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Dr. Ramu

Pediatrician, Thane

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Dr. Ramu Pediatrician, Thane
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ramu
Dr. Ramu is a renowned Pediatrician in Thane West, Thane. You can visit him/her at Anujit Hospital in Thane West, Thane. Book an appointment online with Dr. Ramu on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 39 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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English
Hindi

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Anujit Hospital

Thakkar House Castle, Thane West, Landmark: Uthalsar Mill Naka, ThaneThane Get Directions
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Dear mam I have deliver a baby boy on 14 April as it was normal delivery ,my question is that at the time of delivery baby weight was 3.4 kg and now baby seems to be very week like the weight is 2.4 please tell wat to do to increase the weight of my baby n he looks healthy as soon?

MBBS, MD - Paediatrics
Pediatrician, Pune
Dear mam I have deliver a baby boy on 14 April as it was normal delivery ,my question is that at the time of delivery...
There is something wrong in feeding technique cz there is 1 kg loss. Normally term babies lose around 5 to 10 pc max weight in first 7 days and regain their birth weight around on 10th day. After that weight gain starts. But 1 kg loss is significant. please show your baby to a paediatrician.
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Hello. My son ws given painless vaccination (2.5 month. Still he cried a lot n had fever. And doctor said fo some children fever will come even though it is painless. Is it true?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hello. My son ws given painless vaccination (2.5 month. Still he cried a lot n had fever. And doctor said fo some chi...
Yes the so called 'Painless" vaccines causes less fever, less pain and less swelling at the site of injection. But they still can cause all these reactions. And this can occur with any vaccination.
3 people found this helpful
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All About Growth Hormone Deficiency

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
All About Growth Hormone Deficiency

Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types:

  1. Congenital GHD - This form of GHD appears from at the time of birth itself.
  2. Acquired GHD- GHD can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
  3. Idiopathic GHD- Idiopathic GHD is the third, and comparatively worst kind of GHD since it has no treatment.

GHD is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (GHD).

Symptoms:
Childhood onset

  1. Restricted height- Compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
  2. Chubby and comparatively younger appearance- Your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from GHD.
  3. Late puberty- Your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the GHD.
  4. Hypoglycemia and exaggerated jaundice- Low blood sugar is amongst the most primary manifestations of GHD, along with extended duration of jaundice.
  5. Micro-penis- Micro penis condition is one of the incident signs of GHD, which later escalates to growth deficit as the infant gets older.

Adult onset:

  1. Fatigue- Adults with GHD may experience extreme tiredness throughout the day, with reduced muscle strength.
  2. Osteoporosis- Osteoporosis, along with bodily deformities, is a common sign in adults with GHD.
  3. Lipid abnormalities- A test of your lipid profile may reveal abnormalities in LDL cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine GHD:

  1. Physical test- A chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
  2. Hand X-ray- A hand X-ray can determine whether the age of bones are at par with your age.
  3. MRI-MRI scan can determine the health of your brain and pituitary gland.
  4. Test for other hormones- Growth Hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment:

  1. Hormone supplements- Hormone supplements like corticosteroids (hydrocortisone or prednisone), Levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
  2. Growth hormone injection- GH is injected beneath your skin, to cure GDH. This is a long-term treatment and requires constant monitoring.
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Why it's Important That Your Child's Diet is Calcium-Rich

Diploma in Paediatrics, MD (Physician)
Pediatrician, Gurgaon
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Why it's important that your child's diet is calcium-rich

Calcium is an inevitable part of your child's diet. You cannot afford to skip it if you wish to maintain a healthy lifestyle for your child. It is recommended that children between the ages of 9 and 18 should get approximately 1300 milligrams of calcium every day. Calcium-rich diet is important for your child for a number of reasons.

Why calcium?

  • Calcium helps in building strong bones and teeth for your child.
  • It is important in order to ensure proper functioning of your child's muscles and nerves.
  • Calcium plays a vital role in the release of such hormones and enzymes in your child's body that convert the food he eats into energy.
  • It is also helpful in causing the blood to clot whenever your child gets bruised.
  • Since your child is continuously growing, a calcium-rich diet ensures an adequate supply of resources that help him to develop new bones that are healthy and strong.
  • A calcium-rich diet is also essential as far as other bodily functions like muscle contraction, blood vessel constriction and relaxation are concerned.

What does lack of a calcium do to your child's body?

  • Lack of calcium can cause bone diseases like osteoporosis in your girl child, thus exposing her to a greater risk of weakened bones and possibility of fractures.
  • If your child is a young kid and his diet lacks calcium or vitamin d, which absorbs calcium, he is exposed to the threats of the bone-softening disease called rickets. It can cause in him bowing of the legs, muscle pain and poor growth.
  • Bones are living tissues that change constantly, old bones keep getting replaced by newer ones and a calcium-rich diet aids this procedure. Therefore without an adequate supply of calcium, this process would borrow minerals from existing bones, thus weakening them and exposing them to increased risks of fracture.
  • Lack of calcium also increases risks of cardiovascular diseases, damaged gums, high blood pressure, ovarian and breast cancer and several other infirmities in your child in his later years.
3402 people found this helpful

Bacho m jaldi jaldi flew like jukam kyo ho jata h jab tak treatment lite h tab tak thik rehete h treatment band hote hi phir bimar ho jate h.

Diploma in Paediatrics, MD - Paediatrics
Pediatrician, Ahmedabad
Bacho m jaldi jaldi flew like jukam kyo ho jata h jab tak treatment lite h tab tak thik rehete h treatment band hote ...
6 to 7 attacks are very common per year. As they have less immunity. Avoid antibiotics in simple common cold. Not to worry about common cold and cough.
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My 3.5 years old daughter has always been very adamant and impatient. How can I make a positive change in her? Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
As she is too young now, you ahve to wait for her to grow and inculcate values in her and make her understand things positively and behave well. It may take time and be patient
1 person found this helpful
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Nephrotic Syndrome In Childhood- What Parents Need To Know!

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Nephrotic Syndrome In Childhood- What Parents Need To Know!

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes. 

The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria. 

The other key features of nephrotic syndrome are: 

  1. A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome. 
  2. Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood. 
  3. A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage. 
  4. Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease. 
  5. Other typical symptoms and signs of nephrotic syndrome are discussed later. 

Common causes behind it 

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications. 

Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include: 

  1. proteinuria—high levels of protein in the urine (based on your child’s age and size) 
  2. hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine 
  3. edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
  4. high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
  5. While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made. 

Here’s what you need to know about nephrotic syndrome: 

  1. In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it. 
  2. Nephrotic syndrome always affects both kidneys. 
  3. It usually appears between the toddler and elementary school years, although it may appear later. 
  4. There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS). 
  5. MCD is much more common in children, and likely to respond to therapy. 
  6. FSGS is a more aggressive disease, and may lead to kidney damage. 
  7. Most children with NS outgrow it by young adulthood. 

Treatment Available 

Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.

Sir my 3 month old baby boy is having left sided severe hydronephrosis with PUJ obstruction. Doctor has referred for a surgery. I want to know should I go for open surgery or laparoscopic surgery. Can you guide me who is best Dr. in Mumbai.

MS - General Surgery
General Surgeon, Vadodara
Sir my 3 month old baby boy is having left sided severe hydronephrosis with PUJ obstruction. Doctor has referred for ...
Dear lybrate-user, How are you? You are in pain of fatherhood, I understood. Your son is having Congenital anomaly and Surgery is the only option. Go to fully equipped hospital with full ICU support & well qualified Urologist, Nephrologist & neonetologist. Any type of surgery you can choose either open or Lap. Acoordind to my experience, Open surgery will be better for this condition. But, if expert lap. Urologist is available, you can have that choice. Both have its ifs & buts. Whatever your treating doctor suggest, go for it. Mind well, only God is Great and not the Doctor. We, Surgeons are also humanbeing, trying our best for betterhood of patient. Best of Luck.
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My child aged 4 years gets sometime cuts near outer of both lips. What is the remedy for it.

MBBS DCH
Pediatrician, Gandhinagar
It's known as angular cheilosis. Give green leafy vegetables. Give syp becosule 5 ml twice a day and apply clenora gel locally.
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