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Dr. Pranav B Sanghavi

Pediatrician, Mumbai

Dr. Pranav B Sanghavi Pediatrician, Mumbai
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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.
More about Dr. Pranav B Sanghavi
Dr. Pranav B Sanghavi is one of the best Pediatricians in Mumbai, Mumbai. You can meet Dr. Pranav B Sanghavi personally at National Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Pranav B Sanghavi 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 37 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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103 MUNISUVRAT APARTMENT SARVODAY NAGAR MULUND WEST, MumbaiMumbai Get Directions
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My son age is 12 years old, he is suffering stomach problem since 5 or 6 years of age. Everyday he has a tendency to go to latrine 3 to 4 times and also feeling stomach pain off and on. Generally Most of the days he is going spit type of latrine. Please help me what to do?

MBBS, MD
Pediatrician, Gurgaon
It is clear from your description that you have not weaned the child properly. Resulting in present problem. Now find taste of food child eats more haselfree no market preparation let going by whole family for two months, till child learn table manners and eat food himself. No pampers if he does eat for 2-3 days.
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My sister son is 4 years old is a hyperactive child controlling him is a task to handle him. How to build up his immunity and health as he has a lean body and use to suffer from cough n cold. Wat food and diets need to be followed. Kindly suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Ayurveda. 1 tsp of aravindasava with 1 tsp of water mix and give after food. Two times per day. Will help him lot. Take this for at least one month or more.
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I have got a grand son (Born on 01 MAY 2017), his mother is not able to breast feed him, but strangely, the hospital staff, including the Pediatrician advise to feed him with spoon, and were AGAINST feeding with the bottle? Need your Adv. Please.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Breastfeeding is nectar to baby. Give expressed breast milk with spoon not bottle feeding. Encourage mother to put baby on breast to suckling.
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Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

My son aged 1.2 years always bite everyone. I think he enjoys it I think around 20 times an hour he bites if he wake up please suggest me what to do to stop?

BHMS
Homeopath, Faridabad
Hello, this is his dentition period that's why he would want to bite or chew anything hard.You should give him Bc No. 21, 3 tabs thrice daily. Calciokind , 2 tabs thrice daily.These medicines promote fast dentition. You scold scold him every time when he bites in a polite manner.
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My daughter is only 14 months. Can there be anything else than teething pain that she is crying at night and also feeling not to eat anything in daytime except milk. She is irritated in day wanting to be in my lap all the time.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello, Check from the pediatrician the reason behind her constant crying at 14 months of age earache, colic, indigestion etc could be various reasons.
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If my child has a fever, can I give them paracetamol and ibuprofen at the same time?

BHMS
Homeopath, Ludhiana
Do not give 2 medicines at same time which are meant for same purpose. Give him only one medicine. ## if you need to give more medicine you can give:- ferrum phosphoricum 6x (4 tablets tds). Try to make a gap of half an hr with anothet medicine. Hope this advice will be sufficient for you.
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Sir my baby is two month old milk is not enough for my baby should I give her formula milk. Or can I start giving her cow s milk. And in wat quantity should I give. Please suggest.

MBBS DCH
Pediatrician, Gandhinagar
Normally only breastfeeding is sufficient for the first six months of age. If your baby is not gaining weight (normally weight increase is 25-30/ day for first 3 months) then start formula along with breastfeeding. Don't give cow or buffalo milk. Start with 60-90 ml per feed. Don't use bottle.
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I requested you to suggest a good treatment for my daughter age 3 years she is not interested to take any food his weight is 9.8 kg.

BHMS
Homeopath, Gurgaon
Your daughter is underweight. She needs a good nutritious diet to help her in physical and mental growth. Be creative. Make her food look interesting, colourful. You can cut paranthas, sandwiches in interesting shapes n serve with jam/ green chutney/ salsa/cucumber raita etc. Involve her in grocery n fruit/ veg shopping. Tell her what you r buying and why shd we eat it. Make meal times a family affair. Let the whole family sit together, serve the food nicely and involve her in setting up the table etc. You can add vegs to khicdi/ dalia/ upma or make veg soup/ tikkis/idlis / paranthas. Dals / chanas can b sprouted and given as colourful tasty salad. Fruits can be served as shakes/ smoothies/ custard/ pies etc. Give her a variety of foods n flavours. Do not give her junk food or aerated drinks bcos they r addictive n very poor in nutritional value. You can give her homoeopathic alfalfa tonic (paediatric)/1 tsp/ twice a day 30 minutes before meals for 10 days. Bringing up children is a task that requires a lot of skill and patience. All the best.
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My daughter 2+ still she wont speak, she utter words but can not connect or complete the words. Very active but wont respond for our call. Any help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Some children start talking bit late. If all other milestones are normal you can wait for some more time.
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My baby is 8 months old he frequently gets ill as cold fever etc. What is the problem with him? what should be the diet for him?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Upto 8 times upper respiratory infections are considered normal till year. It's because of low� immunity.
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All About Necrotizing Enterocolitis

DAA, Diploma in Child Health (DCH), MBBS, DMRD
Pediatrician, Mumbai
All About Necrotizing Enterocolitis

Necrotizing enterocolitis is a disease that causes inflammation of the tissues present in the intestines and results in damaged tissues. It initially affects the inner lining which ultimately results in thickening of the intestine. It may also lead to a hole in the abdomen resulting in bacteria entering the intestine, thus resulting in infection.

Symptoms:
The symptoms of Necrotizing enterocolitis are:

  1. You may experience symptoms of bloating in the abdomen
  2. The abdomen may be discolored
  3. You may experience diarrhea and vomiting
  4. You may not feel hungry
  5. There may be presence of blood in your stool
  6. You may have a fever and constantly feel lethargic

Causes: Lack of blood and oxygen in the intestine causes it to become weak and increases the chances of Necrotizing enterocolitis. It may result if oxygen levels drop during a difficult delivery. If the intestines are weak, then they are at a higher risk of getting infected by bacteria. If you have an excessive supply of blood cells in your body or other stomach condition, then it may lead to this disease.

Diagnosis: Usually the doctor conducts a physical exam to detect the symptoms of this disease. If babies are born with this condition, then they may suffer from weak immune system and problems in blood circulation. The doctor may also recommend x-rays to get detailed images of the intestine in order to probe for symptoms of inflammation and damage.

Treatment: 
The treatment of the disease depends on few factors such as:

  1. The child's age
  2. How far has the disease progressed?
  3. Health of your child

It is recommended to stop breastfeeding. Feed the baby through intravenous methods. The doctor may also recommend antibiotics and oxygen support if the child has breathing problems. In severe cases, the child may require surgery to treat this disease.

If the treatment occurs early, then the child may recover. However, complications such as a narrow and damaged bowel may persist. This may cause problems in nutrient absorption in the intestine leading to other disorders.

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My daughter is 4.5 month old, she has problem of vomiting throughout the day. Only stop in sleep. We only give mother milk but we don't understand what is actually cause either liver problem or gastritis or something other. I gave her ondem drop and perinorm drop but no benefit find. Problem is still remain. Weight is 6 kg. please advice me for treatment.

C.S.C, D.C.H, M.B.B.S
General Physician,
This is not vomiting ans is called possetting .Happens in all babies as the muscle (GES) is not strong. All you have to do is burp well and put baby on left side after burping .Weight is good. Do not give drops.
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Hello Doctor. Actually my friend's baby is 30 day borned baby. Having a critical health issue which whatever intake of food/water immediately loose motioned. Now admitted and monitoring in intensive neonatal care unit and treatment going on. I just need to make clear what may be the issue. Very confused. Help me doctor.?

MD - Paediatrics, MBBS
Pediatrician, Hyderabad
Loose motions immediately after feeds are normal in newborn called gastrocolic reflex. If the baby is in nicu, there must be a reason for the baby to be in nicu, talk to your treating doctor.
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After c section I have no breastfeeding first 8 days after that I have very low supply what is my problem.

Pediatrician, Kaithal
Late starting of breastfeeding is the main cause, as baby sucking is best stimulation for better breast milk output. Continue to feed. Also check your medicines, you are taking. If there is Pyridoxine in any drug, please stop it as it also decreases milk output.
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My son 2 years 4 months old. He is thin and doesn't have good eater. Kindly suggest any good syrup for him.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Basic principle is six meals per day,one large and one small meal. Alternative meals are heavy (3-4fist) size and light (2-3 fist) size. Minimum gap between meals is three hours and no intermediate eating (grasing). Allow your baby to eat himself and give him maximum 20 minutes and withdraw the good. Next meal must be offered 3hours later. No grasing. Most children are anaemic, so any iron syrup 5ml once a day is good enough to stumilate apetite.
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Hi baby is five and half months of age when can I start with semi solid foods. What are the best foods which I can give to my baby.

Doctor of Medicine - Pediatrics
Pediatrician, Agra
Start when she is 6 month. Home made semisolid easily digestible diets such as khichri, semolina, rice, porridge, mashed potatoes etc can be tried.
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All About Growth Hormone Deficiency

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
All About Growth Hormone Deficiency

Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types:

  1. Congenital GHD - This form of GHD appears from at the time of birth itself.
  2. Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
  3. Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.

GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).

Symptoms:
Childhood onset

  1. Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
  2. Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
  3. Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
  4. Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
  5. Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.

Adult onset:

  1. Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
  2. Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
  3. Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine GHD:

  1. Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
  2. Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
  3. MRI-MRI scan can determine the health of your brain and pituitary gland.
  4. Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment:

  1. Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
  2. Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
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Sir, my child is 8 month old and he is very ill for changes the weather I am testing the blood in Dr. Lal patlab and report is ige - 319 iron - 14 vit d, 25-hydroxy, serum - 63.31 hemoglobin - 9.70 mcv - 67.00 mch - 32.70.

M.D.( Pediatrics), DCH
Pediatrician,
Children up to 5 years get sick with changes in weather, but are fine after treatment. If it happens too frequent, will need to investigate. If possible post full reports, that will help to opine better.
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