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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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I have 6 month girl baby. Last 4-5 weeks she has completely avoid the milk. She used to drink 100 ml per feeding at 9 times a day but now she drinks only 40-50 ml per feeding. She just suck 4-5 and then refused the bottle. She does difficulty getting wind up this 50 ml. I have started solid food to her. I will give solid fopd at morning 10 am and gives at 3 pm daily. But she is not interest. Previous day she did wets cloth frequently but now she does less time but goes to motion daily. There is no changes for her playing activity always be in active. Is it normal to refused milk? Does she gained weight or lose her weight? please sir tell me.
1. Average weight 2.5-3.5kg
2. Average length 50cm.
3. Heart rate 130-140 pm
4. Meconium, first black stool passed in 24 hrs.
5. First milk, colostrum, rich in materials helpful for newborn.
6. Yellowish colour of eyes and skin within first 24 hours, matter of concern. After 48 hours normal, subsides by 5th day.
Prolongation of jaundice warrants consultation.
7. Cord falls of by 10th day.
My baby is 20 days old. Previously after birth Doctors advised for GB paint, a blue coloured medicine which was beneficial for emblical cord. Now a days Doctors adviced for Betadine lotion. My query is, after 20 days emblical cord of my baby has not cured with betadine lotion and pus is coming out. Please suggest me what to do?
Hi, my son is now 5 month old. He is on powder milk i. E. Nan pro 1 but after heard the news for nan pro -find live lerve in powder. We are worried. So suggest other good milk powder.
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Could you please breifly explain that what type of vactinations/ injections should we give for newely born baby. If any drops are there to cure jaundice.
Need a diet list for 15 year old boy. The list should be of north indian food and it should be routine Monday -friday.
My son who is 8 years old, good in studies but while talking he is not clear in words. Like in Hindi he calls words SH, says "S" and "the" says "TA" While staring at him or correcting him, he corrects it Can you help me with speech therapist Thanks.
Hello Dr. My 1 year 8 month old daughter is not stable in regular work, she insisting to play, chocolates, walking. She don't want to stay in Home. Moreover some time She became aggressive and insistence of her wish. Some time she become violent, beat us, pull our hairs. What should we do to clam her. She not eaten food correctly also. Guide us. Plz.
Hello doctor, my baby is due for his 10th week vaccination. We were planning to give him the painful dose in the 6th week with pneumococcal as well as rotavirus vaccines. In a hurry I answered a yes for the painless one in the 6th week and have been feeling guilty since then. I wanted to switch to the painful one but 2-3 pediacs said it's better I don't. I wanted to know why is it so? Also wanted to know if the free vaccinations offered as per the NHM are safe or the ones given in private clinics are better? - concerned mother.
Namaste sir, I am very sad, my problem is I have a daughter. She is not eating n not drink milk so she very weak. I don't understand what I Do. please help me sir if you suggest me for any medicine or tonic please suggest sir. What can I use any tonic please suggest me for best tonic to my daughter. I love my doll n I can't see hath jod k prarthna karta hu aap sab se koi suggestion ho mere liye to please bataye sir, she is two year old. N weight is 8.7 kg. Hight 2 ft 3" hai. please plz advise me your suggestions.
I am observing symptoms of pin-worm in my baby boy (age 20 months). Please suggest the preventive medicine. Two months before on observing the same, We gave him some medicine (unfortunately I forgot the name) in the form of syrup and the symptoms went away but from last three days he is again feeling itching in his anus before going to sleep.
2.Eat slowly. One of the main causes of indigestion is unchewed food.
Don’t eat food “piping hot”. Our stomachs are not meant to have hot foods inside them. A useful thing to remember is that if it is hot in the mouth it is hot in the stomach. This includes tea and coffee. Food and drinks that are too hot may disrupt enzymes and injure the lining of the stomach. So, always wait for it to cool.
3.Don’t eat on the hoof. Meals should be taken at a leisurely pace. If you eat on the move, there is more chance that digestion will not begin. Instead foods in the stomach and intestine will start to ferment, producing gases that bloat you.
4.Avoid eating fruit with the meal. Tempting though it is, because it seems lighter on the stomach than puddings, it is not good at the end of a meal. This is because fruit digests faster than dense proteins, so fermentation and gas accumulation may occur.
5.If bloating is a persistent problem, try simplifying your meals. Instead of having lots of food groups at one meal try separating them. For example, proteins need acid enzyme digestive juices, whereas carbohydrates need alkaline enzyme digestive juices. When you have to break down both types all at once you are not achieving optimal enzymatic action, so some fermentation and gas accumulation may occur.
6.Try taking slightly smaller servings and think twice about second helpings. As a good rule of thumb, try to get into the habit of estimating the quantity you allow yourself using “nature’s food bowl”. Cup your two hands together as if you were using them to make a bowl. The quantity of food that would fill that “bowl” should be your maximum at any meal.
7.Make sure that you drink enough water. Ideally, hydrate your stomach with a glass of water half an hour before a meal.
Source:British Homoeopathic association
Diet plan for DM and HTN
Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable.
As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats.
General instructions to be followed:
Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed.
Whole grain cereals are better, preferred for their fibre content and satiety value.
Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water.
When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it.
Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious.
Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided.
Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking.
Egg yolk has to be avoided by individuals with hyperlipidemia.
Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption.
Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.
Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition.
Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list.
Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc.
Use of coconut and its products must be minimized.
Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally.
It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged.
Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets.
Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases.
Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart.
Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account.
Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels.
Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed.
Include foods from all the different food groups and thus consume a balanced diet.
Regular exercise is most useful but physical strain after a meal should be avoided.
Free foods (can be included liberally)
Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc.
Foods to be used in moderation.
Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc.
Foods to be avoided by diabetics.
Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc.
Roots and tubers like potato, tapioca, yam etc
Butter, ghee, dalda and fried preparations.
Horlicks, bournvita, boost etc
Fruits like jackfruit, banana, mango, sapota etc.
Dry fruits and nuts
Barley water, rice water etc.
Cholesterol rich foods (to be avoided by cardiac patients)
Whole milk and milk products
Shellfishes like prawn, crab, lobster etc.
Organ meats like kidney, liver, brain etc.
Chicken, duck with skin.
Sweet like pastries, ice creams etc.
Butter, ghee, dalda, coconut oil, palmoil
Fried foods like vada, chips, pappads, samosa etc.
Alcoholic drinks, creams soups etc.
Fiber rich foods
Whole wheat, parboiled, sago, oats etc.
Fenugreek and sesame foods
Vegetables and fruits (with skin)
Fresh coconut etc.
Sodium rich foods (to be avoided by hypertensive patients)
Salt (avoid extra salt in food and table)
Baking powder, baking soda, ajinomoto etc
Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc.
Salted chips, nuts, popcorn etc
Pappads, pickles, dried fish etc
Canned and salt preserved foods
Sauces, soup cubes
Sausages, lobsters, meat and yeast extracts
Readymade foods like cornflakes, noodles, fast foods etc.
Proprietary drinks eg. Horlicks, complan, bournvita etc
For children with normal separation anxiety, there are steps you can take to make the process of separation anxiety easier.
1. Practice separation. Leave your child with a caregiver for brief periods and short distances at first.
2. Schedule separations after naps or feedings. Babies are more susceptible to separation anxiety when they’re tired or hungry.
3. Develop a “goodbye” ritual. Rituals are reassuring and can be as simple as a special wave through the window or a goodbye kiss.
4. Keep familiar surroundings when possible and make new surroundings familiar. Have the sitter come to your house. When your child is away from home, let him or her bring a familiar object.
5. Have a consistent primary caregiver. If you hire a caregiver, try to keep him or her on the job.
6. Leave without fanfare. Tell your child you are leaving and that you will return, then go—don’t stall.
7. Minimize scary television. Your child is less likely to be fearful if the shows you watch are not frightening.
8. Try not to give in. Reassure your child that he or she will be just fine—setting limits will help the adjustment to separation.
Abnormal separation anxiety needs expert assistance. Consult a psychologist for advise and intervention.