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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Is it necessary to get my daughter vaccinated during every pulse polio camp? Can you please reply fast?
We need to Feed my 3wks old baby lactozen 1 whenever we are travelling or I am not around. We usually give 30ml water n 1scoop lactozen. Is it sufficient or we need to increase the amount?
Dr. 2 month old baby was on similar for a month as mother did not produced sufficient milk and had flat nipple problem also, now for 2,3 days some blood in stool Dr. said to stop similar and dairy for mother also stopped, much worried, will this allergy for cow milk will be cured later?
My 6 month baby refuses milk. Now we starts solid food to her. Morning we will give 2 milk bikes biscuits and afternoon we will give nestum to her.in between time we will give formula milk. She doesn't drink full amount of milk put some milk .is it reduce her weight? Then per day how many biscuits to give 6 month baby? Is 2 number enough? please tell me.
My 1.3 year old baby has made weight fall on his both legs, orthopedicIan said there is no fracture and given imol syrup but he is not able to walk properly. What to do. By when he will walk properly.
I am 17 years old. My body is so weak. I tried doing exercise. But my body pains due to it. I get tired. Especially my back pains mostly. There is also problem with my diet. Even though I didn't watch tv or other things while eating, my eating speed is too slow. I tried my best to improve my body. Please tell me how should I solve this problem? How can I improve my body?
My child is diagnosed with adhd. He is 6 years old. Can this disease be cured completely. Doctor say that he did not get oxygen at the time of birth. But I don't agree with them. He is very hyper and speaks some words not sentences. Doctor is giving him atomoxetine hydrochloride-18mg, sizodon md 0.5 mg, coenzyme-10.(50mg. And carbamazepine.
Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:
- Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea.
- Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.
- Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.
- Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.
- Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.
Related Tip: "Living Well with Type 2 Diabetes"
This is for child 4 year old. Studies in Jr. Kg. I feel that my child has difficulty in clarity of speech and speaking in complete sentences. He requires language development. He communicates his needs and is quite good with written work in academics but story telling, language related narration is difficult. Also he communicates only in English. Though he understands our mother tongue Malayalam and Hindi, he communicates back only in English. Is there any way you can help him develop language skills. FYI he was premature 8th month baby, but had all his milestones correctly. His birth weight was 1.8 kg. He is very active and playful child.
Hi doctor I want to ask about my daughter she is 2 years 8 months now bit not going toilet for motion she doing at underwear only not telling motion coming and all sometime urine also doing inside home I teacher and told so many times outside people's are insulting me so I did not put school also she not telling please give me suggestion I'm waiting for your reply you gave suggestion
My one year and 3 month old baby start walking for 15-20 days but I notice that he walk with left foot outside. Is this normal.
My son is 5 years old. His health is normal, height is good. But in the time of season change he is suffering from cough, a lot of is product in his lungs. Some times his cough is mucolite or asthma type. I am also suffering from asthma, this is genetic. Another thing his skin glaze is not good. So, sir what can we do for him to remedies.
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 for the attention deficit hyperactivity disorder?
My son 5 month usually give out milk in the form of curd. Is there any problem of digestion. Pls advice.
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.