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Dr. Vaishali Pawar

MBBS, Diploma in Child Health (DCH)

Pediatrician, Pune

17 Years Experience  ·  100 at clinic
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Dr. Vaishali Pawar MBBS, Diploma in Child Health (DCH) Pediatrician, Pune
17 Years Experience  ·  100 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vaishali Pawar
Dr. Vaishali Pawar is a trusted Pediatrician in Balaji Nagar, Pune. She has been a successful Pediatrician for the last 17 years. She studied and completed MBBS, Diploma in Child Health (DCH) . You can visit her at Sanskruti Clinic in Balaji Nagar, Pune. Book an appointment online with Dr. Vaishali Pawar and consult privately on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 32 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.

Info

Specialty
Education
MBBS - - 2001
Diploma in Child Health (DCH) - - 2007
Languages spoken
English
Hindi

Location

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Sanskruti Clinic

# Shop No.3, Ganesh Empire, Jijamata Chowk, Balaji Nagar, PunePune Get Directions
100 at clinic
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Hi I want to know what all supplements should be given to my 14 months old baby. I am giving only Zincovit now which is a multi vitamin. Is any iron or calcium supplement also required?

Fellowship In Pediatric Gastroenterology, Hepatology And Nutrition, MD - Paediatrics, MBBS
Pediatrician, Mumbai
Hi I want to know what all supplements should be given to my 14 months old baby. I am giving only Zincovit now which ...
No supplement s are required if diet of baby is healthy. It should include all proteins. Carbs.vitamins. Fats.and calcium from diet. If there is any deficiency of any ingredients then only it is recommended to give supplement through medication s.
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4 Reasons Why Breastfeeding is so Crucial!

Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
4 Reasons Why Breastfeeding is so Crucial!

Breast milk provides essential nutrients for infants and is a mix of nutrients, which include vitamins, proteins and fat that are necessary for a baby's growth. Apart from benefitting babies, breastfeeding benefits mothers too.

Here are 4 benefits of breastfeeding:

1) Provides nutrients and protection to the baby - The best food a mother can give to her baby is her breast milk. It helps your baby to grow and develop. Breast milk is custom-made by all mothers for their own babies and, thus, contains a perfect mix of essential nutrients. Breast milk contains a mixture of protein, carbohydrate, fat, vitamins and minerals, which are very important for the proper growth and development of the baby. It also contains many antibodies that reduce the chance of diseases and allergies. In fact, the milk's content changes as your baby grows to keep up with the infant's needs.

2) Convenience - The milk from breasts is always safe and fresh, and is precisely of the right temperature, which what makes it a convenient food for the baby. What's more, it doesn't require heating, boiling or sterilizing as such; and can be fed to the baby anywhere, anytime.

3) Benefits mothers - According to a research, breastfeeding, to an extent, provides protection against breast and ovarian cancer. It also serves as a measure of protection against weak bones in the later part of life. Calories are required in order to produce milk. So, breastfeeding helps to gradually lose weight after pregnancy as well. Moreover, breast feeding also defers the return of menstruation for a little while.

4) Continues the special relationship between mother and child - The bond between a mother and a child strengthens due to the intimacy and the closeness involved in breastfeeding. One of the remarkable facts about this is the more a baby breastfeeds, the more milk the mother produces.

'Consult'.

Related Tip: Why is breastfeeding so good for your baby and you?

3137 people found this helpful

Hi doctor my son is 20 days old he is having continuous vomits after every feed. Do not no why he taking out I have consulted to pediatrician he recommended to use NEOPEPTINE drops, but there is no change. He is taking out milk out of mouth and nose and crying. He is needed with mother milk (breast milk) and also we are making a two hours gap in every feed. Please help me out with a good solution. Thanks a lot.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi doctor my son is 20 days old he is having continuous vomits after every feed. Do not no why he taking out I have c...
This is possetting and not real vomiting and is due to the muscular valve in esophagus not yet strong and will be there till 6 months or even upto one year . Do not give bottle feed . You have to burp well after each breast feed and put him on right side
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My baby girl is 2.5 month old and she is in formula feed but not taking enough feed and doing vomit once in a day. What should I do. Her birth weight was 2.75 and now she is 4.5. Her weight is enough or not?

MBBS DCH
Pediatrician, Gandhinagar
Her weight is absolutely normal. Why are you giving formula feed? 1-2 vomiting per day is normal. Don't give formula with bottle.
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

Symptoms of Child Aphasia - Can It Be Treated?

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
Symptoms of Child Aphasia - Can It Be Treated?

Child Aphasia is complex disorder that is caused by damage to parts of the brain that controls language and speech. This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depends on the extent of the damage as well as the location of the damage. Since this is not a birth disorder, therefore, you should be much more careful as so you notice that your kid is facing language disorder. A speech pathologist can diagnose language disorders and teach your child strategies to help.

What are the leading symptoms of aphasia in kids?

  1. Not understanding speech is one of the most common symptoms. Most patients cannot understand spoken or written language. Typically in these cases, the patient suffers from fluent Aphasia, which is caused by damage to the left temporal lobe of the brain. The patient's speech might seem meaningless and incoherent with lots of unnecessary words being used. The child usually becomes upset when people don't understand what he is saying.
  2. Patients suffering from this disorder also have trouble expressing their thoughts and understanding language and they often take more time to communicate. Only short sentences are used by these patients with words often left out, making the sentence sound incomplete. Such children suffer from non-fluent Aphasia where they understand what others are saying, but cannot communicate or speak well themselves. Their speech is almost similar to that of telegraphic languages that are usually followed by those toddlers who are just learning how to speak.
  3. Some children suffering from Aphasia might have trouble repeating words even though they don't have problem understanding what others are saying. These children suffer from conduction Aphasia and will be able to reproduce only parts of a sentence, if asked to repeat.
  4. Children affected with this disorder may see to be not listening to you or ignore you.
  5. Such kids might also have behavioral problems and may not be able to keep up with their friends and classmates. They will also suffer from forgetfulness.

Causes of Aphasia: The leading cause of Aphasia is brain injury, brain infection, brain tumour or abscess or bleeding in the brain.

Diagnosis of the disease: The disorder is diagnosed by a speech therapist who assesses the condition with a variety of tools to figure out the extent of damage. Its best to take your child to a paediatric speech pathologist who is an expert in treating children with brain injuries. The child will then be assessed on auditory comprehension, verbal expression, reading and writing ability and functional communication.

Treatment: There are many people who think that the speech trouble cannot be treated, but they are completely wrong. There are various ways to treat Aphasia. The younger the patient the better the chances of recovery since the brain is not that developed to handle specific functions in kids as in adults. The treatment will depend on the severity of the condition and the goal that is to be achieved. Factors behind this trouble need to be determined first otherwise the perfect treatment cannot be decided. Some of the most prominent factors are aphasia type, brain-injury cause, age, brain-lesion size and positioning and others.

Some of the leading tips that can be applied as per Association of National Stroke are as follows:

  1. Using props can be helpful in getting across messages.
  2. Speaking slowly and staying calm while speaking.
  3. Drawing pictures or words on paper for communication.
3750 people found this helpful

My son aged 4.6 years has Vit D deficiency. Apart from Vit D rich food which medicine I can give him.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Hello as you asked about bit d deficiency of your son I would like to suggest you for massaging oil and keeping him in sun screen in the morning as the rays are not so hot every day. It will help you for your balancing vit d. You may use the following ayurveda medicines. For him. 1/ mahakalyanak ghrutam. One spoon with warm milk after meals. 2/ ksheerbala tailum for massage over whole body every day.
1 person found this helpful
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My son is 9 years old during night sleep he passes urine without his knowledge and everything gets wet. What shall I do to stop this. Is it weakness and if so what food or medicines should I recommend to my son.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Don't scold or make conscious child for this act. If urine routine examination is normal, get him urinated before retiring at about 10 pm. try this for about a month. If this does not work, consult doctor.
1 person found this helpful
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My daughter age is 1 year 8 months old she is suffering with tight motion her diet was milk and food contains with rice and dal so please suggest us.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My daughter age is 1 year 8 months old she is suffering with tight motion her diet was milk and food contains with ri...
Milk intake to 350 milk. Give 3 semisolids. Dalia. Khichri with vegetables. Dal mashed with vegetables.
1 person found this helpful
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