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Dr. Mahendra S Dadke  - General Physician, Pune

Dr. Mahendra S Dadke

General Physician, Pune

600 at clinic
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Dr. Mahendra S Dadke General Physician, Pune
600 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Mahendra S Dadke is a renowned General Physician in Aundh, Pune. You can meet Dr. Mahendra S Dadke personally at Jogai Clinic in Aundh, Pune. You can book an instant appointment online with Dr. Mahendra S Dadke on Lybrate.com.

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Jogai Clinic

Chaitraban Residency,Near Hotel Sarja, Aundh, PunePune Get Directions
600 at clinic
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Asthma in Children: Diagnosis and Treatment

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Asthma in Children: Diagnosis and Treatment

Has your child been coughing frequently? Is the cough chronic in nature, making your child breathe rapidly and does he/she complain about a tightened chest? These symptoms signify that your child is having asthma. Asthma is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. It is common in children and an affected child experiences difficulty in breathing, and a whizzing sound is produced, especially during expiration. Asthma may lead to severe health complications and needs immediate diagnosis and treatment.

Diagnosis: The diagnosis of asthma is based on the symptoms, medical history and a physical examination of the child.

The different modes of asthma diagnosis are as follows:

  1. Medical history and symptoms: You must tell the doctor about any history of breathing trouble with your child or whether there are chances of other inherited health conditions. You must explain your child's symptoms properly, which may include coughing, wheezing, chest pain or tightness and others if observed.
  2. Physical examination: A physical exam will be carried out in your child where the doctor will listen to his heart and lungs, and look for eye or nose allergies.
  3. Medical tests: A chest X-ray of the child has to be carried out, along with a simple lung function test known as spirometry. This test measures the amount of air present in the lungs and determines how fast it can be exhaled. Spirometry enables a doctor to determine the severity of the asthma. Some other tests are also carried out for the identification of asthma triggers. They include allergy skin testing, blood tests and X-rays to know if sinus infections are affecting the asthma. An asthma test determines the amount of nitric oxide in your child's breath.

Treatment: Based on your child's severity of asthma symptoms and his medical history, the doctor will provide you with an action plan to treat the same. This action plan explains all the medications your child requires, the dosage and schedule of the medicines. The plan also includes points on what to do when the asthma worsens and when an emergency treatment is required. Anti-inflammatory drugs are prescribed to children who require bronchodilator medication. All asthma medicines used by adults can be used in case of children but in lower dosages.

You should give the asthma medications to your child using a home nebulizer or a breathing machine. A nebulizer delivers asthma drugs by transforming them from liquid to a mist. The child gets the drug by breathing it via a face mask.

In order to control and manage asthma in children, they must avoid the triggers and should keep away from any source of smoke. A doctor must be consulted to know about the best diagnosis and treatment methods.

3453 people found this helpful

When I eat eggs, then my stomach start paining and my whole body feeling very warm.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
When I eat eggs, then my stomach start paining and my whole body feeling very warm.
Dear Mr. lybrate-user, It may be that you are allergic to eggs. It is advisable to avoid eggs until you develop immunity against allergens to eggs.
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Suggest measures to reduce. Blood uric acid level mine is5. 4, is it cause gouty arthritis?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Suggest measures to reduce. Blood uric acid level mine is5. 4, is it cause gouty arthritis?
Gout, a painful form of arthritis, occurs when high levels of uric acid in the blood cause crystals to form and accumulate around a joint. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose Diet details The general principles of a gout diet are essentially the same as recommendations for a balanced, healthy diet: Weight loss. Being overweight increases the risk of developing gout, and losing weight lowers the risk of gout. Research suggests that reducing the number of calories and losing weight — even without a purine-restricted diet — lowers uric acid levels and reduces the number of gout attacks. Losing weight also lessens the overall stress on joints. Complex carbs. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages and products with high-fructose corn syrup. Water. Keep yourself hydrated by drinking water. An increase in water consumption has been linked to fewer gout attacks. Aim for eight to 16 glasses of fluids a day with at least half of that as water. A glass is 8 ounces (237 milliliters). Talk to your doctor about appropriate fluid intake goals for you. Fats. Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products. Proteins. Limit daily proteins from lean meat, fish and poultry to 4 to 6 ounces (113 to 170 grams). Add protein to your diet with low-fat or fat-free dairy products, such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels. Recommendations for specific foods or supplements include the following: High-purine vegetables. Studies have shown that vegetables high in purines do not increase the risk of gout or recurring gout attacks. A healthy diet based on lots of fruits and vegetables can include high-purine vegetables, such as asparagus, spinach, peas, cauliflower or mushrooms. You can also eat beans or lentils, which are moderately high in purines but are also a good source of protein. Organ and glandular meats. Avoid meats such as liver, kidney and sweetbreads, which have high purine levels and contribute to high blood levels of uric acid. Selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin C. Vitamin C may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin C supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu Here's a look at what you might eat during a typical day on a gout diet: Breakfast Whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries Coffee Water Lunch Roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard Mixed green salad with balsamic vinegar and olive oil dressing Skim or low-fat milk Water Afternoon snack 1 cup fresh cherries Water Dinner Roasted salmon (3-4 ounces) Roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper Water Low-fat yogurt 1 cup fresh melon Caffeine-free beverage, such as herbal tea Dos and do nots Uric acid: Manage high uric acid with nutrition tip #1 High-fibre foods According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol, Oats, Spinach, Broccoli to name few. Uric acid: Manage high uric acid with nutrition tip #2 Cold-pressed olive oil Use cold-pressed olive oil in cooking instead of shortening, butter or vegetable oils. Oils that have been subjected to heat or processing turn rancid quickly. Rancid fats destroy vitamin E in your body - this vitamin is necessary for controlling uric acid levels. Olive oil helps you avoid the production of excess uric acid, which is associated with the consumption of rancid fats. Uric acid: Manage high uric acid with nutrition tip #3 Take in a healthy dose of vitamin C To help reduce the amount of uric acid in your system, regularly taking 500 milligrams of vitamin C will decrease your uric acid levels in a month or two. Uric acid: Manage high uric acid with nutrition tip #4 Avoid bakery products Avoid cakes, pastries, cookies and other sugary delights which are rich in saturated fats and trans fats. Uric acid: Manage high uric acid with nutrition tip #5 Celery seed extract This is also a popular natural remedy for gout and uric acid problems. The seeds of the celery plant have long been used to treat gout, rheumatism and arthritis. Celery possesses sedative, antioxidant and mild diuretic action and is considered a urinary antiseptic. In rare cases, this herb is also used to treat sleeplessness, anxiety and nervous breakdown. Although the seeds of this plant are often used in herbal supplements, the roots may also be used. Uric acid: Manage high uric acid with nutrition tip #6 Antioxidant-rich foods Fruits and vegetables such as red bell peppers, tomatoes, blueberries, broccoli and grapes are rich sources of antioxidant vitamins. Antioxidants which are vitamins that prevent free radical molecules from attacking your organ and muscle tissue cells may help lower uric acid levels. Uric acid: Manage high uric acid with nutrition tip #7 Cherries Cherries contain chemical compounds that may help neutralise uric acid allowing your body to eliminate this acid as waste. Some researchers recommend consuming 30 to 40 cherries every four hours during an attack. Uric acid: Manage high uric acid with nutrition tip #8 Apple cider vinegar It is believed that raw, apple cider vinegar can help alleviate high uric acid levels by changing the pH values of your blood. But it has to be raw, un-distilled, un-pasteurised apple cider vinegar; the kind you get from your local health food store. Dr. Sharad advices a simple home remedy" Add 2 teaspoons of vinegar to a large glass of water and stir thoroughly. Drink a glass between 2 and 3 times every day. You can also use it topically: half a cup added to three cups of hot water and soak the affected area for 30 minutes. Reheat and repeat as necessary. Uric acid: Manage high uric acid with nutrition tip #9 Saturated fat, trans fat, sugar and alcohol All these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes. Uric acid: Manage high uric acid with nutrition tip #10 High-fructose corn syrup This is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems. Uric acid: Manage high uric acid with nutrition tip #11 Drink plenty of fluids to help flush uric acid from your body Drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body. Uric acid: Manage high uric acid with nutrition tip #12 Also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia). Uric acid: Manage high uric acid with nutrition tip #13 Limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body Uric acid: Manage high uric acid with nutrition tip #14 Limit or avoid alcohol Alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week. Uric acid: Manage high uric acid with nutrition tip #15 Choose complex carbohydrates Eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight.
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I have snoring problem. Sometimes I snore more louder. Is there any permanent cure for that?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Posture during sleep (bending neck distally) should be avoided. Neck exercises to be learnt. For some pungent nasal drops which will help smoothing air passage, Please consult privately..
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Hey sir I want to know the symptoms of flu and what will be the precaution for it and what should be the treatment for it.

MBBS
General Physician, Mumbai
Hey sir I want to know the symptoms of flu and what will be the precaution for it and what should be the treatment fo...
Fever with cough and cold with leucopenia are few symptoms of flu and eat nutritious food and have adequate fluid intake and take physical rest.
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I have a desk job and working on computer about 10-14 hrs a day. How to get rid off headache at nights.

PDDM, MHA, MBBS
General Physician, Nashik
I have a desk job and working on computer about 10-14 hrs a day. How to get rid off headache at nights.
Please follow the tips below to feel better: Wear anti-glare spectacles while using a computer. Practice the 20/20/20 exercise. Every 20 minutes, focus/look at an object that's at least 20 feet away, for 20 seconds. Blink often when you are watching TV or working on your computer. Decrease the brightness level of your computer’s/mobile phone’s screen .Don't decrease it so much that you have trouble seeing. Minimize watching television. Use UV protection sun glasses when out in the sun. You can also use artificial tear eye drops (E.g. Refresh) every 2- 3 hours to keep the eyes moist. Make sure you get at least 7 hours of sleep every night.
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My brother is suffering from measures or not I want to confirm or he has another allergy and he is also having Pain in his stomach.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda, Ph.d Arthritic Disorder
Ayurveda, Surat
My brother is suffering from measures or not I want to confirm or he has another allergy and he is also having Pain i...
Hi, Take the below medicines Daa Syrup 1-0-1 daily Salin Syp 1-0-1 Daily Salin Oil for external use Aspa Tab 1-0-1 Daily for more info call us or take appointment through lybrate.
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Nind na ana hair fall hona sex me kami ling ki akdan me kami Bhulne laga hu pure din gusse me rehta hu.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Nind na ana hair fall hona sex me kami ling ki akdan me kami Bhulne laga hu pure din gusse me rehta hu.
Arg nit 3c 4tims day for 10days Sil 30 once a day for 4days Mix the following medicine, 4 drops each, in 15 ml of water and take twice daily. 1. DAMIANA Q (also called as TURNERA Q) 2. AVENA SATIVA Q
3. TRIBULUS TERRESTRIS Q 4. YOHIMBINUM Q
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I am using medicine for gastric about 3 months. And now I stopped to use. As soon as I stopped to use these medicines, I got some issues like difficulty in stool passing, mixed black colored stool, inflammation inside the stomach, no hunger, mild pain in upper abdomen, etc; I wanna know is these issues are caused by gastric? Or maybe I got other health problem? Please reply to me! I need help. I feel like I have constipation issue, am I right? And every morning just after awakening up from bed, I got vomiting problem because stomach is empty at that time, only a yellow bile is comes as I vomit, why is this happening? Please reply to me soon! Thank you.

BAMS
Ayurveda, Zirakpur
I am using medicine for gastric about 3 months. And now I stopped to use. As soon as I stopped to use these medicines...
Dipendra ji, details that you describe about your problem indicates that there may be ulcer in your stomach. Because as you said when you pass stool there is discharge of black coloured blood which means there is bleeding somewhere from upper gastic lining that is stomach or small intestine. You should follow there remedies: 1. Make a mixture by adding mulethi powder and dhaniya powder 100gm each and mishri 200gm , take 1 tsp of this powder twice daily empty stomach. 2.Start taking amlapittmishram of dhootpapeshwar company ,take 2 tsp of it 3 times a day before meal . 3.Avoid junk food, deep fried food,spicy food, tea ,coffee.
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Hii sir I was suffering from chikungunya but still I fill better sir now 10 days to go but my still my body temperature became 99.0 to 99.5 from mornings 9.am to 10 pm and in morning time my temperature became 98.3 sir kindly suggest me what to do.

MD
Yoga & Naturopathy Specialist, Delhi
Hii sir I was suffering from chikungunya but still I fill better sir now 10 days to go but my still my body temperatu...
Apply cold water pack on lower abdomen when the temperature rises. Drink 3-4 glasses of Mousambi juice every day. Take rest.
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