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Dr. Kulkarni Kshama

Pediatrician, Pune

450 at clinic
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Dr. Kulkarni Kshama Pediatrician, Pune
450 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Kulkarni Kshama
Dr. Kulkarni Kshama is an experienced Pediatrician in Magarpatta, Pune. She is currently associated with Sahyadri Hospital in Magarpatta, Pune. Book an appointment online with Dr. Kulkarni Kshama and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 33 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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Sahyadri Hospital

#153/A, G & G Towers, Hissa No. 124 / 21, Magarpatta, Pune-Solapur Road, Hadapsar. Landmark: Near Railway Station, PunePune Get Directions
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Signs and Symptoms of Diabetes in Children

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

8 Ways to Tackle Colic Babies ....

BHMS
Homeopath, Bangalore
Colic is unexplained crying for longer than three hours a day, more than three days a week. Symptoms usually begin around 2 to 3 weeks of age, peak in intensity around 6 to 8 weeks of age, and begin to subside around 3 to 6 months of age. All babies have immature and sensitive digestive system. It takes time and space to mature. Overstimulated nervous system may be one of the causes.


Colicky babies frequently draw up their knees up to the stomach and cry out, as if in pain or bend their back in the shape of an arch, clenching wrists hard
Colic cry: Too much irritability, excessive crying which tends to peak towards the evening, painful cry that is difficult to console. They may wake up abruptly and start crying
Always BURP the baby after every feed for 5-10min. Put them on shoulder in such a way that tummy presses on your shoulder, with your help, give a massage in a circular motion on the baby’s back with intermittent pressure and pat from in an upwards fashion
Warm water against belly: Fill a bottle with lukewarm water and wrap it in a towel. Give a gentle massage with it on the belly
Gentle massage: During body massage at the time of bath, apply oil on the tummy, and give a clockwise massage 3 times around the abdomen. Once done, flex the hips and gently press against abdomen, to release any gas accumulated
Make them lie on tummy across your lap and gently apply pressure on their back. (Clockwise movements upwards and then pat upwards)
You could also make the baby lie on their tummy across your tummy, in such a way that the baby’s tummy presses on yours and gently massage on their back
Rocking soothes babies: Hug them close to your chest and your heartbeat. Try gently bouncing up and down in this position while hugging your baby close
Avoid cows milk: Cows milk can be given, once the baby completes 1 year
Swaddling
Offer pacifier or allow baby to suck on her finger by gently putting it in the baby’s mouth
Bottle fed baby has tendency to get colic: Initially dilute the feed and try to increase the amount slowly
Nursing mums should avoid over spicy food, coffee, alcohol etc. Also avoid irregular feed timings. Try to reduce egg and fish in the nursing mother’s diet. Check out your daily food and correlate with baby’s colic. Choose your diet accordingly
Six S’s to be thought off:
1) Swaddle
2) Shooshing loudly in baby’s ear (similar to sound of running water, working vacuum, etc.)
3) Side laying
4) Stomach across forearm or lap
5) Swinging or rocking baby
6) Sucking Pacifier

IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

SCOPE OF HOMOEOPATHY
Homoeopathy prescribes on symptoms in each individual case rather than on a general basis
Homoeopathy has excellent remedies for colic babies, which also helps in curing conditions such as assimilation and indigestion
It helps to improve the immature digestive system.
Totally free of side-effects
IMPORTANT NOTE: DO NOT GIVE ANY PAIN KILLERS OR ANTISPASMODICS to colic babies.

For queries feel free to send me private message.
www.drjasnavaluelife.com

1 person found this helpful

Bonding of my baby with father: Should I do something extra?

Panchkula & Delhi
Mother and Child Care, Panchkula
Bonding of my baby with father: Should I do something extra?

The bonding between parents and baby is complicated and often takes time to gel. While some dads connect with their baby within the early days of birth, it may take a little longer for others and that s perfectly normal. Fathers often assume that the mother will naturally have a stronger bond with the baby than you will. As long as they spend more time with the baby, a bond will develop between the two of them. Certain things that you can do to strengthen the bond between your baby and your partner are as follows:

Develop a baby bond by spending time: Start early and make him talk or sing to your pregnant belly often. This establishes a strong connection before the baby is even born. This helps your newborn to recognize the tone and pattern of each of your voices, later on.

Develop skin contact: Make him hold the baby whenever possible.Stroking their back or rocking them gently in arms invokes a sense of protection and comfort in your baby's mind. This is the best way to bond. The best is when the baby ends up sleeping and resting in the arms of the father. The baby starts to feel secure and comfortable in their presence.

Tell him to help you: Ask him to help you with bathing, dressing, and changing diapers of the baby. A father's involvement in the baby's life is essential. It not just helps the mother but also makes the father an active participant.

Let him burn the mid night oil: Let him to take up the night duty. Ask him to pick up and bring the baby to you for feedings and then take the baby back for burping. This would not only enhance their bonding but also let help you relax a bit.

Let him joke around: Fathers can soothe a crying baby extremely well. Babies pacify instantly, when the parents make funny, silly faces to make them smile.

Encourage a baby's day out: Babies love fresh air, let your partner carry and take them out for a stroll around the block.

Encourage touch: Babies respond to touch. Let him give the baby a massage for 10 to 15 minutes by gently rubbing their legs, belly, arms, and neck.

Be there: Encourage him to make it part of his daily routine, to set aside time every night to play with your little baby.

Attachment is an interactive process. You don't have to be a perfect parent all of the time in order to bond with your baby. Just do your best, and don't worry!

4186 people found this helpful

Hi my daughter is 5 1/2 years. She is very naughty. I am facing one issue currently. My daughter dosent feels when she wants to do potty. She avoids doing potty. And lands up doing in her pantly. I dont understand the reason. Please guide me.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is a disturbed child and attention seeking. There may be constipation and potty goes off when over filled. Have to do some tests. Ask me privately.
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Sir, my daughter is 2 years and 10 months old, wt. Is 11.5 kg, ht. Is 3 feet 2 inch. She is very thin, and her ribs can be counted from outside. Sugest a diet chart so that she can gain some weight and looks healthy.

M.D.( Pediatrics), DCH
Pediatrician,
Sir, my daughter is 2 years and 10 months old, wt. Is 11.5 kg, ht. Is 3 feet 2 inch. She is very thin, and her ribs c...
Her weight and height seems to be in normal range. Have a little more patience she will look like her mother for sure. Play lot with her and give her healthy home food, which family eats.
1 person found this helpful
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My daughter is 9 months old. Is it good to use baby's diapers regularly. Is there any side affects or problems using diapers regularly?

MRCPCH
Pediatrician,
My daughter is 9 months old. Is it good to use baby's diapers regularly. Is there any side affects or problems using ...
Diapers can be used all the time. Rashes and skin infections only come when wet and dirty diapers are not changed frequently.
2 people found this helpful
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My baby is 2 months old he regularly vomit out all milk through mouth and nose after milk feeding.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 2 months old he regularly vomit out all milk through mouth and nose after milk feeding.
It is normal possetting seen in all infants and you need to burp properly and put the babe on right side a after feed.
2 people found this helpful
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Dear sir, my new born child head is affected with some like badda, please advice how to remove this from head ?

M.D.( Pediatrics), DCH
Pediatrician,
It is usually generic constitution, nothing needs to be done. Do usg brain to see if there's hydrocephalus,
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My son is 15 months old He is suffering in Krabbe disease, is this disease is curable what we do Pls. Suggest me.

BHMS
Homeopath, Ranchi
My son  is 15 months old He is suffering in Krabbe disease, is this disease is curable what we do Pls. Suggest me.
Dear parent Although there is no cure for Krabbe disease is known, bone marrow transplantation has been shown to benefit cases early in the course of the disease. Generally, treatment for the disorder is symptomatic and supportive. Physical therapy may help maintain or increase muscle tone and circulation. Cord blood transplants have been successful in stopping the disease as long as they are given before overt symptoms appear. All the best.
1 person found this helpful
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This is my baby which is 8 month old and his left leg is not fully grown &hi leg is bend below his knee and is small from his right leg I want to know is there is any treatment for his leg.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is my baby which is 8 month old and his left leg is not fully grown &hi leg is bend below his knee and is small ...
This is common in children below 1 year. Need not worry it will settle as the child starts walking and running. Can give calcium and vitamin d supplements.
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My daughter is 2 years old girl. She eats idli, 2eggs, apple juice, moosambi juice, vegetable soup, rice with any curry, 2 banana, 3 times pasteurized milk; and some biscuits and chocolates. But she is very thin. List what should included in her food items. She is very thin how to becom fat?

MRCPCH
Pediatrician,
My daughter is 2 years old girl. She eats idli, 2eggs, apple juice, moosambi juice, vegetable soup, rice with any cur...
Her ideal weight depends on her growth pattern and her weight and height centiles on growth chart. As long as she is following her weight centile, active and healthy otherwise, you can keep giving the same variety of food you r giving.
1 person found this helpful
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Hello, Mera baby ko vomit hua two times. Uske baad still usko vomit jesa hota rehta hai. Jese hi use vomit sa hota hai main usko shoulder se laga deti hu. N tap krti hu uski back ko toh thodi der mai normal ho jata hai. I don't know ki kya hua hai use. Jab use bottle feed karati hu toh bht pblm se feed karta hai. Like bottle muh se nikal deta hai. Or breast feeding mai b ye hi pblm hai. please help.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hello,
Mera baby ko vomit hua two times. Uske baad still usko vomit jesa hota rehta hai. Jese hi use vomit sa hota ha...
first of all..get rid of bottle asap.bottle feed brings many disease and future teeth malalignment issues also. secondly ...give anti reflux measure ..symptoms you mentioned is of reflux disease. 1.esomac 10mg half sachet for a 5kg baby shall help. 2.give syp.ondem 2ml for severe vomits . 3.mild one shall be fine with taking baby on shoulders. regards
1 person found this helpful
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We live in a desert with frequent sand storms and dusty conditions. My 4.25 years old daughter gets severe coughs 2-3 times every year in winters. The coughing get so intense that she can't sleep we have to give her anti allergic for 3-4 weeks and antibiotics in case the cough gets infected. Summers are not as bad for her. How to boost her immunity, what precautions should we take, any changes in the diet etc. Kindly advise.

MD - Homeopathy
Pediatrician, Mumbai
Firstly you need to avoid contact with dust which is quite difficult. You can use vaccuum cleaners so that you can keep your house free of dust as much as possible. Teach her yogas like praanaayam which will help in increasing lung capacity and eventually immunity. As per diet is concerned avoid excessive chocolates, coloured food items, cold drinks, deep fried foods, packed food items. Give her more of soups, salads, whole grains in any form.
1 person found this helpful
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Is PCV vaccine similar to pneumococcal? My son have been injected three doses of pneumococcal at 2 1/2 M, 3 1/2 M.

Diploma in Child Health (DCH), MBBS
Pediatrician, Ghaziabad
Pcv i. E. Pneumococcal conjugate vaccine is injected at 1 and half; 2 and half and 3 and half months.
1 person found this helpful
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My daughter is 13.5 years old she has very poor appetite. She does not eat anything in morning (says will vomit or having vomiting feeling ), basically we have seen its more of anxiety of going to school that she avoids eating .on weekends she does not complain of vomiting but no eating. Her weight gain and height gain last 5-10 years is below lowest curve. Worried of both, suggest anything for hunger and height.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
You have rightly said that it is all due to anxiety for going to school. It is easy to over come this problem by awaking her in the morning earlier by 15-20 minutes so that she can take her breakfast easily. There is no medicine which can change this habit. Increase frequency of her diet in stead of increasing quantity of diet which shall be helpful in gaining growth.
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My baby is for 10 months nd he only feed milk I ask for you that what I give extra on feed.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is for 10 months nd he only feed milk I ask for you that what I give extra on feed.
Only milk is not sufficient after 6 months you must introduce home available, easily digestible semisolids one after another.
2 people found this helpful
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My new born baby of 15 days has got watery eyes. Water keeps coming out of her eyes. What needs to be done in this case.

DNB Ophtalmology, MBBS
Ophthalmologist, Bangalore
My new born baby of 15 days has got watery eyes. Water keeps coming out of her eyes. What needs to be done in this case.
your child may be suffering from congenital dacrocystitis. Please Google criggler's massage and do accordingly.
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Hi doctor. My daughter age is 3.4 years old. Doctor telling mucopolysaccharides type 3B telling. But is telling no treatment. But is normal stage and mild MPS. But is hyperactive and not speaking. Wt I can do no one guiding me. I fully confused help me. I have only one child.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor. My daughter age is 3.4 years old. Doctor telling mucopolysaccharides type 3B telling. But is telling no tr...
At present there is no cure for any of the mucopolysaccharide diseases.Enzyme replacement therapy (ERT)has been approved by the FDA for several of the MPS diseases, but ERT has not been shown to be effective in MPS III. Bone marrow transplants have been tried on individuals with MPS III, but with disappointing results. Gene therapy, chaperone therapy and intrathecal enzyme therapy are a few of the treatments for MPS III where research is ongoing
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