Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 30 years of experience on Lybrate.com. You can find Pediatricians online in Vadodara and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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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Y can not you doctors understand I am saying na I am nit having milk suggest some ways to feed my baby through bottle.
6 to 8 leucocytes found in urine for a boy of 8 years. Please advise the medicine to be used. Is Novamax 250 ml, Mefta gesic DF and Citra Ulka are useful? If not kindly suggest medicines a small boy of 8 years.
my cousin, he is 2 years old, he is having dry skin, his skin is very thin, has many scratches. His leg palms also got so many scratches. please suggest me suitable ointment for him.
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).
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
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.
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.
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.
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
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
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
My daughter is 3 months old and not sleeping in day and night. I thought of trying phenergan syrup is it safe? If it is then how to use it please suggest.
Respected Doctors:- Question for my daughter:-14 Year old girl (Height 156 cm Weight 46Kg). Every day morning, she is getting sneezing continuously for around 8-10 times within 15 minutes. Also one of the eye gets reddish. When we asked our local doctor, doctor told both sneezing and eye reddishness are only due to an allergy. Doctor told to put a eye drop OLOPAT OD and another eye drop HICool (one after the other after 10 minutes) for one month for curing the redness. For the sneezing trouble, doctor prescribed a tablet Mont air for 10 days. We have put eye drops for 1 month and she has taken the tablet Mont air for 10 days. But still she is getting eye reddishness, even after one month now. Sometimes the reddishness disappear without any medicine, after few hours. Since this issue is continuing, I would like to know (1) What would be possible cause for this issue. (2) Do we need to really worry and take care about this immediately? What is the name for this kind of allergy?(3) Could you please kindly let me know any eye tests to be taken to identify the real issue. Thanks a lot for your kind suggestion/help.
The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond, but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.
6 ways to help your baby learn speaking:
- Let them listen a lot: Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them as with the help of their friends they can learn many words.
- Read a book: You should start reading to your child as early as possible. The type of book is not as important as you may use, various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.
- Talk as much as you can: Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.
- Look for cues: If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.
- Limit television: Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact, which results in reduced language learning.
- Treat ear infections early: It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.
My ward has no fever, no cough, and no symptoms of tb but montox test will come positive. So we can believe that tb, and if what type of treatment can we take?
After multiple patients have asked us about the authenticity of oil pulling as a technique, here's what we have to say:
There is no denying all of us wait for a miracle cure to that terrible disease called dental decay. Much of a dentists or a dental hygienists time goes into answering the question,
why do cavities happen? or how do I prevent cavities?
While people usually assume the answer is brushing and flossing there are some lesser known ancient techniques and some ultramodern gadgets that have contributed to our arsenal of options to keep your mouth healthy.
Oil pulling being one of them has been in the limelight of late.
What is oil pulling?
This oral therapy is a type of ayurvedic medicine that dates back 3, 000 years. It involves swishing approximately 1 tablespoon of oil typically coconut, sesame, or sunflower oil in semisolid form (as shown in the pic) in your mouth for about 20 minutes and then spitting it out.
Start with just 5 minutes a day. Twenty minutes of swishing is a long time, and while the longer you pull, the more bacteria you'll remove, 5 or 10 minutes will still offer some benefit.
A gentle swishing, pushing, and sucking the oil through the teeth is all that's required
Don't swallow. if you find it hard not to, you likely have too much oil in your mouth, spit it out and try again with a smaller amount. just discard the used oil into the nearest cup or trash can.
Why oil pulling? how does it work?
Recent studies show that oil pulling helps against gingivitis, plaque, and microorganisms that cause bad breath.
How? most microorganisms inhabiting the mouth consist of a single cell, cells are covered with a lipid, or fatty, membrane, which is the cell's skin. When these cells come into contact with oil, a fat, they naturally adhere to each other.
Use coconut oil. While you can get the same bacteria-fighting benefits with sesame or sunflower oil, coconut oil has the added benefit of lauric acid, which is well-known for its anti-microbial agents. Also, a recent study found that coconut oil may help prevent tooth decay.
coconut and sunflower oil aren't the only oils with dental health benefits. For irritated, inflamed gums, rub a little vitamin e oil directly on the surface. It's rich in antioxidants, easily absorbed, and helps regenerate healthy gum tissue.
Whitening teeth by keeping clean and smooth surfaces that do not lodge food.
Eliminates bad breath
Preventing gum infections caused by harmful bacteria in the mouth
It doesn't reverse the effects of tooth decay, but it's a great supplemental therapy to reduce the bacterial count in the mouth thereby decreasing the likelihood of decay and other dental and systemic diseases.
The only disclaimer we would want to put in is
Do not ingest or swallow the oil in all your enthusiasm and,
Don't skip brushing and flossing. Oil pulling should never replace routine dental visits and traditional home oral care.
While oil pulling can't change your life or make you never need to go to a dentist again -try it for yourself, if it reduces your chances of decay and maybe even helps you ace your next dental visit with no new cavities.
We say thumbs up! pull away!
Please try this safe and natural practice and let us know how you find it in the comments section.
My 8 year son has flat feet can he play badminton some time he say pain in foot he has three fracture in left and right foot and left foot also two years back doctor checked him and said that he has flat feet and also taken vitamin d test which is 12-13 we purchase arch support for him this is only for shoes playing time he use slipper what we purchase support for slipper in badminton ground sir do exercise and running then he say paining in his foot but he is very much interested in sport doctor said that we have to stop 1-2 month sports but badminton sir said that he will do only wall practising what we do pls help.
What are the best Diagnostic tests for examining hearing loss in a child at 5 y old age. Secondly if a child is diagnosed with auditory nerve damage or cochlear tiny hair cells damage it can be treated with medication or there is no cure or hearing add machine can be set. Last thing child with hearing loss at 50 to 60 DB will need to set hearing add machine on both ear if the loss is in both ears and machine will set all the lifetime. Thanks.
Hello I wanna ask that my 13 days old baby is on breast feed but it is watery not milky. Is this normal or not? If not what should I do.
Hello My 15 days old baby is on breast feed but didn't pass out potty daily. Is it normal? If yes so how many days are normal.
My tailbone hurts when I sit a certain way and it only hurts at the top of my buttcrack. I never fell on it or anything, but I can feel a bone on the top of my buttcrack that hurts even when I touch it. My buttcrack also is wet in the area hours after I have showered. I am not sure what the issue is but the liquid is coming from somewhere and smells really bad and I am in pain and I guess its pilonidal cyst. Any idea how to treat this?
My kids last immunization was meals at the age of 9 months after that I have missed all the vaccination to be done and now he is of age 4 years 8 months, I want to whether these vaccinations can be done now?
Children are as vulnerable as they are adorable. Their immune system is not as strong as that of adults, so they are easy victims to environment borne diseases like cold, cough, influenzas and other infections. Here are 5 practical and easy ways in which you can boost your child's immunity and make sure that your role as a parent is sufficiently fulfilled.
1. Decide judiciously what he is supposed to eat and drink
Your child's daily diet must contain a lot of fruits, vegetables, juices, organic foods and proteins. Healthy fats like butter, pastured eggs, coconut etc. Are also essential as they help in absorbing important vitamins like vitamins a, d, e, k and others. Even your child's water intake should be at an optimal level. Processed food and excessive sugar intake should be avoided as they add to your child's calorie count.
2. Get your child to exercise
Regular exercise is a must. It may include running, swimming, jumping or simply strolling. Screen time should be limited as much as possible as those video games and i-pads are robbing your child of his immunity. Make sure your child spends a few hours outside in the sun so as to absorb vitamin d that is obtained from sunlight, for his immunity.
3. Ensure a clean and hygienic environment for your child
You must make sure that that your child learns to keep himself clean. Teach him to wash his hands whenever necessary and tell him not to sneeze and cough in a way that spreads germs. Maintain a clean and healthy environment in and around your home but make sure that you don't shoo away the good bacteria that prevent diseases.
4. Cut down the stress levels of your child
It is very important for you to recognise and eliminate stress from your child's life to ensure immunity for him. Do not force your will upon your child and let him follow his heart. Help him relax if he is stressed and talk to him patiently about things that are worrying him. Maintain a healthy and loving environment in your family to help your child grow.
5. Ensure you child gets adequate rest
Make sure that your child gets adequate amount of comfortable sleep. It is important for you to make your child understand the benefits of sleeping early. This not only increases his/her immunity but also helps him/her to stay attentive and focussed. If you wish to discuss about any specific problem, you can consult a Pediatrics.