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Dr. Mukand

Pediatrician, Pune

Dr. Mukand Pediatrician, Pune
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Mukand
Dr. Mukand is a popular Pediatrician in Sadashiv peth, Pune. You can meet Dr. Mukand personally at Chinmay Hospital in Sadashiv peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Mukand on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 43 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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210, Ganjve Chowk,Sadashiv Peth,Landmark:-Navi Peth, PunePune Get Directions
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What is the reason for congenital leukemia? My baby has this.What can i do?

MD - Paediatrics, MBBS
Pediatrician,
What is the reason for congenital leukemia? 
My baby has this.What can i do?
It can occur due to various causes like heredity, drugs, irradiation and infection during pregnancy etc. Show to an hemato oncologist.
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My son is just 14 days old. Today he did not go to a deep sleep, just crying and potty is not clear. What should I do?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My son is just 14 days old. Today he did not go to a deep sleep, just crying and potty is not clear. What should I do?
there r usually 2 reason at this age. 1- hunger and 2- discomfort which may be either due to wet, rolling of sheet under body and over or under clothing in this weather. Pls look for these. If you have any further query, contact me privately through lybraate.
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Hello my son is suffering from loose motion and admitted to hospital. Aftr treatment there is no difference in numbers of motion he has only greenish yellow become yellow in color of his potty. His prescription is inj nepstem 25 mg 1 a day Inj Monocef 250 mg 2 times and ofm and taff pro liquid2 tome a day Why he is not responding to treatment what should I do im just too much tensed for him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Your son is already in hospital so I can not make any comment. however, usually greenish yellow stool are small in quantity but may pass frequently and may be during feed. 4 months child be exclusive on breast feed. Stop if he is on top feed. Look for redness around anus. If it is present take care of it. I don't think of any role of Antibiotic. Otherwise Hospital doctors are best judge.
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My son 1.5 old have a problem. That is, his stool is very tight he is crying very much he took 3 or 4 days to expel his stool it is very dry, due to tight Stool he got bleeding. He will not drink water properly or fruits. He was lazy to intake food so please gave me a remedy for this please medicines already intake is days milk of magnesia, cremaffin,Lox jelly ointment. please help me need a medical advice. Immediately.

Diploma in Child Health (DCH)
Pediatrician, Delhi
My son 1.5 old have a problem. That is, his stool is very tight he is crying very much he took 3 or 4 days to expel h...
Give your child fiber rich diet and fruits I.e. Papaya, guava,and plenty of water or juice to drink. And improve his habit of deification. Encourage him to sit in toilet daily at least 2 times a day for 10 to 15 minutes. I think all this will help him to improve habit.
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My 36 weeks foetus wt 2110gm only. How can I improve my baby with through food in these last weeks.

Pediatrician, Pune
Relax, don't worry, have a good sleep, drink at least 3 glasses of milk, eat healthy nutritious food which you like, with additional fruits and salad.
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My son of age 8 months suffering with loose stool can I use diof along with junior lanzol15.

C.S.C, D.C.H, M.B.B.S
General Physician,
We have to find out if the diarrhea is infection or due to food poisoning or just a viral diarrhea. You can come back with more details. And no need for junior lanzol which is anti anti acid ppi.
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My 3 an Half Year old daughter won't talk to class teacher even she didn't write what ever teacher write on blackboard. Which is making problem to the teacher? Outside of school she is write, talk to others. At home she do her homework but most times we have to say many times for it to write but its ok as she is just 3. Presently many times she became angry and started shouting or speaking loudly and not listening to us. What should we be doing now so that when she go to school she can be more open to speak up? Like to present some speech in front of many students of her same age. As I saw other child doing best as they give speech 2-3 lines on mic in front of class but mine just standing silently. What to do? How we come to make her talk in class and all I hope you would understand what I mean to saw? Please help.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. I can understand. Your daughter is just 3 and half years. Please consider her age. Children do act according to what they are trained for. You must understand you can easily train your child to do whatever you want. For training you have to first understand the child and her needs. You can use trial and error method or reward punishment method. If you don't have time, a psychologist should help you. I suggest online behaviour therapy for your child. Take care.
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I have a one year old girl child. Her head temperature is not normal. And sweating. What is the problem doctor.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a one year old girl child. Her head temperature is not normal. And sweating. What is the problem doctor.
Head normal temp can not be defined. It may be warm on touch which is normal so sweating for some babies. If you suspect fever by touching head, measure temp by thermometer which is right way to assess fever.
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My baby is 1.9yrs old with 8.9kg he has cold and cough from past 4 days. I'm using montair-lc (5ml at night) and ambrodil-s (5ml twice daily). Shall I continue for another 3 days or else any other medicine?

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 1.9yrs old with 8.9kg he has cold and cough from past 4 days. I'm using montair-lc (5ml at night) and ambr...
You can continue. He may need an antibiotic also I feel. In open questions session, as rule medicines cannot be prescribed. You can ask me privately.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician,
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Adhd there is no cure for attention deficit hyperactive disorderbut treatments can help relieve the symptoms and make the condition much less in day to day life adhd can be treated using medication or therapy but a combined of both is I often the best way to treat it a hdh. Behaviour therapy isva treatment option that can help reduce this behaviour it is often helpful to start behaviour therapy as soon as diagnoses is made.
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Tips for Parents to Deal with Autistic Children

MS - Counselling and Psychotherapy, Master of Arts in Clinical Psychology, Bachelor of Arts - Psychology and English Literature
Psychologist, Coimbatore
Tips for Parents to Deal with Autistic Children

The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them. 

Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:

  1. Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child’s needs better, both physical and psychological. 
  2. Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child. 
  3. Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child’s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child’s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning. 
  4. Focus on your child’s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child’s diet. 
  5. Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.
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Meri little daughter ka weight 9 kg h or age 19 months h birth time inka weight 3 kg the 2 month se weight gain nhi ho RAHA hai abhi tk 8 teeth nikle h 6 upar or 2 niche teeth jb nikalte h to kamjor lagti hai please help what I can do for her.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Meri little daughter ka weight 9 kg h or age 19 months h birth time inka weight 3 kg the 2 month se weight gain nhi h...
Likely cause is she is not eating sufficient. Give her home made solid food every 4 hours frequently. Stop bottle feeding if doing. Explain her need & advantage of food in simple language.
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1) My 2 year 5 months Son is having deficiency of vitamin D according to blood report, Our Child Doctors advised to Keep Him in morning sunlight ; He often feel pain in both the legs during night time, Please Advise. 2) From Last few week he is having dandruff in hair, Initially We r using Dove shampoo, Later we applied himalyan Baby soup on his hair but no use Please suggest for both the problem.

MD - Paediatrics, MBBS
Pediatrician, Mumbai
1) My 2 year 5 months Son is having deficiency of vitamin D according to blood report, Our Child Doctors advised to K...
Hello. Your child is suffering from vitamin d deficiency, then just putting him in sun is not sufficient. He nerds v to be given vitamin d supplements either orally or by injection. Also continue calcium supplements along with vitamin d. For dandruff, use a medicated shampoo such as scalp shampoo or nizoral shampoo.
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My daughter is 9 months old. She is a poor eater. Her weight is 7 kg. And think she is not feeling hungry. So can we give some appetite. So got a cypon. When I see the reviews in Google, its mentioned that its not advisable. So can you please tell me wat to give to make her hungry and to eat.

MD, MBBS
Pediatrician, Bangalore
Limit milk 3-4 times in 24 hrs including yrs than she will take other healthy semisolid food. Frequent milk feeding reduces appetite for solid food.
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Cervical Cancer - Causes and Testing for Diagnosis

Panchkula & Delhi
Mother and Child Care, Panchkula
Cervical Cancer - Causes and Testing for Diagnosis

What causes cervical Cancer?

Genital Human papilloma virus (HPV) is a very common virus in both men and women that can lead to the development of genital warts, abnormal cervical cells or cervical cancer.

This virus can cause normal cells on your cervix (Know more about Cervix Infection) to turn abnormal. Over many years, abnormal cells can turn into cancer if they are not found and treated by your doctor. It can take 10 to 15 years (or more) for cells to change from normal to abnormal, and then into cancer. Abnormal cells are sometimes called 'pre cancer ' because they are not normal, but they are not yet cancer.

You cannot see or feel HPV or these cell changes on your cervix. Screening tests help us to look for these changes or for abnormal cells (Learn more about sexually transmitted diseases)

How is HPV spread?

HPV is transmitted during genital skin to-skin sexual contact. This includes vaginal or anal sex and possibly oral sex.A person can get HPV even if years have passed since he or she had sex. They will never know it because HPV usually has no signs and symptoms.

In most cases, HPV goes away within two years, without causing any health problems. It is thought that the immune system  fights off HPV infection naturally

What screening tests exist for HPV- related diseases?

Cervical Cancer: Cervical cancer can be detected with routine Cervical cancer screening (Pap test) and follow-up of abnormal results. The Pap test can find abnormal cells on the cervix so that they can be removed before cancer develops.    Abnormal cells often become normal over time, but can sometimes turn into cancer. These cells can usually be treated, depending on their severity and on the woman's age, past medical history, and other test results.

An HPV DNA test, which can find certain HPV types on a woman's cervix, may also be used with a Pap test in certain cases (called co-testing). The HPV-DNA test is done to determine if you are infected with one of the high-risk types or if your doctor finds certain type of abnormal Pap test result.

Even women who were vaccinated when they were younger need regular cervical cancer screening because the vaccines do not protect against all cervical cancer strains.

Is there a treatment for HPV or related problems?

HPV vaccination could prevent most cancers and other diseases caused by HPV. There is no treatment for the virus itself, but there are treatments for the problems that HPV can cause:

Visible genital warts may remain the same, grow more in number, or go away on their own. The warts can be treated when they appear.

Abnormal cervical cells (found on a Pap test) often become normal over time, but they can sometimes turn into cancer. If they remain abnormal, these cells can usually be treated to prevent cervical cancer from developing. This may depend on the severity of the cell changes, the woman's age , past medical history, and other test results. It is critical to follow up with testing and treatment, as recommended by a doctor.

Post detection of ovarian cancer the doctors , depending on your cancer stage can recommend the treatment more- surgery, medical treatment, radiation therapy or chemotherapy.

6754 people found this helpful

What is diet plan for two year baby and weight is 8 kg, so weigh graining diet plan Protein powder is helpful for baby or not.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
What is diet plan for two year baby and weight is 8 kg, so weigh graining diet plan
Protein powder is helpful for bab...
Give 3 balanced meals with 2 times milk. Dalia/egg whoie wheat bread-1/besan chilka for breakfast, with vegetables/dalia with vegetables/dal rice with vegetables for lunch./roti. Dal with vegetables. For dinner. Add home made paneer 30gms on alt day. Give 2 servings of fruits. Can add protein powder once a day to milk.
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My one month old baby boy cries a lot throughout the day and sleeps well in nights. His weight gain is normal and looks active. Giving breast feed as well as formula. May I know why cries so much and how can I sooth him.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My one month old baby boy cries a lot throughout the day and sleeps well in nights. His weight gain is normal and loo...
Give him exclusive breast milk up to the age of 6 months. No formula milk. At night baby must be taking mother's feed thus satisfied but in day time baby may be in need of mother's hug. Babies are also emotional. Other common reason of cry is uncomfortable conditions.
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How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

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My baby is one and a half months old, and feeds on my milk only. I want to know how can I confirm whether I can produce sufficient milk for my baby or not.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby is one and a half months old, and feeds on my milk only. I want to know how can I confirm whether I can produ...
Weight gain is best parameter. If baby is on exclussive breast feed and passing urine 6 to 7 times in a day is also an indicator.
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