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Dr. Pankaj Munde

MBBS

Pediatrician, Mumbai

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Dr. Pankaj Munde MBBS Pediatrician, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pankaj Munde
Dr. Pankaj Munde is a renowned Pediatrician in Mumbai, Mumbai. He has done MBBS . You can visit him at Prakruti Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Pankaj Munde 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 29 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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MBBS - - -

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Prakruti Hospital

1st Floor, GATE No 1, Siddheshwar Arcade, Old Mumbai Pune Road, Kalwa, Landmark: Opp Manisha Nagar, MumbaiMumbai Get Directions
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Prakruti Hospital

1st Floor, GATE No 1, Siddheshwar Arcade, Old Mumbai Pune Road, Kalwa, Landmark: Opp Manisha NagarMumbai Get Directions
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My baby is suffering from fever due to urinary track infections. He is having antibiotics and paracetamol but fever is not going away. What should I do?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My baby is suffering from fever due to urinary track infections. He is having antibiotics and paracetamol but fever i...
Sponge whole body for around 30 minutes & give paracetamol orally. Get routine, culture sensitivity of urine & treat with appropriate antibiotics. Add urinary alkaliser to get better results.
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My baby is of 6 months can I give him cerelac but I have heard that cerelac is banned so what can I give him instead of cerelac?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby is of 6 months can I give him cerelac but I have heard that cerelac is banned so what can I give him instead ...
The best foods for the baby are those that are homecooked and have a soft, thick consistency. You can give your baby mashed bananas, curd, khhichdi, dal, chapati soaked in dal and mashed.
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My son age is 10 years suffering from cough and close nose from two days any medicine for him? Please advise.

MD - Paediatrics
Pediatrician, Jamnagar
My son age is 10 years suffering from cough and close nose from two days any medicine for him? Please advise.
If the child is playful, wait for two days. Consult a pediatrician if the child is dull or not improving.
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Mera babu 9 month ka ho chuka Hai uske khane me Kya Kya dena chahiye. Milk and serelake sirf pita Hai.

C.S.C, D.C.H, M.B.B.S
General Physician,
Mera babu 9 month ka ho chuka Hai uske khane me Kya Kya dena chahiye. Milk and serelake sirf pita Hai.
You have to give all homemade foods mashed well. Introduce one by one and stop bottle feed and feed from a cup
1 person found this helpful
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility.

Hi my baby is 7 nd half month old I am her born weight was 3nd half now present weight is only 6 she looks very slim at morning I am giving nestum afternoon m giving cerelac and at 7 pm m giving 2half boil egg is that ok is there any problem of giving half boil egg for baby please let me know and let me know how to gain weight for baby.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hi my baby is 7 nd half month old I am her born weight was 3nd half now present weight is only 6 she looks very slim ...
Well you are giving weaning food in correct way as far as daily protein requirement is concerned. I'm fine with it but for weight gain you needed carbs. Which you e giving less. Give rice khichdi. Modak. Kheer. Milk products. Sweets. Daal with added jaggery etc would add upon carbs. Along with this make sure liquid diet specially milk should not have been reduced. Yes I do agree weight is bit less for given age. And solutions are as per I mentioned above. Eggs should be full boiled and preferably egg white rather then egg yolk. Regards.
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My baby is 19 months old she is getting her motion very hard and tight. Her poops pass like a little bit and some blood. What is this problem or disease?

PG In Public & Health Nutrition, Diploma in Sports & fitness Nutrition
Dietitian/Nutritionist, Mumbai
My baby is 19 months old she is getting her motion very hard and tight. Her poops pass like a little bit and some blo...
Hi Your Baby having Constipation, try to increase water, avoid Maida products, give Black rasins early morning, add fruits. Try Moong Dal with vegetables.
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My wife is having 21*19 mm cyst in left ovary. Would she be able to conceive. What should we do?

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
My wife is having 21*19 mm cyst in left ovary. Would she be able to conceive. What should we do?
Yes. She can conceive. 2 cm cyst is not a big size but we have to do ultrasound to see for the nature and character of cyst, then she will also require some hormonal investigations. After investigations medicine can be given to dissolve the cyst if required. Treatment can be planned after all investigations.
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My 16 months old son swallowed small pieces of plastic cover now he tried to vomit but vomit did not come what can I do for it.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 16 months old son swallowed small pieces of plastic cover now he tried to vomit but vomit did not come what can I ...
Must to be watchful as these hard pieces can be stacked in lower esophagus. But difficult to say at this point. Give lot of fibers containing food so that it can easily come out.
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My son has vomiting and cough from last 3 days and had a doctor checkup. He was getting better and all of a sudden he turned up with a fever with 102℉ and severe cough and cold. Could it be viral?

BHMS
Homeopath, Sindhudurg
My son has vomiting and cough from last 3 days and had a doctor checkup. He was getting better and all of a sudden he...
Yes homoepathic treatment ipecac 30 4pills 3 times for 1 day. Flemkof 1spoonful 3 times pyrex 1 spoonful 3 times.
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I have mensuration problem last 5 month. And I have a baby. Age14 month. Any suggestions.

DNB (Pediatrics)
Pediatrician, Amravati
I have mensuration problem last 5 month. And I have a baby. Age14 month. Any suggestions.
If you are feeding your baby then this type of menstruation problem is seen in mothers. Menses comes after 2 to 3months but you may also conceive during this period so use contraception.
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My son, 5, is falling ill every 7th or 10th day since last November. Shown doctors but still he is like that only. What should I do?

BHMS
Homeopath, Faridabad
Hello, if he is suffering with fever from few days then go for the blood tests:-cbc, esr mp, widal urine routine and culture.
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I have one daughter and her weight is 13 KG and age is 3.5 years Weight is okay or not as per age.

MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Mumbai
Weight is reasonably okay by age. At 3 and a half years most indian children weigh between 12 and 15 kgs. So, 13.5 is fine, but she can be better off by adding a kilo or so. But you don't need to worry at this weight.
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My son is aged 12 years but he is very slim and short in comparison to his age group friends. He also throw out a lot of saliva from mouth while sleeping. Suggest some homeopathic treatment.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dribbling saliva frommouth is called drooling and Medically it is termed as sialorrhea (excessive saliva production) which is generally seen in infants while teething and sometimes in children with muscular problems and behavorial and neurological conditions like cerebral palsy. There are different glands that contribute to the production of saliva. And the amount of saliva your body produces while you’re asleep is quite less than while you’re awake. Normally You don’t drool when you’re awake because you swallow up the saliva. But when you’re sleeping you’re relaxed and so are your facial muscles. Hence, whatever saliva the glands produce gets accumulated in your mouth, which then leaks out of the mouth because you don’t swallow it. If you drool while sleeping, you must have noticed that saliva leaks out mostly when you sleep on your sides and rarely when you sleep on your back. That’s because, when you sleep on your back, saliva settles at the back of your throat and eventually drains down. There are certain problems that could be associated with drooling and these are----------- 1. Allergies: Allergic rhinitis and certain food allergies cause over-production of saliva resulting in drooling. 2. Acidity --- Acid reflux episodes cause the gastric acid to stimulate the esophagus, as a result the esophagosalivary reflex gets excited leading to excessive saliva production. 3. Sinus infection: Upper respiratory tract infections are usually associated with breathing and swallowing problems, which cause drooling due to accumulation of saliva. Also, when your nasal passage is blocked due to flu, you tend breathe with your mouth, which causes the excess saliva to flow out while sleeping. 4. Tonsillitis: Tonsillitis is the inflammation of glands called tonsils present at the back of your throat. Due to inflammation and swelling the passage becomes narrow, thereby obstructing the drainage of accumulated saliva down the throat. 5. Sleep terrors: Drooling is a known symptom seen in people suffering from sleep terrors. Sleep terrors can be manifested in adults as a result of psychopathological reason. They often occur when a person in under severe emotional stress or may be triggered by certain drugs like sedatives, alcohol or even sleep deprivation. Sometimes, drooling is also seen in people suffering from other sleep-related disorders like sleep walking (somnambulism) and somniloquy (sleep talking). 6. Drugs and chemicals: If you’re on certain medications or if you’re taking drugs then drooling may be an everyday thing for you. Some antidepressants and medications like morphine, pilocarpine (treats dry mouth) cause increased saliva production. Although treatment can be done according to any underlying problem but if it is due to excessive salivary glandss secretions the start taking this medicine for 15 day and consult thereafter. MERC sol 30 ( Dr Reckeweg) Drink 2 drop direct on tongue today night and after this forget about this medicine for 15 days. PL 30 ( Dr Reckeweg) Ask homoeopathic pharmacist to prepare this medicine 2 drahm in 30 number globules and start taking this medicine 4 tabss 3 time daily for 15 days.
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My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its clear milk after feeding her. It happens when we try to give her burp. Is it normal. Please guide.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its c...
Lower oesophagial sphincter isn't very well developed in small babies. Hence vomiting & regurgitation of milk is common till 6months. If there is no weight loss it's not of much significance. Bett to avoid holding the baby upright immediately after feeding.
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Stomach Problem - Common Causes of it!

MBBS, MD, CCEBDM(diabetology), CCMTD(thyroid dissorders)
General Physician,
Stomach Problem - Common Causes of it!

Stomach problems are one of the most common issues you face. Irrespective of what your age is, it is highly likely that you have an upset stomach once in while. A stomach upset has a distinguishable characteristic -  that stomach linings as well as the small and large intestines tend to swell. This is called inflammation. The following are the most common causes of an upset stomach.

 

1. Viruses
Viruses are the most common causes of an upset stomach. It is highly likely that your stomach upset is because of a virus since there are so many types of them.

 

2. Parasites or bacteria like Salmonella and Escherichia coli
This is also a very common cause of stomach upset. Salmonella infections are usually caused by eating raw eggs, meat and meat products whereas Escherichia coli infections come from raw vegetables as well as milk and dairy products.

 

3. Allergic reactions
These happen very specifically to people who have a reaction to a certain type of food.

 

4. Excess alcohol
Most people think that alcohol will only make you pass out or get liver cirrhosis. Many people do not know that alcohol can actually adversely affect your stomach as well.

 

5. Excess caffeine
Caffeine is also dangerous to your stomach as taking too much of it can cause a stomach upset.

 

6. Fatty foods
Fatty foods such as cheese, dark chocolates, whole eggs, fatty fish, etc. are dangerous because they are harder to digest than many other types of food. This means that eating even a small amount of fatty foods are enough to cause a stomach upset sometimes.

 

7. Eating too much
This is also a major cause of stomach upset simply because your stomach can only digest a certain amount of food.

You must also be able to distinguish when you have a stomach infection and when you have Chron's disease as it is basically a chronic stomach upset. Chron's disease causes the whole digestive tract to be inflamed.

My daughter age is 4 years and 9 months ab tak bolna nahin sikhi hai please advice me what can i do to solve this problem?

Masters in Speech Therapy
Speech Therapist, Delhi
Delayed speech and language hai. Aap uske shabdon ko badha dijiye.Usko daily use objects,family members mamma and papa eatables drinks etc sikhayen. Oral exercises will help. Show her to speech therapist. If you are in Delhi, you can show me also.
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Sir, my son is 3 years old, male, weight 15 KGS, height 3 ft. Giving him only normal food, and drinks pediasure. Pls doctor suggest some drinks and healthy food for his brain development. Someone said infantgrow A+ is very good for brain development. Pls help.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
Your child is perfectly heathy for his age. There is no need to give commercial food or drink but freshly prepared home made cereals. Never ever go by tall claims of these baby food manufacturers. They are expensive and never ever better than home made preparation tailored to need test texture of food. Best wishes.
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