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Dr. Sonal Sai

Pediatrician, Mumbai

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Dr. Sonal Sai Pediatrician, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sonal Sai
Dr. Sonal Sai is an experienced Pediatrician in Mumbai, Mumbai. She is currently practising at Chandra Prabha Swamy Medical Center in Mumbai, Mumbai. Book an appointment online with Dr. Sonal Sai 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 38 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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Chandra Prabha Swamy Medical Center

42/44, Kika Street, 2ndnd Floor,room No. 122, Landmark: No 210,Raja Ram Mohan mark, MumbaiMumbai Get Directions
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My one and half year baby got cold and cough since 4 days, I gave ambrodil syrup, laveta M, but it is not reduced, please tell me some medicine.

BHMS
Homeopath, Panchkula
My one and half year baby got cold and cough since 4 days, I gave ambrodil syrup, laveta M, but it is not reduced, pl...
Babies have tendency towards frequent cold n cough; esp this season when there is temperature variation, there is tendency to catch cold and cough. Constitutional Homoeopathic remedy will really help to cure this. Medicines like calcarea, natrum, kali , silicea
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My baby boy is going to be 6 months this 29 he' s on bf plus morning & night nan pro 1 please advice a schedule to start semi solids in how much quantity and gap if days or should I continue nan pro 2 or start packet milk

Pediatrician, Pune
Continue with breast feeds till at least 1 year of age, avoid giving top milk, powders, natural home made food is the best for baby, to start with you can introduce rice water, light liquid moong dal, gradually increasing the quantity and increasing the consistency of dal and rice, you can additionally add boiled vegetable after 15 days /1month in dal and rice, subsequently with mashed fruits, banana, chikko, papaya, - see that when you introduce any new food there is a gap of 15 day to 1 month, happy parenting.
2 people found this helpful
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BPTh/BPT
Physiotherapist,
Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.
1 person found this helpful

My daughter is 12 years old, got matured in the month of jan 2015. There were few blood drops, later never bleeding happened yet. Please let me know what should be the precautionary measures to be taken to keep her in good health

Pediatrician, Pune
Educate and talk with her about the normal physiology, no better teacher than the mother herself, she may be anxious apprehensive of her changing physiological pattern, make her comfortable - explaining what is normal, ensure adequate hygiene and good nutrition, healthy living.
1 person found this helpful
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I HV delivered a preterm baby of 1.900 gm. My delivery date was 28 July BT due to water discharge baby was delivered on 23 June. Baby was kept in ICU 4 13 days bcz he suffered from jaundice n pneumonia. Now d baby is OK BT he does potty around 8to 9 times a day, generally after feeding. I am worried. Is some problem there? Do I need to consult a doctor?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I HV delivered a preterm baby of 1.900 gm. My delivery date was 28 July BT due to water discharge baby was delivered ...
Since baby is ok but passing stool 8 to 9 times that too after feed is not abnormal if gaining weight properly. It is due to gastrocolic reflex. Your baby is still short of expected date of delivery by 9 days. If he is being fed properly, he must be weighing about 2700 gm now if his birth wt was about 2200 gm. So need not to worry otherwise consult doctor.
2 people found this helpful
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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.

1 person found this helpful

Delivery done for my wife 5 days before. But breast milk was not producing adequately. So insufficient diet for baby. can milk formation be done by some food? Any other diet can be given?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Milk supply is dependent on stimulation by the baby provides while feeding. More you breastfeed your baby, more milk will be produced. Try to feed your baby more often if your milk supply is less. Pumping your breasts after feeding also can stimulate more milk production. Two main causes of less breastmilk supply is poor latch or scheduled feeding. Baby should not nipple feed, rather should breastfeed. Baby should have wide open mouth and the nipple should go towards back of the mouth. There are certain medicines which can increase quantity of milk. If your child is sleeping well and active with your milk then milk is adequate for the baby. A substance that increases milk supply is called a galactagogue. Some of the most commonly used herbal galactagogues are fenugreek, blessed thistle, and alfalfa. There are also several prescription medications that can increase milk supply. Domperidone and metoclopramide increase the production of prolactin and thereby breast milk also. Shatavari powder is an ayurvedic preparation that can increase milk production.
1 person found this helpful
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