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Dr. Nitinsha

Pediatrician, Mumbai

120 at clinic
Dr. Nitinsha Pediatrician, Mumbai
120 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Nitinsha is an experienced Pediatrician in Sion, Mumbai. You can meet Dr. Nitinsha personally at Lion Tarachand Baba Hospital in Sion, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nitinsha on Lybrate.com.

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Lion Tarachand Baba Hospital

Research Centre, Jaihind Society Road, Sion,Landmark:Near Sion Hospital, MumbaiMumbai Get Directions
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MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
Managing Temper Tantrums in Children
All children from time to time will cling, shout, throw, resist, complain, argue and do not listen to their parents or teachers. Though they are normal, they can be upsetting to everyone around. They become problematic when they increase in severity, intensity and duration that is typical for the age of the child.
Usually they starts at around 1.5 years age and stay till 4 years of age.

WHY DO THEY HAVE TEMPER TANTRUMS

1.They get angry if they do not get what they want.
2.They want to control their lives.
3.They have not learnt effective skills to get what they want.
4.They learned from parents who show temper outbursts.

HOW TO PREVENT TANTRUMS

1.Praise the child for his/her good behavior
Give extra attention whenever child behaves well. Give him a hug and praise him. For example - when a child has put his shoes in place, instead of ignoring it, acknowledge it and praise him saying “Wow, that’s like a good boy. You put your shoes in the correct place. Wonderful!”

2.Encourage the child to use words.
For example - If he wants something, tell him to use words like ‘i want food/ i want this toy’ instead of screaming.

3.Also see whether they are eating and sleeping well.

4.Identify triggers -
For example, Are they hungry or tired? sometimes even when the parent is busy, a child can throw temper tantrum to gain attention.
After a long day of work, instead of directly going to make dinner, the parent can go give the child a hug and spend some quality time.

5.Give signals before ending an activity
For example - say “You have 5 more minutes before I switch off the TV” instead of switching it off suddenly.

HOW TO HANDLE TEMPER TANTRUMS

1.Remain calm and do not argue with the child - Before managing your child’s behavior you must manage your behavior (sometimes children learn from parents who show anger outbursts and learn to shout and scream). Shouting at the child will worsen the child’s behavior.

2.Think before acting and count till 10 if you are frustrated - and then think about the source of child’s frustration.

3.Come down to the child’s eye level - and say ‘you are starting to become hyper, calm down’

4.Distract the child - by asking them to focus on something else. For example say “let’s read a book or let’s go for a walk”

5.Ignore the tantrum - if it is to draw your attention. After the child becomes calm, show him attention.

6.Hold the child who is out of control - and who can harm him/herself. Tell the child that you will let him or her go only when he or she calms down. Reassure the child that everything will be alright.

7.Hug your child who is crying - and say that you love them but the behavior should change. Reassurance and hugging will always be comforting to the child.

8.Talk to the child after the child has calmed down - Talk to the child about his or her frustration.

Try to teach the child how to interact with a friend or sibling or parent and ask for what he or she wants.
Tell them how to express his or her feelings with words and recognise the feelings of others also without hitting and shouting.
Tell them the better ways to get things that they want.
Tell them that we all have anger within and also tell them how to appropriately express it.

9.Never give in to a tantrum - If you give in once the child will get used to it and his tantrums will increase more.

10.Do not let the tantrum interfere with your relationship - with your child.

Consult a professional if the tantrums are increasing even after 3.5 years of age or if there is self injurious behavior, depression, injuring others, low self esteem etc.
7 people found this helpful

My baby age is 5 month 22 days. So can I start cerelac wheat. Or banana mashed. Suggest me.

DHMS (Hons.)
Homeopath, Patna
My baby age is 5 month 22 days. So can I start cerelac wheat. Or banana mashed. Suggest me.
Dear lybrate user, please,don't b impatient, Wt 5 months more to start cereals, as it takes 6 months to complete d stomach to start digestion of cereals. Take,care.
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My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black patches around neck and around mouth. What to do to get rid of this situation. Please advise.

B.H.M.S
Homeopath, Patna
My daughter is 14 years old. Her insulin level is high (139) and thyroid level low (.478), she has developed black pa...
Plese contact in person with any homoeopath physician for taking case history. Or with me on chat site the patient will recover 100% please send detailes about the patient 2. Ignatia 1m give her one drop 6 hourly for 9 days.
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My baby is 1 1/2 month, though after having milk, she gives burp, at times while having milk she vomits off all the milk she had before. Please help.

MBBS, MRCPCH
Pediatrician, Kolkata
My baby is 1 1/2 month, though after having milk, she gives burp, at times while having milk she vomits off all the m...
It is quite normal for a baby to vomit while burping. So long as the baby is growing well no treatment is required. Usually the vomit just trickles down from the baby's mouth. If however vomiting is excessive and baby is losing or not gaining adequate weight or the vomit is very vigorous there may be an underlying problem so you need to get your baby checked.
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Mouth Gargle with Warm Salt Water

MDS, Fellow of Academy of General Education (FAGE), BDS
Dentist, Ahmedabad
Mouth Gargle with Warm Salt Water

Mouth gargling with warm water with salt added to it is a very effective method especially in chilling winters to reduce tooth ache arising due to sensitive teeth. Though it relieves the pain, consult your dentist for permanent cure.

5 people found this helpful
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What are the precautions, food to be taken to give birth to a child with with more colour, brilliant, active.

MD
Pediatrician, Indore
there is no any scientific recomendation of such food.becoz these characters are geneticaly transmitted
1 person found this helpful
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My child is 6 month​s old. He was suffered from fever and doctor prescribed me ibuprofen plus and lizomac ds after using it he has allergic type pink rashes in face and stomach. What it is serious or not and what should I do.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My child is 6 month​s old. He was suffered from fever and doctor prescribed me ibuprofen plus and lizomac ds after us...
No it may be a mild reaction to the medication. But you should call or consult your prescribing physician for the change of medicine. Or you can also consult for homoeopathic treatment. Give him Hepar SUlph 30 3 doses stat.
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My daughter aged 14 years is type 1 diabetic diagnosed recently. She is taking insulin injections 3 to 4 times a day. Her hands and thighs are all full of injections pricks. Swelling has started now on the places where we try to give injections. Kindly suggest.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You can give insulin injection on the abdomen. You have to rotate the site of injection to avoid swelling. Suppose you give today on left top, tomorrow right top, then right down & so on.
1 person found this helpful
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Hi my daughter is 3 year old she is shivering has cough and fever I served her mefkind, tercoff and closure for 2 days right now she is shivering pls prescribe me medicines for her.

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
Hi my daughter is 3 year old she is shivering has cough and fever I served her mefkind, tercoff and closure for 2 day...
Shivering can be seen in any bacterial or viral infection. Give syp. Paracetomol for fever every 6 hourly. If it doesn't subsides even after 3 days blood test should be done.
2 people found this helpful
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How To Deal With Stubborn Or Obstinate Children?

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
How To Deal With Stubborn Or Obstinate Children?

While children can light up your life with joy and laughter, sometimes they can appear to be monsters with their temper tantrums and their stubbornness. Stubborn or obstinate children can be very difficult to deal with and could end up disrupting your life as well. However, there are a few techniques that mental health professionals have suggested that can help you deal with your stubborn and obstinate child. These are mentioned here briefly –

  1. Hear Them Out: It’s often the case that children tend to be stubborn or obstinate and start screaming when they think they weren’t heard. This makes them feel helpless and thus forces them to bottle up and then take out their frustration by either not doing what you are telling them to do or doing exactly the opposite of that. The best treatment in this scenario is to hear them out and patiently try to resolve their problems.

  2. Ensure They Follow Your Example: If one or both of the parents are extremely stubborn, then this would translate into a stubborn kid as well. Doctors have said that obstinacy is often in the genes. Also, environmental influence is a big deal for them as well. Ensure that you are flexible enough with your partner and the child picks up on it.

  3. Teaching Kids About Give And Take: This is a very important lesson in life as it teaches kids to choose priorities. If you teach your kid to always give, then it sends a message that putting themselves second is the best option. However, if he or she is always fighting to take first priority, it may lead to too many conflicts later. Thus it is best to teach them that it is okay to fight for what is yours but also let others have their way sometimes. This attitude will help them develop a balanced attitude and lessen their obstinacy.

  4. Give Them The Illusion Of Choice: Children are very malleable when it comes to their minds and you can use this trick to do certain things that make them appear they have some control when they actually may not. For example, if they are unwilling to go to sleep, you can say that you cannot make them sleep, but they have to stay in bed. Your child would then automatically fall asleep after some time due to boredom which would end up serving your purpose.

  5. Use Scolding Or The Parent Card As A Last Resort: If any of the techniques mentioned don’t work, then you can scold or warn your kid with consequences which may result in capitulation. For example, if you child is not willing to come back and study, then try and stop them from whatever they were doing and make them sit with their books. This lets them know that certain areas you will absolutely not compromise on and they will understand the limits better. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

3056 people found this helpful

I have a baby of one and half month old. Please suggest whether we should go for painless vaccination or with pain one. Which one is good for child health.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Painless vaccine is not better than pain ful one.I would recommend vaccine with pain that is whole cell.
1 person found this helpful
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DIABETES: How Homeopathy can Cure?

Homeopath,
DIABETES: How Homeopathy can Cure?

Diabetes is a long term disease. Homeopaths resorts to different approaches towards diabetes. When the blood sugar level is very high, the priority is to control it. There are homeopathic remedies that could reduce the sugar. Another approach is to understand the patient’s profile through a patho- physiological profiling and resort to treatment of his illness. There is yet another approach to understand the patient in depth through a detailed case taking, crate a profile at his physical, mental, social and spiritual level (holistic approach) and then select a constitutional remedy. Each of these approach has its own scope and limitations. The physician has to take a decision as to what approach is needed on a patient depending on his general health, progress of disease, complications, the organs affected etc. Here’s discussing the four approaches:

1) Management of blood sugar
The commonly used remedies are uranium nitricum, phosphoric acid, syzygium jambolanum, cephalandra indica etc. These are classical homeopathic remedies. These are used in physiologically active doses such as mother tincture, 3x etc. Depending up on the level of the blood sugar and the requirement of the patient.

Several pharmaceutical companies have also brought in propriety medicines with a combination of the few homeopathic medicines. Biochemic remedies which is a part of homeopathy advocates biocombination no 7 as a specific for diabetes. Another biochemic medicine natrum phos 3x is widely used with a reasonable success in controlling the blood sugar. Scientific studies on the impact of homeopathic medicines in bringing down blood sugar are limited, but many of the above remedies have some positive effects either as a stand-alone remedy or as an adjunct along with other medications.

2) Holistic as well as individualistic approach in medicine through homeopathy

This is a unique concept in homeopathy. Even though it may sound strange, homeopathy does not treat pathological effect of the disease per se. A homoeopath treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is afflicted with pathological state. He considers diseases are a mere deviation in life force and make efforts to correct this aberration. Homeopathy regards health as a state of balancing the equilibrium of the life force and the physicians’ duty is to support the individual to maintain a harmony in health (promotive health), restore the sick to health through a rational medication (curative health) and prevent diseases whereever needed (preventive health). There is a defined philosophical approach in each of the above areas and therefore homeopathy in true sense is called holistic system of medicine. It is also known as experienced medicine because all the medicines that are used on the patients are subjected to human trial and assured of its safety even in infants. The medicines are being used for over two centuries and not even one instance of adverse drug reaction has ever been reported.

3) Constitutional treatment
Hahnemann who published his work on chronic diseases and its cure advises to give more importance to the patients past and family history to understand the genesis of illness and to prescribe constitutional medication. In the modern terminology this could be said as the genetic preponderance or modification due to the patient’s life style or circumstances or due to suppression of illness in the past. The homeopaths, therefore take long hours to understand the patient’s history to understand the constitution, temperament, history of suppression etc to arrive on a constitutional medication. This approach is unique to homeopathy and a little time consuming. It also require extreme skill, perseverance, knowledge and experience. Constitutional remedies acts deeper into the system and correct the inherent disorder of the individual. Thus the constitutional remedy not only cures the disease, but improves individual’s health in general. If patients with diabetes take his constitutional remedy, it will not only help to control his sugar metabolic process, but also the tissue to absorb and assimilate the sugar and try to make other organs function perfectly.

4) Promotive approach to diabetes.
Type 2 diabetes can be prevented by lifestyle modifications. Some of the easy tips are:

Eat small meals every 2-3 hours regularly instead of consuming large meals. Prefer to steam your vegetables rather than fry them. Reduce the consumption of sugar, alcohol and fatty foods in your diet

Eat fiber rich foods like whole grains, pulses and reduce your intake of oil. Avoid fried foods.

The lifestyle modifications that can be followed by everyone are regular exercise for at least half an hour. Prefer to climb stairs rather than using elevators or escalators unless there is any heart ailments. Avoid sitting in same position for longer duration at your workplaces. Take short breaks. Practice yoga at home in case it is not possible to go outdoors and indulge in household chores in order to keep yourself active and fit.

Even a patient who is suffering from type ii diabetes can follow life style medications and resort to regular medications under strict supervision of a qualified homeopath, will escape the serious complications of diabetes and keep his disease under control.

1 person found this helpful

My baby is suffering from fever her age is 6 months 25 days. Kindly advice Medicine & dose.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is suffering from fever her age is 6 months 25 days. Kindly advice Medicine & dose.
Give paracetamol drops15 mg per kg whenever there is fever which can be repeated once in 4 hours. But you must treat the cause of fever. Show to a pediatrician.
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My child is ten years old but his growth is not proper on height also not take interest in taking food/diet what can we do and also want to know what will be height after of ten years.

Diploma in Naturopathy, B.A.M.S
Ayurveda, Gurgaon
now a days kids prefer lot of junks which leads to deficiency its one. Of them normally calcium defeciency leads to this. Try to give him diet rich in calcium and proper excercises. Calcium rich diet like milk. Cheese. Curd yogurt r rich in calcium and excercise like swimning skiping juumping helps in increasing height. Few medicines accd to child also helps to increase height.
1 person found this helpful
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My daughter has uneven teeth. Her age is exact 9 years old. Pls tell me what to do. She has protruding incisors and uneven canine. ON OPG Xray 8 teeth have not erupted yet. Being advised by some dentist to put steel plate for aligning the teeth while others have told me to wait it will auto correct as she grows. Am confused what to do.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Mangalore
My daughter has uneven teeth. Her age is exact 9 years old. Pls tell me what to do. She has protruding incisors and u...
Your daughter is now 9 years, so please wait till secondary growth is completed. Malalainment of teeth can be done anytime after that, you need not worry at all now.
1 person found this helpful
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.
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My daughter is 3+months and she is unable to sleep whole night so my doctor suggested phenergan .i had gave him today 0.3 ml so she could sleep is it okay or I did a mistake please reply soon.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My daughter is 3+months and she is unable to sleep whole night so my doctor suggested phenergan .i had gave him today...
Well we don't re comment these sleep inducing medicines. So pls prefer not to give. Common cause of such issues is. Abdominal colic. I shall use medicines to control that.
2 people found this helpful
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My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supplement). What r the ways to make them breastfeed again?

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supple...
You have to stop bottle and if you formula give it with a spoon or sipper and never bottle with nipple.
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