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Dr. M. B Pereira

Pediatrician, Mumbai

1000 at clinic
Dr. M. B Pereira Pediatrician, Mumbai
1000 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. M. B Pereira
Dr. M. B Pereira is one of the best Pediatricians in Malad West, Mumbai. He is currently practising at Riddhivinayak Critical Care And Cardiac Center in Malad West, Mumbai. You can book an instant appointment online with Dr. M. B Pereira on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. 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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C/O Reva Smruti Hospital, 559/1, Pushpachandra Apartment, S V Road, Riddhi Vinayak Temple Lane, Malad West, Landmark:-Near N L High School, Mumbai Get Directions
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Diet Chart For Diabetes Patient

MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

  • Extreme thirst and hunger
  • Frequent urination
  • Sores or bruises that heal slowly
  • Dry, itchy skin
  • Unexplained weight loss
  • Unusual tiredness or drowsiness
  • Tingling or numbness in the hands or feetsymptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
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Sir, I have 14 years old son, his body is very slim and chest also burning (Acidity ?)please suggest any solution I want healthy and body pick up , weight also .

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Sir,
I have 14 years old son, his body is very slim and chest also burning (Acidity ?)please suggest any solution I w...
You have not mentioned wt, about 45 kg at this is normal. Give him small in quantity frequent meals instead of heavy diet. If burning is not relieved, consult doctor.
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Sir my 8 month old baby is not sleeping well Sir total he well slp mor 1 hour and afternoon 1 hour tat too disturb slp oly. I give him food fully and I check he went any urine all but nothing. Simply he keeps getting up. Night also disturb slp. Wat to do. Pls help.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Sir my 8 month old baby is not sleeping well Sir total he well slp mor 1 hour and afternoon 1 hour tat too disturb sl...
All babies have different sleeping patterns, need not worry, it will get resolved as time passes or as baby grows old.
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Suffering from Chronic Cough - How to Manage it?

MBBS, MD - Internal Medicine
General Physician, Delhi
Suffering from Chronic Cough - How to Manage it?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

  1. Chronic cough with or without sputum.
  2. Fever more in the night time. 
  3. Poor appetite. 
  4. Unintentional weight loss

Read on to know about other common causes of chronic cough and how to manage them.

  1. Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
  2. Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
  3. Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
  4. Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
  5. Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
  6. Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.

The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5148 people found this helpful

My son is 3 years old. He is frequently suffering from cold & cough. Once it comes it will take month or so to cure. Even After cold is over cough will be there always slightly & it is severe when cold is more. What to do for cough & cold especially for cough?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 years old. He is frequently suffering from cold & cough. Once it comes it will take month or so to cure. ...
Cough associated with cold is mostly due to viral infection. Frequent infection is usually due to lack of immunity response. Pls consult pediatrician.
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Hi my 3 months daughter has much khansi and sardi last 3 days yesterday I consulted a child doctor he prescribed me acudov and ambril khansi syrup but still there is no improvement on my child please help me how many days I have to wait for improvement?

M.D. Toxicology & MJ, Certified Dermatologist , Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
Hi my 3 months daughter has much khansi and sardi last 3 days yesterday I consulted a child doctor he prescribed me a...
The chronic cough and cold take more time to be cure. As per my experience "Allopathy for Acute and Ayurveda for chronic" you can also use effective home remedies. Low immunity is also one of the region so concentrate on immune modulator tenement you can contact me.
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MDS Prosthodontics
Dentist, Raipur
Formula to keep ur gums & teeth healthy - 2*2*2
2 minutes of brushing
2 times brushing
2 visits yearly to the dentist
2 people found this helpful

My daughter is becoming arrogant, feeling insecure about me, and very much talkative & naughty. How to control her. Please advise.

MBBS
General Physician, Mumbai
As she is 6 years of age I will suggest you to play with her as per her wishes and to make sure her vital parameters are normal.
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My child of 2 years not taking food. I am feeding her she is becoming thin.My doubt is whether my feeding is not sufficient or all are telling in the grown up stage children will become thin

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
First of all stop blaming yourself. 10 kg at 2 year is low but not so bad to be able to fully comment please send me her height and weight record( if not specifically recorded, search all doctor's prescription you have ever visited. ) Tell what is her diet?
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My son is 2 years and 1 month old he is not leaving my breast milk so what steps should I take.

BHMS PGCGO
Homeopath, Hubli-Dharwad
Put breast bandage. To stop milk coming take tab. Cabgolin 0.5 two tab at once only. Latter don't feed. Ok.
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My 6 months old baby girl suffering from cold and cough. After consulting my pediatric I gave her maxtra drops. 7ml twice a day, levolin and zifi 100 twice a day 2ml of both. 5 days passed but not much improvement in the cough and cold. Sometimes she coughs alot and vomit all the milk. Please advice me what to do? PS: I gave her steam 2 times a day.

BHMS
Homeopath, Faridabad
My 6 months old baby girl suffering from cold and cough. After consulting my pediatric I gave her maxtra drops. 7ml t...
Hi. Give her homoeopathic medicines which are very very safe for infants, toddlers, small kids! give her schwabe's alpha-nc and alpha-cf - both thrice daily for 4 days. Use bakson's nasal-aid spray/ 1-2 sprays after every 4 hours. Continue with steam inhalation twice daily.
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I am a lactating mother of 9 months 2nd baby (my ist baby is 4 years old) due 2 which I have calcium deficiency since 1 week followed by the symptoms numbness &tingling in hands & feet. Pain in joints, hallucinations,memory loss. Sitting under the sunlight gives me some relief.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Godanti bhasm 20 gm Satawer churan 100 gm Mix all And take 1 spoon with water two time before meal And consult me on Lybrate.
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My son is about 8 years old. He is very good in gymnastics, taekwondo, sports etc. Very active. But he is thin. I want him to put on more weight and become little chubby. Please suggest some good food, nutrients, etc so that he puts on some weight. Thanks.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Give nutritious diet with good amount of protein rich foods like egg, fish, milk, nuts etc. Gaining more weight is not advisable as it is associated with many health problems.
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Hello doctor I have a four month baby by cesarean can I take alcohol now little bit sometime as my baby take breastfeed.

MD Pediatrics
Pediatrician, Vadodara
Hello doctor I have a four month baby by cesarean can I take alcohol now little bit sometime as my baby take breastfeed.
no never do such an act when you are breastfeeding the child as it will have harmful effects on the baby. as far as it goes alcohol should not be consumed while breastfeeding the child
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My son is of 51/2 months. From last 7 days, he had not done poop. Please suggest me what to do so that he can do poop?

M.D.( Pediatrics), DCH
Pediatrician,
It's not necessarily abnormal, unless accompanied by greenish vomiting and distention of abdomen. If child is playful and taking feeds normally, nothing to worry. You may try glycerin suppository.
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She is having a baby girl completed 1 year but her left leg is shorter than her right leg. What is the treatment can be taken for it and why it is?

C.S.C, D.C.H, M.B.B.S
General Physician,
She is having a baby girl completed 1 year but her left leg is shorter than her right leg. What is the treatment can ...
Sometimes this is a genetic disease, have to see and observe the child. Sometimes she will become normal if there is no grave deformity. Else there may be surgical correction though difficult. You can ask me privately for regular consultaion and guidance.
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My son is 18 months old, suddenly started limping. Not able to stand also. Was having loose motion prior 4 days? Kindly suggest.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 18 months old, suddenly started limping. Not able to stand also. Was having loose motion prior 4 days? Kind...
Ensure that he has not sustained any injury in leg. If not so, get him examined by pediatrician. Loose motion 4 days prior to ailment may be just co-incidence.
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MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Palakkad
Allergic asthma is a very common presentation in the clinics these days. Patients usually present with allery to dust, smoke, spices etc which initiate sneezing progressing to itching in eyes, rhinitis (running nose), throat pain and eventually cough and difficulty in breathing.
in todays world it is almost imposssible to always avoid the allergen, so the better option is to strengthen the body to fight against these.
Ayurveda advocates certain daily regimens which can help in this.
1.Proper oral hygiene has to be maintained. Practice tooth brushing at morning and before bedtime. Ensure proper mouth wash after every meal.
2. Pratimarsh nasya - This is the practise of instilling oil in the nose. This can be practised easily by an individual. Instill 4-5 drops of sesame oil daily in each nostril and inhale deeply. This has to be practiced early in the morning.
3.Make a habit of applying Rasnadi powder (An ayurvedic medicated poweder) over the vertex immediately after bath and also at bedtime. Avoid sleeping directly under the fan or other cooling sources.
4. Intake of buttermilk processed with turmeric poder, curry leaves, ginger is also useful.
5. Add ginger, garlic esentially in all meals.
6. Yogic practices like breathing exercises can support the lung capacity and cleansing practices like neti can help in developing desensitization to allergens.
7. Drinking water should be boiled with cumin seeds and always consumed as lukewarm.
8. Oil massage before bath can help a lot. Sesame oil can be used for this, for those having frequent episodes of chest congestion muatard oil will give better results. Take bath in warm water only.
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I am female 27 years old. Have a baby 20 days old. My nipples are very small. When I feed my baby milk does not comes out in normal flow, and it becomes red and sour after every time I feed my baby. Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I am female 27 years old. Have a baby 20 days old. My nipples are very small. When I feed my baby milk does not comes...
I think you have inverted nipples. You should pull them out gently 20 to 30 times in the morning and evening. You can also try syringing which is taught by a pediatrician. For sore nipples apply your milk only which comes at the end of feeding.
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My son says that his right side nipple is paining while sleeping. What may be the reason? He has no fever, no swelling any where in body. Nothing. Is there any serious issue?

DNB (Pediatrics), MBBS
Pediatrician, Mohali
Hi, thanks for contacting me on lybrate. At his age, nipple pain is generally a mild problem that does not need specific treatment. If it persists, a pediatric evaluation for any trauma, inflammation etc, may be done. However, in most cases, this will disappear after some time. Warm fomentation and reassurance will generally help in a majority of cases. Warm regards.
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