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My daughter of age 7 years studying in class 2 complaints chest pain followed by breathing problem especially when. She is in school hrs sometimes at home also. Echo test chest x ray done but all normal. Once I asked to her why its so she replied that homework was not completed so madam will beat. We made her homework uptodate. Two three days absolutely no problem but yesterday evening again she was crying for chest pain. What should I do.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My boy born on 17th of may normal delivery now he is getting loose motions so what which medicine I can give him? Please advise.
5 practical ways to boost your child's immunity
Children are as vulnerable as they are adorable. Their immune system is not as strong as that of adults, so they are easy victims to environment borne diseases like cold, cough, influenzas and other infections. Here are 5 practical and easy ways in which you can boost your child's immunity and make sure that your role as a parent is sufficiently fulfilled.
1. Decide judiciously what he is supposed to eat and drink
Your child's daily diet must contain a lot of fruits, vegetables, juices, organic foods and proteins. Healthy fats like butter, pastured eggs, coconut etc. Are also essential as they help in absorbing important vitamins like vitamins a, d, e, k and others. Even your child's water intake should be at an optimal level. Processed food and excessive sugar intake should be avoided as they add to your child's calorie count.
2. Get your child to exercise
Regular exercise is a must. It may include running, swimming, jumping or simply strolling. Screen time should be limited as much as possible as those video games and i-pads are robbing your child of his immunity. Make sure your child spends a few hours outside in the sun so as to absorb vitamin d that is obtained from sunlight, for his immunity.
3. Ensure a clean and hygienic environment for your child
You must make sure that that your child learns to keep himself clean. Teach him to wash his hands whenever necessary and tell him not to sneeze and cough in a way that spreads germs. Maintain a clean and healthy environment in and around your home but make sure that you don't shoo away the good bacteria that prevent diseases.
4. Cut down the stress levels of your child
It is very important for you to recognise and eliminate stress from your child's life to ensure immunity for him. Do not force your will upon your child and let him follow his heart. Help him relax if he is stressed and talk to him patiently about things that are worrying him. Maintain a healthy and loving environment in your family to help your child grow.
5. Ensure you child gets adequate rest
Make sure that your child gets adequate amount of comfortable sleep. It is important for you to make your child understand the benefits of sleeping early. This not only increases his/her immunity but also helps him/her to stay attentive and focussed.