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Dr. Nilesh Soula

Pediatrician, Mumbai

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Dr. Nilesh Soula Pediatrician, Mumbai
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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. Nilesh Soula
Dr. Nilesh Soula is an experienced Pediatrician in Sion, Mumbai. He is currently associated with Indira Maternity & Surgical Home in Sion, Mumbai. Book an appointment online with Dr. Nilesh Soula 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 25 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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English
Hindi

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Indira Maternity & Surgical Home

Plot 118, Jain Society,Road 24 A, Sion,Landmark:Near Saraswat Bank, MumbaiMumbai Get Directions
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My baby is 4 month old and as he rolling due to pressure on stomach he is vomiting 8-10 times and his toilet is yellowish color proper but doing 3 to 4 times a day little little. Here he is drinking and then rolling and then vomiting. He is not vomiting milk but its like curd. I consult a Dr. he suggested perinorm 8 drops thrice a day is it safe to give him perinorm as I have read a lot of side effect of perinorm. If not perinorm than kindly suggest a substitute for the same.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is 4 month old and as he rolling due to pressure on stomach he is vomiting 8-10 times and his toilet is yello...
If baby's wt is about 5.5 kg and gaining regularly, you need not to worry. Burping after feed is best to control such type of vomiting (regurgitaion. It is normal and motion 3 to 4 times in a day is also normal. No need to give perinorm.
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My Son is of 4 years age, during the summer and the onset of the monsoon season he starts to have these mid size red bumps on his legs and hands, which are very itchy and once after non stop scratching the skin getting bruised and the itchiness subsides. Can you please help out on this issue.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
It looks like a contact dermatitis which gets exaggerated after exposure to a particular allergen. You must find out and avoid it. That is the best solution.
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My nephew is very naughty and he don't obey us. We will not want beat him but he is so naughty boy how we control him.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My nephew is very naughty and he don't obey us. We will not want beat him but he is so naughty boy how we control him.
Punishment can be done even without beating like not talking to him for sometime. Not providing what he likes too much etc. Similarly you must reward him if he obeys your advice.
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Hi sir mera ek 13 saal ka bhai hai uska weight 37 kg aur uski body mein fat nahi hai par uske stomach mein fat chadha hua hai uske stomach ke fat ko kam karne ke liye woh kya kare.

MSc
Dietitian/Nutritionist, Hyderabad
Hi sir mera ek 13 saal ka bhai hai uska weight 37 kg aur uski body mein fat nahi hai par uske stomach mein fat chadha...
Hi lybrate-user to reduce belly fat you need to be particular about food choices & timings. Eat small & frequent meals. Include high fiber foods in your diet such as whole cereals & whole pulses. Drink plenty of water. Avoid refined foods from your diet such as maida, pasta. Keep check on your food intake.
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My daughter is 5 yrs old and she has got dark circles below her eyes by birth. Some times it is light and some times it get darker. How these dark circles can be removed.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Dark circles around eyes are usually due to blocked nose. She may be an allergic child with frequent rhinitis. Consult an ent surgeon.
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My girl child has Down Syndrome. She is 5 years old now.Her speech is delayed.She has tonsils.Due to tonsils she has week imuue system. Please give me some sujeshion. Thanks

DIABETES MANAGEMENT, MBBS, Diploma in Family Medicine
Geneticist, Hyderabad
Hi lybrate-user, There is developmental delay in all spheres (motor, adaptive and social) in children with Down’s syndrome and most common genetic cause of learning disability & mental retardation. As there is no curative therapy, counseling has a central role to play in the management. Having Down's syndrome child can be challenging at times. But with help professional support, most people are able to have healthy, active and more independent lives. There are many children who have done wonders and hence take it as chanllenge and support your kid to develop and learn.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

My baby age 11 months not slept in day time like other kids, he sleep 15 mins in evary sleep in day time twice. May I know the reason?

MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Mumbai
My baby age 11 months not slept in day time like other kids, he sleep 15 mins in evary sleep in day time twice. May I...
Each child has its own sleep pattern and no two children are alike. Most of them never get sleep deprived and manage very well to get whatever sleep is required. I would not worry about his not sleeping in the day. They always compensate and get enough sleep unlike us adults who fight sleep because of work or studies and become sleep lagged.
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HELLO doctors. I am 16year old and ‎According to my age how much Should Normal weight in my body.

MBA (Healthcare), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Patna
U r 16 teen and your body mass index is 14.23. It show that you r underweight. Your bmi should be 18- 20 and your ideal weight will 53- 66. So improve your weight. You take protein rich diet like fish, meat, beans, seed, milk, cheese, chicken and egg. You do exercise regularly.
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Hello mam. My daughter is 2yrs nw she just keeps crying without any reason aftr having full meals she just always wants me to carry her in my lap. Wat can I do for dis pls do help me.

Diploma in Child Health (DCH)
Pediatrician,
Hello mam. My daughter is 2yrs nw she just keeps crying without any reason aftr having full meals she just always wan...
Some time if child has uti they may cry like this. Needs detail history and evaluation. Consult child specialist.
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My daughter is suffering bed wetting almost two / three days weekly for last 6 months. She is 15 years and didn't reveal it being ashamed of facing doctor. Please help.

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
My daughter is suffering bed wetting almost two / three days weekly for last 6 months. She is 15 years and didn't rev...
Give her Can notheris 30 4 times a day 1-2 drops in lukewarm water for a month. You can revert for further consultations on my messanger.
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Sir/madam my child is 3 months old and has taken following vaccination. Birth- bcg, opv-0, hep-b1 6 week - imovax polio, pentavac, rotarix1 10 week- imovax polio, quadrovax only. Now my concern is whether the vaccination quadrovax be given in place of pentavac as changed in 6 and 10 week. And also the doctor is saying to give rotatek in place of rotarix due to its unavailability, should it possible?

M.D.( Pediatrics), DCH
Pediatrician,
Follow your doctor's advice, it is fine. He has appropriately given pentavac at 6 wks and quadrovax at 10 weeks. Difference is because of hepatitis b. It is to be given at birth, 1, 6 months. So your doctor has given 2nd dose of hep b at 6weeks (pentavac contains hep b). At 10 weeks hep b was not given as per schedule (quadrovax doesn't contain hep b) rotateq ok if earlier one not available.
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As my son was born in eight months, will there be any Problem either physically or mentally? he is going to reach his eleventh month. He is active and normal now. What about his future? I heard that there will be less memory power for pre matured babies. Is it true?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
As my son was born in eight months, will there be any Problem either physically or mentally? he is going to reach his...
No, not at all. If your child is normal now, he will be normal forever. Very rarely some preterm babies will have developmental problems which can be detected early.
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Baby does not sleep at night wakes up every one hour 7 month old started solids n breastfed.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Give some evening body massage,if possible bathe or sponge,change clothes and feed.Probably baby will have good sleep.No TV in bed room.Least distraction
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I have a baby she is just completed 6 months and she has not been receptive to water, Juices, Formula milk. So could you please suggest anything for her to be able to be receptive to those things.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have a baby she is just completed 6 months and she has not been receptive to water, Juices, Formula milk. So could ...
Formula feeds are better to be avoided and do not give in bottle. Instead give from cup and spoon. She should be started on home made semisolids.
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My daughter is 10yrs old, she is daily urinated in the bed, how to stop her bed wetting? Is that any problem?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
It is the result of poor toilet training in early childhood. You do not give any liquids and urinate her before bed time, set some alarm at night to ask her for urination. You can also use bed wetting alarms available in the market.
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My baby boy is 2.5 months old and he is not crying loudly is there any problems in future related voice?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby boy is 2.5 months old and he is not crying loudly is there any problems in future related voice?
Child cries when he is in agony for any reason. if he is talking well and voice is clear, you need not to worry. Even then you may consult ENT specialist.
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My baby is not gaining much weight, what could b the reason is he not getting enough feed , he is 1.5 months old now and he has gained 400 gms in 1 month

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
This weight gain is fairly not adequate. What was the birth weight? was he born at term( meaning on expected dates)
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My daughter age is 2 years still she is having 10 kg weight. She is not eating properly then what I have to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter age is 2 years still she is having 10 kg weight. She is not eating properly then what I have to do?
Birthweight usually be comes 4 times by 2 & half years. If your child's birthweight was around 3 kgs at birth 10 kgs is normal for that age. You put bandy suspension 5ml at night before going to bed & repeat the same dosage after 15 days.
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My baby has completed 6 months now, for last 20 days she is having loose motions. We are not giving any outside food except mother's milk. The pediatrician advised not to worry, it will stop on its own. First three days we gave econorm, but doctor suggested to stop it as the Baby don't have any infection problem, so no antibiotics needed. Baby is active, no vomiting. But motions didn't stop. What to do ?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby has completed 6 months now, for last 20 days she is having loose motions. We are not giving any outside food ...
It may be your perception that stool is loose. It may be liquid or semi solid but may be many times in a day. It does not require any medicine. Since she is still on exclusive breast milk at 6 months, she requires additional food and top milk too. It is her weaning period. Start with semi solids with any one like kheechadee, dal, suji kheer etc. It may resolve problem.
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