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Dr. Nirmala

Pediatrician, Mumbai

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.
More about Dr. Nirmala
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 44 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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My daughter has 15months baby, she is suffering from too cold and cough. Which medicine is suitable for this?

C.S.C, D.C.H, M.B.B.S
General Physician,
Describe more. He may need antibiotics and tests. You can ask privately in the site. Now you give wikoryl syrup 5 ml twice and otrivin nasal drops and if fever is there calpol syrup 1`25 ( to give medicine it is necessary to know his weight, your question is not sufficient and I assume he has reasonably normal weight. When you ask, give all details.
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Can I use diaper everyday for my new born baby? He gets irritated if I use cloth nappy and doesn't sleep properly.

MBBS, DCH
Pediatrician, Gwalior
Can I use diaper everyday for my new born baby?
He gets irritated if I use cloth nappy and doesn't sleep properly.
Cotton nappies r preferred in our setting. You can use nappy pads n change that evry 2 to 3 hr. If doesn't help I can use diper but again have to change in 2 -3 hrs.
1 person found this helpful
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5 months old baby, she has been have loose motions from 7 days. She has started putting everything in her mouth and these motions are happening like 6-7 times a day. Before we moved to her village we had consultant a pediatrician here in Bangalore who game some medicine in case of motions .we have waited for some time like 2 days and started the medicine, but still not subsided . Medicine are Econorm and walamycin . Please suggest what to do.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
5 months old baby, she has been have loose motions from 7 days. She has started putting everything in her mouth and t...
1.stop milk product 2.add syp.zinconia 5 ml once a day for 14 days 3.lactose free milk...example soyamilk or nestle LOLAC
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Hi. My baby is 47 days old. Morning time she never sleeps. She sleeps only in night for 5-6 hours. But if I wake her in between for feeding she is not sleeping after that. But if I don't not wake her she sleeps continuously for 6 hours also. Please advise if can I leave her to sleep continuously for 5-6 hours?

DHMS (Hons.)
Homeopath, Patna
Hi. My baby is 47 days old. Morning time she never sleeps. She sleeps only in night for 5-6 hours. But if I wake her ...
Hello, library user, you are lucky enough that your baby sleeps in the night as in most of cases, babies do not sleep in the night & cry for the whole night. However, she should not be left for 6 hrs, continuously without feeding & be breastfed, three hourly. Inculcate your expertise to manage your baby to sleep ,thereafter. Tk, care.
2 people found this helpful
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I'm suffering from bronchial asthma since two years But it occurs only in winter. Cough submit in the cold weather. In summer I don't have problems What is the affect of lung and bronculle It becomes respiratory problems. Prescribe me good medicines for permanent relief.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
May be you suffering from seasonal allergic asthma. You should try to identify the allergens causing symptoms in winters and avoid them and also take asthma inhalers during problem months.
2 people found this helpful
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I am 40 years old. I had little enquiry my son 14 years old he had constipation problem from which sometimes he faces hyper acidity, stomach ache, n sometime vomiting due to hyperacidity. Pimples on his face do let know any medicine regarding this. Thanks.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
For constipation, give him fibrous diet and adequate water. Encourage him to go toilet daily or may be twice in a day for developing bowel habit. Isabgol husk may be tried with plenty of water at bed time. Pimples are common at this age. Don't scratch it, apply calamine lotion and consult skin specialist.
1 person found this helpful
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Preventing Thumb Sucking in Children

PGDHHM, BDS
Dentist, Gurgaon
Preventing Thumb Sucking in Children

Thumb or finger sucking is common in infants through the first year of their lives. A child usually turns to his thumb when he is tired, upset or bored.

A child younger than five years should not be pressured to stop thumb sucking. While majority of children give up such habits on their own before they enter school, about 15 percent of children continue thumb sucking past their fifth birthday. This is an age when teasing often starts, causing difficulties for children.

Apart from this, thumb sucking can also lead to dental problems. A child who is still sucking his thumb by age five, when permanent teeth start coming in, may develop an abnormal bite. In addition, prolonged thumb sucking can cause minor physical problems, such as chapped lips or cracked skin, calluses, or fingernail infections.

The effects of thumb sucking are usually reversible until the age of seven because children still have their deciduous (baby) teeth. If thumb sucking continues beyond that age, when the second teeth are erupting, permanent dental problems can occur.

There are various things you can do to help your child stop thumb sucking:

1. Reward your child and offer encouragement - For example, with a hug or praise to reinforce their decision to stop the habit.

2. Limit nagging - If children feel they are being nagged they will become defensive.

3. Mark their progress on a calendar - For example, place a star or a tick for each period (such as a day or week) that the child does not suck thumb or finger. Provide a special outing or a toy if the child gets through the period successfully.

4. Encourage bonding - For example, with a special toy.

5. Reminders - Give the child a mitten to wear as a reminder not to suck, or place unpleasant tasting nail paint (available from chemists) on the fingers or thumb. Placing a band aid over the thumb at bedtime is another reminder.

6. Offer distractions - While a child is watching tv, have toys available for children to play with. Sit with the child during this time and give a cuddle to help them not to suck. In the car, have toys available to keep children occupied.

7. Talk to your pediatrician and your child's dentist, who may recommend appropriate treatment that prevents thumb sucking.

3638 people found this helpful

Mera beta four year ka hai, aksar raat ko uske leg mei pain rahata hai, aur morning mei thik ho jata hai, dard puri raat rahti hai, maine doctor ko dikhaya to doctor ne calcium syrup diya, ab sirup band karne ke baad bhi kavi kavi leg me pain ho raha hai, aur, raat bhar massage karne pe bhi aram nahi milta, so please mujhe aisa medicine ya oil bataya jo fast relif kare raat mei aur bacha aram se soye paye, mai raat mei bajut pareshen ho jati hu.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
App pehele to ye pata kar me ki bache ko leg me pain rahata hai ya koi air taklif hai. Agar calcium syrup dene me bad bhi bache me leg me pain rahata hai to bache ko calcium metabolism me taklif hai. Bacha calcium absorb nahi kar pa raha hai. App ek bar bache ki serum calcium karwa lo. Uske badme him bats sakte hai ki kya karan ho Santa hai.
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Hi doctor. My 2 year daughter has habit of thumbsucking. Somebody suggested femite. Are these medicines safe? any safer alternative. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor. My 2 year daughter has habit of thumbsucking. Somebody suggested femite. Are these medicines safe? any saf...
Femite is a safe preparation, it is not really a medicine but rather just a herbal kind of preparation (like neem juice) which helps in controlling thumb sucking behaviour in children thumb sucking can continue till the age of 2-5 years and is considered normal upto 2 years of age. Though the success rates are variable, no adverse effects have been reported. Contact privately for more advice.
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Eczema in Infants: What You Should Know?

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Jaipur
Eczema in Infants: What You Should Know?

Are you observing red, crusty patches on the surface of your infant’s skin during his/her first month after birth? This is an indication of infant eczema. It is a dry, itchy skin condition which may occur on any part of your child’s body and is commonly found on the cheeks, legs and arms. This condition is sometimes confused with cradle cap, which is another skin condition.

Causes-

Eczema usually runs in families and is hereditary. If you have eczema, it is likely that your child may have it too. Several problems in the skin barrier allow germs inside and moisture to go out. This is a common cause of eczema in infants. The condition occurs when the body makes insufficient fatty cells or ceramides. When there is not enough of these, the skin loses water and becomes extremely dry.

Does Eczema In Infants Go Away By Itself?

In many cases, infant eczema goes away on its own and most infants outgrow the condition by the time they are ready for school. However, some children do get eczema during their adulthood. This may continue for years without specific symptoms. Such children also tend to have dry skin.

Treatment-

Here are some home treatment options for infant eczema:

  1. You should use moisturisers on your child. Moisturisers containing ceramides are a good option, which are available at all over-the-counter (OTC) stores by prescription. You can also opt for good moisturisers, fragrance-free creams and ointments like petroleum jelly. This helps in keeping your baby’s skin in retaining natural moisture. Apply these after a bath.

  2. A lukewarm bath is beneficial for your child. It helps in hydrating and cooling the skin. The water should not be very hot and the bath should not exceed 10 minutes. You can also add oatmeal soaking products to your baby’s scrub for soothing itchiness.

  3. You must use mild and unscented body soaps for your baby. This is because perfumed, antibacterial and deodorant soaps are rough for your baby’s skin. Scrub some soap on areas of your child’s body where there is dirt, such as the genitals, feet and hand. Do not rub or pat his/her skin.

  4. Several medicines are also used for the treatment of infant eczema. These include hydrocortisone creams and ointments, which help in easing inflammation and itching. You should not apply these medicines in excess as they can thin the skin on the affected areas.

You should consult a doctor on observing any signs or symptoms of eczema on your child’s skin. This will help in proper diagnosis of the problem and an early treatment plan will prevent further deterioration of the symptoms.

4000 people found this helpful

M.D.( Pediatrics), DCH
Pediatrician,
Raising children is not an easy task. Disciplining them is still more difficult & tricky. It is essential to understand that threat as a motivation may work well in short term, but love is far better motivational tool in long term.
3 people found this helpful

I am 12 years old. I got be asthma. How can I get well without linear at home remedies.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Nowadays good treatment is available for asthma. Inhalers are safe devices to deliver drugs directly to the lungs. Consult your doctor for selection of good drugs for you.
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Swelling and got red in navel in 20 days newborn child. Pain in navel and left taking milk of mother due to pain in navel.

MBBS, MD, Diploma in Child Health (DCH)
Pediatrician, Hyderabad
Swelling and got red in navel in 20 days newborn child. Pain in navel and left taking milk of mother due to pain in n...
1. injection TAXIM 120 mg 2 timea aday for 4days2 locally apply nosporin or T bact ointment 2 times aday.
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MD - Paediatrics, MBBS
Pediatrician, Tumkur
1 to 3 years is known as toddler period children are more explorative during this period. They are more prone for injuries and accidents. Parents should be extra cautious to prevent these. Keep all the drugs including paracetamol in tight bottles. Keep all the sharp objects, poisonous substances out of reach of children. Always keep an eye on them as they can put any thing into mouth.
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MD - Paediatrics, MBBS
Pediatrician, Faridabad
Nail biting may be a sign of in secure or less confident child.Please build a nice rapport with your baby and find the reason
7 people found this helpful

International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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My 2.5 month daughter's stool is of green colour and is in liquid form. From last week, I think it's after giving her vaccination. Is she suffering from loose motion? Is it harmful?

Pediatrician, Indore
My 2.5 month daughter's stool is of green colour and is in liquid form. From last week, I think it's after giving her...
This is very common for babies to pass green stools. If baby is passing urine normally and gaining weight do not do anything.
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Black spot on my 1 year old daughter suddenly appeared. When touched no pain nothing. What is it.

MSc Applied Biology, Diploma in Naturopathy
Yoga & Naturopathy Specialist, Ghaziabad
Black spot on my 1 year old daughter suddenly appeared. When touched no pain nothing. What is it.
Use a cream made with orange peel /turmeric /lemon juice ...finally massage with honey plus sesame oil ----.if nothing serious may go within few days Where is the spot .....take care if near eyes
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