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Dr. L. Rawal

Pediatrician, Pune

Dr. L. Rawal 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. L. Rawal
Dr. L. Rawal is a renowned Pediatrician in Sadashiv peth, Pune. You can consult Dr. L. Rawal at Poona Hospital & Research Centre in Sadashiv peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. L. Rawal on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 36 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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Hindi

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Plot No 27, Sadashiv Peth. Landmark: Near Alka Talkies, PunePune Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

My son 18 months old not taking adequate food kindly advice me starting some health drinks like pediasure.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My son 18 months old not taking adequate food kindly advice me starting some health drinks like pediasure.
These kind a drinks cut of age is 2 years. We don't these heavy protein load drinks before 2 years. Secondly you have plenty of drinks which are home made. Like kheer. Raab. Rabdi. Apple milk shake. Etc which would give you similar advantage. Alas in cost effective way! ;)
1 person found this helpful
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Hi, my daughter is 21 months old. Since last one month or so she doesn't eat anything at all. We have tried everything from khichdi/dalia to paratha to tikki to smileys etc but it doesn't work. At times she just eats a bite or two, that too after a lot of effort. Could you please suggest how can we increase her appetite - any syrup etc. Thanks.

Diploma in Child Health (DCH)
Pediatrician, Kannur
Hi, my daughter is 21 months old. Since last one month or so she doesn't eat anything at all. We have tried everythin...
Make sure she is not anemic. Treat her for worms. Avoid food forcing. Spend some time with her. You are not just giving food. You are giving your love also.
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My baby is 4 month old. And suffering from cough. I used ascoril LS 15 ml syrup .Please suggest me the medicine. How much ml I given the syrup.

MD - Paediatrics
Pediatrician,
My baby is 4 month old. And suffering from cough.
I used ascoril LS 15 ml syrup .Please suggest me the medicine. How ...
If your baby is having fever then only you should give antibiotic. Otherwise just instill normal saline nasal drops 1 drop in each nostril 4-5 times in a day. Look for fast breathing, fever or toxic look of child, if you find anything abnormal consult a pediatrician.
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I am 15 years old boy I want to grow height to reach my goal what to do and I have right hand finger pain so I need a solution.

MD - Paediatrics
Pediatrician, Kolkata
I am 15 years old boy I want to grow height to reach my goal what to do and I have right hand finger pain so I need a...
Swim, hang from bars. Have a balanced die (protein rich, sleep, exercise, play basketball. Check your 25 (oh) vitd3 levels. Height has a large genetic influence. But with active stretching and stimulus some additional growth is possible. Hope this helps.
2 people found this helpful
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I've some questions in my mind regarding my wife and my daughter's health. My only daughter,aged 12 Yrs+ right now and she is suffering from Allergetic Childhood Bronchial Asthama since at the age of 04 Yrs. Frequently she suffers in cold and cough. Everytime when our doctor's advised for some radiological and pathological investigations, it's doesn't reveals any abnormality in the report. What should i do next to free herself from this problem? Kindly help me Sir. I am a Radiographer Technician by profession and working in a reputed Diagnostic Centre in Kolkata since for the last 15 Yrs.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
In a case of diagnosed childhood asthma repeated xray and pathological tests are not advisable. Try to assess severity of asthma by PFT/PEAK FLOW RATE. She should take inhaled budamate 200 twice/day through spacer. There very good chest/respiratory centre at Kolkata,where you can follow her treatment. A growing child may go into remmission and may remain asymtomatic for long.
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My 13 month baby girl vomiting curd like milk during/after feeding milk. She has slight fever. Suggest possible reasons & treatment.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 13 month baby girl vomiting curd like milk during/after feeding milk. She has slight fever. Suggest possible reaso...
Either she is being force fed or fast fed for which no tt except to change habit. Measure fever which is right way to assess fever.
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My son is 7 years old. He is suffering from recurring tonsillitis from the last 3 years. He is having a fever after every 15 days. I have got his CBC test reports his Hg is 11.6, TLC is 3200, ESR 50, RBC 4.45, HCt 32.7, MCV 73.5, MCH 26.1, MCHC 35.5, RDW 15.4, platelet 217000, MPV 7.6 kindly advice what to do? is his blood reports are normal? is he require any special medication? pls. advice.

MD - Paediatrics, MBBS
Pediatrician, Delhi
My son is 7 years old. He is suffering from recurring tonsillitis from the last 3 years.  He is having a fever after ...
Hi, follow these precautions: - avoid cold drinks, ice creams. - avoid fried things from outside. - give seasonal fruits like oranges which boost immunity. - to built adequate immunity give enough vitamin c in their diet in the form of green leafy vegetables, fresh fruits & salads, - add few drops of lemon juice in their meal. -teach them to cover their mouth while coughing /sneezing. Treatment: - give cheston cs syrup 5 ml sos - antibiotics if no improvement after following above precautions. I hope this has helped you. Wish your child good health.
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Hi doc, I am pregnant by 37 weeks 3 days. During my last check up, my doc told me that my baby hasn't dropped and I am not dilated or effaced. But my baby is in head down position. M doing exercises, squats n daily chores and this is my first pregnancy. M so confused and worried whether my baby will drop or not as the days are progressing. Please advise.

MRCOG, MD - Obstetrics & Gynaecology, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Hi doc, I am pregnant by 37 weeks 3 days. During my last check up, my doc told me that my baby hasn't dropped and I a...
In the first pregnancy, head decent of baby and labour pains may start late. There is nothing to worry for that. You can wait for 2 more weeks but under the guidance of your obstretician.
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My one and half year old son always have digestion related problem whenever he eat something different he had fever, first his head become hot then he had fever, is balkadu like medicine ok for him or should I try something different medicine because of this problem he is not gaining weight, please help.

MBBS, MD - Paediatrics
Pediatrician, Pune
My one and half year old son always have digestion related problem whenever he eat something different he had fever, ...
We do not prescribe ayurvedic medicines. What is the weight of your child? this is a difficult age for children as they develop liking and disliking for different food. Try and introduce variety of food items. Add ghee, oil to food. Try and keep milk to minimum in his diet. Emphasis should be given to cereals, proteins, egg if you are non vegetarian. One fruit should be given daily. Try giving two boiled potatoes daily. Medicines cannot solve your problem. Proper diet can and patience.
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5 Proven Ways to Introduce Fitness into Your Child's Life

Post graduate in counselling psychology
Psychologist,
5 Proven Ways to Introduce Fitness into Your Child's Life
5 Proven ways to introduce fitness into your child's life

In the day and age where technology turns your child into a couch potato, introducing fitness into his/her life can be a real challenge. These trends have slowly given rise to obesity, diabetes and high blood pressure in children- diseases that they were never touched by. So it is very important to introduce fitness into your child’s life, now more than ever.

1. Get involved: It is known that children learn more by example than by instruction. Do fun activities yourself like swimming, playing basketball, going on long walks and take your child along with you. Start small, by doing this at least once a week, and then increase gradually. Not only will this encourage your child to be more fit, it will also create a deeper bond between the two of you.

2. Introduce fun activities: Structured activities such as a sport are great ways of introducing your child to fitness. Enrol your child for some routine sport classes, particularly team sport. This way your child learns essential values such as team spirit, fair play, competition and practice. Plus, it’s a great way to stay in shape.

3. Make exercising fashionable: Children these days are fond of doing things that are ‘in’. Some may want to swing the bat like Dhoni, while others may be more interested in learning Hrithik Roshan’s dance moves. Let your child decide what he wants do according to his style. Celebrity examples can act as motivation.

4. Use fitness as a reward: If you just force your child to go out and play, then chances are you’d be giving rise to resentment and resistance. Don’t use exercise as punishment, make it a reward instead. For instance, treat your child to a break from homework by encouraging him to play ball for half an hour. This strategy might make him/her enjoy the physical activity to the fullest.

5. Let your child take charge: Allow your child to decide what he wants to do in the hours after school rather than you deciding it for him/her. He may decide to cycle, go on a hike, and go for a long run. Letting him/her decide, give away the control over the situation to make him/her more inclined to follow a routine. For younger children it is best for you rationalize their choices.

If you would like to consult with me privately, please click on 'Consult'.
544 people found this helpful

M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Mumbai
Breast Reduction
Breast reduction, or reduction mammoplasty, is for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts. The main complains are backache, neck pain and skin rashes or itching along with difficulty in carrying large breasts. The goal is to give the woman a more attractive contour with smaller, better-shaped breasts in proportion with the rest of her body. She will then benefit from freedom of health problems associated with large breasts and an improved self-image.
Medical problems associated with very large breasts include back and neck pain caused by the excessive weight, skin irritation, skeletal deformities and breathing problems. Bra straps may leave shoulder indentations. Large, heavy breasts also contribute to poor posture, and can interfere with normal daily activities such as exercise. Excessive breast size may also lead to a decreased sense of attractiveness and self-confidence.

THE PROCEDURE
Breast reduction is done under general anesthesia on an outpatient basis or in the hospital. The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.
Incisions are made around the pigmented nipple-areolar complex and extend vertically below the nipple and in the fold under the breast. The nipple-areolar complex is moved upward to the desired location. The incisions are covered with a light dressing.
Afterward, the breasts are placed in a surgical bra that will hold them symmetrically during initial healing. Initial discomfort subsides daily and can be controlled with oral medications. Scars will fade in 6-18 months. Surgery will likely reduce, but not eliminate the ability to breast-feed.

RECOVERY: WHAT TO EXPECT
When performed by a qualified plastic surgeon, breast reduction is a safe procedure. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.
Much of the swelling and bruising disappears in the first few weeks following the surgery. Breasts may appear slightly mismatched, or have unevenly positioned nipples. Their new shape will be apparent within 6 months to a year, and will depend on hormonal fluctuations, weight changes and pregnancy.
Although your surgeon will make your scars as inconspicuous as possible, some permanent scarring is inevitable. Smokers are more likely to experience poor healing and wider scars. The scars will be red and lumpy in the months following the surgery, but the redness will fade and in time the scars will be less obvious.

ABILITY TO BREASTFEED
Because the surgery removes many of the milk ducts leading to the nipples, breast-feeding may no longer be an option.
Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)

THE END RESULT
Breast reduction produces the most dramatic results of all plastic surgeries. It ends the physical discomfort or large breasts and makes your body appear more evenly proportioned, and clothes fit better. Your new image will take some getting used to, as much as you desired the change. Give yourself—and your family and friends—time to adjust to the new you and, like most women, you will enjoy the benefits.
9 people found this helpful

Suffering from Chronic Cough - How to Manage it?

MBBS, MD - Internal Medicine
General Physician, Delhi
Suffering from Chronic Cough - How to Manage it?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism, 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

  1. Chronic cough with or without sputum.
  2. Fever more in the night time. 
  3. Poor appetite. 
  4. Unintentional weight loss

Read on to know about other common causes of chronic cough and how to manage them.

  1. Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
  2. Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
  3. Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
  4. Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
  5. Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
  6. Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.

The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5150 people found this helpful

My baby has thalassemia trait she is 7 months old now my question is in future any Risk of thalassemia disease of my baby.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
My baby has thalassemia trait she is 7 months old now my question is in future any
Risk of thalassemia disease of my ...
As you said your baby has thalassemia minor or trait. It will not affect the baby in a major way, she is going to have only slightly lower hemoglobin then peers. She may not be able to donate blood. And she carries a risk of having Thalassemia major offspring if married to a guy with thalassemia trait. Nothing else.
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ChildCare

Advance Course in Neuro linguistic Programming, Diploma In Dyslexic Studies, Masters In Psychological Counselling
Psychologist, Mumbai

Children with highly involved parents had enhanced social functioning and fewer behaviour problems. 
 

1 person found this helpful

I am a grandma. Why does doctors advise hot water bath and refuse to give drinking water to new born babies?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am a grandma. Why does doctors advise hot water bath and refuse to give drinking water to new born babies?
Hello, Warm water bath can surely be given. But feeding water before 6 months of age can lead to various infections in the baby. Mother milk has enough water vo tent in it ro prevent dehydration. Water is the major source of infection for any age group.
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Hello, my daughter is 3 years old. She has cold, cough and bronchitis. Whenever she get cold and cough that can't cure easily. We give such medicine that will b cure for 3 to 5 days and again that continue for 2 to 3 months. So please advice proper medication to cure .

BHMS
Homeopath,
Hello, my daughter is 3 years old. She has cold, cough and bronchitis. Whenever she get cold and cough that can't cur...
Your baby has easily cold taking tendency. Homoepathy has the best answer for this. If you treat by homoeopathy your baby's tendency to easily catches cold will b cured. Study reveals that soo many antibiotics taken in childhood causes immune deficiencies. Soo treat by homeopathy. And see the result.
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My son, 9 years old is having cough only in the nights for the past 2 days. He is coughing and then vommitting. I have given him" levolin" for his cough. He has not improved much. I

C.S.C, D.C.H, M.B.B.S
General Physician,
He may be suffering from allergic cough. Is he febrile? Please give more details. In the meantime give levocet-m syrup 5 ml at night along with levolin and get back with detailed history and reports if any.
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Hi, my daughter is 4. 5yrs and she is suffering from adenoids and due to that she snores and vomits thick sputum. She does not takes much fluids. Can you please suggest some medicine or treatment?

Pediatrician, Pune
If the adenoids are source of recurrent infections, she may require a good dose of antibiotics, her environment need s to be clean with smoke, dust and allergen free, obviously along with good exercise and a healthy nutritious diet, if inspite of best efforts, the problems are persisting, she may require an adenoidectomy if they cause problem with sleep, with mouth breathing, protrusion of teeth.
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My sister's baby got aborted at 5 month because of lethal cardiac anomaly. Baby had large vsd ,ventricular hypoplasia, pulmonary atresia, common trunk and overriding. She is fearing is it because of them (parents. Is their any factor in the parents that effects even the next baby? Will it affect in the future?

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
My sister's baby got aborted at 5 month because of lethal cardiac anomaly. Baby had large vsd ,ventricular hypoplasia...
Technically if the parents have any heart disease can affect say 4-6% of babies but with proven etiology. You can easily rule it out. Some drugs can cause cardiac problems so get the list if you are on any medication. But Usually it will not recur. Consult early before conceiving or in early pregnancy.
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