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Dr. Manoj S.thamke

Pediatrician, Mumbai

400 at clinic
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Dr. Manoj S.thamke Pediatrician, Mumbai
400 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Manoj S.thamke
Dr. Manoj S.thamke is a trusted Pediatrician in Mulund East, Mumbai. He is currently practising at Wellness Clinic - Child And Skin Care in Mulund East, Mumbai. You can book an instant appointment online with Dr. Manoj S.thamke on Lybrate.com.

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Hindi

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Book Clinic Appointment with Dr. Manoj S.thamke

Wellness Clinic - Child And Skin Care

Shop No.3 Ambika Plaza Chs,90 Feet Road,Mulund East. LM: Near Campus Hotel, MumbaiMumbai Get Directions
400 at clinic
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My son is 25 year old he suffering from asthma when there is climate change so please tell me how to cure permanently this diseases. Thank you

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Better avoid dexona. Spirometry to confirm asthma. Take telekast f 1 tab/day with budamate 200 2puff twice/day. If mainly seasonal/change of season,start 15 days before the season and stop medicine gradualy.
2 people found this helpful
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My daughter 16 months old has been having diarrhea for 1 week. No fever. No vomiting. Active baby.

MBBS
General Physician,
My daughter 16 months old has been having diarrhea for 1 week. No fever. No vomiting. Active baby.
How many times she passes stools and what is the type of stools are the questions. Still let me tell you 10 to 15 times also sometimes we consider as normal. Most important thing is what is the general condition and how is the babie's mood. Are there any other symptoms e. G. Rash around anusara or continuous cry etc.
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Symptoms of ADHD

Master of Physiotherapy (MPT), Advanced Diploma in Learning DIsability, Bachelor In Physical Therapy
Occupational Therapist, Delhi
Symptoms of ADHD

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition.

4051 people found this helpful

How to Handle Bedwetting ....

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
How to Handle Bedwetting

....

Bedwetting causes stress

Know that bedwetting is often a normal part of growing up. Most children don't stay dry at night until about the age of 3. And it's usually not a concern for parents until around age 6. There are ways to work toward dry nights as a family.

Reassure your child by being supportive. He isn't wetting the bed on purpose. And bedwetting isn't typically a sign of an emotional or physical problem. Explain that it is normal, very common and that he won't always wet the bed.

Bedwetting often runs in families. If you or your partner wet the bed as a child, talk with your child about it. It'll help him see that people do outgrow it. And it may help him feel less alone and embarrassed.

Many things can lead to bedwetting. It could be the slower development of bladder control or heavy sleep. There may be hormonal issues. Stress and anxiety can be a cause. A child who's been dry and suddenly starts wetting the bed may have an infection or a big life change such as a move may be bothering her. Be sure to speak with your doctor if this is a new problem.

If she's 4 or older, ask for her ideas. What might help her stop wetting the bed? brainstorm together. Drinking less in the evening and cutting back on caffeinated drinks may be worth trying. You can also offer options like disposable underwear or waterproof sheets. By keeping it positive and involving her, you'll help build her confidence and encourage good bedtime habits

Praise and reward for staying dry

When your child has a dry night, praise her for it. Some families mark wet days and dry days on a calendar. Stickers or stars can make it fun. If your child stays dry a number of nights in a row, offer a small reward for a fun breakfast or small book. If she wets, be supportive and remind her that results will come if she keeps up her efforts

Provide simple reminders

Make using the bathroom just before he gets in bed part of his bedtime routine. Also, remind him that it's ok to get up during the night to use the bathroom. Nightlights can help him find his own way when he needs to go.

Resist the urge to wake your child a lot during the night. If you use this approach, waking once a night should be enough, perhaps right before you go to bed yourself. Keep in mind that if you deprive your child of rest and sleep, you may increase his level of stress. Stress can be a bedwetting trigger.

Involve your child in cleaning up

When he wets the bed, he can put his pjs in the hamper or help you change the sheets. Make sure he understands it's not a punishment, just part of what has to be done. The idea is to make him more aware of his bedwetting without scolding him or making him feel ashamed

Clean up: removing the smell of urine

Accidents happen. And when they do, urine can leave a stubborn odor in clothes and in bed linens. Try adding a half cup to a cup of white vinegar to your wash to remove the smell.

Cleaning a mattress: step 1

If you need to clean urine from a mattress, first use towels to blot up as much as you can. Keep blotting, but don't rub, until no more moisture comes to the surface.

Once you've blotted up as much of the urine as you can, saturate the entire area of urine stain with hydrogen peroxide. Let it stand for 5 minutes, and then use towels again to blot the area dry.

Once the mattress is dry, sprinkle baking soda over the entire area and let it stand for 24 hours. The next day, vacuum the baking soda away. It should be clean and odor free.

If your child is nervous about sleepovers, remind her of the steps she uses to stay dry at home. Giving her disposable underwear and extra clothes in case of an accident might put her at ease. A sleeping bag with waterproof lining may also help.

Beforehand, notify the adult host that your child may have some worries about bedwetting. Discuss your child's plans for handling it so everyone feels prepared.

Some medications (desipramine, desmopressin, or imipramine) may help for special occasions when your older child wants to stay dry, such as at camp.

Be patient about bedwetting

Scolding or losing your temper won't make your child stop wetting the bed. Don't bring up bedwetting in front of others to try to shame her. Embarrassment will only increase her stress and anxiety. Meanwhile, remember that bedwetting eventually does stop. Try practicing patience and providing support while you wait.

Dealing with teasing in the home

Bedwetting can make your child an easy target for teasing. To help him handle it, make your home safe for him. Don't allow anyone in your family to tease about it. Explain to siblings that bedwetting is something their brother doesn't have control over and that he needs everybody's love and support.

If your child avoids other children or comes home with unexplained injuries, she may be being bullied. Listen to what your child says. Talk with her and let her know that you know it's not her fault. Then talk with people at her school and ask what they've seen. Be proactive and work with the school to find ways to make the teasing stop.

When to call the doctor

If your child is still bedwetting at age 7, consider setting up a doctor's visit. While there may be a medical problem, most of the time there isn't. Also, see the doctor if your child suddenly starts wetting the bed after being dry for 6 months or more.

4 people found this helpful

Suffering from throat pain. Regularly. Head ache always from child hood Constipation.

DORL, MBBS
ENT Specialist, Faridabad
Suffering from throat pain. Regularly. Head ache always from child hood Constipation.
First thing you should get thyroid testing done, and than you may need to hydrate up your body because any symptoms of throat comes with symptoms of nose also dear the symptoms you are getting are due to dryness of the mouth, this is because of lack of mucus in the mouth which is protective layer of our mouth, and is being produced in the mouth by glands which will be helped by good and healthy blood supply to the glands, blood with good blood cells will take oxygen to the gland and gland works, they require oxygen in ample of amount, so if you do not take iron diet on daily basis than this will lead to less of mucus production and hence lead to dryness and thick mucus problem, this thick mucus leads to irritation in mouth hence leads to itching in the mouth, start taking good iron diet on daily basis, and shakes, avoid salty and spicy food.
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Is cerelac necessary for 6months baby? Is it safe or continue with milk? Mention the food for 6 months baby. Answer me soon.

PALS, MD, MBBS
Pediatrician, Delhi
Is cerelac necessary for 6months baby? Is it safe or continue with milk? Mention the food for 6 months baby. Answer m...
Hi, cerelac is not necessary, you can give milk but along with that give food items like dal, khichadi, mashed banana, mashed potatoes, dalia.
44 people found this helpful
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I have a male child 18 months old but he is eating food 1 or 2 times difficulty of everyday so pls tell to instructed to me how to grow his hungry? What food given by him ,he is growing taller and stronger?

BHMS, and M.A Psychology.
Homeopath, Nagpur
I have a male child 18 months old but he is eating food 1 or 2 times difficulty of everyday so pls tell to instructed...
Your child is just 18 months old he can't eat the staff what we do as adult eat. He is taking food as per his hunger. Give everything to eat him in the quantity he can eat. Overeat doesn't make him grow fast. Give him pamogartes, milk, carrots. Fibres substance. Have patience he will grow strong n taller gradually. Wish him a good health.
1 person found this helpful
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My daughter is 40 days old, because it is winter season she do lots of toilet which disturb her at the sleeping time. Is using diaper 2 time (afternoon nd night) is not harmful for her? please advise me the right.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 40 days old, because it is winter season she do lots of toilet which disturb her at the sleeping time....
No and you have to change diaper as frequently as it is wet and better use cotton cloth tied around.
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