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Dr. Ratnakar

Pediatrician, Pune

Dr. Ratnakar Pediatrician, Pune
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ratnakar
Dr. Ratnakar is a renowned Pediatrician in Chikhali, Pune. You can meet Dr. Ratnakar personally at Health Care Clinic in Chikhali, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ratnakar on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 31 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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Laxmi Complex Sr No 1446, Mhetre Wasti Rd, Chikhali. Landmark: Opp Water Filter Center Mhetre Wasti, PunePune Get Directions
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Hello sir, I worried about my 11 years old son is suffering with bed wetting since start, if I wake up him and make him to release his pea than ok otherwise he wet regularly. Need help.

MBBS DCH
Pediatrician, Gandhinagar
Your child is suffering from nocturnal enuresis. Please restrict fluid intake atleast 2 hours before sleep. You need to put him on medication. For that you should consult yr pediatrician.
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What You Need to Know About Clubfoot?

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
What You Need to Know About Clubfoot?

What You Need to Know About Clubfoot?

clubfoot is a common condition where an infant is born with a foot that turns in

  • Clubfoot most often presents at birth.

  • Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.

  • Clubfoot is twice as common in boys.

  • Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.

  • Children with clubfoot should be able to take part in regular daily activities once the condition is treated.

What is clubfoot?

Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).

Idiopathic Clubfoot

Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.

Neurogenic Clubfoot

Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.

Syndromic Clubfoot

Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.

What are the signs and symptoms of clubfoot?

In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.

What are the risk factors of clubfoot?

  • Having a parent or sibling with clubfoot

  • Maternal smoking during pregnancy

  • Male

Clubfoot Diagnosis

Foot imbalance due to clubfoot may be noticed during a fetal screening ultrasound as early as 12 weeks gestation, but the diagnosis of clubfoot is confirmed by physical exam at birth.

Clubfoot Treatment

The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.

Ponseti Serial Casting

A supramalleolar orthosis with bar is used for bracing after an infant has completed casting treatment for clubfoot

The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.

Bracing for Clubfoot

While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.

Life after Treatment of Clubfoot

A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities. 

1 person found this helpful

Mera baby 1 saal ka hai usko daant aa raha hai bahot tabyat kharab ho rahi hai fever loos motion vomiting please bataye kya karun. Koi gharelu ilaj.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Prevent baby from all sources of infection like bottle feeding, poor hygeine, eating& drinking unhygenically.
2 people found this helpful
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How to stop breastfeeding for my 14th month old baby as she is not interested to have other food?

MD, MBBS
Pediatrician, Bangalore
Stop abruptly immediately. He will cry for 1_2 days than will forget, when cry for milk give food if refuges try again after ten minutes, go on trying repeatedly he will start taking food. Don't give milk more than 3 times.
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My baby is 2.5 years old. Still she weighs 10 kgs only. We have tried all methods from giving all kind of buttery foods, protein powder, fruits, milk everything but she is growing very slowly. On weight chart she comes below all parameters. Her height is 85 cm. Please advice.

M.D.( Pediatrics), DCH
Pediatrician,
Relax, don't be too much anxious about health of the child. You should have learned by now, growth of children can not be tailor made. We have no control over it apart from giving him healthy food (not buttery) and inspiring him to play more. His weight is in lower end of normal range and hight is in the range. Enjoy what he is rather than worrying about what he should be. Play with him, love him it's a fun, god's gift.
1 person found this helpful
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Avoid Loud Noise

MBBS, MS - ENT
ENT Specialist, Delhi
Avoid Loud Noise
Avoid loud music specially while using ear phones and listening to music
It can cause irreversible hearing loss.
1 person found this helpful

Diabetes

Fellowship in diabetes, Post graduate program in Cardiology, MBBS
General Physician, Jodhpur
Diabetes

अगर बच्चे और जवान शुरूआत से घूमना walking चालू कर दे तो उसे बाद में diabetes डायबिटीज होने का खतरा 50% तक कम हो जाता है,

So keep walking everyday.

7 people found this helpful

My son is 9 months old with 7.25 kg weight due to swollen gums due to teething he is not taking proper diet and always feels uneasy how to help him in his pain.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Teething never causes swollen gums per say. So there has to be something else. However for ease of teething you can apply zytee mouth paint. If at all there is pain. It would get cured. If not then time to meet your doc!
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My 12 years old sister often suffers from cough and cold what medicine should I get her that time.

P.G.C.C. Pediatric, MBBS
Pediatrician, Delhi
Under medical supervision u can give 1) Tab RecofastPlus 1x6hrly, 2) syp Asthakind 7mlx6hrly, 3) Tab Mahacef xl 1x12hrly considering her weight to be 35 kg
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My baby is just 20 days old. While he born the weight is 2.8 kg. Now he gained nearly 400g. Tis is good or I have to reduce my feeding?

C.S.C, D.C.H, M.B.B.S
General Physician,
In the first 10 days babies will lose upto 10% of birth weight and thereafter they should gain 30- 50 grams per day if growth is fine, This way you can work out and this rate of growth is in first 3 months and then changes.
1 person found this helpful
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My 4 years old daughter often becomes angry when she doesn't get her desired things and then she shouts, hits everyone and takes time (near about 30-40 min) to come in normal situation. She is very sensitive in nature and close to her mother. But when she's angry even mother can not control her. We are both working parents and she stays in creche after school.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
You have to spare time for your child as she is missing you but can not express clearly.You are the best friends,teachers for her. Talk to her about everything she wants to.She is at risk of developing in a delinquent,fussy,confused adoloscent.
1 person found this helpful
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Hi Kitne samay ke bad ham baby ko pani pila sakte hain. I.E. Five month or six month?please help

MD - Paediatrics, MBBS
Pediatrician, Bangalore
Baby ke food me bahut paani hota hai. Alag se paani zaroorat nahi hai. Jab baby ko dry items khilayenge tabhi baby paani lega.
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My baby girl is of 11 month and she intakes little diet of milk of around 50-60 ml and not gaining weight although she is an active child. She around 8 kg also discharge urine multiple multiple time frequently. Stools discharge takes around 4-5 days on average. No current medicine / supplement going on.Please help sir.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Add semi solids and solids like dal roti khichadi kheer etc well cooked in oil or ghee in her diet. If she is taking milk in small quantity, increase frequency. Do not force. Passing urine many time may be due to excess water intake which contribute to taking less diet too.
1 person found this helpful
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My 4 years old child is having fever since last night. I have given her relent syrup. Doctor not available today. Any suggestions. But fever still there.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Relent is not the drug for fever. Use dolo 250 suspension 4 ml whenever there's fever, can be repeated once in 4 hours.
1 person found this helpful
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My son is almost a yr old. Birthday on 6th may. He crawls and stands up holding something, but hasn' t started walking yet. Wat seems to be wrong?

Pediatrician, Pune
Nothing wrong, only god has not made everyone to be like tendulkar, there are some amir khans, some amitabh bacchans, some lata mangeshkars and many million unknown people, but they are not the same, some children walk early, some little late, if it is within the average normal range, we have just a habit to compare and needlessly worry.
2 people found this helpful
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When baby stomach was filled with food and how the motion will be controlled.Please tell.

MBBS, MD
Pediatrician, Gurgaon
some infant pass stools with each feeds it is normal gastrocolic reflux.it will go off automaticly go away.
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Hi my son is 1 month old and he vomit milk frequently after every mother feeding. Kindly give me solution sir.

C.S.C, D.C.H, M.B.B.S
General Physician,
You can read my article under health tips and if there is still any doubt you can privately ask me in this site ask privately option. Regards and happy parenting.
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Hi sir, my son is 3 years old is victim of un-descended testicles can you suggest me up to what age surgery has to be done?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Undescended testis should be corrected anytime after 1st year. Prolonged exposure of testis to a high intra abdominal temperature is harmful.
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