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Dr. Manjula H Rupani

Pediatrician, Mumbai

Dr. Manjula H Rupani Pediatrician, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Manjula H Rupani
Dr. Manjula H Rupani is one of the best Pediatricians in Mumbai, Mumbai. You can visit her at Desa Hospital Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Manjula H Rupani 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 40 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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1st Floor, 15th Dabyseth Road, Chowpatty, Girgao. Landmark: Next to Babulnath Temple, B K M High School, MumbaiMumbai Get Directions
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Epilepsy: Knowledge for General Public

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana

Epilepsy is a chronic disorder of the brain that affects people worldwide. It is characterized by recurrent seizures, which are brief episodes of involuntary movement that may involve a part of the body (partial) or the entire body (generalized), and are sometimes accompanied by loss of consciousness and control of bowel or bladder function.

Seizure episodes are a result of excessive electrical discharges in a group of brain cells. Different parts of the brain can be the site of such discharges. Seizures can vary from the briefest lapses of attention or muscle jerks to severe and prolonged convulsions. Seizures can also vary in frequency, from less than 1 per year to several per day.

One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having 2 or more unprovoked seizures.

Fear, misunderstanding, discrimination and social stigma have surrounded epilepsy for centuries. This stigma continues in many countries today and can impact on the quality of life for people with the disorder and their families.

Signs and symptoms

Characteristics of seizures vary and depend on where in the brain the disturbance first starts, and how far it spreads. Temporary symptoms occur, such as loss of awareness or consciousness, and disturbances of movement, sensation (including vision, hearing and taste), mood, or other cognitive functions.

People with seizures tend to have more physical problems (such as fractures and bruising from injuries related to seizures), as well as higher rates of psychological conditions, including anxiety and depression. Similarly, the risk of premature death in people with epilepsy is up to 3 times higher than the general population, with the highest rates found in low- and middle-income countries and rural versus urban areas.

A great proportion of the causes of death related to epilepsy in low- and middle-income countries are potentially preventable, such as falls, drowning, burns and prolonged seizures.

Causes

Epilepsy is not contagious. The most common type of epilepsy, which affects 6 out of 10 people with the disorder, is called idiopathic epilepsy and has no identifiable cause.

Epilepsy with a known cause is called secondary epilepsy, or symptomatic epilepsy. The causes of secondary (or symptomatic) epilepsy could be:

  • brain damage from prenatal or perinatal injuries (e.g. a loss of oxygen or trauma during birth, low birth weight),
  • congenital abnormalities or genetic conditions with associated brain malformations,
  • a severe head injury,
  • a stroke that restricts the amount of oxygen to the brain,
  • an infection of the brain such as meningitis, encephalitis, neurocysticercosis,
  • certain genetic syndromes,
  • a brain tumor.

Treatment

Epilepsy can be treated easily and affordable medication. Recent studies in both low- and middle-income countries have shown that up to 70% of children and adults with epilepsy can be successfully treated (i.e. their seizures completely controlled) with anti-epileptic drugs (AEDs). Furthermore, after 2 to 5 years of successful treatment and being seizure-free, drugs can be withdrawn in about 70% of children and 60% of adults without subsequent relapse.

Prevention

Idiopathic epilepsy is not preventable. However, preventive measures can be applied to the known causes of secondary epilepsy.

  • Preventing head injury is the most effective way to prevent post-traumatic epilepsy.
  • Adequate perinatal care can reduce new cases of epilepsy caused by birth injury.
  • The use of drugs and other methods to lower the body temperature of a feverish child can reduce the chance of febrile seizures.
  • Central nervous system infections are common causes of epilepsy in tropical areas, where many low- and middle-income countries are concentrated.
  • Elimination of parasites in these environments and education on how to avoid infections can be effective ways to reduce epilepsy worldwide, for example those cases due to neurocysticercosis.
4 people found this helpful

My two months baby will choke while drinking milk please help me out I'm really scared help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My two months baby will choke while drinking milk please help me out I'm really scared help me.
Hello, There is nothing to worry. You can just slightly keep the neck of your baby tilted to avoid choking. Do not put the baby to sleep immediately after the feed. Burping is very important.
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My sisters sons aged 2 year & 3 year they were too naughty and they have some habits like split of saliva and beating others we feel quite difficult to control and change their behavior.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
They are hyperactive. Try to involve them in games. Let them apply energy in some kind of games. Divert them in the beginning. Check them for spitting.
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My baby is 2 1/2 months old. He was a happy baby. But from last 3 days he is crying alot. Nd not taking milk properly. He is on breast feed. He is passing stool after 5-6 days nd not everyday. What could be the reason?

MD - Psychiatry
Psychiatrist, Guwahati
My baby is 2 1/2 months old. He was a happy baby. But from last 3 days he is crying alot. Nd not taking milk properly...
Consult a Pediatrician immediately & get your baby evaluated. Crying a lot, refusing food etc. May be an indication of some underlying physical problem. As babies at this age cannot express themselves, so as a mother you should always observe him for any change of behavior & habits, which will give you lots of indication regarding his inner health. Along with, continue breast feeding & eat nutritious diet.
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MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
What is short stature.What is growth failure?
What is a growth disorder?

A growth disorder is any type of problem in infants, children, or teenagers that prevents normal growth. Normal growth depends upon several factors, such as nutrition, genetics, and hormones (chemical messengers of the body). Hormones are necessary for normal growth and development; they regulate the body's growth, metabolism (the physical and chemical processes of the body), and sexual development and function.

Endocrine (hormonal) causes of growth disorders include thyroid hormone deficiency (hypothyroidism), growth hormone deficiency, hypopituitarism, or other hormone disorders. However, some growth problems are not necessarily growth disorders; normal variants of growth patterns include genetic short height (familial short stature) and slow growth/delayed puberty (constitutional growth delay).

Although growth hormone was originally used to treat growth hormone deficiency (this group of patients respond the best to growth hormone therapy), there have been other conditions for which growth hormone therapy has been approved for use. These include Turner syndrome, chronic renal insufficiency, Prader-Willi syndrome, and children who were small for gestational age and have not caught up in their growth by the age of two years. In 2003 the FDA approved the use of growth hormone for children who have

Dear sir, I'm a boy of age 16 years and 6 months and my height is 166 cm. I really want to increase my height and also have been doing exercises for long but now for a long period of tym my height hasn't increased. I weight 56 kg and I am a vegetarian. Kindly suggest what to do so as to increase my heht in these years. Thankyou.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Dear sir,
I'm a boy of age 16 years and 6 months and my height is 166 cm. I really want to increase my height and als...
You are passing through the age when sudden spurt height takes place. Now you must concentrate on your diet also which should include milk and well cooked in oil or ghee nourishing diet. Veg diet is more than sufficient to keep healthy. Take Vitamin D 60,000 units once in a month for 6 months + Calcium 1,000 mg daily.
1 person found this helpful
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As she is my niece I care about her too much. She got coughing problem many time what should I do to preserve her from infection & cold.

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
As she is my niece I care about her too much. She got coughing problem many time what should I do to preserve her fro...
Get her vaccinated with flu vaccine. She may be having allergic problem, you have not given any history. Try to identify triggers for her allergic problem.
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Health Tip for Kids Care

MPT - Orthopedic Physiotherapy, BPT
Physiotherapist, Delhi

Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.

Hi sir, my cousin has the bed wetting problem since 2 years, now his age is 16 years old so what to do sir? Please advise.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
After ruling out diabetes he should be given behavioural therapy. Dru g is the last resort. Consult a pediatrician.
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My child date of birth is 09/09/2012, but yet he is not speking, rest growth is ok. Please suggest the treatment.

Pediatrician, Pune
If hearing well, responding to verbal commands, just wait till you tell him to keep quiet till then continue talking with him.
1 person found this helpful
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My baby boy is of 1 month. He sleeps all the day. Even for feeding we have to rush too much it is very difficult to handle. Is it normal or not. What to do.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
My baby boy is of 1 month. He sleeps all the day. Even for feeding we have to rush too much it is very difficult to h...
Sir/Madam, Your child may sleep for about 22 hours a day, If they do not cry for feeds beyond 3 hours, you should wake them and feed. Get back to me for any clarification
2 people found this helpful
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My baby is presently 3 & half years old and I believe she got some psychological shortfall in her attitude as she behaves very unusual frequently wherever she belongs, irrespective at home or school or elsewhere. We, parents are deeply concerned about her ongoing. Nothing got productive even to see a specialist doctor. She always used to say" nothing feel well (kuch achha nehi lag raha hai)" despite presenting various mind game. Such a small kid & with such a manner looks very unimpressive and uncomfortable indeed! Feeding to her is the most awkward and troublesome job to us. The most crazy thing is that she used to cry and shout (bizarre) almost throughout the day which makes us anxiety and thus may lead to break her health. Nothing around us can make her anger/obstinacy/ irritation/impatience in control. FYI, nobody of our predecessors was hailed such kind of characteristics nor presently we belong. Our baby is everything to us, so please advise how to coup up with this situation and how to keep well my baby in the days coming. Is it curable or else need to treat other way? Thanking you with regards,

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It appears more and more from the brief that you have shared that he may be still stuck in his ?terrible twos?. For your information, it is at two years that children discover that they are no longer the center of the world, and it upsets them so that they want to test boundaries to see how much you will tolerate him before he either makes you reject him or he learns to control his urges and learns that you will have needs to be met too sometimes, and only after that his needs will be met: this is a very important learning he must achieve around that age. May be he has not gone through that phase happily. I suggest that you give him a lot of physical contact and enjoy his company. He needs to understand that whatever happens you will love him. Where the eating is concerned do not make a lot of fuss around it. Just keep him in front of the food and give him time to eat or even feed him. If he does not eat for some time nothing will happen. When he is hungry, he will want food and will also ask for the same. That is when you can give him the food. As long as he is active, there is nothing too serious to worry about. I hope you have taken him for all the necessary medical checks to rule out any physical cause. In the meantime there are some questions that I would love answered or for you to take him to a child psychiatrist. My questions: Was the conception normal? Was there a miscarriage or abortion before this child was born or after? How was the nine months of pregnancy for the mother i.e. was she under any kind of stress? Was the pregnancy normal? Was there any threat to the pregnancy? Was she on any medication? Was there any need for supplements? What was her emotional condition? Did she like the pregnancy? Was she happy during and about the pregnancy? Did she get good support from you? Was the delivery normal and on the due date? How long was he breast fed? Did he have any problems with bedwetting etc.? This information will help even a counselor to bring further insight into this problem. If some of these questions raise any serious concerns, you can help the child resolve it with some professional help from a child counselor.
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With the growing popularity of energy drinks among children, should I be concerned about my child consuming energy drinks?

MBBS, MD
Pediatrician, Gurgaon
With the growing popularity of energy drinks among children, should I be concerned about my child consuming energy dr...
Yes, you should it and tell by pictures of handy young adult and a fatty obese adult. I they will under stand. Further now nil calorie drink by same co. Are available in market.
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Sir, how much is the recovery chance of AML (acute myeloid leukemia). The patient is 7 years old girl.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Childhood leukaemias have better prognosis if diagnosed early and started treatment. Have positive hopes. I wish your child a long life.
1 person found this helpful
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My baby is 6 month old are mosquito stickers good to stick on baby clothes while taking him out for a walk in the evening. What should I do to keep him away from mosquito bites.

Pediatrician, Pune
Going for a walk would be a better option, mosquitoes bands / stickers in babies are difficult to monitor, you never know when they will put it in their mouth.
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My female baby doing liquid motion 12 Times In a day, so please give treatment. New born Baby is 11 days old.

MD - Paediatrics
Pediatrician, Bangalore
My female baby doing liquid motion 12 Times In a day, so please give treatment. New born Baby is 11 days old.
If baby is on mothers milk and quantity of motion is less no worry. If baby is bottlefed and color of motion different motion test should be done and treated accordingly.
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I have two daughters, one is 3 years and second is 8 months old. I didn't given polio drops this time. As I am giving vaccination at time. Is it really necessary to give polio drops even after correct vaccination?

M.D.( Pediatrics), DCH
Pediatrician,
I understand it is about pulse polio. Yes, Irrespective of the vaccination, you should give polio vaccine at pulse polio center. It is your social responsibility to make pulse polio a success.
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Hi doc my son is 15 months old. His birth weight was 2. 75 and now he is 8. 8kg. Is this weight ok. He didn't like to drink any liquid fud except water. Eats other food normally but not sleeping properly. In day time he refuses to sleep. I manage him to sleep somehow for an hr else 2. Please help me in gaining his weight and to've a proper sleep.

M.D.( Pediatrics), DCH
Pediatrician,
Weight, body frame of child depends on so many things including genes. So unless child has lost weight because of illness his weight can't be increased to desired level of parents. Your son's weight is in lower range of normal. Give him healthy food and respect his wishes. You can't control him. Let him sleep or play, it must be his choice. If he is playfull obviously there is nothing wrong with him. Get his hb% done if required you can start iron supplements.
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I have given painless pentaxim vaccine once to my 2 month baby boy after that I have given him painful pentavac vaccine. Will there be any reaction by changing the vaccines? Is it safe?

MD - Paediatrics, DNB (Pediatrics)
Pediatrician, Rourkela
I have given painless pentaxim vaccine once to my 2 month baby boy after that I have given him painful pentavac vacci...
Currently Pentaxim vaccine is not recommended by INDIAN ACADEMICS OF PEDIATRICS below 1 year or in primary series of 6 10 and 14 week schedule. As it contains acellular pertusis as one of the components its painless and feverless but its not as effective as pentavac because it conta wholecell pertusis which is efficacious in long term. If your child have any reaction from Pentavac then only it wise to shift from Pentavac to Pentaxim. Try to take all pentavac if possible.
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