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Dr. Anjali Otiv

Pediatrician, Navi Mumbai

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Dr. Anjali Otiv Pediatrician, Navi Mumbai
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Personal Statement

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 32 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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Sir, my daughter is 8 years old. She always complain about a pain in her stomach. Could you pls tell me the possible reason for this n what will be the remedy for the same.

MBBS
General Physician, Chandigarh
Sir, my daughter is 8 years old. She always complain about a pain in her stomach. Could you pls tell me the possible ...
She might be having some sort of stomach infection or allergy or maybe worms there could be umpteen reasons for stomach ache please get her checked from a doctor.
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I have a baby girl. We give her soup, milk, healthy food. But after taking food she comes out with vomiting. So what do we need to do? How will we treat with her? And what type of food we will give her?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a baby girl. We give her soup, milk, healthy food. But after taking food she comes out with vomiting. So what ...
Your daughter is more than 3 years old. She has her own choice of food. Let her take what she likes made in home. Don't force her to eat what you desire. I hope, vomiting will stop.
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Dear doctor, I have a 12 year old son. He does’t show any interest in studies. He always likes to play computer and mobile games or watch TV. He studies and writes very little, compared with the syllabus for exams. This is happening from class I on words. He is studying with state syllabus. He studied well up to UKG only. Even when I try to show interesting videos in internet related to studies, he does’t like. Even when we scold him, he doesn't care. He frequently bunks classes. Even brushing teeth and bathing does not do regularly, even when we - parents put a lot of pressure. But he loves us and plays with us well. He behaves well with friends and neighbors. He also likes to eat junk food daily, because of which he is getting frequent health problems. I like to know whether there is anyway to change his behavior and create interest in studies to him, avoid junk food.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Good ​Afternoon, The symptoms that you describe for your son are very characteristic of ADHD with behavioral disturbances. Attention Deficit Hyperactivity Disorder can be of 3 types, isolated inattentive type, hyperactive/impulsive type and mixed type. It seems like he has been having these symptoms since 5-6 years of age. I also believe that you will do well to take him to a psychiatrist so that he gets better. He may also be having depression and irritability is a common sign of depression. I believe that you need to let me know more about your kid so that I can get to a proper diagnosis and help with management. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio or video appointment for confidential and private consultation you may do so by contacting the help desk of Lybrate.
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Hi, my baby is 3 & half year old. Her weight is not increasing & she is weak. Kindly give good treatment for her to increase her weight & health. Her diet chart menctioned below: morning one cup milk. At 11 am one chapati with veg. At 1: 30 one chapati with dal. At 5 pm one cup milk with biscuit. Evening two chapati with veg. Her weight is 13 kg from last one year. She is active also but her weight is not increasing.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi, my baby is 3 & half year old. Her weight is not increasing & she is weak. Kindly give good treatment for her to i...
She is apparently alright. Weight is not the criteria for health. Obesity in children is grave health hazard. If she is active, she is healthy. You need regular advice on child rearing. And you may do a test for her, ask me privately.
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My child is suffering from epilepsy since last 2 years and now he is 8 years old. But still In spit talking medicine sezuires are not controlled. So please so advice me.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Children with history of seizures beginning at around 6 years of age need complete evaluation. Children are more prone for seizures until age of 15-16 years. Do to st or deuce dose of medications if advised by a doctor. If the child has a tendency to seize more frequently inspite of taking regular medications, it is worthwhile to do serum drug levels, an eeg and consider adding or changing or stepping up the dose of medications.
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My daughter is 6 years old an she is very thin and not having eating habits please tell me the solution of my problem as soon as possible.

MSc
Dietitian/Nutritionist, Hyderabad
My daughter is 6 years old an she is very thin and not having eating habits please tell me the solution of my problem...
Tips for weight gain 1) eat foods rich in protein like milk and milk product, eggs, chicken, meat. 2) eat energy dense foods like nuts, dates, potato, halwa, kheer etc. 3) eat fruits high in energy like banana, chickoo, sitaphal, mango, grapes. 4) eat two servings of pulses in a day esp. Soybean and urad dal.
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I have twin daughters. They are now 19 months old. They don’t eat ANYTHING. Whatever we offer them they refuse to it ya muh se nikal deti h… They still wakes up at night, due to hunger. They drink only milk (buffalo milk) they have low iron level (21.3 and 19.4) and low hb level (10.3 and 10.2. Kindly help me what should I do.

MBBS, MD
Pediatrician, Gurgaon
I have twin daughters. They are now 19 months old. They don’t eat ANYTHING. Whatever we offer them they refuse to it ...
it seems both children are bottle addict which brought this condition.normally by 6 months child be given cereals based soup half cup twice a day.gradually reduce breast.bottle and even milk and give cereals diet increasing to 100 gms at one yrs age.better child develop habbit of selt feeding.now you have to be little strict.no bottle or milk only 200 gms that too inpaneer curd.it will take time
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My son is 11 month old. He is not standing on his own support. He holds sofa or bed and walk from 1 month. My neighbourhood son is also 11 month old. He is nicely walking. Is there any food to strengthen his legs. What to give. Is there any syrup? He is 10 kg.

Diploma in Child Health (DCH)
Pediatrician, Narnaul
My son is 11 month old. He is not standing on his own support. He holds sofa or bed and walk from 1 month. My neighbo...
Every child has some variation in milestone some are early walkers, don't worry he will walk soon Nothing is required.
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My son 6 years old is not taking interest in food. Please recommend any kind of tonic and supplements.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine D-WORM ( ADVEN ) Drink 1 spoon twice daily for 5 days.Complete the bottle in 5 days.Thereafter from 6th day start ALFALFA ( Dr Reckeweg) Drink 1 spoon 3 times daily for 1-2 months.
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Hi my baby 7 months old. She suffering every month loose motion. Please suggest how can control this.

MBBS DCH
Pediatrician, Gandhinagar
Don't give any medicines if your baby is gaining weight properly. Avoid bottle feeding. Start pomegranate and apple juice in small amount. Frequency of slightly watery stool is not a disease if child is growing well.
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My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells and 0-3 rbcs. Recent test shows no rbcs but pus cells were 7-10. What to do? He is active, no fever or vomiting. Passing 3-4 stools a day. He is exclusively on breastfeed.

DNB (Pediatrics), DCH
Pediatrician, Surat
My baby is 4 month old. He is passing greenish yellow stools with mucus from a week. Earlier test shows 0-3 pus cells...
It looks like it's normal frequency. If child remains active without fever and vomiting then exclusively breastfeeding child can be only observed.
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My son is hearing impaired and cannot hear upto 120 decibels, further he is having Lipoma glands all over his body, is there any remedy for his cure, he can speak but cannot listen.

MBA, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist, Delhi
Dear Sir, You need to show your son to a neurologist & also get a thorough hearing test done to know exact degree & type of hearing loss. We can also try amplification device if it works with your son, Its advisable to get him to the clinic so that we can check thoroughly. I am available @ 9810511246 www.sphearclinic.com Regards, Neevita
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List the food item should be given to 10 months baby who is lactose intolerant. He want to be com fat. And healthy.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
List the food item should be given to 10 months baby who is lactose intolerant. He want to be com fat. And healthy.
Give him every item available in home suitable to baby's age except milk or its product which can be substituted by soya milk which is rich in protein and calcium.
1 person found this helpful
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Mere bete ki age 4 years h. Us ki lambai bahot kam hai. Wazan bhi kam hai. Kya karu.

MD - Paediatrics
Pediatrician, Bathinda
Give exact wt, height of child today, and at age of 1, 2, 3 years if age if possible. Also height of parents today.
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My baby completed 11 months and his weight is 9.7 kg. Since 5 days he is passing motion like watery and paste form but only once a day. He vomited everything. We have visited local doctor he prescribed ofloxacin solution. And ORS. Vomit has stopped now but he is not eating anything except cerelac. Motion is still watery. Please suggest can I give formula and cerelac? Please help.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
My baby completed 11 months and his weight is 9.7 kg. Since 5 days he is passing motion like watery and paste form bu...
Please give your baby khichdi , rice kheer,banana, rice & curd. Cerelac can be also given. It is important to give him frequent small feeds till his his appetite returns to normal. A probiotic can be given daily.
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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.

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Hello mam, my kid is 15 months old .he had a slight swelling ,side of a knee for right leg. Doctor told that he suffers from vitamin D deficiency .is it occur for small children? If yes, how to treat and prevent the deficiency of vitamin. It will be cured or not? Please suggest me your valuable ideas. What are food items I can give to my child? He is not eating egg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello mam, my kid is 15 months old .he had a slight swelling ,side of a knee for right leg. Doctor told that he suffe...
lybrate-user, Thanks for the query. Vitamin D deficiency is quite common in infants and children. It can be corrected by giving Vitamin D3 liquid or drops. There are many brands available. Secondly my advise pleae take an X-ray of the knee and wrist of the child and take radiologist's opinion to see if there is problem with bone growth. Start Vit D supplements. Plus milk and exposure to sun also are helpful. Thanks.
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How could I keep my child healthy and happy. And how could my child have best contact with parents.

C.S.C, D.C.H, M.B.B.S
General Physician,
How could I keep my child healthy and happy. And how could my child have best contact with parents.
Encourage a healthy diet. Purchase a variety of fruits and vegetables, whole-grain products, and lean meats for your household. Go for fresh, organic produce whenever you can. Carefully read labels to determine portion sizes and make meals that conform to those guidelines. Offer healthy snacks, such as hummus and carrot sticks, throughout the day. Invite your child to help you with meal prep. Let them choose a healthy recipe for dinner. Take them with you to the grocery store and turn reading labels into a game. Make food more interesting for finicky eaters by crafting healthy personal pizzas (with their own selected toppings) or by positioning fruit into a smiley face on their plate. If your child refuses to eat their veggies, keep offering them. Try out other vegetable options and preparations as well. A child who dislikes straight steamed broccoli may love it when it is topped with a bit of shredded cheddar cheese. Keep junk foods to a minimum. Avoid purchasing sugary, fatty, or heavily processed foods. If you don’t buy them, then your child will turn to a healthy alternative that is available in your fridge or pantry. Watch out for ‘sneaky’ foods that appear healthy but are actually the opposite. This can include items labeled “low-fat” or even low-juice fruit drinks.Avoid exposing your child to sick persons. When it is possible, keep your child away from people who are currently sick. Your child encounters plenty of germs during the day but direct exposure to an infection is just not worth it.
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Hi, My baby age 1 year and weight 9.2 kg. When she eat good or have feed. She pass stool immediately after the feed. She pass stool 6 to 8 times in a day. But it happens immediately after having food or feed. But she never cry that time she never feel any pain in stomach. What should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi,
My baby age 1 year and weight 9.2 kg. When she eat good or have feed. She pass stool immediately after the feed. ...
If stool is normal, try to make her sit on pot for 5 to 10 minutes more for completion of defecation. She requires toileting practice. Otherwise consult pediatrician.
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