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Dr. Adarsh Hegde

Pediatrician, Pune

500 at clinic
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Dr. Adarsh Hegde Pediatrician, Pune
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Adarsh Hegde
Dr. Adarsh Hegde is an experienced Pediatrician in Senapati Bapat Road, Pune. You can visit him at Oyster & Pearl Hospital Pvt.Ltd in Senapati Bapat Road, Pune. Book an appointment online with Dr. Adarsh Hegde and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 44 years of experience on Lybrate.com. You can find Pediatricians online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Oyster & Pearl Hospital Pvt.Ltd

#402/A, Senapati Bapat Road, Gokhale Nagar. Landmark: Near Dominos Pizza, PunePune Get Directions
500 at clinic
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What Are the Affects of Galactosemia In Infants?

dnb pediatrics
Pediatrician,
What Are the Affects of Galactosemia In Infants?

An infant is usually called a bundle of joy and with good reason. There are simple and carefree, and bring a smile to your face with their antics. However, the mood and health of an infant can be tarnished due to an issue which is known as galactosemia.

What is Galactosemia?
When a baby has galactosemia, he or she will have a problem when it comes to digesting galactose, which is something that is present not only in milk but in all milk products. Galactose is a sort of sugar, just like fructose and glucose is. As a matter of fact, lactose, which is what milk has, is, in fact, a combination of glucose and galactose. Also, when lactose is processed, it is broken down by the human body into its constituents.

The condition is something that is passed down through the genes of the parents of the baby. The condition would occur if the gene which causes a tendency for a baby to have galactosemia is present not only in one parent but both of them. A baby who has the condition will be lacking an enzyme which is known as the GALT enzyme. The enzyme could also not be functioning as it should be under normal circumstances.

When it comes to the problem, it is very important, to say the least, to detect it sooner rather than later as if there is a build-up of unprocessed galactose which is allowed to occur, it can affect the baby adversely and in some cases, it can also be threatening to the life of the baby!

How does it affect a baby?
The problems which can erupt due to galactosemia include issues which affect organs such as the brain, eyes, liver and kidneys. It is interesting to take note of the fact that these are all organs which either have something to do either processing the blood or are heavily dependent on it. While a baby is not in the position in which he or she can communicate the issues that are being faced, when keeping an eye out for galactosemia, the signs which are displayed include an irritability of the baby as well as lacking consumption of the milk of the mother.

Even though galactosemia may not be the case, a doctor should be consulted as the exacerbated issue can include seizures and jaundice. It is to be kept in mind that galactose is something that can be found not only in the milk of the cow but also human milk as well as the milk of other animals such as goats. If you wish to discuss about any specific problem, you can consult a Pediatrician.

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Sir/madam My daughter doesn't consume milk from breast Even she doesn't hv any cough and cold. If we put breast milk in a bottle then she can have easily. please suggest me what should I do for her. Or suggest me any substitute instead of breast milk Thank you.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, breastmilk is complete food for a neonate for first 6 months and no substitute is required if your beast milk production is adequate.Ensure that you clean your nipples with warm water after every breast feed and the layer of casein from previous feed is removed each time before fresh feed.
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Sir my son at about 7 years old is suffering from nose block specially during sleeping time daily .then he does not sleep. Last 15 days I suggest and checkup by a specialist doctor prescribe some tab and one nasal drop .but no relief. What can I do .plz suggest me.

BHMS, MD(AM)
Homeopath, Kota
Its a type of allergy, for this problem, you should start homeopathic treatment from a classical homeopath. That can help your child. Or consult me online. For relief within days "sambucus nigra 200" / one dose should be given.
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My 3 year old is sick with a temperature of 100 degrees, she can't keep anything down including liquids. What should I do?

MD, MBBS
Pediatrician, Bangalore
My 3 year old is sick with a temperature of 100 degrees, she can't keep anything down including liquids. What should ...
First make the fever normal by giving paracetamol in proper dose than feed, can add ondem syp with it.
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I have 3 years old son Child specialist advised us to give him BRAINWISE. Request suggest is this good for my son?

MD - Paediatrics
Pediatrician,
I have 3 years old son Child specialist advised us to give him BRAINWISE. Request suggest is this good for my son?
Brainwise is an Omega 3 Syrup. It has been postulated that Omega 3 protects and has positive effects on the brain and heart.
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Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

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My son he is 12 years old. The problem is about not growing his height and weight. He is too weak. Suggest me about his improvement.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
My son  he is 12 years old. The problem is about not growing his height and weight. He is too weak. Suggest me about ...
Medicine sbl calc phos 3x / 3 times a day 10 days food 25 pcs kismis daily 5 pcs khejur 2 boiled eggs daily morning 4 tspnful glucose daily mixed fruit juice daily evening complain daily exercise do swming gym daily 20-30 minutes. If medicine suit you then revert after 2 weeks
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My two months old daughter got rota vaccine. After that she started wheezing. Should she take second does or other vaccine safely.

MBBS Bachelor of Medicine and Bachelor of Surgery, BCH, DNB - Training, PDCC - Pediatric Hepatology & Gastroenterology
Pediatrician, Gurgaon
My two months old daughter got rota vaccine. After that she started wheezing. Should she take second does or other va...
Not a well known side effect of rota vaccine but if you are sure that wheezing is associated with vaccination you need to meet your Pediatrician.
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My baby girl is 6 and half months old. She always put her fingers on her mouth but her teeth doesn't yet come out. When her teeth comes out and what should I do for her teething? should give homeopathic medicine calcarea phos 6x or any other medicine?

Bsc Food & Nutrition, Msc Food & Nutrition
Dietitian/Nutritionist, Delhi
My baby girl is 6 and half months old. She always put her fingers on her mouth but her teeth doesn't yet come out. Wh...
Hi lybrate-userMost babies get their first tooth at around 6 months, but your child's chompers may appear as early as 3 months or as late as 14, depending on such factors as when Mom and Dad started sprouting teeth and whether or not your baby was a pre term (pre term child tend to teethe on the late side). Wait for few more months and then visit the dentist. Please don't give any medicines on your own. Thanks.
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