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Dr. Prasanna Balrugnalay

MD - Paediatrics

Pediatrician, Nashik

26 Years Experience  ·  200 at clinic
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Dr. Prasanna Balrugnalay MD - Paediatrics Pediatrician, Nashik
26 Years Experience  ·  200 at clinic
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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. Prasanna Balrugnalay
Dr. Prasanna Balrugnalay is an experienced Pediatrician in Sharanpur, Nashik. He has helped numerous patients in his 26 years of experience as a Pediatrician. He has completed MD - Paediatrics . You can visit him at Prasanna Balrugnalay & Research Center in Sharanpur, Nashik. Book an appointment online with Dr. Prasanna Balrugnalay on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 37 years of experience on Lybrate.com. You can find Pediatricians online in Nashik and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD - Paediatrics - B.J. Medical college Pune - 1992
Languages spoken
English
Hindi

Location

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Prasanna Balrugnalay & Research Center

3rd Floor, Rajvi Enclave, New Pandit Colony, Sharanpur Road Nashik Get Directions
200 at clinic
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I am 15 year old male boy I am suffering from asthma from birth how to cure due to tablets I have become fat what is the cure.

DAA, DNB
Pulmonologist, Bangalore
Hi. I understand your concerns. You will need to undergo a detailed examination and pulmonary function test which is needed for diagnosis and also to assess severity of asthma based on which treatemnt can be started. Asthma is chronic and a common problem causing symptoms. Unfortunately it can not be cured but can definitely be controlled so that you can lead a symptom free life. Consult a pulmonologist for the same. Hope your questions were answered. Thanks.
1 person found this helpful
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My son age is 10 years suffering from cough and close nose from two days any medicine for him? Please advise.

MD - Paediatrics
Pediatrician, Jamnagar
My son age is 10 years suffering from cough and close nose from two days any medicine for him? Please advise.
If the child is playful, wait for two days. Consult a pediatrician if the child is dull or not improving.
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My son frequently fall sick. He is four years old. What additional food supplement I can give him?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Immune system is not well developed before 5 years. Give whatever foods you prepare at home with good amount of protein s like egg. Nuts etc. You must check for anemia as it may be a cause fo recurrent ill health.
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Bedwetting - 7 Possible Reasons Behind It

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2855 people found this helpful

How to make health without junkfood and how to control our heartbeat which is beat faster whenever I have fear in mind.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Aurangabad
How to make health without junkfood and how to control our heartbeat which is beat faster whenever I have fear in mind.
Eat lot of protein containing food. Per day requirement is 1.2 gm of protein for you. Don't eat junk foods. Eat 20% protein, 25 % fats and remaining carbohydrates. Less sugar. For heart beats meditation and relaxing breathing tecniques.
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My son is two years and seven months old. He is having stomach infection from last three days. Stool is very loose and fever is coming again n again. For loose motion I gave azee, econorm sachet, ors. It seems to be fine now. He has not pooped since yesterday but fever is coming again and again, though I am giving him dolo250 for fever. Until yesterday, fever did not crossed 100 but today it crossed 101. Kindly advise.

MBBS
General Physician, Kolkata
My son is two years and seven months old. He is having stomach infection from last three days. Stool is very loose an...
I got your message through LYBRATE. Your son's fever may be caused by viral infection. Give him adequate fluids, and Paracetamol. If the fever persists, tests for enteric fever, other viral infection should be done, and advice taken.
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My kid is of 2 year 2 months .he is suffering from cold, running nose and fever for last two days. We are using p 125 for fever and levocet for cold. Body temperature reaches 101f sometimes. Is there any need to use antibiotic? And how many days should I wait to use antibiotic?

MBBS, MD - Paediatrics
Pediatrician, Pune
My kid is of 2 year 2 months .he is suffering from cold, running nose and fever for last two days. We are using p 125...
You should wait for two days. But if fever frequency and intensity decreases on day 2. You can still wait. Best would be, get a haemogram done. If total leucocyte count is more than 11 thousand you can start antibiotics. Also get his throat examined. If tonsills enlarged with congestion of throat and fever is persistent for 2 days start antibiotics.
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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