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Dr. Makrand Shinde

Pediatrician, Thane

300 at clinic
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Dr. Makrand Shinde Pediatrician, Thane
300 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Makrand Shinde
Dr. Makrand Shinde is a renowned Pediatrician in Kaushalya Medical Foundation Trust Hospital, Thane. He is currently practising at Ashirwad Maternity and Nursing Home - Dahisar in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Makrand Shinde on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 29 years of experience on Lybrate.com. Find the best Pediatricians online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Ashirwad Maternity and Nursing Home - Dahisar

001-002, Harsh Apartment, A-5, Anand Nagar, Off C.S Road, Dahisar East. Lanmdark: Opposite Vijaya Bank, ThaneThane Get Directions
300 at clinic
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Hello doctors, good afternoon, how to feed a fruits to a 9th baby boy. Thank you.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello doctors, good afternoon, how to feed a fruits to a 9th baby boy. Thank you.
I suppose your baby is in 9th month. you can give soft fruits like banana in small pieces or by mashing fruits.
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My daughter is 2.5 years old and doesn't know how to chew. Pls advise as she is not able to eat solids.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
My daughter is 2.5 years old and doesn't know how to chew. Pls advise as she is not able to eat solids.
Babies are born with ability to breast feed to sustain, rest all qualities are aquired by proper training. Give your child solid diet at frequent intervals so he learns how to eat solid diet. Gradualy child will start taking meals like you. This way he will shift from liquid to solid diet.
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My son is 3 years 11 months old, and have been suffering from high diabetes 600+, though no member in our family or my wife's have diabetes. Doctor's saying his body is not generating insulin and he will have to keep taking insulin 2 times a day daily lifelong. Is there any cure, please advice.

Diploma in Microbiology
Allergist/Immunologist, Jaipur
My son is 3 years 11 months old, and have been suffering from high diabetes 600+, though no member in our family or m...
It's juvenile diabetes. If insulin not formed or if formed but inactive then to maintain the sugar level one has to take the medications.
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A 4 months old baby weighing 7.5 kg having constipation from last 3 days and crying a lot with pain and fowl smelling flatulence. Please recommend the best advice.

BHMS
Homeopath, Chennai
A 4 months old baby weighing 7.5 kg having constipation from last 3 days and crying a lot with pain and fowl smelling...
The first line of treatment that almost everyone resorts to is that of taking laxatives. It is likely to be any of the most frequently advertised one bought over the counter. It may even be something recommended by an elder in the family. The biggest disadvantage of such laxatives is that they are habit forming. Once you start takingthem, you cannot leave them. Otherwise, you will not be able to evacuate your bowels in a satisfactory manner. Here, Homeopathy offers the biggest advantage. The homeopathic medicines do not work as laxatives. This means that you should not expect them to work as short term quick fixes. Rather, they work to improve the digestive system which has lost its proper and smooth functioning. The peristaltic movement of the intestines, which is responsible for pushing out the waste matter is often compromised in patients who are constipated. Homeopathy  intends to cure the root cause of constipation. It is therefore natural that these medicines are going to take some time to get things going. Ultimately, it is effective at restoring this peristaltic movement to the normal self You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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My baby boy completed 3 month on 9 august. He breast feeding normally. But last 5 days he intake his hand in mouth. Can I give him cow milk. Powder milk due to gas problem he does not drink.

MD- Homoeopathy
Homeopath,
My baby boy completed 3 month on 9 august. He breast feeding normally. But last 5 days he intake his hand in mouth. C...
A baby should be given breast milk exclusively for 6 months. No need of giving powder milk or cow's milk. A breast milk is sufficient energy wise and nutrition wise uptil 6 months. If your breast milk has reduced substantially and your baby is losing weight only then you can about top feeds like formula or cow's milk.
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There are two different types of pneumonia vaccines are available for the children. 1 is almost double the price of other. Which one should be preferred and why?

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
The number of antigens covered are more in the expensive one. Hence it is more effective than the cheaper version.
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I have 2 months baby and she is getting puss from navel I consulted many doctors but not getting well give me suggestion.

DHMS (Hons.)
Homeopath, Patna
I have 2 months baby and she is getting puss from navel
I consulted many doctors but not getting well give me suggest...
Hello, Relax ! Give, Homoeo- medicine** @ Heper sulph 6 -1/2 drop with 1 tsfl of mother milk, thrice a day. @ Cal phos 6-1/2 drop in the same way. It will work ,successfully. Report the progress,wkly. Take care.
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Hello Dr. my baby boy is 2 and half month old jab wo sota hai to aksar uske hands or legs kanpte hai aisa kyu hota hai please tell the reason urgently.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hello Dr. my baby boy is 2 and half month old jab wo sota hai to aksar uske hands or legs kanpte hai aisa kyu hota ha...
These are normal movements. All newborn would have. However difference between normal and abnormal movement is only one. If you hold the moving limb and movements stops means it's normal. If it is abnormal muscle twitch it will not.
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My baby is one and half month old she had a vaccine today she is crying badly pls tell me any way and medicine for relief.

Diploma in Child Health (DCH), MBBS
Pediatrician,
My baby is one and half month old she had a vaccine today she is crying badly pls tell me any way and medicine for re...
Give paracetamol drops 3 times a day for 2 day. Apply ice over vaccine site if redness or swelling or painful.
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My daughter is 6 months old and weighs 10 kg. She is in good health since birth. Feeding on mother's milk. Have started solid food 2weeks back. Does her weight need any concern? Also tell me if we should give her any kind of supplements.

C.S.C, D.C.H, M.B.B.S
General Physician,
Definitely her wight is good and a bit more what is worrying you? give breast ilk and home made foods. Check her hb and tsh.
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My son is 2.5 years old. He has weak digestion and lost of appetite. Can I give him Liv-52 syrup? Or any thing else you suggest , what I should follow.

MD - Paediatrics
Pediatrician, Zirakpur
My son is 2.5 years old. He has weak digestion and lost of appetite. Can I give him Liv-52 syrup? Or any thing else y...
The poor appetite of their kids is a common complaint among mothers. In most of the cases, kids make up for their poor diet by eating more at the next meal. For kids over 1 year old, appetites increase and decrease according to age, energy levels etc. This is a common problem among young children between the ages of 2 to 6 years. However, if weight loss accompanies your toddler loss of appetite, then you must consult a pediatrician to identify the cause & correct it. Causes of Loss of Appetite In Children: Here are 10 main reasons for toddler no appetite: 1. Slow Growth Rate: Changes in growth can cause an appetite slump in children. During the first year, children grow rapidly. But after the first birthday the growth of the child slows down, and she may eat less food now. During this time, a decline in appetite is perfectly normal. 2. Sickness: Illness can often cause a significant loss of appetite in children. If your child is suffering from sore throat, stomach flu, diarrhea, headache, fever or other symptoms, then she may eat lesser than what she normally eats. Thankfully, most of the children recover their appetite when they get better. 3. Stress: Stress can have many negative effects on toddlers and young children, including loss of appetite. If you find your child is losing interest in eating or having a hard time sleeping, then. To cure the poor appetite of your kid, you need to identify the cause of her stress and alleviate it. Some common causes of stress during childhood are: •Family issues like a death in the family, death of a pet or the birth of a sibling. •Bullying •Inability to cope with academic pressure and the impractical expectations of parents. 4. Depression: Depression can be another reason for child loss of appetite. Most of the parents mistake depression for sadness. But sadness and depression are not the same. It is important for you to understand the difference between sadness and depression so that your child can get the help she needs. Feelings of sadness go away with the passage of time, but depression does not. Depression not only makes the child sad, but also interferes with her normal life. If your child shows a lack of interest in activities that she previously enjoyed performing, then chances are that she may be suffering from depression. A change in eating habits is a strong indicator of depression. You may need to seek medical care to help your child come out of depression. 5. Anorexia Nervosa: Sometimes, in a bid to ape their screen idols children develop a psychological aversion to eating. They try to go without eating as long as possible. Even when they eat, they choose a low-fat food and later feel guilty about eating it. If you can relate your child to this food fad, she may be suffering from Anorexia Nervosa. You must take her to an eating disorder specialist. The specialist will tell you how to help your child regain a healthy appetite (1). 6. Medications: Several medications can take a toll on your child’s appetite. If the pediatrician prescribed antibiotics for your child recently, chances are she may be suffering from a poor appetite. A loss of appetite in a child is a common side effect of antibiotics (2). 7. Anemia: Anemia is another possible cause of the decline in appetite among children. A low iron count is common in kids who don’t consume an iron-rich diet. Children suffering from anemia seem weaker, tired and irritable than others. If left untreated, anemia can interfere with your child’s development and school performance. Get a blood test done if you suspect anemia in your child. 8. Intestinal Worms: Intestinal worms can cause loss of appetite in kids. Worms enter into the kid’s digestive system and live there like a parasite, causing intestinal bleeding, loss of appetite, dysentery, etc. 9. Constipation: Irregular bowel movements in children can lead to constipation. Tips To Prevent A Loss Of Appetite In Children: Here are some handy tips to prevent a loss of appetite in children: Offer food that is also a visual treat for your kids. You can present healthy foods in a delicious avatar. •Do not argue or scold the children during the mealtime. •Adjust the meal schedules so that you serve food only when your child is hungry. •Encourage your child to make healthy food choices. •Allow your child to snack between the meals. •Serve small portions at regular intervals. •Encourage your child to be more physically active. •Do not force your child to eat if she is not hungry. As a parent, demanding that she finishes the food on her plate is a bad idea. Remember, it is common for children to lose their appetite, so don’t be alarmed every time it happens. If your child is healthy, happy and can sleep well, then there is no need to worry. But a prolonged loss of appetite needs medical attention. So keep an eye on your child’s eating habits.
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Know About Delayed Puberty

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist, Delhi
Know About Delayed Puberty

Puberty results from activation of gonads (testes in boys/ ovaries in girls) by pituitary hormones LH and FSH. Activated gonads produce sexual hormones (testosterone in boys and estrogen in girls ) which are responsible for gender specific physical changes at puberty along with behaviour changes. Testosterone in boys is responsible for hair growth over pubic area and face with maturation of genital organs, breaking of voice, development of muscular and skeletal system. Similarly, estrogen in girls is responsible for breast development, maturation of genital organs with feminisation of body. Bone maturation with rapid height gain is seen at puberty both in boys and girls. Various systemic and hormonal disorders can result in either late or early puberty. 

LATE PUBERTY - 

Most of the boys show signs of puberty latest by age of 14 years and most girls start showing signs of puberty latest by age of 13 years. The earliest sign of puberty in boys is enlargement of testes and in girls is height spurt/breast development. When boys older than 14 years and girls older than 13 years don't have any signs of puberty it is called delayed puberty. 

CAUSES OF DELAYED PUBERTY - 

  1. Constitutional delay is most common cause of delayed puberty. The constitutional delay means child is not having any illness and he is going to develop puberty spontaneously at later age. But diagnosis of this condition can be made only after physical examination and investigations so that other causes of delayed puberty are ruled out. 
  2. Functional hypogonadotropic Hypopogonadism - Delayed but spontaneous puberty develops. This condition can be seen in systemic illnesses like chronic infections, poor nutritional status etc. 
  3. Hypogonadotropic Hypogonadism - Disorders of pituitary gland result in low LH and FSH so that testes/ovaries are not stimulated and sex hormone is not produced. This can be caused by various genetic disorders, brain tumours, head injury, brain radiation etc. 
  4. Hypergonadotropic Hypogonadism - In this scenario, LH and FSH levels are normal but gonadal are not able to produce sex hormones resulting in delayed puberty. 

CONSEQUENCES OF DELAYED PUBERTY - 
The absence of age specific pubertal changes cause anxiety and distress in children and their parents. These children may develop low self-esteem and are teased by their peers. Along with the poor development of physical signs of puberty, fertility is also affected in hypogonadism. And most importantly, delayed puberty can be the symptom of serious underlying illness like intracranial tumours etc. These children deserve medical attention to get best results. 

INVESTIGATIONS - 
Serum testosterone/estradiol with LH and FSH is done to find out where is defect i.e. whether at the level of pituitary gland or at the level of testes/ovaries. Further investigations depend on levels LH, FSH, estradiol/testosterone. Other useful investigations include prolactin, T4, TSH, ray hand for bone age, ultrasound pelvis, MRI pituitary gland etc. 

TREATMENT - 
After diagnosis is established, Testosterone/estrogen replacement should be started to boys older than 14 year and girls older than 13 years respectively. Hormone replacement is very effective and usually safe. In adulthood those with hypogonadotropic hypogonadism can be treated with LH and FSH to produce sperms/ eggs so that they can achieve fertility. If you wish to discuss about any specific problem, you can ask a free question.

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I have a daughter age 10+years she has a problem of bed wet. wanted to get out from this problem please help me thank you.

M.D. Pediatrics
Pediatrician, Pune
This problem is called as Nocturnal Enuresis. Kindly get her Urine Routine and Urine Culture tested. Till then, make sure that she does not drink water atleast 2 hours prior hitting to bed. Start alarm technique, put alarm at around 2 am in morning and ask her to go to washroom. This will help her to pass residual volume. If you find, that she is bed wetting somewhere before 2 am then, adjust clock accordingly. Kindly visit your nearest pediatrician, as he is the best person to give medication. Hope this helps. Happy Parenting!
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My daughter is 3 years old. She is suffering 2 times severe asthma attack in the last 2 months. What should I do now?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Start ipec12c 3hrly for week. U will see how your baby improves. Our pathy will give u not only permanent but also boost her immune system without any side effects or drug addiction. They r safe take care. Thanks.
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My son having repeated fever after one weak before one weak platelet count 2.15 and dengue test was negative kindly advice further.

DNB - Pediatrician
Pediatrician, Pondicherry
My son having repeated fever after one weak before one weak platelet count 2.15 and dengue test was negative kindly a...
Hi, Fever severity, duration and any associated symptoms are the main factors to consider. Better always maintain a temperature chart with you whenever your child gets fever. Use any digital thermometer to record the body temperature which is easily available everywhere. During fever spikes, record the temperature for every 4 hrs. If you child's temperature measured in armpit shows 99 deg F or more, then consult nearby child specialist.
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My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. 1-2 times she wakes up in night. She is also under weight baby. Her weight is only 8 kg. I don't know what should I do. Is she suffering from any kind of diseases? Can I test my baby's thyroid?

Diploma in Child Health (DCH)
Pediatrician, Faridabad
My daughter is 1 year old.In 24 hours she sleep 2 hours in day and 7-8 hours in night but not properly. 1-2 times she...
Hi your baby is under weight and does not sleep adequately. It seems his hunger is not satisfied. I am wondering whether you have started weaning or not. Dou you give any semisolid food to him other than milk, please check. If not pl start immediately. If any query can ask later.
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My 15 month old son is constipated. We gave him an oral laxative, still he is not passing stools. It has been the case since a month. Please advise.

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Stop bottle feed and give him high fibre food. To treat constipation laxatives have to be given for at least three months with changes in diet. Most of the time such babies have pain while passing stools. They may be having fissure in ano that is wound at the anus, local anesthetic agent may be added and luke warm water wash of the anal region may be done to relieve of pain.
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My girl child are of 2 year and 2 month old. But she is not speak well. Only some basic word like papa mamma, etc say. Please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
My girl child are of 2 year and 2 month old. But she is not speak well. Only some basic  word like papa mamma, etc sa...
She may just be a late comer or there may be some problems. Try speaking to her and make her vocalise. Check her tsh and inform me.
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