Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Dr. I. P. S. Kochar - Pediatrician, Noida

Dr. I. P. S. Kochar

92 (10 ratings)
MAMC, MRCPCH, MD - Paediatrics, MBBS

Pediatrician, Noida

36 Years Experience  ·  1200 - 1500 at clinic  ·  ₹1500 online
Dr. I. P. S. Kochar 92% (10 ratings) MAMC, MRCPCH, MD - Paediatrics, MBBS Pediatrician, Noida
36 Years Experience  ·  1200 - 1500 at clinic  ·  ₹1500 online
Submit Feedback
Report Issue
Get Help
Feed
Services

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.

read more
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.

read more
<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
 

read more
<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.
 

read more
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.
 

read more
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.
 

read more
View All Videos

Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. I. P. S. Kochar
Dr. I.P.S Kochar is a Pediatrician with an experience of about 35 years. He completed his MBBS in 1981 and MD, specializing in Pediatrics in 1985 from Maulana Azad Medical College, New Delhi. He did his MRCPCH from the prestigious Institute of Child Health, London in 2003 and MAMC from Vienna in 2006. Besides being a Pediatrician Dr. I.P.S Kochar also specializes in Endocrinology and problems regarding diabetes. He is one of the best Pediatrics in Noida and has treated many children facing issues with weight, growth and other health issues. He not only treats children but also has created a reputation of his own whilst dealing with patients who suffer from Osteoporosis, thyroid diseases, Metabolic disorders, cancers of the endocrine glands, over or under production of hormones and lack of growth. You can visit Dr. I.P.S Kochar at his clinic at Sector 40, Noida. Dr. Kochar is also associated with Indraprastha Apollo Hospitals in Mathura Road, New Delhi. In his clinic, within a calm and comfortable environment you can avail a wide array of treatments ranging from New Born Care, Vaccinations, Postnatal Care to Cleft lip treatment and Newborn Jaundice among others.

Info

Education
MAMC - Vienna - 2006
MRCPCH - Institute of Child Health, London - 2003
MD - Paediatrics - Maulana Azad Medical College, New Delhi - 1985
...more
MBBS - Maulana Azad Medical College, New Delhi - 1981
Languages spoken
English
Hindi

Location

Book Clinic Appointment

IPS Kochar Senior Consultant

Pediatric Adolescent Endocrinologist & Diebetologist, D-121, Sector-40Noida Get Directions
1500 at clinic
...more

Indraprastha Apollo Hospitals

Sarita Vihar, Delhi Mathura Road,Delhi Get Directions
1500 at clinic
...more
1200 at clinic
...more
1200 at clinic
...more
View All

Consult Online

Text Consult
Send multiple messages/attachments. Get first response within 6 hours.
7 days validity ₹1500 online
Consult Now
Phone Consult
Schedule for your preferred date/time
5 minutes call duration ₹1500 online
Consult Now
Video Consult
Schedule for your preferred date/time
5 minutes call duration ₹1500 online
Consult Now

Services

View All Services

Submit Feedback

Submit a review for Dr. I. P. S. Kochar

Your feedback matters!
Write a Review

Feed

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.

1 person found this helpful

Childhood Obesity

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video

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.

3413 people found this helpful

Know More About Vitamin D Deficiency

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video

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.

3792 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!
507 people found this helpful

What are the Signs and Causes of Hair Loss in Children?

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
What are the Signs and Causes of Hair Loss in Children?

Excessive hair fall, thinning of hair and bald spots are not only concerns of adults, children too suffer from hair woes. Look for signs and identify causes that are leading to your child's hair loss. With proper treatment hair loss can be reversed and your child's hair can be restored.

Symptoms:
Look for these signs to determine whether your child is suffering from hair loss.

1. Bald patches on the head.
2. loss of hair from the entire body
3. Excessive hair loss but not complete fallout
4. Spots of broken hair and scattered hair loss

Causes:
1. Alopecia areata.-
This condition results in oval patches of hair fallout from certain portions of the head. It is a noncontiguous condition that appears when the body's immunization attacks the hair follicles. About 25% of affected kids also suffer from ridging nails.
2. Tinea capitis- Also known as ringworms of the scalp, this is a type of fungal infections that are often seen in children. It causes oval shaped scaly spots on the head due to breakage of hair and the remaining roots seem like black spots.
3. Telogen effluvium- If your child has undergone some kind of trauma, be it physical or psychological, it can cause the hair follicles to enter into the resting phase and within 6 to 16 weeks excessive hair loss occurs leaving your child partially bald.
4. Trichotillomania- Stress and anxiety can cause your child to pullout his/her own hair. This results in scattered hair loss and broken hair which is prominent on the sides of the head.
5. Lack of nutrients- Nutritional deficiency can cause hair loss, if your child lacks vitamin A, B complex and biotin it can trigger hair fall.

Hair fall in children is common and treatable if they are of medical causes. Sometimes rubbing and playing with hair can also cause hair loss so parents are advised to look into all the probable causes that might lead to shedding. If you wish to discuss about any specific problem, you can consult a Pediatrician.

2745 people found this helpful

4 Basic Skin Problems in Infants

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
4 Basic Skin Problems in Infants

Your baby's skin requires constant care and protection because it is exposed to the ravages of pollution, dust and harmful UV rays. A healthy skin also has aesthetic benefits apart from being disease resistant.
It takes about a year for the epidermis of a baby to develop and function effectively. Once the baby turns one, the skin gets thicker and more immune to skin problems.

Here are four common skin problems found in almost every infant:

  1. Prickly heat rashes: Prickly heat rashes are the rashes, which develop on the face, neck, back or the bottom of the baby because of heat. To deal with this situation you should try to keep the infant cool and dry (not let him/her sweat) and ensure that they wear loose and comfortable clothes made of cotton.
  2. Seborrhea: Rashes that develop on the scalp, eyebrows, cheeks, chest, and/or neck of a newborn baby (up to 6 months), are known as seborrhea. It appears to be gruesome, but does not bother the baby. It is recommended to use mild baby shampoo and creams to get rid of the problem. If there is no improvement, consult a dermatologist.
  3. Eczema: About 20% of the babies suffer from a very itchy skin rash known as 'eczema'. The affected area of the skin may turn red, ooze pus or crust over. It can be a result of an irritation caused due to sweating in a hot weather or due to the drying up of skin in a cold weather. Some clothing, specifically wool can even trigger this skin condition in a baby. A dermatologist or a paediatrician should be consulted in order to know what should be done.
  4. Diaper rash: Diaper rash is the development of red and inflamed skin in the area under the diaper. It is recommended to check the diaper for any wetness at regular intervals, and to change it when required. The diaper should not be too tight or left on too long. Applying a diaper rash ointment and keeping the area dry and open whenever possible can help in relieving your baby from the problem.
2615 people found this helpful

Asthma in Children: Diagnosis and Treatment

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Asthma in Children: Diagnosis and Treatment

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

3453 people found this helpful

Gastro-Oesophageal Reflux In Babies

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Gastro-Oesophageal Reflux In Babies

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:

  • A persistent cough
  • Choking or gagging while eating
  • Refusing to eat
  • Crying while feeding
  • Heartburn
  • Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

  1. Barium swallow: The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
  2. pH probe: A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.
  3. Upper GI endoscopy: Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.
  4. Gastric emptying study: One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:

  • Raise the head of the baby's crib
  • After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
  • Change his feeding schedule
  • Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
  • Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

4343 people found this helpful

Health Tips on Growth of Child

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video

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.
 

3798 people found this helpful

Early Puberty: Causes and Effects

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video


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
 

3715 people found this helpful

Common Signs of Thyroid in Children

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video

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.
 

3638 people found this helpful

Signs and Symptoms of Diabetes in Children

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video


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.
 

3754 people found this helpful

4 Major Causes of Constipation in Children (+ 2 Ways to Handle it)

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
4 Major Causes of Constipation in Children (+ 2 Ways to Handle it)

4 Major Causes of Constipation in Children (+ 2 Ways To Handle It)

Constipation is a very common problem among toddlers and children. It takes place when the child's stool is dry, hard and unusually large, and the frequency of bowel movement is low and inconsistent. Although it is not a serious cause for concern, constipation in children should be recognised and treated early so that it does not develop into a chronic long-term ailment.

Constipation in children is seldom directly caused by any disease or medical disorder, which is known as idiopathic constipation and may be cause by a number of factors:

1. Diet: This is the primary cause of constipation in children. If the child's diet has low water and fibre content and heavily features sugar and processed foods, stool becomes hard and bowel movement gets restricted.

2. Deliberate Withholding: Often children may consciously avoid visiting the toilet, which may make them feel constipated. This may be due to embarrassment, especially in public spaces or they might be too engaged in playing to not go to the toilet, altogether. Some children do it out of fear when a previous toilet experience has been particularly painful.

3. Lack of Physical Activity: The digestive system is boosted through regular exercise. Lack of physical activity, thus, inhibits regular bowel movement.

4. Illness and Medication: Infections and illnesses, especially ones pertaining to the stomach cause the child to become constipated. Many medicines and supplements also affect the digestive system and can lead to constipation.

What are the ways to manage constipation in children?

Constipation in children is treated differently than in adults as their diets and patterns of bowel movement are dissimilar.

The primary treatments for constipation in children are:

1. Stool Softeners and Laxatives

The administration of bowel movement enhancing medication is the simplest way of treating constipation in children. There are various kinds of stool softeners and laxatives that are safe for children and must always be used under the supervision of a paediatrician.

2. Dietary Adjustment

Making changes to the child's diet by including high fibre foods (such as fresh fruits and vegetables, whole grain breads, cereals, etc.) can help cure constipation. Compelling the child to intake ample fluids in the form of water or milk is also necessary. Sugary drinks must be avoided.

'consult'.

3375 people found this helpful

5 Practical Ways to Prevent Obesity in Children

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
5 Practical Ways to Prevent Obesity in Children
5 Easy ways to prevent obesity in your child

Research shows that overweight children have a higher chances of developing chronic health problems such as hypertension, asthma, high cholesterol, and even cancer as they grow up. Apart from these health conditions, being obese can cause severe self-esteem problems as well. In short, obesity in children, more specifically childhood obesity, can affect the overall physical, mental and emotional health of your child.

Here are 5 easy ways to prevent your child from falling into the perils of obesity.

1. Develop healthy eating habits in your child
Encouraging your little ones to develop healthy eating habits is vital for maintaining optimum body weight. Instead of high sugar and high fat foods, a child’s diet should consist of fruits, vegetables and whole-grain foods (such as oats, quinoa and wheat). Proteins such as lean meats, lentils, beans and fish should be included in his/her eating plan as well. Most importantly, serving food in the right portion sizes will ensure your child is getting the right amount of nutrients, while preventing him/her from consuming empty calories. Inculcate these eating habits in them right from the time they are toddlers so that it stays with them as they get older.

2. Make your child avoid calorie-rich foods
Getting your child to avoid fatty, sugary and salty foods can also prevent him from tipping over the weighing scale. Present before your child low sugar and low fat alternatives that he/she would enjoy eating such as apples, bananas, carrots, etc.

3. Encourage your child to pursue physical activity
Try to encourage your child to engage in some form of physical activity for about 60 minutes every day. From brisk walking, swimming, dancing to skipping - your child could opt for any of these physical activities. Having your child lead an active life can see him/her enjoying a number of health benefits like respite from stress, strengthening of his/her bones and muscles and decrease in blood pressure, to name a few.

4. Put a limit on your child’s TV time
When it comes to the time that your child may spend before the TV, computer or other gizmos, it should be not more than 2 hours a day. Instead, devise fun activities wherein your child as well other members of the family can take part in or ones in which your child does not need a company.

5. Ensure your child gets enough sleep
Lastly, a good night’s rest that lasts about 9-12 hours is vital for optimal weight maintenance. Studies reveal that children who slept for fewer hours were more at risk of being obese. This is because less sleep causes fatigue, leading to a decrease in physical activity and therefore, use of energy.


3610 people found this helpful

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Hypothyroidism in newborn and children.
Frequently asked questions?

Q1. Did I do something wrong in my pregnancy which resulted in my baby having congenital hypothyroidism?
A The answer is most certainly NO. In the vast majority of cases, no cause can be identified and no link has been found with drugs, smoking or any particular foods

Q2. I am worried that I might miss giving my baby a dose of thyroxine. Would this matter?
A. Fortunately, thyroxine lasts in the body for quite some time and so even if a day?s dose is missed, your child will still benefit from the previous day?s dose. Clearly it is important to maintain a regular daily treatment and it will certainly matter if several days are missed.
Q3. Are there any side effects of thyroxine treatment?
A. No. Thyroxine is identical to the natural hormone produced by the thyroid gland and is a relatively simple chemical substance. It is really a replacement hormone treatment rather than a drug, so any side effects only occur if the dose is wrong. If too much thyroxine is given, symptoms of hyperthyroidism will occur. If not enough is given, the hypothyroid symptoms will return. Thyroxine tablets can be stored at room temperature, last a long time, and are widely available throughout the world.
Q4. What is the risk of having other children with hypothyroidism?
A. In the commonest form of hypothyroidism, i.E. When the gland has not developed properly, the risk of having another affected child is small, perhaps about 1 in 100. When the cause of hypothyroidism is due to a block in the production of the hormone, rather that normal development of the gland, the risk of having an affected child is much higher and is usually 1 in 4 in each pregnancy, with boys and girls equally affected. The late onset form of hypothyroidism also has an increase risk of brothers, sisters and other relatives having thyroid problems.
Q5. If my child is at risk of developing hypothyroidism, for instance they have Turner or Down?s syndrome, how often should they have a blood test?
A. Probably every one to two years, but your specialist will advise you on this.
Q6. How long will treatment last for?
A. We must assume that the treatment is for life as the thyroid gland will not grow again or recover, but the treatment is easy and well tolerated. White temporary or transient hypothyroidism does exist, it is uncommon, and most children will need to continue on thyroxine through adulthood. The dose will need to be increased to match their growth, but by the time adult life is reached the dose usually remains stable with the need for only an occasional blood test.
2 people found this helpful

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
What is short stature.What is growth failure?
What is a growth disorder?

A growth disorder is any type of problem in infants, children, or teenagers that prevents normal growth. Normal growth depends upon several factors, such as nutrition, genetics, and hormones (chemical messengers of the body). Hormones are necessary for normal growth and development; they regulate the body's growth, metabolism (the physical and chemical processes of the body), and sexual development and function.

Endocrine (hormonal) causes of growth disorders include thyroid hormone deficiency (hypothyroidism), growth hormone deficiency, hypopituitarism, or other hormone disorders. However, some growth problems are not necessarily growth disorders; normal variants of growth patterns include genetic short height (familial short stature) and slow growth/delayed puberty (constitutional growth delay).

Although growth hormone was originally used to treat growth hormone deficiency (this group of patients respond the best to growth hormone therapy), there have been other conditions for which growth hormone therapy has been approved for use. These include Turner syndrome, chronic renal insufficiency, Prader-Willi syndrome, and children who were small for gestational age and have not caught up in their growth by the age of two years. In 2003 the FDA approved the use of growth hormone for children who have

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
How do I know if my child has a growth disorder?

A child's growth pattern is an important part of determining normal growth. No child has a perfectly steady growth rate; children go through growth spurts and periods of slower growth. The best way to evaluate a child's growth pattern is to plot the child's height and weight on a growth chart. This can be completed by a doctor or a health care practitioner, at school, or even at home. The growth chart will show the child's growth over a period of time.

Any departure from a prior growth pattern appropriate for the child's genetic background may signal the appearance of a disease. Contact a doctor or healthcare practitioner if the child's growth or height is a concern. The doctor may suggest seeing a specialist paediatric Endocrinologist who can perform tests to determine if the child has a hormone deficiency.

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Growth Hormone Deficiency Symptoms

Symptoms of GH deficiency in children include the following:

Short stature
Low growth velocity (speed) for age and pubertal stage
Increased amount of fat around the waist
The child may look younger than other children his or her age
Delayed tooth development
Delayed onset of puberty

Symptoms of GH deficiency in adults include the following:
Low energy
Decreased strength and exercise tolerance
Decreased muscle mass
Weight gain, especially around the waist
Feelings of anxiety, depression, or sadness causing a change in social behavior
Thin and dry skin

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
When to Seek Medical Care

If there is a question of growth hormone deficiency in either a child or an adult, consultation with a pediatric or adult endocrinologist, as appropriate, is recommended. The endocrinologist may order an insulin hypoglycemia test wihich is the gold standard for determining HGH deficiency.

insulin (hormone that regulates blood sugar levels) is given through an IV to produce a low plasma glucose (a sugar) level. The peak growth hormone level is measured 20-30 minutes later.
If the peak growth hormone level is less than 10 mcg/mL in children or less than 3 mcg/mL in adults, growth hormone deficiency is diagnosed.
Persons with growth hormone deficiency may have increased total cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglyceride levels.

Other tests that may be performed include a CT scan and/or MRI of the brain and/or bones. Images from these tests may reveal tumors. Reduced bone density can be evaluated by a DEXA or bone density scan.
View All Feed