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Dr. S Gadage

Pediatrician, Pune

100 at clinic
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Dr. S Gadage 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. S Gadage
Dr. S Gadage is an experienced Pediatrician in Rasta peth, Pune. You can consult Dr. S Gadage at KEM Hospital - Pune in Rasta peth, Pune. You can book an instant appointment online with Dr. S Gadage on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 33 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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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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My 8 months old baby boy reduced the quantity of food intake firstly he accepted 2 to 3spoons of cerelac per feed but now only one spoon what are all the foods and liquids that can be given that he accepts well.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 8 months old baby boy reduced the quantity of food intake firstly he accepted 2 to 3spoons of cerelac per feed but...
Give different types of food prepared at home including milk and its products. Baby want change of taste. Don't force to eat. Give him on demand.
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Hello Doctors , My son new born with 2 months now and we are using for bottle feeding with similar 1 advance because my wife is not having enough breast milk so my question here is that which is the best feeding bottle we can buy and what is the process for cleaning the bottle and nipple. Kindly suggest your valuable responses. Thanks

MBBS, MD
Pediatrician, Gurgaon
Hello Doctors , My son new born with 2 months now and we are using for bottle feeding with similar 1 advance because ...
Personally I would say don't give bottle with breast. Most of mothers think that milk is insufficient. But it's not true. Weigh the child to find out adequacy of milk. And child should be fed every two hrly at two months. Breast should be given to child in consonance of his age in months. Three month old child is fed three hrly and. Six month old is given breast feed six hrly. Breast feed should be for 10-15 min. On each breast.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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I have a 6 and a half month old baby can I give him pale g biscuit dissolved in formula n how many. Are thy harmful?

PALS, MD, MBBS
Pediatrician, Delhi
I have a 6 and a half month old baby can I give him pale g biscuit dissolved in formula n how many. Are thy harmful?
Hi, avoid giving biscuit formula milk is already fortified. Instead of biscuit give him dal, khichadi, mashed banana, potatoes.
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My daughter is 2 year old some say she is anemic some say calcium deficiency her weight is 11 kg tall. Is tonic for this have any side effect on her.

Diploma in Child Health (DCH), MBBS
Pediatrician, Noida
My daughter is 2 year old some say she is anemic some say calcium deficiency her weight is 11 kg tall. Is tonic for t...
Hi firstly you shd check her hemoglobin and calcium status go to see a pediatrician he can tell you exactly if she needs anything and make a schedule of her eating with the balanced food.
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Why it's Important That Your Child's Diet is Calcium-Rich

Diploma in Paediatrics, MD (Physician)
Pediatrician, Gurgaon

Why it's important that your child's diet is calcium-rich

Calcium is an inevitable part of your child's diet. You cannot afford to skip it if you wish to maintain a healthy lifestyle for your child. It is recommended that children between the ages of 9 and 18 should get approximately 1300 milligrams of calcium every day. Calcium-rich diet is important for your child for a number of reasons.

Why calcium?

  • calcium helps in building strong bones and teeth for your child.
  • it is important in order to ensure proper functioning of your child's muscles and nerves.
  • calcium plays a vital role in the release of such hormones and enzymes in your child's body that convert the food he eats into energy.
  • it is also helpful in causing the blood to clot whenever your child gets bruised.
  • since your child is continuously growing, a calcium-rich diet ensures an adequate supply of resources that help him to develop new bones that are healthy and strong.
  • a calcium-rich diet is also essential as far as other bodily functions like muscle contraction, blood vessel constriction and relaxation are concerned.

What does lack of a calcium do to your child's body?

  • lack of calcium can cause bone diseases like osteoporosis in your girl child, thus exposing her to a greater risk of weakened bones and possibility of fractures.
  • if your child is a young kid and his diet lacks calcium or vitamin d, which absorbs calcium, he is exposed to the threats of the bone-softening disease called rickets. It can cause in him bowing of the legs, muscle pain and poor growth.
  • bones are living tissues that change constantly, old bones keep getting replaced by newer ones and a calcium-rich diet aids this procedure. Therefore without an adequate supply of calcium, this process would borrow minerals from existing bones, thus weakening them and exposing them to increased risks of fracture.
  • lack of calcium also increases risks of cardiovascular diseases, damaged gums, high blood pressure, ovarian and breast cancer and several other infirmities in your child in his later years.

consult.

11 people found this helpful

Can you please suggest best aloevera gel product for 1 years old baby which makes my baby skin soft which reduces heat rash and skin problems.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Can you please suggest best aloevera gel product for 1 years old baby which makes my baby skin soft which reduces hea...
Hi Sailaja... Only alloevera gel is not enough... For healthy skin vit A is very important...and also other vitamins... Plus use a good moisturizer... Forever products are made from alloevera... You may try that..
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I have 12 Weeks Baby Girl. Her Vaccinations plan on 10 weeks but she was suffering cold so Vaccinations Can't be Possible in this Condition.& already passed 2 weeks for Delay Vaccinations. So in this condition what we should do? Vaccinations delay is it serious Problem?

M.D. Pediatrics
Pediatrician, Pune
I have 12 Weeks Baby Girl. Her Vaccinations plan on 10 weeks but she was suffering cold so Vaccinations Can't be Poss...
Vaccine mut be give on specified date, but if its not possible due such unavoidable instances then, need to worry. Let your child recover completely, then you see your pediatrician. Vaccination delay is not a serious problem, for few vaccines, but as far as possible it should and must be given once your baby is healthy. Kindly visit your pediatrician, as he will guide you better. Happy Parenting!
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Hello doctors, we're in the process of relocating to different country which is of extreme chill climate upto (-10) degrees. Our current location has about 30 degrees. My query is that, how safe is it for our baby (7 months) in regards to the relocation from current 30 degrees to (-30) degrees. Thanks and appreciate in anticipation.

MD PHYSICIAN
General Physician, Delhi
Hello doctors, we're in the process of relocating to different country which is of extreme chill climate upto (-10) d...
Its safe for your baby to relocate. No issues untill and unless he /she is suffering from any existing health issues like chest infection or else if you are going to higher altitudes. Prevent him /her from excess cold ,dress well. It will be difficult for the baby to adjust initially and chances of getting cold, cough and others are more. But later baby will adapt to the same. If any existing issues consult a pediatrician before.
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Hi sir. Hamara ek baby boy hai 3 years ka. Wo bahut hi ziddi hai or hr time koi na koi sararat krta hai. Jis kaam ko mna kro wahi kaam krta hai kisi ki nhi sunta hai. Kabhi kbhar uska mood ho to baat maan leta hai. Kya aap iske regarding koi help kr sakte hain. Please help.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
Hi sir.
Hamara ek baby boy hai 3 years ka. Wo bahut hi ziddi hai or hr time koi na koi sararat krta hai. Jis kaam ko ...
It seems that you feel the situation is out of your control and you are looking for the means to change your son's behavior. Little children are like a sponge, they absorb things and learn front us and environment around them. There are main two reason that children misbehave. 1. They want your attention and love. 2. Just like any human they too are wired to assert power. When they misbehave and gets attention they feel powerful and continue to behave that way. Right now I do understand that you get frustrated with his behavior and out of your own habit you might show some kind of aggression by shouting or sometimes even slapping. Abusing someone is not a solution to any problem rather it worsens the situation. Through our behavior we are planting seeds in out child's mind. For you to change this situation you need to be very patient and calm. Once your behavior and your attitude will change his behavior will also change. Also when we lable our child as stubborn jiddi shy or noughty. We are feedimg their mind woth these ideas. A d they will try to be best at that. Now kids do not do all these things knowingly. They have no idea what else to do so they respond to your stimulus and behavior. Also it is very normal for parents to feel overwhelmed and frustrated and dispute k owing so many things it is difficult to respond ideally in a heated situation. I am sure this could be one of the major reason for frustration as well. What you need is a support from someone who understand you and also know how to guide you through the situation step by step so that you will lean and change the way you are responding now. Once this happens you will get back the control and things will turn into posotive direction. I would suggest you to either call me or consult someone in your city and seek help. If you work with someone on weekly basis it will help you make some changes. If you decide to enter into 3 to 4 month committed relationship, I do have some tools and techniques which you will be able to learn and apply immediately. Hope this helps wishing you very best.
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I am getting frequent farting problem please help. It does not used to be like this before.

MD - General Medicine
Internal Medicine Specialist, Noida
Excessive flatulence can be reduced or prevented with several methods such as modifying your eating habits, changing your diet to avoid those foods that cause you personally to produce excessive gas, avoiding dairy products if you are lactose intolerant. Get a stool test done to find out if you have any intestinal infection and take treatment according to the report.
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My daughter has 15months baby, she is suffering from too cold and cough. Which medicine is suitable for this?

C.S.C, D.C.H, M.B.B.S
General Physician,
Describe more. He may need antibiotics and tests. You can ask privately in the site. Now you give wikoryl syrup 5 ml twice and otrivin nasal drops and if fever is there calpol syrup 1`25 ( to give medicine it is necessary to know his weight, your question is not sufficient and I assume he has reasonably normal weight. When you ask, give all details.
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Hello mam, my kid is 15 months old .he had a slight swelling ,side of a knee for right leg. Doctor told that he suffers from vitamin D deficiency .is it occur for small children? If yes, how to treat and prevent the deficiency of vitamin. It will be cured or not? Please suggest me your valuable ideas. What are food items I can give to my child? He is not eating egg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello mam, my kid is 15 months old .he had a slight swelling ,side of a knee for right leg. Doctor told that he suffe...
lybrate-user, Thanks for the query. Vitamin D deficiency is quite common in infants and children. It can be corrected by giving Vitamin D3 liquid or drops. There are many brands available. Secondly my advise pleae take an X-ray of the knee and wrist of the child and take radiologist's opinion to see if there is problem with bone growth. Start Vit D supplements. Plus milk and exposure to sun also are helpful. Thanks.
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My 14 month baby suffering from diarrhea since yesterday with blood. He is given ofloxacin antibiotic. His stool contain White thread like worm. Deworming not done yet. Is it safe to give him NOWORM SYRUP now or some days later.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 14 month baby suffering from diarrhea since yesterday with blood. He is given ofloxacin antibiotic. His stool cont...
Better to go for stool lab test (R/M).worms rarely causes diarrhea. And these days .viral diarrhea is more common rather anything else .give lot of ORS and zinc 2o mg a day for 2 weeks.
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My baby is 5 months 20 days old, I want to start solid to her. I want to know how much I should give her in a day at particular time.

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby is 5 months 20 days old, I want to start solid to her. I want to know how much I should give her in a day at ...
Babies need complementary solid foods along with breastmilk after the age of six months. You can start by including curd, fruits like banana, mashed papaya, veggies like mashed potatoes. The food that you give to your baby should preferably be home cooked and should have a thick, soft consistency.
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My daughter is 3 years old. She is suffering 2 times severe asthma attack in the last 2 months. What should I do now?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Start ipec12c 3hrly for week. U will see how your baby improves. Our pathy will give u not only permanent but also boost her immune system without any side effects or drug addiction. They r safe take care. Thanks.
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Meri beti 3 year ki he. Wo 6 months ki thi tab use meningitis hua tha. An vo normal he. Per uska weight bd nahi raha. Pichle bd 9 kg tha. Is bd pe 10 he. Please tell me ye koi badi problems he kya?

Pediatrician, Pune
Uska weight theek hai, agar uska, bolna chalna, activities, uski umar ke bacche ki tarah hai, to chinta karne ki koi baat nahi,
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My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see food she is 2 years old she is active very much but when ever climates changes occurs she will get ill can you suggest me how to protect my baby.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see f...
Homoeopathic medicine ECHNESIA 30 ( Dr Reckeweg) Drink 1 drop in 1 spoon fresh water twice daily for 3 months.
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My 2 months old son got pneumonia.Was hospitalised.Now after two months he has again got the blood and chest infection.Wat to take precautions ?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
All vaccination. Avoid cold. Take precaution during feed.Do proper burping after meal.Avoid contact with persons havinf flu. Use hand hygene and cuogh hygene.Give antibiotic for present infection.
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