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Dr. Neeru Vithalani

Pediatrician, Mumbai

Dr. Neeru Vithalani Pediatrician, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Neeru Vithalani
Dr. Neeru Vithalani is a renowned Pediatrician in Mumbai, Mumbai. She is currently practising at Dr. Neeru Vithalani@Saifee Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Neeru Vithalani on Lybrate.com.

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Saifee Hospital

#15/17, Maharshi Karve Road, Charni Road. Landmark: Opp. to Railway Station & Near Charni Road Station, Mumbai Landmark : Opp Charni Road StationMumbai Get Directions
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Involuntary Oral Habits That Are Eating Away Your Smile.

BDS, FICOI, MDS
Dentist, Mumbai
Involuntary Oral Habits That Are Eating Away Your Smile.

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.

Mouth breathing.

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.

Tongue thrusting.

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.

Cheek biting.

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.

1 person found this helpful

My baby is 3 months old his skin gets darker compare to previous month am much worried about it what shall I do.

MBBS, MD
Pediatrician, Gurgaon
My baby is 3 months old his skin gets darker compare to previous month am much worried about it what shall I do.
Skin colour changes with blood perfusion of skin. So wait and watchbefore true colour comes. Don't use chemical cream and soap.
2 people found this helpful
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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.

MD - Paediatrics
Pediatrician, Kolkata
Hello doctor, my baby boy of 3 months and 10 days is not take sufficient Brest milk. Though we are trying to feed him...
Breast milk is the most important and best nutrition you can give to your baby. Breast milk secretion and excretion is controlled by a complex neuro hormonal mechanism. A relaxed and confident brain is all that you need for adequate milk production. During hot summer months take a glass of water before feeding and have a balanced and nutritious diet. If your baby is passing urine regularly and gaining weight then he or she must be getting enough milk.
1 person found this helpful
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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?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You have not mentioned the age of the child. Children usually vomit following a bout of cough. Children usually swallow sputum. Hence needs to be treated with an expectorant.
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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.

M.D.( Pediatrics), DCH
Pediatrician,
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 ...
Stop worrying. This is normal, if baby is playful, active and is passing clear urine six /seven times in twenty four hours. Plot weight on growth chart, normal growing curve pattern will make you more happy and confident.
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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.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
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 ...
Hair growth take it own time. Halke halke hair in 15 days is quite normal. If there is no disease either of scalp or no deficiency in diet, hair shall be good. You can not change hair according to your liking.
1 person found this helpful
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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.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Female baby born in one month. She is cryings repeatedly. Baby weight is very less near 2.700grams only. How can impr...
Continue breast feeding at every 2-3 hours. Check for nasal block, correct with saline nasal drops. Burp baby well after every feed. Put dulcolax suppositary if she is constipated. Check clothes if comfortable for outside temperature. Correct accordingly.
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MD, MBBS
Neurologist, Gurgaon
Epilepsy can also be treated by special diet-ketogenic diet especially in small children. Surgery is also possible for epilepsy.
6 people found this helpful

My children 11yr boy and 6yr girl take 1 glass milk daily after wake up. Without brushing. Is it ok.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
It's not advisable to give any thing before brushing as there are lot of germs in the mouth throughout night.
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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.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear parent Know you are worried First take care of his hygiene clean his genitals regularly with soap and water esp.when giving him a bath.push the skin over the penis gently back and clean For the treatment try Fucidin ointment and apply Twice a day for a week
1 person found this helpful
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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.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My daughter  is 4 months old now. She is passing green stools twice a day. Is it normal though I am breastfeeding? Wh...
This is quite common for babies on breastfeeding.Upto four to five times a day you need not worry even though it is green, watery etc.Green colour is due to changes in the digestive process of the baby.
1 person found this helpful
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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.

DHMS (Hons.)
Homeopath, Patna
Hii my baby is 2 & half year old. He is suffering from phimosis issue & deficiency of iron too. He do not like chapat...
Hello, Lybrate user, your baby boy is delicate with soft covering of penis can be reverted back by practicing to open it over glance ,gently applying mustered oil on prepuce being the old traditional method as Dadi ma used to practice in olden days to prevent phimosis. You need to practice this method for number of days, patiently. Give him under lying homoeopathic medicine for stimulating appetite:@ cheledonium 30-2 pills, thrice. Intake of water be enhanced. Give her colorful meal as per his choice. Report, wkly.
1 person found this helpful
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4 Myths and Facts About Asthma You Should be Aware of

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
4 Myths and Facts About Asthma You Should be Aware of

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.

33 people found this helpful

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.

Pediatrician, Thane
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 s...
Babies on milk do not pass stools daily breast fed babies pass stools as late 1 week. Which is normal. Give her sy carmicide (green) 2ml three times for 10 days and whenever she cries give colicaid drops 15 drops sos this phase will settle by next month.
1 person found this helpful
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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.

DHMS (Hons.)
Homeopath, Patna
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 o...
Hello, there may be under lying reasons against vomiting: 1 baby has to be put on your left shoulder on upper abdomen with your right hand on the back to erruct gas after tkg feeding.(dakaar-lena jaroori hota hai) 2 some times after feeding her bowel is compress to vomit the contains. 3 the test of milk is not accepted by the baby. Give her the homoeopathic medicine:@ china30-1 drop with your own milk (1tsfl )twice a day. Report, wkly. Your feedback matters for further follow-up, please. Tkg. Care.
1 person found this helpful
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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
Hi. My baby is 2 months old. I am giving him breastfeed inspite of that he is hungry. I have done each n every possib...
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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How to Deal with Severe Epilepsy

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
How to Deal with Severe Epilepsy

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:

  1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
  2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
  3. 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.
  4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
  5. 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.

4488 people found this helpful

Bedwetting - 7 Possible Reasons Behind It

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

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:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. 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.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. 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.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

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: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. 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.

2855 people found this helpful

My son 5.5 yrs old. He sometimes having immense pain in his legs that he cant even walk properly. I am fearing by this. Please guide me anybody.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
If it occurs in the evening time it may be growing pain which needs only symptomatic treatment with analgesics.
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My son is about four months old since two days he is doing potty two to three times a day, before that he sometimes does after two or three days or only once but since two days he is doing potty twice or thrice a day, I ate mango so I thought it might be due to that as he is in breast feed so I eat less mango now Is it something to worry should I take him to doctor.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son is about four months old since two days he is doing potty two to three times a day, before that he sometimes d...
If you bottle feed stop bottle and give breast and other feeds from a cup. Avoiding bottle. If he is breastfed alone the loose motion is harmless and children often pass more times normally.
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