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Dr. Nihalsha

MBBS

Pediatrician, Mumbai

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Dr. Nihalsha MBBS Pediatrician, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Nihalsha
Dr. Nihalsha is a trusted Pediatrician in Mumbai, Mumbai. She studied and completed MBBS . She is currently practising at Rukhmani Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Nihalsha 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 38 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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Rukhmani Hospital

Near Babulnath Temple, Grant Road, Landmark: Opp Hare Rama Hare Krishna Temple, MumbaiMumbai Get Directions
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Rukhmani Hospital

Near Babulnath Temple, Grant Road, Landmark: Opp Hare Rama Hare Krishna Temple.Mumbai Get Directions
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7 months baby is suffering from blocked nose and severe coughing. Does nebulising with saline water helps? Or steam is a better option. We have both the things at home. Does nebulising pose any long term dependence?

MBBS, MD - Paediatrics
Pediatrician, Pune
7 months baby is suffering from blocked nose and severe coughing. Does nebulising with saline water helps? Or steam i...
No nebulisation has no dependence...normal saline is alright...but if nebulisation apparatus is not kept clean and sterile then there is risk of transmission of organisms through aerosol therapy....so do not make it a habbit of nebulising frequently...you can use other options
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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

4 Ways to Help Children With A Learning Disorder!

Msc - Clinical and Counselling Psychology
Psychologist, Bangalore
4 Ways to Help Children With A Learning Disorder!

Learning disability is a term used to cover a wide range of learning problems. A learning disability is not a problem with intelligence or motivation, the brain is simply wired differently. This difference affects how you receive and process information. Children and adults with learning disabilities see, hear, and understand things differently. This can cause problems with learning new information and skills and putting them to use. The most common types of learning disabilities involve problems with reading (Dyslexia), writing (Dysgraphia) and math (Dyscalculia).

Once identified, it can be difficult to find the right way to help the child understand new concepts. Here are some tips for both parents and teachers:

1. Play word games: Playing word association games will help the child learn new words as well as help them remember old ones. Repeated exposure to the words will further help the child learn.

2. Don’t rush: It is important to be patient with the child. Once you have a better understanding of the learning disability, it is important to not rush them when learning new concepts. Let them work at their own pace. It is also important to remember to give the encouragement they need while learning.

3. Be creative: Use different methods of teaching. You can use art or writing to help them better understand concepts and ideas. If you allow them to use the tools they feel comfortable with, it will help you teach the child better and also encourage them to continue their learning.

4. Use clay: Clay is a very versatile tool which help you teach different concepts. You can mould it into different letters to teach the alphabet or different words to teach various concepts. This can also help improve the child’s fine motor skills and ability to grasp several concepts.

 

1 person found this helpful

My daughter, 15 years old is still having nocturnal bed wetting. Please advise me how this can be corrected.

Pediatrician, Kaithal
Please get your child examined from a urologist. Restrict milk and hot beverages after 5pm. Whether child is under stress or depression. Child needs full evaluation before treatment. Last thing please do not punish your child for it.
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My daughter is 13 years old. Eventhough she is regularly doing bed wetting. All this happens with out knowledge of her. She is very depressed for this act. It there any solution. Which specialist should I consult.

MD - Paediatrics
Pediatrician,
My daughter is 13 years old. Eventhough she is regularly doing bed wetting. All this happens with out knowledge of he...
Bed wetting up to 5 years is normal. Beyond 6 years you should consult a doctor. Preferably a pediatric specialist. There are 2 types of bed wetting primary enuresis, secondary enuresis your pediatrician will diagnose and will give drug accordingly.
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Hi doctor. Am a mother of 5 month old baby. I am very much worried about hitting his head on my head or shoulder and accidental hitting of his head with my elbow. Is there any problem with small hitting. And what about soft spot?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor. Am a mother of 5 month old baby. I am very much worried about hitting his head on my head or shoulder and ...
No ther is no problem unless he turns unconscious or throws fits . Crying is naturally form pain and not a concern
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My daughter is 20 month old her right feet is bending towards inward direction. Wht it cud be. She falls alot. Her vit d levels was 2 in July .10 weeks course is completed of vitamin d supplements. please guide wht cud b problem and how it can be corrected.

MBBS
General Physician, Mumbai
My daughter is 20 month old her right feet is bending towards inward direction. Wht it cud be. She falls alot. Her vi...
your daughter is probably suffering from rickets.please be careful with her. give her calcium and vit D supplement.k keep her in sunlight everyday. injections can be given if oral supplements do not work. corrective shoes if required.please stay in touch with a paediatrician for the same.
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Hello doctor. My child have 4 years uski problem a hai ke night mai jab sotin n.a. Her bar urine kardalti iska koi solution hai KyA doctor jo sotai waqht urine karna chord dai. please help me.

MBBS
General Physician, Mumbai
You will have to train your kid and keep an alarm at 3AM and make her go to the loo and again sleep and do it continuously for six months
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Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball ghutti to her. She use to spit a lot of milk. Please advise. Also she demands for more milk after completely breast feeding as she feel hungry. Please suggest which milk powder we should use for her.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi, I am blessed with baby girl on 8th Nov 2016. She is 2.8 kg. I want to confirm whether we can give any janam/ ball...
It is best to give only breast milk till 4 months of age and do not give anything else like gutti. If you still give other milk, do not give in bottle and feed with a spoon.
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My son is 4 year old. He is not at all showing interest towards meal/food. Whatever he eats we have to make him eat forcibly. Consulted paediatrician and showed my concern if this is resultant of any worm, but he did not advise any anti-worm medicine. Now I am little worried about possible reason. Please advise what to do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Do not force feed. Leave him at his will to eat of his choice food n time prepared at home including milk and its products.
1 person found this helpful
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Is this necessary to boil amul milk to give 1 year baby or we can use it without boiling, Because baby is not drink boiled and cool after boiling, it only take directly from packet, is this harmful for her health. Please advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Is this necessary to boil amul milk to give 1 year baby or we can use it without boiling,
Because baby is not drink b...
It is always better to boil milk. Cool milk to bring it to room temperature. I am sure, baby shall like to drink.
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Meri 6 mahine ki beti hai jiske ek taraf ke breast me ek gath jesa kuch hai kya ye koi darne wàli bat hai? Mera ye pehela baby hai isliye mujhe koi idea nahi hai uske bare me please help me doctor.

FMAS, MS
General Surgeon, Gandhinagar
Meri 6 mahine ki beti hai jiske ek taraf ke breast me ek gath jesa kuch hai kya ye koi darne wàli bat hai? Mera ye pe...
Respected lybrate-user hi ye normal physiological process ka part he gabbrane ki jarurat nahi he khali use saaf suthara rakhna he bas thanks regards.
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Hi, My baby has cough and cold for last 4 to 5 days. Has been giving him 3 doses of Wikoryl AF daily as 2.5 ml. Do not see much improvement. please suggest. Also, is this the correct dose of Wikoryl?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hi, My baby has cough and cold for last 4 to 5 days. Has been giving him 3 doses of Wikoryl AF daily as 2.5 ml. Do no...
Your baby may have infection and need antibiotics and wikoryl is only cold medication . He may need MOX CLAV drop or syrup based on his weight and age
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I have a baby boy of age 5 months. His urinal point is not in appropriate place it situated below the penis. Please tell me what I do?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
I have a baby boy of age 5 months. His urinal point is not in appropriate place it situated below the penis. Please t...
This condition is called hypospadius, contact a good plastic surgeon after 6 months at the age of one year, till than nothing to do.
1 person found this helpful
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Healthy Habits Every Mother Should Teach Her Kids!

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi

It’s not always easy to encourage your children to eat a balanced diet.

Eating breakfast, even if it’s just a banana and a glass of milk, kick-starts the body and makes it easier to maintain lasting energy throughout the day.

It’s easy to reach for chips or biscuits when you and your children feel like nibbling on something, but these snacks tend to be low in nutrients and high in calories.

Make water the drink of choice at meal times, and keep juice and sweet drinks as occasional treats.

You decide which foods to buy and when to serve them. Though kids will pester their parents for less nutritious foods, adults should be in charge when deciding which foods are regularly stocked in the house. Kids won’t go hungry.


While juice has valuable nutrients and gives a concentrated energy boost for active, growing bodies, kids should go for water first when they are thirsty, not sugar-sweetened drinks.

Kids should start eating Better not everything they get.

  • Start the day with a healthy breakfast.

  • Let kids help plan one meal each week and eat together as often as possible.

  • Eat slowly.

  • Eat more vegetables and fresh fruits.

  • Eat more whole grains (e.g., oats, brown rice, rye, crackers, whole-wheat pasta).

  • Drink plenty of fluids.

  • Serve a variety of foods.

Be a role model and eat healthy yourself.

When trying to teach good eating habits, try to set the best example possible.

1 person found this helpful

My daughter has bed wetting problem since her birth she is now 8 years. She is also crying every day of meaningless. I think imipramine is suitable drug for her. Please help me.

BHMS
Homeopath, Faridabad
Hello. If you want, you can think of giving her homoeopathic medicines which are quite effective for bed-wetting. Giver her Equisetum Hyemale 200/ twice daily for 4 weeks and Cina 200/ once daily at night for 1 week. Revert back for further guidance.
1 person found this helpful
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Hi doctor I want to ask that my baby is just 13 month old. And lots of mosquitoes bites my baby whenever I used to go out ,although I am using odomos spray but still no use. What other thing should I use on mosquito bites.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hi doctor I want to ask that my baby is just 13 month old. And lots of mosquitoes bites my baby whenever I used to go...
Hello, Keep baby covered and avoid taking her out in the evening. You can keep camphor near your window, as it will present mosquitoes entry.
1 person found this helpful
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Childcare

PALS, MD, MBBS
Pediatrician, Delhi

It is very important to teach your child that nobody should be touching his/her private parts except the doctor or nurse for health-ups.

10 people found this helpful

My son is 6 years old and he is suffering from Asthma . Please tell me how should I take care of him. Moreover please suggest me what should be given and not in his diet.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear mother Keep your child away from dust both Isidro and outside the house Don't give cold water or cold drinks to him If you have any pet try to keep the child away You haven't mentioned how frequently he gets the attack and what medication you are giving to him. For exact treatment reply back Take care
1 person found this helpful
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