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Dr. Mohan K Joshi

Pediatrician, Mumbai

700 at clinic
Dr. Mohan K Joshi Pediatrician, Mumbai
700 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Mohan K Joshi
Dr. Mohan K Joshi is a popular Pediatrician in Mumbai, Mumbai. You can visit him at Parijath Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Mohan K Joshi on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 29 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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Parijath Hospital

A-18, Dinkar Co-op Society, Bhagoji Keer Marg, Behind Paradise Cinema, Mahim. Landmark: Opp to Sitla Devi Mandir, MumbaiMumbai Get Directions
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Dear mam/sir my son is 9 months old. I am feeding him morning rice with dall evening milk bikes biscuits and night cerelac. Now I want to change night schedule shall I feed him night also food. I mean morning and night food and noon cerelac. Does it will be digested for him.

Pediatrician, Kaithal
Gradually increase the diet of the baby so that by the age of 1 year he should start eating everything in your family diet and that too almost half of his father's daily diet.
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My son who is 12 year old does bedwetting from childhood .I have neither treated it before nor given him any type of medicine for this. Please advice what to do ?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
You shall start tab. Minirin under guidance of your pediatrician. It would cure the issue. Remember this drug needs supervision of doctor. You can not start on your own.
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My new born baby is 5 days old and he has tsh: 178.201 t3: 93.67 t4: 4.74, Can you please let me k ow the complications in the future and the medications to be used, please let me know if it is of any serious as I am really worried.

C.S.C, D.C.H, M.B.B.S
General Physician,
For a newborn, a normal T4 range is 11.8 to 22.6 micrograms per deciliter, and a normal TSH range for a newborn is 1 to 39 microunits per milliliter. Older children should have T4 in the range of 6.4 to 13.3 micrograms per deciliter, and a TSH range of 0.7 to 6.4 microunits per milliliter. You have to repeat test after 2 weeks and if low, he needs to be given medicines.
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I have gone through the symptoms of inattention n I found that all the symptom of inattention is present in my brother who is 12 years old. Is it important to get tested for ADHD? Is there any home treatment or I can do any thing for him.

MBBS
General Physician,
My dear boy you need good counseling session. Whatever the symptoms you are speaking about are very vague and nonspecific. Some medicines also can be prescribed to you but after your personality analysis. Will be able to get rid of these things and will be able to concentrate on studies and remember the things easily and for long lasting period. We together will be able to strengthen your memory and recalling power. Regards.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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My baby was born premature at 32 weeks and had sepsis. She is now 1.y months old. The OAE screen has come refer twice however the baby responds to sounds of rattles and music when she cries and we use rate she goes quite. Please suggest if she has hearing issues.

C.S.C, D.C.H, M.B.B.S
General Physician,
THere is no hearing loss. But OAE refers to lsoo in certain frequency and repeat it later Pure-tone (PT) audiometry measures throughout the outer ear, middle ear, cochlea, cranial nerve (CN) VIII, and central auditory system. However, OAEs measure only the peripheral auditory system, which includes the outer ear, middle ear, and cochlea. The response only emanates from the cochlea, but the outer and middle ear must be able to transmit the emitted sound back to the recording microphone. OAE testing often is used as a screening tool to determine the presence or absence of cochlear function, although analysis can be performed for individual cochlear frequency regions. OAEs cannot be used to fully describe an individual's auditory thresholds, but they can help question or validate other threshold measures (eg, in suspected functional [feigned] hearing loss), or they can provide information about the site of the lesion. Using current technology, most researchers and clinicians find a correlation between frequency-specific analysis of TOAEs/DPOAEs and cochlear hearing loss. However, at this juncture, the correlation cannot fully describe auditory threshold. Naturally, a correlation would not be expected for noncochlear hearing loss.
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My baby is 7 month old, I started solids on mrng and eve, is it true that digestion will not smoothly done if we give foods after 6 pm? When is the correct time?

MBBS, MD
Pediatrician, Gurgaon
No you can give feed any time up to 11pm. But you should keep distance of two to three hrs between breast feed and soup.
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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
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 daughter is 5 months old. I have started giving outside food. She is always crying even after taking a food. Please suggest solution for this.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You should not give any thing other than breastmilk before 6 months. Her excessive crying may be because of insufficient breastfeeding.
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My baby is in 2nd month. In 1st month, I fed her every 2 hrs. Should I continue that? or what should be the frequency of feeding?

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
Kindly feed the baby on demand. There would be a phase in 24 hrs the baby will sleep for a longer duration like most adults. Rest make sure the baby must take feed at least 8 times a day.
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Can we give popcorn for 1 year old babies. Can I have best snack ideas for 12 months old boys. What should be the healthy weight for 12 months old boys.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Yes, very finely crushed popcorn can be given. You can give other snacks like 1- pettice made of potatoes, finely cut carrot, peas, spinach, coriander leaves, paneer. 2-idli sambhar. 3-masala idli with coconut chatni or green chatni. 4-upma containing pieces of vegetables. 5-different recipes of egg like egg poha, boiled egg, egg sandwich etc. 6-kababs made of chana and spinach. Normally the child triples his birth weight by one year of age means if his birth weight was 3 kg then he should be of 9 kg at one year of age.
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My son is 21 mnth old and he is too weak. Please suggest me for healthy diet and some healthy drink.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Feed your some small portions in every two hours. Give high nutritious foods like milk / paneer / cheese / eggs etc. Also give lot of fruits and almonds, cashew etc. Do not force when the child is not in a mood. Sing songs and tell stories while feeding to keep him engaged. Give food in different forms. For example milk can be given like - banana shake, badam milk, keser milk, or curd blended with fruits etc. Make food times as happy times and he will be fine.
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Hii my son is 23 months old. He is 11 kgs now. He not at all eating food. He always asks for milk. Except milk he is not eating anything. We consulted doctor for this and he said there is no medicine to make him hungry. Need to try giving him food. What should I do to make him hungry and eat food. Please suggest im much worried.

BHMS
Homeopath, Mumbai
Hello need to rncourage him to hve. Try to make new new reciepies and feed him. He will like any I the taste. It happens due to habit of feeding milk. Its not he is not hungry. He gets hungry bt he wants milk. Either stop giving milk it will difficult but he will b oky soon. If he is hving habit of bottle. There one product comes senisolid feeding bottle with spoon feed him grinded food in it. If any queries consult.
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Hi. My baby is 2 months old. I am giving him breastfeed inspite of that he is hungry. I have done each n every possible way to increase the milk production but nothing could work. Can I give the baby cow's milk. Please suggest.

BHMS
Homeopath, Ahmedabad
Hello, First you need to be very sure that signs you are observing are of hunger and you are not over-feeding your baby. If breast milk milk is not adequate then you have few options 1. Formula milk as prescribed by your dietitian 2. Cow's milk 3. Goat's milk More preferable is formula milk as it would be sterile and consistent in quality. Please confirm with your paediatrician. Hope this helps! take care.
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My daughter who is now 6 months old doesn't like to drink milk. What should I do?

M.D.( Pediatrics), DCH
Pediatrician,
Don't force her, instead give whatever she likes (Breast Milk) and start gradual weaning with home diet. Remember she has mind just like you. Imagine how do you feel when some one forces you to eat against your will. Don't try to justify she doesn't know. Mind doesn't accept that
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Hello doctors My son 3.5 month old is not passing stool from last 3 days. Is it ok or need any medicine for this?

Postgraduate Programme in Pediatric Nutrition, Diploma in Pediatric Emergency Medicine, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Bangalore
Babies between 2-6 months often don't pass stool for up to 1 week. If stool is soft and baby is breast feeding, check for weight gain. If growth is normal, don't need to do anything further. Thanks.
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My baby is 2 years 2 months. She is born on 25 aug 14. She has constipation everyday. She drinks only milk (with infragrow chocolate) while sleeping. Else hardly eat any solid food. Pls advise what can we give her to get appetite n eat well. Though she is very proactive all day. Pls advise.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
You have not mentioned her weight. Reduce number of milk in a day. Give her well nourishing home prepared food of her likings at her liberty. It may take some days for her to accustomed to this change. Give her more water to drink.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MRCPCH, MBBS
Pediatrician, Gurgaon
Possible reflux with sickness is common concerns, discuss with your paediatrician to start medicine for the same and till then give small volume but regular feeds to control vomits. More liquid to avoid dehydration.
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