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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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My kid baby boy age is 13 months but his weight is just 8 kg and the boy is very active. Please help me.
I have a grand child who is a 2 years of age. He has developed the habit of eating ground soil. He does not eat regular food. In spite of his mother tries a lot. Ultimately she uses to fed him forcefully become very resolute and stubborn. This behaviour disturbs us as how to up bring him nicely and how to divulge his attention from eating raw soil.
My son has a problem that he doesn't like to eat home made food. He has no interest in eating any sort of home made food. He sits for long long hours hungry without eating anything. please help me wat should I do? Should I give him any tonic?
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Hi, my daughter aged 6.5 years is suffering from muscle spasm in her neck. She is not able to move her neck right. What medicine should I administer her.
After multiple patients have asked us about the authenticity of oil pulling as a technique, here's what we have to say:
There is no denying all of us wait for a miracle cure to that terrible disease called dental decay. Much of a dentists or a dental hygienists time goes into answering the question,
why do cavities happen? or how do I prevent cavities?
While people usually assume the answer is brushing and flossing there are some lesser known ancient techniques and some ultramodern gadgets that have contributed to our arsenal of options to keep your mouth healthy.
Oil pulling being one of them has been in the limelight of late.
What is oil pulling?
This oral therapy is a type of ayurvedic medicine that dates back 3, 000 years. It involves swishing approximately 1 tablespoon of oil typically coconut, sesame, or sunflower oil in semisolid form (as shown in the pic) in your mouth for about 20 minutes and then spitting it out.
Start with just 5 minutes a day. Twenty minutes of swishing is a long time, and while the longer you pull, the more bacteria you'll remove, 5 or 10 minutes will still offer some benefit.
A gentle swishing, pushing, and sucking the oil through the teeth is all that's required
Don't swallow. if you find it hard not to, you likely have too much oil in your mouth, spit it out and try again with a smaller amount. just discard the used oil into the nearest cup or trash can.
Why oil pulling? how does it work?
Recent studies show that oil pulling helps against gingivitis, plaque, and microorganisms that cause bad breath.
How? most microorganisms inhabiting the mouth consist of a single cell, cells are covered with a lipid, or fatty, membrane, which is the cell's skin. When these cells come into contact with oil, a fat, they naturally adhere to each other.
Use coconut oil. While you can get the same bacteria-fighting benefits with sesame or sunflower oil, coconut oil has the added benefit of lauric acid, which is well-known for its anti-microbial agents. Also, a recent study found that coconut oil may help prevent tooth decay.
coconut and sunflower oil aren't the only oils with dental health benefits. For irritated, inflamed gums, rub a little vitamin e oil directly on the surface. It's rich in antioxidants, easily absorbed, and helps regenerate healthy gum tissue.
Whitening teeth by keeping clean and smooth surfaces that do not lodge food.
Eliminates bad breath
Preventing gum infections caused by harmful bacteria in the mouth
It doesn't reverse the effects of tooth decay, but it's a great supplemental therapy to reduce the bacterial count in the mouth thereby decreasing the likelihood of decay and other dental and systemic diseases.
The only disclaimer we would want to put in is
Do not ingest or swallow the oil in all your enthusiasm and,
Don't skip brushing and flossing. Oil pulling should never replace routine dental visits and traditional home oral care.
While oil pulling can't change your life or make you never need to go to a dentist again -try it for yourself, if it reduces your chances of decay and maybe even helps you ace your next dental visit with no new cavities.
We say thumbs up! pull away!
Please try this safe and natural practice and let us know how you find it in the comments section.
As in the case of most infections, the occurrence of tonsillitis is more common in children due to relatively lower immunity and habits that invite infections. Let's take a look at the first line of defence when you have a cranky child with swollen tonsils.
1. Make your child gargle with salty warm water: This treatment is most helpful in any infection in the mouth. Add half teaspoonful of salt to a glass of warm water and make the child gargle with the mixture as many times in the day as possible (to a maximum of 5 times). Continue till the condition prevails.
Make sure the child spits out the water and not drinks it.
2. Antibiotics: Consult the ent specialist and have the antibiotics if it is a bacterial cause as per the doctor. Take the alternative treatment prescribed in case of other causes. The entire course of medication should be completed even if the kid gets better sooner to eliminate all traces of bacteria.
3. Painkiller/numbing lozenges: Painkillers that are prescribed by the doctor can be given to ease the pain. Same is the case with lozenges but care should be taken that he/she should not have too many of these.
4. Allow him/her to take rest: It does help in a betterment of the condition!
5. Give warm (not hot) soothing food: Soup, ginger honey mixture, ginger tea can help soothe the inflamed tonsils in most cases. The condition, more often than not, gets better within 7-10 days.