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Treatment of Child and Adolescent Problems
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Treatment of Childhood Infections
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Growth And Development Including General Paediatri
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My daughter is 1 month and 5 days she has been getting formula from first week of life. Few week after I notice she constantly poop green, she is not fussy but am worried why her poop is green as it use to be yellowish, from sunday until today its been strictly green poop. Please help me.
Hi my 3 months daughter has much khansi and sardi last 3 days yesterday I consulted a child doctor he prescribed me acudov and ambril khansi syrup but still there is no improvement on my child please help me how many days I have to wait for improvement?
He is 8 years old. As for as features known of dyslexia. Those features he has. Difficulty in writing, does not have the patience in reading, writing, not respects elders. Though his behavior was tolerated by us. He will continue his rude behaviour until we beat him. Is it necessary to get him counselling by a psychiatrist. If at all, please refer one fine psychiatrist in bangalore.
Parents are always concerned about their child's physical health, but often ignore their mental health. Along with physical well-being, your child's mental well-being is also equally important.
The following are eight tips to improve your child's mental well-being:
- Adequate sleep: Sufficient amount of sleep is required for a child to stay mentally fit. Parents often engage their children with various classes and activities and compromise on their sleeping hours. This in turn affects the child's mental state. Therefore, as a parent, you must take care not to compromise on your child's sleeping hours.
- Allowing them to play: Nowadays, children are overburdened with studies and other learning activities. They do not get to play quite often. But as a parent, you must take care of your child's schedule, so that he/she can have proper playtime too. Playing involves physical activity as well as creativity in certain cases. This helps to improve mental health.
- Learning to share and care: You must take care to inculcate in your child the values of sharing and caring. These little things can also help improve your child's mental health. Learning how to share with others and caring for others will help them to stay happy.
- Regular exercise: Encouraging your child to regularly exercise will not only help improve his/her physical health, but also mental health. It will also help them to reduce stress and maintain a good mood as well.
- Listen to them: Parents often ignore when children are speaking on less important matters; may be about a new friend or a strict teacher in school. But as a parent, you must take out some time from your daily schedule to listen out to their stories. Listening to them attentively will make them feel important, increase their confidence and hence, improve their mental well-being.
- Encourage them to make friends: Encouraging your child to make new friends will help them to socialize better. They will feel confident about themselves and also open up. This can boost up their mental well-being.
- Good nourishment: Proper nourishment is not only essential for being physically fit, but also mentally fit. Good nourishment will help them stay healthy physically and increase their energy levels. This in turn will positively affect their mental health.
- Make them feel safe: Children need to feel safe in order to stay mentally fit. Try and spend some time with them every day. As a parent, always make your children realize that you are right beside them. Listen to their problems and help them find solutions to solve those instead of scolding them. Help them to relax and feel secure to stay mentally fit.
If you wish to discuss about any specific problem, you can consult a the doctor and ask a free question.
Is nebulization for 7 years old child is good or bad often my child is asked to go for this treatment by Doctor. How to reduce such type of treatment because I am not ok to give this continuously. so please help me for that
In my child kaniska she was 5.5 years old. He was wheezing trouble for past 3 years. Now I was admitted in G.K hospital for high temperature fever, running nose on 06.09.16. Now the fever controlled but cough is increased at nighttime. Please give the solution for my child.
My baby is 2.5 month old. He feeds with bottle. please tell me what are the side effect of bottle if I properly sterilize the bottle before feed him.
The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.
Causes: The appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.
Symptoms/Diagnosis: In adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
- Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
- Fever, nausea, and vomiting
- Abdominal fullness or bloating
- Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. CT scan also can be considered if required to confirm the diagnosis.
Treatment: As noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:
If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.
Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.
Research suggests that people with mild eczema who drink oolong tea three times a day may show improvement in itching and other symptoms. Compounds in the tea called polyphenols appear to be responsible.
My nephew is 8 months old (born on 10th August, 2017). Till date he had undergone four blood transfusion since his birth. haemoglobin comes down every 30-40th day to 7-9 level. We stay at Ayodhya (Uttar Pradesh) where no treatment is available for this disease. Doctors has suggested that he should be undergoing blood transfusion throughout his life for survival and he can survive maximum 25 years like this. Please find the attached report of cough. I would be really thankful to you if you can examine his report and help us in any possible way to treat his disease, I would appreciate your confirmation. Father and mother have minor Thalassemia Infant name as in prescription- Baby of Archita (Thalassemia major) Thank You,
If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.
ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.
The most common symptoms, which are almost diagnostic of ADHD are:
- Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
- These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.
While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.
This will help identify areas that need support from an Occupational Therapy, which are the following:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- Teaching strategies to participate in various social and academic activities
So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a Pediatrician.
My baby boy is 6 week old. . . He is suffering from running nose and cough. . . please guide Does sinarest af drops for running nose and mucolite for cough will help?
My daughter is 9 months old. She is a poor eater. Her weight is 7 kg. And think she is not feeling hungry. So can we give some appetite. So got a cypon. When I see the reviews in Google, its mentioned that its not advisable. So can you please tell me wat to give to make her hungry and to eat.
I am 28 years old & the age of my baby is just one month. I am giving her naan as a supplementary food consulting with a doctor. Baby is not getting sufficient milk from me. Is it ok or not? I have a question to doctors that which foods will increase breast milk of a mother?
My baby is 3.5 month old. His appetite is very less and his weight was 4.9 at 3 month, can I give him liv 52 to increase his appetite? He is not taking proper milk and he is on exclusive bf. I am already giving him calcium, vitamin D and iron drops. So please suggest.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.