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Dr. Anjali Otiv

Pediatrician, Navi Mumbai

Dr. Anjali Otiv Pediatrician, Navi 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. Anjali Otiv
Dr. Anjali Otiv is one of the best Pediatricians in Sanpada, Navi Mumbai. You can visit her at Suasti Family Medical Centre in Sanpada, Navi Mumbai. Save your time and book an appointment online with Dr. Anjali Otiv on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. Find the best Pediatricians online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Suasti Family Medical Centre

# 19, Ground Floor, Bhoomi Paradise, Sector 11, Sanpada, Landmark: Near Millenium Towers & Near Juinagar Station, Navi MumbaiNavi Mumbai Get Directions
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Terna Sahyadri Speciality Hospital & Research Centre

Plot No.12, Sector 22, Phase-2, Landmark : Opposite Nerul Railway Station, Navi MumbaiNavi Mumbai Get Directions
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Adolescent Behavior

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Adolescent Behavior

Upon reaching adolescence, children's bodies undergo several changes and so do their minds. It is then that their minds are most, as well as least impressionable. And the daunting question regarding the upbringing of an adolescent is how to treat their constantly changing behavior?

Here are some of the tantrums adolescents more commonly throw, and what should ideally be your approach to it:

  1. Your child seems to hate you: It is very common for a phase of emotional exclusionism to prevail between 16-17 years of age approximately. And the worst thing you could do is heighten that emotion by returning the hatred. Make sure you're firm against any extremely unacceptable behavior, but at the same time, show them that you're there for them no matter what.
  2. Electronic devices become the center of their attention: Whenever you want to have an earnest conversation with your children, their attention seems to be drawn solely to their phones and computers. They feel the need to be connected to their friends and all times. Ways to monitor that are by setting limit to the maximum hours spent on devices or making them pay their own bills, which will make them more responsible rather than splurging unnecessarily. Also, if your child is not entirely secluded from the family, it is probably best not to interfere all the time.
  3. Ignoring the curfew: Your kids often stay out later than the set limit. But it is quite possible that your curfew is unreasonable when compared to other parents' curfew. Find out what the average time limit is; it may prevent your child from bearing a grudge against you. In case they still fail to respect your curfew, make sure you spill out to them what the consequences can be, like being grounded for a week. However, in certain cases, your child may be spending time doing nothing constructive, but away from home. There may be something else going on, find out what that is.
  4. Being friends with the wrong people: Sometimes it might happen that you think some children do not have a good influence on your child, but you cannot say that directly because adolescents tend to get very defensive about their choice of friends. Unless the adolescent is doing something harmful with the friend, like using drugs, let him exercise his choice. Otherwise, don't hesitate from seeking professional help to counsel your child.
  5. Being over-dramatic: Every emotion is heightened in your child and you cannot tell them that what they are whining or being overjoyed about are trivial, because that's their prime focus then. Let them realize on their own how irrational they sound or else you may risk spoiling your relation with them.
3660 people found this helpful

My daughter's age is 3 years 8 months. Yesterday I have checked my daughter's E.S.R. (Westergreen) (1 hour) in pathology center. After testing the result is 35 mm where the range is (0-20 mm). It is over the range. She is suffering fever with cough in more or less one month later. She is playing with water every time. If we forbid her she doesn't care. Is there any problem for E.S.R. Unit 35 mm/per hour? Please give solution.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Bangalore
the season is changing and in this season viral infection or bacterial infection is very common. ESR is significant for any kind of infection or inflammation in the body. a proper history and diagnosis can help find out the cause of increased ESR. Do let me know if you need my assistance and we can work towards solving your problem
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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

I have a baby boy of 9 months he gas fever from last 2 days blood report wbc 17500 c-reactive protein 130.91.

Pediatrician, Pune
Get him evaluated by you pediatrician look for the source of infection, continue antibiotics prescribed.
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Sir mujhe bar bar balgham ata hai mere bhal(hair) gir rhe hai ganja pan bhi aa gya hai mera weight bhi bhut kam hai like 6 feet height hai mere or 59 kg weight hai mera so sir please help me what to do around 20000 thousand spend kr chuka hu doctors pr sari saving khtm ho gyi and no result.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
What is your age.what test have you got. You maybe having ch rhinisinusitis or GERD. Take telekast f one tab/day before breakfast.If wt consisitant for some time then not to worry. For baldness reduce stress and take some antioxidant.Can consult dermatologist for baldness.
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I have a daughter, 7 month old, please give some information for her health tips.

Pediatrician, Pune
Continue breast feeding till at least 1 year of age, start weaning foods, rice water, dal, smashed boiled vegetables, fruits - chikkoo, papaya, bananna, spend more, spend time with the baby, keep her happy,
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I feel my daughter who is 5. 8 years old a little depressed abt school going. . She is moody always. Finds silly reasons to avoid school .she says the teacher luks like a bear because she has a big mouth etc. She has become rude in class etc. She tells her teacher embarrasses her n speaks loudly to her n her co students From past 15 days age has not eaten properly nor she is happy. . She looks stressed. Frequency of stomach ache. . Mouth ulcers have become a problem to her now. Kindly tel me how to react and convince her. She even has a little brother. She likes him a lot but due to school issue she does not seem interested in him also. . Help.

Doctor of Medicine - Pediatrics
Pediatrician, Agra
Looks like your child is having adjustment problem in the school kamli and lovingly ask your child about the real problem also talked to the teacher looks like your child is having adjustment problem in the school. Calmly and lovingly ask your child about the real problem, also talk to the teacher and child's friend about the exact issues the child is facing. Don't bother the child much about the studies and let her relax.
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My child is 3 years and 2 months old and he is stutter for some times.This is continuing for past 3 months.Why he is like is this and whether he need any speech therapy or any other practice he is feeling shy for this and what is the resolution for this?

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Since you say that the problem is for 3 months, I assume he was normal before that. This is not good sign. There may be many causes. Psychological factor may be at play. Need more information about the time the problem started.
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My 2 year son dosnt give attention even he do not play with his sister and he always climbing up on bed on table, his hearing is good eyes are perfact but he dosnt eye contact with us doctor suggest us to mri but his mri reports is normal tell us.

Pediatrician, Pune
Just spend time with your child, things should be fine in due course of time if he is otherwise ok, investigations are normal.
2 people found this helpful
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How Best to Treat Scabies with Homeopathy

BHMS
Homeopath, Agra
How Best to Treat Scabies with Homeopathy

Scabies is a highly infectious disease, which is caused by very tiny wingless insects called the Human itch mite or scabies mite. The insect lays 1 to 3 eggs daily after burrowing into the skin. A small, almost invisible blister is formed on the area. You might also feel an urge to itch especially at night, which would likely cause a red rash to form on the scratched area. Sides of fingers, in between the fingers, the back of your hands, the wrists, elbow, and armpits are the common areas where scabies affect. It is generally spread when you come in close contact to any infected person or their belongings. Scabies can occur at any age, but is most common among children.

Treating scabies with homeopathy:

Homeopathy, due to its safe and natural medicines are the best alternative in treating scabies. It attacks the infection at the roots and does not let it reappear. Here given below are some of the best homeopathic remedies:

  1. Sulphur: If you are suffering from a recurrent or suppressed form of scabies, Sulphur is one of the best remedy for you. You might feel an intense urge to scratch the area, which worsens with when washed and exposed to heat. Your skin might be extremely sensitive to air, wind as well as washing.
  2. Causticum: If you have scabies in the folds of the skin and between the thighs, causticum works well for you. Intense itching, scratching and soreness are some of the symptoms you experience.
  3. Arsenic Album: The infection occurs in the bend of your knees and it could be dry as well as full of small pustules. You may experience itching and a burning sensation around the area. Application of cold water may also make you feel better. These symptoms are well treated with Arsenic Album.
  4. Sepia: It is one of the best homeopathic remedy if you have scabies, and scratching the area as much as it feels, would not give you any kind of relief. Your skin might turn pinkish and the condition worsens when exposed to open air. You may also feel better in a warm room.
  5. Psorinum: You can opt for this medicine if you have any past history of scabies. If your infection has not been properly cured, it can result into internal infection e.g., asthma, heart ailments etc. You might not want to stop itching until your skin starts bleeding. You may feel better if you lie down for some time.
6250 people found this helpful

My baby has completed six month. Please advice diet plan for him. N also how much quantity should be given initially.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby has completed six month. Please advice diet plan for him. N also how much quantity should be given initially.
After six months of age, babies need complementary foods apart from breastmilk. Ideally, complementary foods must be fresh, home cooked foods with a thick, soft consistency.
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My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is increasing. He removes my hand when I try with johnson bud during sleeping. please suggest what should I try to solve this issue.

MD - Paediatrics, MRCPCH
Pediatrician, Bangalore
My baby is two and half years old. I am using ceruklin in his ear to remove the waste. But not succeeded. It is incre...
Never use ear buds, you may damage his ears While bathing cover his ears with cotton and the remove That is all required.
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I am a 23 year old lady, I used to feed my baby and its been 14months for I am feeding her now when I stopped feeding her my left breast which my daughter used to suck more became as hard as rock, I could feel the hardness and due to milk filled in it got enlarged. I kept on controlling my pain for 2days. But then it was unbearable so somebody told me to pour out some milk out of it, so I pressed it hardly and poured out a lot of milk. I found my pain lesser and felt light but my left breast has become larger than the other, I wanna ask is it normal?

Pediatrician, Pune
If the supply is more than the demand, it is likely to cause problems, there should be an equilibrium, try to breast feed from both breasts, alternatively. As the left breast is producing more milk, it has become larger than the other, once breast feeding is stopped, things will be back to normal, try to give food to the baby as much as possible, breast feeding should reduce by some time.
1 person found this helpful
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Taking Care of Children!

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana
Taking Care of Children!

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Hi my son is 4 years 6 mths he keeps falling sick every now and then of cold & cough. He don't not like to eat any vegetables. Again & again I have to take him to doctor. Pls advice.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Dear Lynbrate user Till the age of 5yrs children get about 5to 6 episodes of cough and cold so give him home remedies like Honey with ginger Honey with tulsi Honey with lemon Give him warm soups Besan Ka shira But if his breathing is fast or he is having fever 101or more then take him to doctor. Do get his Heamogram done to rule out Anaemia or any infection. If your family eats vegetables then he too will learn.but donot force feed him.
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I am worried about my 15 days old breastfeed new born not burping after feeding. I keep him straight for 15 20 minutes but he does not burp so I put him to sleep on his side. Ia it okay for newborns to not burp?

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
I am worried about my 15 days old breastfeed new born not burping after feeding. I keep him straight for 15 20 minute...
Yes lybrate-user its okey for the new born babies not to burp but you should keep the child in that position after feed and its relly good that you put the baby on sidehappy moterhood any question we are always there.
1 person found this helpful
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My sister baby 1 year old. She is in normal behaviour except weight gain. She is so lean. Suggest me how to increase her weight.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My sister baby 1 year old. She is in normal behaviour except weight gain. She is so lean. Suggest me how to increase ...
A good complementary diet, along with breastmilk ensure a good weight and proper growth of a child after the age of 6 months. I may need to see your baby's growth chart to comment further.
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