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Dr. Priyanka Agarwal

Pediatrician, Mumbai

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

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 33 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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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 child is now completed 6 months. So I want a complete food chart for her. please provide me a chart. thanks.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
My child is now completed 6 months.
So I want a complete food chart for her. please provide me a chart.
thanks.
Hello, the best time to start solid for babies is from 6 months.Baby develops digestive enzymes in between 4-6 months.Start with a single food.either a fruit,vegetable or grains., avoid a mixture of food.you can start with mashed fruit first. fruit helps the baby to digest them better, after a week you can start rice water, after a week clear dal soup or boiled vegetable water. you can also try feeding ragi milk extracted from soaked ragi.consume milk after 2-3 hours. solid food should be served in between the feeds. avoid mixing milk and or any other ingredient in fruit.the combination of fruit and milk increase indigestion , loss of appetite , no weight gain.
2 people found this helpful
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Suggest some precautions to do with 1 month new born baby while traveling with baby in flight?

BHMS
Homeopath, Delhi
Suggest some precautions to do with 1 month new born baby while traveling with baby in flight?
Dear Nikhil , you can travel safely with your new born child. while take off and landing of plane , feeding can be done to avoid air pressure in babies ear. There are no other special instructions as such.Carry baby safely.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

I removed my sons's one tooth by dentist from root. He is 12 yrs old. What I need to do for his new teeth grow.

Post Graduate Certificate In Endodontics (P.G.C.E), BDS
Dentist,
Dear ! at 12 years of age one have mixed dentition (means both type of teeth are present in mouth milk teeth as well as permanent teeth) so, future treatment will be decided on" which tooth has been extracted milk tooth or permanent one. If: 1) milk tooth is extracted, so permanent tooth will erupt soon as replacement, that can be confirmed by dentist after examining an x-ray to see the location of upcoming tooth. 2) if permanent tooth has been removed then no replacement tooth will erupt in empty space, so, you must show your son to a dentist, who can clarify your doubts after seeing the case. Regards!
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I am 6 weeks pregnant and still my baby's heart beat has still not come. What should I do?

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
I am 6 weeks pregnant and still my baby's heart beat has still not come. What should I do?
If other features are ok just wait for a week and get a repeat ultrasound done meanwhile continue with supplements which must have been prescribed to you.
1 person found this helpful
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My 3 month old baby Wo 3 din se green green potty kar raha he baar baar Aaj Dr. ko dikhaya treatment kuch is tarah diya he BACTRIM GUT OK TUFPRO its ok or not.

M.D.( Pediatrics), DCH
Pediatrician,
My 3 month old baby
Wo 3 din se green green potty kar raha he baar baar
Aaj Dr. ko dikhaya treatment kuch is tarah di...
If child on exclusive breastfeeding and is playful, passing clear urine frequently, then perhaps nothing needs to be done. However if is not so, then clinical examination by a pediatrician is necessary to evaluate the dehydration and plan further treatment.
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My son is 6 years old suffered with viral fever last week now his platelet count is 118000 is it dangerous we have used ibuprofen with paracetamol for 4 days is low platelet count leads to dengue im very tensed please give me a advice.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is 6 years old suffered with viral fever last week now his platelet count is 118000 is it dangerous we have us...
It appears that now your son is normal. There is no cause to be tense. Platelets counts are within normal limit. Avoid ibuprofen.
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Hello Dr, am just wondering what type of solid food should I start off my 3 month old daughter with?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello Dr, am just wondering what type of solid food should I start off my 3 month old daughter with?
No solid or semi solid food at this age. Weaning starts at 5 to 6 months. Till then continue exclusive breastfeeding.
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My baby when born is iucr and he is 2 now but he is not healthy not eats food what to do. Please tell to make him healthy.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby when born is iucr and he is 2 now but he is not healthy not eats food what to do. Please tell to make  him he...
Iugr babies usually will have good catch up growth. Children usually don't eat well during 2nd year. Give for worms and any multi vitamin preparation.
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Hi, I have a 5 months old baby. I give him a NAN pro1 infant formula with proniotics and didn't done breastfeed. He passing his motion once in 2 to 5 days with dark greenish colour. My question is, should I have to worry about this? And tell me the reason for why he passing such greenish colour motion and irregular motion.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi, I have a 5 months old baby. I give him a NAN pro1 infant formula with proniotics and didn't done breastfeed. He p...
it is due to formula.YOu should have breast fed and if you give formula i bottle you stop bottle and give with spoon. ANd yu should give boiled water in between if giving formula . A bottle related factor gives this constipation and green colour
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Mera 7 saal ka beta hai or wo abhi tak bed me hi susu kar deta hai. Maine homeopath b diya par koi faayda nhi. Bahut sharmindagi mehsus hoti hai. Please help anyone.

C.S.C, D.C.H, M.B.B.S
General Physician,
This is usually controlled as he grows up and advise him him gently. Do not give fluids 2 hours before bed time and in between sleep wake him and take to toilet . If not successful there are tablets when he grows
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We have a newborn baby boy 86 days. His umbilical code not fall down and showing outside 1 to 2 cm. Is anything we need to care and should I do any treatment for same to cure.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
We have a newborn baby boy 86 days. His umbilical code not fall down and showing outside 1 to 2 cm. Is anything we ne...
Umbilical cord usually falls off within 10 days. Delayed fall may be because of local infection. If infection is not not there, may require some immunological tests.
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Bacho ke Diaper badalte samay, Kyon jaroori hai Saavdhani

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Bacho ke Diaper badalte samay, Kyon jaroori hai Saavdhani

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5 people found this helpful

What should you suggest in diet for a ten year old son? Can it'll be safe to have coffee. For him? How many glasses of milk he should have?

MD - Paediatrics
Pediatrician, Mumbai
Diet should be two major meals and two short snacks in a day. Milk has no major role. Each majr meal should have around thousand calories with two roti's 1 bowl rice daal. 1 spoon ghee and fruits. Shirt snacks should be rice potato or wheat flour based with a cup of fruit juice. Milk may be added to reduce appetite if the kid is eating heavily and is obese.
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My son is 12 year old. He shakes his head frequently. Sometimes his shoulders also. Whats the reason and treatment?

M.D.( Pediatrics), DCH
Pediatrician,
Probably it is a tic, without any significance, but it's diagnosis by exclusion. One needs to physically examine.
2 people found this helpful
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I am married guy with a 4 months baby boy. My sex life was good for initial 2 years of my marriage (4-5 times a week) till we got the news of my wife's pregnancy. We avoided sex in first 3 months as per doctor's advice & then for following 3 months, we did occasionally (once a week). Then there was a complete pause of 6 months till the baby was of 3 months. On resuming sex, I am facing problems for which I need solution. I don't get erection strong enough to penetrate even after good foreplay & if we try harder for it then I end up ejaculating. We tried penetrating using oil as lubricant in semi-erect state but either erection is unsustainable or it ends up in premature ejaculation. Me & my wife love each other but this situation is affecting our relation. I can't fulfill her desires every time by foreplay. Also I started avoiding getting physical with her due to it. We try having sex hardly once a week but it leads to dissatisfaction. please help. Also I am ashamed to consult doctor face to face.

BHMS
Homeopath,
I am married guy with a 4 months baby boy. My sex life was good for initial 2 years of my marriage (4-5 times a week)...
Erectile dysfunction is a serious problem in married life. U need to be patience for this. Treatment is needed. U need to avoid sex for 2 weeks atlst. For the first 7 days just hug her, kiss her don't touch each others private parts. Do it for regular. Then after 7 days try for sex. Before you prepared for sex have a deep breathing for 10 mins. Don't think too much about sex. Rather think about other things like a child. Mind and confidence is all you need to boost up. Exercise regularly or walks regularly. It will also be helpful. Contact me in private. Through Lybrate. There I can give you some more advise which will definitely work for your erection dysfunction. Also will prescribe some medicine. By proper homeopathic treatment you will be completely cure. Soo contact me through Lybrate.
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BDS, MDS, MBA (Healthcare), FAM
Dentist, Hyderabad
They never go out of Fashion!

My daughter is recently complaint of less hearing . On being consulting with ENTDoctor he advise for audiologist test. In test it os said 50% hearing loss and advice to put hearing aids. I want any other treatment to recover this loss. They are saying nerve related issue. Pls guide.

DNB (Pediatrics), MBBS, Fellowship in Pediatric Neurology, Fellowship in Electrophysiology,Cleveland,U.S.A.
Pediatrician, Gurgaon
My daughter is recently complaint of less hearing . On being consulting with ENTDoctor he advise for audiologist test...
There is no treatment apart from hearing aid for hearing loss. You should also evaluate the cause of her hearing loss.
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My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supplement). What r the ways to make them breastfeed again?

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughters (twins) 2 months old is refusing to breast feed after introducing them to bottle a week back (for supple...
You have to stop bottle and if you formula give it with a spoon or sipper and never bottle with nipple.
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