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Dr. Anant Ketkar

Pediatrician, dabra

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Dr. Anant Ketkar Pediatrician, dabra
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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.
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My 1 month old baby has mucus in stool and he has pus cell 10-12/hpf in stool and there is little bit of blood in his stool. What can we do for his early recovery?

MBBS, MD - Paediatrics
Pediatrician, Hyderabad
My 1 month old baby has mucus in stool and he has pus cell 10-12/hpf in stool and there is little bit of blood in his...
Hello there. Your child is suffering with an Acute Dysentery, in easier words an infection of the gut. This is caused due to bacterial infections. This can be treated using antibiotics and oral rehydration solution.
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My son is 14 years old (15-01-2002. In October he took cricket coaching for 10 days. Since then he fell ill frequently. Sometimes headaches, sometimes fever. He feel weakness all the time. Dr. Please suggest me diet or supplement for him. His height 5'10. Weight 60 kg.

MD - Paediatrics
Pediatrician, Allahabad
Problem of your child doesn't appear related to cricket coaching. In view of fever, headache & generalized weakness, a thorough evaluation is warranted. Pl consult your pediatrician at earliest.
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My baby boy is just a 16 months old and was having pooty 5 to6 times was smelling bad so I was giving him curd carrot juice diarex and enyplex but it did not cured so by mistake I give him enterolife sachet which had been expired 3 months before and he is having liquid fluid tools with mucus in it what to do pls help me.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
My baby boy is just a 16 months old and was having pooty 5 to6 times was smelling bad so I was giving him curd carrot...
Expired enterolife should not be causing diarrhoea and your kids diarrhoea appears to be unrelated to the same. Most of the diarrhoea respond to who-ors and zinc. However, specific medicines might be needed depending on the cause of diarrhoea. I would advise you to visit your paediatrician.
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By birth, my son is suffering from tuberous sclerosis and due that he has so many issues like development delay, not able to speak, not social and almost all sign of autism. Please advice what treatment is available to recover from these issues. He is now of 4 year and we are sending him to play school so that he can mix with other kids. We also gave behavioral therapy for 4 months. Please advice.

Pediatrician, Pune
Tuberous sclerosis with mild neurological impairment with seizures can be controlled well with medications specially vigabatrine, if there are no renal, cardiac ailments prognosis is much improved, supportive care is what you can for the best
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It's for my baby who is 5 months old, suffering from constipation from his early 2 months. I give him himalaya Bonnisan drop 30 ml and Neopeptine drop 15 ml from 3 months but there is no improvement. Can I give him EVICT syrup for constipation.

Pediatrician, Kaithal
It's for my baby who is 5 months old, suffering from constipation from his early 2 months. I give him himalaya Bonnis...
If baby is breast fed only or getting some cow's milk or formula milk or calcium syrup. You should withhold everything except breast feed. Secondly if stools are not hard, then it's ok with once a week frequency for stools, if baby is breast fed only.
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I have twin daughters. They are now 19 months old. They don’t eat ANYTHING. Whatever we offer them they refuse to it ya muh se nikal deti h… They still wakes up at night, due to hunger. They drink only milk (buffalo milk) they have low iron level (21.3 and 19.4) and low hb level (10.3 and 10.2. Kindly help me what should I do.

MBBS, MD
Pediatrician, Gurgaon
I have twin daughters. They are now 19 months old. They don’t eat ANYTHING. Whatever we offer them they refuse to it ...
it seems both children are bottle addict which brought this condition.normally by 6 months child be given cereals based soup half cup twice a day.gradually reduce breast.bottle and even milk and give cereals diet increasing to 100 gms at one yrs age.better child develop habbit of selt feeding.now you have to be little strict.no bottle or milk only 200 gms that too inpaneer curd.it will take time
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My son studying in 6 standard, every day he studies for 2-3 hours, but he cannot remember nor able to write correctly what he had studied yesterday. Kindly suggest the solution how to maintain the memory what he had studied. Also their is regularly etching on his dody, he is 10 years old because of that lot of etching mark on his hands.

MD Paediatrics, MBBS
Pediatrician, Hyderabad
This is a common problem in children of this age group, often parents complain of such things with their children, there is no connection of skin and memory, as far as etching of skin is there, there might be some allergen which is causing it or sometimes dry skin may be cause of etching marks. Use a good moisturiser to whole body before sleep, ask him to drink plenty of fluids/water. Still problem persists consult a dermatologist, as far as memory is concerned nothing to worry, each and every individual has different iq levels and different grasping and retaining abilities. Just have patience as the children grow they will develop their skills.
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Can I use lactare capsules for lactation as I get low breast milk is it safe to take twice daily.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Lactare capsules are ayurvedic medicine and all the ayurvedic medicines are known to have no side effects. Even we allopathic doctors give same medicines to increase the breast milk. You should take it, it is very safe.
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My 3 n half month old is not taking feed from my right breast What could be the reason.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, You may have developed a cracked nipple which may have caused blocked ducts, so check yourself manually for adequate expression through right breast and then try again.
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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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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and enlarged uterus can cause bladder prolapse as its an anatomical variation.
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My Both Babies get Cold and Cough very Regularly. I am Using some medicine but not getting permanent solution.

MBBS, MD
Pediatrician, Gurgaon
Some children are more susheptical to perineal allergic symptoms than others. Your children have allergic symptoms. Just give symptomatic treatment. N o antibiotics please.
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I have a 10 month old baby he is having cold since 8 days rather more of congestion I can also see him breathing through mouth cuz of congestion what should I do about it?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
I have a 10 month old baby he is having cold since 8 days rather more of congestion I can also see him breathing thro...
Breathing through mouth is a sign of adenoid enlargement. So meet your ent and they would prescribe you proper meds for the same in form of nasal drops and anti histaminics. So all the best. Till you meet him try otrivin p nasal drops one drop in each nostril every four to six hourly.
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My daughter is 22 months not able to speak so much, her words not clear what to do, please advise.

Pediatrician, Pune
If she can hear properly, be patient, continue interacting with her, things should be fine in due course of time.
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My son gets frequent cold and cough, running nose? He is 2 years 9 months. What medicine do you prescribe? We don't give him cold water, or cold drinks/ice cream etc. Please advise.

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My son gets frequent cold and cough, running nose?
He is 2 years 9 months. 
What medicine do you prescribe? 
We don't...
Give him syp relent4ml bd for 3 days. Syp zand d 5ml od for 3 week. Give vit c rich fruits. Balanced diet.
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I have 3 months baby. I'm breastfeeding my baby boy. I have a doubt that my milk is enough to my baby or not. What to eat to get more milk that is enough to my baby?

M.D PEADIATRICS, MBBS
Pediatrician, Pune
I have 3 months baby. I'm breastfeeding my baby boy. I have a doubt that my milk is enough to my baby or not. What to...
Hello, lybrate-user! this is a concern for all new mothers. If your baby is hungry every 2-3 hours, gaining adequate weight, passing urine atleast 5-6 times a day &motions atleast once a day, that means your milk is adequate remember that, milk flows when baby starts sucking at breast.
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Hi Dr, please suggest the treatment of stargardt disease in 9 years old child. Can we have some home remedy, please suggest how can we cure it and improve the vision.

MBBS, DNB (Ophthalmology), ROP
Ophthalmologist, Coimbatore
Hi Dr, please suggest the treatment of stargardt disease in 9 years old child. Can we have some home remedy, please s...
Hello lybrate-user. Stargardt is one of the most common macular dystrophy wherein the gene responsible for removal of toxic metabolites is absent which results in accumulation of lipofuschin leading to damage to photoreceptors which are responsible for vision. Currently, there is no treatment for the disease. Wearing sunglasses and hats outdoors and blue-light blocking glasses when exposed to artificial light sources reduces the buildup of lipofuscin. Use of low vision aid also helps. Antioxidats, isotretinoin, gene therapy are all in the experimental stage for treatment modality. I would recommend you to see a ocular geneticist for any recent research update and for genetic counselling.
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My son is 9 months old. He had suddenly stopped drinking breast milk, dint noe the reason. Later found out he had blisters in his mouth due 2 wch he was refusing 2 suckle. He dint take milk 4 almost 4 days, due 2 wch milk supply has reduced. If he start sucking again, will it increase? How cn I increase my milk production?

MBBS, MD
Pediatrician, Gurgaon
calories demand increases with activity of child,and 9months is cut of age for increased activity.It may be possible he is more satisfied in term of calories,with semisolid food.thus just give breast 8hourly and try to give more energetics food.keep watch on wait gain.
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My baby is 1 month 15 days old. She is not going for loo 5 days. We are using dulcolex, hallens for every 2 days is it fine. Give me any suggestion.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My baby is 1 month 15 days old. She is not going for loo 5 days. We are using dulcolex, hallens for every 2 days is i...
Initial few months bowels are irregular. No need to worry if baby is active & only breastfed. Don't use dulcolax suppositories even if the stools are not passed for 1 week. Use more tomatoes in the diet.
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