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Dr. Vinod N Tibrewala

Pediatrician, Mumbai

1800 at clinic
Dr. Vinod N Tibrewala Pediatrician, Mumbai
1800 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vinod N Tibrewala
Dr. Vinod N Tibrewala is one of the best Pediatricians in Bombay Hospital, Mumbai. You can meet Dr. Vinod N Tibrewala personally at Dr.Vinod N Timberwala's Clinic in Bombay Hospital, Mumbai. Save your time and book an appointment online with Dr. Vinod N Tibrewala on Lybrate.com.

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Tips to Maintain Healthy Teeth

MDS, Certificate in implantology
Dentist, Delhi
Tips to Maintain Healthy Teeth

If chewing food and retaining a sparkling smile is not enough for you, avoiding toothaches and a visit to the dentist could be reason enough to maintain healthy teeth. Ignoring your tooth health can lead to many problems. Answer yourself the following question. Would you like your teeth inside your mouth or in a glass tumbler beside your bed at nighttime? 

If you opted for the former, then going through the following tips and advices will go a long way in helping you sustain healthy teeth. They are:

  1. Brush and floss twice a day: Brushing and flossing twice a day, on a regular basis will help you maintain healthy teeth and gums in the long run. The ideal time to brush your teeth is 20 minutes after a meal. Opting for a toothbrush with a small head and soft bristles gives you better access to even the deeper portions of your mouth, thus providing comprehensive cleansing to your teeth. Moreover, softer bristles are generous on your gums as well.
  2. Nutrition: Whatever you eat, either protects you or makes you more susceptible to diseases and disorders. This stands true for your oral health as well. As such, choosing the right foods early in your life is of vital importance. Foods such as cold drinks, cakes, candies and other such sugary substances facilitate the growth of germ and bacteria in your mouth, resulting in plaque and cavities. Choosing foods that are low in starch and sugar will reduce the development of germs and help eradicate cavities or plaque in the long run.
  3. Smoking: Even the pack of smoke that you buy endorses smoking is injurious to your general health. Smoking causes reduced flow of blood to the mouth, which resultantly leads to increased chances of periodontal disease and mouth cancer. Smoking, moreover causes a decline in the ability of the bones and tissues to revascularize (self-heal). All else apart, just stop smoking.
  4. Chewing gums: Chewing gums are highly beneficial especially after a meal. They not only increase the flow of saliva in your mouth, but also improves the flow of blood to your brain, thus enhancing your alertness by close to 10%. In addition, chewing gums help neutralize the acid in your mouth, thus helping you cleanse your mouth.
3912 people found this helpful

Hello, I am in big trouble please help me out. I am 29 weeks pregnant my weight is 43.00 my fetus weight is 1300gm I have just 2 month for having baby and I want a healthy baby and I want to be healthy I want to gain weight in just 2 month so which food or anything whatever I can eat gain weight fast and healthy please recommende me best thing for this.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hello, I am in big trouble please help me out.
I am 29 weeks pregnant my weight is 43.00
my fetus weight is 1300gm I ...
Please don't panic. Things are going to be fine. Be strong and be patient. Listen to the good advice given by doctors on diet. Its very imp at this stage to maintain your calm... be happy..be positive. Consult a dietician in your town if possible who can help you to have a better diet. Relax your mind. Stay away/dont listen yo negative people/relatives who would keep scaring you over all sorts of issues. Do breathing exercises daily. Eat healthy Be stress free.. everything will turn out fine.
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My 5 year old son is suffering from Enlarged Tonsil since last 1 year, please suggest for best medicine.

MD
Pediatrician, Secunderabad
Please visit a doctor. Preferably a pediatrician or ent surgeon. Tonsilitis treatment require a session and many things needs to be taken into consideration. Few tests and patients histort!
2 people found this helpful
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8 Ways to Tackle Colic Babies ....

BHMS
Homeopath, Bangalore
Colic is unexplained crying for longer than three hours a day, more than three days a week. Symptoms usually begin around 2 to 3 weeks of age, peak in intensity around 6 to 8 weeks of age, and begin to subside around 3 to 6 months of age. All babies have immature and sensitive digestive system. It takes time and space to mature. Overstimulated nervous system may be one of the causes.


Colicky babies frequently draw up their knees up to the stomach and cry out, as if in pain or bend their back in the shape of an arch, clenching wrists hard
Colic cry: Too much irritability, excessive crying which tends to peak towards the evening, painful cry that is difficult to console. They may wake up abruptly and start crying
Always BURP the baby after every feed for 5-10min. Put them on shoulder in such a way that tummy presses on your shoulder, with your help, give a massage in a circular motion on the baby’s back with intermittent pressure and pat from in an upwards fashion
Warm water against belly: Fill a bottle with lukewarm water and wrap it in a towel. Give a gentle massage with it on the belly
Gentle massage: During body massage at the time of bath, apply oil on the tummy, and give a clockwise massage 3 times around the abdomen. Once done, flex the hips and gently press against abdomen, to release any gas accumulated
Make them lie on tummy across your lap and gently apply pressure on their back. (Clockwise movements upwards and then pat upwards)
You could also make the baby lie on their tummy across your tummy, in such a way that the baby’s tummy presses on yours and gently massage on their back
Rocking soothes babies: Hug them close to your chest and your heartbeat. Try gently bouncing up and down in this position while hugging your baby close
Avoid cows milk: Cows milk can be given, once the baby completes 1 year
Swaddling
Offer pacifier or allow baby to suck on her finger by gently putting it in the baby’s mouth
Bottle fed baby has tendency to get colic: Initially dilute the feed and try to increase the amount slowly
Nursing mums should avoid over spicy food, coffee, alcohol etc. Also avoid irregular feed timings. Try to reduce egg and fish in the nursing mother’s diet. Check out your daily food and correlate with baby’s colic. Choose your diet accordingly
Six S’s to be thought off:
1) Swaddle
2) Shooshing loudly in baby’s ear (similar to sound of running water, working vacuum, etc.)
3) Side laying
4) Stomach across forearm or lap
5) Swinging or rocking baby
6) Sucking Pacifier

IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

SCOPE OF HOMOEOPATHY
Homoeopathy prescribes on symptoms in each individual case rather than on a general basis
Homoeopathy has excellent remedies for colic babies, which also helps in curing conditions such as assimilation and indigestion
It helps to improve the immature digestive system.
Totally free of side-effects
IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

For queries feel free to send me private message.
www.drjasnavaluelife.com

1 person found this helpful

Dear doctors, My baby is just started her 4th month. But past 15 days she always screaming loudly. And crying more. She already suffering in evening colic problem now morning also she always screaming loudly. I saw my paediatrician but he is not giving any medicines and he just saying it will like this only. I am unable to manage her alone in morning times as she always shouting. I am very very depressed and worried about my Little girl. Kindly advise if this is normal and it will cause any problem to her health.

M.D.( Pediatrics), DCH
Pediatrician,
Dear doctors,
My baby is just started her 4th month. But past 15 days she always screaming loudly. And crying more. S...
There are some babies difficult to manage, since no one knows exact etiology. But rest assured, if your child is growing well despite this issue, there is nothing wrong with the child. Just a passing phase, child will grow out of it. Talk with the child to give her assurance, though she will not understand the verbal communication, she will understand nonverbal communication, body language. Sometimes parental anxiety makes the things worse. If the parents, the base on which children rely, look anxious and panicked, children feel more insecure and cry a lot.
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How to Avoid Yellowing of Teeth

BDS
Dentist, Mumbai
How to Avoid Yellowing of Teeth

You look your best when you wear a smile on your face. Everyone prefers a smiling face over a frowned one. Since we are talking about smiles, one can never underestimate the role that teeth play in the beauty of a smile. Dental hygiene and care is mandatory if you wish to secure your beautiful smile for years to come.

However, the global statistics for dental care suggests that we do not care enough for our teeth. 60-90% of children who are in school and almost every adult suffer from dental cavities. Dental cavities are pretty common nowadays. And yellowing of teeth can now be seen in almost every other person. It spoils the smile and makes people conscious. By ensuring a few dental care habits in your daily routine lives, you can avoid yellow teeth.

Let us discuss the tips and tricks to avoid yellowing of teeth: 

  1. Say no to specific foods: Yellowing of teeth is caused by food choices including coffee, red wine, sodas, juices, sports drinks, white wine, coloured candies and other artificially coloured foods. It will help if these foods are consumed in less quantity and frequency as they are the major contributors towards discoloration of teeth.
  2. Water after every coloured drink: Here is a habit that you must inculcate in your routine, whenever you consume any of the above mentioned food items. Post every drink or food intake which can cause tooth-staining, top it up with a glass of water. When you swirl or gargle the water in your mouth, you remove the acids that get accumulated in your mouth. It is one of the simplest preventive measures one can implement to avoid tooth stains.
  3. Dental Hygiene: Our parents and dentists kept reminding us all the time to brush twice a day and gargle with water post every food intake but did we listen to them as kids? No we did not. Proper brushing, flossing and going for dental checkups at regular intervals are sure shot ways to keep your teeth healthy for majority of your lifetime. One must develop these habits quite early in life to gain benefits from it.
  4. Whiten those Yellow teeth:  You might be at that stage of your life where inculcating the above mentioned habits won't do much good. The damage might already have been done. Your teeth are probably yellowish already and you have a history of dental cavities. In this 21st century, there are ways to whiten your teeth artificially with the many alternatives available in the market. One can opt for a solution, which can be done at home itself or go for a laser whitening which is now possible at a dentist clinic. 

So there is still hope for those who are unable to share that smile with the world due to the yellowing of teeth. Nothing is irreparable here and the health of your teeth lies in your hand.

3292 people found this helpful

Sir, my 4 years daughter can't speak, she can hear properly but cannot speak, she speaks only 2-3 words like mammi, kaka. What should I do, I consult the doctors they said she will speak. But as long as time is moving I am getting very upset. Please suggest some solution.

MD - Paediatrics, MBBS
Pediatrician, Ghaziabad
Dear , you have mentioned that your daughter hears normally. If so, she will eventually speak normally. Still, as v consider 3 yrs to b the age for normal speech, I wud advice getting her hearing tested, called audiometry, by a ent surgeon.
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I have chronic digestive problem both constipation and diarrhoea due to stress. I am not able to cope up any type of stress, I am unable to sleep well, I am underweight, everybody tease me. I have got lots of hair on mouth, hand, legs, chest. I am mentally disturbed. I am curious to studies but unable to concentrate.

MBBS, MD
Pediatrician, Gurgaon
I have chronic digestive problem both constipation and diarrhoea due to stress. I am not able to cope up any type of ...
All these problems are related to market cooked food. Try to eat healthy home made food with lot of vegis. Weight is slightly low, need not to worry. All problems will subside by simple. Change.
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Benefits of Preventive Dental Treatments in Children

MDS - Pediatric and Preventive Dentistry, BDS
Dentist, Hyderabad
Benefits of Preventive Dental Treatments in Children

The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

  • Maternal care during pregnancy: The teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.
  • Routine oral hygiene: For the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin. Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.
  • Fluoride application: Fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.
  • Pit and fissure sealants: The tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.
  • Space maintainers: In the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.
  • Orthodontic treatment: If there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time! If you wish to discuss about any specific problem, you can consult a dentist and ask a free question.

3452 people found this helpful

My child is 4 and half years old girl. She is very thin. How to increase her weight and height?

C.S.C, D.C.H, M.B.B.S
General Physician,
We cannot increase height as it is genetic nature and for weight you have to tell her weight to assess her condition. ANyway you need to check her TSH to make sure she does not have hypothyroidism which is a reason for lack of weight gain
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Hello doctor my brother age is 10 years old. He is really aggressive and hyper child. He is good in studies but he get hyper very fast and start beating or throwing thing to other. He always play games on tv and moreover he always used to fight in school. Nowdays I am really fedup with his behavior. Every teacher complain about him. Please suggest me how to tackle him and how to counsel him.

Masters in counseling psychology, Counseling psychologist, Rational Emotive Behavioral Therapist
Psychologist, Mumbai
He may be emotionally disturbed due to some reason, or may be going through some other problem, emotional or developmental. Please consult a professional as he needs to be evaluated properly.
4 people found this helpful
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My baby is suffering from loose motion from 2-3 days. She is doing 5-6 times in a day. What is the remedy (if there's home remedy)?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is suffering from loose motion from 2-3 days. She is doing 5-6 times in a day. What is the remedy (if there's...
If she is passing normal stool 5-6 times in a day it is not abnormal. Your query requires more information if stool is not normal. In the mean time you may give some probiotic and stop antibiotic if she is taking and consult pediatrician.
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My daughter age is 5years and 5month she look bulky and her weight is 32 kg, please advice me what should I do?

M.Ch - Paediatric Surgery, MBA (Healthcare)
Pediatrician, Gurgaon
My daughter age is 5years and 5month she look bulky and her weight is 32 kg, please advice me what should I do?
If there is no other problem, try to modulate her diet. Increase protein an roughage in her diet. She should take less of fat and carbohydrates. Give her more of vegetables except potato, and salad. Pulses should also form important ingredient of her diet.
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10 Signs You Must Not Ignore in Your Child - See a Neurologist Now!

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
10 Signs You Must Not Ignore in Your Child - See a Neurologist Now!
10 Signs your child needs to see a paediatric neurologist immediately

Your child needs complete care whether it is emotional, psychological or physical. A thorough evaluation of your child’s body and mind is vital at nascent stages. Especially if you observed any complaints by your little one that may require medical help, such as:

1. Frequent headaches
Much like adults, children too can experience headaches that last from 30 minutes to 3 hours. A range of primary or secondary headaches like, migraine, meningitis, sinusitis or tension may affect children due to neurological issues.

2. Blurry vision
If you observe either a vision developmental delay or near-sightedness and farsightedness in your child, it might be related to neurological issues.

3. Slurred Speech
If your child is 7-8 months and is not responding to sounds or cannot babble non-sense words, it calls for a neurological check-up.

4. Motor and Co-ordination Delay
Sometimes babies are unable to perform motor skill activities like crawling, walking or using fingers to grip or hold, such delay requires attention of the parent.

5. Fatigue
Check if your kid has become lazy and decreased his physical activities due to fatigue and tiredness suddenly of late.

6. Abnormal Movements
Common involuntary movements or tics like eye blinking, twitching of nose, grimacing or making sounds is in some cases overlooked. Tourette syndrome is an example of such a tic, which has been evaluated as a neurological issue.

7. Tremors or Seizures
Children are prone to febrile seizures (fits) or tremors along with fever that occur between 6 months and 5 years. These are signs of neurological issues that require an immediate check-up.

8. Numbness in Limbs
Neurological complications in your child’s infancy may also cause joint pain and numbness of arms and legs.

9. Behavioural disorders
A change in behaviour or attitude in your child is noticed if he/she is suffering from attention-deficit/hyperactivity disorder, school problems, sleep issues, intellectual disability or other neural conditions.

10. Weakness
This symptom is tricky in children, as it may be confused with general tiredness by your human eye. It may be unheard of but many children face trouble in performing easy tasks. A neurological exam may identify the source for treatments.

An underlying problem to the nervous system can cause harm or impairment in the normal growth and development of your kid. Early diagnosis helps in correct care, recovery and prevention of long-term problems. You can opt for a routine neurological examination if you find such symptoms in your child. These exams check the functioning of your child’s brain, spinal cord, nerves that come from the brain and spinal cord and offers accurate diagnosis.

Get your child the best treatment and care to rule out neurological issues!

3848 people found this helpful

Appendicitis in Children

MD - Paediatrics, MBBS
Pediatrician, Delhi
Appendicitis in Children

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.

  1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
  2. Fever, nausea, and vomiting
  3. Abdominal fullness or bloating
  4. Elevated white blood count (as with most infections)

Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.

Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

4859 people found this helpful

My daughter is 6 months old and she has problem of nose block from so many days. We are giving her saline nasal drops 6-7 times a day. Are Saline nasal drops are safe? And how to do permanent cure of this problem?

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 6 months old and she has problem of nose block from so many days. We are giving her saline nasal drops...
Saline drops are safe and may not give consistent with block. He has allergic nasal block and may need other nasal drops like Otrivin.
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My baby 9 months, she is weighing 7.5kg but height is 60cm only. How to increase her height and what we feed her?

MBBS, MD-Pediatrics
Pediatrician, Faridabad
My baby 9 months, she is weighing 7.5kg but height is 60cm only. How to increase her height and what we feed her?
Wat was her ht at birth. You can feed hrr semisolid like porridge, dal, vegetable soups, fruits, suji etc.
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My 5 months old baby has green color underneath eye? Is it vein or something else.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My 5 months old baby has green color underneath eye? Is it vein or something else.
This green patch is due to resolving hematoma underneath the skin. This will go away in 10 days of its own, no medicines required.
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Good morning. My daughter is 6 years old and in first standard, she has problem of frequently urine (20 to 25) per day. What should we do?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Good morning. My daughter is 6 years old and in first standard, she has problem of frequently urine (20 to 25) per da...
Your daughter needs proper examination before starting any treatment. She may be suffering from urine infection or over active bladder.
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