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Dr. S Shrotriya

Pediatrician, Pune

200 at clinic
Dr. S Shrotriya Pediatrician, Pune
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. S Shrotriya
Dr. S Shrotriya is an experienced Pediatrician in Rasta peth, Pune. You can consult Dr. S Shrotriya at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. S Shrotriya and consult privately on Lybrate.com.

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Hindi

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
200 at clinic
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5 Month old baby boy got only BCG vaccination till now due to some health issues. Now from last month baby is health, so what and when vaccination needs to be given?

MBBS, MD - Paediatrics
Pediatrician, Varanasi
5 Month old baby boy got only BCG vaccination till now due to some health issues.
Now from last month baby is health,...
You can start vaccination schedule from any day, better would be to start one month after BCG vaccination, if the time has passed you can schedule your baby's vaccination any time from a pediatrician.
1 person found this helpful
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My mother is OK after a long treatment of MDR TB but now she has persistent dry/allergic cough. How can this cough be treated ? What are the options ? Thanks.

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Cough post TB is usually due to post tb sequelae like bronchiectasis. Inhaled bronchodilators may ease the cough.
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We have 3 years old baby .In winter his foot&hand become swelling, after some time swelled area become hard & red .Some times after skin of this area bursts & sap type liquid comes out. please give us home made recipe sol.

Pediatrician, Kaithal
We have 3 years old baby .In winter his foot&hand become swelling, after some time swelled area become hard & red .So...
You should keep his hands and feet warm during winter,by wearing woolen socks and gloves as far as possible. Also avoid exposure to cold water etc.
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Hi my son is 4 months old and since birth he is having formula as well as breast milk but since 2 weeks he has stopped latching so I am pumping out my breast milk and I can only give him 5 oz per day. I want to ask whether it's enough I mean at least he is getting some antibodies from me please tell it's fine for him because I am getting into depression thinking about it whole day. Pls help.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hi my son is 4 months old and since birth he is having formula as well as breast milk but since 2 weeks he has stoppe...
Why has your son stopped latching? It could be because you must be giving formula feed by bottle. If you give formula feed by cup and spoon ,he may latch at your breast. If he latches and suckles at breast your milk will increase You must eat balanced diet and drink lot of water and take a 1 l milk or milk products per day to increase your milk There are medicines to increase milk Don't worry just try your best.
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My baby has dark patch on his face since birth which has become darker. He is 1 year old wat is the remedy for this.

BHMS
Homeopath, Faridabad
My baby has dark patch on his face since birth which has become darker. He is 1 year old wat is the remedy for this.
Hello, If it's a birth mark, so wait for some more time as sometimes the mark gets lighten. We can slight make the mark little better, but can't remove the birth mark totally. Medication: Take homoeopathic medicine - Lycopodium 30/ thrice a day for 20 days. Revert me back there after.
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BHMS, MD - Homeopathy
Homeopath, Chennai
What is the ketogenic diet?

The ketogenic diet is a special high-fat, low-carbohydrate diet that helps to control seizures in some people with epilepsy. It is prescribed by a physician and carefully monitored by a dietitian. It is stricter than the modified Atkins diet, requiring careful measurements of calories, fluids, and proteins.
The name ketogenic means that it produces ketones in the body (keto = ketone, genic = producing). Ketones are formed when the body uses fat for its source of energy.
Usually the body uses carbohydrates (such as sugar, bread, pasta) for its fuel, but because the ketogenic diet is very low in carbohydrates, fats become the primary fuel instead.
Ketones are not dangerous. They can be detected in the urine, blood, and breath. Ketones are one of the more likely mechanisms of action of the diet; with higher ketone levels often leading to improved seizure control. However, there are many other theories for why the diet will work.
3 people found this helpful

Please tell about general line of treatment for loose motions in paediatric patient

M.D.( Pediatrics), DCH
Pediatrician,
Keep the child well hydrated by adequate replacement of lost fluid by WHO recommended ORS and routine home diet with little added salt.If child is taking breast feeds continue with that. And wait patiently unless he is dehydrated( In that case visit hospital he might need IV fluids). It takes time to get well.Hope this helps
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Parenting Tips for Fever in Children

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
Parenting Tips for Fever in Children

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc. 

  • Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
  • What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home. 
  • Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it. 
  • Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).

 As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

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My baby is 10 months old. As I am a working lady, he was fed formula milk along with breast milk since birth. He started eating when he became 6 months old. Now he is on food and breast milk, formula milk is totally discontinued. Can I give him cow's milk now?

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
My baby is 10 months old. As I am a working lady, he was fed formula milk along with breast milk since birth. He star...
Hello lybrate-user, yes can give cow's milk because cow's milk is very light and easily digestible. But don' skip breast milk fully.
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Do I have dyslexia I always have writing and reading problem I am 20 what should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
At your age you can identify the particular words that pose a problem to you and then write those words down and articulate the letters and the words they form just as a young kid would do; and you will register an audio-visual memory of those particular words to gradually develop an audio-visual impression and memory of the same. It will be even more useful to write the meanings of those words and relate to them as well. You could sing the words and meanings to make a lasting impression. But you should not rush all the methods at once to learn quicker: it will only confuse you and make it even more difficult, and will lead to frustration. In a more advanced situation you can print index cards of those words and learn to memorize them in the same fashion as mentioned above. As time goes by you may get audio books and listen to them often but always in an atmosphere conducive to good listening. If you wish you could also get the help of reading teachers who will professionally take you from simple material to higher material as you advance in the learning program. The audio mode of learning is slower than the visual mode but speed is not an immediate objective, comprehension and word recognition is. It will be a long process but if you are determined, it will be rewarding. You could have benefited from an earlier intervention, like in childhood, if they had noticed and acted then. Please remember that your intelligence is not in question. So it is up to your commitment, sincerity and above all perseverance.
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Mery bachhe ne birth se 2 din pehle potty karti thi pet mai jiski wajh se use heavy infection ho gaya tha ab wo theek h 16 month ka ho gaya par abhi tak bethh nahi pata. Baki activity sab normal h .1 sal se physiotherapy chal rahi hai. Please batay ki mai kya karu or kahan dikhau?

M.D.( Pediatrics), DCH
Pediatrician,
Mery bachhe ne birth se 2 din pehle potty karti thi pet mai jiski wajh se use heavy infection ho gaya tha ab wo theek...
It warrants the complete review by developmental pediatrician. Keep faith and patience to be rewarded. Keep it up, you will be blessed.
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Baby Feeding Routine

MD - Paediatrics
Pediatrician,
Baby Feeding Routine
Complementary feeding

Complementary feeding / weaning should be started after 150 days of life.

Its better to start home prepared semi solids first. If you are not confident in preparing food initially you can give cerelac rice / cerelac wheat/ nestum rice etc.

Add a new food item only after trial of 3 days. I mean don't give new food everyday. Wait for any intolerance to a particular food.

Fruit juices orange, apple can be prepared at home and can be given from 7 months.

Mashed potato can be given by 7-8 months.

Egg can be give by 8-9 months. Give egg yolk initially and the egg white later.

Hi My son age is 2 years. He is very like to drink yakult he is drinker 1 bottle of yakult everyday. drinker yakult for 2 years baby that is good for baby or not? Please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi My son age is 2 years. He is very like to drink yakult he is drinker 1 bottle of yakult everyday. drinker yakult f...
It is fine as Yakult is a probiotic dairy product made by fermenting a mixture of skimmed milk with a special strain of the bacterium Lactobacillus casei Shirota. Prevent digestive disorders such as diarrhea and constipation. Help build immunity and reduce risk of infections.
2 people found this helpful
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Hi I would like to know when can a mother start having curd or lime after baby is born? After how many days?

Lactation Consultant, Childbirth Educator, MHA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Hi I would like to know when can a mother start having curd or lime after baby is born? After how many days?
A mother can eat whatever she wants right after delivery. What she eats affects her health and nutrition, and not breastmilk. But make sure that the other eats a variety of fresh fruits and a balanced nutritious meal, with plenty of fluids throughout the day. Curd or lime can be had anytime.
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My baby is doing toilet only 4-5 times in a day. Is it normal or any problem for her.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is doing toilet only 4-5 times in a day. Is it normal or any problem for her.
If he is bottle fed you top bottle and give breastfeed I need to know the age and weight of your baby.
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My son is 11 years old he is suffering from thalaseemia disease past 10 yrs the remedy is every 28 days once we are giving the blood transfusion 300 ml packed cells b+ blood in salem tamilnadu what should I do?

Pediatrician, Pune
Maintain hb more that 9 gm% by regular transfusions, avoid iron overload by giving iron chelators deferrasirox / others as prescribed by your doctor to keep ferritin < 1000, get his blood checked every six months for transfusion related infections and iron overload, maintain a near normal life, try an option for bone marrow transplant.
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My daughter age is 18 month And 05 days. When his age is 6 and half months than we find that she is suffering from Iron deficiency Anemia based on report 1) RBC=Anisochromia andanisopoikilocytosis. Microcytic hypochromic rwe cell with some tear drop cells, elliptical cell, target cells and occasional fragmental red cell are noted. 2) That time hemoglobin level is 6.5% 3) WBC- Matured with increase total count. Few reactive lymphocytes are also seen. 4) Platelets;- Increased, Serum Ferritin-05 ng/ml. 5) Comments- severe microcytic hypochromic anemia with leukocytosis and thrombocytosis. Please correlate clicinally and evaluate for iron deficiency anemia and hemoglobin disorder. That time hemoglobin level is 6.5% and that time required blood transfusion and that time HB% was-12.20%. After again one month later that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently we take some test. At present Hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. On dated 01/05/2016 HB% becomes down 10.20% RBC-4.18% and Blood culture report and Urin RME and Stool RME report is ok. Some times we give her nebulizer. Most of the time Runny nose itchy eye and regular cold and fever problem. Now I want to know the above report result mean. On the other hand last 4 months his weight is constant at 9 kg. How we can gain weight my baby. We are worry about that. 1 Doctor Answered.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter age is 18 month And 05 days. When his age is 6 and half months than we find that she is suffering from Ir...
Above report is more in favor of Iron/ multi nutritional deficiency anemia. Blood transfusion increases Hb temporarily. Intermittent fall of Hb may be due to interrupted treatment and lack of nutritional diet as indicated by constant wt at 9 kg. To improve his wt and normalize Hb, give him Iron, B Complex, Vit C and other micro nutrients and continue at least for about 3 months after Hb comes to normal, add oil/ ghee in his nutritious diet for wt gain.
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MDS
Dentist, Nellore
Do not use your teeth for doing something other than chewing food. Using them for cracking nuts, removing bottle tops or ripping open packaging can result in chipped or broken teeth.
21 people found this helpful

I have cough from 1 week and cold, fever and headache also. I don't know what can I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have cough from 1 week and cold, fever and headache also. I don't know what can I do?
-drink plenty of fluids (veg/tomato soups, dal water/coconut water/herbal tea etc), and eat nutritious food (like sprouts). Avoid foods or drinks with caffeine -treatment: a cold usually lasts for a week or two. Gargle to keep from getting a sore throat. Take only lukewarm water to drink during the day -use saline nasal sprays or nasal irrigation. -tablet nasorest-p once/twice daily may ease breathing. -do steam inhalation once or twice daily.
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My 17 months old baby girl is not able to speak clearly. She responds when we call her but her voice is not clear. She speaks loudly but unclear. Please help.

Fellowship in Pediatric Critical Care (IAP), MD - Paediatrics, MBBS
Pediatrician, Jalandhar
My 17 months old baby girl is not able to speak clearly. She responds when we call her but her voice is not clear. Sh...
If development is normal there is no tongue tie then we can wait as usually children are able to speak by 2 years. If she is able to express herself by gestures it's okay.
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