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IPS Kochar Senior Consultant , Noida

IPS Kochar Senior Consultant

Pediatric Clinic

Pediatric Adolescent Endocrinologist & Diebetologist, D-121, Sector-40 Noida
1 Doctor · ₹1500
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IPS Kochar Senior Consultant Pediatric Clinic Pediatric Adolescent Endocrinologist & Diebetologist, D-121, Sector-40 Noida
1 Doctor · ₹1500
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Our medical care facility offers treatments from the best doctors in the field of Diabetologist, Endocrinologist, Pediatrician.Our goal is to provide a compassionate professional environm......more
Our medical care facility offers treatments from the best doctors in the field of Diabetologist, Endocrinologist, Pediatrician.Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about IPS Kochar Senior Consultant
IPS Kochar Senior Consultant is known for housing experienced Pediatricians. Dr. I. P. S. Kochar, a well-reputed Pediatrician, practices in Noida. Visit this medical health centre for Pediatricians recommended by 62 patients.

Timings

MON-SAT
09:00 AM - 01:00 PM 06:30 PM - 10:00 PM

Location

Pediatric Adolescent Endocrinologist & Diebetologist, D-121, Sector-40
Sector-40 Noida, Uttar Pradesh - 110076
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Videos (6)

I am Dr I.P.S Kochar, pediatrics, endocrinologist and diabetologist. Today I will be talkingt to ...

I am Dr I.P.S Kochar, pediatrics, endocrinologist and diabetologist. Today I will be talkingt to you about Child Obesity which is becoming prevealant and epidermic in India and other countries also. So, it is increasing day by day. More than 65 million of the people are facing Child Obesity under the age of 5 years.

So, if you have any child or infant who is obese. The child will have to suffer from many problems in future.

What do you mean by Obesity?

Obesity means there is an abnormal or excessive fat accumulation in the body. So, over weight and Obesity, both are same. Obesity can cause number of problems. There are many types of complications, those are;

  • In future, a child can have heart disease. THese are all metabolic problems.
  • There are more chances of getting obesity in adulthood.
  • Child get more prone to HYpertension.
  • Girls get more prone to Polycystic Ovarian Syndrome.
  • Reproductive problems
  • Dyslipidemia

These are some of the metabolics which can occur. Besides this, the children can have non-metabolic problems like joint pains at early stage, difficulty in walking, sleep apnea problems and there can be other psychological problems. Children may have low confidence level, low self esteem. So these are the problems which are commonly found in such patients.

What should be done to get rid of this Child Obesity?

One of the major factor is lifestyle. People are becoming technically dependent. People are using AC Cars, Children are going to AC schools and buses. The play time in the schools has decreased greatly. This is all aggrevated to cause Obesity.

The food intake has also become different. Children are consuming more of junk food. high fatty food, high salty food which is one of a major cause of Obesity.

Not only people from urban area are becoming obese but also the people from rural area. This problem is required to be solved. 

The main thing is that we have to change our lifestyle. People have to change their food habits, they have to indulge in the routine exercise. So, there is a simple formula called 5-3-2-1, where,

  • 5 means taking 5 portions of veggies or fruits everyday.
  • 4 means taking 4 glasses of water per day.
  • 3 means 3 times mil in a day.

If you don't remember this, atleast remember 5-2-1, where,

  • 2 means that do not use gadgets for more than 2  hours in a day.
  • 1 hour of physical activity in a day.

So, this formula is very helpful if children follow it. So, try to take low carbohydrates, low fat, more protein in the diet. One should try to change their lifestyle because the obesity is causing all these major problems.

Now, we are getting more children of 5 years, 8 years , 10 yeras with non-communicable disease like Obesity, hypertension, diabtes. Diabtes type-2 has also started coming in the children and the adolescence population only because of the lifestyle.

Now you see many girls whop are obese at the age of 12 -18 years. THey suffering problems like impaired glucose tolerance, they are getting black areas in the neck and also they are getting reproductive problems, hair on the face, so all these problems are increasing the complications. 

I would recommend to only change the lifestyle, make changes in the food habits and try to indulge in the routine exercises.

If you want to contact me, you can do so via Lybrate or you can visit my clinic which is in Noida. But pelase do follow the above mentioned tips.

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I am Dr IPS Kochar, a pediatrician and endocrine diabetologist. Today, I am going to talk on very...

I am Dr IPS Kochar, a pediatrician and endocrine diabetologist. Today, I am going to talk on very intresting topic, Vit-D which everyone wants to know. 

So, Vit-D is essential to maintain calcium. It basically maintains the bone metabolism of the body and it is done basically through absorption of calcium from the intestine and also from renal tubular absorption of calcium. When VIt-D becomes deficient, the hormone PTH is released which tries to maintain calcium and phosphorus in the body. The deficiency of Vit-D in different groups are different. You can have it in the new born periods, in the childhood period or in the adolescence. 

So, in the new born period, children may have some features like staying more tired, the problems related to bones such as bow legs i.e, curving of legs. Then there may be some other problem which is called genu valgum in which they have knock knees. These are some conditions which you can find. These are called as Rickets. And this ricket is responsible for Vit-D deficiency.

In the country like India which has a plenty of sunlight, why we are still facing Vit-D deficiency?

  • One of the reason is that lifestyle ahs changed. We are involved in more of a technical lifestyle. The best time to absorb Vit-D is 9-11 am in which one can absorb maximum amount of Vit-D. But at this time most of us are in teh office, the children are in the schools and the housewives are inside the house. So you are hardly able to absorb Vit-D.
  • Secondly. there is lot of pollution which does not allow us to absorb Vit-D
  • Covering of the body is another major factor.
  • There is a smog which blocks the vit-D

The sources of vit-D are very few. Most of the vit-D is in non veg. But maximum of the Indians are vegetarian. The best sources of Vit-D are fish, eggs. The one important thing all vegetarian must know that they can take mushroom. This will help in maintaining the Vit-D level. So, there are least sources of VIt-D.

There are two types of Vit-D, Vit-D2 and Vit-D3.

Vit-D2 is Ergocalciferol and Vit-D3 is Cholecalciferol. So we can get maximum of the Vit-D from the sunlight which we are not getting. In order to cover up Vit-D deficiency, we need to consume Vit-D. Otherwise children may suffer from Bow legs or genu valgum. In the adolescence, people may suffer from osteomalacia in which there is pain in the legs and bones. So, all these conditions are aggravated.

How to overcome with the deficiency of Vit-D?

Regularly take Vit-D. You can either take it weekly form or in the daily form. Consulting a doctor will be helpful. Also, Vit-D prevents the chances of cancer, hypertension, Diabetes, repeated infection in the children. Everybody should take Vit-D either weekly or daily form.

Thank you very much.

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<br/>Puberty<br/>Hi, I am Dr IPS Kochar, a pediatric endocrinologist. I m going to talk about pub...


Puberty
Hi, I am Dr IPS Kochar, a pediatric endocrinologist. I’m going to talk about puberty, precautions puberty or early puberty.

Puberty is a time when the child is growing in height and weight along with some feature which comes when a child matures. Now there are conditions when a child starts getting early features. If a girl starts getting breast before the age of 8 or if a boy whose testicle volume increases more than 4 ml before 9 years of age, these children are getting into early puberty. A girl if she starts getting pubic and underarm hair before the age of 8 body odour or there are lots of behavioural changes or she suddenly shot up in height. This child may be having early puberty. So these are the symptoms concerned in a girl.

In boys the testicle volume increases more than 4 ml, increase in height velocity, 6 to 8 to 10 cms in 1 year, hair on the lips and the arm, an underarm or pubic area in less than 9 years of age, behavioural changes, mood swings, the appearance of acne. The child may be going through early puberty or precautious puberty. These things they must keep in mind because there will be a change in growth pattern. Initially, the child will grow more but later the growth will be stunted. The child will not grow up to his final height. If these points are there one should be very careful. if there is early puberty you can always go to the doctor, examine the child. So, if a girl is having breasts before the age of 8 one should definitely find out what is happening with the child and same in a boy if there is an increase in testicle volume or breaking of voice or hair anywhere in his body you should always consult a doctor. There are certain specific tests which are done where lS and FSH when they can only make a diagnosis.

In a girl, you can go for ultrasound and in a boy, you can go for MRI as to know why it is happening. These are certain things that you should keep in mind especially if the boy is having breaking of voice pubic hair armpit hair, appearance of acne one should definitely go and find out what is happening. So in a girl if there is budding of breast, pubic hair and mood swings you should definitely find out what’s happening. Girls are getting early menarche at 9 and a half years and the growth is less.

So if your child has any of these symptoms you should see a pediatric endroconologist. I’m available at lybrate.com or you can come to my clinic.

Thank you
 

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<br/>Signs and symptoms of diabetes in children-<br/>I m Dr IPS Kochar, a diabetologist and pedia...


Signs and symptoms of diabetes in children-
I’m Dr IPS Kochar, a diabetologist and pediatric endocrinologist. Today, I will be talking about diabetes in children.

Diabetes in children is becoming a big problem in children nowadays. More and more patients are coming up type 1 and type 2 diabetes. Parents are not ready to accept that my child is having diabetes. It’s increasing problems in lifestyle. Obesity is one factor in type 2 diabetes. In type 1 diabetes if the child is losing weight there is excessive urination, bed wetting, excessive thirst, infection or vaginal infection, One must start thinking that the child is having diabetes.

In type 1 diabetes, the treatment is only insulin. One should start insulin and there is not any requirement to visit many doctors. In case 1 diabetes you have to take insulin lifelong. The symptoms start becoming better once the child is put on insulin. The urination the excessive thirst all becomes better. Fourth it is not in the family that if the father and the mother does not have diabetes why the child got diabetes. Type 1 diabetes is not genetic, it is type 2 diabetes. There are lots of new devices that have come up lot of new insulin has come up. New insulin pump has come up for children to control diabetes and have a new lifestyle and better flexibility. Diet is a very important thing that plays a myth. Children with diabetes can have a normal diet, they can have sugary things and sweets, but within limits and when they are taking insulin.

Taking a good balanced diet is equally important in children, they are growing they are in puberty and they are more prone to hyperglycemia. They are more prone to have ketoacidosis so that is why one has to be more careful while diabetic. Many of the kids are becoming more over weight and becoming more diabetic. The weight is starting increasing and they are earlier signs that the child is getting into diabetes. Because of the weight epidemic the type 2 diabetes is increasing.

  • Controlling of the diet is very important in controlling diabetes.
  • The intake of food should be decreased, more careful about the lifestyle, physical exercise, regular diet control, fixing the amount of calorie intake, less sweetened fruits and foods and beverages.
  • If you have very sweet fruits also you will have the problem.
  • Avoiding all drinks and juices should be made a point especially the intake of milk products should also be decreased.

So in type 2 diabetes, lots of good physical exercise good diet control and may be in some children using some tablet called metformin helps in children to control diabetes.

In type 1 diabetes, insulin is required and must. In some children when they pass urine the ants start collecting it is type 1 diabetes. If the child is losing weight in spite of eating properly there are chances of type 2 diabetes. If the child is feeling tired there are chances of type 1 diabetes. If the child is passing excessive urine and wetting bed, eating food and still losing weight then there is a chance of type 1 diabetes. These symptoms one must keep in mind and always be careful if you find. If the family doesn’t have the child can have diabetes because it is normally an auto known process. If your child has type 1 diabetes you should visit a pediatric endocrinologist.

If you have any queries you can contact me on lybrate.
 

type diabetes
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Common signs of thyroid in children<br/>Hello, friends, I am doctor IPS Kochar, pediatric and ado...

Common signs of thyroid in children
Hello, friends, I am doctor IPS Kochar, pediatric and adolescent diabetologist. Today I will talk about thyroid.

Parents are concerned about their children getting thyroid. There are a lot of children who are getting thyroid these days, not only that parents also have a thyroid. The parents are concerned whether the child will get thyroid or not. The function of the thyroid gland is to produce thyroxin. Day to day metabolism is dependant on thyroxine. Deficiency of thyroxine produces hyperthyroidism. If there is a deficiency of thyroxine there are certain symptoms. Lets us first start with a baby a newborn. There is a universal function of thyroxine done. The baby may be sleeping all the time, not taking the feed properly or in later childhood, the child may be gaining weight, the child may be lethargic, the child may have stunted growth. These are the things in a child when there is thyroid involved. Along with that, the child’s growth will be affected. a

If there are very high levels of TSH there is hyperthyroidism. If there is lot of problems the child will not work properly,

  • The child will be chubby.
  • Short height and these things will be there.
  • Adolescent girls might get menstrual problems.
  • you may have less and late period.
  • A gain of weight
  • Infertility problems.
  • Dryness of the skin.
  • Loss of hair.

These are symptoms if they are present in the children must be seen by a pediatric endocrinologist. There will be conditions where there will be an excess production of TSH. There TSH is less and thyroxine is more produced in the body. So there is hyperthyroidism, the function of the thyroid is more. The gland is functioning more. Commonly seen in girls overproduction of thyroxine leading to urticaria, preparation increasing, anxiety, weight loss and food stops affecting the body. If a child gets hyperthyroidism he has to take medication lifelong. So there is a myth that this medicine that you are taking it causes problems. It has no side-effect. It is not a disease but deficiency. There is no side effect in the medicine you are taking. If the child is feeling lethargic, and stunted growth is there you should consider hyperthyroidism and go to a pediatric endroconologist.

You can connect with me via lybrate.
 

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Tips for growth of your child-<br/><br/><br/>Hello friends, I am doctor IPS Kochar, pediatric and...

Tips for growth of your child-
 

Hello friends, I am doctor IPS Kochar, pediatric and adolescent diabetologist. Today, I will be giving you some health tips first of all on growth. Growth is a very important parameter for children who are growing. A lot of parents are concerned if my child is growing well or not. When a newborn is born his height is around 50 cm and around two years his length is around 75cm at the age of approximately 1 year. When a child is 50 cm he grows by 25 cm first year and grows around 12.5 cm in the next year and another 6 cm every year. So he is about 100 cm at 4 years of age. If a child is growing less than 5 cm a year that is a little concern and the parents should worry about. If child is not gaining height properly in the sense the child is not having a change in dress in the last 1 year or if the shoe size is not increasing in the last 2 years, he is shortest in the class, he is being checked by the doctor and it is found that the growth is less. So these are the ways to pick up children who are not growing. There might be the complaint from his peer group that he is not being able to play with the rest of his friends. These are things one should be little concerned of if growth is not occurring properly.

Growth is also dependant on many factors. It depends on nutrition, sleeping pattern, parent’s height and other factors like hormones. If a child is not growing properly he should be consulted a pediatric endocrinologist, why he is not growing properly. The role of the parents in this is to make sure that the child is getting good nutrition, good sleep, good physical exercise will help a lot. When you are finding out that the child is not growing properly then you should measure and see if the child is growing less than 5 cm a year, that is a big concern. This is one parameter where the child is not growing.

There may be other reasons to it, may the parents are short, the child is short. It may be possible because of constitutional delay, that is when you have parents also who had their late bloomers, periods in the girl's matter came late in the mother or the beard and the moustache might have come late in the father. this is then called as a constitutional delay but the other factor is that the child having a systemic disease like a lung disease, git disease, growth hormone deficiency. So it is very important from the point of view of growth, one should monitor the child’s growth and the parents should be concerned whether my child is growing properly or not because people have only 1 to 2 children nowadays and they all want their children to grow tall and good. Height makes a lot of differences.

If your child is not growing properly you should consult an pediatric endocrinologist.

You can contact me via lybrate.
 

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Doctor in IPS Kochar Senior Consultant

Dr. I. P. S. Kochar

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician
90%  (10 ratings)
37 Years experience
1500 at clinic
₹1500 online
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06:30 PM - 10:00 PM
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A Brief Insight Into The Recent Advances In Diabetes Management

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
A Brief Insight Into The Recent Advances In Diabetes Management

Diabetes refers to a particular state of the body where the ability of the body in producing the insulin hormone is damaged. As a result of such impairment, the glucose level in the blood starts to increase due to the carbohydrates’ abnormal metabolism. It is through proper diabetes management that restoring the carbohydrate metabolism to its normal state becomes possible.
The medical procedures of managing diabetes have come a long way and have met many advancements recently. A few of the recent advances in the management of diabetes are:

  1. Oral Drugs: Oral medications had always been available for controlling diabetes. But, as a recent addition, various latest drugs with more effective results have been introduced. Medications and tablets become necessary after a period, generally for treating the blood sugar levels of the Type 2 diabetes patients. And the introduction of new powerful drugs has shown the diabetes patients dependent on tablets a new ray of hope.
  2. Insulin products: The term insulin refers to the peptide hormone that is produced by the pancreatic islets' beta cells. Regulating to the metabolism of fat, protein, and carbohydrate, it is used for treating diabetes for years. But, with the progress of diabetes management procedures, various newer insulin products have become available now. Utilized by the type 1 diabetes patients and sometimes by the Type 2 ones, these preparations come with different levels of onset and duration of effectiveness.
  3. Insulin Injector Devices: Gone are the days when injections used to be the only quick way of inserting insulting in the body. As a hopeful result of the recent advances in diabetes management, there are now various insulin delivery devices found. As a replacement for the insulin pen devices, there are now insulin pumps and insulin patch, inhaled insulin liposome-entrapped insulin, etc. for better managing the severity of diabetes. People suffering from severe insulin deficiency, find the insulin pump helpful.
  4. Surgical Solutions: For a long time, weight loss surgery used to be associated with treating obesity only. However, a relation has been found between this surgery and treating diabetes. Recently, studies have shown that by performing weight loss surgery, Type 2 diabetes can be put into remission. Though an experimental treatment, there is also the Islet transplant option for treating Type 1 diabetes for preventing the severe hypos.

Causing a considerable rise in the blood sugar levels, diabetes is a lifelong physical condition. However, it is through following the modern diabetes management procedures, that controlling different types of diabetes has been possible. As a result of recent medical advances in the management of diabetes, more physiological and individualized therapies are now possible so that diabetic patient can lead as close to a normal life as possible.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4 people found this helpful

Common Issues In Management Of Thyroid!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Common Issues In Management Of Thyroid!

Thyroid is an endocrine gland situated in the neck and produces the thyroid hormone. This hormone is then carried through the blood to different cells of the body. It helps the body organs to keep working as they should and also helps maintain body temperature. The two major thyroid hormones regulate protein, fat, carbohydrate and vitamin metabolism and are also responsible for proper differentiation and development of cells. In simple words, if this gland is underactive all the bodily functions slow down and if it is hyperactive it causes increased metabolism. Apart from these two issues of hyperthyroidism and hypothyroidism, there can be structural abnormalities to the gland or it might have tumors (benign or cancerous) affecting its normal functioning and in turn the whole body. Hence a healthy thyroid gland is of prime importance for a proper functioning of the body and a healthy life.

Management of Thyroid
Depending on the condition of thyroid, it requires different ways to manage it. Let us first have a quick look at the common issues of thyroid…

  1. Hypothyroidism
  2. Hyperthyroidism
  3. Structural abnormalities caused due to nodules, swelling and inflammation
  4. Tumors
  5. Congenital disorder

Apart from these, iodine deficiency or excess of it can also cause thyroid issues as the major hormones require iodine from our diet for its production.

Iodine
Hence the first measure to manage thyroid is to have a proper intake of iodine. Having iodine rich salt if you are deficient in iodine is a common way to avoid the swelling of the thyroid gland to form goiter. It is also important to not have salt in excess as it may lead to other autoimmune diseases. Having the right amount of iodine can go a long way in the management of thyroid.

Diet
One needs to put extra emphasis on the diet as a healthy diet is the means to a healthy body. Soy products, processed & packaged foods, high sugar foods and aerated drinks and caffeinated beverages need to be avoided when on the road to recovery from thyroid. No need to make changes in cruciferous food like cabbage, broccoli once you are on thyroid medicine. 

Smoking and Alcohol
A regular need to smoke or have drinks can impair the healing process of the thyroid gland. Hence it is best to stop smoking and drinking and stay sober.

Medicines
The most important aspect in the management of thyroid is its medication. Depending on the issue there might be lifelong hormone replacement medicines needed for some patients. In such cases, it is important to take them regularly and on an empty stomach each morning half an hour before any food intake or as advised by the doctor. This treatment needs to be well supervised by a specialist to see if the levels of thyroid hormones are improving accordingly.

Surgery
In rare cases of structural disorder or cancerous thyroid, the patient might have to undergo a surgery to remove the entire gland or just cancer-causing nodule or lobe.

Since thyroid has grown to be one of the most common problems that people suffer from all over the world, it is best not to ignore and see a specialist. The condition may be common but the effects can in most cases do irreparable harm to the body. In case you have a concern or query you can always consult an expert & get answers to your questions!

4295 people found this helpful

Hypothyroidism - Signs Your Kid Is Suffering From It!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Hypothyroidism - Signs Your Kid Is Suffering From It!

To understand about hypothyroidism, it is essential to first understand the thyroid gland. Thyroid is an endocrine gland situated in the neck and produces the thyroid hormone. This hormone is then carried through the blood to different cells of the body. It helps the organs to function properly maintain the temperature of the body. The two thyroid hormones are Triiodothyronine (T3) and Thyroxine (T4). They regulate protein, fat, carbohydrates and vitamins in the body along with the metabolism. They are also responsible for the proper differentiation and development of cells.

Hypothyroidism or underactive thyroid or low thyroid
This is a condition where the thyroid gland is underactive and produces a low amount of the thyroid hormone. To help the thyroid gland produce the required amount of T3 and T4 hormones, the pituitary gland will make additional thyroid stimulating hormone called TSH. Due to this additional secretion of TSH, one also develops chance of thyroid gland enlargement and in some cases, it can form a goiter.

The major cause of the low level of thyroid hormones is considered to be iodine deficiency. Hence the addition of iodine to the common salt has always been considered to be a safe method to prevent goiter. There can be several other causes of hypothyroidism such as weak immune system, radiation, surgery, Hashimoto’s disease, hormonal changes etc. It can be caused due to pregnancy and is called postpartum thyroiditis.

Symptoms of Hypothyroidism
Whatever be the cause of hypothyroidism, it can show the following mild symptoms:

  1. Increased sense of fatigue or tiredness
  2. Sudden increase in weight with puffiness on the face
  3. Hoarse voice
  4. Muscle weakness with aches, tenderness and stiffness
  5. Joint pain or stiffness
  6. Increased sensitivity towards cold thus causing dry skin
  7. Constipation due to slow metabolism
  8. Decreased heart rate
  9. Elevated blood cholesterol level
  10. Irregular menstrual periods
  11. Decreased concentration and depression too

However, it is important to understand that you may show no symptoms or show some mild symptoms that can be easily confused with some other condition. Hence, a proper diagnosis is a must to confirm hypothyroidism.

Diagnosis of hypothyroidism
The most common tests to determine if you have hypothyroidism are TSH Testing and T4 Testing. In case the low level of TSH is due to a defect in the pituitary gland, your doctor may request for another test called TRH. Also, Anti-thyroid Microsomal Antibodies Testing or thyroid peroxidase test (TPO) helps in identifying if the thyroid gland is damaged.

Treatment of hypothyroidism
Hormone replacement therapy is the best form of treatment available today. It involves the use of synthetic Levothyroxine (T4) or liothyronine (synthetic T3). Before these synthetic hormones were used for several years, however, prescribing thyroxine tablets is the most common mode of treatment and they are generally given for a really long period of time, although the dosage may vary. It is only in rare cases of severe decompensated hypothyroidism that one requires hospitalization.

Apart from the above treatment options, it is best advised to avoid soy products, sugary processed foods and alcohol to keep a check on hypothyroidism. In case you have a concern or query you can always consult an expert & get answers to your questions!

4288 people found this helpful

Short In Height - Should You Be Worried About Your Child?

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Short In Height - Should You Be Worried About Your Child?

Out of the many things a parent can be worried about their child, physical growth and development are the major ones. Height development is indeed a very crucial part of the overall development of a child's body. But how will you know whether your child is short and should you worry if he or she is short?

When is a child categorised as being short?
A child is said to be of short stature when the height is two standard deviations less than the mean height for the specific age and sex. However, it does not signify that your child is sick or has some deformity.

What are the causes of being short?
The most common reasons that need not be worried about are:

  1. Ancestry: Your child short height could be a result genetics. If his/her parents belong from a short family stature, then, the child is most likely to follow the same. Being said that, their body performs in a normal way and they do not face any medical issue despite being short.
  2. Delay in Growth: In case a child faces a severe growth delay between the age of 6 months and up to 2 years, then it may lead to him/her staying short. Such children usually grow at a much slower pace, compared to other children of the same age without any development issues. However, no medical treatment is required as the child usually catches up with the height of their friends of the same age, once they become adults.

What are the medical Conditions behind the short stature?
For children who show an excessive delay in growth, doctors can find out whether they are going through any serious medical condition that needs attention or not. Some of the medical conditions which can cause short height are:

  1. Malnutrition: For those who do not receive proper nutrition on a daily basis, tend to face physical health issues.
  2. Chronic Illness: Any congenital disease or something that affects the major organs of one's body might slow down the height growth.
  3. GHD: Growth Hormone Deficiency is a common condition in children. When the pituitary gland does not produce enough hormones, such a condition occurs.
  4. Mental Stress: When a child faces stress from a very little age, often he or she becomes mentally and physically hampered.
  5. Genetic Problems: A condition known as Turner’s syndrome can cause growth failure in a girl child.
  6. Hormonal Imbalance: For those who suffer from improper production of hormones, they might face obstruction in case of height growth.
  7. Endocrine diseases: Endocrine diseases disrupt hormone production thus resulting in a delay in growth.

For every 100 children of a particular age, 3 tend to be shorter. However, unless your child suffers from a medical problem, short stature is not to be worried, and it is recommended that they have a proper and balanced nutrition to ensure a proper height development. In case you have a concern or query you can always consult an expert & get answers to your questions!

4028 people found this helpful

Effective Tips To Help You Fight Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Effective Tips To Help You Fight Obesity!

As on date obesity is a major problem in India. As per the World Health Organization statistics, India ranks third on the list of most obese nations after US and China. Further, a survey revealed that Delhi has over 35 percent of teens who are obese or overweight, which is an alarming number.

Obesity is a condition wherein you suffer from excessive body weight as a result of either genetic or lifestyle-related factor. This condition, if not taken seriously, can be life-threatening as obesity can put you at risk of developing chronic conditions like diabetes, cholesterol, blood pressure, and which in certain cases can lead to heart attack. Hence, it is crucial to undergo weight reduction.

Calculate the weight you need to lose
Before you begin to practice effective steps for weight loss, consider the amount of weight you need to shed. You should first measure your current weight and then calculate your body mass index (BMI) to find the amount of deviation from the recommended range. Then consider the difference between your current and ideal weight as your target.

Tips For Losing Weight

1. Eat Right

  • Consult a nutritional expert- It all starts with the right diet. Your eating habits contribute significantly to your weight. If you are obese or overweight, then you should consult a health expert and have him prepare an appropriate diet based on your weight and body type.
  • Balanced diet- Make sure you have lean meats, fruits and green leafy vegetables as part of your diet. Also, cut down on the amount of food you consume and your intake of sugar, salt and fats gradually. Water is also the best medicine since it is helpful in flushing out toxins from your body. Make it a point to drink around 2 liters of water on daily basis. It will help clean your system and also keep you feeling full and hydrated.
  • Regular meal time- Another effective tip is to eat regularly. If you skip meals, then your body starts storing excess fat to act as a reserve. If you eat regular meals in small portions, you not only slow down the fat storing process but also reduce the quantity of food you consume.
  • Healthy options- Moreover, switch immediately to the modern-day marvel that is green tea, as it is rich in antioxidants. Green tea is highly effective if you aim to lose weight. If you do not prefer green tea, then aloe vera juice is an even better alternative.

2. Exercise
As an obese person, you need to exercise regularly. If you find it difficult to do exercise, take baby steps and start with easy sitting and lying exercises. Go out into the fresh air such as a garden and perform these exercises early in the morning for just 10 minutes. As you build your stamina, increase the intensity gradually.

3. Manage stress
Shed some of that stress in your life as stress and weight are directly correlated. Lose out on stress, and you will also lose those extra pounds.

4. Don’t neglect sleep
Six to eight hours of sleep is essential for a healthy being. Insufficient sleep results in increased levels of cortisol. Cortisol is associated with weight gain.Hence, it becomes crucial to rest enough.

Make sure you seek advice from your doctor and implement the necessary lifestyle changes to accomplish weight reduction effectively. In case you have a concern or query you can always consult an expert & get answers to your questions!

6741 people found this helpful

Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

The word obesity in itself isn't a very pleasant sound. Being one of the most common problems in the world, it is become an epidemic in recent years. The best way to deal with it is to control it and to understand the symptoms and causes of obesity, one must know what exactly obesity is. Although there are multiple definitions of obesity, in general, obesity indicates weight that is greater than what is considered healthy. Even though a certain amount of body fat is necessary for storing energy, heat insulation, and shock absorption, an excess amount of body fat leads to obesity.

Causes of Obesity
A person’s weight is determined by a balance between calorie intake and energy expenditure. The body stores the excess calories in the form of body fat. The hormone leptin is responsible for the mechanism of fat regulation. If a person is suffering from leptin deficiency, then he can suffer from obesity. Also, diseases such as hypothyroidism and polycystic ovary syndrome contribute severely to obesity. Furthermore, body weight is determined by several factors such as an individual’s genetics, diet, metabolism, environment, culture, and behavior.

Obesity and Associated Health Risks
Obesity is not merely a cosmetic consideration but is also very harmful to a person’s health. Life expectancy is significantly reduced for people with BMI over 40. Obesity leads to insulin resistance which is a pre-diabetes condition that often leads to Type 2 (adult-onset) diabetes.Another major health risk of obesity is high blood pressure. Most obese people suffer from hypertension and increase in blood pressure is found more commonly in women than in men as a result of weight gain. Other health risks of obesity are cholesterol, stroke, heart attack and various forms of cancer such as breast and colon cancer.

How is Obesity Diagnosed?
Your doctor will give you a series of tests to confirm if you are obese. He will analyze your medical history taking into account your weight history, eating and exercise habits, your family’s health history, heart rate, and examination of heart, lungs, and abdomen.

Obesity is generally measured by calculating the body mass index (BMI). Body mass index takes into consideration a person’s height and weight as the two determining factors to calculate an individual’s appropriate weight. Body mass index is calculated by dividing a person’s weight in kilograms (kg) by their height in meters (m) squared. BMI shows high correlation with body fat content in adults since it exhibits a ratio between weight and height.

A full-grown adult with a BMI ranging from 25-29.9 is considered overweight while an adult with BMI over 30 is considered obese. An individual with BMI ranging from 18.5-24.9 is of normal weight. Waist circumference is measured to know the amount of abdominal or visceral fat stored around your waist. Women with over 35 inches waist circumference and men with over 40 inches waist circumference are prone to high risks of contracting diabetes and heart ailments.

It is a good practice to measure your BMI and Waist circumference once in a year. If they are more than the normal, it is best to consider a physician to get diagnosed with obesity and plan the best treatment option.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3931 people found this helpful

Childhood Obesity

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
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I am Dr I.P.S Kochar, pediatrics, endocrinologist and diabetologist. Today I will be talkingt to you about Child Obesity which is becoming prevealant and epidermic in India and other countries also. So, it is increasing day by day. More than 65 million of the people are facing Child Obesity under the age of 5 years.

So, if you have any child or infant who is obese. The child will have to suffer from many problems in future.

What do you mean by Obesity?

Obesity means there is an abnormal or excessive fat accumulation in the body. So, over weight and Obesity, both are same. Obesity can cause number of problems. There are many types of complications, those are;

  • In future, a child can have heart disease. THese are all metabolic problems.
  • There are more chances of getting obesity in adulthood.
  • Child get more prone to HYpertension.
  • Girls get more prone to Polycystic Ovarian Syndrome.
  • Reproductive problems
  • Dyslipidemia

These are some of the metabolics which can occur. Besides this, the children can have non-metabolic problems like joint pains at early stage, difficulty in walking, sleep apnea problems and there can be other psychological problems. Children may have low confidence level, low self esteem. So these are the problems which are commonly found in such patients.

What should be done to get rid of this Child Obesity?

One of the major factor is lifestyle. People are becoming technically dependent. People are using AC Cars, Children are going to AC schools and buses. The play time in the schools has decreased greatly. This is all aggrevated to cause Obesity.

The food intake has also become different. Children are consuming more of junk food. high fatty food, high salty food which is one of a major cause of Obesity.

Not only people from urban area are becoming obese but also the people from rural area. This problem is required to be solved. 

The main thing is that we have to change our lifestyle. People have to change their food habits, they have to indulge in the routine exercise. So, there is a simple formula called 5-3-2-1, where,

  • 5 means taking 5 portions of veggies or fruits everyday.
  • 4 means taking 4 glasses of water per day.
  • 3 means 3 times mil in a day.

If you don't remember this, atleast remember 5-2-1, where,

  • 2 means that do not use gadgets for more than 2  hours in a day.
  • 1 hour of physical activity in a day.

So, this formula is very helpful if children follow it. So, try to take low carbohydrates, low fat, more protein in the diet. One should try to change their lifestyle because the obesity is causing all these major problems.

Now, we are getting more children of 5 years, 8 years , 10 yeras with non-communicable disease like Obesity, hypertension, diabtes. Diabtes type-2 has also started coming in the children and the adolescence population only because of the lifestyle.

Now you see many girls whop are obese at the age of 12 -18 years. THey suffering problems like impaired glucose tolerance, they are getting black areas in the neck and also they are getting reproductive problems, hair on the face, so all these problems are increasing the complications. 

I would recommend to only change the lifestyle, make changes in the food habits and try to indulge in the routine exercises.

If you want to contact me, you can do so via Lybrate or you can visit my clinic which is in Noida. But pelase do follow the above mentioned tips.

3415 people found this helpful

Know More About Vitamin D Deficiency

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
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I am Dr IPS Kochar, a pediatrician and endocrine diabetologist. Today, I am going to talk on very intresting topic, Vit-D which everyone wants to know. 

So, Vit-D is essential to maintain calcium. It basically maintains the bone metabolism of the body and it is done basically through absorption of calcium from the intestine and also from renal tubular absorption of calcium. When VIt-D becomes deficient, the hormone PTH is released which tries to maintain calcium and phosphorus in the body. The deficiency of Vit-D in different groups are different. You can have it in the new born periods, in the childhood period or in the adolescence. 

So, in the new born period, children may have some features like staying more tired, the problems related to bones such as bow legs i.e, curving of legs. Then there may be some other problem which is called genu valgum in which they have knock knees. These are some conditions which you can find. These are called as Rickets. And this ricket is responsible for Vit-D deficiency.

In the country like India which has a plenty of sunlight, why we are still facing Vit-D deficiency?

  • One of the reason is that lifestyle ahs changed. We are involved in more of a technical lifestyle. The best time to absorb Vit-D is 9-11 am in which one can absorb maximum amount of Vit-D. But at this time most of us are in teh office, the children are in the schools and the housewives are inside the house. So you are hardly able to absorb Vit-D.
  • Secondly. there is lot of pollution which does not allow us to absorb Vit-D
  • Covering of the body is another major factor.
  • There is a smog which blocks the vit-D

The sources of vit-D are very few. Most of the vit-D is in non veg. But maximum of the Indians are vegetarian. The best sources of Vit-D are fish, eggs. The one important thing all vegetarian must know that they can take mushroom. This will help in maintaining the Vit-D level. So, there are least sources of VIt-D.

There are two types of Vit-D, Vit-D2 and Vit-D3.

Vit-D2 is Ergocalciferol and Vit-D3 is Cholecalciferol. So we can get maximum of the Vit-D from the sunlight which we are not getting. In order to cover up Vit-D deficiency, we need to consume Vit-D. Otherwise children may suffer from Bow legs or genu valgum. In the adolescence, people may suffer from osteomalacia in which there is pain in the legs and bones. So, all these conditions are aggravated.

How to overcome with the deficiency of Vit-D?

Regularly take Vit-D. You can either take it weekly form or in the daily form. Consulting a doctor will be helpful. Also, Vit-D prevents the chances of cancer, hypertension, Diabetes, repeated infection in the children. Everybody should take Vit-D either weekly or daily form.

Thank you very much.

3795 people found this helpful

Vitamin D: The Easily Available Sunshine Vitamin

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Vitamin D: The Easily Available Sunshine Vitamin

Vitamin D is a group of fat soluble nutrient that is an incredibly vital necessity for your body’s proper growth as it helps in the absorption of calcium, magnesium, zinc, phosphate and for multiple other biological reactions of our body.

Now the major issue about Vitamin D is that our dietary sources are inefficient to fulfil the Vitamin D requirements of our body since foods do not contain much of it. Sunlight is the only major natural source of Vitamin D for a human being. Our skin synthesizes the vitamin through complex organic reactions with the help of the UVB radiation of the sunlight.

How is Vitamin D deficiency harmful to your body?
The most important function of Vitamin D is to help the body absorb various other nutrients from our diet and incorporate it into our bones and other necessary parts. Thus, due to Vitamin D deficiency bones become weak, soft and brittle, and results in conditions such as Rickets and Osteomalacia. Recent researches have shown that Vitamin D deficiency is also linked to prostate, breast and colon cancer. Reducing the inorganic mineral content of our body Vitamin D deficiency takes a severe toll on the body from childhood.

How to combat the deficiency among Indians?
Vitamin D deficiency is now an epidemic in the South Asian countries, and India is no exception. About 65-70% Indians are vitamin D deficient despite the abundant sunlight they receive. It is essential to understand the contributing factors that lead to this situation to remedy the problem.

Ignorance
The first and primary issue is that Indians are reluctant to go out into the sun. From households to professionals, everyone prefers to stay away from the only major source of Vitamin D, and even when they go out, they cover up themselves. Lack of knowledge and fear of getting their skin tone darker seem to be some of the nastiest causes that keep the everyone under the shade. Along with these problems, use of sunscreens and completely vegetarian diets are also responsible for the epidemic.

Melanin composition
A majority of Indians have a darker skin tone, which means the melanin content of their skin is comparatively much higher. Melanin prevents the formation of Vitamin D from sunlight. As a result, the Indians need much-extended exposure to sunlight which they do not get.

Obesity
Obesity in Indians is another primary issue that causes the excess fat in the body to soak up the necessary Vitamin D of the body, causing its deficiency.

Learning from the stated causes we see that the only ways to prevent this disease are, much more exposure to sunlight, consuming Vitamin D rich diets and obviously fighting obesity. In cases where the deficiency is observed doctors would prescribe supplements to ensure proper functioning of the body. If you wish to discuss about any specific problem, you can consult a Pediatrician.

3517 people found this helpful

Abnormal Sleep Behaviour in Kids - How It Can Be Managed?

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Abnormal Sleep Behaviour in Kids - How It Can Be Managed?

At birth, an infant sleeps for most of the day. As he or she grows up and starts going to school, they begin to spend a larger part of the day awake, but still need a minimum of 8-9 hours of sleep a day. A good, restful sleep is essential as children’s bodies grow as they sleep. Not getting adequate sleep can cause a range of problems in their school work, social relationships and health.

Some signs that your child may be suffering a sleep problem are

  1. Difficulty falling asleep at night
  2. Waking up in the middle of the night
  3. Snoring or breathing difficulties while asleep
  4. Difficulty staying awake through the day
  5. Recurring nightmares
  6. Sleepwalking

In most cases, making a few healthy lifestyle changes can help improve the quality of your child’s sleep. Some steps to take are:

  1. Create a routine: Establish a regular time for your child to go to bed and wake up every day. This may vary slightly on weekends and holidays but the difference should not be more than an hour. Do not allow your child to watch television or play video games while going to bed. Ideally, the television, computer or any other gadget should be switched off at least an hour before your child’s bedtime. Create a relaxing routine for your child to follow before going to bed like, having a bath or listening to a bedtime story. Avoid getting into bed with your child to help them sleep.
  2. Create an atmosphere: When your child goes to bed, the room should be dark and at a comfortable temperature. If you want to leave a night light on, ensure that there is nothing in the light’s path that could create shadows that may scare the child. Ensure that the noise levels in the rest of your house are low once your child is in bed. If you socialise a lot at home, your child’s room should be at the other end of the house as compared to your living room so that the sound of people does not disturb him or her. You could also let your child choose a stuffed toy to hold onto as a security blanket while they sleep.
  3. Have the right dinner: As far as possible, avoid giving your child a heavy meal just before going to bed. Additionally, do not allow them to have any food or drinks with caffeine for up to six hours before bedtime. Dinner should always be a light meal that is easy to digest. Consult an expert & get answers to your questions!
3608 people found this helpful
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