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Dr. S.D.Patwardhans

Pediatrician, Mumbai

700 at clinic
Dr. S.D.Patwardhans Pediatrician, Mumbai
700 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. S.D.Patwardhans
Dr. S.D.Patwardhans is one of the best Pediatricians in Chembur East, Mumbai. You can meet Dr. S.D.Patwardhans personally at Dr S D Patwardhans Childrens Hospital in Chembur East, Mumbai. Book an appointment online with Dr. S.D.Patwardhans 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 27 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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Gagangiri Complex, 1st Floor, Near Ambedkar Garden,8th Road, Chembur East,Landmark: Above Bharat Cooperative Bank, MumbaiMumbai Get Directions
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My baby girl is of 16 days old. Her weight is 2. 3 kg. And same is during her birth time. How can improve her body weight?

MBBS DCH
Pediatrician
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Normally 10% weight reduces upto 15 days, then gradually increases 25-30 gm per day. So your baby will start gaining weight now.

Can I Eat Rice If I Have Diabetes?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician
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Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

Can I Eat Rice If I Have Diabetes?
20 people found this helpful

Mera baby 30days ka hai since 4days usne motion nahi kiya. Aap suggest aur prescribe kare waiting for reply.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Mera baby 30days ka hai since 4days usne motion nahi kiya. Aap suggest aur prescribe kare waiting for reply.
Homoeopathic medicine----------------------sulphur 30 (dr reckeweg) just give 1 drop in 1 spoon mothers milk and wait for 24 hour. He will pass stools------------
1 person found this helpful

My child was not growing up perfectly. Which food is preferred?

MD - Paediatrics, MBBS
Pediatrician
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My child was not growing up perfectly. Which food is preferred?
You have not mentioned the weight of your child. Lf the weight is around 12 kgs no worry. Give for worms and give all the foods which are prepared at home for the family.

Sore found on my 10 months baby body its spread more and also in faces how to control and how to prevent in future ?

MD - Paediatrics, MBBS
Pediatrician
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It may be skin infection which is spreading due to direct contact. Give systematic antibiotics after consulting with your doctor.
1 person found this helpful

Please suggest some solution which can used for cough n cold for 2 months infant. So that it can used in nebulizer .also suggest home remidy we can use it.

MBBS, MD - Paediatrics
Pediatrician
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Please suggest some solution which can used for cough n cold for 2 months infant. So that it can used in nebulizer .a...
Use of steam inhalation and saline drops and protection of child from cold during winters are some home remedies in a 2 month old child. Exclusive breast feeding also protecr your child from cold.
1 person found this helpful

My baby girl is 8 months old and she is weighing 7.3 kg. Her birth weight is 3.1 kg and she was on mother fed milk for 6 months. Please let me know if her weight is correct or not?

MD - Paediatrics
Pediatrician
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My baby girl is 8 months old and she is weighing 7.3 kg. Her birth weight is 3.1 kg and she was on mother fed milk fo...
Her weight is fine for her age. But most important thing is that she should regularly gain weight as per expected. This you can get vaccination card where you will find a growth chart. You can plot her weight against her age at regular intervals like say 1 to 3 monthly and see whether she is gaining weight normally or not.
1 person found this helpful

My Daughter (Age 10 month) has been suffering from fever (101-102, by underarm) from last 3 days. First day her nose was running a lot. But next day onward her nose was ok. On third day there was no fever for almost 18 hrs but again at mid night she got fever. I am giving her Maxtra-P (60ml) according to doctor. Should I go for antibiotic? Is it viral fever or common cold.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My Daughter (Age 10 month) has been suffering from fever (101-102, by underarm) from last 3 days. First day her nose ...
I suppose there are no other symptoms except you have narrated. It is usually viral fever but 101-102 temp by under arm should be taken care of. No fever for 18 hours may be due to medicine you are giving. There is no role of antibiotcs in viral fever unless it is super imposed secondry bacterial infection. Your doctor is best judge to assess.
1 person found this helpful

My daughter's age is 3 and half years. She has constipation problem after every 2 or 3 days.What can i do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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My daughter's age is 3 and half years. She has constipation problem after every 2 or 3 days.What can i do?
constipation is easily manageable through a prescribed diet. I will prescribe a high fiber diet customized to your case. Do avoid over-the-counter laxatives. Increasing exercise is also important if you lead a sedentary lifestyle. For stubborn constipation in I may recommend a non-digestible sugar called lactulose or specially formulated electrolyte solutions. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
1 person found this helpful

Hi, my daughter s 19 months old, and her anterior fontanelle has not yet closed. I am much worried about it. Should I have to wait more or get treated for any deficiencies?

Diploma in Child Health (DCH), MBBS
Pediatrician
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Hi, my daughter s 19 months old, and her anterior fontanelle has not yet closed. I am much worried about  it.
Should ...
If baby is having no other problem and active you need not worry and just wait it will take some more time to get closed.
1 person found this helpful

My 3 year daughter have severe constipation problem. I have done lots of treatment to her. Allopathy, homeopathic, home based all. Still not getting my relieving. Khane main khush khas nai day daliya, dal, roti. She don't want to take any fruit. Please help.

MD - Paediatrics, MBBS
Pediatrician
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Please stop bottle feed and milk all together. Give food, proper adult one else let her stay hungry. Sup pixit 5ml twice a day for five day and then 5ml once a day for one month. Pilex ointment three times a day for one month to be applied at anus and insert the nozzle inside the anus and press the tube. This will relieve her but proper food will cure her esp vegitables and fruits. Honey, munnaka, saunf can also be added to the diet.
1 person found this helpful

8 Tips to Improve Your Child's Mental Well-being

Hypnotherapy and NLP, CBT, Autism, Ph.D-Clinical Psychology, MA - Applied Psychology, BA - Psychology
Psychologist
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Parents are always concerned about their child's physical health, but often ignore their mental health. Along with physical well-being, your child's mental well-being is also equally important.

The following are eight tips to improve your child's mental well-being:

1. Adequate sleep- sufficient amount of sleep is required for a child to stay mentally fit. Parents often engage their children with various classes and activities and compromise on their sleeping hours. This in turn affects the child's mental state. Therefore, as a parent, you must take care not to compromise on your child's sleeping hours.

2. Allowing them to play- nowadays, children are overburdened with studies and other learning activities. They do not get to play quite often. But as a parent, you must take care of your child's schedule, so that he/she can have proper playtime too. Playing involves physical activity as well as creativity in certain cases. This helps to improve mental health.

3. Learning to share and care- you must take care to inculcate in your child the values of sharing and caring. These little things can also help improve your child's mental health. Learning how to share with others and caring for others will help them to stay happy.

4. Regular exercise- encouraging your child to regularly exercise will not only help improve his/her physical health, but also mental health. It will also help them to reduce stress and maintain a good mood as well.

5. Listen to them- parents often ignore when children are speaking on less important matters; may be about a new friend or a strict teacher in school. But as a parent, you must take out some time from your daily schedule to listen out to their stories. Listening to them attentively will make them feel important, increase their confidence and hence, improve their mental well-being.

6. Encourage them to make friends- encouraging your child to make new friends will help them to socialize better. They will feel confident about themselves and also open up. This can boost up their mental well-being.

7. Good nourishment- proper nourishment is not only essential for being physically fit, but also mentally fit. Good nourishment will help them stay healthy physically and increase their energy levels. This in turn will positively affect their mental health.

8. Make them feel safe- children need to feel safe in order to stay mentally fit. Try and spend some time with them every day. As a parent, always make your children realize that you are right beside them. Listen to their problems and help them find solutions to solve those instead of scolding them. Help them to relax and feel secure to stay mentally fit.
8 Tips to Improve Your Child's Mental Well-being
2512 people found this helpful

My grandson is 2 years and 4 months - good hight and fairly good active mode - only complaint is less intake - no voulentary intention to have food- every day compulsory feeding is must. What should be the strategy?

MD - Paediatrics
Pediatrician
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Dear , very good question to answer, all parents are asking such question. Answer is very simple weaning starts at the age of 5 months, if start i. e. Beginning is good and maintained then everything goes well otherwise once baby start walking then she runs ahead and mother runs after baby and then starts ferry that please take this and that, otherwise mother do feed continuously with other food then also baby do not accept then food. Hence take your baby in lap while taking your meal baby will accept whatever you are eating provided baby is not given any other food so take care.
2 people found this helpful

DIABETIC and Your SMILE

BDS
Dentist
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Did you know that 29.1 million people living in the united states have diabetes? that's 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year and 8.1 million people living with diabetes don't even know they have it.

Diabetes affects your body's ability to process sugar. All food you eat is turned to sugar and used for energy. In type I diabetes, the body doesn't make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In type ii diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.

So what does this have to do with that smile of yours and how can you protect it? first, it's important to understand the signs of diabetes and the roles they play in your mouth.

The symptoms of untreated diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.

If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:

You may have less saliva, causing your mouth to feel dry. (dry mouth is also caused by certain medications.)
Because saliva protects your teeth, you're also at a higher risk of cavities.
Gums may become inflamed and bleed often (gingivitis).
You may have problems tasting food.
You may experience delayed wound healing.
You may be susceptible to infections inside of your mouth.
For children with diabetes, teeth may erupt at an age earlier than is typical.
Why people with diabetes are more prone to gum disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.

Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

How your dentist can help you fight diabetes

Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your hba1c. (this is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)

Your diabetes dental health action plan

Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:

Control your blood sugar levels. Use your diabetes-related medications as directed, changing to a healthier diet and even exercising more can help. Good blood sugar control will also help your body fight any bacterial or fungal infections in your mouth and help relieve dry mouth caused by diabetes.
Avoid smoking.
If you wear any type of denture, clean it each day.
Make sure to brush twice a day with a soft brush and floss correctly daily.
See your dentist for regular checkup.
DIABETIC and Your SMILE
2 people found this helpful

My 2 years old son has throat infection and white spot on his tonsils in every 20 to 30 days.After taking medicines including antibiotics he recover in 5 to 7 days and in some times in 10 days . It happens again and again. His doctor says its allergy and last in 5 to 7 years . In those days he eats very little and some times he drinks only water. Is there any solution?

MBBS DCH
Pediatrician
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According to your history your son suffers from recurrent tonsillitis. You should take ENT surgeon 's opinion. Avoid giving cold foods, foods with artificial colors etc.
1 person found this helpful

My 1 year 8 months baby is suffering from Ventricular septal defect with perimembranous extension. Gradient of 30 mmhg. Doctor has advised for open heart surgery. I want to know that open heart surgery is must in this case or not and if yes then how many days are needed in the hospital for the treatment of heart surgery?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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My 1 year 8 months baby is suffering from Ventricular septal defect with perimembranous extension. Gradient of 30 mmh...
Yes it is a must surgery , post operative time depends upon the recovery , and your treating doctor knows best as to when to send less than 2 years old baby home
1 person found this helpful

My son is 15 months old and he is suffering from cold frequently. He can't able to breathe also I have consulted many doctors but there is no change suggest me opinion how should I treat my son.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician
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My son is 15 months old and he is suffering from cold frequently. He can't able to breathe also I have consulted many...
Cold is self limited disease which get cured after some days. If nostrils are blocked, instill 1 to 2 drops of saline nasal drops in both nostrils 3 to 4 times in a day.

Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier. Is pcv vaccine for the infants is compulsory?

Diploma in Child Health (DCH), MBBS
Pediatrician
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Our baby is of 1 month 20 old, we have taken all the vaccines prescribed for 45days except PCV because it is costlier...
Every vaccine is compulsory if it is providing protection to your child. This vaccine prevents child from 3 dreadful diseases like pneumonia; meningitis; otitis media and sepsis. If affortability is not the criteria you go for this vaccination either of the 2 vaccinations as my colleague has mentioned.

I have daughter she is thirteen years old she has the habit of getting up in the night when she is asleep every one or two hours .I just want to know the cure for her restless sleep.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath
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Hello, Sleep disorders happen in every age group -- to infants, teens, and the elderly. Problem is, missing sleep repeatedly affects every part of your life -- from relationships with friends, to your ability to concentrate at school, to your mood. Many teens who miss sleep suffer with irritability, mood swings, and even depression. There are various reasons of sleep disorder like sleep apnea, GERD, Stress,nightmares and vivid dreams, restless leg syndrome, potential nighttime distractions, such as light or noise. No matter what is causing this problem. The Homeopathic medicines, which are made of natural substances and are completely safe with no side effects, are very capable and competent in the treatment of sleep disorders. The most suitable Homeopathic remedies are chosen after analyzing the symptoms in each individual. Please click on consult for further evaluation. Your feedback matters. Take care.
1 person found this helpful

My daughter is 6 years old and for last 1 week she is having one big boil on her left forehead and in some parts of head along with lower part of left eye having boils and swelling. We are cleaning it with warm water and twice we are putting Himalaya eye drops twice a day. But the boil is in puss formation on her forehead. Please suggest medical reason and cure. Could it be because she ate mangoes during this summer month or probably because of excessive rising temperature of this summer?

PhD in Alternative Medicine
Alternative Medicine Specialist
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If she likes mangoes then give mangoshakes instead of mangoes. Like mango lassi, mango cold coffee. Don't touch boil will dry after some times if pus is there go to skin specalist near by your home as pus causes infection n pain.
1 person found this helpful
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