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Dr. Parul Kumtha

Pediatrician, Mumbai

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Dr. Parul Kumtha 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. Parul Kumtha
Dr. Parul Kumtha is one of the best Pediatricians in Mumbai, Mumbai. You can visit her at Ummeed Child Development Center in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Parul Kumtha on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 25 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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Dear doctor, my neice (8 years old) is affected by brucellosis/pleural effusion/pyopericardium/partial pericadiectomy done/collagen vascular disorder, she is discharged from hospital after a month of icu care. Now almost everyday she gets high fever and pimples in complete body.

MD
Pediatrician, Indore
If culture for brucellosis positive then only brucellosis. Otherwise may look for other diagnosis [connective tissue disorder etc.] consult pediatrician and rheumatologist.
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My son aged 3 & half years old often complains of pain in legs not necessarily both any calcium supplement would help. Otherwise he is active.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Many children complain pain in the legs especially in the night. It's called growing pain. You can apply some analgesic balms and can give some analgesic like paracetamol if the pain is more.
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Hello, My son is of 3.5 years old, 15 Kg of weight. He falls in cold and fever while comes in contact with outside water. Even in very early morning, around 4 AM-6 AM he sneezes more because of the cold environment. Might be his resistance power is not so good. Please suggest me, how to get rid from this issue and how would be the diet for him to grow up physically, mentally/memory. Thanks a lot.

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
Best option would be to visit nearest patanjali chikitsalay for advice. The. Medicines etc they prescribe are free from harmful side effects as compared to allopathic medicine. Plus, they can suggest pranayama that naturally boosts mental and physical health. That should be the best start for your child. Also, watch and practice as shown on astha channel daily 5-7: 30 am and you will see so many small children doing what is being taught on way to good health.
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Mera beta 7 month ka hai use infection hogaya hai Dr. Ne use darolac acua dithi par iski jaga kya Mai entrogemina dedi to koi prblm to nai hai.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Mera beta 7 month ka hai use infection hogaya hai Dr. Ne use darolac acua dithi par iski jaga kya Mai entrogemina ded...
please give Darolac Aqua only. And do not change the prescription on your own without doctor's recommendation, it could let us to side effects. Take care :)
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Hi Sir/mam, last 2 days my 3 month baby refused milk. Usually she drunk 3 oz but now She drinks 2 oz that also she refused .I will give force to give her that 2oz. Is it OK? Or any health problems? please tell me. She takes only formula milk.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi Sir/mam, last 2 days my 3 month baby refused milk. Usually she drunk 3 oz but now She drinks 2 oz that also she re...
If you are giving bottle feed you have to stop bottle and feed with spoon and breast feed. If she is refusing feed it may be a sign of some illness and you watch for it or you can ignore it.
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My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
I don't know your past history of seizures but if you have given it regularly for 4 years and no seizure, I think you can slowly reduce the dose and stop it with constant watch for some time.
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Weeping Skin "Eczema"

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Weeping Skin "Eczema"

Eczema is a chronic skin disease, which presents itself in 4 ways, viz, redness, boils, discharge (clear or sticky), crusts or scales and cracks/ fissures.

Common types of eczema
atopic dermatitis: primary eczema characterized by itchy, inflamed, leathery skin
contact eczema: a localized lesion characterized by redness, itching, and burning,
When skin comes into contact with an allergen chemicals or metals like ornaments.
seborrheic eczema: inflammatory condition of skin presents yellowish, oily, scaly
Patches generally on the scalp, face, and occasionally other parts of the body
Covered by hair.
neurodermatitis: scaly patches of skin on the head, lower legs, wrists, or forearms
Characterized by itch.
dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet
Characterized by clear, deep blisters that itch and burn

Common characteristics of eczema
A. Intense itching
B. Dry or moist (with or without discharge)
C. Rashes or boils of variant forms, eg; vesicular, papular,
D. Characteristic rash in locations typical of the disease
E. Chronic or recurrent symptoms
F. Personal or family history
#1;

Factors that aggravate eczema!
Many factors or conditions can trigger & intensify the symptoms of eczema, aggravating the itching-scratching and increasing damage to the skin. These aggravating factors can be
Classified into two main categories; irritants and allergens. Emotional factors and some infections can also influence eczema.
#1;

Common skin irritants to cause eczema
Irritants are substances that has a direct affect on skin, and when used in high concentrations for long duration can cause the skin to become red and itchy or to burn.
Specific irritants affect people with atopic dermatitis to different degrees. Over time, many patients and their families learn to identify the irritants that are most troublesome to them.
For example, wool or synthetic fibers may affect some patients. Rough or poorly fitting clothing can rub the skin, trigger inflammation, and prompt the beginning of the itchscratch
Cycle. Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin. Exposure to certain elements, such as
Chlorine, mineral oil, or solvents, or to irritants, such as dust or sand, may also aggravate the condition. Cigarette smoke may irritate the eyelids. Because irritants vary from one
Person to another, each person has to determine for himself or herself what substances or circumstances cause the disease to flare.

Common irritants
wool or synthetic fibers
soaps and detergents
some perfumes and cosmetics
substances such as chlorine, mineral oil, or solvents
dust or sand
cigarette smoke

What are allergens?
Allergens are substances from foods, plants, or animals that provoke an overreaction of the eczema immune system and cause inflammation (in this case, the skin). Inflammation can occur
Even when the person is exposed to small amounts of the allergen for a limited time. Some examples of allergens are pollen and dog or cat dander (tiny particles from the animal's
Skin or hair). When people with eczema come into contact with an irritant or allergen to which they are sensitive, inflammation- producing cells permeate the skin from elsewhere
In the body. These cells release chemicals that cause itching and redness. As the person scratches and rubs the skin in response, further damage occurs.
Certain foods act as allergens and may trigger eczema or exacerbate it (cause it to become worse). Food allergens clearly play a role in a number of cases of eczema, primarily in
Infants and children. An allergic reaction to food can cause skin inflammation (generally hives), gastrointestinal symptoms (vomiting, diarrhea), upper respiratory tract symptoms
(congestion, sneezing), and wheezing. The most common allergy-causing (allergenic) foods are eggs, peanuts, milk, fish, soy products, and wheat. Although the data remain
Inconclusive, some studies suggest that mothers of children with a family history of eczema should avoid eating commonly allergenic foods themselves during late pregnancy and (if
Breast feeding) while they are breast feeding the baby. Although not all researchers agree, most experts think that breast feeding the infant for at least 4 months may have a
Protective effect for the child. If a food allergy is suspected, it may be helpful to keep a careful diary of everything the patient eats, noting any reactions. Identifying the food allergen may be difficult if the
Patient is also being exposed to other allergens, and may require supervision by an allergist. One helpful way to explore the possibility of a food allergy is to eliminate the
Suspected food and then, if improvement is noticed, reintroduce it into the diet under carefully controlled conditions. A two week trial is usually sufficient for each food. If the
Food being tested causes no symptoms after two weeks, a different food can be tested in like manner afterwards. Likewise, if the elimination of a food does not result in
Improvement after 2 weeks, other foods may be eliminated in turn. Changing the diet of a person who has eczema may not always relieve symptoms. A change
May be helpful, however, when a patient's medical history and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to judge
Whether the dietary restrictions outweigh the impact of the disease itself. Restricted diets often are emotionally and financially difficult for patients and their families to follow. Unless
Properly monitored, diets with many restrictions can also contribute to nutritional problems in children.

What are aeroallergens?
Some allergens are called aeroallergens because they are present in the air. They may also play a role in eczema. Common aeroallergens are dust mites, pollens, molds, and dander
From animal hair or skin. These aeroallergens, particularly the house dust mite, may worsen the symptoms of eczema in some people. Although some researchers think that
Aeroallergens are an important contributing factor to eczema, others believe that they are insignificant. Scientists also don't understand the way in which aeroallergens affect the
Skin; whether the aeroallergen affects the person internally after being inhaled, or whether the aeroallergen actually penetrates the patient's skin.
No reliable test is available that determines whether a specific aeroallergen is an exacerbating factor in any given individual. If the doctor suspects that an aeroallergen is
Contributing to a patient's symptoms, the doctor may recommend ways to reduce exposure to the offending agents. For example, the presence of the house dust mite can be limited
By encasing mattresses and pillows in special dust-proof covers, frequently washing bedding in hot water, and removing carpeting. However, there is no way to completely rid
The environment of aeroallergens.

What other factors may play a role in eczema?
Eczema; in addition to irritants and allergens, other factors, such as emotional issues, temperature and climate, and skin infections can affect eczema. Although the disease itself is not caused
By emotional factors or personality, it can be exacerbated by stress, anger, and frustration. Interpersonal problems or major life changes, such as divorce, job changes, or the death of
A loved one, can also make the disease worse. Often, emotional stress seems to prompt a flare of the disease. Bathing without proper moisturizing afterward is a common factor that triggers a flare of
Eczema. The low humidity of winter or the dry year-round climate of some geographic areas can intensify the disease, as can overheated indoor areas and long or hot baths and
Showers. Alternately sweating and chilling can induce an attack in some people. Bacterial infections can also prompt or increase the severity of eczema. If a patient experiences a
Sudden onset of illness, the doctor may check for a viral infection (such as herpes simplex) or fungal infection (such as ringworm or athlete's foot).

Treating eczema in infants and children
give brief, lukewarm baths.
apply lubricant immediately following the bath.
keep child's fingernails filed short.
select soft cotton fabrics when choosing clothing.
consider using antihistamines to reduce scratching at night.
keep the child cool; avoid situations where overheating occurs.
learn to recognize skin infections and seek treatment promptly.
attempt to distract the child with activities to keep him or her from scratching.

Tips for working with your doctor
provide complete, accurate medical information about yourself or your child.
make a list of your questions and concerns in advance.
be honest and share your point of view with the doctor.
ask for clarification or further explanation if you need it.
talk to other members of the health care team, such as nurses, therapists, or pharmacists.
don't hesitate to discuss sensitive subjects with your doctor.
discuss changes to any medical treatment or medications with your doctor before making them.


Controlling eczema
prevent scratching or rubbing whenever possible.
protect skin from excessive moisture, irritants, and rough clothing.
maintain a cool, stable temperature and consistent humidity levels.
limit exposure to dust, cigarette smoke, pollens, and animal dander.
recognize and limit emotional stress.

Eczema and homoeopathy
The treatment of eczema is positively possible in homoeopathy, but according to principles of homoeopathy no patent medicine can be prescribed for it. Homoeopathy believes in individualization of a person. A man is known
By its habits, mental buildup, temperament, constitution, liking, dislikings, aggravation and amelioration of symptoms, color of skin, texture of skin etc etc. A homoeopath prescribes medicine for a patient to patient basis
Depending on the constitution, mental and physical symptoms. Clinically it has been proved that this is one of the best form of treatment of eczema or any other skin diseases because it removes the symptoms and cures it
Permanently. It is advisable for a patient to consult a qualified physician for his or her treatment. Once your eczema is cured, the same lesion should not reappear but it is possible that depending on the above factors, there may be chances of re-occurrences on rare occasions.

1 person found this helpful

My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections were given in right thigh & one in left thigh. I observed that the place where injections had been given in right thigh, got hardened. Please advise us what to do?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby has taken 3rd dose of pentavalent vac, ipv, rotavirus vaccines and pcv on 15 july 15. Two of these injections...
Pentavalent vaccine causes local reactions like pain and swelling at the site of injection which usually lasts for 48 hours. You can show to your doctor if doesn't reduce.
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My 7 year old son is suffering from nasal bleeding. Sometimes not daily or often his nose bleeds. X ray was done and the doctor told that the cause was hypertopheid adenoids. Kindly advise. Regards

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Most common cause of nose bleed in that age is nosepicking. See to that he is not putting fingers in the nose & apply vaseline to the nose to keep it wet.
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My son age 5 month 15 days, weight:- 5. 3kg, he had suffered the whole of heart (size-6mm). So what I can do?

MBBS DCH
Pediatrician, Gandhinagar
Probably he is having asd or vsd. Repeat echocardiography after 6 months. Most probably hole will be closed by 5-6 yrs of age. Just confirm with your echocardiography report.
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My daughter has got high fever suddenly with shivering. She is 7.7 years. She was fine till yesterday afternoon. Last evening became little lethargic and by night feverish. Is it because of sudden onset of cold weather? Or anything else?

BHMS
Homeopath, Faridabad
Hi, yes this may be because of change of weather .Take gelesemium 200, twice daily . Take Eupatrium perf 200, 5 drops thrice daily. Take Antifebrinum 3x, 2 tabs , thrice daily. Take Alfalfa malt, 1 tsf, thrice daily. Drink lots of water and take light homemade food like dalia and khichdi, avoid oily, spicy, fried, junk and cold drinks. In case of high uncontrollable fever, don't panic you should do cold sponging to lower down the temperature.If fever does not goes then go for a set of blood tests. Revert me with feedback. Take care of your health.GOOD DAY.
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My daughter 2.8 years age often complaints about stomachache; more often before passing stool. What can be the reason and what is the remedy.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Repeated stomachache is common in that age. If the stools are well formed, no blood & mucus in the stools, urinary symptoms you can ignore it. Give noworm suspension 10ml at bedtime & repeat after 15 days. If much concerned get ultrasound scanning done.
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Hi I am 30 F from South India. For the past few years I am in depression and over stressed. I am not able to concentrate in office. I am very sensitive person. I always be true to everyone. But I feel people are not the same to me. After my son was born I lost everything. My husband has not got any job. I am taking care of the family for past few years. I feel I am a suffering to my parents too, I am second pregnant now. I am in total tension thinking of my financial crisis. People at office also do not help me at all. The thing is I cannot concentrate in office now. I lost interest in everything. Sometimes I feel to die, Please help me.

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
Hi I am 30 F from South India. For the past few years I am in depression and over stressed. I am not able to concentr...
Lybrate-user nobody life is not easy, you r too much in stress, in this world nobody has time to think about others, so do not care what other think about u, first you should have to keep your clear and simple, do not over do the things and do not expect from others, now you r pregnant if you will not be happy your unborn child will not happy and may suffer, so think about him no body else, keep your mind clear and avoid cluttering in mind, one thing you shud discuss with your he shud find out any job at any cost, you have to compel him. Rest take nutricious diet for child, 45 minutes walk with fresh air and good sleep in night. Mind it you have to compel your husband to find out some job immmedeately for the sake of your children god blesss.
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Hi my daughter is 3 years old and she was having viral fever every after 2 or 3 weeks and my doctor asked for a blood test we found out that she is having deficiency of vitamin d 8.68ng/ml and total WBC'count 3,500 cu. Mm and hemoglobin 12.10 gm/dL. What is the problem?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi my daughter is 3 years old and she was having viral fever every after 2 or 3 weeks and my doctor asked for a blood...
Persistent vitamin D deficiency can cause immunosuppression resulting in frequent infections. Giver vit D with calcium to resume good health.
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I am a breast feeding mom. I used to take eldoper for diarrhoea before. I heard its harmful for baby. Please suggest an alternative to be used for emergencies ?

M.D.( Pediatrics), DCH
Pediatrician,
Loperamide is a symptomatic medicine, doesn't address root cause of diarrhea. May be you don't need anything ,it is your anxiety creating problem. Meet physician to know.
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My daughter is 3.6 years old. Her growth is perfect but she don't talk clearly. I consult with family docter he says all is normal. I want to know is there any solution so that she can talk clearly as all children with her in school are talking clearly.

C.S.C, D.C.H, M.B.B.S
General Physician,
Probably she is late in development and will over come it in due course. I can suggest you do her cbc, tft and send me the report. A speech therapist can help if needed.
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Hello sir My question is mera ladka hai uski age 6 th month hai. Wo kal sham se abi tak 7-8 baat pooty ki hai. Sir ye kia karan hai or iski medicine kya hai .

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Hello sir  My question is mera ladka hai  uski age 6 th month hai. Wo kal sham se abi tak 7-8 baat pooty ki hai. Sir ...
Hello lybrate-user, most cases of diarrhoea donot require antibiotics. Give him plenty of liquids in the form of ors, coconut water, nimbu pani etc. To prevent dehydration. Keep on giving him his regular feeds &oral dose of zinc should be given daily 4 atleast 15 days. If baby is taking top feeds, pl. Make sure that utensils used are properly cleaned & sterilized.
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My baby is 5 month old so after 5 month baby which type of eating food. Suggest me.

MBBS, MD
Pediatrician, Gurgaon
My baby is 5 month old so after 5 month baby which type of eating food. Suggest me.
Madam five monthsplus baby may or maynot satisfy with breast milk alone. This can be best judged by weight gain of baby and demand of breast feeds. If twenty minutes of sucking should keep child playingfor four hrs. Means breast milk is enough. Same is fact for feed baby. 5-6 months is crucial to start semi liquid soup type of feeds two three times a day breast feed is continued at five hrs interval. Frequency of breast feed should never increased nor contd sucking beyond twenty minutes is advocated.
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My son of 2 and half years old is healthy but I want him to gain little weight. What food/diet should I give him?

C.S.C, D.C.H, M.B.B.S
General Physician,
My son of 2 and half years old is healthy but I want him to gain little weight. What food/diet should I give him?
If he is 12 Kg it is enough and understand that obesity is a disease and lean and active child is a healthy child and you check his CBC and TSH and inform me
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