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Dr. Prathiba

Pediatrician, Mumbai

500 at clinic
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Dr. Prathiba Pediatrician, Mumbai
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Prathiba
Dr. Prathiba is an experienced Pediatrician in Kandivali East, Mumbai. She is currently associated with Dr. Prathiba@DNA Multispeciality Hospital in Kandivali East, Mumbai. Save your time and book an appointment online with Dr. Prathiba on Lybrate.com.

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#4, Raj Tower, Local Wall Circle, Kandivali East.Mumbai Get Directions
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

15 people found this helpful

My Niece got admitted in a hospital for Dehydration 2 Days ago she is 2 years old and 10.8 kg weight , The Iv till now used is approx 4 bottles with some medicine antibiotics . Doctor is saying to keep another 2 days . My query is it normal these many bottle of Iv is used for a small kid .i am bit confused.

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
My Niece got admitted in a hospital for Dehydration 2 Days ago she is 2 years old and 10.8 kg weight , The Iv till no...
They might have used all these iv fluids depending on the dehydration status and calculated on the basis of weight and age of the child.You need not worry they will take care and it is their responsibility.They might have told to keep for two more days for total cure/observation so that gastroenteritis won't recurr.
1 person found this helpful
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Dear sir I have 10 month old daughter, she doesn't go motion (both) freely, what can I do sir ?

Diploma in Child Health (DCH)
Pediatrician, Faridabad
Hello, at this age usually babies are on exclusivrly milk diet, top milk and breast milk. You shld introduce semisolid diet like khichdi porige etc.
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Precautions During Dentation

BHMS
Homeopath, Bahadurgarh
Precautions During Dentation

Keep on giving a complete diet, milk, juice and common food to the child during dentition. Remember that the child did not sleep by keeping the milk bottle in his mouth. Keep the child neat and clean and stop him to eat soil. Massage with ice cube after tying it in cloth on the gums in the inflammation of the gums. Do not give more salty and sour things to eat. If the child has suffered from fever with cold and catarrh, checkup by a doctor and give treatment properly.

My 4 yr old son is always complaining of stomach pain or aches, have done a scan of his abdominal and chest area and the doctors said its nothing and that its common amongst children his age. Is there any additional information or advice I need on the matter. thanks.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Children of this age keep complaining pain abdomen. Recurrent abdominal pain is usually not associated with major organic problems. If the investigations are normal you can ignore it.
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My baby of 11 months used to suddenly wake up from sleep as if she is afraid of something. And she starts crying uncontrobly. Even she got high fever and become very restless. We took her to a local kupras who said she has discolored both her shoulders. She then massaged her and said she will be alright. But after dat she has stop taking foods and even doesn't drink her milk. She has become weak and we are very much worried. Sir What could be the actual reason of her behaving like that.

BHMS
Homeopath, Raebareli
My baby of 11 months used to suddenly wake up from sleep as if she is afraid of something. And she starts crying unco...
Her stool and urine needs to be kept an eye - if there is any change you notice immediately rush to your local Doctor. Please feed her breast milk at regular intervals daily. Give her Aconite 30 - twice daily 2 pills for next 7 days Continue treatment.
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Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 

  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 

  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 

  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 

  • depression 

  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 

  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 

  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 

  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 

  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 

  • continually starting new tasks before finishing old ones 

  • poor organisational skills 

  • inability to focus or prioritise 

  • continually losing or misplacing things 

  • forgetfulness 

  • restlessness and edginess 

  • difficulty keeping quiet and speaking out of turn 

  • blurting out responses and often interrupting others 

  • mood swings, irritability and a quick temper 

  • inability to deal with stress 

  • extreme impatience 

  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 

  • bipolar disorder – a condition that affects your moods, which can swing from one extreme to another 

  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.

2580 people found this helpful

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Common Skin Problems in Newborns

Eczema

This is very common after the baby has turned about 2-3 months of age or even slightly later. This appears as a red area with itching on the cheeks or the chest area. These babies usually have very dry skin, and it is also not uncommon for one of the parents to have eczema. This form is called atopic eczema. The severity of the eczema is very variable, but the vast majority grow out of the eczema by the time they reach 15 years of age. This tends to be a persistent problem and needs to be managed on a regular basis.

The most important factor to keep in mind is to use a gentle soap and a pH neutral moisturiser all over the body. The soap and moisturiser needs to be continued for years and the dermatologist may prescribe a steroid or anti-inflammatory creams for brief periods during a flare up.

My son is four years old and is coughing for two months aftr medicine its reduced but again gets started need some permanent cure.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine ANTIMONNIUM TART 30 ( Dr Reckeweg) Drink 1 drop in 1 spoon fresh water every 1-2 hrly depending on intensity of cough.report me after 7 days.
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My baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromphophob and also ice pack for reduction of swelling. He s having little temperature. What can I do immediately.?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby fell at my home. After 2,3 minutes his forehead was in reddish and also swelled. We use little thromphophob a...
Ice pack on fresh trauma is right approach. You have not written age and temp. Little temp up to 99 degree F require no treatment.
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what is minimum sugar level in new born baby? Is it possible that a new born baby has a low sugar level (in between 30 to45)?

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
A new born baby should maintain a sugar level above 50-60mg/dl. If the sugar is between 30-45 mg/dl it is termed as hypoglycemia and warrants immediate treatment.
2 people found this helpful
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My 40 days old baby taking 120 ml of milk after every three hours But he cries n demands more milk please tell me the quantity of milk I should give him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 40 days old baby taking 120 ml of milk after every three hours But he cries n demands more milk please tell me the...
Give him exclusive breast milk. He will suck, what he needs. Feed him on demand. Do not stick to time.
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I am 37 years old and have two daughters of 9 years and 2 years old. After breast feeding, my breasts became very loose and a lot of fat in tummy area. Could you please suggest any cream or medication for both? thank you.

M.D.( Pediatrics), DCH
Pediatrician,
Medication is not the answer for every problem, in fact it is not most of the times. Go to gym and exercise under guidance of knowledgeable experienced trainer. Hope this helps.
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My baby girl is 48 days old & on her left side breast nipple there is some kind of (funsi). I consult a doctor in max saket & as per her its normal & it will be clear by own by some time. So I need second opinion on this.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
My baby  girl is 48 days old & on her left side breast nipple there is some kind of (funsi). I consult a doctor in ma...
Breast enlargement is common and it's because of mothers hormones present in milk. Don't press it. Leave it alone.
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My daughter is 13 yrs old .She speaks lies too much is this a psychiatric problem?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
I feel she is stressed and have fear of telling the truth, may be she was not treated well, whenever she had told truth in past. Respect her and have a open communication with her or This is Stress which she is expressing through lying. If not possible by yourself then meet some Psychotherapist/Life coach to achieve quality life. U may connect me privately, as i am Stress Management Super-specialist and Life coach. Trust me, she will be fine.
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I have 3 months baby. He is not sleeping at night. What to make him sleep at night? He is sleeping in the morning. If not to make him sleep in the morning he starts crying so how to make him to sleep in. Night?

Diploma in Child Health (DCH), MBBS
Pediatrician,
I have 3 months baby. He is not sleeping at night. What to make him sleep at night? He is sleeping in the morning. If...
Actually it is normal habit. When baby is inside womb it usually awake at night. So that habit continues for 3-4 months. So don't worry abt that. Within few days that cycle will change.
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Hi my baby girl is 3 weeks old, she is suffering from cold, chest cough and vomit, she is very much suffer from motion problem, she is 2.5 kg only still weight not gain because of these prblm I am very much worried about this pls advice.

MD - Paediatrics, Diploma in Child Health (DCH), Postgraduate Diploma in Adolescent Pediatrics
Pediatrician, Gurgaon
Hi my baby girl is 3 weeks old, she is suffering from cold, chest cough and vomit, she is very much suffer from motio...
Dear lybrate-user, you have not mentioned the birthweight of your baby----was it the same or less. This is important for the doctor to decide if the baby is growing normally. Many mothers mistake the nasal sounds that baby makes while feeding, as cold and cough. Babies on only mother's milk do not catch colds easily, esp at that age of 3 weeks. Please have him assessed by a doctor for cold. Vomiting or regurgitation is common in babies and not a cause for concern if baby is sucking briskly, feeding well and passing urine 8to 10 times a day and stools of breastfed babies are usually loose. Do not worry too much and relax and enjoy your baby instead of spending too much time on google to see what is wrong with your baby. Feed your baby as often as she asks and not by the clock. This will go a long way to increase milk production.
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Mangos are good for health or not 2 yers baby we have given to mangos then which type of health issues we have faced.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Mangos are good for health or not 2 yers baby we have given to mangos then which type of health issues we have faced.
Any seasonal fruit is good for health. Brush teeth properly of your kids as sweetness may cause carries teeth. Some people gets rash around lips. But not all.
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Hello sir/madam. I What is the best medicine for the half year baby who has greenish loose motion?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
Hello sir/madam. I
What is the best medicine for the half year baby who has greenish loose motion?
Please continue your breast feeding as you have been doing, stop or avoid formula milk or other milk if giving, start the baby with zinc supplements like z & d / zinconiaand probiotic sachets like econorm. You can also give some saabu daana ganji sips.
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