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.
Book Clinic Appointment
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Neeru VithalaniYour feedback matters!
Clenching or night grinding.
If you have ever experienced a strong emotion of either anger or resolve you may realise our body tenses up and our teeth clench. If this is not a frequent occurrence the damage maybe minimal but as sports people or someone with a bad temper you may actually end up wearing down your teeth considerably. Now a large part of this habit is semi voluntary you can remind yourself to control it but a few people suffer from an entirely involuntary condition called night grinding or bruxism.
Unfortunately here you have no awareness of doing the grinding except maybe waking up with a sore jaw or a headache but the person sleeping beside you can even hear you gnashing your teeth. Needless to say the damage this is silent destroyer is causing is significant and rapid. The best solution if diagnosed with this habit is to start wearing a night guard which is a thin plastic appliance that fits snugly on your teeth similar to a sports guard so that it protects your teeth and wears down before your teeth do. Also the jaw separation it creates puts your muscles at ease and they don't get activated or clench anymore.
Many people are unaware of this habit entirely. A very common condition mouth breathing occurs more so when you're sleeping and tend to breathe more through your mouth than your nose.
This condition can be a result of the way your nasal passages and throat are shaped. It commonly occurs in people with a deviated nasal septum as well. The main sign to know if you're mouth breathing or not is if you wake up with an extremely dry mouth, at times bad breathe and tend to have red irritated gums that bleed often on brushing.
Mouth breathing also predisposes you to snoring so if you haven't started yet if you're a mouth breather chances are you will start snoring as well.
It usually can be corrected surgically and if not severe snoring particularly can be corrected by oral appliances or oxygen machines which supplement the air reaching your lungs.
This habit develops at childhood or birth and is also attributed to the tongue shape and the structure of the palate and throat. A person having this habit tends to push the teeth out while swallowing as a result they present with spaced out teeth and a large tongue.
To prevent the need for braces catching this habit early on and wearing an appliance to control it would be best. If spaces have already increased then best form of closing the gaps would be either with braces or by cosmetic fillings.
A surprisingly unnoticeable habit people tend to chew their inner cheek or parts of their lip when under stress or deep thought. While this habit can seem harmless it can create a long term wound in the mouth which can either balloon up with fluids or be subject to infection. Chronic injuries or wounds should never be left unnoticed and habits like these should be discontinued to avoid discomfort and the eventual need for treatment.
Exposure to alternating extremes of temperature.
Another very ignorant but seemingly harmless habit is to eat a hot meal and down it with a glass of ice cold water or have a hot drink and second it with ice cream. While the effects of this habit may only show up in the long term what it does is create an impact on the enamel and slowly cause the teeth to become sensitive.
While our teeth are extremely hardy and don't breakdown until exposed to hundreds of millions of such daily stimuli, the best solution is to keep an intermittent time gap between the extremes of temperature in order not to shock the nerves that rest within your teeth to become hypersensitive.
My baby is 3 months old his skin gets darker compare to previous month am much worried about it what shall I do.
Hello doctor, my baby boy of 3 months and 10 days is not take sufficient Brest milk. Though we are trying to feed him several times. In this situation last Monday and Tuesday day I also feed him Nestle Nan pro stage 1. But he is not interest to feed the artificial milk and also suffering constipation. Should I continued to feed him the Nestle Nan Pro 1 or only feed him mothers breast milk.
My kid is having dry cough. He vomited just now. And he is having cold feet n cold hands. His head is hot. What should I do?
Hlo. Mera baby ek month ka h or jb se wo hua h din m km se km 20 br potty kr deta h or br br gas pas out krta h jb b gass pas out krta h kuch pani jesa liquid b niklta h poty k sath b niklta h m ky kru please koi solution btao.
Doc my son is of one year nd two months. I am worried about his hair. 15 days before Maine usk hair clean karaya the but abi bhi halk halk hair aaye h. What should I do for his gud hair growth. Tell me about diet nd hair care.
Female baby born in one month. She is cryings repeatedly. Baby weight is very less near 2.700grams only. How can improve weight and body colour. And avoid crying. Please suggest me.
My children 11yr boy and 6yr girl take 1 glass milk daily after wake up. Without brushing. Is it ok.
Hello Doctors, My son is 04 years old, from some days he is suffering some pain on his genital section, on seeing the tip of his anus there is some allergy (diane) near about 01-02, what precautions do we take care of it ,or any medicines to apply. Please advice.
My daughter is 4 months old now. She is passing green stools twice a day. Is it normal though I am breastfeeding? What is the reason for this? Please prescribe any medicine.
Hii my baby is 2 & half year old. He is suffering from phimosis issue & deficiency of iron too. He do not like chapati & sabji he inly likes potatoes. He is on milk only Pls suggest me he is suffering from two problems what I can do as a mother for him.
On the occasion of World Asthma Day (3rd May, 2016), I would like to break a few myths related around Asthma which otherwise people generally believe to be true.
Myth #1 - Asthma is a communicable disease
Fact #1 - Asthma is an allergic disease and is neither contagious (infectious) or communicable (passed on from one person to another)
Myth #2 - Inhalers are addictive
Fact #2 - Absolutely wrong! Inhalers are not addictive but it is a good habit to keep control over asthma and use your inhalers as prescribed by your doctor. Also, contrary to popular belief that using inhalers on a regular basis reduces their effectiveness, inhalers continue to be equally effective on a regular basis.
Myth #3 - Inhalers are expensive
Fact #3 - Again, absolutely incorrect! Inhalers are in fact cheaper when compared to other drugs.
Myth #4 - Inhalers are given to patients who face Chronic Asthma
Fact #4 - Wrong! Inhalers should be used from a very early stage itself to prevent progression of the disease.
I hope this tip helped bust atleast a few notions that most people have about Asthma and that you are now better informed about this condition. In case you would like to ask me anything or discuss your or your loved one's case in detail, feel free to 'Consult' privately with me.
My baby is 2.5 months old. She is 70% on lactogen from past 1 month & 30% on mother milk. From past 1 month she has severe colic problem. Also she passes the stool after 3 days by use of suppository capsule. Does the lactogen difficult to digest? Can we give Nan pro? It is easy to digest than lactogen? Or Cows milk will be a good option? We have tried colimex & colicaid but no effect on colic problem.
I have 45 days baby ,after feeding she vomit after 5 to 10 min and its contain. I want to know its a common problem or need to see doctor please advice.
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.
The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.
Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.
Medication: Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.
Surgery: Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:
- Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
- Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
- Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
- Surgery to sever the neural connections between the right and left hemispheres of the brain.
- Surgery to remove half the brain's cortex or outer layer
Dietary changes: A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.
Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.
The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.
Factors that affect the age at which wetting is considered a problem include the following:
- The child's gender: Bedwetting is more common in boys.
- The child's development and maturity
- The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
No one knows for sure what causes bed-wetting, but various factors may play a role:
- A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
- Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
- A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
- Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
- Urinary tract infection: This infection can make it difficult for your child to control urination.
- Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
- Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.
- Wetting during the day
- Frequency, urgency, or burning on urination
- Straining, dribbling, or other unusual symptoms with urination
- Cloudy or pinkish urine, or blood stains on underpants or pajamas
- Soiling, being unable to control bowel movements
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.
Consult your child's doctor if:
- Your child still wets the bed after age 7
- Your child starts to wet the bed after a few months or more of being dry at night
- Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
- Self-Care at Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful
- Reduce evening fluid intake.
- The child should urinate in the toilet before bedtime.
- A system of sticker charts and rewards works for some children.
- Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.