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Dr. Rita Narshana

Pediatrician, Mumbai

Dr. Rita Narshana Pediatrician, Mumbai
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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. Rita Narshana
Dr. Rita Narshana is a renowned Pediatrician in Vile Parle East, Mumbai. You can meet Dr. Rita Narshana personally at Kirit Nursing Home in Vile Parle East, Mumbai. Book an appointment online with Dr. Rita Narshana 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 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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Kirit Nursing Home

Ground Floor Pushpa Apartments, Subhash Road, Vile Parle East, Landmark: Near Gulab Joshi Bungalow, MumbaiMumbai Get Directions
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Hi doctor good morning, my baby age is 2 months 10 days. Baby releases gas frequently with noise with light smell. Is there any problem with this. Please suggest me if it is problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor good morning, my baby age is 2 months 10 days. Baby releases gas frequently with noise with light smell. Is...
If the baby is on formula feed in bottle avoid bottle and give exclusively breast milk and after each feed put baby on shoulder or your thigh and tap his back. Give colic aid drops thrice daily and ask me personally for guiding you in caring for child as personal doctor.
1 person found this helpful
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How to stop a 14 years child eating too much every 2 hours because is becoming more fat I try to make him stop eat surgery fats foods but even that he hid and eat most of all he don't like to do any movement physic just sit watch TV play games pls if can help me thanks in advance.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I suppose he is not taking any corticosteroid which increase desire to eat and induce increase in wt. If it is not I would suggest to consult pediatrician to rule out any hormonal disturbance and for consoling.
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My daughter having fever. Went to daughter Doctor gave dolo 250 mg. Have given ok now. Please suggest how to improve the immunity system for the 6 year old child.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is nor due to lack of immunity that we or children get fever. Rather , it is is the invasion of our body by bacteria or virus and need treatment
1 person found this helpful
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Mera baby 1 month ka he. Use kabhi kabhi ulti hoti he. Me ye puchna chahti hu ke use ulti hone ke kitne time ke bad me use feeding karva sakti hu?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Mera baby 1 month ka he. Use kabhi kabhi ulti hoti he. Me ye puchna chahti hu ke use ulti hone ke kitne time ke bad m...
Shayad jise aap ulti samajh rahee hain wah doodh nkalanaa hota hai jo dodh ke baad pet bharane par kabhee kabhee bachchaa kar deta hai. yah samanya hai. doodh pilane ke baad dakaar dilaa de. Ulti/ doodh nikalane ke baad bhukh lagane ke samay par feed karva sakatee ho.
1 person found this helpful
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Hi. My son is now 2 year old in april. I have 2 son. Mera big son jab 1 year ka tha to main pregnant thi. During pregnancy v maine use apna feed karaya. Uske baad use heavy constipation ho gya h.potty karne m use bahut pareshani hoti h.avi 15 days usne. Normal potty kiya tha. Kuch dino se wo bahut chirchira sa ho gaya h.or baar bar wo apna tummy or naavi chukar batata h shayad use waha oain ho rha ho to isliye use Dr. K pass le gyi to Dr. Ne anti worm or kuch medicines suggest kiya. To maine usi raat use diya. Use aaj tak anti worm nhi diya tha use 20 march ko anti worm ka medicine diya. Phir se use potty nhi hone laga. Aaj uska kafi tight v lag rha h.kya use koi bimari ho gyi h.or kya during pregnancy jo doodh pilaya wo kharab tha. Kyu nhi pilana chahiye during pregancy .iske kya side effects h.mujhe kya karna chahiye kon sa test karwana chahiye? Uske body me blood v kam h. 10. 00gm/dl h.pls !answer soon .kaisa mera baby healthy hoga.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi. My son is now 2 year old in april. I have 2 son. Mera big son jab 1 year ka tha to main pregnant thi. During preg...
गर्भावस्था का दूध दोषयुक्त नही है। कब्ज के लिए खाने मे हरी पत्ते की सब्जी फल दे व पानी पिलाये। दूध मे चीनी के बजाय शक्कर मिलाकर देने से भी कब्ज दूर हो सकता है। इसकी ओर भी उचित ध्यान केंद्रित करे इस से चिड़चिड़ापन दूर हो सकता है। खून की कमी आयरन की दवाई से ठीक हो सकती है तथा हरी पत्ती की सब्जी भी सहायक है।
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My son is 5 months sleeps in cradle. While sleeping he slightly forced with a wooden door in his head. Will it be a big issue.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son is 5 months sleeps in cradle. While sleeping he slightly forced with a wooden door in his head. Will it be a b...
Hello, Avoid casualties as much as you can.Since baby's body is delicate it can be a problem,as they are more prone to the injuries.
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My son is 18 months old, He is premature baby of 27 week. First six months he was unable to listen. But after 8 months he started to listen, Now a days he reacts to all sounds but when we call his name he doesn't reacts. Although he speaks word like papa kaka Amma. What is exact problem?

BHMS
Homeopath, Faridabad
My son is 18 months old,
He is premature baby of 27 week.
First six months he was unable to listen.
But after 8 month...
Hello, according to you now he is responding to all the sounds then there is no need to worry.He is a normal baby and let him grow ,start giving him BC NO 21 , 3 tabs thrice daily.
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Hello My 3 years old child has not passed stools for five consecutive days. We have tried all means to stimulate him and also fed him fibre rich food but all of that was of no use. Please help. Thanks in advance.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello
My 3 years old child has not passed stools for five consecutive days. We have tried all means to stimulate him ...
If child is active and gaining weight according to his age then train him for toileting habit by encouraging him to sit on pot daily or twice in a day for about 5-10 minutes, give good quantity of water and liquids to drink. It may be helpful.
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My daughter is 15 months old. She is active. I am giving milk, rice, vegetables and fruits in daily food. Shall I start her giving non veg. please suggest me what to give for better growth of my baby. Her weight is 2.8 kg at birth. Now she is only 8.5 kg. I consulted pediatrician also. I am giving min min syrup daily.

BHMS
Homeopath, Faridabad
My daughter is 15 months old. She is active. I am giving milk, rice, vegetables and fruits in daily food. Shall I sta...
Hi, You can start giving her little non-veg. specially chicken (can give fish also) which should be well cooked in turmeric and salt, that's it. Kids like different flavours and taste. Multivitamin A to Z can be given for 3 months only.
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I have a lung fibrosis, could you please help me out. What are the foods and other precautions should I have to lead better life.

MD - Homeopathy
Pediatrician, Mumbai
You have to be careful regarding hygiene. Keep your room free of dust, avoid excessive change in temperature, avoid pigeons. Avoid colddrinks, coloured food items, highly fried items in your diet.
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Sir my child 07 years old but she never feel hungry I have done lot of test like tv, ultrasound and lot of blood test but only tv direct few we have given 9 month medicine but still she is not eating.

DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Bangalore
Children never starve themselves unlike adults, she may be eating lot of junk foods- biscuits and juices and chips etc that she is not eating what you want her to eat. Cut down on all the junk/ intermittent snacks and see that she eats when its family time to eat.
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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.

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Common Insulin Alternatives

DDF, FCCP, MD , MBBS
General Physician, Delhi
Common Insulin Alternatives

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

  1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 
  2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
  3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
  4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
  5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Related Tip: "Living Well with Type 2 Diabetes"

3306 people found this helpful

My baby is sensitive both milk vow and amul full cream doesn't work pls tell me what should I do for the baby milk.

BHMS
Homeopath, Faridabad
My baby is sensitive both milk vow and amul full cream doesn't work pls tell me what should I do for the baby milk.
Hi, just start with infant's milk formula meant for 6-12mths as it is easy to digest and healthy too, it contains all the required nutrients for the growth of the baby. *********consult a paediatrics for detailed information*********
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Cystic Fibrosis - Can it be Life Threatening?

PHD - Science
Geneticist, Mumbai
Cystic Fibrosis - Can it be Life Threatening?

Does your baby’s skin taste too salty when you kiss him or her? Did he or she not poop after being born? These symptoms indicate cystic fibrosis in your baby, which is a condition that changes the way your body makes sweat and mucus. It also affects the functioning of the lungs and digestive system. The condition occurs from a flawed gene. If you have cystic fibroids, your mucus may be too thick or your sweat can be too salty. Heavy mucus clogging in your lungs may affect your ease of breathing. This is a serious and life-threatening disease, but it affects different people in different ways.

Causes
The gene known as CFTR is present in everybody. It makes a protein which controls the amount of salt and water that are moved in and out of the cells of the body. In case of cystic fibroids, the CTFR gene is broken, which occurs if you inherit two bad copies of the gene. A bad CFTR gene may lead your cells to make the wrong amount of water or salt. This makes the body incapable of getting sufficient oxygen and nutrients, as the body loses them via sweating.

Symptoms
Apart from the primary symptoms, several other symptoms are also likely due to cystic fibroids. The common symptoms which your child may experience are as follows:

  1. Coughing up thick mucus, wheezing and shortness of breath
  2. Sinus infections, pneumonia, or very frequent bronchitis
  3. Development of polyps in the nose
  4. Bulky, oily and foul-smelling stool
  5. Low bone density, widening and rounding of the fingertips and weight loss
  6. In later life, cystic fibroids may cause liver disease, gallstones or pancreatitis.

Treatment
There is no specific treatment for cystic fibroids. Several treatments are followed for relieving the symptoms and help patients feel better, breathe easier and have lesser infections or stomach problems.

  1. Airway clearance technique can help you with breathing as the mucus from the lungs is cleared in the process. There are several ways to undertake airway clearance and special devices can be used for assistance.
  2. Several inhaled drugs such as salt solutions, steroids and antibiotics are used in thinning the mucus, clearing the lungs and fighting infections.
  3. Several medicines are used for fighting the inflammation and reducing swelling in the lungs.
  4. In case your pancreas are not working properly, you can take enzyme pills for digesting proteins and fats for absorbing more nutrients from the food you take.
  5. Vitamin A, E and D supplements provide the nutrients, which your intestine cannot absorb.

In case you experience the symptoms of cystic fibroids, you should consult a doctor immediately. This will allow you to go for an early diagnosis and effective treatment.

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My baby is 6 months old n we r going for painless vaccination. I just wanna know is it safe for baby or not.

Pediatrician, Chennai
My baby is 6 months old n we r going for painless vaccination. I just wanna know is it safe for baby or not.
Hi lybrate-user! Recently many people are coming up with doubts about painless vaccination. I would like to tell you that apart from oral polio drops and rotaviral vaccine, every vaccine is an injection which involves prick with needle. Of course it is going to give some pain to your child for that moment. Nowadays combination vaccines come with 4 to 5 components so that your child will be pricked only once or twice and not 4 to 5 times. Hope this helped you.
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His birth weight is 3.25. And he is crying in night daily. My pediatrician said its stomach pain and gave him colimex. Shall I give him when he is crying more.

MD (Peditrics), MBBS
Pediatrician,
His birth weight is 3.25. And he is crying in night daily. My pediatrician said its stomach pain and gave him colimex...
You have not mentioned age. If child has colic pain then colimex will help. Sudden excessive cry in healthy child in evening and between to 3 wk to 6mo. Then it is likely to be colic. But make sure there is no other disease or illness. Give medicine as adv, by doctor.
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I have a 2.5 year old nephew he is able to speak few basic words like mama ,mummy, Nana,Didi etc but he is not able to speak whole sentence or some difficult words as well can you help me with the problem and solutions.

Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy, Early Childhood Special education, Drama Therapy
Occupational Therapist, Bangalore
I have a 2.5 year old nephew he is able to speak few basic words like mama ,mummy, Nana,Didi etc  but he is not able ...
By 2.5, child is expected to talk in sentences but some exceptions are possible. You need to get the developmental assessment done in detail if he has issue with concentration OR is he always on the run OR do you feel he doesn't respond to name call OR if he doesn't maintain eye contact while interacting with you all. If you can share a small video of his I might be able to guide.
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My Wife is 7months pregnant, the reason is blood is not going (flowing) to the baby through ampliclecod what will be the problem as well as we are relatives we have same blood group but baby is fine please tell about this.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My Wife is 7months pregnant, the reason is blood is not going (flowing) to the baby through ampliclecod what will be ...
Worrisome to have premature birth of baby and in rare case growth gets hampered. Usually they need birth by cesarean section. Make sure mom doesn't have torch infection and hypertension.
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