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Dr. Prithvi D Madhok

Pediatrician, Mumbai

Dr. Prithvi D Madhok 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. Prithvi D Madhok
Dr. Prithvi D Madhok is a trusted Pediatrician in Khar West, Mumbai. He is currently associated with Ashwini Nursing Home in Khar West, Mumbai. Book an appointment online with Dr. Prithvi D Madhok 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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Hindi

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1st Floor, Homeo House, 15th Road, Near Jain Temple, Khar West, MumbaiMumbai Get Directions
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Sir, My baby born last week 14.03.2017 baby is normal delivery wt: 2.265 kg but after one week phototherapy at discharge status wt is 2.035 kg now continue any drops are other medical advice please sir.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
Sir, My baby born last week 14.03.2017 baby is normal delivery wt: 2.265 kg but after one week phototherapy at discha...
Usually we expect 7-10% wt loss in first week of life, then baby start gaining it back. By 15 days baby should regain atleast birth weight. Since baby was low birth weight, will need few supplements. Visit local Pediatrician for same.
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4month old baby girl has adequate amount of blood discharged when she tried to pass her stool and also vomiting. Please advise the likely reasons.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
4month old baby girl has adequate amount of blood discharged when she tried to pass her stool and also vomiting. Plea...
There are many reasons that requires thorough examination and investigations. It is suggested to consult pediatrician.
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Hi there. My baby is just 22 days old. N she hasn't pooped for 2long days and today is the 3rd day. Earlier also we witnessed the same condition n I gave her bonnisan syrup from 2nd day and on 3rd day night she pooped. Again from 4th day she hasn't. As I stopped it as I didn't want it to become a habit for her. What could be the reason? N what should I do now.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi there. My baby is just 22 days old. N she hasn't pooped for 2long days and today is the 3rd day. Earlier also we w...
If you have started powdered milk and avoiding your feed, stop powered milk and give exclusive breastfeeding. If potty is normal and baby taking feed normally with gaining wt approximately 30 gm per day, there is no cause of worry and do not give bonison or like.
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Hello sir. Mera beta 10 month ka hai. Unka Wight 10 kg hey. Unki prblm ye hai ki wo sota kam hai wo pure din me only 2 hours sota hai aur rat me bhi thodi thodi der sok kar jagta rehta hey. Kya ye koi bimari hey. Hamne kai doctor ko bataya par usne kaha ki koi prblm hey hi nahi. Usne hame sleeping drops bhi diye par us se bhi koi gark nahi pada. Pls help me.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hello sir. Mera beta 10 month ka hai. Unka Wight 10 kg hey. Unki prblm ye hai ki wo sota kam hai wo pure din me only ...
Hello, Ensure that the baby is made to eat well before he sleep, babys tend wake up again and again if they are hungry. A warm water spongying or bath will help him to sleep. Reduce sugar or any sweet item from his diet, excess sugar makes babys hyperactive. Lastly, fix up a timetable for his sleep, roz ek hi time pe bache ko sulaya karo, that works.
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My son is 3 years & 11 months old he always repeat what ever we say same thing repeat he always like to watch rhymes he always sings rhymes in home we generally speak Telugu and English but if we say something will not focus at all and is there any problem and required speech therapy and we feel that he is not able to understand how to answer. Please suggest anything wrong in my baby.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 3 years & 11 months old he always repeat what ever we say same thing repeat he always like to watch rhymes ...
At this age child is quote competent to express himself. It appears he lacks in this field. Alone speech therapy is not helpful. His wt 13 lbs is very-very low even if I take it as 13 kg, he is under wt. He requires thorough examination.
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Hi. My daughter is 8 month 10 days old. She is having loose motions since 10 days. She is on formula feed when she takes milk or juice she is going motion. Sometimes it is yellowish or greenish or brownish. From last 4 day she is also suffering from cold what should I do. She is 8.5 kg. Doctors have prescribed ofloxacin & ornidazole suspension with sporlac sachet but no effect.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
Hi. My daughter is 8 month 10 days old. She is having loose motions since 10 days. She is on formula feed when she ta...
We have to take extra care in a formula feeding, follow strict precautions, you can change the formula or start giving pure cow milk if available, you are prescribed with right drugs give them 3-5 days.
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On 5.10.16, we shifts with our baby just 8 months old child from our native village to New Delhi who was feeding cow and mother's milk there. Now we have changed to buffalo milk in Delhi. Today he start vomiting two or three times. Suggest us. Thanks n Regards.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
On 5.10.16, we shifts with our baby just 8 months old child from our native village to New Delhi who was feeding cow ...
avoid Buffalo milk for sure .its not easy to digest.always give cow milk with little sugar added in it.which is as nearer to mom's milk as possible .
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My daughter is 3 & half Months old. She is a healthy child but she has motions cleared at an interval of 2-3 days. This has been going on from a month now. Is this normal or she needs some medicine for regular motions. She feeds on mother's milk and urinates quite frequently whole day. Also please tell me if she needs calcium or any other supplement to support her good growth as she is already 7.750 kg by weight.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter is 3 & half Months old. She is a healthy child but she has motions cleared at an interval of 2-3 days. Th...
Some babies do have irregular motions. If the stools are very hard and if the baby struggles to pass stools then you must show to a pediatric surgeon. 7.75 kgs at 3 and half months is quiet high. Don't give any thing other than breast milk. Calcium is not a must but you can give vitamin d drops1 ml (400mg) daily as it's less in breast milk.
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I am 12 years girl have eczema in my foot from last 7/8 months Initially it was small spot give pain spots are in damage condition some skins brost below my foot.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
there are many ayurvedic medicines for this purpose like ras manikya ras...gandhak rasayan....panchnimbadi churna....panchtikta ghrit guggul...arogya vardhini vati...khadirarishta....marichyadi oil...pranacharya B clean syrup..take these medicines by consulting with a good ayurvedic doctor..,but you have to strictly follow diet...and regularly take medicines for 6 months...
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My baby boy DOB 10/5/16 (8th month running) his weight is 7 kg is he healthy Or weak? please suggestion me. Weight badane k lye kya kr skte he?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby boy DOB 10/5/16 (8th month running) his weight is 7 kg is he healthy Or weak? please suggestion me. Weight ba...
His expected wt at this age should be about 8.5 kg. Give him good nourishing semi solids well cooked in ghee diet. If you are giving diluted milk, give him whole milk. Continue breastfeeding.
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My child is suffering from cough and cold since a week. Chest blocked. what should i do ? Suggestion please help

MBBS, MBA (Healthcare)
General Physician, Delhi
My child is suffering from cough and cold since a week. Chest blocked. what should i do ?
Suggestion please help
take sinarest one tab at night for 3 days. honitus 2 tsf 2 times a day for 3 days. do gargle, take steam. inform if not ok.
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My baby hardly takes food. She keeps on crying whenever the food is brought near her. At present she is on solids like cerelac and dia mix. She also has hard stools. She drinks a lot of water. As new parents we are worried.

MD - Paediatrics
Pediatrician, Jamnagar
If the child is in normal range of weight and playful, may be his requirements are met with what he/she is eating. For constipation, the treatment is easy by a pediatrician
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Sir I have a four years daughter. After my daughter was born, my wife is is having pain in forearms and fingers and same way lower legs and fingers. As we suspect this may be result of poor diet after delivery. Can you pls suggest something remedial?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir I have a four years daughter. After my daughter was born, my wife is is having pain in forearms and fingers and s...
keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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My 2 year son dosnt give attention even he do not play with his sister and he always climbing up on bed on table, his hearing is good eyes are perfact but he dosnt eye contact with us doctor suggest us to mri but his mri reports is normal tell us.

Pediatrician, Pune
Just spend time with your child, things should be fine in due course of time if he is otherwise ok, investigations are normal.
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My baby is taking harder to go bathroom and he has to breath harder yo do it Soo, any suggestion for a free motion for my child? He is 2 months old.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is taking harder to go bathroom and he has to breath harder yo do it Soo, any suggestion for a free motion fo...
It could have been better to answer if wt of baby mentioned. It may be possible that baby may not be getting proper feed. Keep him on EXCLUSIVE BREAST feed up to 6 months of age.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Your Newborn's Skin and Rashes

A newborn's skin is prone to rashes of all sorts. Fortunately, most of these rashes are harmless and go away on their own.

Common Rashes in Newborns

Pink pimples ('neonatal acne') are sometimes thought to be caused by exposure in the womb to maternal hormones. No treatment is needed, just time. They can last for weeks or even months on a baby's skin.
Erythema toxicum is another common newborn rash. It looks like red blotches with ill-defined borders that are slightly raised, and may have a small white or yellow dot in the center. Its cause is unknown, and it resolves without treatment after a few days or weeks.
Dry, peeling skin can be seen in almost all normal babies, but is especially noticeable in babies born a little late. The underlying skin is perfectly normal, soft, and moist.
Little white bumps on the nose and face (milia) are caused by blocked oil glands. When a baby's oil glands enlarge and open up in a few days or weeks, the white bumps disappear.
Salmon patches (called a 'stork bite' at the back of the neck or an 'angel's kiss' between the eyes) are simple nests of blood vessels (probably caused by maternal hormones) that fade on their own after a few weeks or months. Occasionally, stork bites never go away.
Jaundice is a yellow coloration on baby's skin and eyes. It is caused by an excess of bilirubin (a breakdown product of red blood cells). If the bilirubin level becomes sufficiently high, blue or white lights may be focused on the baby's skin to lower the level, because excess bilirubin can sometimes pose a health hazard.
Mongolian spots are very common in any part of the body of dark-skinned babies. They are flat, gray-blue in color (almost looking like a bruise), and can be small or large. They are caused by some pigment that didn't make it to the top layer when baby's skin was being formed. They are harmless and usually fade away by school age.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
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Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
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My wife is a cardiac patient. She is having cough for the one week. She has been treated with antibiotics and cough syrup but no relief. Please suggest.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
To answer your question,one need proper history of patient,examination and some investigation.As cough is of less than 3 weeks without fever ,itis more likly to be due to exposure to cold. Try avoiding exposure to cold. Do saline gargling.If no response consult a physician.
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Hi my baby girl is 4 weeks old after drinking my breast milk immediately with in 5 mins she vomit my milk then she is crying for milk again she vomiting.

Pediatrician, Indore
Hi my baby girl is 4 weeks old after drinking my breast milk immediately with in 5 mins she vomit my milk then she is...
Though it's normal if weight is appropriately increasing, you can refuse it by proper burping. After every feed burp the baby for about 20 min.
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How To Diagnose Asthma In Children, Before It Attacks?

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
How To Diagnose Asthma In Children, Before It Attacks?
How to diagnose asthma in children

Asthma in children under the age of 5 is a matter of concern. It is not a rare disease and early diagnosis is important. Common signs of asthma in children are:

1. Recurring bronchitis
2. Wheezing
3. Discomfort in the chest
4. Coughing
5. Trouble breathing

While some children have persistent yet mild symptoms, some children have severe attacks at times. Seasonal allergies and smoke make the symptoms worse.

What to notice?
While feeding an infant, if you notice that your child is facing shortness of breath, it might be a symptom of asthma. In a toddler, if your notice a decreased desire to run and play, or easy fatigue, then this could be a symptom of asthma. Asthma attacks for many children under the age of 5 are worsened when they catch cold or have any other respiratory infections. All these, if noticed should not be ignored and your child's pediatrician should be consulted.

The above mentioned symptoms were mild. Some children have it worse and the attacks can be life-threatening, needing immediate treatment. If your child is under the age of 5 and you see them doing one of the following, contact emergency services immediately:

1. Trouble in speaking because they have restricted breathing
2. When they are breathing in, the effort is so much that the abdomen is getting sucked in
3. Gasping for air.

Diagnosing asthma in a child can be tricky as symptoms like coughing, wheezing, etc can be for other conditions also. Once a child is a little older and if the symptoms persist, breathing and lung function tests are taken to gauge the situation.

If you would like to consult with me privately, please click on consult.

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