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Dr. S.D.Patwardhans

Pediatrician, Mumbai

700 at clinic
Dr. S.D.Patwardhans Pediatrician, Mumbai
700 at clinic
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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 25 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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For 2 years 6th child is it bad for her to drink 1 1/2 lit milk per day. Does it develop kidney stones even gallbladder.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
For 2 years 6th child is it bad for her to drink 1 1/2 lit milk per day. Does it develop kidney stones even gallbladder.
No intake of milk has nothing to with development of any kind of stone in body cheer up best wishes.
3 people found this helpful
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I am not getting proper nutrition or what that my weight is not increasing I eat so much but after that also please solve this problem.

MSc
Dietitian/Nutritionist, Chandigarh
I am not getting proper nutrition or what that my weight is not increasing I eat so much but after that also please s...
Dear user please follow the following dietary instructions avoid fried foods avoid packaged foods colas n bottled beverages to be avoided as they will further weaken your bones go out for sunlight if you are non vegetarian include eggs, chicken n fish in your daily diet. Green leafy veggies specially cabbage and other veggies like cauliflower n brocolli should be part of your daily diet include soya, tofu, soyamilk and nutrella in your daily intake caffeine n caffeine containing products like coffee n colas to be avoided take small n frequent meals also include walnuts, flaxseed oil or olive oil in your daily diet.
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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.
4 people found this helpful

MD - Paediatrics, MBBS
Pediatrician, Faridabad

Dr. Sanjeev Kumar
Children are small adult's,talk to them with respect and respect their arguments ,likes dislikes,their self respect.Never ever undermine them.
16 people found this helpful

Hi. My baby is 15 months old and largely depends upon milk. If we give him something solid he spits that out or sometimes puke. Somehow we have managed to give him cerelac once a day. My concern is if this routine is ok or what can I do. Also he has grown his front teeth only.

M.D.( Pediatrics), DCH
Pediatrician,
It is a problem. Curtail her milk intake and increase solid food prepared at home. It should be mashed and made palatable. Even if she throws out, you have to persist. She finds it easy to swallow rather than chew. Feeding child is an art, probably your mother, or mother in law knows better. Take their help.
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My due is on July first week and am choosing breast feeding which foods r good for that which food I need to avoid also am worried will I get milk after birth bcoz I don't find any symptoms please advice.

MBBS, MD
Pediatrician, Gurgaon
You don't feel any change because heaviness of breast is very gradual process. Milk will surely come if you desire it. So no anxiety apply to breast as possible after delivery. Thanks.
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My sister gave birth to a baby boy on 14th may 2016. He is not weeing well. And has not poop yet. Yesterday they noticed some blood in his wee. Is this okay.

MBBS, MD
Pediatrician, Gurgaon
My sister gave birth to a baby boy on 14th may 2016. He is not weeing well. And has not poop yet. Yesterday they noti...
In summer newborn may not pass stool or urine for 24to48 hrs. If their is no cong. Malformation then get stool tasted for blood.
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My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have any bad effect?

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), Fellowship in Pediatric Critical Care (IAP)
Pediatrician, Delhi
My baby is 3 months old. Is it safe to give painful vaccine after the first dose of painless vaccine? Does it have an...
Yes, you can give. These vaccines provide better immunity according to latest literature. Usually these Vaccines have few mild side effects mainly fever which subside on medication. Serious side effects are very rare.
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My daughter is 15 month old.I think she is havin conjective virus.Her eyes are little bit red n water flowing continuously n little white is getting dischared from eyes.So can i give kitmox eye drop.Composition is Moxifloxacin hydrochloride i.P equivalent to moxifloxacin aqueoous buffered vehicle.

MBBS, DOMS
Ophthalmologist, Hyderabad
Yes kitmox eye drops can be used, one drop four times daily. However, if you do not see any improvement in one or two days, better to go for a proper consultation with an ophthalmologist.
2 people found this helpful
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I have 5 month old baby and I wanna know for how many minutes I boil water for milk.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have 5 month old baby and I wanna know for how many minutes I boil water for milk.
If you are interested to give top milk, start with dairy milk n continue breastfeeding. Weaning time is also near by. Boiling is not related to time but to well boiling.
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My baby is still suffering from fever due to urinary track infection. He is having antibiotic (moxclav 228. 5 mg)and paracetamol (fepanil 125). I'm giving those medicines as per the doctor said. But fever is still coming frequently .plz help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Noida
My baby is still suffering from fever due to urinary track infection. He is having antibiotic (moxclav 228. 5 mg)and ...
Give fresh lime sweet and salted, coconut water and dhaniya concoction as fluids. Give cucumber and coconut to eat in plenty.
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My son is 5 years old. Frequently he get cold when season changes or when ice creams taken. Recently he got eye allergy and found long site problem. Suggest for further for reducing this problem.

DOMS, MBBS
Ophthalmologist, Delhi
My son is 5 years old. Frequently he get cold when season changes or when ice creams taken. Recently he got eye aller...
Hello Mr. Lybrate-user, well your son is having chronic allergy, frequent cold and redness of eyes with frequent eye rubbing are the symptoms. Chronic allergy is quite commonly seen these days and this is seen frequently in your son's age group. Don't worry about it but this problem continues for long and you have to be vigilant to get him treated properly everytime. He has to use glasses everytime as this will help with his eyesight as well as keep dust n other allergens away from eyes. Wash his eyes every time he comes home from outside. Start with some immunity booster preprations and multivitamin supplements along with antihistamines. Take care.
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Oppositional Defiant Disorder in Kids - How to Deal with it ?

MBBS, DNB (Pediatrics), MD - Paediatrics, Diploma in Child Health (DCH)
Pediatrician, Gurgaon
Oppositional Defiant Disorder in Kids - How to Deal with it ?

A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.

  1. Repeated temper tantrums
  2. Anger bursts, swearing, using obscene language
  3. Extremely argumentative, especially with people in authority (teachers, parents, etc.)
  4. Annoying others and getting annoyed easily
  5. Noncompliance to rules and regulations at school and institutions
  6. Defending one’s mistakes and blaming others for it
  7. These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.

Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

  1. Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
  2. Cognitive-behavioural therapy tries to mould the behaviour.
  3. If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
  4. The child also needs to be trained for appropriate behaviour under different circumstances.
  5. Rewards for positive behaviour and punishments for negative behaviour are useful ways.

Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3627 people found this helpful

My baby feeding lactogen .In what color does baby pass the motion. My baby passing the motion in cement color nd sometimes yellow.

MBBS, MD
Pediatrician, Gurgaon
My baby feeding lactogen .In what color does baby pass the motion. My baby passing the motion in cement color nd some...
variable colors are noted with bottle,lactogen milk feeds.pale yellow is most common.stoolare bit hard,solid.other colors are noted.so cement light colored cannot be taken as disease.
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In 3.5 years 3 time's my daughter suffering high fever in this time also suffering feet. We take report of EEG and doctor find abnormal activity now I have a second opinion what can I do ?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Child has febrile seizures. Sponge whole body if fever is very high & always keep body temperature normal to avoid possible seizure attack,may use paracetamol & antibiotics if required.
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My 2 years older son always not ready to take any type of food or milk fruits etc and always his stool is to hard what can I do?

MD - Paediatrics
Pediatrician, Kolkata
My 2 years older son always not ready to take any type of food or milk fruits etc and always his stool is to hard wha...
He is suffering from constipation.  he should be on a good fibre rich diet. Give plenty of water.  regular laxative if needed along with a good diet plan. As constipation is a chronic problem in most cases and most common cause is habitual constipation.  You must ensure a regular bowel time after a drink irrespective of passage of stool. He should be sitting for sometime say 10_ 15 minutes in a fixed time daily in a Indian style toilet. She appears  to be a fussy eater. Most importantly you need to be patient with her. Don't shout or scream while feeding her. Try to make her feeding time fun or playtime. After not giving any food for 3 hrs at least make him sit with the food he likes (solid foods not pastes or liquids) with spoon and katori or fork. Let him at least play with the food for some time. If he likes milk a lot then try to give solid like plain rice, oats. Chatu. With the pediasure You can have a deal with him. He will take 1 sip milk and 1 bite of something  This way he will learn to chew Threptin  biscuits are good to taste and are rich in protein (casein) Avoid giving him chips fast food Makes small pieces of food  and ask  her to try just 1 bite. If he likes the taste she will have another. If he likes chicken. Give him chicken in different  ways. Introduce him to egg. Boiled or omelette whatever he likes. Play with him till he feels tired. Playing running will improve digestion. Don't loose temper You can give him  one egg a day Cucumbers made into small pieces will help  with problem of flatulence. Children have to deal with new  food, new habits. So they act out. Do not get flustered if he criesmakes a scene. Sit quietly, go to another room, ignore him. He will learn that bad behaviour  will not allow him to get her own way. I know it's very difficult but keep trying as that's the best you can give him. Pain  abdomen  may be due indigestion earmarked, gastritis. Good hand hygiene: Regular nail trimming Washing hand after each toilet visit. And before taking any food in any form Also take care of drinking water quality. Test Adviced: CBC with AEC Stool and urine R/E, M/E USG abdomen Share the reports if any Kindly do the follo You can check out the Health blog I manage with my wife. It has many helpful tips. The VIP Resource library gives you lifetime (free access) to many  childcare, parenting tips.
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My baby girl 4month old. After breast feeding she vomiting every tym. Why she vomited every tym. Its some serious prob?

MRCPCH, MBBS
Pediatrician, Gurgaon
My baby girl 4month old. After breast feeding she vomiting every tym. Why she vomited every tym. Its some serious prob?
Look at the nature of vomit. If curd like then it is digested milk but if fresh milk then see your paediatrician as it might be reflux or overfeeding. Take care.
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Doc my son is of one year nd two months. I am worried about his hair. 15 days before Maine usk hair clean karaya the but abi bhi halk halk hair aaye h. What should I do for his gud hair growth. Tell me about diet nd hair care.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Doc my son is of one year nd two months. I am worried about his hair. 15 days before Maine usk hair clean karaya the ...
Hair growth take it own time. Halke halke hair in 15 days is quite normal. If there is no disease either of scalp or no deficiency in diet, hair shall be good. You can not change hair according to your liking.
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