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Dr. Munendar

MD - Paediatrics

Pediatrician, Street

16 Years Experience  ·  300 at clinic  ·  ₹150 online
Dr. Munendar MD - Paediatrics Pediatrician, Street
16 Years Experience  ·  300 at clinic  ·  ₹150 online
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Munendar
He has been a practicing Pediatrician for 16 years. He studied and completed MD - Paediatrics . Don’t wait in a queue, book an instant appointment online with Dr. Munendar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 29 years of experience on Lybrate.com. Find the best Pediatricians online in Street . View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MD - Paediatrics - Dr. Rajendar Prasad Government Medical College, Tanda - 2002
Languages spoken
English

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Mission Street Get Directions
300 at clinic
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My son has downs syndrome and DOB is 12. Oct 2013. He started to walk Dec 2012. He still does not speak. But alone he mummers words mmaa only. I have consulted many doctors they say by time he will do. Please give me path to follow next.

MBBS, FELLOWSHIP IN PAEDIATRICS
Pediatrician, Ghaziabad
My son has downs syndrome and DOB is 12. Oct 2013. He started to walk Dec 2012. He still does not speak. But alone he...
Raising a child with Downs syndrome is challenging. To know which path to follow you yourself need good knowledge of your child's condition. That way you ask specific questions, in general milestones are always delayed in downs which means that they don' t develop social, motor, language, fine skills at the same age as normal children. Your concern about your child is pretty genuine but the truth is there is not one definite answer. These kids need a lot more stimulus to speak than other kids. Do not pressurize your child or make him feel intimidated that way he ll loose his confidence before he fully gains it. I would suggest you look for a teaching program for Downs syndrome in your city. Such programs mostly focus on childs growth and development.
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My son is 3 years old son, he doesn't eat anything, we use" Apti must" hungry syrup, but he doesn't eat anything, please give me a best suggestion?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My son is 3 years old son, he doesn't eat anything, we use" Apti must" hungry syrup, but he doesn't eat anything, ple...
All children of this age group have such complaints I mean to say parents of such children. Children are very moody, do not force them to eat. As long as they are active need not worry, just keep calm.
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My daughter was 4 months she often suffering cold and cough. Give me some suggestion.

MD - Paediatrics
Pediatrician, Jamnagar
My daughter was 4 months she often suffering cold and cough. Give me some suggestion.
This is normal in first year of life to have viral infections often as immunity is still building. Normal medicines are ok. No need to give antibiotics every time.
1 person found this helpful
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Hello doctor, my 15 days baby is suffering from constipation from last 3-4 days, and also she is sneezing 3-4 times a day, so please suggest any medicine or any option, thanks.

MD - Paediatrics, FIAP (Neonatology)
Pediatrician, Chandigarh
For newborns its normal that the do not pass stools for 3-4 days. Or they may pass stools upto 8-10 times a day anything beyond that needs to be examined and investigated. For sneezing give him flucold drops 0.5ml three times a day.
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Ayurveda - A Boon For The Child In The Womb

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur

Ayurvedic medicine has advised step by step care of foetus via 'Garbhsanskar aushadhi.'

There are complete yogas (combos of medicine) dedicated to all round development of foetus by Ayurveda. As a general tonic every pregnant lady must take Sitopaladi + Prawal Pishti as per dose suggested by Vaidya/Ayurved doctor, to give strength to body and mind and to bring comparatively fairer skin to developing child. Efforts should be done to make Sitopaladi Chooran at home by buying original high quality Banslochan which is an important ingradient of Sitopaladi. Still need be Garbhchintamani Ras and Phalkalyan ghrit are another important tonics for child in the womb. Mother takes these harmless herbomineral 'yogas' for lifetime achievement of the child who becomes strong, beautiful and intelligent. Pl get advise from any ayurveda doctor before starting it.

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Hi doctors, My 20 month old baby girl, suddenly got cold, fever and loose stools with vomit, she tends to vomit whenever she coughs, my pead told due to infection from bottle feeding and to stop at once, then to avoid milk for 1 week, so I feed her with juices only, she prefers only orange juice so I give her fresh juice, but is it safe to give orange juice when cold is there? Any way stopping bottle suddenly is also quite challenging, she accepts milk n juice from bottle only, slowly I need to change her.

Doctor of Medicine - Pediatrics
Pediatrician, Agra
Hi doctors, My 20 month old baby girl, suddenly got cold, fever and loose stools with vomit, she tends to vomit whene...
Hi Your child having viral illness and it seems because of problem of lactose intolerance your pediatrician has advised you to stop milk. Definitely the problem of infection is most probably due to bottle feeding but it is also quite natural that you cannot stop the bottle feeding all at once, gradually wean off the child from the bottle and in the meantime strictly adhere to sterilizing the feeding bottles every time you feed the baby. Instead of giving orange juice, when the baby is having cold prefer to give semi solid foods like Daliya, semolina,kichri, etc to your baby.
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What You Need to Know About Clubfoot?

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
What You Need to Know About Clubfoot?

What You Need to Know About Clubfoot?

clubfoot is a common condition where an infant is born with a foot that turns in

  • Clubfoot most often presents at birth.

  • Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.

  • Clubfoot is twice as common in boys.

  • Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.

  • Children with clubfoot should be able to take part in regular daily activities once the condition is treated.

What is clubfoot?

Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).

Idiopathic Clubfoot

Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.

Neurogenic Clubfoot

Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.

Syndromic Clubfoot

Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.

What are the signs and symptoms of clubfoot?

In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.

What are the risk factors of clubfoot?

  • Having a parent or sibling with clubfoot

  • Maternal smoking during pregnancy

  • Male

Clubfoot Diagnosis

Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.

Clubfoot Treatment

The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.

Ponseti Serial Casting

A supramalleolar orthosis with bar is used for bracing after an infant has completed casting treatment for clubfoot

The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.

Bracing for Clubfoot

While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.

Life after Treatment of Clubfoot

A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities. 

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My baby sweats when she sleeps in the cold weather. Can you please tell me why is this happening.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My baby sweats when she sleeps in the cold weather. Can you please tell me why is this happening.
In infants head sweating is a normal habit as the body surface are a more on head and body heat exchange occurs normally and head has more surface area.
1 person found this helpful
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My son is 6 month old now and one of his testicles is not descended since birth. Should we wait for another 2-3 months or proceed with the surgery? Is surgery the only solution?

M.Ch - Paediatric Surgery
Pediatric Surgeon,
My son is 6 month old now and one of his testicles is not descended since birth. Should we wait for another 2-3 month...
Most probably it is a case of undescended testis. In these case surgery should b done by 6 to 12 months of age of child by a pediatric surgeon.
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