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Dr. Roopesh Kulwarkar

MBBS

Pediatrician, Pune

0 - 350 at clinic
Dr. Roopesh Kulwarkar MBBS Pediatrician, Pune
0 - 350 at clinic
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Personal Statement

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. Roopesh Kulwarkar
Dr. Roopesh Kulwarkar is a trusted Pediatrician in Kharadi, Pune. He studied and completed MBBS . You can visit him at Agarwal Maternity & General Hospital in Kharadi, Pune. Book an appointment online with Dr. Roopesh Kulwarkar and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 29 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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MBBS - - -

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Sangarsh Chowk, Kharadi Road, Chandan Nagar. Landmark: Near to Samruthy Market, PunePune Get Directions
350 at clinic
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Sangarsh Chowk, Kharadi Road, Chandan Nagar. Landmark: Near to Samruthy Market.Pune Get Directions
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BDS, MDS
Dentist, Delhi
Eating chocolate is not that a bad habit.Just gargle your and your child,s mouth so that chocolate does not remain sticked to your teeth.In this way you can enjoy chocolate without any risk for caries/cavities.Happy chocolating
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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?

PDDM, MHA, MBBS
General Physician, Nashik
Using Adderall over an extended period can increase the risk of critical cardiovascular problems and strokes. There are also significant mental health issues associated with the long-term use of Adderall, such as depression, hostility and paranoia.
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My sisters double marker shows positive. Downs syndrome 1: 198 possibility. She is 29 years old. Doctors have told her to undergo CVS and amniocentesis tests. All other features of the foetus are normal. Please suggest if the baby would be normal or there is 50-50 chances of downs syndrome. Nobody else in the family has this. 2 months aho she had a spontaneous miscarriage plus she has hypothyroid which is normal now. She is now four months pregnant.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
My sisters double marker shows positive. Downs syndrome 1: 198 possibility. She is 29 years old. Doctors have told he...
It is very hard to tell if the child will have down's syndrome or not. It is only time that will tell and for that matter of fact, it is only chance and please think positively about the situation. The chances are very less and even if it turns out to be so, downs kids are trainable. I hope this helps. Take care and have a lovely day!
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My child not sit one place always running, school hour not listening round the arround class room, and watching out side.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
What is his age? Sometimes even normal children are hyperactive and want to play a lot. Not showing interest in studies. There is a fine line between normal and adhd behavior.
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One year old. He has undecendent testes. There is any medicine. Or I have to go for surgery. Is this surgery expensive. What will be the expected cost?

M.D.( Pediatrics), DCH
Pediatrician,
One year old. He has undecendent testes.
There is any medicine. Or I have to go for surgery.
Is this surgery expensiv...
If it is undescended testis, child will need surgery, not if retracted. See paediatric surgeon for proper advice.
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My baby is 2 months old and he hardly sleeps at night. During day time also he sleeps for just 2 hours. What should I do to make him sleep at night.

DHMS (Hons.)
Homeopath, Patna
My baby is 2 months old and he hardly sleeps at night. During day time also he sleeps for just 2 hours. What should I...
Hello, ●New born baby is unable to distinguish between night & daytime. Hence, after few week, you have to educate the baby the difference between  day & night in order to establish sound sleep in the night. ●When its day, the baby should be brought in sun light to recognise the day time and similarly in night the baby should be kept in a dim. Light to recognise eving or night time. Her day should be brighter and the night be darker. ●This has to be ensured  that child is adequetly ,fed before going to bed & continued feeding 2 hrly. ●Some time the baby suffers from abdominal pain, earache,headache due to change in climate, cause her weep. ●  usually, we fail to assess the room- temprature being suitable for the baby to make her sleep, comfortably.Ac should be tuned & fan should be adjusted as per the need be. ● in the night while feeding the baby of your own  baby asleeps without taking sufficient quty of milk, makes her weep, again and again during sleep, please keep checking the fact & adjusted as the condition warants. Homoeopathically,  your baby might be nurtured, successfully. Your feedback is solicited to followup your baby. The care.
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My 9 and a half months old daughter is taking medicine as prescribed by the doctor for cough n cold. But each time she takes medicine, she immediately vomits. So my question is" if she vomits on taking medicine immediately, should I give the same again then"

C.S.C, D.C.H, M.B.B.S
General Physician,
Must tell what medicines are given. If people just say" my child is taking medicines" how can anyone give an answer. Generally speaking, if the medicine is vomited out immediately before reaching stomach you surely can repeat and you must! to have any effect on the disease.
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Hello mera abhi 4 oct ko baby boy hua h operation SE wo din me 20-25 baar poti karta h mujhe bahot tention ho rhi h please bataiye main kya karu.

BHMS
Homeopath, Secunderabad
Hello mera abhi 4 oct ko baby boy hua h operation SE wo din me 20-25 baar poti karta h mujhe bahot tention ho rhi h p...
Keep feeding her only breast milk. Check wether she has fever. Is she active and sucks the breasts.(hydration is important). Get in touch with your doctor and once he checks clinically, correct treatment plan can be thought of. Follow up after that.
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Hi doctor good morning, my baby age is 2 months 10 days. Baby releases gas frequently with noise with light smell. Is there any problem with this. Please suggest me if it is problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor good morning, my baby age is 2 months 10 days. Baby releases gas frequently with noise with light smell. Is...
If the baby is on formula feed in bottle avoid bottle and give exclusively breast milk and after each feed put baby on shoulder or your thigh and tap his back. Give colic aid drops thrice daily and ask me personally for guiding you in caring for child as personal doctor.
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My 2.5 years old daughter suffering from Hydrocephalus. She treated with VP shunt at her age was 9 Months. But Now her head size is still bigger than normal. & Still She cannot sit herself properly & cannot stand. Her intelligency is also poor. So, Please suggest me what can I do for her for his best recovery.

MD - Paediatrics
Pediatrician, Ranchi
My 2.5 years old daughter suffering from Hydrocephalus. She treated with VP shunt at her age was 9 Months. But Now he...
Hello thanks for the query the growth and development of a baby suffering from hydrocephalus depends on the severity of involvement of brain. If the cortical thickness is very less and there is severe ventricular dilatation the outcome is poor. Please attach the report so that I better able to help you out. I hope she must has undergone hearing and visual assessment as there is high chance of hearing and visual impairment in such condition. Physical rehabilitation helps in recovery. Regards.
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My niece is 6months old. Doctor told to start solid food, now my sister is giving semisolid food. What else can we give to baby.

M.D PEADIATRICS, MBBS
Pediatrician, Pune
My niece is 6months old. Doctor told to start solid food, now my sister is giving semisolid food. What else can we gi...
You can give fresh fruit juices, clear soups (veg). Moong dal water/ rice water. Pl. Make sure that containers &spoons with which baby is fed r cleaned & sterilised properly.
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I have 4 months old baby. Is it okay if I start giving him little apple juice.

Pediatrician,
Apple juice to start with is not a good idea may lead to diarrhoea, can start with rice water, light moving dal.
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Dear sir I have 10 month old daughter, she doesn't go motion (both) freely, what can I do sir ?

Diploma in Child Health (DCH)
Pediatrician, Faridabad
Hello, at this age usually babies are on exclusivrly milk diet, top milk and breast milk. You shld introduce semisolid diet like khichdi porige etc.
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My four months baby dint went for motion from 28 hrs. Is it normal, she id active now.

MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Gautam Buddha Nagar
My four months baby dint went for motion from 28 hrs. Is it normal, she id active now.
This could be normal if the pattern earlier has been normal. Just wait and make sure that your baby is feeding is ok and other parameters are fine.
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My son aged 5 years sleeps in the night with his mouth open. Is this any problem?

Pediatrician, Pune
If he snores, has sleeping problem, gets recurrent upper respiratory tract infections, get him evaluated for enlarged adenoids.
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I have chronic digestive problem both constipation and diarrhoea due to stress. I am not able to cope up any type of stress, I am unable to sleep well, I am underweight, everybody tease me. I have got lots of hair on mouth, hand, legs, chest. I am mentally disturbed. I am curious to studies but unable to concentrate.

MBBS, MD
Pediatrician, Gurgaon
I have chronic digestive problem both constipation and diarrhoea due to stress. I am not able to cope up any type of ...
All these problems are related to market cooked food. Try to eat healthy home made food with lot of vegis. Weight is slightly low, need not to worry. All problems will subside by simple. Change.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Common Conditions in Newborns


Some physical conditions are especially common during the first couple of weeks after birth. If you notice any of the following in your baby, contact your pediatrician ONLINE lybrate.com/drsajeev

Possetting. ( Vomiting as mothers complain )

Most mothers complain that their babies " vomit " all the feed after feeding. It is in all normal conditions, just possetting ( belching out / regurgitating ) milk due to lack of tone/development of GE sphincter at the junction of esophagus and stomach. It will gain strength and this belching out mlk will stop by 6- 12 months (varies in each child) . All you need to do is just burp the baby by putting him/her on shoulders or laying upside down on your lap/thigh and gently stroke at the back.

Excessive Crying
All newborns cry, often for no apparent reason. If you’ve made sure that your baby is fed, burped, warm, and dressed in a clean diaper, the best tactic is probably to hold him and talk or sing to him until he stops. You cannot “spoil” a baby this age by giving him too much attention. If this doesn’t work, wrap him snugly in a blanket.
You’ll become accustomed to your baby’s normal pattern of crying. If it ever sounds peculiar—for example, like shrieks of pain—or if it persists for an unusual length of time, it could mean a medical problem. Call the pediatrician and ask for advice.


Coughing
If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If he coughs persistently or routinely gags during feedings, consult the pediatrician. These symptoms could indicate an underlying problem in the lungs or digestive tract.


Lethargy and Sleepiness
Every newborn spends most of his time sleeping. As long as he wakes up every few hours, eats well, seems content, and is alert part of the day, it’s perfectly normal for him to sleep the rest of the time. But if he’s rarely alert, does not wake up on his own for feedings, or seems too tired or uninterested to eat, you should consult your pediatrician. This lethargy—especially if it’s a sudden change in his usual pattern—may be a symptom of a serious illness.

Jaundice
Many normal, healthy newborns have a yellowish tinge to their skin, which is known as jaundice. It is caused by a buildup of a chemical called bilirubin in the child’s blood. This occurs most often when the immature liver has not yet begun to efficiently do its job of removing bilirubin from the bloodstream (bilirubin is formed from the body’s normal breakdown of red blood cells). While babies often have a mild case of jaundice, which is harmless, it can become a serious condition when bilirubin reaches what the pediatrician considers to be a very high level. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated. Jaundice tends to be more common in newborns who are breastfeeding, most often in those who are not nursing well; breastfeeding mothers should nurse at least eight to twelve times per day, which will help produce enough milk and help keep bilirubin levels low.

Jaundice appears first on the face, then on the chest and abdomen, and finally on the arms and legs in some instances. The whites of the eyes may also be yellow. The pediatrician will examine the baby for jaundice, and if she suspects that it may be present—based not only on the amount of yellow in the skin, but also on the baby’s age and other factors—she may order a skin or blood test to definitively diagnose the condition. If jaundice develops before the baby is twenty-four hours old, a bilirubin test is always needed to make an accurate diagnosis. At three to five days old, newborns should be checked by a doctor or nurse, since this is the time when the bilirubin level is highest; for that reason, if an infant is discharged before he is seventy-two hours old, he should be seen by the pediatrician within two days of that discharge. Some newborns need to be seen even sooner, including:

Those with a high bilirubin level before leaving the hospital
Those born early (more than two weeks before the due date)
Those whose jaundice is present in the first twenty-four hours after birth
Those who are not breastfeeding well
Those with considerable bruising and bleeding under the scalp, associated with labor and delivery
Those who have a parent or sibling who had high bilirubin levels and underwent treatment for it
When the doctor determines that jaundice is present and needs to be treated, the bilirubin level can be reduced by placing the infant under special lights when he is undressed—either in the hospital or at home. His eyes will be covered to protect them during the light therapy. This kind of treatment can prevent the harmful effects of jaundice. In infants who are breastfed, jaundice may last for more than two to three weeks; in those who are formula-fed, most cases of jaundice go away by two weeks of age.



Abdominal Distension
Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. Similarly in children upto 3-4 years, the abdomen is a little protuberant due to lack of muscle tone. This is normal and and will go away once the child grows and abdomen tones up. If your child’s abdomen feels swollen and hard, and if he has not had a bowel movement for more than one or two days or is vomiting, call your pediatrician. Most likely the problem is due to gas or constipation, but it also could signal a more serious intestinal problem.

Birth Injuries
It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. While newborns recover quickly from some of these injuries, others persist longer term. Quite often the injury is a broken collarbone, which will heal quickly if the arm on that side is kept relatively motionless. Incidentally, after a few weeks a small lump may form at the site of the fracture, but don’t be alarmed; this is a positive sign that new bone is forming to mend the injury.

Muscle weakness is another common birth injury, caused during labor by pressure or stretching of the nerves attached to the muscles. These muscles, usually weakened on one side of the face or one shoulder or arm, generally return to normal after several weeks. In the meantime, ask your pediatrician to show you how to nurse and hold the baby to promote healing.

Blue Baby
Babies may have mildly blue hands and feet, but this may not be a cause for concern. If their hands and feet turn a bit blue from cold, they should return to pink as soon as they are warm. Occasionally, the face, tongue, and lips may turn a little blue when the newborn is crying hard, but once he becomes calm, his color in these parts of the body should quickly return to normal. However, persistently blue skin coloring, especially with breathing difficulties and feeding difficulties, is a sign that the heart or lungs are not operating properly, and the baby is not getting enough oxygen in the blood. Immediate medical attention is essential.

Forceps Marks
When forceps are used to help during a delivery, they can leave red marks or even superficial scrapes on a newborn’s face and head where the metal pressed against the skin. These generally disappear within a few days. Sometimes a firm, flat lump develops in one of these areas because of minor damage to the tissue under the skin, but this, too, usually will go away within two months.



Respiratory Distress
It may take your baby a few hours after birth to form a normal pattern of breathing, but then he should have no further difficulties. If he seems to be breathing in an unusual manner, it is most often from blockage of the nasal passages. The use of saline nasal drops, followed by the use of a bulb syringe, are what may be needed to fix the problem; both are available over the counter at all pharmacies.

However, if your newborn shows any of the following warning signs, notify your pediatrician immediately: YOu CAN CONSULT ONLINE PRIVATELY :-LYBRATE.COM/drsajeev

Fast breathing (more than sixty breaths in one minute), although keep in mind that babies normally breathe more rapidly than adults.
Retractions (sucking in the muscles between the ribs with each breath, so that her ribs stick out)
Flaring of her nose
Grunting while breathing
Persistent blue skin coloring
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