and food intolerance, and light-headedness

6.Sensitivity to light and sound


Features of migraine aura are as follows:

1.May precede or accompany the headache phase or may occur in isolation

2.Usually develops over 5-20 minutes and lasts less than 60 minutes

3.Most commonly visual but can be sensory, motor, or any combination of these

4.Visual symptoms may be positive or negative

5.The most common positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border

Physical findings during a migraine headache may include the following:

*Cranial/cervical muscle tenderness
*Horner syndrome (ie, relative miosis with 1-2 mm of ptosis on the same side as the headache)
*Conjunctival injection
*Tachycardia or bradycardia
*Hypertension or hypotension
*Hemisensory or hemiparetic neurologic deficits (ie, complicated migraine)
*Adie-type pupil (ie, poor light reactivity, with near dissociation from light)

Homoeopathic constitutional treatment cures this malady completely since it goes to the root of the disease and removes this tendency permanently.

Some of Homoeopathic remedies used for treating migraine are Belladonna,Spigelia,Sanguinaria,Glonoine,Natrum mur,Phosphorus, Tuberculinum, Iris versicolor,medicine should be strictly selected based on symptom similarity only to get permanent cure.

What is Rickets? How to Prevent Your CHILD From the Disorder?

Diploma in Child Health (DCH), MBBS
Pediatrician
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A nutritional disorder, the problem of rickets occurs if your child suffers from a deficiency of calcium, phosphate or Vitamin D. It causes softened and damaged bones, skeletal deformities, impaired development of the bone's growth plate (a spot of growing tissue found near the end of a long bone in adolescents and children) and stunted growth.

Here are few very simple ways you can prevent your child from getting it:

1. Having Vitamin D and calcium rich foods - One of the best ways to prevent this nutritional disorder from affecting your child is by making sure he or she have foods that are high in Vitamin D and calcium. Egg yolks, fish oil or fatty fish like salmon and mackerel are some of the Vitamin D foods that your child can have to strengthen his bones. Even foods that have Vitamin D added to it such as cereals, orange juice, milk and infant formula can also be given to your child. Sources of calcium can be soyabeans, nuts, broccoli, cabbage, cheese and yoghurt.

2. Going out in the sun - Considered to be an excellent source of Vitamin D, getting your child exposed to sunlight is another excellent way of getting most of this nutrient, as well as preventing him or her from developing rickets. Although the exposure time may vary from individual to individual, about 10-15 minutes of sun exposure without sunscreen can help.

3. Having Vitamin D supplements - Even the consumption of Vitamin D supplements can reduce your child's risk of getting rickets. Since mother's milk contains less than the recommended Vitamin D amount, infants too need to be put on Vitamin D supplements of 400 IU each day. For teenagers and young children, the recommended dosage is 600 IU of Vitamin D every day.


What is Rickets? How to Prevent Your CHILD From the Disorder?

Is cyclopam safe for baby of a year old if he has stomach ache with smelly potty. Potty is little watery too 3 to 4 times a baby. Please tell.

MD - Paediatrics
Pediatrician
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Is cyclopam safe for baby of a year old if he has stomach ache with smelly potty. Potty is little watery too  3 to 4 ...
Its safe but not when smelly potty or loose motions. So please avoid it. It looks like a gut infection. Please get a stool routine test done.
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