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Dr. Avinash Kinikar

Pediatrician, Pune

Dr. Avinash Kinikar Pediatrician, Pune
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Avinash Kinikar
Dr. Avinash Kinikar is a popular Pediatrician in Pimple Saudagar, Pune. You can visit him at Child Care Clinic in Pimple Saudagar, Pune. You can book an instant appointment online with Dr. Avinash Kinikar on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 39 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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Row House No.1, Sai Orchards, Pimple Saudagar. Landmark: Near Govind Garden Restaurant, PunePune Get Directions
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Bhakti plaza,D P Road, Aundh. Landmark: Opp. Aundh Police Station & Near Braman Circle, PunePune Get Directions
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Sr No 31, Aditya Birla Hospital Marg, Chinchwad. Landmark:Opp. Hotel Ludia & Near Morya Mangal Karyalaya, PunePune Get Directions
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My son is not having solid food he is 1 yr. Should I give his any multivitamin medicine.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Pune
My son is not having solid food he is 1 yr. Should I give his any multivitamin medicine.
A 1 year child has to be gradually weaned to semi solids and solid foods. The process needs to start from 6 months onwards. If your child has just been introduced to semisolid, be patient and keep giving him 3 semisolid meals. You can give him multivitamin medicine till he is not accepting his feeds properly.
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Dear Sir, Greetings of the day. My son who is 5 years is given Cypon syrup. His intake has increased. Earlier we used to give him Neopeptine since last 4 -5 years. Now after someone suggested we give him Cypon syrup along with neopeptine. My question is whether it is safe to continue and is there any side effect in longterm how much time we should continue this. Is it ayurvedic/Allopathic? Kindly guide me. Thanks,

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
These meds do cause habit forming events. Prefer calorie dense diet rather then just making hunger stimulated.
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My son age 6 years high fever for 2 days with shivering sometimes is in cefuroxime and paracetamol 5ml three times a day also has cough. My question is how long we have to give this medicine to him.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Most probably it's viral infection which usually lasts for 7-10 days. Fever may last for 3-5days. Give paracetamol 250mg whenever there is fever. Don't give cefuroxime.
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Meri bachi ko bukhar tha lekin ab kam he but kuch khari nahi aap koi suzao do kya khilaye jis se usko healty mehsus ho aur fit rahe.

M.D.Pediatrics, MBBS
Pediatrician, Mumbai
Meri bachi ko bukhar tha lekin ab kam he but kuch khari nahi aap koi suzao do kya khilaye jis se usko healty mehsus h...
Dear lybrate-user bimari main aur uske baad bache ki bhuk kum ho jati hai. Vo jyada nahi kahata to aap koshish karo kithori thori der ke baad kuch kuch khilate rahen. Agar usko antibiotics diye hain to 15 din usko soporolac /neutralan syrup de sakte ho. Kuch aur puchhana ho to likhna.
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My baby boy is 2.5 months old and he is not crying loudly is there any problems in future related voice?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby boy is 2.5 months old and he is not crying loudly is there any problems in future related voice?
Child cries when he is in agony for any reason. if he is talking well and voice is clear, you need not to worry. Even then you may consult ENT specialist.
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My child is 7 and 1/2 yrs and has been detected with celica desires how much r the chances of getting it cute and wht future to take care of? is it the wheat has to be completed stopped? or if consumed by mistakenly as she's a child how far it wil harm her?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
There is no permanent treatment for coeliac disease. Best way is to avoid wheet and wheet containing food items as chemical substance called gliadin present in those items is responsible for the problem.
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My 19 months old baby girl feel much pain while passing stool for last one month. Is it normal or a series problem.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 19 months old baby girl feel much pain while passing stool for last one month. Is it normal or a series problem.
If your daughter complains of pain in anus, it may be due to hard stool. Give her fibrous food and plenty of water. If it is abdominal pain before passing stool, it in normal.
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Cyclic Vomiting Syndrome in Children - Causes, Symptoms and Treatment

MD-DNB (Pediatrics), FCPS (Paediatrics), Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Cyclic Vomiting Syndrome in Children - Causes, Symptoms and Treatment

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes:

There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms:

The syndrome (a group of symptoms) usually has 4 phases:

  1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.

  2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

  3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

  4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment:

Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

  1. If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.

  2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

  3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.

Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

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I am feeling that I am somewhat special, if I go in front of mirror, I start to think who is she, my parents are not mine, every thing which is mine it's seeming that it's not mine actually. These type of feeling actually effecting me. what should i do ?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am feeling that I am somewhat special, if I go in front of mirror, I start to think who is she, my parents are not ...
this is something like depersonalisation. Usually if it occurs just once in a while its okay. But if this feeling is pervasive and has been present for a long time along with some other symptoms, its better you consult a psychiatrist with all possible complaints and details. You could consult me online too
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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My daughter is 4 months old. Last week gave vaccination to her. I checked the temperature today it's normal 98.4. But her head is hot why. Kindly advise. Pls.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 4 months old. Last week gave vaccination to her. I checked the temperature today it's normal 98.4. But...
Babies' head feel hotter as the normal body heat exchange takes place mainly through head as it has greater surface area.
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Sir my daughter is1& half year old. More than ten days she is affected urinary infection, she is very struggle to pass urine and it' s code' s very bad smell and few drops only coming. Please sir give me a suggestion.

MD - Paediatrics, MBBS
Pediatrician, Bangalore
You need to give her plenty of water and other liquids. Also get a urine test, routine and microscopy done, and show the report and your baby to your regular pediatrician.
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Sir, my daughter aged 5, taking Dr. Mercola multivitamin for children, which contains 2000 iu of vitamin d3, is it safe for my daughter, as she is india, Dr. Mercola says it is safe, please guide me. Thanks.

MRCPCH, MBBS
Pediatrician, Gurgaon
Hello, it is good to give vitamin d3 but this dose is on higher side. We need 400 iu per day so allow a vit d3 half sachet once a month only and other multivitamins are fine if you want though I would not recommend that if appetite covers all natural sources of vitamins. However, if you want you continue you can but please take care of d3 vitamin dosage. Take care.
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My 11 month baby has something black on his bottom teeth. Is this due to calcium deficiency? Kindly suggest.

MD - Paediatrics
Pediatrician, Mumbai
My 11 month baby has something black on his bottom teeth. Is this due to calcium deficiency? Kindly suggest.
This is not deficiency. This is like infection called caries. Many kids have hidden calcium deficiency.
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I have child of 2 month but I have not produce milk to much for fading of my child taking satavri with water and milk both. What can I eat to have more milk.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I have child of 2 month but I have not produce milk to much for fading of my child taking satavri with water and milk...
Take Lac Can 30C one dose and Cosmos 30C daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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My child is 1yr 9 months old, suffering from cough and fever from last 3 days. Not only this time very often he suffer for the same. This time Amoxycillin oral suspension I. P and terbutaline sulphate, Bromhexine Hydrochloride, Guaiphenesin Syrup started from yesterday. What more treatment is needed for him?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Most often it's viral infection. Fever usually settles down in 3 to 4 days. Cough takes 7 to 10 days. Continue same treatment. Small children get frequent infections because of low immunity.
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My son is suffering with fever from past 5 days. Doctor told me to use Meftal/Crocin ds. But still he is getting fever. We underwent blood tests also, but reports are normal.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in Healthcare Services
Ayurveda, Una
My son is suffering with fever from past 5 days. Doctor told me to use Meftal/Crocin ds. But still he is getting feve...
Hello Mam, Prolonged fever in children might be due to urine infection too. If blood tests are normal then go for urine examination. If UTI will be ruled out then take the treatment accordingly.
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Hi my baby is 5 months 25 days now. His stool today was total watery and green color. We are not giving anything apart frm mothers milk. Any specific reason for such green liquidy stool?

M. B. B. S. , D. C. H.
Pediatrician, Dhanbad
U give this medicine 1. Satrogyl o dry sus 3. 5ml twice daily 2. Econorm sachets 1 sachet morning &1 sachet evening for 5days
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My baby is 4 months old . I hv started giving him cerelac. Wat is other better option ? Cn you give fruits ? If yes shud it b cooked b4 giving or is it okay to jus blend it in mixer?

BHMS
Homeopath, Faridabad
My baby is 4 months old . I hv started giving him cerelac. Wat is other better option ? Cn you give fruits ? If yes s...
Hello, your baby is very young to start something solid food. He must be on mother's feed now. But if you have started giving him cerelac then it should a liquid preparation. When your baby completes 6 months then only you should start top food. Take care.
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