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Dr. Nirmala

Pediatrician, Mumbai

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Dr. Nirmala 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.
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Dr. Nirmala is a trusted Pediatrician in Mumbai, Mumbai. She is currently associated with Savant Clinic in Mumbai, Mumbai. You can book an instant appointment online with Dr. Nirmala on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 37 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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Savant Clinic

B Madhav Villa Hardevi Chs Jogeshwari, MumbaiMumbai Get Directions
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RICKETS [RICKETS]

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy
Homeopath, Delhi
It is the characteristic result of vitamin D deficiency in children.


CAUSES:

• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Malabsorption.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
• Hereditary.


SIGN AND SYMPTOMS:

• Head:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
• Thorax:
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
• Extremities:
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Rhinitis.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Bronchitis.
– Bronchopneumonia.
• Spasmophilia:
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.


DIETARY MANAGEMENT:

Avoid:
• Avoid bony injuries, to prevent factures.


CONSUME:

• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.


CONSULT PHYSICIAN:

• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.

She is 4 months baby girl some time she cry excess and she get out of control I press her ears stomach no pain is their all time she vomit when I feed her and I give similac milk powder that powder is also not suit she so what is the reason why she cry alot thank you mostly in night.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is 4 months baby girl some time she cry excess and she get out of control I press her ears stomach no pain is the...
It is the coilc form the powder which you may be giving in bottle and stop bottle and feed if you must with a spoon. Breast milk and homemade mashed food is the best in this age . Inform me personally
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Causes and Symptoms of Migraine

MBBS, D.P.H
General Physician, Gurgaon
Causes and Symptoms of Migraine

It is the most common problem seen in society today. A migraine is a common neurological condition characterised by a headache, but some people have associated symptoms of eye and ear.
Classic symptoms of a migraine:

  1. Severe throbbing headache on one side of head
  2. Nausea and vomiting
  3. Sensitivity to light and noise.
  4. Prefer quite a dark room to sleep

Vestibular symptoms:

  1. Vertigo
  2. Dizziness
  3. Imbalance
  4. Unsteadiness
  5. Sensitivity to motion

Hearing symptoms:

  1. Muffled hearing
  2. Ear fullness
  3. Ringing in the ear or tinnitus

Causes of a migraine:
Migraine headaches probably relate to both abnormal discharges in cells within the brain and to the construction of the walls of the blood vessels in and around the brain. But the exact cause of a migraine is not known. Following are the provocating factors which make the condition worse

  1. Hypoglycaemia (low blood sugar)
  2. Stress altered sleep patterns
  3. Diet fast food, oily food, processed food
  4. Chocolates, cheeses
  5. Coffee sodas with caffeine
  6. Alcohol

Factors related to a migraine

  1. More common in women than men
  2. Symptoms are often worse during menstruation
  3. Family history

Management

  1. Avoid food, which triggers migraines e.g. Chocolate, alcohol, cheese, oily, spicy, junk and processed food
  2. Relaxation exercise
  3. Stress management
  4. During menstrual period decrease the salt intake and take some diuretic
  5. Ibruphen for pain after meal
  6. Other treatment with the advice of neuro physician e.g.
    1. Beta blockers agents
    2. Calcium channel blockers
    3. Tricyclic antidepressants
    4. Seratonergic agents
    5. Gabapantin or neurontin
    6. Clongepam
    7. Acetazolamides or diamox
    8. Sodium valporate or depakots
    9. Topiramax
    10. Oxycarbazapine or trieptal
2 people found this helpful

Hi, my baby 3 month old ,I feeding him properly. Suddenly my breast milk produce less ,my friend suggest stimulate powder may I drink this?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Indore
Hi for increase breast milk. It is necessary to Take adiquate amount of milk ,water, and other healthy liquid. 2. Increas the frequency to feed baby. 3. Is diet take healthy diet and milk producing diet. Like Dakota etc. 4 Medicine like later cap 1 or2 three times in a day. Powder lacter 2teaspoon full 3 times in aday with milk. 5 rulout hypertension ,or other medical problem. Take proper treatment according.
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3-4 very small pustules have started appearing over my baby's face (cheek), especially below his eye. They don't seem painful but the count is slowly increasing and the existing ones are not going away. Need to understand whether they should be left unattended or there is a cure. Please help.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
3-4 very small pustules have started appearing over my baby's face (cheek), especially below his eye. They don't seem...
See similar on the hidden part of body like chest and on back. If it is then it is chicken pox consult if chicken pox or leave as it is.
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I am a 26 year old mother. My daughter is 12 months old. Her birth weight was 3 kg and now she is 9 kg. Her birth length was 45 cm and now she is 73 cm. Head circumference was 32 cm at birth and now it is 42.3 cm. She started walking around 9 and half months. There has been no developmental delay, she has reached milestones little earlier than others infact. She is doing good, understands many things, points at things. She is friendly as well. My concern is that she has a very flat nasal bridge, epicanthal folds, slightly slanted eyes. I have slanted eyes too and so does my father. Her face is small and her teeth are also somewhat odd. She has 6 teeth as of now. The upper jaw looks like it is pulled back, the lower jaw is more in the front and the upper jaw is backwards. I am very worried about many things right now. She is my first born. Please advise.

BDS, MDS
Dentist, Gorakhpur
I am a 26 year old mother. My daughter is 12 months old. Her birth weight was 3 kg and now she is 9 kg. Her birth len...
Your concern is very much desirable. She seems to be alright as many features you told coincides with parental features. If you feel/ suspect any syndromic/ developmental errors in her growth please take her to a qualified pediatrician in your area. We can not guess without having a look on her body structures. There are many syndromes with overlapping features you told which has to be diagnosed properly. You can send a close picture of her face, your face and her father also if you need a better opinion regarding this. We can co- relate with any familial abnormality running in generations.
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My 2 years older son always not ready to take any type of food or milk fruits etc and always his stool is to hard what can I do?

MD - Paediatrics
Pediatrician, Kolkata
My 2 years older son always not ready to take any type of food or milk fruits etc and always his stool is to hard wha...
He is suffering from constipation.  he should be on a good fibre rich diet. Give plenty of water.  regular laxative if needed along with a good diet plan. As constipation is a chronic problem in most cases and most common cause is habitual constipation.  You must ensure a regular bowel time after a drink irrespective of passage of stool. He should be sitting for sometime say 10_ 15 minutes in a fixed time daily in a Indian style toilet. She appears  to be a fussy eater. Most importantly you need to be patient with her. Don't shout or scream while feeding her. Try to make her feeding time fun or playtime. After not giving any food for 3 hrs at least make him sit with the food he likes (solid foods not pastes or liquids) with spoon and katori or fork. Let him at least play with the food for some time. If he likes milk a lot then try to give solid like plain rice, oats. Chatu. With the pediasure You can have a deal with him. He will take 1 sip milk and 1 bite of something  This way he will learn to chew Threptin  biscuits are good to taste and are rich in protein (casein) Avoid giving him chips fast food Makes small pieces of food  and ask  her to try just 1 bite. If he likes the taste she will have another. If he likes chicken. Give him chicken in different  ways. Introduce him to egg. Boiled or omelette whatever he likes. Play with him till he feels tired. Playing running will improve digestion. Don't loose temper You can give him  one egg a day Cucumbers made into small pieces will help  with problem of flatulence. Children have to deal with new  food, new habits. So they act out. Do not get flustered if he criesmakes a scene. Sit quietly, go to another room, ignore him. He will learn that bad behaviour  will not allow him to get her own way. I know it's very difficult but keep trying as that's the best you can give him. Pain  abdomen  may be due indigestion earmarked, gastritis. Good hand hygiene: Regular nail trimming Washing hand after each toilet visit. And before taking any food in any form Also take care of drinking water quality. Test Adviced: CBC with AEC Stool and urine R/E, M/E USG abdomen Share the reports if any Kindly do the follo You can check out the Health blog I manage with my wife. It has many helpful tips. The VIP Resource library gives you lifetime (free access) to many  childcare, parenting tips.
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What should be my meal. And what should meal my 17 month son which weight is 11 kg. Whats kind of exercise and drug to be taken.?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
What should be my meal. And what should meal my 17 month son which weight is 11 kg. Whats kind of exercise and drug t...
He should take part in family diet. Both of you should take balanced diet having appropriate quantities of carbohydrates, proteins & fat with fibres & micronutrients. No prescribed exercise for the child.
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Diploma in Child Health (DCH)
Pediatrician, Ahmednagar
Foods like peanuts, whole grapes, cherry tomatoes, carrots, hot dogs, meat sticks, or hard candies should be kept away from toddlers as they may have problem in chewing them. Give them mashed, cut and easily chewable food.
2 people found this helpful

Hi sir my son is sucking his finger from birth now he is 1 years and 3 months old even now he is not living that habit. Suggest me some liquid to stop. That he is addicted to that.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi sir my son is sucking his finger from birth now he is 1 years and 3 months old even now he is not living that habi...
Sucking hand is due to breast and nipple confusion and if you breastfeed continue and never give bottle . Now you have to give more of love, care and feed form glass and breast . Only good care can get him out of this and relax he is only one year old
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