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Dr. Sailesh Phati

Pediatrician, Mumbai

Dr. Sailesh Phati Pediatrician, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sailesh Phati
Dr. Sailesh Phati is a trusted Pediatrician in Andheri East, Mumbai. You can visit him at Seven Hills Hospital in Andheri East, Mumbai. Book an appointment online with Dr. Sailesh Phati 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 31 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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English
Hindi

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C/O Seven Hills Hospital, Near Marol Bus Depot, Marol Maroshi Road, Andheri East, MumbaiMumbai Get Directions
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My 13 month baby have fever, cold, vomiting and loose motion ,Please suggest what I do?

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
My 13 month baby have fever, cold, vomiting and loose motion ,Please suggest what I do?
Give your baby an antipyretic crocin, ors, ondem and anti allergic. If fever persists you should take your baby to a child specialist.
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Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Consultant Dyslexia, Autism & Child Psychologist. Consultant Clinical & Mental Health Psychologist., Post Masters Doc in Behavioural Medicine , Post Masters Doc Psychology
Psychologist, Noida
Attention Deficit Hyperactivity Disorder (ADHD) - A Guide!

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD. 

Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan. 

The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.

I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential. 

Symptoms in children and teenagers 

The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:

  1. Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks 

  2. Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger 

These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline. 

Related conditions in children and teenagers 

Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as: 

  • anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness 

  • oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers 

  • conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals 

  • depression 

  • sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns 

  • autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour 

  • epilepsy – a condition that affects the brain and causes repeated fits or seizures 

  • Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics 

  • learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD. 

ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms. 

Some specialists have suggested the following list of symptoms associated with ADHD in adults: 

  • carelessness and lack of attention to detail 

  • continually starting new tasks before finishing old ones 

  • poor organisational skills 

  • inability to focus or prioritise 

  • continually losing or misplacing things 

  • forgetfulness 

  • restlessness and edginess 

  • difficulty keeping quiet and speaking out of turn 

  • blurting out responses and often interrupting others 

  • mood swings, irritability and a quick temper 

  • inability to deal with stress 

  • extreme impatience 

  • taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously 

Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include: 

  • personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others 

  • bipolar disorder – a condition that affects your moods, which can swing from one extreme to another 

  • obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour 

The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.

2573 people found this helpful

My daughter is 2 and half year old, she eat very less her weight is only 11 kg, what can we do so that she eat something. She not even takes medicine if we try to give medicine she do the vomiting.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Bangalore
My daughter is 2 and half year old, she eat very less her weight is only 11 kg, what can we do so that she eat someth...
Dear lybrate-user, do nothing, no medicines to make her eat necessary. Its normal. Don't force her to eat but encourage her, giving what she likes.
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My son is 12 years and weighs about 74 kgs and height of 157 cms recently I find a little breast formation in him is it because of his weight or puberty I am really worried. Please solve and suggest something.

MD - Paediatrics, MBBS
Pediatrician, Hyderabad
Gynaecomastia can be physiological. Your child needs help with diet and exercise to correct his obesity.
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Till what age does a child develops speech and what exercise can be done to correct speech disorders specially to say f s v r.

C.S.C, D.C.H, M.B.B.S
General Physician,
Till what age does a child develops speech and what exercise can be done to correct speech disorders specially to say...
A child starts one word by one year and we can help speech by giving support and making her utter each word clearly
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My daughter is 4 months 20 days old and she has been having cough for 3 days. Please suggest.

CCPH, BHMS
Homeopath, Bhilai
My daughter is 4 months 20 days old and she has been having cough for 3 days.
Please suggest.
Take some ajvain roast it over pan n make its mixture add saunt, ginger n honey gave one spoon every two hrs.
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I am facing less energy problem. Having 10 month baby. Too hectic schedule with less sleep. Please suggest how to energies with food, exercise etc.

MBBS
General Physician, Mumbai
I am facing less energy problem. Having 10 month baby. Too hectic schedule with less sleep. Please suggest how to ene...
To increase your energy and Heamoglobin value apart from medication eat green vegetables, jaggery, carrots , beet etc
2 people found this helpful
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I am 12 years girl have eczema in my foot from last 7/8 months Initially it was small spot give pain spots are in damage condition some skins brost below my foot.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
there are many ayurvedic medicines for this purpose like ras manikya ras...gandhak rasayan....panchnimbadi churna....panchtikta ghrit guggul...arogya vardhini vati...khadirarishta....marichyadi oil...pranacharya B clean syrup..take these medicines by consulting with a good ayurvedic doctor..,but you have to strictly follow diet...and regularly take medicines for 6 months...
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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

My son is 4 days old and is suffering from jaundice please help with some advice and do's and don'ts.

MD - Paediatrics
Pediatrician, Aurangabad
Most of children 5-6 days do get jaundice, it does not need any treatment unless his serum bilirubin is abnormal.
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Can polio drops be given to a child of 1.5 years who is recently have surgery for tof?

MD - Paediatrics
Pediatrician, Ranchi
Yeah sure. There is no relation between the surgical repair of tetralogy of fallot and polio vaccination. In fact any vaccination can be done.
1 person found this helpful
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My baby girl is now two years old. When she was born her tummy had a bit bulging umbilical cord which led doctor suspicious about Hernia which was ruled out after testing at birth level. However her stomach after two years has the same problem that her umbilical cord area is still outside and not inside. Please help me to know that is this worrisome and Shud I consult to any pediatrician or child specialist or should I ignore it?

DHMS (Hons.)
Homeopath, Patna
My baby girl is now two years old. When she was born her tummy had a bit bulging umbilical cord which led doctor susp...
Hello, Lybrate user, It's a normal appearance in an infant which will be set right in during course of time of 3/4 months. It can very well be treated in homoeopathy, if remains unset. You need to send an image of umbilical cord of your child to begin medication to get it set right. Tk care.
2 people found this helpful
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My daughter is 2 months old and I give her vitamin drops dhup daily and incidentally it fell on her eye. I immediately rinse off it with water and then put breast milk in her eye what should I do further for the same.

BHMS
Homeopath, Faridabad
My daughter is 2 months old and I give her vitamin drops dhup daily and incidentally it fell on her eye. I immediatel...
Hi, Don't get panic, what you did was right, nothing further is to be done as it was only vitamin drops. But keep a check on her eye. Revert, in case any further help is needed.
1 person found this helpful
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Meri bacchi 2.5 month Ki hai. Aur wo cow milk piti hai. Aur wo bahut dubli hai. please uske Health aur achi dikhe to please suggest tonic.

DHMS (Hons.)
Homeopath, Patna
Meri bacchi 2.5 month Ki hai. Aur wo cow milk piti hai. Aur wo bahut dubli hai. please uske Health aur achi dikhe to ...
Hello, Lybrate user, give Homoeo medicine:@ Five phosphate 3x 1 tab thrice with lukewarm milk. You need to be healthy to keep your baby fit, please. Tk. Care.
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B.D.S
Dentist, Gurgaon

My son 3.3 years old but he is not able to speak clearly. He can say mamma, Papa but not any other word. Kindly suggest me.

MRCT, Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Check his hearing-if that is ok expose him to other kids of his age and then speech will automatically develop-sometimes nature has its own ways he will start talking soon -may b sentences with 2-3 words together first and then long sentences.
3 people found this helpful
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1) Is is alright n Safe to use diapers (pampers n mammies) for children especially boys. Is there any side effect. 2) Is pretty water purifier upto standard as per water purification is concerned. If yes which one you recommend. One that runs on electricity or the one where manually water is made to enter. 3) My Baby is now 09 months old. So which foods or fruits I should provide to him.

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
1) Is is alright n Safe to use diapers (pampers n mammies) for children especially boys. Is there any side effect.
2)...
hello sir...accordng to me...diapers r not good for longer use...may be u can hav it for maximum 1 hr..that too in unavoidable situations... for a 9mths baby..u can introduce all the veggies n fruits especially carrots, potato, apples in boiled forms..
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Sir, my son is 3 years old, male, weight 15 KGS, height 3 ft. Giving him only normal food, and drinks pediasure. Pls doctor suggest some drinks and healthy food for his brain development. Someone said infantgrow A+ is very good for brain development. Pls help.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
Your child is perfectly heathy for his age. There is no need to give commercial food or drink but freshly prepared home made cereals. Never ever go by tall claims of these baby food manufacturers. They are expensive and never ever better than home made preparation tailored to need test texture of food. Best wishes.
2 people found this helpful
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