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Dr. Gujar

MBBS

Pediatrician, Pune

200 at clinic
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Dr. Gujar MBBS Pediatrician, Pune
200 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. Gujar
Dr. Gujar is a renowned Pediatrician in Sambhaji Nagar, Pune. Doctor has done MBBS . Doctor is currently practising at Dr. Gujar@Dhanashree Hospital in Sambhaji Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Gujar on Lybrate.com.

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MBBS - - -

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Dhanashree Hospital

Gp 66, Sambhaji Nagar MIDC Chinchwad. Landmark: Opposite Kamal Nayan Bajaj School & Near Thermax Company. Landmark : Opposite Kamal Nayan Bajaj SchoolPune Get Directions
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My wife had an caesarian procedure on 01.05. 2015. Our baby (daughter) born complete healthy. Dr. Advised my wife to take cerazette 75 daily. My baby is being breastfeed ed by my wife exclusively. Now for the last three days, my baby is vomiting continuously even after taking domostol drop. Child specialist is suggesting, that it may be a side-effect of consuming those contraception pill (cerazette 75m). We do not have any reason to take contraception, as getting pregnant is least of our worries. We are staying separate in these three month for job purpose. So, my question is, can the cerazette tab be harmful to my baby by any means? and if my wife stop that tab on her 15th day, will that be better in any scenario, or it may be harmful to my baby.;

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Cerazette does not influence the production or the quality (protein, lactose, or fat concentrations) of breast milk. However, small amounts of etonogestrel are excreted in the breast milk. As a result, 0.01 - 0.05 microgram etonogestrel per kg body weight per day may be ingested by the child (based on an estimated milk ingestion of 150 ml/kg/day). Limited long-term follow-up data are available on children, whose mothers started using cerazette during the 4th to 8th week post-partum. They were breast-fed for 7 months and followed up to 1.5 years (n=32) or to 2.5 years (n= 14) of age. Evaluation of growth and physical and psychomotor development did not indicate any differences in comparison to nursing infants, whose mother used a copper-iud. Based on the available data cerazette may be used during lactation. The development and growth of a nursing infant, whose mother uses cerazette, should, however, be carefully observed. For your child you give emeset syrup 2.5ml and inform me, privately.
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This question is for my 3.5 years old baby girl having squint in both eyes, Doctor applied glasses accordingly and suggests surgery then after diagnose of 1.5 years, as my baby girl is just 3.5 years old as a parent I do not want her to operate at this age, can we wait? And if yes then how many years we can wait. 2nd) is this a minor surgery like laser or sesame. 3rd) after this surgery can we think for lasik laser at the age of 16, 4th) if surgery is necessity now, then its surety that squint will never appear in future.

MS - Ophthalmology
Ophthalmologist, Rajkot
If squint disappear with glasses, not to worry. If eyes remail sqinting, must go for surgery to avoid permanent one eye vision week. It is not an eye operation and nothing to do with vision loss in surgery. It is an external surgery and quite safe. You must get op. At the age 5 to 6.If done late ,vision will be less in one eye for ever.
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Please suggest. My baby is six months old can I give her calcirol sachet of cadila company and how I can give her?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Paediatrics
Pediatrician, Mohali
Please suggest. My baby is six months old can I give her calcirol sachet of cadila company and how I can give her?
Hello sir, calcirol sachet are given in cases of vit d deficiency. They are given only once 25 hydroxy vit d3 levels come out to be low. Otherwise the baby needs just routine vit d supplementation 400 IU per day till 1 year of age.
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I had 1 month girl baby since born she is not crying and not drinking milk please advise me what can I do ?

MD
Pediatrician, Indore
If she did not cry just after birth, definately peds consultant already attend the baby and must have told about some problem. If not then consult pediatrician.
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Hi, My child, is around 9 months old. He was exclusively breast mild for first 6 months. Now weaning. I do breast feed and give homemade cerelac and other homemade food. Do any formula milk is required in additional? If yes, please suggest what is good.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Hi, My child, is around 9 months old. He was exclusively breast mild for first 6 months. Now weaning. I do breast fee...
yes. u can give dexolac 2 powder..by katori-spoon . cow's milk should be avoided till 1 yr age. donn give formula by Bottle.
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

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My son is having loose motions from past few days. Have given him endogermina oral suspension but when I stopped. It repeated again. Anything else if you can suggest.

MD(EH)/AM/Accupressure
Homeopath, Chandigarh
Give him Kali Mur 12 x one tablet thrice a day only and see the results. What is the age of your son. Jet me know the details. What is the colour of stool. Call back.
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MD - Paediatrics
Pediatrician,
Dont make self medication to your child. Because medicines given by a pediatrician acccording to weigh, age and diaease condition to that child at that particular time only. Some medicines are contra indicated upto certain age groups. So its best way to skip sunday dinner outside but take medicines of your younger ones from pediatrician.
2 people found this helpful

My baby girl is 8 months old and she is weighing 7.3 kg. Her birth weight is 3.1 kg and she was on mother fed milk for 6 months. Please let me know if her weight is correct or not?

MD - Paediatrics
Pediatrician, Kolkata
My baby girl is 8 months old and she is weighing 7.3 kg. Her birth weight is 3.1 kg and she was on mother fed milk fo...
Her weight is fine for her age. But most important thing is that she should regularly gain weight as per expected. This you can get vaccination card where you will find a growth chart. You can plot her weight against her age at regular intervals like say 1 to 3 monthly and see whether she is gaining weight normally or not.
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