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Dr. Tungatkar Jayant

MBBS

Pediatrician, Pune

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Dr. Tungatkar Jayant MBBS 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. Tungatkar Jayant
Dr. Tungatkar Jayant is a popular Pediatrician in Erandwane, Pune. He has completed MBBS . He is currently associated with Ace Hospital, Erandwane in Erandwane, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Tungatkar Jayant 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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MBBS - - -

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Ace Hospital, Erandwane

Survey No. 32/2A, Gulawani Maharaj Road, Opposite Hotel Abhishek, Erandwane. Landmark:Behind Mehendale Garage, PunePune Get Directions
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ACE Hospital

Survey No. 32/2A, Gulawani Maharaj Road, Erandwane Landmark : Behind Mehendale Garage,Opposite Hotel AbhishekPune Get Directions
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I am 3 months after delivery and am giving breastfeeding. Nowadays am feeling so tiredness during the time of feeding so please suggest some vitamins tablets for me continue with breast feed.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Gopika, please take protein rich diet like beans, pulses, sprouts. Start iron and calcium supplements if you are not having it.
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HB count of my son is 7.2. What is the best way to get it increased and what are the medicine or syrup I can give to improve the HB count. He is active and when someone sees him they won't feel he has any issues. Please help.

BHMS
Homeopath, Howrah
First consult doctor to rule out the cause as there are many reasons for anaemia, it may be due to sickel cell, parasitic infestation, haemorrage, or any other spleen ralated problem. Proper treatment will save him from future problem. Advise him to take beat juice, dates, almond, spinach, jaggery are richest source of iron.
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Hello sir I have given pentaxim for my baby at 6 weeks and 10 weeks and hexaxim at 14 weeks. Now im really worried regarding the immune status. Can I switch to painful vaccine for further vaccination. If I opt for painful vaccine for booster dose will the immune status be compensated. Pls give me suggestions sir.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello sir
I have given pentaxim for my baby at 6 weeks and 10 weeks and hexaxim at 14 weeks. Now im really worried re...
It is pertussis part of vaccines which is painless (lesser painful) but immunity is short lived in compare to painful but long lasting. I personally advice for painful type. U may opt painful ie DTPw containing vaccine.
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Hello doctor मेंरी भांजी करीब I8 महीने कि हैै पर उसका विकास नही हो रहा ऐसे लगता जैसे 6 महिने की है और उस के आंरव रेटीना पहले काला था पर अब सफेद हैं जैसे मेातियाबिन्द सर क्या वो ठिक हो पायेगी या सारी जिन्दगी ऐसे ही रहेगी उसे किस डाक्टर को दिखायें उसका इलाज हो पायेगा कृपया बताये धन्यवाद

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctor
मेंरी भांजी करीब I8 महीने कि हैै पर उसका विकास नही हो रहा ऐसे लगता जैसे 6 महिने की है और उस के आंरव रेटी...
मोतिया बिंद तथा विकास न होने से लगता है कि बच्चा लैक्टोज़ स्टोरेज डिजीज से ग्रस्त है। उसका दूध व् दूध से बनी वस्तुओं का सेवन बंद कर दें तथा शिशु विशेषज्ञ अथवा गिनेटिस्ट से परामर्श करें।
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My son is 2 year old. He is a very happy, social and fun loving child. He is nauseatic lot many times and even throws up for last 7 to 10 days. I had shown him to his regular paediatric, she said there might be some stomach upset and gave to stop vomiting. It did not help and she changed it to Atarax drops, which didn't help either, so discontinued it after 2 doses after reading on the net that it's a very strong medicine. I referred him to one of the most senior most and reputed paediatric in my city. He said that the child's stomach is absolutely fine no need to give him any medicine, he is just trying to do it to grab your attention, just ignore. I told him most of the time he gets up from his afternoon nap and throws up. He said at times when kids are having anxiety they may do it, just ignore it. I did ignore for 2 to 3 days he was still vomiting (lesser quantity though but 2 to 3 times) . I started with probiotic sachet Reflora-R which has reduced his vomiting and nauseatic feeling a bit but not completely stopped. After vomiting the child is fine just like a normal happy child. Should I show him to a gastroenterologist or is it his anxiety?

Diploma in Child Health (DCH), MBBS
Pediatrician, Akola
My son is 2 year old. He is a very happy, social and fun loving child. He is nauseatic lot many times and even throws...
If child feels better after vomiting it suggest possibility of gastritis (hyperacidity. If he is fond of eating fried foods like potato chips, kurkure etc then strictly stop this. He will be better within 3 days. If he has any problem in stools (latrine) then do his stool examination from a laboratory. Pain may be due to stool infection.
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My son is 1 month old. He has a problem of gas in his body . Because of gad, he cries sometime. So what can we do?

MBBS, MD
Pediatrician, Gurgaon
My son is 1 month old. He has a problem of gas in his body . Because of gad, he cries sometime. So what can we do?
in some newborn gas distention is common.treatment is simple .use carminatives like ginger lime water.
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My Daughter She is 7 years old. She is very weak, her weight is 15 kg only. But she is active in study, playing and everything, I consult Endocrinologist visited doctor in sirsa, he write tests and amt. Of test is 8000. What can I do. Problem is Vrinda not gain weight or height. So give me right suggestion about it.

MD, MBBS
Pediatrician, Bangalore
If you feel she is well doing normal activities than don't keep much tention. These things are relates to family members weight and height in child hood, specially parents. Give healthy food and increase it. Personally checkup is important.
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Meri beti hai 5 year ki use night me potty ke raste me pain hota hai maine use gastroentrology doctor ko bhi dikhaya lekin unhone kaha koi bhi problem nahi hai lekin use daily pain hota hai please mujhe koi medicine bataye jisse uska dard kam ho jaye ya fir usko neend aa jaye thankyou.

MBBS, MD - Paediatrics
Pediatrician, Pune
Does she have constipation? does she pass stools with difficulty or hard stools? this is the age group in which children are often constipated? first add fibre to diet and adequate water. Fruits, ghee, green vegetables, banana are good in fibre. Wheat chapati etc. Also show your child to a paediatric surgeon who will do per rectal examination to rule out anal fissure. Give her sitz bath. Before going to bed make her sit in hot water tub.
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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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My spouse got cracked nipple problem. She has 15 month baby with breastfeeding. She is using nipcare cream and some antibiotics which was prescribed by her doctor but not getting relief.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Correcting your nursing technique can go a long way toward letting cracked nipples heal. Sometimes just the slightest change in positioning will make a world of difference. Feed on the less injured side first, if you have one. Babies often nurse more gently on the second side since they’re less hungry. Apply a cold pack to numb the injured area before nursing. Cold can help dull the pain, particularly during the initial latch, which tends to hurt the most. After breastfeeding Clean your nipples gently, Use an antibacterial ointment if you have an open wound, Take painkillers like ibuprofen about 30 minutes before nursing can help lessen pain and swelling.
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My baby is 9 months old and is 9kgs, have started giving him khichdi, boiled vegetables, idli, mashed chapatis. He passes stool (solid) 2 to 3 times a day especially after eating, does that mean I overfeeding him? how will I know if something is not getting digested for him? please suggest a proper diet for him to put on good weight.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is 9 months old and is 9kgs, have started giving him khichdi, boiled vegetables, idli, mashed chapatis. He pa...
Your baby's weight is adequate for the age & whatever foods you are giving is correct. Some children pass stools as soon as they are fed. It is called as exaggerated gastrocolic reflex. As long as the stools are well formed nothing to worry about it.
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My baby girl is 9 months older ,she doesn't sleep in night. From her birth she is not sleeping in night. As a responsible guardian what should we do to change her sleeping time.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My baby girl is 9 months older ,she doesn't sleep in night. From her birth she is not sleeping in night. As a respons...
If child is active then common reasons for not sleeping at night is either child is hungry or wants to play which is normal habit. A child does not sleep in night like adults.
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My son has vomiting and cough from last 3 days and had a doctor checkup. He was getting better and all of a sudden he turned up with a fever with 102℉ and severe cough and cold. Could it be viral?

BHMS
Homeopath, Sindhudurg
My son has vomiting and cough from last 3 days and had a doctor checkup. He was getting better and all of a sudden he...
Yes homoepathic treatment ipecac 30 4pills 3 times for 1 day. Flemkof 1spoonful 3 times pyrex 1 spoonful 3 times.
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything downincluding liquids. What should I do?

BHMS
Homeopath, Faridabad
My 3 year old is sick with a temperature of 100 degrees she can not keep anything downincluding liquids. What should ...
Hello, gige her BC NO. 11, 4 tabs every 4 hourly. Hepar sulph 30, 3 drops twice daily. Gelsemium 30, 3 drops once daily. If temperature goes up then you can give her crocin syrup and do Sponging also. Revert after 3 days.
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Hi a 18 day old baby not getting mother milk due insufficient flow of milk. Henceforth baby drinking cow milk. Can you please suggest any supplement for baby to make them healthy and any medicine to their mother to flow of milk.

MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Hi a 18 day old baby not getting mother milk due insufficient flow of milk. Henceforth baby drinking cow milk. Can yo...
The baby not getting enough milk is a frequent, unnecesaary worry among the young parents. First of all it almost never true. Weighing the baby before and after the feed on an accurate electronic scale can give an idea of how much milk the baby suckled. Second test is to manually express the breast and see. If the nipples are not inverted, the baby can be encouraged to suckle frequently so that feeding gets established. If the nipples are inverted then, a nipple shield can be used. Correct positioning and latching of the baby is of utmost importance. A trained person can help with this. There are some drugs such as perinorm which can be given to the mother as a galactagouge. The mother's fluid/foodintake should be increased and she should be constantly motivated, supported and assisted till the feeding gets established.
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Is their any possibility for normal delivery if the baby weight is 4.5 kgs. My mother-in-law is saying that her daughter gave birth to 4.5 kgs baby during delivery and it is a normal delivery. Is it possible?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
Is their any possibility for normal delivery if the baby weight is 4.5 kgs. My mother-in-law is saying that her daugh...
Hello, its very unlikely. I will advice you to opt for planned caserian & not even think of normal delivry as your baby is very large & there r high chances of complications.
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